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BANNER PAYSON MEDICAL CENTER

Critical Access Hospitals

4 out of 5 (CMS)

807 SOUTH PONDEROSA DRIVE

PAYSON, AZ, 85541

View on Google Maps →
Emergency Services: No
Voluntary non-profit - Other
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Procedure Prices at BANNER PAYSON MEDICAL CENTER

Therapeutic Activities

CPT 97530

$53

LAB CBC AUTO W AUTO DIFF

CPT 85025

$60

Mechanical Traction

CPT 97012

$61

LAB PANEL METAB COMP

CPT 80053

$63

Therapeutic Exercises

CPT 97110

$65

Diagnostic Mammogram (unilateral)

CPT 77065

$134

Chest X-Ray (1 view)

CPT 71045

$153

Screening Mammogram (bilateral)

CPT 77067

$158

EKG Tracing

CPT 93005

$183

Chest X-Ray (2 views)

CPT 71046

$194

Diagnostic Mammogram (bilateral)

CPT 77066

$203

PSYCHOTX PT 60MIN

CPT 90837

$225

Thoracic Spine X-Ray

CPT 72072

$254

VISIT OB TRIAGE ESTABLISHED LEVEL 3

CPT 99213

$334

Abdominal Ultrasound — Limited

CPT 76705

$367

OB Ultrasound

CPT 76805

$433

Retroperitoneal Ultrasound

CPT 76770

$450

Abdominal Ultrasound

CPT 76700

$492

ER Visit — Low-Moderate Complexity

CPT 99283

$506

ER Visit — Moderate Complexity

CPT 99284

$641

ER Visit — High Complexity

CPT 99285

$880

MRI Joint of Lower Extremity

CPT 73721

$911

CT Chest

CPT 71250

$1,172

CT Abdomen & Pelvis

CPT 74177

$1,361

Echocardiogram w/ Doppler

CPT 93306

$1,447

MRI Brain w/o Contrast

CPT 70551

$1,448

MRI Brain w/ Contrast

CPT 70553

$2,389

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.