CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner Baywood Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,824

about 1.4× the $5,676 Medicare rate · typically $6,724–$9,906

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,808

Below the fair price — a good deal

about $1,016 under the fair price · 1.2× Medicare

Medicare pays $5,676 Fair price $7,824 This hospital $6,808 Cash price $8,069

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $3,553 Priciest $6,808

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,824 (about 1.4× the $5,676 Medicare rate). Banner Baywood Medical Center charges insurers about $6,808, or about $8,069 in cash — below the fair price — a good deal. Located in Mesa, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,189 - $20,692	109%
Blue Cross Blue Shieldmajor	$6,189 - $16,563	109%
Aetnamajor	$6,189 - $19,774	109%
Cignamajor	$21,255 - $23,616	374%
Humanamajor	$6,189 - $6,375	109%
Kaiser Permanentemajor	$6,189	109%
Banner Health	$6,189	109%
Devoted Health	$6,499	115%
Health Net	$6,189 - $9,160	109%
Oscar Health	$10,213	180%
UPMC Health Plan	$6,189	109%
+ 8 smaller / regional plans	$6,189 - $9,284

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 8,069), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Banner Baywood Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Baywood Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.