Arizona / Banner Baywood Medical Center
CMS certification 030088 · Mesa, AZ · 3 entries in CMS's price-transparency list
Banner Baywood Medical Center: charges and Medicare payments
Banner Baywood Medical Center reported 2,479 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 4.76 times what it was paid — mid-range in Arizona, number 31 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 521 stays at an average charge of $65,966, 27% below the national average. It also billed 2,255 outpatient services, charging 7.45 times what Medicare paid.
- 1Medicare inpatient stays 2,479
- 2Charge ÷ paid, inpatient 4.76×
- 3Rank in AZ (highest ratio = 1) 31 of 53
- 4CMS price-transparency actions 3
Inpatient stays
For the 60 DRGs that can be compared with the national average, Banner Baywood Medical Center charged more than the national average in 4 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 521 | $65,966 | -27% | $14,458 |
| 193 Simple Pneumonia and Pleurisy with MCC | 121 | $45,269 | -24% | $10,136 |
| 291 Heart Failure and Shock with MCC | 119 | $51,126 | -9% | $9,650 |
| 177 Respiratory Infections and Inflammations with MCC | 98 | $54,133 | -23% | $12,162 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 94 | $40,819 | -17% | $7,898 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 92 | $46,704 | -16% | $7,772 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 71 | $137,605 | -40% | $33,952 |
| 683 Renal Failure with CC | 62 | $33,423 | -18% | $7,183 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 61 | $59,660 | -19% | $12,723 |
| 682 Renal Failure with MCC | 58 | $59,655 | -10% | $11,246 |
| 481 Hip and Femur Procedures except Major Joint with CC | 55 | $74,608 | -26% | $14,839 |
| 378 Gastrointestinal Hemorrhage with CC | 52 | $43,261 | -11% | $7,387 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $27,807 | -26% | $6,095 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 44 | $75,031 | -27% | $15,265 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 42 | $72,743 | -27% | $13,886 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $38,564 | -24% | $8,273 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $54,540 | -10% | $9,919 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $33,358 | -10% | $6,067 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 36 | $32,421 | -19% | $5,930 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 35 | $99,460 | -28% | $22,205 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 35 | $59,019 | -24% | $13,983 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $42,404 | -17% | $8,643 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $47,516 | -17% | $10,014 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $67,489 | -21% | $13,087 |
| 603 Cellulitis without MCC | 31 | $30,171 | -19% | $6,623 |
| 314 Other Circulatory System Diagnoses with MCC | 29 | $103,628 | +9% | $16,223 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 27 | $55,941 | -36% | $16,341 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $66,915 | -32% | $18,652 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 26 | $29,789 | -37% | $7,438 |
| 389 Gastrointestinal Obstruction with CC | 24 | $26,073 | -33% | $6,030 |
| 638 Diabetes with CC | 24 | $33,940 | -19% | $7,139 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 21 | $41,294 | -2% | $5,827 |
| 069 Transient Ischemia without Thrombolytic | 21 | $37,870 | -25% | $6,701 |
| 178 Respiratory Infections and Inflammations with CC | 21 | $47,615 | +5% | $7,285 |
| 329 Major Small and Large Bowel Procedures with MCC | 20 | $178,222 | -17% | $35,140 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $110,755 | -18% | $20,016 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $73,247 | -21% | $13,793 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $29,840 | -22% | $6,206 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $33,548 | -7% | $5,615 |
| 312 Syncope and Collapse | 16 | $39,391 | -13% | $6,528 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $46,857 | -23% | $10,364 |
| 101 Seizures without MCC | 15 | $34,689 | -29% | $6,733 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $52,154 | -8% | $8,916 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 15 | $77,587 | -10% | $14,453 |
| 602 Cellulitis with MCC | 15 | $46,104 | -23% | $10,383 |
| 176 Pulmonary Embolism without MCC | 14 | $41,812 | +1% | $6,139 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 14 | $53,589 | -44% | $14,193 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $129,603 | +5% | $19,472 |
| 637 Diabetes with MCC | 14 | $45,441 | -32% | $10,402 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $83,650 | -38% | $19,897 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $183,785 | -43% | $48,875 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $72,930 | -22% | $11,967 |
| 811 Red Blood Cell Disorders with MCC | 12 | $47,541 | -30% | $10,313 |
| 092 Other Disorders of Nervous System with CC | 11 | $35,441 | -31% | $8,949 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $47,518 | -37% | $11,777 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $83,076 | -30% | $16,690 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $19,875 | -29% | $4,223 |
| 394 Other Digestive System Diagnoses with CC | 11 | $34,767 | -26% | $7,031 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 11 | $104,570 | -40% | $27,232 |
| 813 Coagulation Disorders | 11 | $56,913 | -29% | $11,566 |
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner Baywood Medical Center charged $65,966 on average, 25% less than the Arizona average of $87,638, and was paid $14,458 against a state average of $17,455. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Banner Baywood Medical Center charged $45,269 on average, 24% less than the Arizona average of $59,468, and was paid $10,136 against a state average of $11,853. For Heart Failure and Shock with MCC (DRG 291), Banner Baywood Medical Center charged $51,126 on average, 15% less than the Arizona average of $59,877, and was paid $9,650 against a state average of $11,479. For Respiratory Infections and Inflammations with MCC (DRG 177), Banner Baywood Medical Center charged $54,133 on average, 24% less than the Arizona average of $70,869, and was paid $12,162 against a state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,237 was 33% below the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,099 was 27% below the state average of $91,091. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,776 was 2% above the state average of $11,577. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $37,877 was 23% below the state average of $49,210.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Baywood Medical Center in Mesa, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-11-13 (CMS case 1997)
- Met Requirements — 2025-04-09 (CMS case 3688)
- Met Requirements — 2025-07-24 (CMS case 5959)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.