Ghs insertion of needle - bone at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$113.74
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.
$235.00
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.
$96.35 with Arizona Physicians IPA vs $947.00 with Aetna — 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicare Advantage | $96.35 | ↓ -15% |
| Gila River Health Care Corporation | Managed Care Program | $96.35 | ↓ -15% |
| United Healthcare | UHC Medicare Advantage | $96.35 | ↓ -15% |
| UPMC Health Plan | Medicare Advantage | $96.35 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $96.35 | ↓ -15% |
| Banner University Health Plan | Medicare Advantage | $96.35 | ↓ -15% |
| Mercy Care | Mercy Care Advantage | $96.35 | ↓ -15% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $96.35 | ↓ -15% |
| Aetna | Medicare Advantage | $96.35 | ↓ -15% |
| Banner Health | Medicare Advantage | $96.35 | ↓ -15% |
| Health Choice Arizona, Inc. | Medicare Advantage | $96.35 | ↓ -15% |
| Kaiser Foundation Health Plan | Medicare Advantage | $96.35 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $96.35 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $96.35 | ↓ -15% |
| Health Net | Medicare | $96.35 | ↓ -15% |
| Wellpoint | Medicare Advantage HMO | $96.35 | ↓ -15% |
| Care 1st | Medicare Advantage | $96.35 | ↓ -15% |
| Carelon | Medicare Advantage | $101.17 | ↓ -11% |
| Humana | Medicare Advantage | $102.13 | ↓ -10% |
| Plotkin Health | Plotkin Health | $105.75 | ↓ -7% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $105.75 | ↓ -7% |
| Devoted Health Services | Medicare Advantage | $105.98 | ↓ -7% |
| Arizona Priority Care | Medicare Advantage | $105.98 | ↓ -7% |
| Gold Kidney Health Plan | Medicare Advantage | $105.98 | ↓ -7% |
| Aetna | Joint Venture | $124.55 | ↑ +10% |
| Aetna | Aetna Qualified Health Plan | $131.13 | ↑ +15% |
| Health Choice Arizona, Inc. | ACA Health Plan | $137.47 | ↑ +21% |
| Health Net | Commerical Exchange Product | $142.60 | ↑ +25% |
| Aetna | Medical Rental | $151.10 | ↑ +33% |
| Aetna | Broad Network | $155.57 | ↑ +37% |
| United Healthcare | UHC Individual Exchange | $157.45 | ↑ +38% |
| Oscar Health Plan | Commercial | $158.98 | ↑ +40% |
| Quiktrip Corporation | Commercial | $164.50 | ↑ +45% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $187.06 | ↑ +64% |
| Health Net | Medicaid | $195.91 | ↑ +72% |
| Health Choice Arizona, Inc. | Medicaid | $195.91 | ↑ +72% |
| Arizona Physicians IPA | Medicaid | $195.91 | ↑ +72% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $195.91 | ↑ +72% |
| Mercy Care | Mercy Medicaid | $195.91 | ↑ +72% |
| Provider Network of America | Commercial | $211.50 | ↑ +86% |
| Arizona Medical Network | Commercial | $211.50 | ↑ +86% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $461.84 | ↑ +306% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $492.63 | ↑ +333% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $517.26 | ↑ +355% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $588.16 | ↑ +417% |
| Blue Cross Blue Shield of Arizona | Commercial | $615.79 | ↑ +441% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $615.79 | ↑ +441% |
| Aetna | Banner Employee Plans | $947.00 | ↑ +733% |
Visitor-reported prices
Comments
Ghs insertion of needle - bone at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $144.50 | $174.10 – $701.75 |
| Banner University Medical Center Tucson | Tucson | $137.64 | $194.25 – $701.75 |
| Banner University Medical Center South | Tucson | $122.66 | $194.25 – $701.75 |
| Banner Baywood Medical Center | Mesa | $139.23 | $195.91 – $2,083.00 |
| Banner Boswell Medical Center | Sun City | $128.12 | $195.91 – $701.75 |
| Banner Casa Grande Medical Center | Casa Grande | $126.94 | $195.91 – $637.95 |
| Banner Del Webb Medical Center | Sun City West | $142.16 | $174.10 – $701.75 |
| Banner Desert Medical Center | Mesa | $163.80 | $195.91 – $701.75 |