CMS Price Transparency Data

Prosthetic fitting and training

Facility: Banner Payson Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$112
about 2.8× the $40 Medicare rate · typically $54–$180
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $112 Cash price $8 Hospital's list price $60

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 $25 - $40 62%
Blue Cross Blue Shieldmajor $25 - $198 62%
Aetnamajor $25 - $81 62%
Cignamajor $25 - $48 62%
Humanamajor $26 64%
Kaiser Permanentemajor $25 62%
Banner Health $25 62%
Devoted Health $27 67%
Health Net $14 - $36 35%
Oscar Health $41 101%
UPMC Health Plan $25 62%
+ 13 smaller / regional plans $14 - $54
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