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Kidney (Retroperitoneal) Ultrasound (complete) 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

$325.86

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.

Full explanation →

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

$529.00

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.

Full explanation →

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

$79.00 with Mercy Care vs $476.10 with Provider Network of America — 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
Mercy Care Mercy Medicaid $79.00 ↓ -76%
Banner University Health Plan AZ Medicaid - AHCCCS $79.00 ↓ -76%
Health Net Medicaid $79.00 ↓ -76%
Health Choice Arizona, Inc. Medicaid $79.00 ↓ -76%
Arizona Physicians IPA Medicaid $79.00 ↓ -76%
Aetna Banner Employee Plans $215.30 ↓ -34%
UPMC Health Plan Medicare Advantage $216.89 ↓ -33%
Gila River Health Care Corporation Managed Care Program $216.89 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN Tricare $216.89 ↓ -33%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $216.89 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $216.89 ↓ -33%
Health Choice Arizona, Inc. Medicare Advantage $216.89 ↓ -33%
Banner University Health Plan Medicare Advantage $216.89 ↓ -33%
United Healthcare UHC Medicare Advantage $216.89 ↓ -33%
Aetna Medicare Advantage $216.89 ↓ -33%
Health Net Medicare $216.89 ↓ -33%
Wellpoint Medicare Advantage HMO $216.89 ↓ -33%
Blue Cross Blue Shield of Arizona Medicare Advantage $216.89 ↓ -33%
Mercy Care Mercy Care Advantage $216.89 ↓ -33%
Arizona Physicians IPA Medicare Advantage $216.89 ↓ -33%
Banner Health Medicare Advantage $216.89 ↓ -33%
Care 1st Medicare Advantage $216.89 ↓ -33%
Kaiser Foundation Health Plan Medicare Advantage $216.89 ↓ -33%
Carelon Medicare Advantage $227.73 ↓ -30%
Humana Medicare Advantage $229.90 ↓ -29%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $238.05 ↓ -27%
Plotkin Health Plotkin Health $238.05 ↓ -27%
Gold Kidney Health Plan Medicare Advantage $238.58 ↓ -27%
Arizona Priority Care Medicare Advantage $238.58 ↓ -27%
Devoted Health Services Medicare Advantage $238.58 ↓ -27%
Aetna Joint Venture $280.37 ↓ -14%
Aetna Aetna Qualified Health Plan $295.18 ↓ -9%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $305.16 ↓ -6%
Health Choice Arizona, Inc. ACA Health Plan $309.46 ↓ -5%
Health Net Commerical Exchange Product $321.00 ↓ -1%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $325.50 ↓ -0%
Aetna Medical Rental $340.15 ↑ +4%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $341.78 ↑ +5%
Aetna Broad Network $350.20 ↑ +7%
United Healthcare UHC Individual Exchange $354.43 ↑ +9%
Oscar Health Plan Commercial $357.87 ↑ +10%
Quiktrip Corporation Commercial $370.30 ↑ +14%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $388.62 ↑ +19%
Blue Cross Blue Shield of Arizona Commercial $406.88 ↑ +25%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $406.88 ↑ +25%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $421.08 ↑ +29%
Arizona Medical Network Commercial $476.10 ↑ +46%
Provider Network of America Commercial $476.10 ↑ +46%

Visitor-reported prices

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Kidney (Retroperitoneal) Ultrasound (complete) at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $236.97 $79.00 – $509.25
Banner University Medical Center South Tucson $182.37 $79.00 – $519.20
Banner University Medical Center Tucson Tucson $216.12 $79.00 – $519.20
Banner Baywood Medical Center Mesa $217.28 $79.00 – $509.25
Banner Boswell Medical Center Sun City $100.49 $79.00 – $543.20
Banner Casa Grande Medical Center Casa Grande $185.37 $79.00 – $509.25
Banner Del Webb Medical Center Sun City West $234.26 $79.00 – $543.20
Banner Desert Medical Center Mesa $294.69 $79.00 – $509.25

All Arizona hospitals for this procedure →