Biopsy skin incisional single lesion at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$138.18
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.
$242.00
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.
$98.49 with Aetna vs $447.49 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 |
|---|---|---|---|
| Aetna | Banner Employee Plans | $98.49 | ↓ -29% |
| Wellpoint | Medicare Advantage HMO | $99.22 | ↓ -28% |
| Gila River Health Care Corporation | Managed Care Program | $99.22 | ↓ -28% |
| UPMC Health Plan | Medicare Advantage | $99.22 | ↓ -28% |
| Aetna | Medicare Advantage | $99.22 | ↓ -28% |
| United Healthcare | UHC Medicare Advantage | $99.22 | ↓ -28% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $99.22 | ↓ -28% |
| Arizona Physicians IPA | Medicare Advantage | $99.22 | ↓ -28% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $99.22 | ↓ -28% |
| Banner Health | Medicare Advantage | $99.22 | ↓ -28% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $99.22 | ↓ -28% |
| Banner University Health Plan | Medicare Advantage | $99.22 | ↓ -28% |
| Health Choice Arizona, Inc. | Medicare Advantage | $99.22 | ↓ -28% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $99.22 | ↓ -28% |
| Health Net | Medicare | $99.22 | ↓ -28% |
| Care 1st | Medicare Advantage | $99.22 | ↓ -28% |
| Mercy Care | Mercy Care Advantage | $99.22 | ↓ -28% |
| Kaiser Foundation Health Plan | Medicare Advantage | $99.22 | ↓ -28% |
| Carelon | Medicare Advantage | $104.18 | ↓ -25% |
| Humana | Medicare Advantage | $105.17 | ↓ -24% |
| Plotkin Health | Plotkin Health | $108.90 | ↓ -21% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $108.90 | ↓ -21% |
| Gold Kidney Health Plan | Medicare Advantage | $109.14 | ↓ -21% |
| Arizona Priority Care | Medicare Advantage | $109.14 | ↓ -21% |
| Devoted Health Services | Medicare Advantage | $109.14 | ↓ -21% |
| Aetna | Joint Venture | $128.26 | ↓ -7% |
| Aetna | Aetna Qualified Health Plan | $135.04 | ↓ -2% |
| Health Choice Arizona, Inc. | ACA Health Plan | $141.57 | ↑ +2% |
| Health Net | Commerical Exchange Product | $146.85 | ↑ +6% |
| Aetna | Medical Rental | $155.61 | ↑ +13% |
| Aetna | Broad Network | $160.20 | ↑ +16% |
| United Healthcare | UHC Individual Exchange | $162.14 | ↑ +17% |
| Oscar Health Plan | Commercial | $163.71 | ↑ +18% |
| Quiktrip Corporation | Commercial | $169.40 | ↑ +23% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $192.63 | ↑ +39% |
| Provider Network of America | Commercial | $217.80 | ↑ +58% |
| Arizona Medical Network | Commercial | $217.80 | ↑ +58% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $335.62 | ↑ +143% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $357.99 | ↑ +159% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $375.89 | ↑ +172% |
| Health Choice Arizona, Inc. | Medicaid | $380.02 | ↑ +175% |
| Mercy Care | Mercy Medicaid | $380.02 | ↑ +175% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $380.02 | ↑ +175% |
| Arizona Physicians IPA | Medicaid | $380.02 | ↑ +175% |
| Health Net | Medicaid | $380.02 | ↑ +175% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $427.41 | ↑ +209% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $447.49 | ↑ +224% |
| Blue Cross Blue Shield of Arizona | Commercial | $447.49 | ↑ +224% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $346.86 | $59.01 – $1,085.70 |
| Banner University Medical Center Phoenix | Phoenix | $458.95 | $126.52 – $1,076.49 |
| Banner Baywood Medical Center | Mesa | $340.22 | $297.70 – $1,076.49 |
| Banner Boswell Medical Center | Sun City | $213.67 | $248.31 – $1,076.49 |
| Banner Casa Grande Medical Center | Casa Grande | $398.70 | $190.44 – $978.63 |
| Banner Gateway Medical Center | Gilbert | $272.00 | $310.10 – $1,076.49 |
| Banner Heart Hospital | Mesa | $250.74 | $272.70 – $1,076.49 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $620.75 | $59.01 – $1,283.75 |