CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Banner Payson Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $203
  • Cash Discount Price: $278
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Banner Payson Medical Center is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$278

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $278 (260%)
Insurance Median: $203 (190%)
Cash: $278 (260% of Medicare)
Ins. Median: $203 (190% 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 - $185 74%
Banner University Health Plan $79 - $185 74%
Health Choice Arizona, Inc. $79 - $264 74%
Health Net $79 - $274 74%
Mercy Care $79 - $185 74%
Aetna $184 - $299 172%
Banner Health $185 173%
Blue Cross Blue Shield $185 - $464 173%
Care 1St $185 173%
Cigna $185 - $359 173%
Gila River Health Care Corporation $185 173%
Kaiser Foundation Health Plan $185 173%
Triwest Healthcare Alliance Corp - Va Ccn $185 173%
UnitedHealthcare $185 - $302 173%
Upmc Health Plan $185 173%
Wellpoint $185 173%
Carelon $194 182%
Humana $196 184%
Arizona Priority Care $203 190%
Devoted Health Services $203 190%
Gold Kidney Health Plan $203 190%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $203 190%
Plotkin Health $203 190%
Oscar Health Plan $305 286%
Quiktrip Corporation $316 296%
Arizona Medical Network $406 380%
Provider Network Of America $406 380%

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