Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) 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

not published by hospital

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.

not published by hospital

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.

$1,271.93 with Banner University Health Plan vs $2,854.41 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 $1,271.93
Arizona Physicians IPA Medicaid $1,271.93
Health Net Medicaid $1,271.93
Health Choice Arizona, Inc. Medicaid $1,271.93
Mercy Care Mercy Medicaid $1,271.93
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $2,140.81
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $2,283.53
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $2,397.69
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $2,726.34
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $2,854.41
Blue Cross Blue Shield of Arizona Commercial $2,854.41

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Tucson Tucson $1,609.18 $591.00 – $7,674.00
Banner University Medical Center South Tucson $2,372.17 $591.00 – $7,674.00
Banner Baywood Medical Center Mesa $1,975.05 $770.00 – $8,369.00
Banner Desert Medical Center Mesa $2,044.35 $770.00 – $2,887.50
Banner Estrella Medical Center Phoenix $2,234.93 $770.00 – $8,369.00
Banner Heart Hospital Mesa $1,634.32 $770.00 – $8,369.00
Banner Thunderbird Medical Center Glendale $1,778.70 $72.99 – $8,369.00
Yavapai Regional Medical Center (East) Prescott $320.55 $202.05 – $457.92

All Arizona hospitals for this procedure →