Sleep study unattended at Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
$578.69
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.
$727.00
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.
$101.17 with Arizona Physicians IPA vs $1,029.11 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 | $101.17 | ↓ -83% |
| Health Net | Medicaid | $101.17 | ↓ -83% |
| Mercy Care | Mercy Medicaid | $101.17 | ↓ -83% |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $101.17 | ↓ -83% |
| Health Choice Arizona, Inc. | Medicaid | $101.17 | ↓ -83% |
| Arizona Physicians IPA | Medicare Advantage | $238.21 | ↓ -59% |
| Gila River Health Care Corporation | Managed Care Program | $238.21 | ↓ -59% |
| United Healthcare | UHC Medicare Advantage | $238.21 | ↓ -59% |
| UPMC Health Plan | Medicare Advantage | $238.21 | ↓ -59% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $238.21 | ↓ -59% |
| Banner University Health Plan | Medicare Advantage | $238.21 | ↓ -59% |
| Mercy Care | Mercy Care Advantage | $238.21 | ↓ -59% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $238.21 | ↓ -59% |
| Aetna | Medicare Advantage | $238.21 | ↓ -59% |
| Banner Health | Medicare Advantage | $238.21 | ↓ -59% |
| Health Choice Arizona, Inc. | Medicare Advantage | $238.21 | ↓ -59% |
| Kaiser Foundation Health Plan | Medicare Advantage | $238.21 | ↓ -59% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $238.21 | ↓ -59% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $238.21 | ↓ -59% |
| Health Net | Medicare | $238.21 | ↓ -59% |
| Wellpoint | Medicare Advantage HMO | $238.21 | ↓ -59% |
| Care 1st | Medicare Advantage | $238.21 | ↓ -59% |
| Carelon | Medicare Advantage | $250.12 | ↓ -57% |
| Humana | Medicare Advantage | $252.50 | ↓ -56% |
| Plotkin Health | Plotkin Health | $261.45 | ↓ -55% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $261.45 | ↓ -55% |
| Arizona Priority Care | Medicare Advantage | $262.03 | ↓ -55% |
| Gold Kidney Health Plan | Medicare Advantage | $262.03 | ↓ -55% |
| Devoted Health Services | Medicare Advantage | $262.03 | ↓ -55% |
| Aetna | Joint Venture | $307.93 | ↓ -47% |
| Aetna | Aetna Qualified Health Plan | $324.20 | ↓ -44% |
| Health Choice Arizona, Inc. | ACA Health Plan | $339.88 | ↓ -41% |
| Health Net | Commerical Exchange Product | $352.55 | ↓ -39% |
| Aetna | Medical Rental | $373.58 | ↓ -35% |
| Aetna | Broad Network | $384.62 | ↓ -34% |
| United Healthcare | UHC Individual Exchange | $389.27 | ↓ -33% |
| Oscar Health Plan | Commercial | $393.05 | ↓ -32% |
| Quiktrip Corporation | Commercial | $406.70 | ↓ -30% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $462.48 | ↓ -20% |
| Arizona Medical Network | Commercial | $522.90 | ↓ -10% |
| Provider Network of America | Commercial | $522.90 | ↓ -10% |
| Aetna | Banner Employee Plans | $663.00 | ↑ +15% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $771.83 | ↑ +33% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $823.29 | ↑ +42% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $864.45 | ↑ +49% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $982.94 | ↑ +70% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $1,029.11 | ↑ +78% |
| Blue Cross Blue Shield of Arizona | Commercial | $1,029.11 | ↑ +78% |
Visitor-reported prices
Comments
Sleep study unattended at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Gilbert Medical Center | Gilbert | $375.15 | $99.42 – $1,174.25 |
| Banner University Medical Center Phoenix | Phoenix | $518.83 | $101.17 – $435.75 |
| Banner University Medical Center Tucson | Tucson | $445.65 | $101.17 – $464.80 |
| Banner Desert Medical Center | Mesa | $485.72 | $101.17 – $435.75 |
| Banner Page Hospital | Page | $580.87 | $49.90 – $551.95 |
| Yavapai Regional Medical Center (East) | Prescott | $147.66 | $99.42 – $176.77 |
| Chandler Regional Medical Center | Chandler | $408.70 | $91.39 – $1,281.00 |