Arizona / Banner Gateway Medical Center
CMS certification 030122 · Gilbert, AZ · 5 entries in CMS's price-transparency list
Banner Gateway Medical Center: charges and Medicare payments
Banner Gateway Medical Center reported 1,174 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 4.8 times what it was paid — mid-range in Arizona, number 30 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: 253 stays at an average charge of $75,867, 16% below the national average. It also billed 3,075 outpatient services, charging 7.82 times what Medicare paid.
- 1Medicare inpatient stays 1,174
- 2Charge ÷ paid, inpatient 4.8×
- 3Rank in AZ (highest ratio = 1) 30 of 53
- 4CMS price-transparency actions 5
Inpatient stays
For the 43 DRGs that can be compared with the national average, Banner Gateway Medical Center charged more than the national average in 4 (9%). 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 | 253 | $75,867 | -16% | $15,754 |
| 291 Heart Failure and Shock with MCC | 54 | $48,157 | -15% | $10,135 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 53 | $46,470 | -31% | $9,747 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $65,324 | -7% | $12,973 |
| 378 Gastrointestinal Hemorrhage with CC | 48 | $38,039 | -22% | $8,016 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $44,080 | -26% | $10,423 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 35 | $62,399 | -15% | $12,975 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $41,341 | -16% | $8,644 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $124,317 | -46% | $35,834 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $47,256 | -22% | $10,459 |
| 846 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 26 | $89,774 | -33% | $20,421 |
| 603 Cellulitis without MCC | 25 | $34,900 | -6% | $7,271 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $54,286 | -36% | $13,635 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $33,558 | -16% | $8,178 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $36,553 | -1% | $6,747 |
| 813 Coagulation Disorders | 21 | $67,254 | -16% | $12,279 |
| 834 Acute Leukemia with MCC | 21 | $271,640 | -5% | $48,353 |
| 840 Lymphoma and Non-Acute Leukemia with MCC | 21 | $130,674 | -16% | $24,506 |
| 329 Major Small and Large Bowel Procedures with MCC | 20 | $139,839 | -35% | $32,117 |
| 682 Renal Failure with MCC | 19 | $61,025 | -7% | $11,827 |
| 683 Renal Failure with CC | 19 | $50,329 | +24% | $7,362 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $32,792 | -31% | $8,238 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 18 | $71,072 | -25% | $15,469 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $26,439 | -30% | $6,596 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $50,380 | -23% | $10,799 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $114,252 | -4% | $18,296 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $39,780 | -22% | $8,908 |
| 837 Chemotherapy with Acute Leukemia As Secondary Diagnosis or... | 16 | $186,121 | -21% | $39,288 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 15 | $89,735 | -28% | $18,000 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $75,976 | -1% | $13,506 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $77,547 | -22% | $14,418 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $42,499 | -16% | $8,918 |
| 406 Pancreas, Liver and Shunt Procedures with CC | 13 | $124,317 | -23% | $22,060 |
| 165 Major Chest Procedures without CC/MCC | 12 | $116,544 | +13% | $14,568 |
| 180 Respiratory Neoplasms with MCC | 12 | $89,534 | +2% | $13,700 |
| 374 Digestive Malignancy with MCC | 12 | $69,620 | -31% | $16,458 |
| 389 Gastrointestinal Obstruction with CC | 12 | $36,284 | -7% | $7,450 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $63,821 | +5% | $10,242 |
| 809 Major Hematological and Immunological Diagnoses except... | 12 | $40,643 | -35% | $9,620 |
| 014 Allogeneic Bone Marrow Transplant | 11 | $393,502 | -32% | $92,408 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 11 | $41,266 | -13% | $8,248 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $69,115 | -26% | $12,871 |
| 862 Postoperative and Post-Traumatic Infections with MCC | 11 | $53,499 | -36% | $13,769 |
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner Gateway Medical Center charged $75,867 on average, 13% less than the Arizona average of $87,638, and was paid $15,754 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Banner Gateway Medical Center charged $48,157 on average, 20% less than the Arizona average of $59,877, and was paid $10,135 against a state average of $11,479. For Chemotherapy without Acute Leukemia As Secondary Diagnosis with CC (DRG 847), Banner Gateway Medical Center charged $46,470 on average, 1% more than the Arizona average of $46,201, and was paid $9,747 against a state average of $12,472. For Respiratory Infections and Inflammations with MCC (DRG 177), Banner Gateway Medical Center charged $65,324 on average, 8% less than the Arizona average of $70,869, and was paid $12,973 against a state average of $14,917. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,040 was 13% below the state average of $11,577. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,034 was 34% below the state average of $24,129. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,294 was 50% below the state average of $14,446. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $858 was 74% below the state average of $3,313.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Gateway Medical Center in Gilbert, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-05 (CMS case 551)
- Closure Notice — 2023-09-19 (CMS case 551)
- Met Requirements — 2025-04-08 (CMS case 3682)
- Warning Notice — 2026-04-30 (CMS case 7666)
- Closure Notice — 2026-05-08 (CMS case 7666)
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.