CMS Price Transparency Data

X-ray, shoulder

Facility: Banner Payson Medical Center

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$108

about 1.2× the $89 Medicare rate · typically $89–$215

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

About the fair price

1.2× Medicare

Medicare pays $89 Fair price $108 This hospital $108 Cash price $131 Hospital's list price $248

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 $26 Priciest $108

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, shoulder is about $108 (about 1.2× the $89 Medicare rate). Banner Payson Medical Center charges insurers about $108, or about $131 in cash — about the fair price. 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	$102 - $166	115%
Blue Cross Blue Shieldmajor	$102 - $143	115%
Aetnamajor	$101 - $164	114%
Cignamajor	$102 - $197	115%
Humanamajor	$108	121%
Kaiser Permanentemajor	$102	115%
Banner Health	$59 - $102	66%
Devoted Health	$112	126%
Health Net	$59 - $150	66%
Oscar Health	$168	189%
UPMC Health Plan	$102	115%
+ 13 smaller / regional plans	$59 - $223

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 131), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73030.

Insurance Before you use insurance

Call your insurance company to confirm Banner Payson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 73030.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Banner Payson Medical Center

Compare: X-ray, shoulder at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.