CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Banner Payson Medical Center

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$116
about 3.4× the $34 Medicare rate · typically $61–$176
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $116 Cash price $15 Hospital's list price $63

How we calculate the fair BaseRate →

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 $26 - $42 77%
Blue Cross Blue Shieldmajor $26 - $201 77%
Aetnamajor $26 - $81 77%
Cignamajor $26 - $50 77%
Humanamajor $27 80%
Kaiser Permanentemajor $26 77%
Banner Health $26 77%
Devoted Health $28 83%
Health Net $15 - $38 44%
Oscar Health $43 127%
UPMC Health Plan $26 77%
+ 13 smaller / regional plans $15 - $57
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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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