Refill/maint pump/resvr syst 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

$65.02

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.

$126.00

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.

$51.28 with Aetna vs $875.33 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 $51.28 ↓ -21%
Wellpoint Medicare Advantage HMO $51.66 ↓ -21%
Gila River Health Care Corporation Managed Care Program $51.66 ↓ -21%
UPMC Health Plan Medicare Advantage $51.66 ↓ -21%
Aetna Medicare Advantage $51.66 ↓ -21%
United Healthcare UHC Medicare Advantage $51.66 ↓ -21%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $51.66 ↓ -21%
Arizona Physicians IPA Medicare Advantage $51.66 ↓ -21%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $51.66 ↓ -21%
Banner Health Medicare Advantage $51.66 ↓ -21%
TriWest Healthcare Alliance Corp - VA CCN Tricare $51.66 ↓ -21%
Banner University Health Plan Medicare Advantage $51.66 ↓ -21%
Health Choice Arizona, Inc. Medicare Advantage $51.66 ↓ -21%
Blue Cross Blue Shield of Arizona Medicare Advantage $51.66 ↓ -21%
Health Net Medicare $51.66 ↓ -21%
Care 1st Medicare Advantage $51.66 ↓ -21%
Mercy Care Mercy Care Advantage $51.66 ↓ -21%
Kaiser Foundation Health Plan Medicare Advantage $51.66 ↓ -21%
Carelon Medicare Advantage $54.24 ↓ -17%
Humana Medicare Advantage $54.76 ↓ -16%
Plotkin Health Plotkin Health $56.70 ↓ -13%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $56.70 ↓ -13%
Gold Kidney Health Plan Medicare Advantage $56.83 ↓ -13%
Arizona Priority Care Medicare Advantage $56.83 ↓ -13%
Devoted Health Services Medicare Advantage $56.83 ↓ -13%
Aetna Joint Venture $66.78 ↑ +3%
Aetna Aetna Qualified Health Plan $70.31 ↑ +8%
Health Choice Arizona, Inc. ACA Health Plan $73.71 ↑ +13%
Health Net Commerical Exchange Product $76.46 ↑ +18%
Aetna Medical Rental $81.02 ↑ +25%
Aetna Broad Network $83.41 ↑ +28%
United Healthcare UHC Individual Exchange $84.42 ↑ +30%
Oscar Health Plan Commercial $85.24 ↑ +31%
Quiktrip Corporation Commercial $88.20 ↑ +36%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $100.30 ↑ +54%
Provider Network of America Commercial $113.40 ↑ +74%
Arizona Medical Network Commercial $113.40 ↑ +74%
Health Net Medicaid $147.54 ↑ +127%
Mercy Care Mercy Medicaid $147.54 ↑ +127%
Banner University Health Plan AZ Medicaid - AHCCCS $147.54 ↑ +127%
Arizona Physicians IPA Medicaid $147.54 ↑ +127%
Health Choice Arizona, Inc. Medicaid $147.54 ↑ +127%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $656.49 ↑ +910%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $700.26 ↑ +977%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $735.27 ↑ +1031%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $836.05 ↑ +1186%
Blue Cross Blue Shield of Arizona Commercial $875.33 ↑ +1246%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $875.33 ↑ +1246%

Visitor-reported prices

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Refill/maint pump/resvr syst at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $143.45 $147.54 – $370.52
Banner University Medical Center Tucson Tucson $106.86 $134.05 – $370.52
Banner Baywood Medical Center Mesa $121.23 $147.54 – $370.52
Banner Ironwood Medical Center San Tan Valley $144.90 $147.54 – $362.25
Banner Gateway Medical Center Gilbert $148.76 $147.54 – $370.52
Banner Thunderbird Medical Center Glendale $121.23 $72.99 – $370.52

All Arizona hospitals for this procedure →