CMS Price Transparency Data

X-ray, chest (single view)

Facility: Banner Payson Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $80
Cash Discount Price: $93
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Banner Payson Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $93 (105%)

Insurance Median: $80 (90%)

Cash: $93 (105% of Medicare)

Ins. Median: $80 (90% 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 - $74	66%
Banner University Health Plan	$59 - $74	66%
Health Choice Arizona, Inc.	$59 - $105	66%
Health Net	$59 - $109	66%
Mercy Care	$59 - $74	66%
Blue Cross Blue Shield	$72 - $96	81%
Aetna	$73 - $119	82%
Banner Health	$74	83%
Care 1St	$74	83%
Cigna	$74 - $143	83%
Gila River Health Care Corporation	$74	83%
Kaiser Foundation Health Plan	$74	83%
Triwest Healthcare Alliance Corp - Va Ccn	$74	83%
UnitedHealthcare	$74 - $121	83%
Upmc Health Plan	$74	83%
Wellpoint	$74	83%
Carelon	$77	87%
Humana	$78	88%
Arizona Priority Care	$81	91%
Devoted Health Services	$81	91%
Gold Kidney Health Plan	$81	91%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$81	91%
Plotkin Health	$81	91%
Oscar Health Plan	$122	137%
Quiktrip Corporation	$126	142%
Arizona Medical Network	$162	182%
Provider Network Of America	$162	182%

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 $93.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

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 71045.
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.