CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Banner Thunderbird Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,978
Cash Discount Price: $23,048
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Banner Thunderbird Medical Center is $18,978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,048. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.48x the Medicare baseline. Located in 5555 West Thunderbird Road, Glendale, AZ.

Cash / Self-Pay

$23,048

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,978

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: $23,048 (180%)

Insurance Median: $18,978 (148%)

Cash: $23,048 (180% of Medicare)

Ins. Median: $18,978 (148% 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	$15,429 - $45,847	120%
Arizona Physicians Ipa	$15,429	120%
Banner Health	$15,429	120%
Banner University Health Plan	$15,429	120%
Blue Cross Blue Shield	$15,429 - $88,987	120%
Care 1St	$15,429	120%
Gila River Health Care Corporation	$15,429	120%
Health Choice Arizona, Inc.	$15,429 - $23,144	120%
Kaiser Foundation Health Plan	$15,429	120%
Mercy Care	$15,429	120%
Triwest Healthcare Alliance Corp - Va Ccn	$15,429	120%
UnitedHealthcare	$15,429 - $47,976	120%
Upmc Health Plan	$15,429	120%
Wellpoint	$15,429	120%
Humana	$15,892	124%
Carelon	$16,201	127%
Devoted Health Services	$16,201	127%
Arizona Priority Care	$16,972	133%
Gold Kidney Health Plan	$16,972	133%
Health Net	$22,835	178%
Oscar Health Plan	$25,458	199%
Cigna	$49,281 - $54,755	385%

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 $23,048.
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 Thunderbird 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.