facebook tracking Back and neck procedures except spinal fusion with complications cost in Arizona: 4 hospitals compared (DRG 519)

Back and neck procedures except spinal fusion with complications in Arizona

What 4 hospitals in Arizona charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.

DRG 519 Inpatient 2024 Medicare data
Average charge $138,528 Hospital list price billed
Average payment $20,673 Medicare + patient + other payers
Medicare paid $14,286 Average per stay
State rank #18 of 26 1 = lowest average payment

Hospitals in Arizona billed an average of $138,528 for back and neck procedures except spinal fusion with complications, about 6.7 times the average total payment of $20,673. That payment is about the same as the U.S. average of $20,542.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $20,673Billed $138,528

About 15¢ was paid for every $1 hospitals in Arizona billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Arizona:

Arizona hospitals: back and neck procedures except spinal fusion with complications

Every Arizona hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
St Joseph's Hospital and Medical CenterPhoenix 17 $131,974 $22,914 $16,530
Mayo Clinic HospitalPhoenix 17 $86,062 $27,259 $14,482
Chandler Regional Medical CenterChandler 14 $119,722 $14,565 $12,194
Carondelet St Josephs HospitalTucson 11 $253,676 $14,807 $13,175
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Lowest and highest payments in Arizona

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Back and neck procedures except spinal fusion with complications in other states

Questions

How much does back and neck procedures except spinal fusion with complications cost in Arizona?

In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 4 hospitals in Arizona was billed at $138,528 on average, while the average total payment was $20,673, of which Medicare paid $14,286. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Arizona, average charges were 6.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.