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Banner Del E. Webb Medical Center

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Price Transparency Compliant

Partial

1. Is your institution located in any state of the United States of America, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands?
✗ No

2. Is your institution licensed as a hospital or approved as meeting the standards established for such licensing?
🗸 Yes

3. Is your institution federally owned or operated? This includes but is not limited to: facilities operated by the U.S. Department of Veterans Affairs, Military Treatment Facilities operated by the U.S. Department of Defense, and hospitals operated by an Indian Health Program.
✗ no

4. Has your hospital posted a file of all hospital standard charges for all items and services?
🗸 Yes

5. Is the file specific to the hospital location operating under a single hospital license (or approval)? Note: A separate file must be posted for each hospital if there are multiple hospitals operating under a single hospital license with different sets of standard charges.
🗸 Yes

6. Does the file clearly indicate the hospital location?
✗ No

7. Is the file a single digital file?
🗸 Yes

8. Is the file in a machine-readable format (e.g., .XML, JSON, .CSV)?
🗸 Yes

9. Does the file meet the CMS-specified file naming convention, specifically: __standard charges.[json|xml|csv]?
✗ No

10. Does the file include all individual items and services (including service packages) provided by hospital?
✗ No

11. Does the file include a description for the items and services provided by the hospital?
🗸 Yes

12. Does the file include the gross charge for the items and services provided by the hospital?
🗸 Yes

13. Does the file include the payer-specific negotiated charges with name of the third-party payer and plan clearly associated for the items and services provided by the hospital?
🗸 Yes

14. Does the file include the de-identified minimum negotiated charge for the items and services provided by the hospital?
✗ No

15. Does the file include the de-identified maximum negotiated charge for the items and services provided by the hospital?
✗ No

16. Does the file include the discounted cash price for the items and services provided by the hospital?
✗ No

17. Does the file separately list the inpatient setting and outpatient department setting, as applicable, for the items and services provided by the hospital?
🗸 Yes

18. Does the file include any code used by the hospital for purposes of accounting or billing for the items and services provided by the hospital?
🗸 Yes

19. Is the file posted on a publicly available website in a prominent manner?
🗸 Yes

20. Is the file information digitally searchable? Is the file available free of charge?
🗸 Yes

21. Is the file accessible without having to register or establish a user account or password?
🗸 Yes

22. Can the file be accessed without submitting personally identifiable information (PII)?
🗸 Yes

23. Has the standard charge information in the file been updated within the past 12 months?
🗸 Yes

24. Is the date the information was last updated clearly indicated?
🗸 Yes

25. Has your hospital posted a display of standard charges for a set of shoppable services?
🗸 Yes

26. Is the display specific to the hospital location operating under a single hospital license (or approval)? Note: A separate display must be posted for each hospital if there are multiple hospitals operating under a single hospital license with different sets of standard charges.
🗸 Yes

27. Does the display clearly identify the hospital location?
🗸 Yes

28. Does the display include the 70 CMS-specified shoppable services? If your hospital does not offer one or more of the 70 CMS-specified shoppable services, does the display clearly indicate that? Does the display include additional hospital-selected shoppable services for a combined total of at least 300 shoppable services? Note: If your hospital offers less than 300 shoppable services in total, include as many as are offered.
🗸 Yes

29. Did your hospital select the additional shoppable services based on the utilization or billing rate of the services in the past year?
✗ No

30. Does the display include a plain-language description of each shoppable service?
🗸 Yes

31. Does the display include the payer-specific negotiated charge with the name of the third party payer and plan clearly associated for each shoppable service?
✗ No

32. Does the display include the de-identified minimum negotiated charge for each shoppable service?
🗸 Yes

33. Does the display include the de-identified maximum negotiated charge for each shoppable service?
🗸 Yes

34. Does the display include the discounted cash price for each shoppable service? Note: If the hospital does not offer a discounted cash price, then the undiscounted gross charge should be listed. Is each standard charge for each shoppable service grouped together with charges for associated ancillary services, as applicable?
✗ No

35. Does the display include any primary code used by the hospital for purposes of accounting or billing for the shoppable service?
🗸 Yes

36. Does the display list the location where the shoppable service is provided?
✗ No

37. Is the display posted on a publicly available website in a prominent manner?
🗸 Yes

38. Is the display available free of charge?
🗸 Yes

39. Is the display accessible without having to register or establish a user account or password?
🗸 Yes

40. Can the display be accessed without submitting personally identifiable information (PII)?
🗸 Yes

41. Is the display searchable by service description, billing code, and payer?
🗸 Yes

42. Has the standard charge information in the display been updated within the past 12 months?
🗸 Yes

43. Is the date the information was last updated clearly indicated?
🗸 Yes

44. Does the tool allow healthcare consumers to, at the time they use the tool, obtain an estimate of the amount they will be obligated to pay the hospital for the shoppable service?
🗸 Yes

45. Does the tool provide estimates for as many of the 70 CMS-specified shoppable services that are provided by the hospital?
🗸 Yes

46. Does the tool provide additional hospital-selected shoppable services as is necessary for a combined total of at least 300 shoppable services?
🗸 Yes

47. Accessibility Is the tool prominently displayed on your hospital’s website?
🗸 Yes

48. Is the tool accessible to the public without charge?
🗸 Yes

49. Is the tool accessible without having to register or establish a user account or password?
🗸 Yes