Dornhoffer fixed part w/window at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$110,597.02
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.
$219,004.00
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.
$15,261.64 with Health Net vs $144,740.52 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 |
|---|---|---|---|
| Health Net | Medicaid | $15,261.64 | ↓ -86% |
| Mercy Care | Mercy Medicaid | $15,261.64 | ↓ -86% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $15,261.64 | ↓ -86% |
| Health Choice Arizona, Inc. | Medicaid | $15,261.64 | ↓ -86% |
| Arizona Physicians IPA | Medicaid | $15,261.64 | ↓ -86% |
| Aetna | Banner Employee Plans | $20,500.59 | ↓ -81% |
| Arizona Physicians IPA | Medicare Advantage | $20,651.70 | ↓ -81% |
| Gila River Health Care Corporation | Managed Care Program | $20,651.70 | ↓ -81% |
| United Healthcare | UHC Medicare Advantage | $20,651.70 | ↓ -81% |
| UPMC Health Plan | Medicare Advantage | $20,651.70 | ↓ -81% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $20,651.70 | ↓ -81% |
| Banner University Health Plan | Medicare Advantage | $20,651.70 | ↓ -81% |
| Mercy Care | Mercy Care Advantage | $20,651.70 | ↓ -81% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $20,651.70 | ↓ -81% |
| Aetna | Medicare Advantage | $20,651.70 | ↓ -81% |
| Banner Health | Medicare Advantage | $20,651.70 | ↓ -81% |
| Health Choice Arizona, Inc. | Medicare Advantage | $20,651.70 | ↓ -81% |
| Kaiser Foundation Health Plan | Medicare Advantage | $20,651.70 | ↓ -81% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $20,651.70 | ↓ -81% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $20,651.70 | ↓ -81% |
| Health Net | Medicare | $20,651.70 | ↓ -81% |
| Wellpoint | Medicare Advantage HMO | $20,651.70 | ↓ -81% |
| Care 1st | Medicare Advantage | $20,651.70 | ↓ -81% |
| Carelon | Medicare Advantage | $21,684.28 | ↓ -80% |
| Humana | Medicare Advantage | $21,890.80 | ↓ -80% |
| Plotkin Health | Plotkin Health | $22,666.50 | ↓ -80% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $22,666.50 | ↓ -80% |
| Gold Kidney Health Plan | Medicare Advantage | $22,716.87 | ↓ -79% |
| Arizona Priority Care | Medicare Advantage | $22,716.87 | ↓ -79% |
| Devoted Health Services | Medicare Advantage | $22,716.87 | ↓ -79% |
| Aetna | Joint Venture | $26,696.10 | ↓ -76% |
| Aetna | Aetna Qualified Health Plan | $28,106.46 | ↓ -75% |
| Health Choice Arizona, Inc. | ACA Health Plan | $29,466.45 | ↓ -73% |
| Health Net | Commerical Exchange Product | $30,564.52 | ↓ -72% |
| Aetna | Medical Rental | $32,387.91 | ↓ -71% |
| Aetna | Broad Network | $33,344.94 | ↓ -70% |
| United Healthcare | UHC Individual Exchange | $33,747.90 | ↓ -69% |
| Oscar Health Plan | Commercial | $34,075.31 | ↓ -69% |
| Quiktrip Corporation | Commercial | $35,259.00 | ↓ -68% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $40,094.52 | ↓ -64% |
| Arizona Medical Network | Commercial | $45,333.00 | ↓ -59% |
| Provider Network of America | Commercial | $45,333.00 | ↓ -59% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $108,555.39 | ↓ -2% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $115,792.42 | ↑ +5% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $121,581.59 | ↑ +10% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $138,246.33 | ↑ +25% |
| Blue Cross Blue Shield of Arizona | Commercial | $144,740.52 | ↑ +31% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $144,740.52 | ↑ +31% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $48,354.26 | $32.20 – $15,643.18 |
| Banner University Medical Center Phoenix | Phoenix | $62,635.14 | $10,074.00 – $40,922.34 |
| Banner University Medical Center Tucson | Tucson | $64,387.18 | $10,074.00 – $89,740.01 |
| Banner University Medical Center South | Tucson | $61,759.13 | $10,074.00 – $63,207.22 |
| Banner Baywood Medical Center | Mesa | $59,569.09 | $10,074.00 – $105,185.97 |
| Banner Boswell Medical Center | Sun City | $53,874.98 | $10,074.00 – $80,316.76 |
| Banner Del Webb Medical Center | Sun City West | $56,941.04 | $10,074.00 – $40,922.34 |
| Banner Desert Medical Center | Mesa | $75,161.86 | $10,074.00 – $105,185.97 |