CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Banner Payson Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $129
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Banner Payson Medical Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.71x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $124 (68%)
Insurance Median: $129 (71%)
Cash: $124 (68% of Medicare)
Ins. Median: $129 (71% 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 - $117 53%
Banner University Health Plan $97 - $117 53%
Health Choice Arizona, Inc. $97 - $167 53%
Health Net $97 - $174 53%
Mercy Care $97 - $117 53%
Aetna $116 - $189 64%
Banner Health $117 65%
Blue Cross Blue Shield $117 - $870 65%
Care 1St $117 65%
Cigna $117 - $228 65%
Gila River Health Care Corporation $117 65%
Kaiser Foundation Health Plan $117 65%
Triwest Healthcare Alliance Corp - Va Ccn $117 65%
Upmc Health Plan $117 65%
Wellpoint $117 65%
Carelon $123 68%
Humana $124 68%
Arizona Priority Care $129 71%
Devoted Health Services $129 71%
Gold Kidney Health Plan $129 71%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $129 71%
Plotkin Health $129 71%
Oscar Health Plan $193 106%
Quiktrip Corporation $200 110%
Arizona Medical Network $257 142%
Provider Network Of America $257 142%

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