CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner Estrella Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,784

about 1.4× the $5,676 Medicare rate · typically $6,684–$9,851

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,140

About the fair price

about $356 over the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $7,784 This hospital $8,140 Cash price $10,236

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 $8,140

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 $7,784 (about 1.4× the $5,676 Medicare rate). Banner Estrella Medical Center charges insurers about $8,140, or about $10,236 in cash — about the fair price. Located in Phoenix, 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	$7,400 - $20,692	130%
Blue Cross Blue Shieldmajor	$7,400 - $18,191	130%
Aetnamajor	$7,400 - $19,774	130%
Cignamajor	$7,400 - $23,616	130%
Humanamajor	$7,400 - $7,622	130%
Kaiser Permanentemajor	$7,400	130%
Banner Health	$7,400	130%
Devoted Health	$7,770	137%
Health Net	$7,400 - $10,952	130%
Oscar Health	$12,210	215%
UPMC Health Plan	$7,400	130%
+ 8 smaller / regional plans	$7,400 - $11,100

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 10,236), 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 Estrella 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 Estrella Medical Center

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

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