CMS Price Transparency Data

X-ray, chest (two views)

Facility: Banner Payson Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $103
Cash Discount Price: $118
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Banner Payson Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.16x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $118 (133%)

Insurance Median: $103 (116%)

Cash: $118 (133% of Medicare)

Ins. Median: $103 (116% 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 - $94	66%
Banner University Health Plan	$59 - $94	66%
Health Choice Arizona, Inc.	$59 - $134	66%
Health Net	$59 - $139	66%
Mercy Care	$59 - $94	66%
Aetna	$93 - $152	105%
Banner Health	$94	106%
Blue Cross Blue Shield	$94 - $129	106%
Care 1St	$94	106%
Cigna	$94 - $182	106%
Gila River Health Care Corporation	$94	106%
Kaiser Foundation Health Plan	$94	106%
Triwest Healthcare Alliance Corp - Va Ccn	$94	106%
UnitedHealthcare	$94 - $153	106%
Upmc Health Plan	$94	106%
Wellpoint	$94	106%
Carelon	$99	111%
Humana	$100	112%
Arizona Priority Care	$103	116%
Devoted Health Services	$103	116%
Gold Kidney Health Plan	$103	116%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$103	116%
Plotkin Health	$103	116%
Oscar Health Plan	$155	174%
Quiktrip Corporation	$160	180%
Arizona Medical Network	$206	232%
Provider Network Of America	$206	232%

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 $118.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

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 71046.
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.