CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Banner Payson Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $114
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Banner Payson Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.63x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $110 (61%)
Insurance Median: $114 (63%)
Cash: $110 (61% of Medicare)
Ins. Median: $114 (63% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 $97 - $104 53%
Banner University Health Plan $97 - $104 53%
Health Choice Arizona, Inc. $97 - $148 53%
Health Net $97 - $154 53%
Mercy Care $97 - $104 53%
Aetna $103 - $167 57%
Banner Health $104 57%
Blue Cross Blue Shield $104 - $576 57%
Care 1St $104 57%
Cigna $104 - $201 57%
Gila River Health Care Corporation $104 57%
Kaiser Foundation Health Plan $104 57%
Triwest Healthcare Alliance Corp - Va Ccn $104 57%
Upmc Health Plan $104 57%
Wellpoint $104 57%
Carelon $109 60%
Humana $110 61%
Arizona Priority Care $114 63%
Devoted Health Services $114 63%
Gold Kidney Health Plan $114 63%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $114 63%
Plotkin Health $114 63%
Oscar Health Plan $171 94%
Quiktrip Corporation $177 98%
Arizona Medical Network $228 126%
Provider Network Of America $228 126%

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