CMS Price Transparency Data

X-ray, pelvis

Facility: Banner Payson Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$124
about 1.2× the $107 Medicare rate · typically $90–$299
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $43 under the fair price · 0.8× Medicare
Medicare pays $107 Fair price $124 This hospital $81 Cash price $107 Hospital's list price $202

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $81

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, pelvis is about $124 (about 1.2× the $107 Medicare rate). Banner Payson Medical Center charges insurers about $81, or about $107 in cash — below the fair price — a good deal. Located in Payson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $83 - $135 78%
Blue Cross Blue Shieldmajor $81 - $108 76%
Aetnamajor $82 - $134 77%
Cignamajor $83 - $161 78%
Humanamajor $88 82%
Kaiser Permanentemajor $83 78%
Banner Health $79 - $83 74%
Devoted Health $91 85%
Health Net $79 - $123 74%
Oscar Health $137 128%
UPMC Health Plan $83 78%
+ 13 smaller / regional plans $79 - $182
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 807 South Ponderosa Drive, Payson, AZ 85541
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals