Injection arthrography hip without anesthesia (both sides) 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

$103.41

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.

$215.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$34.03 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.

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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 $34.03 ↓ -67%
Health Net Medicaid $34.03 ↓ -67%
Mercy Care Mercy Medicaid $34.03 ↓ -67%
Banner University Health Plan AZ Medicaid - AHCCCS $34.03 ↓ -67%
Health Choice Arizona, Inc. Medicaid $34.03 ↓ -67%
Arizona Physicians IPA Medicare Advantage $58.63 ↓ -43%
Gila River Health Care Corporation Managed Care Program $58.63 ↓ -43%
United Healthcare UHC Medicare Advantage $58.63 ↓ -43%
UPMC Health Plan Medicare Advantage $58.63 ↓ -43%
Blue Cross Blue Shield of Arizona Medicare Advantage $58.63 ↓ -43%
Banner University Health Plan Medicare Advantage $58.63 ↓ -43%
Mercy Care Mercy Care Advantage $58.63 ↓ -43%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $58.63 ↓ -43%
Aetna Medicare Advantage $58.63 ↓ -43%
Banner Health Medicare Advantage $58.63 ↓ -43%
Health Choice Arizona, Inc. Medicare Advantage $58.63 ↓ -43%
Kaiser Foundation Health Plan Medicare Advantage $58.63 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $58.63 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN Tricare $58.63 ↓ -43%
Health Net Medicare $58.63 ↓ -43%
Wellpoint Medicare Advantage HMO $58.63 ↓ -43%
Care 1st Medicare Advantage $58.63 ↓ -43%
Carelon Medicare Advantage $61.56 ↓ -40%
Humana Medicare Advantage $62.15 ↓ -40%
Plotkin Health Plotkin Health $64.35 ↓ -38%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $64.35 ↓ -38%
Arizona Priority Care Medicare Advantage $64.49 ↓ -38%
Gold Kidney Health Plan Medicare Advantage $64.49 ↓ -38%
Devoted Health Services Medicare Advantage $64.49 ↓ -38%
Aetna Aetna Qualified Health Plan $79.79 ↓ -23%
Health Choice Arizona, Inc. ACA Health Plan $83.66 ↓ -19%
Health Net Commerical Exchange Product $86.77 ↓ -16%
Aetna Medical Rental $91.95 ↓ -11%
United Healthcare UHC Individual Exchange $95.81 ↓ -7%
Oscar Health Plan Commercial $96.74 ↓ -6%
Quiktrip Corporation Commercial $100.10 ↓ -3%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $113.83 ↑ +10%
Provider Network of America Commercial $128.70 ↑ +24%
Arizona Medical Network Commercial $128.70 ↑ +24%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $483.22 ↑ +367%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $515.43 ↑ +398%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $541.20 ↑ +423%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $615.38 ↑ +495%
Blue Cross Blue Shield of Arizona Commercial $644.29 ↑ +523%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $644.29 ↑ +523%
Aetna Banner Employee Plans $1,170.00 ↑ +1031%
Aetna Broad Network not published by hospital
Aetna Joint Venture not published by hospital

Visitor-reported prices

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Injection arthrography hip without anesthesia (both sides) at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $332.60 $70.45 – $1,041.04
Banner University Medical Center Phoenix Phoenix $228.76 $85.20 – $4,018.00
Banner University Medical Center Tucson Tucson $243.57 $89.40 – $2,041.00
Banner University Medical Center South Tucson $353.62 $89.40 – $2,041.00
Banner Baywood Medical Center Mesa $218.54 $85.20 – $4,018.00
Banner Boswell Medical Center Sun City $184.67 $85.20 – $4,018.00
Banner Casa Grande Medical Center Casa Grande $177.00 $85.20 – $1,851.00
Banner Del Webb Medical Center Sun City West $203.84 $85.20 – $4,018.00

All Arizona hospitals for this procedure →