Banner Payson Medical Center
Payson, AZ · Critical Access Hospital
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $488.75 | $964 | 4.4× |
| MRI brain without contrast (70551) | $867 | $1,700 | 3.4× |
| MRI brain with contrast (70552) | $1,083.75 | $2,125 | 2.9× |
| MRI brain without and with contrast (70553) | $1,300.50 | $2,550 | 3.5× |
| X-ray lower spine, 4+ views (72110) | $239.56 | $452 | 2.1× |
| MRI lumbar spine without contrast (72148) | $811.95 | $1,637 | 3.2× |
| CT pelvis with contrast (72193) | $816.68 | $1,614 | 4.4× |
| MRI lower-extremity joint without contrast (73721) | $605.11 | $1,071 | 2.4× |
| CT abdomen and pelvis with contrast (74177) | $1,061.08 | $2,097 | 2.9× |
| Ultrasound, abdomen complete (76700) | $356.66 | $579 | 3.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $313.54 | $509 | 2.8× |
| Ultrasound, transvaginal (76830) | $243.32 | $395 | 2.2× |
| Mammography, one breast (diagnostic) (77065) | $99.06 | $159 | 1.1× |
| Mammography, both breasts (diagnostic) (77066) | $149.52 | $240 | 1.4× |
| Mammography, screening (bilateral) (77067) | $165.57 | $212 | 1.8× |
| Basic metabolic panel (80048) | $21.62 | $46 | 2.6× |
| Comprehensive metabolic panel (80053) | $22.56 | $48 | 2.1× |
| Lipid panel (80061) range across 2 matching MRF lines |
$23.97–$25.38 | $51–$54 | varies |
| Renal function panel (80069) | $21.62 | $46 | 2.5× |
| Hepatic function panel (80076) | $21.15 | $45 | 2.6× |
| Urinalysis, non-automated, without microscopy (81002) | $5.81 | $11 | 1.7× |
| PSA, total (84153) | $26.32 | $56 | 1.4× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$23.97–$25.38 | $51–$54 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$11.86–$22.23 | $24–$45 | varies |
| CBC, automated (85027) | $9.88 | $20 | 1.5× |
| Prothrombin time (PT) (85610) | $25.19 | $51 | 5.9× |
| Partial thromboplastin time (PTT) (85730) | $9.39 | $19 | 1.6× |
| Psychotherapy, 30 minutes (90832) | $96.35 | $222 | 0.5× |
| Psychotherapy, 45 minutes (90834) | $109.80 | $253 | 0.6× |
| Psychotherapy, 60 minutes (90837) | $124.12 | $286 | 0.7× |
| Family psychotherapy, with patient (50 min) (90847) | $186.68 | $330 | 1.0× |
| Group psychotherapy (90853) range across 2 matching MRF lines |
$96.57–$205.76 | $222–$473 | varies |
| Sleep study (attended polysomnography) (95810) range across 4 matching MRF lines |
$2,613.93–$3,267.55 | $4,895–$6,119 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 4 matching MRF lines |
$2.84–$15.38 | $66 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$103.95–$2,141.49 | $210–$2,210 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$141.07–$2,577.54 | $285–$2,660 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$160.88–$3,449.64 | $325–$3,560 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 332 codes with posted prices and Medicare benchmarks
- Lab & pathology: 886 codes with posted prices and Medicare benchmarks
- Visits & medical services: 158 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 179 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 21 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 82.8 MB) ↓ — captured 2026-08-15
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.