CMS Price Transparency Data

Trauma team activation

Facility: Banner Payson Medical Center

Billing Code: G0390 (HCPCS)

No verified fair price for this procedure here

This hospital only published government or network rates for this billing code — not a standard commercial price — so we can’t show a verified fair-price comparison for it. What it charges each insurer is listed below; call the hospital’s billing office to confirm the actual charge.

modeled estimate · not a bill or quote

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 $1,082 - $2,657 79%
Blue Cross Blue Shieldmajor $1,082 - $1,626 79%
Aetnamajor $1,074 - $2,625 79%
Cignamajor $1,082 - $3,156 79%
Humanamajor $1,147 - $1,723 84%
Kaiser Permanentemajor $1,082 - $1,626 79%
Banner Health $1,082 - $1,626 79%
Devoted Health $1,191 - $1,788 87%
Health Net $1,082 - $2,406 79%
Oscar Health $1,786 - $2,682 131%
UPMC Health Plan $1,082 - $1,626 79%
+ 13 smaller / regional plans $380 - $3,568
Government programs also on file: Military & VA.

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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