CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Banner Casa Grande Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $17,992
Cash Discount Price: $21,208
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Banner Casa Grande Medical Center is $17,992. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,208. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.40x the Medicare baseline. Located in 1800 East Florence Boulevard, Casa Grande, AZ.

Cash / Self-Pay

$21,208

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,992

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)

Cash / Self-Pay: $21,208 (166%)

Insurance Median: $17,992 (140%)

Cash: $21,208 (166% of Medicare)

Ins. Median: $17,992 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$16,356 - $35,934	128%
Arizona Physicians Ipa	$16,356	128%
Banner Health	$16,356	128%
Banner University Health Plan	$16,356	128%
Blue Cross Blue Shield	$16,356 - $51,799	128%
Care 1St	$16,356	128%
Cigna	$16,356 - $39,339	128%
Gila River Health Care Corporation	$16,356	128%
Health Choice Arizona, Inc.	$16,356 - $24,534	128%
Health Net	$16,356 - $24,207	128%
Humana	$16,356 - $17,337	128%
Kaiser Foundation Health Plan	$16,356	128%
Mercy Care	$16,356	128%
Triwest Healthcare Alliance Corp - Va Ccn	$16,356	128%
UnitedHealthcare	$16,356 - $30,547	128%
Upmc Health Plan	$16,356	128%
Wellpoint	$16,356	128%
Carelon	$17,174	134%
Arizona Priority Care	$17,992	140%
Devoted Health Services	$17,992	140%
Gold Kidney Health Plan	$17,992	140%
Oscar Health Plan	$24,534	192%
Naphcare	$26,170	204%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $21,208.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Casa Grande Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.