CMS Price Transparency Data

X-ray, hand

Facility: Banner Payson Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $104
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Banner Payson Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $122 (137%)
Insurance Median: $104 (117%)
Cash: $122 (137% of Medicare)
Ins. Median: $104 (117% 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.

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 - $135 66%
Health Net $59 - $140 66%
Mercy Care $59 - $94 66%
Aetna $94 - $152 106%
Banner Health $94 106%
Blue Cross Blue Shield $94 - $160 106%
Care 1St $94 106%
Cigna $94 - $183 106%
Gila River Health Care Corporation $94 106%
Kaiser Foundation Health Plan $94 106%
Triwest Healthcare Alliance Corp - Va Ccn $94 106%
UnitedHealthcare $94 - $154 106%
Upmc Health Plan $94 106%
Wellpoint $94 106%
Carelon $99 111%
Humana $100 112%
Arizona Priority Care $104 117%
Devoted Health Services $104 117%
Gold Kidney Health Plan $104 117%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $104 117%
Plotkin Health $104 117%
Oscar Health Plan $156 175%
Quiktrip Corporation $161 181%
Arizona Medical Network $207 233%
Provider Network Of America $207 233%

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