Hc fl sm bowel enteroclss tube w kub double contrast 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

$1,559.79

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.

Full explanation →

What you pay up front if you don't use insurance.

$2,943.00

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.

$129.45 with Health Net vs $2,648.70 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
Health Net Medicaid $129.45 ↓ -92%
Mercy Care Mercy Medicaid $129.45 ↓ -92%
Health Choice Arizona, Inc. Medicaid $129.45 ↓ -92%
Banner University Health Plan AZ Medicaid - AHCCCS $129.45 ↓ -92%
Arizona Physicians IPA Medicaid $129.45 ↓ -92%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $1,007.10 ↓ -35%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $1,074.24 ↓ -31%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $1,127.94 ↓ -28%
Aetna Banner Employee Plans $1,197.80 ↓ -23%
Arizona Physicians IPA Medicare Advantage $1,206.63 ↓ -23%
Gila River Health Care Corporation Managed Care Program $1,206.63 ↓ -23%
United Healthcare UHC Medicare Advantage $1,206.63 ↓ -23%
UPMC Health Plan Medicare Advantage $1,206.63 ↓ -23%
Blue Cross Blue Shield of Arizona Medicare Advantage $1,206.63 ↓ -23%
Banner University Health Plan Medicare Advantage $1,206.63 ↓ -23%
Mercy Care Mercy Care Advantage $1,206.63 ↓ -23%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $1,206.63 ↓ -23%
Aetna Medicare Advantage $1,206.63 ↓ -23%
Banner Health Medicare Advantage $1,206.63 ↓ -23%
Health Choice Arizona, Inc. Medicare Advantage $1,206.63 ↓ -23%
Kaiser Foundation Health Plan Medicare Advantage $1,206.63 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $1,206.63 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN Tricare $1,206.63 ↓ -23%
Health Net Medicare $1,206.63 ↓ -23%
Wellpoint Medicare Advantage HMO $1,206.63 ↓ -23%
Care 1st Medicare Advantage $1,206.63 ↓ -23%
Carelon Medicare Advantage $1,266.96 ↓ -19%
Humana Medicare Advantage $1,279.03 ↓ -18%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $1,282.55 ↓ -18%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $1,324.35 ↓ -15%
Plotkin Health Plotkin Health $1,324.35 ↓ -15%
Gold Kidney Health Plan Medicare Advantage $1,327.29 ↓ -15%
Devoted Health Services Medicare Advantage $1,327.29 ↓ -15%
Arizona Priority Care Medicare Advantage $1,327.29 ↓ -15%
Blue Cross Blue Shield of Arizona Commercial $1,342.80 ↓ -14%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $1,342.80 ↓ -14%
Aetna Joint Venture $1,559.79 ↑ +0%
Aetna Aetna Qualified Health Plan $1,642.19 ↑ +5%
Health Choice Arizona, Inc. ACA Health Plan $1,721.65 ↑ +10%
Health Net Commerical Exchange Product $1,785.81 ↑ +14%
Aetna Medical Rental $1,892.35 ↑ +21%
Aetna Broad Network $1,948.27 ↑ +25%
United Healthcare UHC Individual Exchange $1,971.81 ↑ +26%
Oscar Health Plan Commercial $1,990.94 ↑ +28%
Quiktrip Corporation Commercial $2,060.10 ↑ +32%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $2,342.63 ↑ +50%
Provider Network of America Commercial $2,648.70 ↑ +70%
Arizona Medical Network Commercial $2,648.70 ↑ +70%

Visitor-reported prices

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Hc fl sm bowel enteroclss tube w kub double contrast at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $557.23 $129.45 – $1,482.00
Banner Baywood Medical Center Mesa $569.09 $129.45 – $1,482.00
Banner Boswell Medical Center Sun City $482.14 $129.45 – $1,580.80
Banner Desert Medical Center Mesa $553.28 $129.45 – $1,482.00
Banner Ironwood Medical Center San Tan Valley $464.36 $129.45 – $1,482.00
Banner Estrella Medical Center Phoenix $515.74 $129.45 – $1,482.00
Banner Gateway Medical Center Gilbert $586.87 $129.45 – $1,482.00
Banner Goldfield Medical Center Apache Junction $375.44 $129.45 – $1,482.00

All Arizona hospitals for this procedure →