Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$213.11
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.
$422.00
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.
$38.22 with Aetna vs $369.59 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 | $38.22 | ↓ -82% |
| Wellpoint | Medicare Advantage HMO | $38.50 | ↓ -82% |
| Gila River Health Care Corporation | Managed Care Program | $38.50 | ↓ -82% |
| UPMC Health Plan | Medicare Advantage | $38.50 | ↓ -82% |
| Aetna | Medicare Advantage | $38.50 | ↓ -82% |
| United Healthcare | UHC Medicare Advantage | $38.50 | ↓ -82% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $38.50 | ↓ -82% |
| Arizona Physicians IPA | Medicare Advantage | $38.50 | ↓ -82% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $38.50 | ↓ -82% |
| Banner Health | Medicare Advantage | $38.50 | ↓ -82% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $38.50 | ↓ -82% |
| Banner University Health Plan | Medicare Advantage | $38.50 | ↓ -82% |
| Health Choice Arizona, Inc. | Medicare Advantage | $38.50 | ↓ -82% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $38.50 | ↓ -82% |
| Health Net | Medicare | $38.50 | ↓ -82% |
| Care 1st | Medicare Advantage | $38.50 | ↓ -82% |
| Mercy Care | Mercy Care Advantage | $38.50 | ↓ -82% |
| Kaiser Foundation Health Plan | Medicare Advantage | $38.50 | ↓ -82% |
| Carelon | Medicare Advantage | $40.42 | ↓ -81% |
| Humana | Medicare Advantage | $40.81 | ↓ -81% |
| Plotkin Health | Plotkin Health | $42.26 | ↓ -80% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $42.26 | ↓ -80% |
| Gold Kidney Health Plan | Medicare Advantage | $42.35 | ↓ -80% |
| Arizona Priority Care | Medicare Advantage | $42.35 | ↓ -80% |
| Devoted Health Services | Medicare Advantage | $42.35 | ↓ -80% |
| Aetna | Joint Venture | $49.77 | ↓ -77% |
| Aetna | Aetna Qualified Health Plan | $52.40 | ↓ -75% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $53.76 | ↓ -75% |
| Health Choice Arizona, Inc. | Medicaid | $53.76 | ↓ -75% |
| Health Net | Medicaid | $53.76 | ↓ -75% |
| Arizona Physicians IPA | Medicaid | $53.76 | ↓ -75% |
| Mercy Care | Mercy Medicaid | $53.76 | ↓ -75% |
| Health Choice Arizona, Inc. | ACA Health Plan | $54.93 | ↓ -74% |
| Health Net | Commerical Exchange Product | $56.98 | ↓ -73% |
| Aetna | Medical Rental | $60.38 | ↓ -72% |
| Aetna | Broad Network | $62.16 | ↓ -71% |
| United Healthcare | UHC Individual Exchange | $62.91 | ↓ -70% |
| Oscar Health Plan | Commercial | $63.52 | ↓ -70% |
| Quiktrip Corporation | Commercial | $65.73 | ↓ -69% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $74.74 | ↓ -65% |
| Provider Network of America | Commercial | $84.51 | ↓ -60% |
| Arizona Medical Network | Commercial | $84.51 | ↓ -60% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $277.19 | ↑ +30% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $295.67 | ↑ +39% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $310.45 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $353.01 | ↑ +66% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $369.59 | ↑ +73% |
| Blue Cross Blue Shield of Arizona | Commercial | $369.59 | ↑ +73% |
Visitor-reported prices
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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $27,295.92 | $53.71 – $16,012.15 |
| Arizona General Hospital Laveen | Phoenix | $7,626.62 | $53.71 – $14,011.55 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $12,232.79 | $53.71 – $4,532.23 |
| Arizona General Hospital Mesa | Mesa | $8,226.09 | $53.71 – $14,011.55 |
| Chandler Regional Medical Center | Chandler | $29,737.02 | $53.71 – $17,467.80 |