Banner Health · Payson, AZ
16
In-network payers
485
Disclosed rate categories
25
Beds
2
Care quality
Banner Payson Medical Center is a 25-bed voluntary non-profit - other hospital in Payson, AZ, affiliated with Banner Health. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 485 disclosed rate categories.
CCN (Medicare provider number)
031318
NPI
1063893121
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Other
Beds
25
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Banner Payson Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,996 - $18,695
from 4 insurers · median $14,225
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$17,350 - $21,708
from 4 insurers · median $19,646
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$298 - $1,669
from 4 insurers · median $988
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$7,996 - $18,695
from 4 insurers · median $14,225
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 43239
$2,948 - $4,557
from 3 insurers · median $3,678
Typical for a hospital with this service line
CT imaging
CPT 70450
$89 - $767
from 4 insurers · median $552
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,948 - $5,624
from 3 insurers · median $3,055
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,948 - $4,388
from 3 insurers · median $2,974
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$537 - $1,584
from 3 insurers · median $993
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,603 - $7,678
from 3 insurers · median $6,954
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,948 - $4,896
from 3 insurers · median $3,448
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,678 - $10,507
from 3 insurers · median $9,059
Typical for a hospital with this service line
Mammography
CPT 77067
$88 - $410
from 4 insurers · median $202
Typical for a hospital with this service line
CT imaging
CPT 71275
$152 - $1,239
from 4 insurers · median $780
Typical for a hospital with this service line
CT imaging
CPT 74176
$204 - $1,335
from 4 insurers · median $597
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$25,554 - $32,853
from 4 insurers · median $26,722
Hospital reports inpatient surgical services to CMS
Gynecology
CPT 58571
$4,883 - $9,411
from 3 insurers · median $8,477
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,105 - $2,561
from 3 insurers · median $2,074
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 70553
$298 - $2,030
from 4 insurers · median $1,034
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$322 - $5,173
from 4 insurers · median $2,347
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$4,102 - $6,415
from 3 insurers · median $4,900
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$74 - $151
from 4 insurers · median $114
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,913 - $5,603
from 3 insurers · median $5,539
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,303 - $9,059
from 3 insurers · median $7,840
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 364% | 0 | 5 |
| Insurer B* | 23 | 287% | 8 | 5 |
| Insurer C* | 24 | 271% | 15 | 3 |
| Insurer D* | 23 | 147% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Banner Payson Medical Center.
807 South Ponderosa Street, Payson, AZ 85541
9284743222
The nearest hospitals of similar type and size. Their rates are compared with Banner Payson Medical Center for the same insurers and services above.
Cobre Valley Regional Medical Center
▼ Rates typically 9% lower than Banner Payson Medical Center (21 services)
Little Colorado Medical Center
Rates about the same as Banner Payson Medical Center (20 services)
Wickenburg Community Hospital
▼ Rates typically 37% lower than Banner Payson Medical Center (20 services)
White Mountain Regional Hospital
Rates about the same as Banner Payson Medical Center (13 services)
N. Cochise Comm. Hospital
▼ Rates typically 47% lower than Banner Payson Medical Center (19 services)
Benson Hospital
▼ Rates typically 45% lower than Banner Payson Medical Center (20 services)
Page Hospital
Holy Cross Hospital
About Banner Payson Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Banner Payson Medical Center range from $298 to $2,030 across 4 insurers. Aetna's rate is $813. The median at nearby comparable hospitals is $1,816. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Banner Payson Medical Center range from $298 to $1,669 across 4 insurers. Aetna's rate is $785. The median at nearby comparable hospitals is $2,018. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Banner Payson Medical Center range from $2,948 to $5,624 across 3 insurers. Blue Cross Blue Shield's rate is $3,055. The median at nearby comparable hospitals is $1,452. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Banner Payson Medical Center range from $7,996 to $18,695 across 4 insurers. Cigna's rate is $18,695. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Banner Payson Medical Center range from $88 to $410 across 4 insurers. Cigna's rate is $241. The median at nearby comparable hospitals is $249. What a patient pays depends on their plan's deductible, coinsurance and network status.
Banner Payson Medical Center has 25 beds. Facility type: Critical Access Hospital.
Banner Payson Medical Center is located at 807 South Ponderosa Street, Payson, AZ 85541. Its main phone number is 9284743222.
Banner Payson Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 031318.
The National Provider Identifier (NPI) on file for Banner Payson Medical Center is 1063893121.
Banner Payson Medical Center is affiliated with Banner Health.
Banner Payson Medical Center lists 16 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
485 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers