CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Banner Payson Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$160
about 1.2× the $136 Medicare rate · typically $64–$366
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $105 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $160 This hospital $55 Cash price $1,164 Hospital's list price $1,263

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

One of the lower prices — 0 of 8 other AZ hospitals charge more for the same procedure.

Cheapest $40 Priciest $55

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $160 (about 1.2× the $136 Medicare rate). Banner Payson Medical Center charges insurers about $55, or about $1,164 in cash — below the fair price — a good deal. 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 $102 - $1,524 75%
Blue Cross Blue Shieldmajor $102 - $933 75%
Aetnamajor $102 - $1,463 75%
Cignamajor $102 - $1,811 75%
Humanamajor $109 - $989 80%
Kaiser Permanentemajor $102 - $933 75%
Banner Health $55 - $933 41%
Devoted Health $113 - $1,026 83%
Health Net $55 - $1,380 41%
Oscar Health $169 - $1,539 125%
UPMC Health Plan $102 - $933 75%
+ 13 smaller / regional plans $55 - $2,048
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 807 South Ponderosa Drive, Payson, AZ 85541
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals