healthcosts.net

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

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
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $4.27 $22.00 $0.88 – $19.80 27
Penile rear tip xtnd 0.5cm HCPCS C2622 $16,591.27 $32,854.00 $1,162.63 – $4,396.50 27
Penile vascular study CPT 93980 $239.55 $497.00 $79.00 – $447.30 27
Penile vascular study CPT 93981 $146.53 $304.00 $79.00 – $273.60 27
Penis study CPT 54240 $160.17 $333.00 $136.53 – $299.70 27
Percut ablate liver rf CPT 47382 $2,508.90 $5,216.00 $2,138.56 – $4,694.40 27
Pericardiocentesis wwo imaging CPT 33016 $883.78 $1,826.00 $748.66 – $1,643.40 27
Peritoneogram rs&i CPT 74190 $327.54 $618.00 $251.53 – $556.20 27
Pertussis ag if CPT 87265 $17.03 $36.00 $11.98 – $32.40 27
Pet CT skull-mid thgh initial CPT 78815 $2,151.79 $4,924.00 $1,073.25 – $4,431.60 27
Pet CT whole body initial CPT 78816 $2,195.05 $5,023.00 $1,073.25 – $4,520.70 27
Pet fdg brain metoblic eval sb CPT 78608 $2,151.79 $4,924.00 $1,073.25 – $4,431.60 27
Pet image w/ct lmtd CPT 78814 $1,461.77 $3,345.00 $1,073.25 – $3,010.50 27
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $68,570.92 $135,784.00 $74.49 – $281.70 27
Ph body fluid CPT 83986 $48.88 $104.00 $3.58 – $45.90 27
Phencyclidine (pcp) CPT 83992 $31.49 $67.00 $12.91 – $50.40 27
Phenobarbital therapeutic drug level CPT 80184 $27.73 $59.00 $15.30 – $47.70 27
Phenytoin total therapeutic drug level CPT 80185 $24.91 $53.00 $13.25 – $47.70 27
Phlebotomy therapeutic CPT 99195 $66.05 $128.00 $52.10 – $115.20 27
Phosphorus CPT 84100 $19.74 $42.00 $4.74 – $37.80 27
Phosphorus 24 hour urine CPT 84105 $34.78 $74.00 $5.78 – $16.20 27
Physical Therapy Evaluation (high complexity) CPT 97163 $44.50 $216.00 $51.41 – $194.40 27
Physical Therapy Evaluation (low complexity) CPT 97161 $26.57 $129.00 $30.70 – $116.10 27
Physical Therapy Evaluation (moderate complexity) CPT 97162 $35.43 $172.00 $40.94 – $154.80 27
Physical Therapy Re-Evaluation CPT 97164 $26.57 $129.00 $30.70 – $116.10 27
Pik3ca gene trgt seq alys CPT 81309 $369.60 $825.00 $274.83 – $742.50 27
Pin caspar distraction 12mm HCPCS C1821 $17,697.22 $35,044.00 $1,090.76 – $4,396.50 27
Pinworm exam CPT 87172 $6.15 $13.00 $4.27 – $11.70 27
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $276.58 $575.00 $235.75 – $517.50 27
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $309.76 $644.00 $264.04 – $579.60 27
Placement nephrostomy catheter (both sides) CPT 50432 $1,605.58 $3,338.00 $912.25 – $2,002.50 27
Plasma cryoprecipitate reduced each unit HCPCS P9044 $211.28 $442.00 $47.63 – $397.80 27
Platelet aggregation each agent teg CPT 85576 $37.05 $75.00 $24.91 – $67.50 27
Platelet automated CPT 85049 $6.92 $14.00 $4.48 – $12.60 27
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $349.42 $731.00 $297.52 – $657.90 27
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $446.45 $934.00 $320.31 – $708.30 27
Platelets pheresis pathogen-reduced each unit HCPCS P9073 $896.25 $1,875.00 $423.31 – $1,576.80 27
Plcmnt biliary drainage cath w/img ext CPT 47533 $854.26 $1,776.00 $728.16 – $1,598.40 27
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 $529.58 $1,101.00 $450.93 – $990.90 27
Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 $279.46 $581.00 $83.72 – $522.90 27
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $105.82 $220.00 $52.36 – $198.00 27
Plethysmography lung volumes/airway resistance CPT 94726 $113.44 $219.00 $89.13 – $197.10 27
Plmt access bil tree sm bwl CPT 47541 $675.32 $1,404.00 $575.64 – $1,263.60 27
Plmt biliary drainage cath CPT 47534 $1,196.73 $2,488.00 $1,020.08 – $2,239.20 27
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $37.13 $79.00 $26.07 – $71.10 27
Polysom <6 yrs cpap/bilvl CPT 95783 $5,224.15 $6,563.00 $663.00 – $5,906.70 27
Polysom any age 1-3> param CPT 95808 $1,627.63 $3,048.00 $663.00 – $2,194.20 27
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $3,419.74 $6,404.00 $663.00 – $4,610.70 27
Potassium 24 hour urine CPT 84133 $32.90 $70.00 $4.73 – $49.50 27
Potassium serum/plasma/whole blood CPT 84132 $38.54 $82.00 $4.76 – $13.50 27
