CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Banner Payson Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $542
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 3.02x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Banner Payson Medical Center is $542. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.02x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$542

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $611 (341%)
Insurance Median: $542 (302%)
Cash: $611 (341% of Medicare)
Ins. Median: $542 (302% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 302% of the Medicare baseline (a markup of 202%). 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 $129 - $494 72%
Banner University Health Plan $129 - $494 72%
Health Choice Arizona, Inc. $129 - $705 72%
Health Net $129 - $731 72%
Mercy Care $129 - $494 72%
Aetna $341 - $798 190%
Banner Health $494 276%
Blue Cross Blue Shield $494 - $727 276%
Care 1St $494 276%
Cigna $494 - $959 276%
Gila River Health Care Corporation $494 276%
Kaiser Foundation Health Plan $494 276%
Triwest Healthcare Alliance Corp - Va Ccn $494 276%
UnitedHealthcare $494 - $807 276%
Upmc Health Plan $494 276%
Wellpoint $494 276%
Carelon $519 290%
Humana $524 292%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $542 302%
Plotkin Health $542 302%
Arizona Priority Care $543 303%
Devoted Health Services $543 303%
Gold Kidney Health Plan $543 303%
Oscar Health Plan $815 455%
Quiktrip Corporation $844 471%
Arizona Medical Network $1,084 605%
Provider Network Of America $1,084 605%

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