Ultrasound retroperitoneal limited 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

$170.02

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.

Full explanation →

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

$276.00

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.

Full explanation →

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

$79.00 with Health Net vs $248.40 with Provider Network of America — 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 →

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
Health Net Medicaid $79.00 ↓ -54%
Mercy Care Mercy Medicaid $79.00 ↓ -54%
Banner University Health Plan AZ Medicaid - AHCCCS $79.00 ↓ -54%
Health Choice Arizona, Inc. Medicaid $79.00 ↓ -54%
Arizona Physicians IPA Medicaid $79.00 ↓ -54%
Aetna Banner Employee Plans $112.33 ↓ -34%
Arizona Physicians IPA Medicare Advantage $113.16 ↓ -33%
Gila River Health Care Corporation Managed Care Program $113.16 ↓ -33%
United Healthcare UHC Medicare Advantage $113.16 ↓ -33%
UPMC Health Plan Medicare Advantage $113.16 ↓ -33%
Blue Cross Blue Shield of Arizona Medicare Advantage $113.16 ↓ -33%
Banner University Health Plan Medicare Advantage $113.16 ↓ -33%
Mercy Care Mercy Care Advantage $113.16 ↓ -33%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $113.16 ↓ -33%
Aetna Medicare Advantage $113.16 ↓ -33%
Banner Health Medicare Advantage $113.16 ↓ -33%
Health Choice Arizona, Inc. Medicare Advantage $113.16 ↓ -33%
Kaiser Foundation Health Plan Medicare Advantage $113.16 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $113.16 ↓ -33%
TriWest Healthcare Alliance Corp - VA CCN Tricare $113.16 ↓ -33%
Health Net Medicare $113.16 ↓ -33%
Wellpoint Medicare Advantage HMO $113.16 ↓ -33%
Care 1st Medicare Advantage $113.16 ↓ -33%
Carelon Medicare Advantage $118.82 ↓ -30%
Humana Medicare Advantage $119.95 ↓ -29%
Plotkin Health Plotkin Health $124.20 ↓ -27%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $124.20 ↓ -27%
Gold Kidney Health Plan Medicare Advantage $124.48 ↓ -27%
Arizona Priority Care Medicare Advantage $124.48 ↓ -27%
Devoted Health Services Medicare Advantage $124.48 ↓ -27%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $135.25 ↓ -20%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $144.27 ↓ -15%
Aetna Joint Venture $146.28 ↓ -14%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $151.48 ↓ -11%
Aetna Aetna Qualified Health Plan $154.01 ↓ -9%
Health Choice Arizona, Inc. ACA Health Plan $161.46 ↓ -5%
Health Net Commerical Exchange Product $167.48 ↓ -1%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $172.25 ↑ +1%
Aetna Medical Rental $177.47 ↑ +4%
Blue Cross Blue Shield of Arizona Commercial $180.34 ↑ +6%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $180.34 ↑ +6%
Aetna Broad Network $182.71 ↑ +7%
United Healthcare UHC Individual Exchange $184.92 ↑ +9%
Oscar Health Plan Commercial $186.71 ↑ +10%
Quiktrip Corporation Commercial $193.20 ↑ +14%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $219.70 ↑ +29%
Arizona Medical Network Commercial $248.40 ↑ +46%
Provider Network of America Commercial $248.40 ↑ +46%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ultrasound retroperitoneal limited at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $224.85 $62.58 – $703.78
Banner University Medical Center Phoenix Phoenix $152.86 $50.99 – $328.50
Banner University Medical Center Tucson Tucson $112.55 $79.00 – $270.40
Banner University Medical Center South Tucson $94.98 $78.75 – $270.40
Banner Baywood Medical Center Mesa $140.16 $79.00 – $328.50
Banner Boswell Medical Center Sun City $64.82 $79.00 – $350.40
Banner Casa Grande Medical Center Casa Grande $119.57 $76.75 – $328.50
Banner Del Webb Medical Center Sun City West $151.11 $50.99 – $350.40

All Arizona hospitals for this procedure →