CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Banner Payson Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$193

about 1.5× the $126 Medicare rate · typically $127–$358

modeled estimate · not a bill or quote

Medicare pays $126 Fair price $193 Cash price $166 Hospital's list price $212

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.

5 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

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
Blue Cross Blue Shieldmajor	$87 - $461	69%
Aetnamajor	$86 - $140	68%
Cignamajor	$87 - $169	69%
Humanamajor	$92	73%
Kaiser Permanentemajor	$87	69%
Banner Health	$50 - $87	40%
Devoted Health	$96	76%
Health Net	$50 - $129	40%
Oscar Health	$143	113%
UPMC Health Plan	$87	69%
+ 13 smaller / regional plans	$50 - $191

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 166), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Banner Payson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Payson Medical Center

Compare: Screening mammogram (both breasts) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.