CMS Price Transparency Data

X-ray, hip

Facility: Banner Payson Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $113
Cash Discount Price: $133
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Banner Payson Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $133 (150%)

Insurance Median: $113 (127%)

Cash: $133 (150% of Medicare)

Ins. Median: $113 (127% 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 - $103	66%
Banner University Health Plan	$59 - $103	66%
Health Choice Arizona, Inc.	$59 - $147	66%
Health Net	$59 - $152	66%
Mercy Care	$59 - $103	66%
Aetna	$102 - $166	115%
Banner Health	$103	116%
Blue Cross Blue Shield	$103 - $204	116%
Care 1St	$103	116%
Cigna	$103 - $200	116%
Gila River Health Care Corporation	$103	116%
Kaiser Foundation Health Plan	$103	116%
Triwest Healthcare Alliance Corp - Va Ccn	$103	116%
UnitedHealthcare	$103 - $168	116%
Upmc Health Plan	$103	116%
Wellpoint	$103	116%
Carelon	$108	121%
Humana	$109	123%
Arizona Priority Care	$113	127%
Devoted Health Services	$113	127%
Gold Kidney Health Plan	$113	127%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$113	127%
Plotkin Health	$113	127%
Oscar Health Plan	$170	191%
Quiktrip Corporation	$176	198%
Arizona Medical Network	$226	254%
Provider Network Of America	$226	254%

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 $133.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.