CMS Price Transparency Data

Blood test, vitamin D

Facility: Banner Payson Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $40
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Banner Payson Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.35x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $42 (142%)
Insurance Median: $40 (135%)
Cash: $42 (142% of Medicare)
Ins. Median: $40 (135% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 $30 - $36 101%
Banner University Health Plan $30 - $36 101%
Health Choice Arizona, Inc. $30 - $52 101%
Health Net $30 - $54 101%
Mercy Care $30 - $36 101%
Aetna $36 - $59 122%
Banner Health $36 122%
Blue Cross Blue Shield $36 - $142 122%
Care 1St $36 122%
Cigna $36 - $71 122%
Gila River Health Care Corporation $36 122%
Kaiser Foundation Health Plan $36 122%
Triwest Healthcare Alliance Corp - Va Ccn $36 122%
UnitedHealthcare $36 - $60 122%
Upmc Health Plan $36 122%
Wellpoint $36 122%
Carelon $38 128%
Humana $39 132%
Arizona Priority Care $40 135%
Devoted Health Services $40 135%
Gold Kidney Health Plan $40 135%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $40 135%
Plotkin Health $40 135%
Oscar Health Plan $60 203%
Quiktrip Corporation $62 209%
Arizona Medical Network $80 270%
Provider Network Of America $80 270%

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