CMS Price Transparency Data

Blood test, magnesium

Facility: Banner Payson Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $23
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 3.43x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Banner Payson Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.43x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $24 (358%)
Insurance Median: $23 (343%)
Cash: $24 (358% of Medicare)
Ins. Median: $23 (343% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 343% of the Medicare baseline (a markup of 243%). 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 $7 - $36 104%
Banner University Health Plan $7 - $36 104%
Health Choice Arizona, Inc. $7 - $51 104%
Health Net $7 - $53 104%
Mercy Care $7 - $36 104%
Aetna $9 - $58 134%
Arizona Priority Care $9 - $40 134%
Banner Health $9 - $36 134%
Blue Cross Blue Shield $9 - $36 134%
Care 1St $9 - $36 134%
Carelon $9 - $38 134%
Cigna $9 - $70 134%
Devoted Health Services $9 - $40 134%
Gila River Health Care Corporation $9 - $36 134%
Gold Kidney Health Plan $9 - $40 134%
Humana $9 - $38 134%
Kaiser Foundation Health Plan $9 - $36 134%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $9 - $40 134%
Plotkin Health $9 - $40 134%
Triwest Healthcare Alliance Corp - Va Ccn $9 - $36 134%
UnitedHealthcare $9 - $59 134%
Upmc Health Plan $9 - $36 134%
Wellpoint $9 - $36 134%
Oscar Health Plan $14 - $60 209%
Quiktrip Corporation $15 - $62 224%
Arizona Medical Network $19 - $79 284%
Provider Network Of America $19 - $79 284%

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