Mayo mgle voltage-gated calcium channel antibody each 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

$162.50

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.

$444.00

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.

$12.05 with Health Choice Arizona, Inc. vs $399.60 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
Health Choice Arizona, Inc. Medicaid $12.05 ↓ -93%
Banner University Health Plan AZ Medicaid - AHCCCS $12.05 ↓ -93%
Arizona Physicians IPA Medicaid $12.05 ↓ -93%
Mercy Care Mercy Medicaid $12.05 ↓ -93%
Health Net Medicaid $12.05 ↓ -93%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $30.99 ↓ -81%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $33.06 ↓ -80%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $34.71 ↓ -79%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $39.47 ↓ -76%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $41.33 ↓ -75%
Blue Cross Blue Shield of Arizona Commercial $41.33 ↓ -75%
Aetna Banner Employee Plans $180.71 ↑ +11%
Arizona Physicians IPA Medicare Advantage $182.04 ↑ +12%
Gila River Health Care Corporation Managed Care Program $182.04 ↑ +12%
United Healthcare UHC Medicare Advantage $182.04 ↑ +12%
UPMC Health Plan Medicare Advantage $182.04 ↑ +12%
Blue Cross Blue Shield of Arizona Medicare Advantage $182.04 ↑ +12%
Banner University Health Plan Medicare Advantage $182.04 ↑ +12%
Mercy Care Mercy Care Advantage $182.04 ↑ +12%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $182.04 ↑ +12%
Aetna Medicare Advantage $182.04 ↑ +12%
Banner Health Medicare Advantage $182.04 ↑ +12%
Health Choice Arizona, Inc. Medicare Advantage $182.04 ↑ +12%
Kaiser Foundation Health Plan Medicare Advantage $182.04 ↑ +12%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $182.04 ↑ +12%
TriWest Healthcare Alliance Corp - VA CCN Tricare $182.04 ↑ +12%
Health Net Medicare $182.04 ↑ +12%
Wellpoint Medicare Advantage HMO $182.04 ↑ +12%
Care 1st Medicare Advantage $182.04 ↑ +12%
Carelon Medicare Advantage $191.14 ↑ +18%
Humana Medicare Advantage $192.96 ↑ +19%
Plotkin Health Plotkin Health $199.80 ↑ +23%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $199.80 ↑ +23%
Devoted Health Services Medicare Advantage $200.24 ↑ +23%
Gold Kidney Health Plan Medicare Advantage $200.24 ↑ +23%
Arizona Priority Care Medicare Advantage $200.24 ↑ +23%
Aetna Joint Venture $235.32 ↑ +45%
Aetna Aetna Qualified Health Plan $247.75 ↑ +52%
Health Choice Arizona, Inc. ACA Health Plan $259.74 ↑ +60%
Health Net Commerical Exchange Product $269.42 ↑ +66%
Aetna Medical Rental $285.49 ↑ +76%
Aetna Broad Network $293.93 ↑ +81%
United Healthcare UHC Individual Exchange $297.48 ↑ +83%
Oscar Health Plan Commercial $300.37 ↑ +85%
Quiktrip Corporation Commercial $310.80 ↑ +91%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $353.42 ↑ +117%
Arizona Medical Network Commercial $399.60 ↑ +146%
Provider Network of America Commercial $399.60 ↑ +146%

Visitor-reported prices

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Mayo mgle voltage-gated calcium channel antibody each at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $318.82 $36.00 – $198.00
Banner University Medical Center Phoenix Phoenix $84.36 $11.68 – $333.00
Banner University Medical Center Tucson Tucson $95.46 $12.05 – $355.20
Banner University Medical Center South Tucson $60.38 $12.05 – $355.20
Banner Baywood Medical Center Mesa $74.59 $12.05 – $333.00
Banner Boswell Medical Center Sun City $81.25 $12.05 – $355.20
Banner Casa Grande Medical Center Casa Grande $75.48 $12.05 – $333.00
Banner Del Webb Medical Center Sun City West $58.16 $11.68 – $355.20

All Arizona hospitals for this procedure →