Semen analysis presence/motility at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$16.95
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.
$37.00
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.
$12.05 with Banner University Health Plan vs $57.01 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 |
|---|---|---|---|
| Banner University Health Plan | AZ Medicaid - AHCCCS | $12.05 | ↓ -29% |
| Arizona Physicians IPA | Medicaid | $12.05 | ↓ -29% |
| Health Net | Medicaid | $12.05 | ↓ -29% |
| Health Choice Arizona, Inc. | Medicaid | $12.05 | ↓ -29% |
| Mercy Care | Mercy Medicaid | $12.05 | ↓ -29% |
| Aetna | Banner Employee Plans | $15.06 | ↓ -11% |
| Banner Health | Medicare Advantage | $15.17 | ↓ -11% |
| Banner University Health Plan | Medicare Advantage | $15.17 | ↓ -11% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $15.17 | ↓ -11% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $15.17 | ↓ -11% |
| Health Net | Medicare | $15.17 | ↓ -11% |
| Wellpoint | Medicare Advantage HMO | $15.17 | ↓ -11% |
| UPMC Health Plan | Medicare Advantage | $15.17 | ↓ -11% |
| Aetna | Medicare Advantage | $15.17 | ↓ -11% |
| United Healthcare | UHC Medicare Advantage | $15.17 | ↓ -11% |
| Arizona Physicians IPA | Medicare Advantage | $15.17 | ↓ -11% |
| Mercy Care | Mercy Care Advantage | $15.17 | ↓ -11% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $15.17 | ↓ -11% |
| Care 1st | Medicare Advantage | $15.17 | ↓ -11% |
| Kaiser Foundation Health Plan | Medicare Advantage | $15.17 | ↓ -11% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $15.17 | ↓ -11% |
| Gila River Health Care Corporation | Managed Care Program | $15.17 | ↓ -11% |
| Health Choice Arizona, Inc. | Medicare Advantage | $15.17 | ↓ -11% |
| Carelon | Medicare Advantage | $15.93 | ↓ -6% |
| Humana | Medicare Advantage | $16.08 | ↓ -5% |
| Plotkin Health | Plotkin Health | $16.65 | ↓ -2% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $16.65 | ↓ -2% |
| Arizona Priority Care | Medicare Advantage | $16.69 | ↓ -2% |
| Devoted Health Services | Medicare Advantage | $16.69 | ↓ -2% |
| Gold Kidney Health Plan | Medicare Advantage | $16.69 | ↓ -2% |
| Aetna | Joint Venture | $19.61 | ↑ +16% |
| Aetna | Aetna Qualified Health Plan | $20.65 | ↑ +22% |
| Health Choice Arizona, Inc. | ACA Health Plan | $21.64 | ↑ +28% |
| Health Net | Commerical Exchange Product | $22.45 | ↑ +32% |
| Aetna | Medical Rental | $23.79 | ↑ +40% |
| Aetna | Broad Network | $24.49 | ↑ +44% |
| United Healthcare | UHC Individual Exchange | $24.79 | ↑ +46% |
| Oscar Health Plan | Commercial | $25.03 | ↑ +48% |
| Quiktrip Corporation | Commercial | $25.90 | ↑ +53% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $29.45 | ↑ +74% |
| Arizona Medical Network | Commercial | $33.30 | ↑ +96% |
| Provider Network of America | Commercial | $33.30 | ↑ +96% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $42.76 | ↑ +152% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $45.61 | ↑ +169% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $47.89 | ↑ +183% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $54.45 | ↑ +221% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $57.01 | ↑ +236% |
| Blue Cross Blue Shield of Arizona | Commercial | $57.01 | ↑ +236% |