CMS Price Transparency Data

Ultrasound, pelvis

Facility: Banner Payson Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$318

about 3.0× the $107 Medicare rate · typically $194–$396

modeled estimate · not a bill or quote

What this hospital charges insurers

$304

About the fair price

about $14 under the fair price · 2.8× Medicare

Medicare pays $107 Fair price $318 This hospital $304 Cash price $315 Hospital's list price $511

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $304

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $318 (about 3.0× the $107 Medicare rate). Banner Payson Medical Center charges insurers about $304, or about $315 in cash — about the fair price. Located in Payson, AZ.

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	$210 - $342	197%
Blue Cross Blue Shieldmajor	$210 - $405	197%
Aetnamajor	$208 - $338	195%
Cignamajor	$210 - $407	197%
Humanamajor	$222	208%
Kaiser Permanentemajor	$210	197%
Banner Health	$79 - $210	74%
Devoted Health	$230	215%
Health Net	$79 - $310	74%
Oscar Health	$346	324%
UPMC Health Plan	$210	197%
+ 13 smaller / regional plans	$79 - $460

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 315), 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: 76856.

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 76856.
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: Ultrasound, pelvis at other AZ hospitals

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