Prostate biopsy, any mthd at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$228.96
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.
$457.00
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.
$65.85 with Arizona Physicians IPA vs $2,587.97 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $65.85 | ↓ -71% |
| Aetna | Banner Employee Plans | $186.00 | ↓ -19% |
| Arizona Physicians IPA | Medicare Advantage | $187.37 | ↓ -18% |
| Gila River Health Care Corporation | Managed Care Program | $187.37 | ↓ -18% |
| United Healthcare | UHC Medicare Advantage | $187.37 | ↓ -18% |
| UPMC Health Plan | Medicare Advantage | $187.37 | ↓ -18% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $187.37 | ↓ -18% |
| Banner University Health Plan | Medicare Advantage | $187.37 | ↓ -18% |
| Mercy Care | Mercy Care Advantage | $187.37 | ↓ -18% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $187.37 | ↓ -18% |
| Aetna | Medicare Advantage | $187.37 | ↓ -18% |
| Banner Health | Medicare Advantage | $187.37 | ↓ -18% |
| Health Choice Arizona, Inc. | Medicare Advantage | $187.37 | ↓ -18% |
| Kaiser Foundation Health Plan | Medicare Advantage | $187.37 | ↓ -18% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $187.37 | ↓ -18% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $187.37 | ↓ -18% |
| Health Net | Medicare | $187.37 | ↓ -18% |
| Wellpoint | Medicare Advantage HMO | $187.37 | ↓ -18% |
| Care 1st | Medicare Advantage | $187.37 | ↓ -18% |
| Carelon | Medicare Advantage | $196.74 | ↓ -14% |
| Humana | Medicare Advantage | $198.61 | ↓ -13% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $205.65 | ↓ -10% |
| Plotkin Health | Plotkin Health | $205.65 | ↓ -10% |
| Devoted Health Services | Medicare Advantage | $206.11 | ↓ -10% |
| Arizona Priority Care | Medicare Advantage | $206.11 | ↓ -10% |
| Gold Kidney Health Plan | Medicare Advantage | $206.11 | ↓ -10% |
| Aetna | Joint Venture | $242.21 | ↑ +6% |
| Aetna | Aetna Qualified Health Plan | $255.01 | ↑ +11% |
| Health Choice Arizona, Inc. | ACA Health Plan | $267.35 | ↑ +17% |
| Health Net | Commerical Exchange Product | $277.31 | ↑ +21% |
| Aetna | Medical Rental | $293.85 | ↑ +28% |
| Aetna | Broad Network | $302.53 | ↑ +32% |
| United Healthcare | UHC Individual Exchange | $306.19 | ↑ +34% |
| Oscar Health Plan | Commercial | $309.16 | ↑ +35% |
| Quiktrip Corporation | Commercial | $319.90 | ↑ +40% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $363.77 | ↑ +59% |
| Arizona Medical Network | Commercial | $411.30 | ↑ +80% |
| Provider Network of America | Commercial | $411.30 | ↑ +80% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,940.98 | ↑ +748% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $2,070.38 | ↑ +804% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $2,173.89 | ↑ +849% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $2,471.85 | ↑ +980% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $2,587.97 | ↑ +1030% |
| Blue Cross Blue Shield of Arizona | Commercial | $2,587.97 | ↑ +1030% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $377.37 | $214.76 – $1,181.18 |
| Banner University Medical Center Phoenix | Phoenix | $256.32 | $132.86 – $691.50 |
| Banner University Medical Center Tucson | Tucson | $322.50 | $175.37 – $973.60 |
| Banner University Medical Center South | Tucson | $341.98 | $175.37 – $973.60 |
| Banner Baywood Medical Center | Mesa | $202.84 | $132.86 – $691.50 |
| Banner Boswell Medical Center | Sun City | $201.92 | $132.86 – $737.60 |
| Banner Casa Grande Medical Center | Casa Grande | $211.14 | $132.86 – $691.50 |
| Banner Del Webb Medical Center | Sun City West | $207.45 | $132.86 – $737.60 |