CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $9,154
Cash Discount Price: $10,286
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Banner - University Medical Center Tucson Campus is $9,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,286. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.61x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.

Cash / Self-Pay

$10,286

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,154

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)

Cash / Self-Pay: $10,286 (181%)

Insurance Median: $9,154 (161%)

Cash: $10,286 (181% of Medicare)

Ins. Median: $9,154 (161% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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	$8,718 - $14,855	154%
Arizona Physicians Ipa	$8,718	154%
Banner Health	$8,718	154%
Banner University Health Plan	$8,718	154%
Blue Cross Blue Shield	$8,718 - $10,654	154%
Care 1St	$8,718	154%
Cigna	$8,718 - $14,271	154%
Gila River Health Care Corporation	$8,718	154%
Health Choice Arizona, Inc.	$8,718 - $13,077	154%
Health Net	$8,718 - $12,902	154%
Humana	$8,718 - $8,979	154%
Kaiser Foundation Health Plan	$8,718	154%
Mercy Care	$8,718	154%
Triwest Healthcare Alliance Corp - Va Ccn	$8,718	154%
UnitedHealthcare	$8,718 - $15,256	154%
Upmc Health Plan	$8,718	154%
Wellpoint	$8,718	154%
Carelon	$9,154	161%
Devoted Health Services	$9,154	161%
Arizona Priority Care	$9,590	169%
Gold Kidney Health Plan	$9,590	169%
Naphcare	$13,949	246%
Oscar Health Plan	$14,385	253%

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 $10,286.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner - University Medical Center Tucson Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
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.