Aqua therapy w/exercise/ea 15 min 97113 at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$18.17
Cash price 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.
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What you pay up front if you don't use insurance.
$78.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$18.56 with Arizona Physicians IPA vs $198.62 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $18.56 | ↑ +2% |
| Mercy Care | Mercy Medicaid | $18.56 | ↑ +2% |
| Health Net | Medicaid | $18.56 | ↑ +2% |
| Banner Health | Medicare Advantage | $31.98 | ↑ +76% |
| Aetna | Medicare Advantage | $31.98 | ↑ +76% |
| Arizona Physicians IPA | Medicare Advantage | $31.98 | ↑ +76% |
| Banner University Health Plan | Medicare Advantage | $31.98 | ↑ +76% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $31.98 | ↑ +76% |
| Care 1st | Medicare Advantage | $31.98 | ↑ +76% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $31.98 | ↑ +76% |
| Gila River Health Care Corporation | Managed Care Program | $31.98 | ↑ +76% |
| Health Choice Arizona, Inc. | Medicare Advantage | $31.98 | ↑ +76% |
| Health Net | Medicare | $31.98 | ↑ +76% |
| Kaiser Foundation Health Plan | Medicare Advantage | $31.98 | ↑ +76% |
| Mercy Care | Mercy Care Advantage | $31.98 | ↑ +76% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $31.98 | ↑ +76% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $31.98 | ↑ +76% |
| United Healthcare | UHC Medicare Advantage | $31.98 | ↑ +76% |
| UPMC Health Plan | Medicare Advantage | $31.98 | ↑ +76% |
| Wellpoint | Medicare Advantage HMO | $31.98 | ↑ +76% |
| Carelon | Medicare Advantage | $33.58 | ↑ +85% |
| Humana | Medicare Advantage | $33.90 | ↑ +87% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $35.10 | ↑ +93% |
| Plotkin Health | Plotkin Health | $35.10 | ↑ +93% |
| Devoted Health Services | Medicare Advantage | $35.18 | ↑ +94% |
| Arizona Priority Care | Medicare Advantage | $35.18 | ↑ +94% |
| Gold Kidney Health Plan | Medicare Advantage | $35.18 | ↑ +94% |
| Aetna | Joint Venture | $41.34 | ↑ +128% |
| Aetna | Aetna Qualified Health Plan | $43.52 | ↑ +140% |
| Health Choice Arizona, Inc. | ACA Health Plan | $45.63 | ↑ +151% |
| Health Net | Commerical Exchange Product | $47.33 | ↑ +160% |
| Aetna | Medical Rental | $50.15 | ↑ +176% |
| Aetna | Broad Network | $51.64 | ↑ +184% |
| United Healthcare | UHC Individual Exchange | $52.26 | ↑ +188% |
| Oscar Health Plan | Commercial | $52.77 | ↑ +190% |
| Quiktrip Corporation | Commercial | $54.60 | ↑ +200% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $62.09 | ↑ +242% |
| Provider Network of America | Commercial | $70.20 | ↑ +286% |
| Arizona Medical Network | Commercial | $70.20 | ↑ +286% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +346% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $148.97 | ↑ +720% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $158.90 | ↑ +775% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $166.84 | ↑ +818% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $189.71 | ↑ +944% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $198.62 | ↑ +993% |
| Blue Cross Blue Shield of Arizona | Commercial | $198.62 | ↑ +993% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Del Webb Medical Center | Sun City West | $27.03 | $35.80 – $241.00 |
| Banner Thunderbird Medical Center | Glendale | $27.03 | $35.80 – $241.00 |
| Banner Page Hospital | Page | $64.75 | $26.89 – $107.35 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $166.56 | $38.62 – $344.44 |