CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Banner Goldfield Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $7,266
Cash Discount Price: $6,768
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Banner Goldfield Medical Center is $7,266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,768. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.28x the Medicare baseline. Located in 2050 West Southern Avenue, Apache Junction, AZ.

Cash / Self-Pay

$6,768

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,266

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: $6,768 (119%)

Insurance Median: $7,266 (128%)

Cash: $6,768 (119% of Medicare)

Ins. Median: $7,266 (128% 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.

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	$6,920 - $19,774	122%
Arizona Physicians Ipa	$6,920	122%
Banner Health	$6,920	122%
Banner University Health Plan	$6,920	122%
Blue Cross Blue Shield	$6,920 - $13,217	122%
Care 1St	$6,920	122%
Cigna	$6,920 - $23,616	122%
Gila River Health Care Corporation	$6,920	122%
Health Choice Arizona, Inc.	$6,920 - $10,380	122%
Health Net	$6,920 - $10,242	122%
Humana	$6,920 - $7,128	122%
Kaiser Foundation Health Plan	$6,920	122%
Mercy Care	$6,920	122%
Triwest Healthcare Alliance Corp - Va Ccn	$6,920	122%
UnitedHealthcare	$6,920 - $20,692	122%
Upmc Health Plan	$6,920	122%
Wellpoint	$6,920	122%
Carelon	$7,266	128%
Devoted Health Services	$7,266	128%
Arizona Priority Care	$7,612	134%
Gold Kidney Health Plan	$7,612	134%
Oscar Health Plan	$10,380	183%

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 $6,768.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Goldfield Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
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.