CMS Price Transparency Data

Blood test, potassium

Facility: Banner Payson Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $24
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 5.04x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Banner Payson Medical Center is $24. 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 $4.76, this hospital’s rate is 5.04x 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
$24

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $24 (504%)
Insurance Median: $24 (504%)
Cash: $24 (504% of Medicare)
Ins. Median: $24 (504% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 504% of the Medicare baseline (a markup of 404%). 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 - $34 105%
Banner University Health Plan $5 - $34 105%
Health Choice Arizona, Inc. $5 - $48 105%
Health Net $5 - $50 105%
Mercy Care $5 - $34 105%
Aetna $6 - $54 126%
Banner Health $6 - $34 126%
Blue Cross Blue Shield $6 - $34 126%
Care 1St $6 - $34 126%
Carelon $6 - $35 126%
Cigna $6 - $65 126%
Gila River Health Care Corporation $6 - $34 126%
Kaiser Foundation Health Plan $6 - $34 126%
Triwest Healthcare Alliance Corp - Va Ccn $6 - $34 126%
UnitedHealthcare $6 - $55 126%
Upmc Health Plan $6 - $34 126%
Wellpoint $6 - $34 126%
Arizona Priority Care $7 - $37 147%
Devoted Health Services $7 - $37 147%
Gold Kidney Health Plan $7 - $37 147%
Humana $7 - $36 147%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $7 - $37 147%
Plotkin Health $7 - $37 147%
Oscar Health Plan $10 - $55 210%
Quiktrip Corporation $10 - $57 210%
Arizona Medical Network $14 - $74 294%
Provider Network Of America $14 - $74 294%

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