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CT Angiogram of the Chest (for blood clot) 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

$787.34

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.

$1,556.00

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.

$129.45 with Mercy Care vs $1,402.28 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
Mercy Care Mercy Medicaid $129.45 ↓ -84%
Banner University Health Plan AZ Medicaid - AHCCCS $129.45 ↓ -84%
Health Net Medicaid $129.45 ↓ -84%
Health Choice Arizona, Inc. Medicaid $129.45 ↓ -84%
Arizona Physicians IPA Medicaid $129.45 ↓ -84%
Aetna Banner Employee Plans $341.00 ↓ -57%
UPMC Health Plan Medicare Advantage $637.96 ↓ -19%
Gila River Health Care Corporation Managed Care Program $637.96 ↓ -19%
TriWest Healthcare Alliance Corp - VA CCN Tricare $637.96 ↓ -19%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $637.96 ↓ -19%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $637.96 ↓ -19%
Health Choice Arizona, Inc. Medicare Advantage $637.96 ↓ -19%
Banner University Health Plan Medicare Advantage $637.96 ↓ -19%
United Healthcare UHC Medicare Advantage $637.96 ↓ -19%
Aetna Medicare Advantage $637.96 ↓ -19%
Health Net Medicare $637.96 ↓ -19%
Wellpoint Medicare Advantage HMO $637.96 ↓ -19%
Blue Cross Blue Shield of Arizona Medicare Advantage $637.96 ↓ -19%
Mercy Care Mercy Care Advantage $637.96 ↓ -19%
Arizona Physicians IPA Medicare Advantage $637.96 ↓ -19%
Banner Health Medicare Advantage $637.96 ↓ -19%
Care 1st Medicare Advantage $637.96 ↓ -19%
Kaiser Foundation Health Plan Medicare Advantage $637.96 ↓ -19%
Carelon Medicare Advantage $669.86 ↓ -15%
Humana Medicare Advantage $676.24 ↓ -14%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $700.20 ↓ -11%
Plotkin Health Plotkin Health $700.20 ↓ -11%
Gold Kidney Health Plan Medicare Advantage $701.76 ↓ -11%
Arizona Priority Care Medicare Advantage $701.76 ↓ -11%
Devoted Health Services Medicare Advantage $701.76 ↓ -11%
Aetna Joint Venture $824.68 ↑ +5%
Aetna Aetna Qualified Health Plan $868.25 ↑ +10%
Health Choice Arizona, Inc. ACA Health Plan $910.26 ↑ +16%
Health Net Commerical Exchange Product $944.18 ↑ +20%
Aetna Medical Rental $1,000.51 ↑ +27%
Aetna Broad Network $1,030.07 ↑ +31%
United Healthcare UHC Individual Exchange $1,042.52 ↑ +32%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $1,051.71 ↑ +34%
Oscar Health Plan Commercial $1,052.63 ↑ +34%
Quiktrip Corporation Commercial $1,089.20 ↑ +38%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $1,121.82 ↑ +42%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $1,177.91 ↑ +50%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $1,238.58 ↑ +57%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $1,339.36 ↑ +70%
Arizona Medical Network Commercial $1,400.40 ↑ +78%
Provider Network of America Commercial $1,400.40 ↑ +78%
Blue Cross Blue Shield of Arizona Commercial $1,402.28 ↑ +78%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $1,402.28 ↑ +78%

Visitor-reported prices

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CT Angiogram of the Chest (for blood clot) at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $613.87 $129.45 – $2,773.50
Banner University Medical Center South Tucson $394.72 $129.45 – $2,486.40
Banner University Medical Center Tucson Tucson $404.04 $129.45 – $2,486.40
Banner Baywood Medical Center Mesa $580.59 $129.45 – $2,773.50
Banner Boswell Medical Center Sun City $587.98 $129.45 – $2,958.40
Banner Casa Grande Medical Center Casa Grande $610.17 $129.45 – $2,773.50
Banner Del Webb Medical Center Sun City West $647.15 $129.45 – $2,958.40
Banner Estrella Medical Center Phoenix $735.90 $129.45 – $2,773.50

All Arizona hospitals for this procedure →