CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Banner Payson Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Banner Payson Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $5 (158%)
Insurance Median: $5 (158%)
Cash: $5 (158% of Medicare)
Ins. Median: $5 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 $3 - $4 95%
Banner University Health Plan $3 - $4 95%
Health Choice Arizona, Inc. $3 - $6 95%
Health Net $3 - $6 95%
Mercy Care $3 - $4 95%
Aetna $4 - $7 126%
Banner Health $4 126%
Blue Cross Blue Shield $4 - $15 126%
Care 1St $4 126%
Carelon $4 126%
Cigna $4 - $8 126%
Gila River Health Care Corporation $4 126%
Humana $4 126%
Kaiser Foundation Health Plan $4 126%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $4 126%
Plotkin Health $4 126%
Triwest Healthcare Alliance Corp - Va Ccn $4 126%
UnitedHealthcare $4 - $7 126%
Upmc Health Plan $4 126%
Wellpoint $4 126%
Arizona Priority Care $5 158%
Devoted Health Services $5 158%
Gold Kidney Health Plan $5 158%
Oscar Health Plan $7 221%
Quiktrip Corporation $7 221%
Arizona Medical Network $9 284%
Provider Network Of America $9 284%

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