CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner Ironwood Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,346
  • Cash Discount Price: $9,569
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Banner Ironwood Medical Center is $7,346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,569. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.29x the Medicare baseline. Located in 37000 North Gantzel Road, Queen Creek, AZ.
Cash / Self-Pay
$9,569

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,346

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: $9,569 (169%)
Insurance Median: $7,346 (129%)
Cash: $9,569 (169% of Medicare)
Ins. Median: $7,346 (129% 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.

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 $6,834 - $19,774 120%
Arizona Physicians Ipa $6,834 120%
Banner Health $6,834 120%
Banner University Health Plan $6,834 120%
Blue Cross Blue Shield $6,834 - $16,479 120%
Care 1St $6,834 120%
Cigna $6,834 - $23,616 120%
Gila River Health Care Corporation $6,834 120%
Health Choice Arizona, Inc. $6,834 - $10,250 120%
Health Net $6,834 - $10,114 120%
Humana $6,834 - $7,039 120%
Kaiser Foundation Health Plan $6,834 120%
Mercy Care $6,834 120%
Triwest Healthcare Alliance Corp - Va Ccn $6,834 120%
UnitedHealthcare $6,834 - $20,692 120%
Upmc Health Plan $6,834 120%
Wellpoint $6,834 120%
Carelon $7,175 126%
Devoted Health Services $7,175 126%
Arizona Priority Care $7,517 132%
Gold Kidney Health Plan $7,517 132%
Oscar Health Plan $10,250 181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37000 North Gantzel Road, Queen Creek, AZ 85140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals