CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Banner Payson Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $482
  • Cash Discount Price: $605
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Banner Payson Medical Center is $482. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $605. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.98x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$605

Average discount available for prompt cash payment at this facility.

Insurance Median
$482

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $605 (248%)
Insurance Median: $482 (198%)
Cash: $605 (248% of Medicare)
Ins. Median: $482 (198% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $167 - $439 69%
Banner University Health Plan $167 - $439 69%
Health Choice Arizona, Inc. $167 - $627 69%
Health Net $167 - $650 69%
Mercy Care $167 - $439 69%
Aetna $436 - $709 179%
Banner Health $439 180%
Blue Cross Blue Shield $439 - $1,062 180%
Care 1St $439 180%
Cigna $439 - $853 180%
Gila River Health Care Corporation $439 180%
Kaiser Foundation Health Plan $439 180%
Triwest Healthcare Alliance Corp - Va Ccn $439 180%
UnitedHealthcare $439 - $718 180%
Upmc Health Plan $439 180%
Wellpoint $439 180%
Carelon $461 189%
Humana $465 191%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $482 198%
Plotkin Health $482 198%
Arizona Priority Care $483 198%
Devoted Health Services $483 198%
Gold Kidney Health Plan $483 198%
Oscar Health Plan $725 297%
Quiktrip Corporation $750 308%
Arizona Medical Network $964 395%
Provider Network Of America $964 395%

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