X-ray arthrogram shoulder supervision & interpretation (both sides) 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

$316.02

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.

$458.00

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.

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

$186.41 with Aetna vs $581.95 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
Aetna Banner Employee Plans $186.41 ↓ -41%
Gila River Health Care Corporation Managed Care Program $187.78 ↓ -41%
Arizona Physicians IPA Medicare Advantage $187.78 ↓ -41%
United Healthcare UHC Medicare Advantage $187.78 ↓ -41%
UPMC Health Plan Medicare Advantage $187.78 ↓ -41%
Blue Cross Blue Shield of Arizona Medicare Advantage $187.78 ↓ -41%
Banner University Health Plan Medicare Advantage $187.78 ↓ -41%
Mercy Care Mercy Care Advantage $187.78 ↓ -41%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $187.78 ↓ -41%
Aetna Medicare Advantage $187.78 ↓ -41%
Banner Health Medicare Advantage $187.78 ↓ -41%
Health Choice Arizona, Inc. Medicare Advantage $187.78 ↓ -41%
Kaiser Foundation Health Plan Medicare Advantage $187.78 ↓ -41%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $187.78 ↓ -41%
TriWest Healthcare Alliance Corp - VA CCN Tricare $187.78 ↓ -41%
Health Net Medicare $187.78 ↓ -41%
Wellpoint Medicare Advantage HMO $187.78 ↓ -41%
Care 1st Medicare Advantage $187.78 ↓ -41%
Carelon Medicare Advantage $197.17 ↓ -38%
Humana Medicare Advantage $199.05 ↓ -37%
Plotkin Health Plotkin Health $206.10 ↓ -35%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $206.10 ↓ -35%
Arizona Priority Care Medicare Advantage $206.56 ↓ -35%
Devoted Health Services Medicare Advantage $206.56 ↓ -35%
Gold Kidney Health Plan Medicare Advantage $206.56 ↓ -35%
Aetna Joint Venture $242.74 ↓ -23%
Aetna Aetna Qualified Health Plan $255.56 ↓ -19%
Mercy Care Mercy Medicaid $266.89 ↓ -16%
Health Choice Arizona, Inc. Medicaid $266.89 ↓ -16%
Arizona Physicians IPA Medicaid $266.89 ↓ -16%
Banner University Health Plan AZ Medicaid - AHCCCS $266.89 ↓ -16%
Health Net Medicaid $266.89 ↓ -16%
Health Choice Arizona, Inc. ACA Health Plan $267.93 ↓ -15%
Health Net Commerical Exchange Product $277.91 ↓ -12%
Aetna Medical Rental $294.49 ↓ -7%
Aetna Broad Network $303.20 ↓ -4%
United Healthcare UHC Individual Exchange $306.86 ↓ -3%
Oscar Health Plan Commercial $309.84 ↓ -2%
Quiktrip Corporation Commercial $320.60 ↑ +1%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $364.57 ↑ +15%
Arizona Medical Network Commercial $412.20 ↑ +30%
Provider Network of America Commercial $412.20 ↑ +30%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $436.46 ↑ +38%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $465.56 ↑ +47%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $488.83 ↑ +55%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $555.83 ↑ +76%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $581.95 ↑ +84%
Blue Cross Blue Shield of Arizona Commercial $581.95 ↑ +84%

Visitor-reported prices

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X-ray arthrogram shoulder supervision & interpretation (both sides) at other Arizona hospitals

Hospital City Cash price Negotiated range
Banner University Medical Center Phoenix Phoenix $338.01 $164.53 – $1,580.51
Banner University Medical Center Tucson Tucson $284.00 $193.20 – $1,863.61
Banner University Medical Center South Tucson $285.53 $193.20 – $1,863.61
Banner Baywood Medical Center Mesa $115.60 $220.20 – $1,580.51
Banner Boswell Medical Center Sun City $265.52 $220.20 – $1,580.51
Banner Casa Grande Medical Center Casa Grande $270.66 $220.20 – $1,516.98
Banner Del Webb Medical Center Sun City West $293.05 $164.53 – $1,580.51
Banner Desert Medical Center Mesa $354.15 $220.20 – $1,580.51

All Arizona hospitals for this procedure →