CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner Desert Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,828
Cash Discount Price: $10,960
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Banner Desert Medical Center is $7,828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,960. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.38x the Medicare baseline. Located in 1400 South Dobson Road, Mesa, AZ.

Cash / Self-Pay

$10,960

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,828

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: $10,960 (193%)

Insurance Median: $7,828 (138%)

Cash: $10,960 (193% of Medicare)

Ins. Median: $7,828 (138% 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	$7,116 - $19,774	125%
Arizona Physicians Ipa	$7,116	125%
Banner Health	$7,116	125%
Banner University Health Plan	$7,116	125%
Blue Cross Blue Shield	$7,116 - $16,286	125%
Care 1St	$7,116	125%
Cigna	$7,116 - $23,616	125%
Gila River Health Care Corporation	$7,116	125%
Health Choice Arizona, Inc.	$7,116 - $10,674	125%
Health Net	$7,116 - $10,532	125%
Humana	$7,116 - $7,329	125%
Kaiser Foundation Health Plan	$7,116	125%
Mercy Care	$7,116	125%
Triwest Healthcare Alliance Corp - Va Ccn	$7,116	125%
UnitedHealthcare	$7,116 - $20,692	125%
Upmc Health Plan	$7,116	125%
Wellpoint	$7,116	125%
Carelon	$7,472	132%
Devoted Health Services	$7,472	132%
Arizona Priority Care	$7,828	138%
Gold Kidney Health Plan	$7,828	138%
Naphcare	$11,385	201%
Oscar Health Plan	$11,741	207%

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 $10,960.
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 Desert Medical Center 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.