CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Banner Payson Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Banner Payson Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $14 (144%)
Insurance Median: $14 (144%)
Cash: $14 (144% of Medicare)
Ins. Median: $14 (144% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Arizona Physicians Ipa $10 - $12 103%
Banner University Health Plan $10 - $12 103%
Health Choice Arizona, Inc. $10 - $18 103%
Health Net $10 - $18 103%
Mercy Care $10 - $12 103%
Aetna $12 - $20 124%
Banner Health $12 124%
Blue Cross Blue Shield $12 - $46 124%
Care 1St $12 124%
Cigna $12 - $24 124%
Gila River Health Care Corporation $12 124%
Kaiser Foundation Health Plan $12 124%
Triwest Healthcare Alliance Corp - Va Ccn $12 124%
UnitedHealthcare $12 - $20 124%
Upmc Health Plan $12 124%
Wellpoint $12 124%
Carelon $13 134%
Humana $13 134%
Arizona Priority Care $14 144%
Devoted Health Services $14 144%
Gold Kidney Health Plan $14 144%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $14 144%
Plotkin Health $14 144%
Oscar Health Plan $20 206%
Quiktrip Corporation $21 216%
Arizona Medical Network $27 278%
Provider Network Of America $27 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 807 South Ponderosa Drive, Payson, AZ 85541
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals