Amitriptyline (elavil) -sendout at Banner Payson Medical Center

807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340

Source: hospital's published price file ↗ · Published Mar 2, 2026 · Ingested Aug 12, 2026

$31.96

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$68.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.38 with Banner University Health Plan vs $101.33 with Blue Cross Blue Shield of Arizona — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Banner University Health Plan AZ Medicaid - AHCCCS $7.38 ↓ -77%
Arizona Physicians IPA Medicaid $7.38 ↓ -77%
Health Net Medicaid $7.38 ↓ -77%
Health Choice Arizona, Inc. Medicaid $7.38 ↓ -77%
Mercy Care Mercy Medicaid $7.38 ↓ -77%
Aetna Banner Employee Plans $12.62 ↓ -61%
Banner Health Medicare Advantage $12.71 ↓ -60%
Banner University Health Plan Medicare Advantage $12.71 ↓ -60%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $12.71 ↓ -60%
TriWest Healthcare Alliance Corp - VA CCN Tricare $12.71 ↓ -60%
Health Net Medicare $12.71 ↓ -60%
Wellpoint Medicare Advantage HMO $12.71 ↓ -60%
UPMC Health Plan Medicare Advantage $12.71 ↓ -60%
Aetna Medicare Advantage $12.71 ↓ -60%
United Healthcare UHC Medicare Advantage $12.71 ↓ -60%
Arizona Physicians IPA Medicare Advantage $12.71 ↓ -60%
Mercy Care Mercy Care Advantage $12.71 ↓ -60%
Blue Cross Blue Shield of Arizona Medicare Advantage $12.71 ↓ -60%
Care 1st Medicare Advantage $12.71 ↓ -60%
Kaiser Foundation Health Plan Medicare Advantage $12.71 ↓ -60%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $12.71 ↓ -60%
Gila River Health Care Corporation Managed Care Program $12.71 ↓ -60%
Health Choice Arizona, Inc. Medicare Advantage $12.71 ↓ -60%
Carelon Medicare Advantage $13.35 ↓ -58%
Humana Medicare Advantage $13.47 ↓ -58%
Plotkin Health Plotkin Health $13.95 ↓ -56%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $13.95 ↓ -56%
Arizona Priority Care Medicare Advantage $13.98 ↓ -56%
Devoted Health Services Medicare Advantage $13.98 ↓ -56%
Gold Kidney Health Plan Medicare Advantage $13.98 ↓ -56%
Aetna Joint Venture $16.43 ↓ -49%
Aetna Aetna Qualified Health Plan $17.30 ↓ -46%
Health Choice Arizona, Inc. ACA Health Plan $18.14 ↓ -43%
Health Net Commerical Exchange Product $18.81 ↓ -41%
Aetna Medical Rental $19.93 ↓ -38%
Aetna Broad Network $20.52 ↓ -36%
United Healthcare UHC Individual Exchange $20.77 ↓ -35%
Oscar Health Plan Commercial $20.97 ↓ -34%
Quiktrip Corporation Commercial $21.70 ↓ -32%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $24.68 ↓ -23%
Arizona Medical Network Commercial $27.90 ↓ -13%
Provider Network of America Commercial $27.90 ↓ -13%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $76.00 ↑ +138%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $81.06 ↑ +154%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $85.12 ↑ +166%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $96.78 ↑ +203%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $101.33 ↑ +217%
Blue Cross Blue Shield of Arizona Commercial $101.33 ↑ +217%

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $10.88 $6.00 – $28.65
Banner University Medical Center Tucson Tucson $42.28 $12.40 – $62.82
Banner University Medical Center South Tucson $40.72 $12.40 – $49.60
Banner Baywood Medical Center Mesa $8.64 $6.00 – $73.64
Banner Boswell Medical Center Sun City $10.27 $6.00 – $56.23
Banner Casa Grande Medical Center Casa Grande $7.68 $6.00 – $43.12
Banner Del Webb Medical Center Sun City West $10.47 $6.00 – $28.65
Banner Desert Medical Center Mesa $10.20 $6.00 – $73.64

All Arizona hospitals for this procedure →