Banner Payson Medical Center
807 South Ponderosa Street, Payson, AZ · Banner Health · · NPI 1063923340
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,559.04 | $3,480.00 | $1,160.00 – $3,132.00 | 27 |
| Mayo androstenedione CPT 82157 | $41.36 | $88.00 | $29.28 – $79.20 | 27 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $28.67 | $61.00 | $14.60 – $54.90 | 27 |
| Mayo antithrombin iii antigen CPT 85301 | $34.09 | $69.00 | $10.81 – $62.10 | 27 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $20.13 | $55.00 | $15.05 – $49.50 | 27 |
| Mayo avwpr vw factor activity CPT 85397 | $81.02 | $164.00 | $30.86 – $147.60 | 27 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $74.26 | $158.00 | $12.85 – $48.60 | 27 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $22.69 | $62.00 | $10.18 – $55.80 | 27 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $194.88 | $435.00 | $144.84 – $391.50 | 27 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $288.51 | $644.00 | $214.62 – $579.60 | 27 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $28.55 | $78.00 | $12.90 – $70.20 | 27 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $26.32 | $56.00 | $13.33 – $50.40 | 27 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $25.62 | $70.00 | $13.19 – $63.00 | 27 |
| Mayo brcmg brucella antibody igm CPT 86622 | $24.52 | $67.00 | $8.93 – $60.30 | 27 |
| Mayo c1 esterase inhibitor CPT 83883 | $33.84 | $72.00 | $13.60 – $36.90 | 27 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $39.48 | $84.00 | $13.33 – $50.40 | 27 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $54.05 | $115.00 | $16.87 – $45.90 | 27 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $29.65 | $81.00 | $26.78 – $72.90 | 27 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $164.42 | $367.00 | $122.22 – $330.30 | 27 |
| Mayo ceruloplasmin CPT 82390 | $24.91 | $53.00 | $10.74 – $47.70 | 27 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $32.90 | $70.00 | $14.12 – $38.70 | 27 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $87.84 | $240.00 | $12.88 – $59.40 | 27 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $29.65 | $81.00 | $11.82 – $54.90 | 27 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $22.33 | $61.00 | $12.68 – $54.90 | 27 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $174.65 | $350.00 | $116.49 – $315.00 | 27 |
| Mayo chromium CPT 82495 | $28.67 | $61.00 | $20.28 – $54.90 | 27 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $70.03 | $149.00 | $13.33 – $50.40 | 27 |
| Mayo coccidioides antibody CPT 86635 | $24.16 | $66.00 | $11.47 – $49.50 | 27 |
| Mayo cocou cortisone urine CPT 82542 | $427.23 | $909.00 | $24.09 – $65.70 | 27 |
| Mayo cortisol free CPT 82530 | $25.85 | $55.00 | $16.71 – $49.50 | 27 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $46.48 | $127.00 | $42.13 – $114.30 | 27 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $20.86 | $57.00 | $12.12 – $51.30 | 27 |
| Mayo cyanide CPT 82600 | $36.66 | $78.00 | $19.40 – $70.20 | 27 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $300.90 | $603.00 | $108.14 – $542.70 | 27 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $14.64 | $40.00 | $13.25 – $36.00 | 27 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $35.72 | $76.00 | $25.27 – $68.40 | 27 |
| Mayo dihydrotestosterone CPT 82642 | $41.36 | $88.00 | $12.68 – $79.20 | 27 |
| Mayo efpo chloride stool CPT 82438 | $27.26 | $58.00 | $5.00 – $13.50 | 27 |
| Mayo estriol CPT 82677 | $34.31 | $73.00 | $24.18 – $65.70 | 27 |
| Mayo estrone CPT 82679 | $35.25 | $75.00 | $24.95 – $67.50 | 27 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $50.29 | $107.00 | $16.34 – $96.30 | 27 |
| Mayo everolimus therapeutic drug level CPT 80169 | $28.20 | $60.00 | $13.73 – $54.00 | 27 |
| Mayo factor ii CPT 85210 | $31.62 | $64.00 | $12.98 – $57.60 | 27 |
| Mayo factor v CPT 85220 | $37.05 | $75.00 | $17.65 – $67.50 | 27 |
| Mayo factor vii CPT 85230 | $37.54 | $76.00 | $17.90 – $68.40 | 27 |
| Mayo factor viii vw factor antigen CPT 85246 | $36.56 | $74.00 | $22.94 – $66.60 | 27 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $34.09 | $69.00 | $22.94 – $62.10 | 27 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $42.98 | $87.00 | $22.94 – $66.60 | 27 |
| Mayo factor x CPT 85260 | $37.54 | $76.00 | $17.90 – $48.60 | 27 |
| Mayo factor xi CPT 85270 | $34.09 | $69.00 | $17.90 – $62.10 | 27 |
| Mayo fat/lipids feces quantitative CPT 82710 | $23.97 | $51.00 | $16.80 – $45.90 | 27 |
