CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Banner Goldfield Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $15,822
Cash Discount Price: $15,697
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Banner Goldfield Medical Center is $15,822. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,697. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.24x the Medicare baseline. Located in 2050 West Southern Avenue, Apache Junction, AZ.

Cash / Self-Pay

$15,697

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,822

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)

Cash / Self-Pay: $15,697 (123%)

Insurance Median: $15,822 (124%)

Cash: $15,697 (123% of Medicare)

Ins. Median: $15,822 (124% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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	$15,069 - $45,847	118%
Arizona Physicians Ipa	$15,069	118%
Banner Health	$15,069	118%
Banner University Health Plan	$15,069	118%
Blue Cross Blue Shield	$15,069 - $62,669	118%
Care 1St	$15,069	118%
Cigna	$15,069 - $54,755	118%
Gila River Health Care Corporation	$15,069	118%
Health Choice Arizona, Inc.	$15,069 - $22,603	118%
Health Net	$15,069 - $22,302	118%
Humana	$15,069 - $15,521	118%
Kaiser Foundation Health Plan	$15,069	118%
Mercy Care	$15,069	118%
Triwest Healthcare Alliance Corp - Va Ccn	$15,069	118%
UnitedHealthcare	$15,069 - $47,976	118%
Upmc Health Plan	$15,069	118%
Wellpoint	$15,069	118%
Carelon	$15,822	124%
Devoted Health Services	$15,822	124%
Arizona Priority Care	$16,575	129%
Gold Kidney Health Plan	$16,575	129%
Oscar Health Plan	$22,603	176%

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 $15,697.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

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 322.
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.