facebook tracking Biopsies of musculoskeletal system and connective tissue with major complications cost in Arizona: 1 hospitals compared (DRG 477)

Biopsies of musculoskeletal system and connective tissue with major complications in Arizona

What 1 hospital in Arizona charged and were paid for a Medicare hospital stay for biopsies of musculoskeletal system and connective tissue with major complications (DRG 477), from 2024 Medicare claims.

DRG 477 Inpatient 2024 Medicare data
Average charge $95,856 Hospital list price billed
Average payment $39,480 Medicare + patient + other payers
Medicare paid $30,496 Average per stay
Volume 13 Medicare hospital stays

Hospitals in Arizona billed an average of $95,856 for biopsies of musculoskeletal system and connective tissue with major complications, about 2.4 times the average total payment of $39,480. That payment is 4% above the U.S. average of $38,036.

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 $39,480Billed $95,856

About 41¢ was paid for every $1 hospitals in Arizona billed for this stay.

Arizona hospitals: biopsies of musculoskeletal system and connective tissue with major 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
Mayo Clinic HospitalPhoenix 13 $95,856 $39,480 $30,496
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Biopsies of musculoskeletal system and connective tissue with major complications in other states

Questions

How much does biopsies of musculoskeletal system and connective tissue with major complications cost in Arizona?

In 2024 Medicare data, a hospital stay for biopsies of musculoskeletal system and connective tissue with major complications (DRG 477) at 1 hospital in Arizona was billed at $95,856 on average, while the average total payment was $39,480, of which Medicare paid $30,496. 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 2.4 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.