Arizona / Banner - University Medical Center Phoenix
CMS certification 030002 · Phoenix, AZ · 4 entries in CMS's price-transparency list
Banner - University Medical Center Phoenix: charges and Medicare payments
Banner - University Medical Center Phoenix reported 2,417 Medicare inpatient stays across 96 DRGs in 2024. Across them it charged 4.38 times what it was paid — among the lower ratios in Arizona, number 38 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: 255 stays at an average charge of $93,671, 4% above the national average. It also billed 2,959 outpatient services, charging 7.18 times what Medicare paid.
- 1Medicare inpatient stays 2,417
- 2Charge ÷ paid, inpatient 4.38×
- 3Rank in AZ (highest ratio = 1) 38 of 53
- 4CMS price-transparency actions 4
Inpatient stays
For the 96 DRGs that can be compared with the national average, Banner - University Medical Center Phoenix charged more than the national average in 41 (43%). 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 | 255 | $93,671 | +4% | $22,093 |
| 291 Heart Failure and Shock with MCC | 121 | $65,009 | +15% | $16,015 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 86 | $229,638 | 0% | $53,936 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 77 | $189,551 | -33% | $51,107 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $55,727 | -7% | $15,393 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 56 | $111,087 | +11% | $23,442 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $92,764 | +22% | $19,001 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $75,889 | +8% | $19,177 |
| 682 Renal Failure with MCC | 45 | $51,565 | -22% | $16,049 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $84,455 | +15% | $19,682 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 40 | $203,382 | -12% | $50,516 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 38 | $389,811 | +37% | $72,514 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $48,642 | -1% | $11,680 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $139,131 | +24% | $26,883 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $70,756 | +27% | $11,712 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 35 | $414,230 | +4% | $93,639 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $229,235 | +4% | $48,876 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $85,577 | -15% | $19,699 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $70,328 | +17% | $16,350 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 29 | $252,444 | -9% | $54,501 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 29 | $94,667 | +10% | $16,276 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 28 | $154,376 | -2% | $30,352 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 28 | $62,100 | +31% | $14,329 |
| 683 Renal Failure with CC | 27 | $37,369 | -8% | $9,741 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $279,876 | -13% | $73,025 |
| 330 Major Small and Large Bowel Procedures with CC | 25 | $119,193 | 0% | $26,107 |
| 603 Cellulitis without MCC | 25 | $37,384 | 0% | $11,626 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 25 | $233,870 | +8% | $52,048 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $106,875 | +13% | $24,558 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $39,840 | -1% | $9,524 |
| 100 Seizures with MCC | 23 | $89,319 | -5% | $20,739 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 23 | $122,663 | +42% | $26,085 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $33,335 | -12% | $8,934 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $68,134 | -20% | $19,476 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 21 | $163,528 | +17% | $24,380 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $62,227 | +28% | $12,931 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 21 | $136,067 | +42% | $21,795 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $49,479 | -2% | $12,984 |
| 312 Syncope and Collapse | 20 | $48,456 | +6% | $10,631 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 19 | $187,892 | -11% | $44,381 |
| 460 Spinal Fusion except Cervical without MCC | 19 | $199,746 | +17% | $43,280 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 18 | $138,448 | -28% | $36,666 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $188,645 | +15% | $31,136 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $203,437 | -5% | $50,622 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $90,745 | -11% | $20,037 |
| 101 Seizures without MCC | 17 | $31,865 | -35% | $10,582 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 17 | $319,907 | +9% | $68,162 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $58,709 | +14% | $13,457 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 16 | $764,612 | -27% | $201,216 |
| 652 Kidney Transplant | 16 | $267,546 | -20% | $54,122 |
| 252 Other Vascular Procedures with MCC | 15 | $127,338 | -25% | $35,497 |
| 270 Other Major Cardiovascular Procedures with MCC | 15 | $246,325 | -5% | $51,601 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 15 | $233,728 | +9% | $39,236 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $66,477 | +4% | $12,044 |
| 405 Pancreas, Liver and Shunt Procedures with MCC | 15 | $276,636 | -4% | $68,531 |
| 466 Revision of Hip or Knee Replacement with MCC | 15 | $253,729 | +5% | $50,450 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 15 | $191,576 | +11% | $42,546 |
| 920 Complications of Treatment with CC | 15 | $37,724 | -24% | $13,006 |
| 153 Otitis Media and Uri without MCC | 14 | $14,810 | -61% | $8,005 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $82,482 | +27% | $16,073 |
Showing the 60 most frequent of 96 DRGs.
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner - University Medical Center Phoenix charged $93,671 on average, 7% more than the Arizona average of $87,638, and was paid $22,093 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Banner - University Medical Center Phoenix charged $65,009 on average, 9% more than the Arizona average of $59,877, and was paid $16,015 against a state average of $11,479. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Banner - University Medical Center Phoenix charged $229,638 on average, 8% more than the Arizona average of $212,216, and was paid $53,936 against a state average of $44,059. For Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with MCC O (DRG 023), Banner - University Medical Center Phoenix charged $189,551 on average, 31% less than the Arizona average of $276,181, and was paid $51,107 against a state average of $48,902. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,570 was 15% below the state average of $24,129. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $135,297 was 13% below the state average of $155,808. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,402 was 10% below the state average of $11,577. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,477 was 28% below the state average of $14,511.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner - University Medical Center Phoenix 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 — 2023-05-26 (CMS case 274)
- Closure Notice — 2023-09-15 (CMS case 274)
- Met Requirements — 2025-03-21 (CMS case 3338)
- Met Requirements — 2026-04-08 (CMS case 7407)
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.