Ihc/icc per specimen each additional single antibody stain 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

$78.66

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.

$157.00

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.

$19.52 with Arizona Physicians IPA vs $259.80 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 $19.52 ↓ -75%
Health Net Medicaid $19.52 ↓ -75%
Mercy Care Mercy Medicaid $19.52 ↓ -75%
Aetna Banner Employee Plans $33.37 ↓ -58%
Arizona Physicians IPA Medicare Advantage $33.62 ↓ -57%
Gila River Health Care Corporation Managed Care Program $33.62 ↓ -57%
United Healthcare UHC Medicare Advantage $33.62 ↓ -57%
UPMC Health Plan Medicare Advantage $33.62 ↓ -57%
Blue Cross Blue Shield of Arizona Medicare Advantage $33.62 ↓ -57%
Banner University Health Plan Medicare Advantage $33.62 ↓ -57%
Mercy Care Mercy Care Advantage $33.62 ↓ -57%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $33.62 ↓ -57%
Aetna Medicare Advantage $33.62 ↓ -57%
Banner Health Medicare Advantage $33.62 ↓ -57%
Health Choice Arizona, Inc. Medicare Advantage $33.62 ↓ -57%
Kaiser Foundation Health Plan Medicare Advantage $33.62 ↓ -57%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $33.62 ↓ -57%
TriWest Healthcare Alliance Corp - VA CCN Tricare $33.62 ↓ -57%
Health Net Medicare $33.62 ↓ -57%
Wellpoint Medicare Advantage HMO $33.62 ↓ -57%
Care 1st Medicare Advantage $33.62 ↓ -57%
Carelon Medicare Advantage $35.30 ↓ -55%
Humana Medicare Advantage $35.64 ↓ -55%
Plotkin Health Plotkin Health $36.90 ↓ -53%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $36.90 ↓ -53%
Arizona Priority Care Medicare Advantage $36.98 ↓ -53%
Gold Kidney Health Plan Medicare Advantage $36.98 ↓ -53%
Devoted Health Services Medicare Advantage $36.98 ↓ -53%
Aetna Joint Venture $43.46 ↓ -45%
Aetna Aetna Qualified Health Plan $45.76 ↓ -42%
Health Choice Arizona, Inc. ACA Health Plan $47.97 ↓ -39%
Health Net Commerical Exchange Product $49.76 ↓ -37%
Aetna Medical Rental $52.73 ↓ -33%
Aetna Broad Network $54.28 ↓ -31%
United Healthcare UHC Individual Exchange $54.94 ↓ -30%
Oscar Health Plan Commercial $55.47 ↓ -29%
Quiktrip Corporation Commercial $57.40 ↓ -27%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $65.27 ↓ -17%
Provider Network of America Commercial $73.80 ↓ -6%
Arizona Medical Network Commercial $73.80 ↓ -6%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $194.85 ↑ +148%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $207.84 ↑ +164%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $218.23 ↑ +177%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $248.14 ↑ +215%
Blue Cross Blue Shield of Arizona Commercial $259.80 ↑ +230%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $259.80 ↑ +230%

Visitor-reported prices

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Ihc/icc per specimen each additional single antibody stain at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $161.93 $40.18 – $287.00
Banner University Medical Center Phoenix Phoenix $75.34 $54.20 – $203.25
Banner University Medical Center Tucson Tucson $53.26 $40.20 – $161.08
Banner University Medical Center South Tucson $56.48 $40.20 – $160.80
Banner Baywood Medical Center Mesa $59.62 $54.20 – $203.25
Banner Boswell Medical Center Sun City $59.35 $54.20 – $216.80
Banner Casa Grande Medical Center Casa Grande $62.06 $54.20 – $203.25
Banner Del Webb Medical Center Sun City West $60.98 $54.20 – $216.80

All Arizona hospitals for this procedure →