Peritoneogram rs&i 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

$327.54

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.

$618.00

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.

$251.53 with Aetna vs $2,956.65 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.

Full explanation →
Negotiated rate vs. cash
Aetna Banner Employee Plans $251.53 ↓ -23%
Gila River Health Care Corporation Managed Care Program $253.38 ↓ -23%
Arizona Physicians IPA Medicare Advantage $253.38 ↓ -23%
United Healthcare UHC Medicare Advantage $253.38 ↓ -23%
UPMC Health Plan Medicare Advantage $253.38 ↓ -23%
Blue Cross Blue Shield of Arizona Medicare Advantage $253.38 ↓ -23%
Banner University Health Plan Medicare Advantage $253.38 ↓ -23%
Mercy Care Mercy Care Advantage $253.38 ↓ -23%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $253.38 ↓ -23%
Aetna Medicare Advantage $253.38 ↓ -23%
Banner Health Medicare Advantage $253.38 ↓ -23%
Health Choice Arizona, Inc. Medicare Advantage $253.38 ↓ -23%
Kaiser Foundation Health Plan Medicare Advantage $253.38 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $253.38 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN Tricare $253.38 ↓ -23%
Health Net Medicare $253.38 ↓ -23%
Wellpoint Medicare Advantage HMO $253.38 ↓ -23%
Care 1st Medicare Advantage $253.38 ↓ -23%
Carelon Medicare Advantage $266.05 ↓ -19%
Humana Medicare Advantage $268.58 ↓ -18%
Plotkin Health Plotkin Health $278.10 ↓ -15%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $278.10 ↓ -15%
Arizona Priority Care Medicare Advantage $278.72 ↓ -15%
Devoted Health Services Medicare Advantage $278.72 ↓ -15%
Gold Kidney Health Plan Medicare Advantage $278.72 ↓ -15%
Aetna Joint Venture $327.54 ↑ +0%
Aetna Aetna Qualified Health Plan $344.84 ↑ +5%
Mercy Care Mercy Medicaid $350.10 ↑ +7%
Health Choice Arizona, Inc. Medicaid $350.10 ↑ +7%
Arizona Physicians IPA Medicaid $350.10 ↑ +7%
Banner University Health Plan AZ Medicaid - AHCCCS $350.10 ↑ +7%
Health Net Medicaid $350.10 ↑ +7%
Health Choice Arizona, Inc. ACA Health Plan $361.53 ↑ +10%
Health Net Commerical Exchange Product $375.00 ↑ +14%
Aetna Medical Rental $397.37 ↑ +21%
Aetna Broad Network $409.12 ↑ +25%
United Healthcare UHC Individual Exchange $414.06 ↑ +26%
Oscar Health Plan Commercial $418.08 ↑ +28%
Quiktrip Corporation Commercial $432.60 ↑ +32%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $491.93 ↑ +50%
Arizona Medical Network Commercial $556.20 ↑ +70%
Provider Network of America Commercial $556.20 ↑ +70%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $2,217.49 ↑ +577%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $2,365.32 ↑ +622%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $2,483.58 ↑ +658%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $2,823.99 ↑ +762%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $2,956.65 ↑ +803%
Blue Cross Blue Shield of Arizona Commercial $2,956.65 ↑ +803%

Visitor-reported prices

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Peritoneogram rs&i at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $233.21 $277.87 – $964.24
Banner University Medical Center Tucson Tucson $245.70 $266.18 – $964.24
Banner University Medical Center South Tucson $252.25 $266.18 – $964.24
Banner Baywood Medical Center Mesa $238.18 $277.87 – $964.24
Banner Casa Grande Medical Center Casa Grande $177.80 $289.45 – $876.59
Banner Desert Medical Center Mesa $231.56 $277.87 – $964.24
Banner Ironwood Medical Center San Tan Valley $194.34 $277.87 – $876.59
Banner Estrella Medical Center Phoenix $215.85 $277.87 – $964.24

All Arizona hospitals for this procedure →