CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Banner Ironwood Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $442
Cash Discount Price: $894
vs. Medicare Baseline: 3.76x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Banner Ironwood Medical Center is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $894. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 3.76x the Medicare baseline. Located in 37000 North Gantzel Road, Queen Creek, AZ.

Cash / Self-Pay

$894

Average discount available for prompt cash payment at this facility.

Insurance Median

$442

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $894 (760%)

Insurance Median: $442 (376%)

Cash: $894 (760% of Medicare)

Ins. Median: $442 (376% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 376% of the Medicare baseline (a markup of 276%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Arizona Physicians Ipa	$55	47%
Banner University Health Plan	$55	47%
Health Choice Arizona, Inc.	$55 - $1,105	47%
Health Net	$55 - $1,193	47%
Mercy Care	$55	47%
Aetna	$75 - $1,275	64%
Hospice Of The Valley	$131 - $774	111%
Arizona Priority Care	$150 - $884	128%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$169 - $994	144%
Plotkin Health	$169 - $994	144%
UnitedHealthcare	$182 - $1,236	155%
Oscar Health Plan	$188 - $1,105	160%
Quiktrip Corporation	$202 - $1,193	172%
Cigna	$246 - $1,518	209%
Arizona Medical Network	$262 - $1,547	223%
Provider Network Of America	$281 - $1,658	239%

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 $894.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Ironwood Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
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.