Biliary endoscopy thru skin at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$1,104.86
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.
$2,297.00
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.
$941.77 with Cigna Healthcare of Arizona, Inc. vs $13,504.10 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 |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $941.77 | ↓ -15% |
| Wellpoint | Medicare Advantage HMO | $941.77 | ↓ -15% |
| UPMC Health Plan | Medicare Advantage | $941.77 | ↓ -15% |
| United Healthcare | UHC Medicare Advantage | $941.77 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $941.77 | ↓ -15% |
| Aetna | Medicare Advantage | $941.77 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $941.77 | ↓ -15% |
| Mercy Care | Mercy Care Advantage | $941.77 | ↓ -15% |
| Kaiser Foundation Health Plan | Medicare Advantage | $941.77 | ↓ -15% |
| Health Net | Medicare | $941.77 | ↓ -15% |
| Health Choice Arizona, Inc. | Medicare Advantage | $941.77 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $941.77 | ↓ -15% |
| Care 1st | Medicare Advantage | $941.77 | ↓ -15% |
| Gila River Health Care Corporation | Managed Care Program | $941.77 | ↓ -15% |
| Arizona Physicians IPA | Medicare Advantage | $941.77 | ↓ -15% |
| Banner Health | Medicare Advantage | $941.77 | ↓ -15% |
| Banner University Health Plan | Medicare Advantage | $941.77 | ↓ -15% |
| Carelon | Medicare Advantage | $988.86 | ↓ -10% |
| Humana | Medicare Advantage | $998.28 | ↓ -10% |
| Plotkin Health | Plotkin Health | $1,033.65 | ↓ -6% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $1,033.65 | ↓ -6% |
| Arizona Priority Care | Medicare Advantage | $1,035.95 | ↓ -6% |
| Gold Kidney Health Plan | Medicare Advantage | $1,035.95 | ↓ -6% |
| Devoted Health Services | Medicare Advantage | $1,035.95 | ↓ -6% |
| Aetna | Aetna Qualified Health Plan | $1,281.73 | ↑ +16% |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,343.74 | ↑ +22% |
| Health Net | Commerical Exchange Product | $1,393.82 | ↑ +26% |
| Aetna | Medical Rental | $1,476.97 | ↑ +34% |
| United Healthcare | UHC Individual Exchange | $1,538.99 | ↑ +39% |
| Oscar Health Plan | Commercial | $1,553.92 | ↑ +41% |
| Quiktrip Corporation | Commercial | $1,607.90 | ↑ +46% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $1,828.41 | ↑ +65% |
| Arizona Medical Network | Commercial | $2,067.30 | ↑ +87% |
| Provider Network of America | Commercial | $2,067.30 | ↑ +87% |
| Mercy Care | Mercy Medicaid | $3,668.82 | ↑ +232% |
| Health Choice Arizona, Inc. | Medicaid | $3,668.82 | ↑ +232% |
| Health Net | Medicaid | $3,668.82 | ↑ +232% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $3,668.82 | ↑ +232% |
| Arizona Physicians IPA | Medicaid | $3,668.82 | ↑ +232% |
| Aetna | Banner Employee Plans | $4,094.00 | ↑ +271% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $10,128.08 | ↑ +817% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $10,803.28 | ↑ +878% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $11,343.40 | ↑ +927% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $12,898.20 | ↑ +1067% |
| Blue Cross Blue Shield of Arizona | Commercial | $13,504.10 | ↑ +1122% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $13,504.10 | ↑ +1122% |
| Aetna | Broad Network | not published by hospital | — |
| Aetna | Joint Venture | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $1,459.21 | $1,834.20 – $18,309.21 |
| Banner University Medical Center Tucson | Tucson | $3,475.36 | $3,350.90 – $18,309.21 |
| Banner University Medical Center South | Tucson | $5,045.50 | $3,350.90 – $18,309.21 |
| Banner Baywood Medical Center | Mesa | $1,393.99 | $1,426.60 – $18,309.21 |
| Banner Casa Grande Medical Center | Casa Grande | $1,129.05 | $1,426.60 – $16,644.74 |
| Banner Desert Medical Center | Mesa | $1,442.90 | $1,426.60 – $18,309.21 |
| Banner Ironwood Medical Center | San Tan Valley | $1,573.34 | $1,426.60 – $16,644.74 |
| Banner Estrella Medical Center | Phoenix | $1,577.41 | $1,426.60 – $18,309.21 |