CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Banner Payson Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $426
  • Cash Discount Price: $489
  • vs. Medicare Baseline: 3.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Banner Payson Medical Center is $426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $489. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.99x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$489

Average discount available for prompt cash payment at this facility.

Insurance Median
$426

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $489 (458%)
Insurance Median: $426 (399%)
Cash: $489 (458% of Medicare)
Ins. Median: $426 (399% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 399% of the Medicare baseline (a markup of 299%). 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 $79 - $395 74%
Banner University Health Plan $79 - $395 74%
Health Choice Arizona, Inc. $79 - $564 74%
Health Net $79 - $585 74%
Mercy Care $79 - $395 74%
Aetna $341 - $638 319%
Blue Cross Blue Shield $380 - $507 356%
Banner Health $395 370%
Care 1St $395 370%
Cigna $395 - $767 370%
Gila River Health Care Corporation $395 370%
Kaiser Foundation Health Plan $395 370%
Triwest Healthcare Alliance Corp - Va Ccn $395 370%
UnitedHealthcare $395 - $646 370%
Upmc Health Plan $395 370%
Wellpoint $395 370%
Carelon $415 389%
Humana $419 392%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $434 406%
Plotkin Health $434 406%
Arizona Priority Care $435 407%
Devoted Health Services $435 407%
Gold Kidney Health Plan $435 407%
Oscar Health Plan $652 610%
Quiktrip Corporation $675 632%
Arizona Medical Network $868 813%
Provider Network Of America $868 813%

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