Inj for mammo ductogram at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$131.31
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.
$273.00
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.
$43.32 with Arizona Physicians IPA vs $1,170.00 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 | Medicaid | $43.32 | ↓ -67% |
| Health Net | Medicaid | $43.32 | ↓ -67% |
| Mercy Care | Mercy Medicaid | $43.32 | ↓ -67% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $43.32 | ↓ -67% |
| Health Choice Arizona, Inc. | Medicaid | $43.32 | ↓ -67% |
| Arizona Physicians IPA | Medicare Advantage | $74.62 | ↓ -43% |
| Gila River Health Care Corporation | Managed Care Program | $74.62 | ↓ -43% |
| United Healthcare | UHC Medicare Advantage | $74.62 | ↓ -43% |
| UPMC Health Plan | Medicare Advantage | $74.62 | ↓ -43% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $74.62 | ↓ -43% |
| Banner University Health Plan | Medicare Advantage | $74.62 | ↓ -43% |
| Mercy Care | Mercy Care Advantage | $74.62 | ↓ -43% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $74.62 | ↓ -43% |
| Aetna | Medicare Advantage | $74.62 | ↓ -43% |
| Banner Health | Medicare Advantage | $74.62 | ↓ -43% |
| Health Choice Arizona, Inc. | Medicare Advantage | $74.62 | ↓ -43% |
| Kaiser Foundation Health Plan | Medicare Advantage | $74.62 | ↓ -43% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $74.62 | ↓ -43% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $74.62 | ↓ -43% |
| Health Net | Medicare | $74.62 | ↓ -43% |
| Wellpoint | Medicare Advantage HMO | $74.62 | ↓ -43% |
| Care 1st | Medicare Advantage | $74.62 | ↓ -43% |
| Carelon | Medicare Advantage | $78.35 | ↓ -40% |
| Humana | Medicare Advantage | $79.10 | ↓ -40% |
| Plotkin Health | Plotkin Health | $81.90 | ↓ -38% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $81.90 | ↓ -38% |
| Arizona Priority Care | Medicare Advantage | $82.08 | ↓ -37% |
| Gold Kidney Health Plan | Medicare Advantage | $82.08 | ↓ -37% |
| Devoted Health Services | Medicare Advantage | $82.08 | ↓ -37% |
| Aetna | Aetna Qualified Health Plan | $101.56 | ↓ -23% |
| Health Choice Arizona, Inc. | ACA Health Plan | $106.47 | ↓ -19% |
| Health Net | Commerical Exchange Product | $110.44 | ↓ -16% |
| Aetna | Medical Rental | $117.03 | ↓ -11% |
| United Healthcare | UHC Individual Exchange | $121.94 | ↓ -7% |
| Oscar Health Plan | Commercial | $123.12 | ↓ -6% |
| Quiktrip Corporation | Commercial | $127.40 | ↓ -3% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $144.87 | ↑ +10% |
| Provider Network of America | Commercial | $163.80 | ↑ +25% |
| Arizona Medical Network | Commercial | $163.80 | ↑ +25% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $483.12 | ↑ +268% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $515.33 | ↑ +292% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $541.09 | ↑ +312% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $615.26 | ↑ +369% |
| Blue Cross Blue Shield of Arizona | Commercial | $644.16 | ↑ +391% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $644.16 | ↑ +391% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +791% |
| Aetna | Broad Network | not published by hospital | — |
| Aetna | Joint Venture | not published by hospital | — |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $686.29 | $182.12 – $4,018.00 |
| Banner University Medical Center South | Tucson | $518.57 | $131.20 – $2,041.00 |
| Banner Baywood Medical Center | Mesa | $655.61 | $255.60 – $4,018.00 |
| Banner Del Webb Medical Center | Sun City West | $611.52 | $182.12 – $4,018.00 |
| Banner Desert Medical Center | Mesa | $452.41 | $255.60 – $4,018.00 |
| Banner Ironwood Medical Center | San Tan Valley | $739.96 | $255.60 – $4,018.00 |
| Banner Estrella Medical Center | Phoenix | $741.88 | $255.60 – $4,018.00 |
| Banner Gateway Medical Center | Gilbert | $588.52 | $255.60 – $2,114.00 |