Ot evaluation moderate complexity patient/family at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$23.56
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.
$172.00
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.
$40.94 with Mercy Care vs $530.01 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 →
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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 | $40.94 | ↑ +74% |
| Arizona Physicians IPA | Medicaid | $40.94 | ↑ +74% |
| Health Net | Medicaid | $40.94 | ↑ +74% |
| UPMC Health Plan | Medicare Advantage | $70.52 | ↑ +199% |
| Arizona Physicians IPA | Medicare Advantage | $70.52 | ↑ +199% |
| Gila River Health Care Corporation | Managed Care Program | $70.52 | ↑ +199% |
| United Healthcare | UHC Medicare Advantage | $70.52 | ↑ +199% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $70.52 | ↑ +199% |
| Banner University Health Plan | Medicare Advantage | $70.52 | ↑ +199% |
| Mercy Care | Mercy Care Advantage | $70.52 | ↑ +199% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $70.52 | ↑ +199% |
| Aetna | Medicare Advantage | $70.52 | ↑ +199% |
| Banner Health | Medicare Advantage | $70.52 | ↑ +199% |
| Health Choice Arizona, Inc. | Medicare Advantage | $70.52 | ↑ +199% |
| Kaiser Foundation Health Plan | Medicare Advantage | $70.52 | ↑ +199% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $70.52 | ↑ +199% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $70.52 | ↑ +199% |
| Health Net | Medicare | $70.52 | ↑ +199% |
| Wellpoint | Medicare Advantage HMO | $70.52 | ↑ +199% |
| Care 1st | Medicare Advantage | $70.52 | ↑ +199% |
| Carelon | Medicare Advantage | $74.05 | ↑ +214% |
| Humana | Medicare Advantage | $74.75 | ↑ +217% |
| Plotkin Health | Plotkin Health | $77.40 | ↑ +229% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $77.40 | ↑ +229% |
| Devoted Health Services | Medicare Advantage | $77.57 | ↑ +229% |
| Arizona Priority Care | Medicare Advantage | $77.57 | ↑ +229% |
| Gold Kidney Health Plan | Medicare Advantage | $77.57 | ↑ +229% |
| Aetna | Banner Employee Plans | $81.00 | ↑ +244% |
| Aetna | Joint Venture | $91.16 | ↑ +287% |
| Aetna | Aetna Qualified Health Plan | $95.98 | ↑ +307% |
| Health Choice Arizona, Inc. | ACA Health Plan | $100.62 | ↑ +327% |
| Health Net | Commerical Exchange Product | $104.37 | ↑ +343% |
| Aetna | Medical Rental | $110.60 | ↑ +369% |
| Aetna | Broad Network | $113.86 | ↑ +383% |
| United Healthcare | UHC Individual Exchange | $115.24 | ↑ +389% |
| Oscar Health Plan | Commercial | $116.36 | ↑ +394% |
| Quiktrip Corporation | Commercial | $120.40 | ↑ +411% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $136.91 | ↑ +481% |
| Provider Network of America | Commercial | $154.80 | ↑ +557% |
| Arizona Medical Network | Commercial | $154.80 | ↑ +557% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $397.51 | ↑ +1587% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $424.01 | ↑ +1700% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $445.21 | ↑ +1790% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $506.23 | ↑ +2049% |
| Blue Cross Blue Shield of Arizona | Commercial | $530.01 | ↑ +2150% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $530.01 | ↑ +2150% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $66.30 | $81.00 – $312.75 |
| Banner University Medical Center Tucson | Tucson | $38.78 | $49.40 – $328.61 |
| Banner University Medical Center South | Tucson | $48.66 | $49.40 – $268.00 |
| Banner Baywood Medical Center | Mesa | $122.18 | $81.00 – $385.17 |
| Banner Boswell Medical Center | Sun City | $96.74 | $81.00 – $333.60 |
| Banner Casa Grande Medical Center | Casa Grande | $101.33 | $81.00 – $312.75 |
| Banner Del Webb Medical Center | Sun City West | $86.74 | $81.00 – $333.60 |
| Banner Desert Medical Center | Mesa | $78.40 | $81.00 – $385.17 |