CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Banner Payson Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $103
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Banner Payson Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. 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
$121

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: $121 (136%)
Insurance Median: $103 (116%)
Cash: $121 (136% 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.

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 - $93 66%
Banner University Health Plan $59 - $93 66%
Health Choice Arizona, Inc. $59 - $133 66%
Health Net $59 - $138 66%
Mercy Care $59 - $93 66%
Aetna $93 - $151 105%
Banner Health $93 105%
Blue Cross Blue Shield $93 - $160 105%
Care 1St $93 105%
Cigna $93 - $181 105%
Gila River Health Care Corporation $93 105%
Kaiser Foundation Health Plan $93 105%
Triwest Healthcare Alliance Corp - Va Ccn $93 105%
UnitedHealthcare $93 - $153 105%
Upmc Health Plan $93 105%
Wellpoint $93 105%
Carelon $98 110%
Humana $99 111%
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 $154 173%
Quiktrip Corporation $160 180%
Arizona Medical Network $205 231%
Provider Network Of America $205 231%

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