Puncture aspiration abscess/hematoma/bulla/cyst at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$114.48
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.
$238.00
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.
$97.58 with Arizona Physicians IPA vs $1,170.00 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 |
|---|---|---|---|
| Arizona Physicians IPA | Medicare Advantage | $97.58 | ↓ -15% |
| Gila River Health Care Corporation | Managed Care Program | $97.58 | ↓ -15% |
| United Healthcare | UHC Medicare Advantage | $97.58 | ↓ -15% |
| UPMC Health Plan | Medicare Advantage | $97.58 | ↓ -15% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $97.58 | ↓ -15% |
| Banner University Health Plan | Medicare Advantage | $97.58 | ↓ -15% |
| Mercy Care | Mercy Care Advantage | $97.58 | ↓ -15% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $97.58 | ↓ -15% |
| Aetna | Medicare Advantage | $97.58 | ↓ -15% |
| Banner Health | Medicare Advantage | $97.58 | ↓ -15% |
| Health Choice Arizona, Inc. | Medicare Advantage | $97.58 | ↓ -15% |
| Kaiser Foundation Health Plan | Medicare Advantage | $97.58 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $97.58 | ↓ -15% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $97.58 | ↓ -15% |
| Health Net | Medicare | $97.58 | ↓ -15% |
| Wellpoint | Medicare Advantage HMO | $97.58 | ↓ -15% |
| Care 1st | Medicare Advantage | $97.58 | ↓ -15% |
| Carelon | Medicare Advantage | $102.46 | ↓ -10% |
| Humana | Medicare Advantage | $103.43 | ↓ -10% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $107.10 | ↓ -6% |
| Plotkin Health | Plotkin Health | $107.10 | ↓ -6% |
| Gold Kidney Health Plan | Medicare Advantage | $107.34 | ↓ -6% |
| Devoted Health Services | Medicare Advantage | $107.34 | ↓ -6% |
| Arizona Priority Care | Medicare Advantage | $107.34 | ↓ -6% |
| Aetna | Aetna Qualified Health Plan | $132.80 | ↑ +16% |
| Health Choice Arizona, Inc. | ACA Health Plan | $139.23 | ↑ +22% |
| Health Net | Commerical Exchange Product | $144.42 | ↑ +26% |
| Aetna | Medical Rental | $153.03 | ↑ +34% |
| United Healthcare | UHC Individual Exchange | $159.46 | ↑ +39% |
| Oscar Health Plan | Commercial | $161.01 | ↑ +41% |
| Quiktrip Corporation | Commercial | $166.60 | ↑ +46% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $189.45 | ↑ +65% |
| Provider Network of America | Commercial | $214.20 | ↑ +87% |
| Arizona Medical Network | Commercial | $214.20 | ↑ +87% |
| Health Net | Medicaid | $250.73 | ↑ +119% |
| Health Choice Arizona, Inc. | Medicaid | $250.73 | ↑ +119% |
| Arizona Physicians IPA | Medicaid | $250.73 | ↑ +119% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $250.73 | ↑ +119% |
| Mercy Care | Mercy Medicaid | $250.73 | ↑ +119% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $455.54 | ↑ +298% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $485.91 | ↑ +324% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $510.21 | ↑ +346% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $580.14 | ↑ +407% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $607.39 | ↑ +431% |
| Blue Cross Blue Shield of Arizona | Commercial | $607.39 | ↑ +431% |
| Aetna | Banner Employee Plans | $1,170.00 | ↑ +922% |
| Aetna | Broad Network | not published by hospital | — |
| Aetna | Joint Venture | not published by hospital | — |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $162.12 | $92.26 – $507.43 |
| Banner University Medical Center Phoenix | Phoenix | $307.17 | $171.73 – $702.62 |
| Banner University Medical Center Tucson | Tucson | $212.72 | $205.10 – $702.62 |
| Banner University Medical Center South | Tucson | $308.82 | $205.10 – $702.62 |
| Banner Baywood Medical Center | Mesa | $227.71 | $199.25 – $702.62 |
| Banner Boswell Medical Center | Sun City | $171.38 | $199.25 – $702.62 |
| Banner Casa Grande Medical Center | Casa Grande | $266.85 | $207.55 – $638.75 |
| Banner Del Webb Medical Center | Sun City West | $189.17 | $171.73 – $702.62 |