Pq dr cath chg w cont s&i CPT 75984 $239.56 $452.00 $107.58 – $406.80 27
Pq thr inj ext pse CPT 36002 $174.60 $363.00 $148.83 – $326.70 27
Pr application of long arm splint CPT 29105 $36.12 $155.00 $42.23 – $92.70 27
Pr application splint static short arm CPT 29125 $23.77 $102.00 $27.88 – $61.20 27
Pr biopsy skin punch single lesion CPT 11104 $130.19 $228.00 $92.80 – $205.20 27
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published $3,860.87 – $4,542.09 6
Pr correction hammertoe CPT 28285 not published not published $2,052.04 – $3,860.87 6
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published $2,230.35 – $5,570.00 7
Prealbumin CPT 84134 $25.38 $54.00 $14.59 – $48.60 27
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $313.54 $509.00 $79.00 – $458.10 27
Pregnancy Ultrasound (first trimester) CPT 76801 $272.89 $443.00 $79.00 – $398.70 27
Pregnancy Ultrasound (limited) CPT 76815 $179.26 $291.00 $79.00 – $261.90 27
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 $133.59 $365.00 $83.37 – $328.50 27
Pretreat rbc absorption reference CPT 86978 $101.38 $277.00 $24.53 – $249.30 27
Pretreat rbc w chem/drugs reference CPT 86970 $68.70 $150.00 $24.53 – $135.00 27
Pretreat rbc w enzyme reference CPT 86971 $167.17 $365.00 $56.67 – $328.50 27
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 $197.43 $349.00 $96.88 – $314.10 27
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 not published not published $250.73 – $2,518.60 6
Pr incision & drainage abscess complicated/multiple CPT 10061 $175.87 $308.00 $125.36 – $277.20 27
Pr incision & drainage abscess simple/single CPT 10060 $34.26 $60.00 $24.42 – $54.00 27
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $168.21 $315.00 $73.51 – $283.50 27
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published $1,271.93 – $3,372.77 6
Probe cryo 1150mm endo flex ster disp HCPCS C2618 $20,657.65 $52,564.00 $139.94 – $529.20 27
Procalcitonin CPT 84145 $38.54 $82.00 $27.22 – $73.80 27
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $0.45 $2.33 $0.95 – $2.10 27
Progesterone CPT 84144 $29.61 $63.00 $20.86 – $56.70 27
Prolactin CPT 84146 $27.73 $59.00 $19.38 – $53.10 27
Propofol infusion 10 mg/ml HCPCS J2704 $0.10 $0.50 $0.09 – $0.45 27
_propoxygc/msur CPT 80367 $26.32 $56.00 $13.33 – $50.40 27
Prostate biopsy, any mthd HCPCS G0416 $228.96 $457.00 $65.85 – $411.30 27
Prostatectomy (turp) CPT 52601 not published not published $3,200.08 – $4,768.74 6
Protector nerve neurawrap 4cm HCPCS C9353 $3,392.59 $6,718.00 $1,096.87 – $2,425.50 27
Protein c activity CPT 85303 $20.75 $42.00 $13.84 – $37.80 27
Protein electrophoretic fractionation & quantitation serum CPT 84165 $26.79 $57.00 $10.74 – $51.30 27
Protein s total CPT 85305 $31.62 $64.00 $11.61 – $52.20 27
Protein total 24 hour urine CPT 84156 $26.32 $56.00 $3.67 – $10.80 27
Protein total body fluid CPT 84157 $26.32 $56.00 $4.00 – $10.80 27
Protein total serum plasma whole blood CPT 84155 $26.32 $56.00 $3.67 – $50.40 27
Prothrombin time substitution plasma fractions each CPT 85611 $28.65 $58.00 $3.94 – $52.20 27
Prp i/hern init block >5 yr CPT 49507 not published not published $2,307.97 – $10,128.08 6
Pr removal drug delivery implant CPT 11982 not published not published $195.91 – $208.37 6
Pr removal intrauterine device CPT 58301 $171.82 $355.00 $145.55 – $319.50 27
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 not published not published $130.17 – $423.18 6
PSA (Prostate) Test CPT 84153 $26.32 $56.00 $18.39 – $50.40 27
Psychotherapy group therapy CPT 90853 $205.76 $473.00 $54.28 – $199.80 26
Psychotherapy patient individual therapy 30 minutes CPT 90832 $96.35 $222.00 $90.35 – $199.80 26
Psychotherapy patient individual therapy 45 minutes CPT 90834 $109.80 $253.00 $96.88 – $227.70 26
Psychotherapy patient individual therapy 60 minutes CPT 90837 $124.12 $286.00 $96.88 – $257.40 26
Pt application of modality >=1 area hot/cold packs CPT 97010 $6.76 $29.00 $4.18 – $26.10 27
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $17.71 $76.00 $18.09 – $68.40 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.