Injection for ureter x-ray 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

$268.40

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.

$558.00

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.

$88.54 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 $88.54 ↓ -67%
Health Net Medicaid $88.54 ↓ -67%
Mercy Care Mercy Medicaid $88.54 ↓ -67%
Banner University Health Plan AZ Medicaid - AHCCCS $88.54 ↓ -67%
Health Choice Arizona, Inc. Medicaid $88.54 ↓ -67%
Arizona Physicians IPA Medicare Advantage $152.52 ↓ -43%
Gila River Health Care Corporation Managed Care Program $152.52 ↓ -43%
United Healthcare UHC Medicare Advantage $152.52 ↓ -43%
UPMC Health Plan Medicare Advantage $152.52 ↓ -43%
Blue Cross Blue Shield of Arizona Medicare Advantage $152.52 ↓ -43%
Banner University Health Plan Medicare Advantage $152.52 ↓ -43%
Mercy Care Mercy Care Advantage $152.52 ↓ -43%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $152.52 ↓ -43%
Aetna Medicare Advantage $152.52 ↓ -43%
Banner Health Medicare Advantage $152.52 ↓ -43%
Health Choice Arizona, Inc. Medicare Advantage $152.52 ↓ -43%
Kaiser Foundation Health Plan Medicare Advantage $152.52 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $152.52 ↓ -43%
TriWest Healthcare Alliance Corp - VA CCN Tricare $152.52 ↓ -43%
Health Net Medicare $152.52 ↓ -43%
Wellpoint Medicare Advantage HMO $152.52 ↓ -43%
Care 1st Medicare Advantage $152.52 ↓ -43%
Carelon Medicare Advantage $160.15 ↓ -40%
Humana Medicare Advantage $161.67 ↓ -40%
Plotkin Health Plotkin Health $167.40 ↓ -38%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $167.40 ↓ -38%
Arizona Priority Care Medicare Advantage $167.77 ↓ -37%
Gold Kidney Health Plan Medicare Advantage $167.77 ↓ -37%
Devoted Health Services Medicare Advantage $167.77 ↓ -37%
Aetna Aetna Qualified Health Plan $207.58 ↓ -23%
Health Choice Arizona, Inc. ACA Health Plan $217.62 ↓ -19%
Health Net Commerical Exchange Product $225.73 ↓ -16%
Aetna Medical Rental $239.20 ↓ -11%
United Healthcare UHC Individual Exchange $249.24 ↓ -7%
Oscar Health Plan Commercial $251.66 ↓ -6%
Quiktrip Corporation Commercial $260.40 ↓ -3%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $266.21 ↓ -1%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $283.96 ↑ +6%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $296.11 ↑ +10%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $298.15 ↑ +11%
Provider Network of America Commercial $334.80 ↑ +25%
Arizona Medical Network Commercial $334.80 ↑ +25%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $339.02 ↑ +26%
Blue Cross Blue Shield of Arizona Commercial $354.95 ↑ +32%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $354.95 ↑ +32%
Aetna Banner Employee Plans $1,170.00 ↑ +336%
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 ureter x-ray at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $114.56 $42.60 – $4,018.00
Banner University Medical Center Tucson Tucson $257.73 $94.60 – $2,041.00
Banner University Medical Center South Tucson $374.17 $94.60 – $2,041.00
Banner Baywood Medical Center Mesa $109.44 $42.60 – $4,018.00
Banner Desert Medical Center Mesa $113.28 $42.60 – $4,018.00
Banner Ironwood Medical Center San Tan Valley $123.52 $42.60 – $4,018.00
Banner Estrella Medical Center Phoenix $123.84 $42.60 – $4,018.00
Banner Gateway Medical Center Gilbert $98.24 $42.60 – $2,114.00

All Arizona hospitals for this procedure →