X-ray esophogram chest radiograph(s) & delayed images single contrast study 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

$147.87

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.

$279.00

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.

$113.55 with Aetna vs $382.93 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 $113.55 ↓ -23%
Wellpoint Medicare Advantage HMO $114.39 ↓ -23%
Aetna Medicare Advantage $114.39 ↓ -23%
Health Net Medicare $114.39 ↓ -23%
Banner Health Medicare Advantage $114.39 ↓ -23%
Blue Cross Blue Shield of Arizona Medicare Advantage $114.39 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN Tricare $114.39 ↓ -23%
Banner University Health Plan Medicare Advantage $114.39 ↓ -23%
Mercy Care Mercy Care Advantage $114.39 ↓ -23%
Cigna Healthcare of Arizona, Inc. HMO Medicare Advantage Plan/PPO Medicare Advantage Plan $114.39 ↓ -23%
Arizona Physicians IPA Medicare Advantage $114.39 ↓ -23%
Care 1st Medicare Advantage $114.39 ↓ -23%
Gila River Health Care Corporation Managed Care Program $114.39 ↓ -23%
TriWest Healthcare Alliance Corp - VA CCN VA Community Care Network $114.39 ↓ -23%
United Healthcare UHC Medicare Advantage $114.39 ↓ -23%
UPMC Health Plan Medicare Advantage $114.39 ↓ -23%
Kaiser Foundation Health Plan Medicare Advantage $114.39 ↓ -23%
Health Choice Arizona, Inc. Medicare Advantage $114.39 ↓ -23%
Carelon Medicare Advantage $120.11 ↓ -19%
Humana Medicare Advantage $121.25 ↓ -18%
Plotkin Health Plotkin Health $125.55 ↓ -15%
National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) NHSI VUMI $125.55 ↓ -15%
Arizona Priority Care Medicare Advantage $125.83 ↓ -15%
Gold Kidney Health Plan Medicare Advantage $125.83 ↓ -15%
Devoted Health Services Medicare Advantage $125.83 ↓ -15%
Health Choice Arizona, Inc. Medicaid $129.45 ↓ -12%
Health Net Medicaid $129.45 ↓ -12%
Arizona Physicians IPA Medicaid $129.45 ↓ -12%
Banner University Health Plan AZ Medicaid - AHCCCS $129.45 ↓ -12%
Mercy Care Mercy Medicaid $129.45 ↓ -12%
Aetna Joint Venture $147.87 ↑ +0%
Aetna Aetna Qualified Health Plan $155.68 ↑ +5%
Health Choice Arizona, Inc. ACA Health Plan $163.22 ↑ +10%
Health Net Commerical Exchange Product $169.30 ↑ +14%
Aetna Medical Rental $179.40 ↑ +21%
Aetna Broad Network $184.70 ↑ +25%
United Healthcare UHC Individual Exchange $186.93 ↑ +26%
Oscar Health Plan Commercial $188.74 ↑ +28%
Quiktrip Corporation Commercial $195.30 ↑ +32%
Cigna Healthcare of Arizona, Inc. Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan $222.08 ↑ +50%
Provider Network of America Commercial $251.10 ↑ +70%
Arizona Medical Network Commercial $251.10 ↑ +70%
Blue Cross Blue Shield of Arizona BXBSAZ Neighborhood $287.20 ↑ +94%
Blue Cross Blue Shield of Arizona BCBSAZ Alliance/Blue HPN $306.34 ↑ +107%
Blue Cross Blue Shield of Arizona BXBSAZ Alliance CHS $321.66 ↑ +118%
Blue Cross Blue Shield of Arizona BCBSAZ Medicare $365.75 ↑ +147%
Blue Cross Blue Shield of Arizona BCBSAZ Workers Comp $382.93 ↑ +159%
Blue Cross Blue Shield of Arizona Commercial $382.93 ↑ +159%

Visitor-reported prices

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X-ray esophogram chest radiograph(s) & delayed images single contrast study at other Arizona hospitals

Hospital City Cash price Negotiated range
Mercy Gilbert Medical Center Gilbert $410.82 $102.28 – $1,285.90
Banner University Medical Center Phoenix Phoenix $150.59 $108.27 – $400.50
Banner University Medical Center Tucson Tucson $147.00 $129.45 – $392.00
Banner University Medical Center South Tucson $150.92 $129.45 – $392.00
Banner Baywood Medical Center Mesa $153.79 $129.45 – $400.50
Banner Boswell Medical Center Sun City $130.30 $129.45 – $427.20
Banner Casa Grande Medical Center Casa Grande $114.81 $129.45 – $400.50
Banner Del Webb Medical Center Sun City West $124.42 $108.27 – $427.20

All Arizona hospitals for this procedure →