Banner Payson Medical Center prices. From its own published file.

Banner Payson Medical Center in Payson, AZ publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

3,014prices published

Sep 2026file last updated

$1,061cash price for ct abdomen and pelvis with contrast (list $2,097)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$497	$468	$192–$1,910
Emergency visit, high (level 4) `99284`	$1,191	$594	$244–$1,910
Emergency visit, highest (level 5) `99285`	$1,496	$814	$334–$1,910
Comprehensive metabolic panel `80053`	$20.68	$44.00	$10.56–$51.05
Basic metabolic panel `80048`	$19.74	$42.00	$8.46–$40.91
Complete blood count (CBC) `85025`	$11.86	$24.00	$7.77–$37.55
Urinalysis `81001`	$5.28	$10.00	$3.17–$15.35
Troponin (heart test) `84484`	$17.86	$38.00	$12.47–$60.31
EKG tracing `93005`	$135	$267	$25.99–$240
Chest X-ray, 2 views `71046`	$136	$264	$58.65–$238
CT head without contrast `70450`	$489	$964	$79.00–$868
CT abdomen and pelvis with contrast `74177`	$1,061	$2,097	$242–$1,887
MRI lower back without contrast `72148`	$934	$1,883	$167–$1,695
Ultrasound, abdomen `76700`	$410	$666	$79.00–$599
IV push, single drug `96374`	$143	$295	$77.79–$1,910
IV fluids, first hour `96360`	$116	$243	$77.79–$1,910
Colonoscopy, diagnostic `45378`	—	—	$575–$4,735
Upper GI endoscopy with biopsy `43239`	—	—	$587–$4,735
Knee arthroscopy `29881`	—	—	$2,052–$6,695

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Banner Payson Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.