Clot factor xiii fibrin scrn 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

$13.83

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.

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What you pay up front if you don't use insurance.

$28.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$9.11 with Banner University Health Plan vs $43.08 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
Banner University Health Plan AZ Medicaid - AHCCCS $9.11 ↓ -34%
Arizona Physicians IPA Medicaid $9.11 ↓ -34%
Health Net Medicaid $9.11 ↓ -34%
Health Choice Arizona, Inc. Medicaid $9.11 ↓ -34%
Mercy Care Mercy Medicaid $9.11 ↓ -34%
Aetna Banner Employee Plans $11.40 ↓ -18%
Banner Health Medicare Advantage $11.48 ↓ -17%
Banner University Health Plan Medicare Advantage $11.48 ↓ -17%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $11.48 ↓ -17%
TriWest Healthcare Alliance Corp - VA CCN Tricare $11.48 ↓ -17%
Health Net Medicare $11.48 ↓ -17%
Wellpoint Medicare Advantage HMO $11.48 ↓ -17%
UPMC Health Plan Medicare Advantage $11.48 ↓ -17%
Aetna Medicare Advantage $11.48 ↓ -17%
United Healthcare UHC Medicare Advantage $11.48 ↓ -17%
Arizona Physicians IPA Medicare Advantage $11.48 ↓ -17%
Mercy Care Mercy Care Advantage $11.48 ↓ -17%
Blue Cross Blue Shield of Arizona Medicare Advantage $11.48 ↓ -17%
Care 1st Medicare Advantage $11.48 ↓ -17%
Kaiser Foundation Health Plan Medicare Advantage $11.48 ↓ -17%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $11.48 ↓ -17%
Gila River Health Care Corporation Managed Care Program $11.48 ↓ -17%
Health Choice Arizona, Inc. Medicare Advantage $11.48 ↓ -17%
Carelon Medicare Advantage $12.05 ↓ -13%
Humana Medicare Advantage $12.17 ↓ -12%
Plotkin Health Plotkin Health $12.60 ↓ -9%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $12.60 ↓ -9%
Arizona Priority Care Medicare Advantage $12.63 ↓ -9%
Devoted Health Services Medicare Advantage $12.63 ↓ -9%
Gold Kidney Health Plan Medicare Advantage $12.63 ↓ -9%
Aetna Joint Venture $14.84 ↑ +7%
Aetna Aetna Qualified Health Plan $15.62 ↑ +13%
Health Choice Arizona, Inc. ACA Health Plan $16.38 ↑ +18%
Health Net Commerical Exchange Product $16.99 ↑ +23%
Aetna Medical Rental $18.00 ↑ +30%
Aetna Broad Network $18.54 ↑ +34%
United Healthcare UHC Individual Exchange $18.76 ↑ +36%
Oscar Health Plan Commercial $18.94 ↑ +37%
Quiktrip Corporation Commercial $19.60 ↑ +42%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $22.29 ↑ +61%
Arizona Medical Network Commercial $25.20 ↑ +82%
Provider Network of America Commercial $25.20 ↑ +82%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $32.31 ↑ +134%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $34.47 ↑ +149%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $36.19 ↑ +162%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $41.15 ↑ +198%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $43.08 ↑ +211%
Blue Cross Blue Shield of Arizona Commercial $43.08 ↑ +211%

Visitor-reported prices

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Clot factor xiii fibrin scrn at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $8.97 $5.11 – $28.06
Banner University Medical Center Phoenix Phoenix $5.12 $9.11 – $21.00
Banner University Medical Center Tucson Tucson $3.84 $9.11 – $22.40
Banner University Medical Center South Tucson $3.64 $9.11 – $22.40
Banner Baywood Medical Center Mesa $12.60 $9.11 – $21.00
Banner Boswell Medical Center Sun City $5.18 $9.11 – $22.40
Banner Casa Grande Medical Center Casa Grande $5.94 $9.11 – $21.00
Banner Del Webb Medical Center Sun City West $5.35 $9.11 – $22.40

All Arizona hospitals for this procedure →