healthcosts.net
New Patient Office Visit (level 5) at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$3,449.64
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.
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What you pay up front if you don't use insurance.
$3,560.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$54.54 with Mercy Care vs $1,448.92 with Aetna — 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 →
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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 ?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 |
|---|---|---|---|
| Mercy Care | Mercy Medicaid | $54.54 | ↓ -98% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $54.54 | ↓ -98% |
| Health Net | Medicaid | $54.54 | ↓ -98% |
| Health Choice Arizona, Inc. | Medicaid | $54.54 | ↓ -98% |
| Arizona Physicians IPA | Medicaid | $54.54 | ↓ -98% |
| UPMC Health Plan | Medicare Advantage | $133.25 | ↓ -96% |
| Gila River Health Care Corporation | Managed Care Program | $133.25 | ↓ -96% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $133.25 | ↓ -96% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $133.25 | ↓ -96% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $133.25 | ↓ -96% |
| Health Choice Arizona, Inc. | Medicare Advantage | $133.25 | ↓ -96% |
| Banner University Health Plan | Medicare Advantage | $133.25 | ↓ -96% |
| United Healthcare | UHC Medicare Advantage | $133.25 | ↓ -96% |
| Aetna | Medicare Advantage | $133.25 | ↓ -96% |
| Health Net | Medicare | $133.25 | ↓ -96% |
| Wellpoint | Medicare Advantage HMO | $133.25 | ↓ -96% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $133.25 | ↓ -96% |
| Mercy Care | Mercy Care Advantage | $133.25 | ↓ -96% |
| Arizona Physicians IPA | Medicare Advantage | $133.25 | ↓ -96% |
| Banner Health | Medicare Advantage | $133.25 | ↓ -96% |
| Care 1st | Medicare Advantage | $133.25 | ↓ -96% |
| Kaiser Foundation Health Plan | Medicare Advantage | $133.25 | ↓ -96% |
| Carelon | Medicare Advantage | $139.91 | ↓ -96% |
| Humana | Medicare Advantage | $141.25 | ↓ -96% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $146.25 | ↓ -96% |
| Plotkin Health | Plotkin Health | $146.25 | ↓ -96% |
| Gold Kidney Health Plan | Medicare Advantage | $146.57 | ↓ -96% |
| Arizona Priority Care | Medicare Advantage | $146.57 | ↓ -96% |
| Devoted Health Services | Medicare Advantage | $146.57 | ↓ -96% |
| Aetna | Joint Venture | $172.25 | ↓ -95% |
| Aetna | Aetna Qualified Health Plan | $181.35 | ↓ -95% |
| Health Choice Arizona, Inc. | ACA Health Plan | $190.12 | ↓ -94% |
| Health Net | Commerical Exchange Product | $197.21 | ↓ -94% |
| Aetna | Medical Rental | $208.97 | ↓ -94% |
| Aetna | Broad Network | $215.15 | ↓ -94% |
| United Healthcare | UHC Individual Exchange | $217.75 | ↓ -94% |
| Oscar Health Plan | Commercial | $219.86 | ↓ -94% |
| Quiktrip Corporation | Commercial | $227.50 | ↓ -93% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $258.70 | ↓ -93% |
| Arizona Medical Network | Commercial | $292.50 | ↓ -92% |
| Provider Network of America | Commercial | $292.50 | ↓ -92% |
| Aetna | Banner Employee Plans | $1,448.92 | ↓ -58% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $2,709.16 | $54.54 – $442.50 |
| Banner University Medical Center Tucson | Tucson | $2,524.04 | $54.54 – $300.00 |
| Banner University Medical Center South | Tucson | $126.38 | $54.54 – $300.00 |
| Banner Baywood Medical Center | Mesa | $552.83 | $26.00 – $97.50 |
| Banner Boswell Medical Center | Sun City | $142.28 | $54.54 – $472.00 |
| Banner Casa Grande Medical Center | Casa Grande | $1,929.52 | $26.00 – $97.50 |
| Banner Del Webb Medical Center | Sun City West | $2,573.88 | $54.54 – $472.00 |
| Banner Desert Medical Center | Mesa | $2,659.32 | $54.54 – $442.50 |