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 |
|---|---|---|---|---|
| Antibody influenza virus CPT 86710 | $24.89 | $68.00 | $13.55 – $61.20 | 27 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $22.69 | $62.00 | $12.87 – $55.80 | 27 |
| Antibody screen rbc CPT 86850 | $52.21 | $114.00 | $9.77 – $102.60 | 27 |
| Antibody tetanus CPT 86774 | $23.06 | $63.00 | $14.80 – $56.70 | 27 |
| Antidepressant not specified CPT 80338 | $32.90 | $70.00 | $16.66 – $63.00 | 27 |
| Anti mog serum - sendout CPT 86362 | $306.34 | $837.00 | $12.05 – $77.40 | 27 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $20.86 | $57.00 | $12.05 – $48.60 | 27 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $22.69 | $62.00 | $12.05 – $55.80 | 27 |
| Antinuclear antibodies CPT 86038 | $19.40 | $53.00 | $12.09 – $47.70 | 27 |
| Antinuclear antibodies titer CPT 86039 | $42.09 | $115.00 | $11.16 – $53.10 | 27 |
| Antiphosphatidylserine antibody CPT 86148 | $20.86 | $57.00 | $16.07 – $51.30 | 27 |
| Antistreptolysin o titer CPT 86060 | $20.86 | $57.00 | $7.30 – $51.30 | 27 |
| Antithrombin iii activity CPT 85300 | $31.12 | $63.00 | $11.85 – $50.40 | 27 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $115.19 | $187.00 | $76.11 – $168.30 | 27 |
| Apl(pml-rara) quant - sendout CPT 81315 | $278.66 | $622.00 | $207.31 – $559.80 | 27 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $3,668.82 – $7,526.50 | 6 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $51.96 | $91.00 | $37.04 – $81.90 | 27 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $46.82 | $82.00 | $33.37 – $73.80 | 27 |
| Application finger splntstatic 29130 CPT 29130 | $11.65 | $50.00 | $20.50 – $45.00 | 27 |
| Application multi layer compression below knee (both sides) CPT 29581 | $183.29 | $321.00 | $87.10 – $192.60 | 27 |
| Application of forearm cast 29075 CPT 29075 | $7.10 | $165.00 | $45.10 – $99.00 | 27 |
| Application of paste boot 29580 CPT 29580 | $100.50 | $176.00 | $47.62 – $105.30 | 27 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $356.30 | $624.00 | $253.97 – $561.60 | 27 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $376.86 | $660.00 | $268.62 – $594.00 | 27 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $8,849.62 | $17,524.00 | $141.37 – $534.60 | 27 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $7.92 | $34.00 | $8.09 – $30.60 | 27 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $1.63 | $38.00 | $9.04 – $34.20 | 27 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $3,372.77 – $4,542.09 | 6 |
| Apply finger cast 29086 CPT 29086 | $12.56 | $292.00 | $81.00 – $262.80 | 27 |
| Apply forearm splintdynamic 29126 CPT 29126 | $85.04 | $365.00 | $81.00 – $218.70 | 27 |
| Apply hand/wrist cast 29085 CPT 29085 | $7.57 | $176.00 | $47.97 – $105.30 | 27 |
| Apply of finger splint 29131 CPT 29131 | $13.51 | $58.00 | $23.78 – $52.20 | 27 |
| Apply rigid leg cast 29445 CPT 29445 | $226.69 | $397.00 | $161.58 – $357.30 | 27 |
| #aptt mix-1:1 incubated CPT 87532 | $56.76 | $120.00 | $35.09 – $108.00 | 27 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $43.19 | $118.00 | $12.05 – $106.20 | 27 |
| Aquaporin-4 antibody cba each CPT 86052 | $128.10 | $350.00 | $12.05 – $202.50 | 27 |
| Aquaporin-4 antibody elisa CPT 86051 | $98.09 | $268.00 | $11.53 – $241.20 | 27 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $18.17 | $78.00 | $18.56 – $70.20 | 27 |
| Aquatic exercise - group charge CPT 97150 | $31.11 | $55.00 | $13.09 – $49.50 | 27 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $556.60 | $1,100.00 | $241.82 – $990.00 | 27 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $445.28 | $880.00 | $79.00 – $792.00 | 27 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $174.33 | $283.00 | $79.00 – $254.70 | 27 |
| Arterial blood draw/perc 36620 CPT 36620 | $43.08 | $89.00 | $21.18 – $80.10 | 27 |
