Intrapul surf admin endo tube 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

$39.37

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.

$76.00

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.

$30.93 with Aetna vs $528.38 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
Aetna Banner Employee Plans $30.93 ↓ -21%
Gila River Health Care Corporation Managed Care Program $31.16 ↓ -21%
Arizona Physicians IPA Medicare Advantage $31.16 ↓ -21%
United Healthcare UHC Medicare Advantage $31.16 ↓ -21%
UPMC Health Plan Medicare Advantage $31.16 ↓ -21%
Blue Cross Blue Shield of Arizona Medicare Advantage $31.16 ↓ -21%
Banner University Health Plan Medicare Advantage $31.16 ↓ -21%
Mercy Care Mercy Care Advantage $31.16 ↓ -21%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $31.16 ↓ -21%
Aetna Medicare Advantage $31.16 ↓ -21%
Banner Health Medicare Advantage $31.16 ↓ -21%
Health Choice Arizona, Inc. Medicare Advantage $31.16 ↓ -21%
Kaiser Foundation Health Plan Medicare Advantage $31.16 ↓ -21%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $31.16 ↓ -21%
TriWest Healthcare Alliance Corp - VA CCN Tricare $31.16 ↓ -21%
Health Net Medicare $31.16 ↓ -21%
Wellpoint Medicare Advantage HMO $31.16 ↓ -21%
Care 1st Medicare Advantage $31.16 ↓ -21%
Carelon Medicare Advantage $32.72 ↓ -17%
Humana Medicare Advantage $33.03 ↓ -16%
Plotkin Health Plotkin Health $34.20 ↓ -13%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $34.20 ↓ -13%
Gold Kidney Health Plan Medicare Advantage $34.28 ↓ -13%
Devoted Health Services Medicare Advantage $34.28 ↓ -13%
Arizona Priority Care Medicare Advantage $34.28 ↓ -13%
Aetna Joint Venture $40.28 ↑ +2%
Aetna Aetna Qualified Health Plan $42.41 ↑ +8%
Health Choice Arizona, Inc. ACA Health Plan $44.46 ↑ +13%
Health Net Commerical Exchange Product $46.12 ↑ +17%
Aetna Medical Rental $48.87 ↑ +24%
Aetna Broad Network $50.31 ↑ +28%
United Healthcare UHC Individual Exchange $50.92 ↑ +29%
Oscar Health Plan Commercial $51.41 ↑ +31%
Quiktrip Corporation Commercial $53.20 ↑ +35%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $60.50 ↑ +54%
Arizona Medical Network Commercial $68.40 ↑ +74%
Provider Network of America Commercial $68.40 ↑ +74%
Mercy Care Mercy Medicaid $136.21 ↑ +246%
Arizona Physicians IPA Medicaid $136.21 ↑ +246%
Health Choice Arizona, Inc. Medicaid $136.21 ↑ +246%
Banner University Health Plan AZ Medicaid - AHCCCS $136.21 ↑ +246%
Health Net Medicaid $136.21 ↑ +246%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $396.29 ↑ +907%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $422.71 ↑ +974%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $443.84 ↑ +1027%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $504.68 ↑ +1182%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $528.38 ↑ +1242%
Blue Cross Blue Shield of Arizona Commercial $528.38 ↑ +1242%

Visitor-reported prices

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Intrapul surf admin endo tube at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $207.87 $59.01 – $650.65
Banner University Medical Center Phoenix Phoenix $60.01 $57.12 – $357.69
Banner University Medical Center Tucson Tucson $45.12 $76.38 – $357.69
Banner University Medical Center South Tucson $62.51 $76.38 – $357.69
Banner Del Webb Medical Center Sun City West $13.26 $57.12 – $357.69
Banner Desert Medical Center Mesa $117.81 $57.12 – $357.69
Banner Ironwood Medical Center San Tan Valley $20.57 $57.12 – $325.17
Banner Estrella Medical Center Phoenix $31.45 $57.12 – $357.69

All Arizona hospitals for this procedure →