Tc-99m tilmanocept diag 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

$1,221.35

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.

$2,399.50

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.

$661.57 with Arizona Physicians IPA vs $5,256.84 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
Arizona Physicians IPA Medicaid $661.57 ↓ -46%
Health Net Medicaid $661.57 ↓ -46%
Mercy Care Mercy Medicaid $661.57 ↓ -46%
Banner University Health Plan AZ Medicaid - AHCCCS $661.57 ↓ -46%
Health Choice Arizona, Inc. Medicaid $661.57 ↓ -46%
Care 1st Medicare Advantage $983.79 ↓ -19%
Gila River Health Care Corporation Managed Care Program $983.79 ↓ -19%
United Healthcare UHC Medicare Advantage $983.79 ↓ -19%
UPMC Health Plan Medicare Advantage $983.79 ↓ -19%
Blue Cross Blue Shield of Arizona Medicare Advantage $983.79 ↓ -19%
Banner University Health Plan Medicare Advantage $983.79 ↓ -19%
Mercy Care Mercy Care Advantage $983.79 ↓ -19%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $983.79 ↓ -19%
Aetna Medicare Advantage $983.79 ↓ -19%
Banner Health Medicare Advantage $983.79 ↓ -19%
Health Choice Arizona, Inc. Medicare Advantage $983.79 ↓ -19%
Kaiser Foundation Health Plan Medicare Advantage $983.79 ↓ -19%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $983.79 ↓ -19%
TriWest Healthcare Alliance Corp - VA CCN Tricare $983.79 ↓ -19%
Health Net Medicare $983.79 ↓ -19%
Wellpoint Medicare Advantage HMO $983.79 ↓ -19%
Arizona Physicians IPA Medicare Advantage $983.79 ↓ -19%
Carelon Medicare Advantage $1,032.98 ↓ -15%
Humana Medicare Advantage $1,042.82 ↓ -15%
Plotkin Health Plotkin Health $1,079.78 ↓ -12%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $1,079.78 ↓ -12%
Arizona Priority Care Medicare Advantage $1,082.17 ↓ -11%
Gold Kidney Health Plan Medicare Advantage $1,082.17 ↓ -11%
Devoted Health Services Medicare Advantage $1,082.17 ↓ -11%
Aetna Joint Venture $1,271.73 ↑ +4%
Aetna Aetna Qualified Health Plan $1,338.92 ↑ +10%
Health Choice Arizona, Inc. ACA Health Plan $1,403.71 ↑ +15%
Health Net Commerical Exchange Product $1,456.02 ↑ +19%
Aetna Medical Rental $1,542.88 ↑ +26%
Aetna Broad Network $1,588.47 ↑ +30%
United Healthcare UHC Individual Exchange $1,607.66 ↑ +32%
Oscar Health Plan Commercial $1,623.26 ↑ +33%
Quiktrip Corporation Commercial $1,679.65 ↑ +38%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $1,910.00 ↑ +56%
Provider Network of America Commercial $2,159.55 ↑ +77%
Arizona Medical Network Commercial $2,159.55 ↑ +77%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $3,942.63 ↑ +223%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $4,205.47 ↑ +244%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $4,415.73 ↑ +262%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $5,020.97 ↑ +311%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $5,256.84 ↑ +330%
Blue Cross Blue Shield of Arizona Commercial $5,256.84 ↑ +330%

Visitor-reported prices

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Tc-99m tilmanocept diag at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $305.78 $100.00 – $1,243.00
Banner University Medical Center Phoenix Phoenix $859.02 $479.90 – $1,799.62
Banner University Medical Center Tucson Tucson $599.88 $479.90 – $3,259.27
Banner Baywood Medical Center Mesa $657.46 $479.90 – $3,820.25
Banner Boswell Medical Center Sun City $455.91 $479.90 – $2,917.03
Banner Casa Grande Medical Center Casa Grande $434.31 $479.90 – $2,237.23
Banner Del Webb Medical Center Sun City West $427.11 $479.90 – $1,919.60
Banner Desert Medical Center Mesa $616.67 $479.90 – $3,820.25

All Arizona hospitals for this procedure →