CMS Price Transparency Data

X-ray, foot

Facility: Banner Payson Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $98
Cash Discount Price: $116
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Banner Payson Medical Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.10x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $116 (130%)

Insurance Median: $98 (110%)

Cash: $116 (130% of Medicare)

Ins. Median: $98 (110% 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 - $89	66%
Banner University Health Plan	$59 - $89	66%
Health Choice Arizona, Inc.	$59 - $128	66%
Health Net	$59 - $132	66%
Mercy Care	$59 - $89	66%
Aetna	$89 - $144	100%
Banner Health	$89	100%
Blue Cross Blue Shield	$89 - $145	100%
Care 1St	$89	100%
Cigna	$89 - $174	100%
Gila River Health Care Corporation	$89	100%
Kaiser Foundation Health Plan	$89	100%
Triwest Healthcare Alliance Corp - Va Ccn	$89	100%
UnitedHealthcare	$89 - $146	100%
Upmc Health Plan	$89	100%
Wellpoint	$89	100%
Carelon	$94	106%
Humana	$95	107%
Arizona Priority Care	$98	110%
Devoted Health Services	$98	110%
Gold Kidney Health Plan	$98	110%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$98	110%
Plotkin Health	$98	110%
Oscar Health Plan	$147	165%
Quiktrip Corporation	$153	172%
Arizona Medical Network	$196	220%
Provider Network Of America	$196	220%

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 $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.