| Artery xray each vessel 7577426 CPT 75774 | $1,115.56 | $1,972.00 | $211.25 – $1,774.80 | 27 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $471.23 | $833.00 | $285.68 – $749.70 | 27 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $505.17 | $893.00 | $298.13 – $803.70 | 27 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $161.62 | $336.00 | $91.84 – $201.60 | 27 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $313.13 | $651.00 | $177.94 – $390.60 | 27 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $389.13 | $809.00 | $189.35 – $485.10 | 27 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $155.84 | $324.00 | $88.56 – $194.40 | 27 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $298.22 | $620.00 | $169.33 – $371.70 | 27 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $4,768.74 – $8,928.20 | 6 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $2,052.04 – $5,422.79 | 6 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $2,052.04 – $5,422.79 | 6 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,932.88 – $2,036.24 | 6 |
| Ascenda two piece catheter HCPCS C1772 | $25,881.25 | $51,250.00 | $1,452.99 – $5,494.50 | 27 |
| Asp & inj bone cyst CPT 20615 | $210.20 | $437.00 | $179.17 – $393.30 | 27 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,029.34 | $2,140.00 | $877.40 – $1,926.00 | 27 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $610.39 | $1,269.00 | $450.93 – $1,142.10 | 27 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $211.16 | $439.00 | $179.99 – $395.10 | 27 |
| Assay acid phosphatase CPT 84060 | $29.61 | $63.00 | $7.64 – $56.70 | 27 |
| Assay alkaline phosphatase CPT 84078 | $11.75 | $25.00 | $8.26 – $22.50 | 27 |
| Assay dir meas fr estradiol CPT 82681 | $39.48 | $84.00 | $27.94 – $75.60 | 27 |
| Assay duodenal fluid trypsin CPT 84485 | $10.34 | $22.00 | $7.20 – $19.80 | 27 |
| Assay free hydroxyproline CPT 83500 | $52.64 | $112.00 | $22.65 – $100.80 | 27 |
| Assay of breath ethanol CPT 82075 | $42.30 | $90.00 | $30.00 – $81.00 | 27 |
| Assay of corticosterone CPT 82528 | $39.01 | $83.00 | $22.52 – $74.70 | 27 |
| Assay of digoxin free CPT 80163 | $18.80 | $40.00 | $13.28 – $36.00 | 27 |
| Assay of feces porphyrins CPT 84126 | $81.31 | $173.00 | $39.11 – $155.70 | 27 |
| Assay of fluoride CPT 82735 | $133.95 | $285.00 | $18.54 – $256.50 | 27 |
| Assay of interleukin-6 (il-6) CPT 83529 | $51.23 | $109.00 | $17.27 – $98.10 | 27 |
| Assay of osteocalcin CPT 83937 | $42.30 | $90.00 | $29.85 – $81.00 | 27 |
| Assay of procainamide w/metab CPT 80192 | $23.97 | $51.00 | $16.75 – $45.90 | 27 |
| Assay of prostaglandin CPT 84150 | $131.60 | $280.00 | $41.77 – $252.00 | 27 |
| Assay of somatostatin CPT 84307 | $38.54 | $82.00 | $18.28 – $73.80 | 27 |
| Assay of thiocyanate CPT 84430 | $16.45 | $35.00 | $11.63 – $31.50 | 27 |
| Assay of tyrosine CPT 84510 | $47.00 | $100.00 | $10.63 – $90.00 | 27 |
| Assay of urine sulfate CPT 84392 | $33.84 | $72.00 | $5.49 – $15.30 | 27 |
| Assay toxin or antitoxin CPT 87230 | $37.37 | $79.00 | $19.74 – $54.00 | 27 |
| Assess cyst contrast inject CPT 49424 | $91.39 | $190.00 | $45.22 – $171.00 | 27 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $5.95 | $13.00 | $4.27 – $11.70 | 27 |
| Ast/sgot CPT 84450 | $35.72 | $76.00 | $5.18 – $37.80 | 27 |
| Avul nail plate addl CPT 11732 | $20.56 | $36.00 | $14.65 – $32.40 | 27 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $34.26 | $60.00 | $24.42 – $54.00 | 27 |
| Baclofen eval charges CPT 97750 | $14.68 | $63.00 | $14.99 – $56.70 | 27 |
| Bacterial meningitis antigen CPT 86403 | $27.08 | $74.00 | $11.54 – $47.70 | 27 |
| Bacterial vaginosis pcr CPT 87801 | $648.96 | $1,372.00 | $70.20 – $189.90 | 27 |
| #bac vag cand-c. albicans naa CPT 87481 | $112.10 | $237.00 | $35.09 – $213.30 | 27 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $17.01 | $73.00 | $17.37 – $65.70 | 27 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $269.24 | $508.00 | $129.45 – $457.20 | 27 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $233.73 | $441.00 | $129.45 – $396.90 | 27 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $147.87 | $279.00 | $113.55 – $251.10 | 27 |
| Bartonella dna pcr-sendout CPT 87471 | $50.14 | $106.00 | $35.09 – $95.40 | 27 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,619.04 | $6,105.00 | $85.60 – $534.60 | 27 |
| B cells total count CPT 86355 | $41.72 | $114.00 | $37.73 – $102.60 | 27 |
| #_benzodiazconfur CPT 80346 | $41.83 | $89.00 | $13.33 – $50.40 | 27 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $28.18 | $77.00 | $25.45 – $69.30 | 27 |
| Beta-2 microglobulin CPT 82232 | $27.26 | $58.00 | $16.18 – $44.10 | 27 |
| Beta-amyloid 1-40 CPT 82233 | $141.00 | $300.00 | $61.94 – $270.00 | 27 |
| Beta-amyloid 1-42 CPT 82234 | $211.97 | $451.00 | $61.94 – $405.90 | 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.