CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $20,357
Cash Discount Price: $23,857
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Banner - University Medical Center Tucson Campus is $20,357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,857. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.59x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.

Cash / Self-Pay

$23,857

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,357

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: $23,857 (186%)

Insurance Median: $20,357 (159%)

Cash: $23,857 (186% of Medicare)

Ins. Median: $20,357 (159% 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	$19,387 - $33,036	151%
Arizona Physicians Ipa	$19,387	151%
Banner Health	$19,387	151%
Banner University Health Plan	$19,387	151%
Blue Cross Blue Shield	$19,387 - $50,517	151%
Care 1St	$19,387	151%
Cigna	$19,387 - $33,088	151%
Gila River Health Care Corporation	$19,387	151%
Health Choice Arizona, Inc.	$19,387 - $29,081	151%
Health Net	$19,387 - $28,693	151%
Humana	$19,387 - $19,969	151%
Kaiser Foundation Health Plan	$19,387	151%
Mercy Care	$19,387	151%
Triwest Healthcare Alliance Corp - Va Ccn	$19,387	151%
UnitedHealthcare	$19,387 - $33,928	151%
Upmc Health Plan	$19,387	151%
Wellpoint	$19,387	151%
Carelon	$20,357	159%
Devoted Health Services	$20,357	159%
Arizona Priority Care	$21,326	167%
Gold Kidney Health Plan	$21,326	167%
Naphcare	$31,020	242%
Oscar Health Plan	$31,989	250%

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 $23,857.
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 - University Medical Center Tucson Campus 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.