Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (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

$152.48

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.

Full explanation →

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

$317.00

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.

Full explanation →

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

$50.22 with Arizona Physicians IPA vs $1,170.00 with Aetna — same scan, same building. Share

Negotiated rates by payer
?

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 $50.22 ↓ -67%
Health Net Medicaid $50.22 ↓ -67%
Mercy Care Mercy Medicaid $50.22 ↓ -67%
Banner University Health Plan AZ Medicaid - AHCCCS $50.22 ↓ -67%
Health Choice Arizona, Inc. Medicaid $50.22 ↓ -67%
Arizona Physicians IPA Medicare Advantage $86.51 ↓ -43%
Gila River Health Care Corporation Managed Care Program $86.51 ↓ -43%
United Healthcare UHC Medicare Advantage $86.51 ↓ -43%
UPMC Health Plan Medicare Advantage $86.51 ↓ -43%
Blue Cross Blue Shield of Arizona Medicare Advantage $86.51 ↓ -43%
Banner University Health Plan Medicare Advantage $86.51 ↓ -43%
Mercy Care Mercy Care Advantage $86.51 ↓ -43%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $86.51 ↓ -43%
Aetna Medicare Advantage $86.51 ↓ -43%
Banner Health Medicare Advantage $86.51 ↓ -43%
Health Choice Arizona, Inc. Medicare Advantage $86.51 ↓ -43%
Kaiser Foundation Health Plan Medicare Advantage $86.51 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $86.51 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN Tricare $86.51 ↓ -43%
Health Net Medicare $86.51 ↓ -43%
Wellpoint Medicare Advantage HMO $86.51 ↓ -43%
Care 1st Medicare Advantage $86.51 ↓ -43%
Carelon Medicare Advantage $90.84 ↓ -40%
Humana Medicare Advantage $91.70 ↓ -40%
Plotkin Health Plotkin Health $94.95 ↓ -38%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $94.95 ↓ -38%
Arizona Priority Care Medicare Advantage $95.16 ↓ -38%
Gold Kidney Health Plan Medicare Advantage $95.16 ↓ -38%
Devoted Health Services Medicare Advantage $95.16 ↓ -38%
Aetna Aetna Qualified Health Plan $117.74 ↓ -23%
Health Choice Arizona, Inc. ACA Health Plan $123.44 ↓ -19%
Health Net Commerical Exchange Product $128.03 ↓ -16%
Aetna Medical Rental $135.67 ↓ -11%
United Healthcare UHC Individual Exchange $141.37 ↓ -7%
Oscar Health Plan Commercial $142.74 ↓ -6%
Quiktrip Corporation Commercial $147.70 ↓ -3%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $167.96 ↑ +10%
Provider Network of America Commercial $189.90 ↑ +25%
Arizona Medical Network Commercial $189.90 ↑ +25%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $468.97 ↑ +208%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $500.23 ↑ +228%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $525.24 ↑ +244%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $597.23 ↑ +292%
Blue Cross Blue Shield of Arizona Commercial $625.29 ↑ +310%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $625.29 ↑ +310%
Aetna Banner Employee Plans $1,170.00 ↑ +667%
Aetna Broad Network not published by hospital
Aetna Joint Venture not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $346.86 $51.85 – $1,085.70
Banner University Medical Center Phoenix Phoenix $249.17 $92.80 – $4,018.00
Banner University Medical Center Tucson Tucson $238.49 $87.60 – $2,041.00
Banner University Medical Center South Tucson $346.24 $87.60 – $2,041.00
Banner Baywood Medical Center Mesa $238.03 $92.80 – $4,018.00
Banner Boswell Medical Center Sun City $201.14 $92.80 – $4,018.00
Banner Casa Grande Medical Center Casa Grande $192.79 $92.80 – $1,851.00
Banner Del Webb Medical Center Sun City West $222.02 $92.80 – $4,018.00

All Arizona hospitals for this procedure →