Arizona / Banner Heart Hospital
CMS certification 030105 · Mesa, AZ · 1 entry in CMS's price-transparency list
Banner Heart Hospital: charges and Medicare payments
Banner Heart Hospital reported 1,302 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 5.42 times what it was paid — mid-range in Arizona, number 24 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 180 stays at an average charge of $41,106, 27% below the national average. It also billed 984 outpatient services, charging 7.21 times what Medicare paid.
- 1Medicare inpatient stays 1,302
- 2Charge ÷ paid, inpatient 5.42×
- 3Rank in AZ (highest ratio = 1) 24 of 53
- 4CMS price-transparency actions 1
Inpatient stays
For the 38 DRGs that can be compared with the national average, Banner Heart Hospital charged more than the national average in 2 (5%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 180 | $41,106 | -27% | $9,916 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 83 | $118,042 | -25% | $23,120 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 82 | $219,842 | -1% | $34,926 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 74 | $97,375 | -15% | $16,856 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 51 | $32,871 | -42% | $8,667 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $25,230 | -30% | $5,378 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 44 | $133,358 | -19% | $24,120 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 42 | $196,168 | +2% | $33,029 |
| 253 Other Vascular Procedures with CC | 41 | $109,526 | -17% | $21,353 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 39 | $18,797 | -35% | $4,249 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 38 | $76,221 | -18% | $14,248 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 37 | $185,321 | -12% | $33,015 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $50,895 | -20% | $7,839 |
| 039 Extracranial Procedures without CC/MCC | 33 | $55,141 | -14% | $8,971 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 32 | $78,954 | -30% | $15,625 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 32 | $59,664 | -34% | $13,701 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $55,374 | -27% | $11,488 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 30 | $85,387 | -23% | $16,385 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 29 | $113,368 | -29% | $24,253 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 29 | $276,261 | -3% | $44,213 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 27 | $42,852 | -15% | $7,636 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 26 | $73,610 | -17% | $14,724 |
| 271 Other Major Cardiovascular Procedures with CC | 21 | $151,011 | -13% | $27,843 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 19 | $205,064 | -24% | $38,444 |
| 216 Cardiac Valve and Other Major Cardiothoracic Procedures with... | 18 | $392,786 | -20% | $67,537 |
| 229 Other Cardiothoracic Procedures without MCC | 18 | $167,398 | +1% | $22,788 |
| 252 Other Vascular Procedures with MCC | 17 | $116,695 | -32% | $24,196 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 16 | $304,027 | -21% | $63,703 |
| 270 Other Major Cardiovascular Procedures with MCC | 16 | $203,576 | -21% | $36,998 |
| 215 Other Heart Assist System Implant | 15 | $383,523 | -18% | $71,269 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 15 | $225,332 | -18% | $37,626 |
| 254 Other Vascular Procedures without CC/MCC | 14 | $85,343 | -6% | $12,604 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $33,764 | -22% | $5,198 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 13 | $209,719 | -28% | $39,257 |
| 277 Cardiac Defibrillator Implant without MCC | 13 | $215,059 | -8% | $41,154 |
| 163 Major Chest Procedures with MCC | 12 | $158,061 | -25% | $33,017 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $39,991 | -39% | $10,116 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $184,436 | -19% | $34,027 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 248 | $28,968 | $3,146 |
| Level 3 Electrophysiologic Procedures | 199 | $145,975 | $22,559 |
| Level 3 Endovascular Procedures | 163 | $77,613 | $10,661 |
| Level 3 Pacemaker and Similar Procedures | 72 | $49,258 | $10,186 |
| Comprehensive Observation Services | 60 | $10,480 | $2,669 |
| Level 4 Endovascular Procedures | 57 | $101,902 | $16,521 |
| Level 3 Vascular Procedures | 43 | $22,723 | $3,108 |
| Level 2 Endovascular Procedures | 40 | $45,661 | $5,352 |
| Level 4 Vascular Procedures | 39 | $30,364 | $5,267 |
| Level 2 ICD and Similar Procedures | 32 | $138,045 | $31,983 |
| Level 4 Pacemaker and Similar Procedures | 31 | $92,303 | $18,956 |
Against the Arizona average
For Heart Failure and Shock with MCC (DRG 291), Banner Heart Hospital charged $41,106 on average, 31% less than the Arizona average of $59,877, and was paid $9,916 against a state average of $11,479. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Banner Heart Hospital charged $118,042 on average, 28% less than the Arizona average of $164,794, and was paid $23,120 against a state average of $26,205. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Banner Heart Hospital charged $219,842 on average, 18% less than the Arizona average of $268,357, and was paid $34,926 against a state average of $40,640. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Banner Heart Hospital charged $97,375 on average, 29% less than the Arizona average of $136,652, and was paid $16,856 against a state average of $17,624. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,968 was 15% below the state average of $34,042. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $145,975 was 6% below the state average of $155,808. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $77,613 was 14% below the state average of $90,095. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $49,258 was 26% below the state average of $66,331.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Heart Hospital 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 — 2025-04-09 (CMS case 3678)
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.