Apply forearm splintdynamic 29126 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

$85.04

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.

$365.00

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.

$81.00 with Aetna vs $466.23 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 $81.00 ↓ -5%
Banner University Health Plan AZ Medicaid - AHCCCS $81.16 ↓ -5%
Arizona Physicians IPA Medicaid $81.16 ↓ -5%
Health Net Medicaid $81.16 ↓ -5%
Health Choice Arizona, Inc. Medicaid $81.16 ↓ -5%
Mercy Care Mercy Medicaid $81.16 ↓ -5%
Banner Health Medicare Advantage $99.63 ↑ +17%
Banner University Health Plan Medicare Advantage $99.63 ↑ +17%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $99.63 ↑ +17%
TriWest Healthcare Alliance Corp - VA CCN Tricare $99.63 ↑ +17%
Health Net Medicare $99.63 ↑ +17%
Wellpoint Medicare Advantage HMO $99.63 ↑ +17%
UPMC Health Plan Medicare Advantage $99.63 ↑ +17%
Aetna Medicare Advantage $99.63 ↑ +17%
United Healthcare UHC Medicare Advantage $99.63 ↑ +17%
Arizona Physicians IPA Medicare Advantage $99.63 ↑ +17%
Mercy Care Mercy Care Advantage $99.63 ↑ +17%
Blue Cross Blue Shield of Arizona Medicare Advantage $99.63 ↑ +17%
Care 1st Medicare Advantage $99.63 ↑ +17%
Kaiser Foundation Health Plan Medicare Advantage $99.63 ↑ +17%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $99.63 ↑ +17%
Gila River Health Care Corporation Managed Care Program $99.63 ↑ +17%
Health Choice Arizona, Inc. Medicare Advantage $99.63 ↑ +17%
Carelon Medicare Advantage $104.61 ↑ +23%
Humana Medicare Advantage $105.61 ↑ +24%
Plotkin Health Plotkin Health $109.35 ↑ +29%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $109.35 ↑ +29%
Arizona Priority Care Medicare Advantage $109.59 ↑ +29%
Devoted Health Services Medicare Advantage $109.59 ↑ +29%
Gold Kidney Health Plan Medicare Advantage $109.59 ↑ +29%
Aetna Joint Venture $128.79 ↑ +51%
Aetna Aetna Qualified Health Plan $135.59 ↑ +59%
Health Choice Arizona, Inc. ACA Health Plan $142.16 ↑ +67%
Health Net Commerical Exchange Product $147.45 ↑ +73%
Aetna Medical Rental $156.25 ↑ +84%
Aetna Broad Network $160.87 ↑ +89%
United Healthcare UHC Individual Exchange $162.81 ↑ +91%
Oscar Health Plan Commercial $164.39 ↑ +93%
Quiktrip Corporation Commercial $170.10 ↑ +100%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $193.43 ↑ +127%
Arizona Medical Network Commercial $218.70 ↑ +157%
Provider Network of America Commercial $218.70 ↑ +157%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $349.67 ↑ +311%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $372.99 ↑ +339%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $391.63 ↑ +361%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $445.31 ↑ +424%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $466.23 ↑ +448%
Blue Cross Blue Shield of Arizona Commercial $466.23 ↑ +448%

Visitor-reported prices

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Apply forearm splintdynamic 29126 at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $89.29 $81.00 – $323.25
Banner University Medical Center Tucson Tucson $65.66 $67.80 – $289.07
Banner University Medical Center South Tucson $96.20 $67.80 – $271.20
Banner Casa Grande Medical Center Casa Grande $116.46 $81.00 – $323.25
Banner Ironwood Medical Center San Tan Valley $40.76 $81.00 – $338.82
Banner Gateway Medical Center Gilbert $188.28 $81.00 – $338.82
Banner Goldfield Medical Center Apache Junction $117.11 $81.00 – $323.25
Banner Ocotillo Medical Center Chandler $126.81 $81.00 – $338.82

All Arizona hospitals for this procedure →