CMS Price Transparency Data

Blood test, calcium

Facility: Banner Payson Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $27
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 5.23x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Banner Payson Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 5.23x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $26 (504%)
Insurance Median: $27 (523%)
Cash: $26 (504% of Medicare)
Ins. Median: $27 (523% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 523% of the Medicare baseline (a markup of 423%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $5 - $27 97%
Banner University Health Plan $5 - $27 97%
Health Choice Arizona, Inc. $5 - $38 97%
Health Net $5 - $39 97%
Mercy Care $5 - $27 97%
Aetna $17 - $43 329%
Banner Health $17 - $27 329%
Blue Cross Blue Shield $17 - $27 329%
Care 1St $17 - $27 329%
Cigna $17 - $52 329%
Gila River Health Care Corporation $17 - $27 329%
Kaiser Foundation Health Plan $17 - $27 329%
Triwest Healthcare Alliance Corp - Va Ccn $17 - $27 329%
UnitedHealthcare $17 - $44 329%
Upmc Health Plan $17 - $27 329%
Wellpoint $17 - $27 329%
Carelon $18 - $28 349%
Humana $18 - $28 349%
Arizona Priority Care $19 - $29 368%
Devoted Health Services $19 - $29 368%
Gold Kidney Health Plan $19 - $29 368%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $19 - $29 368%
Plotkin Health $19 - $29 368%
Oscar Health Plan $28 - $44 543%
Quiktrip Corporation $29 - $46 562%
Arizona Medical Network $38 - $58 736%
Provider Network Of America $38 - $58 736%

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