Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LAB DIS INFCT ID BAC&FNG GRM- RXRST
Payson, AZ
See all hospitals reporting CPT 0142U →Price type
Banner Payson Medical Center’s median price of $212 is 31% above the median hospital's median price ($161), higher than 80% of the 1,321 hospitals reporting CPT 0142U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $191.70 | $191.70 | $191.70 – $191.70 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $193.11 | $193.11 | $193.11 – $193.11 |
| 3 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $193.11 | $193.11 | $193.11 – $193.11 |
| 4 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $193.11 | $193.11 | $193.11 – $193.11 |
| 5 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $193.11 | $193.11 | $193.11 – $193.11 |
| 6 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $193.11 | $193.11 | $193.11 – $193.11 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $204.70 | $204.70 | $204.70 – $204.70 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $212.42 | $212.42 | $212.42 – $212.42 |
| 9 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $249.63 | $249.63 | $249.63 – $249.63 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $262.82 | $262.82 | $262.82 – $262.82 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $302.85 | $302.85 | $302.85 – $302.85 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $302.85 | $302.85 | $302.85 – $302.85 |
| 13 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $311.80 | $311.80 | $311.80 – $311.80 |
| 14 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $315.57 | $315.57 | $315.57 – $315.57 |
| 15 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $318.63 | $318.63 | $318.63 – $318.63 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $374.92 | $374.92 | $374.92 – $374.92 |
| 17 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $374.92 | $374.92 | $374.92 – $374.92 |
| 18 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $555.95 | $555.95 | $555.95 – $555.95 |
| 19 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $593.01 | $593.01 | $593.01 – $593.01 |
| 20 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $622.66 | $622.66 | $622.66 – $622.66 |
| 21 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $708.00 | $708.00 | $708.00 – $708.00 |
| 22 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $741.26 | $741.26 | $741.26 – $741.26 |
| 23 | Bcbs Az commercial facility · fee schedule · outpatient | $741.26 | $741.26 | $741.26 – $741.26 |
Last updated: Mar 2, 2026
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