Telehealth original site facility fee 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

$23.76

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.

$42.00

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.

$6.05 with Arizona Physicians IPA vs $160.29 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 $6.05 ↓ -75%
Aetna Banner Employee Plans $17.09 ↓ -28%
Wellpoint Medicare Advantage HMO $17.22 ↓ -28%
Aetna Medicare Advantage $17.22 ↓ -28%
Arizona Physicians IPA Medicare Advantage $17.22 ↓ -28%
Banner Health Medicare Advantage $17.22 ↓ -28%
Banner University Health Plan Medicare Advantage $17.22 ↓ -28%
Blue Cross Blue Shield of Arizona Medicare Advantage $17.22 ↓ -28%
Care 1st Medicare Advantage $17.22 ↓ -28%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $17.22 ↓ -28%
Gila River Health Care Corporation Managed Care Program $17.22 ↓ -28%
Health Choice Arizona, Inc. Medicare Advantage $17.22 ↓ -28%
Health Net Medicare $17.22 ↓ -28%
Kaiser Foundation Health Plan Medicare Advantage $17.22 ↓ -28%
Mercy Care Mercy Care Advantage $17.22 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN Tricare $17.22 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $17.22 ↓ -28%
United Healthcare UHC Medicare Advantage $17.22 ↓ -28%
UPMC Health Plan Medicare Advantage $17.22 ↓ -28%
Carelon Medicare Advantage $18.08 ↓ -24%
Humana Medicare Advantage $18.25 ↓ -23%
Plotkin Health Plotkin Health $18.90 ↓ -20%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $18.90 ↓ -20%
Arizona Priority Care Medicare Advantage $18.94 ↓ -20%
Devoted Health Services Medicare Advantage $18.94 ↓ -20%
Gold Kidney Health Plan Medicare Advantage $18.94 ↓ -20%
Aetna Joint Venture $22.26 ↓ -6%
Aetna Aetna Qualified Health Plan $23.44 ↓ -1%
Health Choice Arizona, Inc. ACA Health Plan $24.57 ↑ +3%
Health Net Commerical Exchange Product $25.49 ↑ +7%
Aetna Medical Rental $27.01 ↑ +14%
Aetna Broad Network $27.80 ↑ +17%
United Healthcare UHC Individual Exchange $28.14 ↑ +18%
Oscar Health Plan Commercial $28.41 ↑ +20%
Quiktrip Corporation Commercial $29.40 ↑ +24%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $33.43 ↑ +41%
Arizona Medical Network Commercial $37.80 ↑ +59%
Provider Network of America Commercial $37.80 ↑ +59%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $120.22 ↑ +406%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $128.23 ↑ +440%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $134.64 ↑ +467%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $153.10 ↑ +544%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $160.29 ↑ +575%
Blue Cross Blue Shield of Arizona Commercial $160.29 ↑ +575%

Visitor-reported prices

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Telehealth original site facility fee at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner Page Hospital Page $28.36 $6.05 – $39.90

All Arizona hospitals for this procedure →