CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Banner Payson Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $261
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 2.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Banner Payson Medical Center is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.44x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $357 (334%)
Insurance Median: $261 (244%)
Cash: $357 (334% of Medicare)
Ins. Median: $261 (244% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 244% of the Medicare baseline (a markup of 144%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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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 $79 - $237 74%
Banner University Health Plan $79 - $237 74%
Health Choice Arizona, Inc. $79 - $339 74%
Health Net $79 - $351 74%
Mercy Care $79 - $237 74%
Aetna $236 - $383 221%
Banner Health $237 222%
Blue Cross Blue Shield $237 - $434 222%
Care 1St $237 222%
Cigna $237 - $461 222%
Gila River Health Care Corporation $237 222%
Kaiser Foundation Health Plan $237 222%
Triwest Healthcare Alliance Corp - Va Ccn $237 222%
UnitedHealthcare $237 - $388 222%
Upmc Health Plan $237 222%
Wellpoint $237 222%
Carelon $249 233%
Humana $252 236%
Arizona Priority Care $261 244%
Devoted Health Services $261 244%
Gold Kidney Health Plan $261 244%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $261 244%
Plotkin Health $261 244%
Oscar Health Plan $392 367%
Quiktrip Corporation $405 379%
Arizona Medical Network $521 488%
Provider Network Of America $521 488%

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