| Mayo fbl culture fungi blood CPT 87103 | $29.33 | $62.00 | $20.46 – $55.80 | 27 |
| Mayo ffspg allergen clam igg CPT 86001 | $8.78 | $24.00 | $7.82 – $21.60 | 27 |
| Mayo fibrinogen antigen CPT 85385 | $21.74 | $44.00 | $14.46 – $39.60 | 27 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $36.19 | $77.00 | $21.67 – $69.30 | 27 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,330.56 | $2,970.00 | $12.14 – $45.90 | 27 |
| Mayo hemosiderin qualitative urine CPT 83070 | $23.97 | $51.00 | $4.75 – $45.90 | 27 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $51.08 | $108.00 | $35.09 – $95.40 | 27 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $57.71 | $122.00 | $35.09 – $109.80 | 27 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $24.89 | $68.00 | $13.79 – $56.70 | 27 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $28.55 | $78.00 | $25.81 – $70.20 | 27 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $27.82 | $76.00 | $8.89 – $68.40 | 27 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $32.21 | $88.00 | $13.52 – $79.20 | 27 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $38.54 | $82.00 | $27.17 – $73.80 | 27 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $305.50 | $650.00 | $17.27 – $46.80 | 27 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $51.97 | $142.00 | $14.99 – $45.90 | 27 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $23.06 | $63.00 | $20.81 – $56.70 | 27 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $27.45 | $75.00 | $20.81 – $67.50 | 27 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $30.74 | $65.00 | $16.07 – $58.50 | 27 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $71.90 | $152.00 | $11.98 – $136.80 | 27 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $65.75 | $139.00 | $35.09 – $95.40 | 27 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $50.14 | $106.00 | $35.09 – $95.40 | 27 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $50.14 | $106.00 | $35.09 – $95.40 | 27 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $199.13 | $421.00 | $35.09 – $378.90 | 27 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $61.02 | $129.00 | $42.84 – $116.10 | 27 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $97.22 | $217.00 | $72.19 – $195.30 | 27 |
| Mayo infliximab therapeutic drug level CPT 80230 | $125.02 | $266.00 | $38.57 – $239.40 | 27 |
| Mayo inhab inhibin a CPT 86336 | $28.18 | $77.00 | $15.59 – $51.30 | 27 |
| Mayo insft insulin free CPT 83527 | $37.13 | $79.00 | $12.95 – $71.10 | 27 |
| Mayo insulin antibodies CPT 86337 | $24.16 | $66.00 | $21.41 – $59.40 | 27 |
| Mayo iodine CPT 83789 | $34.31 | $73.00 | $24.11 – $65.70 | 27 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $61.57 | $131.00 | $27.11 – $117.90 | 27 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $38.54 | $82.00 | $27.11 – $73.80 | 27 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $31.02 | $66.00 | $13.25 – $59.40 | 27 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $27.73 | $59.00 | $12.79 – $53.10 | 27 |
| Mayo legionella antibody CPT 86713 | $26.35 | $72.00 | $15.30 – $64.80 | 27 |
| Mayo leptospira antibody igm CPT 86720 | $56.36 | $154.00 | $16.20 – $44.10 | 27 |
| Mayo lipoprotein electrophoresis CPT 83700 | $48.41 | $103.00 | $11.26 – $92.70 | 27 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $22.33 | $61.00 | $15.49 – $54.90 | 27 |
| Mayo manganese CPT 83785 | $37.60 | $80.00 | $26.65 – $72.00 | 27 |
| Mayo metanephrines plasma CPT 83835 | $31.02 | $66.00 | $16.94 – $59.40 | 27 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $77.55 | $165.00 | $13.33 – $50.40 | 27 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $162.50 | $444.00 | $12.05 – $399.60 | 27 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $25.62 | $70.00 | $18.40 – $63.00 | 27 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $23.06 | $63.00 | $14.55 – $39.60 | 27 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $235.00 | $500.00 | $18.64 – $50.40 | 27 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $184.13 | $411.00 | $137.00 – $369.90 | 27 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $249.09 | $556.00 | $185.20 – $500.40 | 27 |
| Mayo muramidase CPT 85549 | $28.16 | $57.00 | $18.75 – $51.30 | 27 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $20.50 | $56.00 | $18.40 – $50.40 | 27 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.