CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Banner Payson Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $194
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Banner Payson Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $266 (249%)
Insurance Median: $194 (182%)
Cash: $266 (249% of Medicare)
Ins. Median: $194 (182% 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.

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 $79 - $177 74%
Banner University Health Plan $79 - $177 74%
Health Choice Arizona, Inc. $79 - $253 74%
Health Net $79 - $262 74%
Mercy Care $79 - $177 74%
Aetna $176 - $286 165%
Banner Health $177 166%
Blue Cross Blue Shield $177 - $330 166%
Care 1St $177 166%
Cigna $177 - $344 166%
Gila River Health Care Corporation $177 166%
Kaiser Foundation Health Plan $177 166%
Triwest Healthcare Alliance Corp - Va Ccn $177 166%
UnitedHealthcare $177 - $289 166%
Upmc Health Plan $177 166%
Wellpoint $177 166%
Carelon $186 174%
Humana $188 176%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $194 182%
Plotkin Health $194 182%
Arizona Priority Care $195 183%
Devoted Health Services $195 183%
Gold Kidney Health Plan $195 183%
Oscar Health Plan $292 273%
Quiktrip Corporation $302 283%
Arizona Medical Network $389 364%
Provider Network Of America $389 364%

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