Mayo paval fluorescent antibody screen agna type 1 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

$192.15

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.

$525.00

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.

$12.05 with Health Net vs $80.05 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.

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Negotiated rate vs. cash
Health Net Medicaid $12.05 ↓ -94%
Mercy Care Mercy Medicaid $12.05 ↓ -94%
Banner University Health Plan AZ Medicaid - AHCCCS $12.05 ↓ -94%
Health Choice Arizona, Inc. Medicaid $12.05 ↓ -94%
Arizona Physicians IPA Medicaid $12.05 ↓ -94%
Aetna Banner Employee Plans $15.06 ↓ -92%
Arizona Physicians IPA Medicare Advantage $15.17 ↓ -92%
Gila River Health Care Corporation Managed Care Program $15.17 ↓ -92%
United Healthcare UHC Medicare Advantage $15.17 ↓ -92%
UPMC Health Plan Medicare Advantage $15.17 ↓ -92%
Blue Cross Blue Shield of Arizona Medicare Advantage $15.17 ↓ -92%
Banner University Health Plan Medicare Advantage $15.17 ↓ -92%
Mercy Care Mercy Care Advantage $15.17 ↓ -92%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $15.17 ↓ -92%
Aetna Medicare Advantage $15.17 ↓ -92%
Banner Health Medicare Advantage $15.17 ↓ -92%
Health Choice Arizona, Inc. Medicare Advantage $15.17 ↓ -92%
Kaiser Foundation Health Plan Medicare Advantage $15.17 ↓ -92%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $15.17 ↓ -92%
TriWest Healthcare Alliance Corp - VA CCN Tricare $15.17 ↓ -92%
Health Net Medicare $15.17 ↓ -92%
Wellpoint Medicare Advantage HMO $15.17 ↓ -92%
Care 1st Medicare Advantage $15.17 ↓ -92%
Carelon Medicare Advantage $15.93 ↓ -92%
Humana Medicare Advantage $16.08 ↓ -92%
Plotkin Health Plotkin Health $16.65 ↓ -91%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $16.65 ↓ -91%
Gold Kidney Health Plan Medicare Advantage $16.69 ↓ -91%
Arizona Priority Care Medicare Advantage $16.69 ↓ -91%
Devoted Health Services Medicare Advantage $16.69 ↓ -91%
Aetna Joint Venture $19.61 ↓ -90%
Aetna Aetna Qualified Health Plan $20.65 ↓ -89%
Health Choice Arizona, Inc. ACA Health Plan $21.64 ↓ -89%
Health Net Commerical Exchange Product $22.45 ↓ -88%
Aetna Medical Rental $23.79 ↓ -88%
Aetna Broad Network $24.49 ↓ -87%
United Healthcare UHC Individual Exchange $24.79 ↓ -87%
Oscar Health Plan Commercial $25.03 ↓ -87%
Quiktrip Corporation Commercial $25.90 ↓ -87%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $29.45 ↓ -85%
Arizona Medical Network Commercial $33.30 ↓ -83%
Provider Network of America Commercial $33.30 ↓ -83%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $60.04 ↓ -69%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $64.04 ↓ -67%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $67.24 ↓ -65%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $76.46 ↓ -60%
Blue Cross Blue Shield of Arizona Commercial $80.05 ↓ -58%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $80.05 ↓ -58%

Visitor-reported prices

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Mayo paval fluorescent antibody screen agna type 1 at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $416.56 $6.75 – $37.12
Banner University Medical Center Phoenix Phoenix $161.50 $12.05 – $27.75
Banner University Medical Center Tucson Tucson $182.75 $12.05 – $29.60
Banner University Medical Center South Tucson $115.60 $12.05 – $29.60
Banner Baywood Medical Center Mesa $88.20 $12.05 – $27.75
Banner Behavioral Health Hospital Scottsdale $42.18 $12.05 – $50.40
Banner Boswell Medical Center Sun City $179.34 $12.05 – $29.60
Banner Casa Grande Medical Center Casa Grande $89.25 $12.05 – $27.75

All Arizona hospitals for this procedure →