Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm 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

$356.30

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.

$624.00

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.

$253.97 with Aetna vs $4,497.03 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
Aetna Banner Employee Plans $253.97 ↓ -29%
Wellpoint Medicare Advantage HMO $255.84 ↓ -28%
Gila River Health Care Corporation Managed Care Program $255.84 ↓ -28%
UPMC Health Plan Medicare Advantage $255.84 ↓ -28%
Aetna Medicare Advantage $255.84 ↓ -28%
United Healthcare UHC Medicare Advantage $255.84 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $255.84 ↓ -28%
Arizona Physicians IPA Medicare Advantage $255.84 ↓ -28%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $255.84 ↓ -28%
Banner Health Medicare Advantage $255.84 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN Tricare $255.84 ↓ -28%
Banner University Health Plan Medicare Advantage $255.84 ↓ -28%
Health Choice Arizona, Inc. Medicare Advantage $255.84 ↓ -28%
Blue Cross Blue Shield of Arizona Medicare Advantage $255.84 ↓ -28%
Health Net Medicare $255.84 ↓ -28%
Care 1st Medicare Advantage $255.84 ↓ -28%
Mercy Care Mercy Care Advantage $255.84 ↓ -28%
Kaiser Foundation Health Plan Medicare Advantage $255.84 ↓ -28%
Carelon Medicare Advantage $268.63 ↓ -25%
Humana Medicare Advantage $271.19 ↓ -24%
Plotkin Health Plotkin Health $280.80 ↓ -21%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $280.80 ↓ -21%
Gold Kidney Health Plan Medicare Advantage $281.42 ↓ -21%
Arizona Priority Care Medicare Advantage $281.42 ↓ -21%
Devoted Health Services Medicare Advantage $281.42 ↓ -21%
Aetna Joint Venture $330.72 ↓ -7%
Aetna Aetna Qualified Health Plan $348.19 ↓ -2%
Health Choice Arizona, Inc. ACA Health Plan $365.04 ↑ +2%
Health Net Commerical Exchange Product $378.64 ↑ +6%
Aetna Medical Rental $401.23 ↑ +13%
Aetna Broad Network $413.09 ↑ +16%
United Healthcare UHC Individual Exchange $418.08 ↑ +17%
Oscar Health Plan Commercial $422.14 ↑ +18%
Quiktrip Corporation Commercial $436.80 ↑ +23%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $496.70 ↑ +39%
Provider Network of America Commercial $561.60 ↑ +58%
Arizona Medical Network Commercial $561.60 ↑ +58%
Health Net Medicaid $1,243.64 ↑ +249%
Mercy Care Mercy Medicaid $1,243.64 ↑ +249%
Banner University Health Plan AZ Medicaid - AHCCCS $1,243.64 ↑ +249%
Arizona Physicians IPA Medicaid $1,243.64 ↑ +249%
Health Choice Arizona, Inc. Medicaid $1,243.64 ↑ +249%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $3,372.77 ↑ +847%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $3,597.62 ↑ +910%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $3,777.49 ↑ +960%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $4,295.26 ↑ +1106%
Blue Cross Blue Shield of Arizona Commercial $4,497.03 ↑ +1162%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $4,497.03 ↑ +1162%

Visitor-reported prices

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Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $1,333.82 $97.27 – $4,174.94
Banner University Medical Center Phoenix Phoenix $323.23 $209.66 – $3,216.89
Banner Baywood Medical Center Mesa $239.62 $209.66 – $3,216.89
Banner Boswell Medical Center Sun City $150.48 $209.66 – $3,216.89
Banner Casa Grande Medical Center Casa Grande $280.80 $218.40 – $2,924.45
St. Joseph’s Hospital and Medical Center Phoenix $1,844.30 $97.27 – $3,618.99
Yavapai Regional Medical Center (East) Prescott $5,234.81 $97.27 – $193.98
Chandler Regional Medical Center Chandler $1,453.10 $97.27 – $4,554.48

All Arizona hospitals for this procedure →