CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Banner Payson Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $108
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Banner Payson Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.69x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $150 (96%)
Insurance Median: $108 (69%)
Cash: $150 (96% of Medicare)
Ins. Median: $108 (69% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 $57 - $98 36%
Banner University Health Plan $57 - $98 36%
Health Choice Arizona, Inc. $57 - $140 36%
Health Net $57 - $146 36%
Mercy Care $57 - $98 36%
Aetna $98 - $159 62%
Banner Health $98 62%
Blue Cross Blue Shield $98 - $558 62%
Care 1St $98 62%
Cigna $98 - $191 62%
Gila River Health Care Corporation $98 62%
Kaiser Foundation Health Plan $98 62%
Triwest Healthcare Alliance Corp - Va Ccn $98 62%
UnitedHealthcare $98 - $161 62%
Upmc Health Plan $98 62%
Wellpoint $98 62%
Carelon $103 66%
Humana $104 66%
Arizona Priority Care $108 69%
Devoted Health Services $108 69%
Gold Kidney Health Plan $108 69%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $108 69%
Plotkin Health $108 69%
Oscar Health Plan $162 103%
Quiktrip Corporation $168 107%
Arizona Medical Network $216 138%
Provider Network Of America $216 138%

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