CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Banner Payson Medical Center

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$750

about 3.1× the $244 Medicare rate · typically $446–$934

modeled estimate · not a bill or quote

What this hospital charges insurers

$585

Below the fair price — a good deal

about $165 under the fair price · 2.4× Medicare

Medicare pays $244 Fair price $750 This hospital $585 Cash price $849 Hospital's list price $1,677

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $88 Priciest $585

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $750 (about 3.1× the $244 Medicare rate). Banner Payson Medical Center charges insurers about $585, or about $849 in cash — below the fair price — a good deal. Located in Payson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$688 - $1,124	282%
Blue Cross Blue Shieldmajor	$585 - $781	240%
Aetnamajor	$341 - $1,110	140%
Cignamajor	$688 - $1,335	282%
Humanamajor	$729	299%
Kaiser Permanentemajor	$688	282%
Banner Health	$167 - $688	69%
Devoted Health	$756	310%
Health Net	$167 - $1,018	69%
Oscar Health	$1,134	465%
UPMC Health Plan	$688	282%
+ 13 smaller / regional plans	$167 - $1,509

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 849), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Banner Payson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Payson Medical Center

Compare: CT scan, abdomen and pelvis (no contrast) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.