Hydroxyzine hcl 50 mg/ml intramuscular solution 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

$4.27

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.

$22.00

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.

$8.95 with Aetna vs $86.49 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
Aetna Banner Employee Plans $8.95 ↑ +110%
Gila River Health Care Corporation Managed Care Program $9.02 ↑ +111%
Arizona Physicians IPA Medicare Advantage $9.02 ↑ +111%
United Healthcare UHC Medicare Advantage $9.02 ↑ +111%
UPMC Health Plan Medicare Advantage $9.02 ↑ +111%
Blue Cross Blue Shield of Arizona Medicare Advantage $9.02 ↑ +111%
Banner University Health Plan Medicare Advantage $9.02 ↑ +111%
Mercy Care Mercy Care Advantage $9.02 ↑ +111%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $9.02 ↑ +111%
Aetna Medicare Advantage $9.02 ↑ +111%
Banner Health Medicare Advantage $9.02 ↑ +111%
Health Choice Arizona, Inc. Medicare Advantage $9.02 ↑ +111%
Kaiser Foundation Health Plan Medicare Advantage $9.02 ↑ +111%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $9.02 ↑ +111%
TriWest Healthcare Alliance Corp - VA CCN Tricare $9.02 ↑ +111%
Health Net Medicare $9.02 ↑ +111%
Wellpoint Medicare Advantage HMO $9.02 ↑ +111%
Care 1st Medicare Advantage $9.02 ↑ +111%
Carelon Medicare Advantage $9.47 ↑ +122%
Humana Medicare Advantage $9.56 ↑ +124%
Plotkin Health Plotkin Health $9.90 ↑ +132%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $9.90 ↑ +132%
Gold Kidney Health Plan Medicare Advantage $9.92 ↑ +132%
Devoted Health Services Medicare Advantage $9.92 ↑ +132%
Arizona Priority Care Medicare Advantage $9.92 ↑ +132%
Aetna Joint Venture $11.66 ↑ +173%
Aetna Aetna Qualified Health Plan $12.28 ↑ +188%
Health Choice Arizona, Inc. ACA Health Plan $12.87 ↑ +201%
Health Net Commerical Exchange Product $13.35 ↑ +213%
Aetna Medical Rental $14.15 ↑ +231%
Aetna Broad Network $14.56 ↑ +241%
United Healthcare UHC Individual Exchange $14.74 ↑ +245%
Oscar Health Plan Commercial $14.88 ↑ +248%
Quiktrip Corporation Commercial $15.40 ↑ +261%
Mercy Care Mercy Medicaid $16.93 ↑ +296%
Health Choice Arizona, Inc. Medicaid $16.93 ↑ +296%
Arizona Physicians IPA Medicaid $16.93 ↑ +296%
Banner University Health Plan AZ Medicaid - AHCCCS $16.93 ↑ +296%
Health Net Medicaid $16.93 ↑ +296%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $17.51 ↑ +310%
Provider Network of America Commercial $19.80 ↑ +364%
Arizona Medical Network Commercial $19.80 ↑ +364%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $64.87 ↑ +1419%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $69.19 ↑ +1520%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $72.65 ↑ +1601%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $82.61 ↑ +1835%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $86.49 ↑ +1926%
Blue Cross Blue Shield of Arizona Commercial $86.49 ↑ +1926%

Visitor-reported prices

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Hydroxyzine hcl 50 mg/ml intramuscular solution at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $13.29 $2.66 – $19.00
St. Joseph’s Hospital and Medical Center Phoenix $9.94 $4.94 – $26.00
Yavapai Regional Medical Center (East) Prescott $158.05 $12.62 – $202.35
Chandler Regional Medical Center Chandler $14.48 $2.66 – $19.00

All Arizona hospitals for this procedure →