Fibrinolytic plasminogen xcpt antgnc asa 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

$35.07

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.

$71.00

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.

$6.53 with Banner University Health Plan vs $51.30 with Arizona Medical Network — 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 $6.53 ↓ -81%
Arizona Physicians IPA Medicaid $6.53 ↓ -81%
Health Net Medicaid $6.53 ↓ -81%
Mercy Care Mercy Medicaid $6.53 ↓ -81%
Health Choice Arizona, Inc. Medicaid $6.53 ↓ -81%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $23.18 ↓ -34%
Aetna Banner Employee Plans $23.20 ↓ -34%
Arizona Physicians IPA Medicare Advantage $23.37 ↓ -33%
Gila River Health Care Corporation Managed Care Program $23.37 ↓ -33%
United Healthcare UHC Medicare Advantage $23.37 ↓ -33%
UPMC Health Plan Medicare Advantage $23.37 ↓ -33%
Blue Cross Blue Shield of Arizona Medicare Advantage $23.37 ↓ -33%
Banner University Health Plan Medicare Advantage $23.37 ↓ -33%
Mercy Care Mercy Care Advantage $23.37 ↓ -33%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $23.37 ↓ -33%
Aetna Medicare Advantage $23.37 ↓ -33%
Banner Health Medicare Advantage $23.37 ↓ -33%
Health Choice Arizona, Inc. Medicare Advantage $23.37 ↓ -33%
Kaiser Foundation Health Plan Medicare Advantage $23.37 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $23.37 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN Tricare $23.37 ↓ -33%
Health Net Medicare $23.37 ↓ -33%
Wellpoint Medicare Advantage HMO $23.37 ↓ -33%
Care 1st Medicare Advantage $23.37 ↓ -33%
Carelon Medicare Advantage $24.54 ↓ -30%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $24.73 ↓ -29%
Humana Medicare Advantage $24.77 ↓ -29%
Plotkin Health Plotkin Health $25.65 ↓ -27%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $25.65 ↓ -27%
Gold Kidney Health Plan Medicare Advantage $25.71 ↓ -27%
Arizona Priority Care Medicare Advantage $25.71 ↓ -27%
Devoted Health Services Medicare Advantage $25.71 ↓ -27%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $25.97 ↓ -26%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $29.53 ↓ -16%
Aetna Joint Venture $30.21 ↓ -14%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $30.91 ↓ -12%
Blue Cross Blue Shield of Arizona Commercial $30.91 ↓ -12%
Aetna Aetna Qualified Health Plan $31.81 ↓ -9%
Health Choice Arizona, Inc. ACA Health Plan $33.34 ↓ -5%
Health Net Commerical Exchange Product $34.59 ↓ -1%
Aetna Medical Rental $36.65 ↑ +5%
Aetna Broad Network $37.73 ↑ +8%
United Healthcare UHC Individual Exchange $38.19 ↑ +9%
Oscar Health Plan Commercial $38.56 ↑ +10%
Quiktrip Corporation Commercial $39.90 ↑ +14%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $45.37 ↑ +29%
Provider Network of America Commercial $51.30 ↑ +46%
Arizona Medical Network Commercial $51.30 ↑ +46%

Visitor-reported prices

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Fibrinolytic plasminogen xcpt antgnc asa at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $6.43 $3.66 – $20.12
Banner University Medical Center Phoenix Phoenix $12.99 $6.53 – $42.75
Banner University Medical Center Tucson Tucson $9.73 $6.53 – $45.60
Banner University Medical Center South Tucson $9.23 $6.53 – $45.60
Banner Baywood Medical Center Mesa $31.95 $6.53 – $42.75
Banner Behavioral Health Hospital Scottsdale $33.40 $6.53 – $39.90
Banner Boswell Medical Center Sun City $13.13 $6.53 – $45.60
Banner Casa Grande Medical Center Casa Grande $15.05 $6.53 – $42.75

All Arizona hospitals for this procedure →