Arizona / Banner Estrella Medical Center
CMS certification 030115 · Phoenix, AZ · 3 entries in CMS's price-transparency list
Banner Estrella Medical Center: charges and Medicare payments
Banner Estrella Medical Center reported 1,157 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.52 times what it was paid — among the lower ratios in Arizona, number 37 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: 295 stays at an average charge of $73,628, 18% below the national average. It also billed 1,768 outpatient services, charging 7.85 times what Medicare paid.
- 1Medicare inpatient stays 1,157
- 2Charge ÷ paid, inpatient 4.52×
- 3Rank in AZ (highest ratio = 1) 37 of 53
- 4CMS price-transparency actions 3
Inpatient stays
For the 34 DRGs that can be compared with the national average, Banner Estrella Medical Center charged more than the national average in 4 (12%). 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 | 295 | $73,628 | -18% | $16,903 |
| 291 Heart Failure and Shock with MCC | 145 | $54,893 | -3% | $11,359 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $58,368 | -17% | $15,498 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 51 | $139,061 | -39% | $38,644 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $46,205 | -6% | $10,153 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $67,291 | -8% | $14,016 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $60,439 | +1% | $11,190 |
| 683 Renal Failure with CC | 36 | $38,097 | -6% | $7,878 |
| 682 Renal Failure with MCC | 31 | $57,685 | -13% | $12,244 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $47,589 | -21% | $11,094 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $45,049 | -19% | $9,328 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $37,605 | -26% | $9,460 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $83,660 | +10% | $13,264 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $33,611 | -11% | $8,282 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $106,521 | -7% | $15,114 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $36,109 | -10% | $7,125 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $77,388 | -23% | $18,830 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $44,604 | -13% | $10,072 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $99,324 | +1% | $18,343 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $92,606 | -18% | $17,016 |
| 603 Cellulitis without MCC | 17 | $31,712 | -15% | $7,801 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $63,713 | -36% | $16,818 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $145,146 | -11% | $22,959 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $51,135 | -11% | $10,525 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $81,314 | -14% | $17,018 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $127,729 | -19% | $27,593 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $106,921 | -14% | $23,574 |
| 552 Medical Back Problems without MCC | 13 | $40,565 | -17% | $9,453 |
| 637 Diabetes with MCC | 13 | $49,494 | -26% | $13,864 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $31,997 | -33% | $8,706 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $39,552 | +10% | $6,832 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $76,454 | -25% | $17,200 |
| 312 Syncope and Collapse | 11 | $43,877 | -4% | $7,827 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $46,185 | -24% | $10,704 |
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner Estrella Medical Center charged $73,628 on average, 16% less than the Arizona average of $87,638, and was paid $16,903 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Banner Estrella Medical Center charged $54,893 on average, 8% less than the Arizona average of $59,877, and was paid $11,359 against a state average of $11,479. For Respiratory Infections and Inflammations with MCC (DRG 177), Banner Estrella Medical Center charged $58,368 on average, 18% less than the Arizona average of $70,869, and was paid $15,498 against a state average of $14,917. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Banner Estrella Medical Center charged $139,061 on average, 34% less than the Arizona average of $212,216, and was paid $38,644 against a state average of $44,059. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,793 was 22% below the state average of $24,129. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $26,216 was 10% below the state average of $29,259. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $32,918 was 15% below the state average of $38,787. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $43,954 was 11% below the state average of $49,210.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Estrella Medical Center in Phoenix, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-11-16 (CMS case 1999)
- Closure Notice — 2024-03-08 (CMS case 1999)
- Met Requirements — 2025-07-24 (CMS case 5938)
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.