CMS Price Transparency Data

Blood test, vitamin B12

Facility: Banner Payson Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $24
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Banner Payson Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$25

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
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Cash / Self-Pay: $25 (166%)
Insurance Median: $24 (159%)
Cash: $25 (166% of Medicare)
Ins. Median: $24 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 $15 - $22 99%
Banner University Health Plan $15 - $22 99%
Health Choice Arizona, Inc. $15 - $32 99%
Health Net $15 - $33 99%
Mercy Care $15 - $22 99%
Aetna $22 - $36 146%
Banner Health $22 146%
Blue Cross Blue Shield $22 - $71 146%
Care 1St $22 146%
Cigna $22 - $43 146%
Gila River Health Care Corporation $22 146%
Kaiser Foundation Health Plan $22 146%
Triwest Healthcare Alliance Corp - Va Ccn $22 146%
UnitedHealthcare $22 - $36 146%
Upmc Health Plan $22 146%
Wellpoint $22 146%
Carelon $23 153%
Humana $23 153%
Arizona Priority Care $24 159%
Devoted Health Services $24 159%
Gold Kidney Health Plan $24 159%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $24 159%
Plotkin Health $24 159%
Oscar Health Plan $37 245%
Quiktrip Corporation $38 252%
Arizona Medical Network $49 325%
Provider Network Of America $49 325%

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