G-esoph reflx tst w/electrod 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

$695.18

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.

$1,209.00

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.

$353.64 with Arizona Physicians IPA vs $3,009.10 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
Arizona Physicians IPA Medicaid $353.64 ↓ -49%
Health Net Medicaid $353.64 ↓ -49%
Mercy Care Mercy Medicaid $353.64 ↓ -49%
Banner University Health Plan AZ Medicaid - AHCCCS $353.64 ↓ -49%
Health Choice Arizona, Inc. Medicaid $353.64 ↓ -49%
Arizona Physicians IPA Medicare Advantage $495.69 ↓ -29%
Gila River Health Care Corporation Managed Care Program $495.69 ↓ -29%
United Healthcare UHC Medicare Advantage $495.69 ↓ -29%
UPMC Health Plan Medicare Advantage $495.69 ↓ -29%
Blue Cross Blue Shield of Arizona Medicare Advantage $495.69 ↓ -29%
Banner University Health Plan Medicare Advantage $495.69 ↓ -29%
Mercy Care Mercy Care Advantage $495.69 ↓ -29%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $495.69 ↓ -29%
Aetna Medicare Advantage $495.69 ↓ -29%
Banner Health Medicare Advantage $495.69 ↓ -29%
Health Choice Arizona, Inc. Medicare Advantage $495.69 ↓ -29%
Kaiser Foundation Health Plan Medicare Advantage $495.69 ↓ -29%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $495.69 ↓ -29%
TriWest Healthcare Alliance Corp - VA CCN Tricare $495.69 ↓ -29%
Health Net Medicare $495.69 ↓ -29%
Wellpoint Medicare Advantage HMO $495.69 ↓ -29%
Care 1st Medicare Advantage $495.69 ↓ -29%
Carelon Medicare Advantage $520.47 ↓ -25%
Humana Medicare Advantage $525.43 ↓ -24%
Plotkin Health Plotkin Health $544.05 ↓ -22%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $544.05 ↓ -22%
Arizona Priority Care Medicare Advantage $545.26 ↓ -22%
Gold Kidney Health Plan Medicare Advantage $545.26 ↓ -22%
Devoted Health Services Medicare Advantage $545.26 ↓ -22%
Aetna Aetna Qualified Health Plan $674.62 ↓ -3%
Health Choice Arizona, Inc. ACA Health Plan $707.26 ↑ +2%
Health Net Commerical Exchange Product $733.62 ↑ +6%
Aetna Medical Rental $777.39 ↑ +12%
United Healthcare UHC Individual Exchange $810.03 ↑ +17%
Oscar Health Plan Commercial $817.89 ↑ +18%
Quiktrip Corporation Commercial $846.30 ↑ +22%
Aetna Banner Employee Plans $936.00 ↑ +35%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $962.36 ↑ +38%
Provider Network of America Commercial $1,088.10 ↑ +57%
Arizona Medical Network Commercial $1,088.10 ↑ +57%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $2,256.83 ↑ +225%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $2,407.28 ↑ +246%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $2,527.64 ↑ +264%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $2,874.09 ↑ +313%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $3,009.10 ↑ +333%
Blue Cross Blue Shield of Arizona Commercial $3,009.10 ↑ +333%
Aetna Joint Venture not published by hospital
Aetna Broad Network not published by hospital

Visitor-reported prices

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G-esoph reflx tst w/electrod at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $997.04 $476.35 – $3,120.81
Banner University Medical Center Phoenix Phoenix $833.42 $353.64 – $1,470.75
Banner University Medical Center Tucson Tucson $990.86 $353.64 – $2,142.40
Banner University Medical Center South Tucson $824.82 $353.64 – $2,142.40
Banner Baywood Medical Center Mesa $605.95 $353.64 – $1,470.75
Banner Boswell Medical Center Sun City $602.03 $353.64 – $1,568.80
Banner Del Webb Medical Center Sun City West $603.99 $353.64 – $1,568.80
Banner Desert Medical Center Mesa $698.12 $353.64 – $1,470.75

All Arizona hospitals for this procedure →