healthcosts.net
Pregnancy Ultrasound (complete, after first trimester) at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$313.54
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.
?
What you pay up front if you don't use insurance.
$509.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$79.00 with Mercy Care vs $491.42 with Blue Cross Blue Shield of Arizona — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $79.00 | ↓ -75% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $79.00 | ↓ -75% |
| Health Net | Medicaid | $79.00 | ↓ -75% |
| Health Choice Arizona, Inc. | Medicaid | $79.00 | ↓ -75% |
| Arizona Physicians IPA | Medicaid | $79.00 | ↓ -75% |
| Aetna | Banner Employee Plans | $207.16 | ↓ -34% |
| UPMC Health Plan | Medicare Advantage | $208.69 | ↓ -33% |
| Gila River Health Care Corporation | Managed Care Program | $208.69 | ↓ -33% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $208.69 | ↓ -33% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $208.69 | ↓ -33% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $208.69 | ↓ -33% |
| Health Choice Arizona, Inc. | Medicare Advantage | $208.69 | ↓ -33% |
| Banner University Health Plan | Medicare Advantage | $208.69 | ↓ -33% |
| United Healthcare | UHC Medicare Advantage | $208.69 | ↓ -33% |
| Aetna | Medicare Advantage | $208.69 | ↓ -33% |
| Health Net | Medicare | $208.69 | ↓ -33% |
| Wellpoint | Medicare Advantage HMO | $208.69 | ↓ -33% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $208.69 | ↓ -33% |
| Mercy Care | Mercy Care Advantage | $208.69 | ↓ -33% |
| Arizona Physicians IPA | Medicare Advantage | $208.69 | ↓ -33% |
| Banner Health | Medicare Advantage | $208.69 | ↓ -33% |
| Care 1st | Medicare Advantage | $208.69 | ↓ -33% |
| Kaiser Foundation Health Plan | Medicare Advantage | $208.69 | ↓ -33% |
| Carelon | Medicare Advantage | $219.12 | ↓ -30% |
| Humana | Medicare Advantage | $221.21 | ↓ -29% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $229.05 | ↓ -27% |
| Plotkin Health | Plotkin Health | $229.05 | ↓ -27% |
| Gold Kidney Health Plan | Medicare Advantage | $229.56 | ↓ -27% |
| Arizona Priority Care | Medicare Advantage | $229.56 | ↓ -27% |
| Devoted Health Services | Medicare Advantage | $229.56 | ↓ -27% |
| Aetna | Joint Venture | $269.77 | ↓ -14% |
| Aetna | Aetna Qualified Health Plan | $284.02 | ↓ -9% |
| Health Choice Arizona, Inc. | ACA Health Plan | $297.76 | ↓ -5% |
| Health Net | Commerical Exchange Product | $308.86 | ↓ -1% |
| Aetna | Medical Rental | $327.29 | ↑ +4% |
| Aetna | Broad Network | $336.96 | ↑ +7% |
| United Healthcare | UHC Individual Exchange | $341.03 | ↑ +9% |
| Oscar Health Plan | Commercial | $344.34 | ↑ +10% |
| Quiktrip Corporation | Commercial | $356.30 | ↑ +14% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $368.56 | ↑ +18% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $393.14 | ↑ +25% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $405.16 | ↑ +29% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $412.79 | ↑ +32% |
| Arizona Medical Network | Commercial | $458.10 | ↑ +46% |
| Provider Network of America | Commercial | $458.10 | ↑ +46% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $469.37 | ↑ +50% |
| Blue Cross Blue Shield of Arizona | Commercial | $491.42 | ↑ +57% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $491.42 | ↑ +57% |
Visitor-reported prices
Comments
Pregnancy Ultrasound (complete, after first trimester) at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $250.58 | $79.00 – $538.50 |
| Banner University Medical Center Tucson | Tucson | $274.72 | $79.00 – $660.00 |
| Banner University Medical Center South | Tucson | $231.83 | $79.00 – $660.00 |
| Banner Baywood Medical Center | Mesa | $229.76 | $79.00 – $538.50 |
| Banner Boswell Medical Center | Sun City | $106.26 | $79.00 – $574.40 |
| Banner Casa Grande Medical Center | Casa Grande | $196.01 | $79.00 – $538.50 |
| Banner Del Webb Medical Center | Sun City West | $247.71 | $79.00 – $574.40 |
| Banner Desert Medical Center | Mesa | $311.61 | $79.00 – $538.50 |