CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Banner Heart Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,641
about 1.3× the $14,044 Medicare rate · typically $15,415–$23,653
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,052
Below the fair price — a good deal
about $2,589 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $17,641 This hospital $15,052 Cash price $20,648

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 5 charge more and 3 charge less, among the 9 AZ hospitals compared.

Cheapest $13,152 Priciest $15,911

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

A fair price for a Hip or knee replacement (inpatient stay) is about $17,641 (about 1.3× the $14,044 Medicare rate). Banner Heart Hospital charges insurers about $15,052, or about $20,648 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 $14,002 - $50,000 100%
Blue Cross Blue Shieldmajor $14,002 - $60,279 100%
Aetnamajor $14,002 - $50,190 100%
Cignamajor $14,002 - $57,065 100%
Humanamajor $14,002 - $14,422 100%
Kaiser Permanentemajor $14,002 100%
Banner Health $14,002 100%
Devoted Health $14,702 105%
Health Net $14,002 - $20,723 100%
Oscar Health $23,103 165%
UPMC Health Plan $14,002 100%
+ 8 smaller / regional plans $14,002 - $21,003
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 6750 East Baywood Avenue, Mesa, AZ 85206
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals