CMS Price Transparency Data

X-ray, ankle

Facility: Banner Payson Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $87
Cash Discount Price: $103
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Banner Payson Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $103 (116%)

Insurance Median: $87 (98%)

Cash: $103 (116% of Medicare)

Ins. Median: $87 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$59 - $80	66%
Banner University Health Plan	$59 - $80	66%
Health Choice Arizona, Inc.	$59 - $113	66%
Health Net	$59 - $118	66%
Mercy Care	$59 - $80	66%
Aetna	$79 - $128	89%
Banner Health	$80	90%
Blue Cross Blue Shield	$80 - $156	90%
Care 1St	$80	90%
Cigna	$80 - $154	90%
Gila River Health Care Corporation	$80	90%
Kaiser Foundation Health Plan	$80	90%
Triwest Healthcare Alliance Corp - Va Ccn	$80	90%
UnitedHealthcare	$80 - $130	90%
Upmc Health Plan	$80	90%
Wellpoint	$80	90%
Carelon	$84	94%
Humana	$84	94%
Arizona Priority Care	$87	98%
Devoted Health Services	$87	98%
Gold Kidney Health Plan	$87	98%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$87	98%
Plotkin Health	$87	98%
Oscar Health Plan	$131	147%
Quiktrip Corporation	$136	153%
Arizona Medical Network	$175	197%
Provider Network Of America	$175	197%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $103.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Payson Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73610.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.