Removal devitalized tissue non-selective debridement without anesthesia per session 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

$56.53

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.

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What you pay up front if you don't use insurance.

$99.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$40.29 with Aetna vs $355.99 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.

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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 $40.29 ↓ -29%
Gila River Health Care Corporation Managed Care Program $40.59 ↓ -28%
Arizona Physicians IPA Medicare Advantage $40.59 ↓ -28%
United Healthcare UHC Medicare Advantage $40.59 ↓ -28%
UPMC Health Plan Medicare Advantage $40.59 ↓ -28%
Blue Cross Blue Shield of Arizona Medicare Advantage $40.59 ↓ -28%
Banner University Health Plan Medicare Advantage $40.59 ↓ -28%
Mercy Care Mercy Care Advantage $40.59 ↓ -28%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $40.59 ↓ -28%
Aetna Medicare Advantage $40.59 ↓ -28%
Banner Health Medicare Advantage $40.59 ↓ -28%
Health Choice Arizona, Inc. Medicare Advantage $40.59 ↓ -28%
Kaiser Foundation Health Plan Medicare Advantage $40.59 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $40.59 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN Tricare $40.59 ↓ -28%
Health Net Medicare $40.59 ↓ -28%
Wellpoint Medicare Advantage HMO $40.59 ↓ -28%
Care 1st Medicare Advantage $40.59 ↓ -28%
Carelon Medicare Advantage $42.62 ↓ -25%
Humana Medicare Advantage $43.03 ↓ -24%
Plotkin Health Plotkin Health $44.55 ↓ -21%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $44.55 ↓ -21%
Gold Kidney Health Plan Medicare Advantage $44.65 ↓ -21%
Devoted Health Services Medicare Advantage $44.65 ↓ -21%
Arizona Priority Care Medicare Advantage $44.65 ↓ -21%
Aetna Joint Venture $52.47 ↓ -7%
Aetna Aetna Qualified Health Plan $55.24 ↓ -2%
Health Choice Arizona, Inc. ACA Health Plan $57.91 ↑ +2%
Health Net Commerical Exchange Product $60.07 ↑ +6%
Aetna Medical Rental $63.66 ↑ +13%
Aetna Broad Network $65.54 ↑ +16%
United Healthcare UHC Individual Exchange $66.33 ↑ +17%
Oscar Health Plan Commercial $66.97 ↑ +18%
Quiktrip Corporation Commercial $69.30 ↑ +23%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $78.80 ↑ +39%
Arizona Medical Network Commercial $89.10 ↑ +58%
Provider Network of America Commercial $89.10 ↑ +58%
Mercy Care Mercy Medicaid $130.17 ↑ +130%
Arizona Physicians IPA Medicaid $130.17 ↑ +130%
Health Choice Arizona, Inc. Medicaid $130.17 ↑ +130%
Banner University Health Plan AZ Medicaid - AHCCCS $130.17 ↑ +130%
Health Net Medicaid $130.17 ↑ +130%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $266.99 ↑ +372%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $284.79 ↑ +404%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $299.03 ↑ +429%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $340.02 ↑ +501%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $355.99 ↑ +530%
Blue Cross Blue Shield of Arizona Commercial $355.99 ↑ +530%

Visitor-reported prices

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Removal devitalized tissue non-selective debridement without anesthesia per session at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $64.46 $28.42 – $257.00
Banner University Medical Center Phoenix Phoenix $112.92 $43.60 – $285.90
Banner Baywood Medical Center Mesa $83.71 $43.60 – $232.96
Banner Boswell Medical Center Sun City $52.57 $43.60 – $232.96
Banner Casa Grande Medical Center Casa Grande $98.10 $76.30 – $317.67
Banner Del Webb Medical Center Sun City West $32.92 $43.60 – $241.00
Banner Gateway Medical Center Gilbert $56.24 $43.60 – $258.70
Banner Heart Hospital Mesa $29.87 $43.60 – $241.00

All Arizona hospitals for this procedure →