CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Banner Payson Medical Center

Billing Code: 71250 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$468

about 4.4× the $107 Medicare rate · typically $267–$561

modeled estimate · not a bill or quote

What this hospital charges insurers

$472

About the fair price

about $4 over the fair price · 4.4× Medicare

Medicare pays $107 Fair price $468 This hospital $472 Cash price $499 Hospital's list price $987

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 $54 Priciest $472

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, chest (no contrast) is about $468 (about 4.4× the $107 Medicare rate). Banner Payson Medical Center charges insurers about $472, or about $499 in cash — about the fair price. 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	$405 - $661	379%
Blue Cross Blue Shieldmajor	$405 - $629	379%
Aetnamajor	$341 - $653	319%
Cignamajor	$405 - $786	379%
Humanamajor	$429	402%
Kaiser Permanentemajor	$405	379%
Banner Health	$79 - $405	74%
Devoted Health	$445	417%
Health Net	$79 - $599	74%
Oscar Health	$668	625%
UPMC Health Plan	$405	379%
+ 13 smaller / regional plans	$79 - $888

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 499), 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: 71250.

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 71250.
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, chest (no contrast) at other AZ hospitals

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