facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Arizona: 10 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Arizona

What 10 hospitals in Arizona charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $441,915 Hospital list price billed
Average payment $78,607 Medicare + patient + other payers
Medicare paid $68,872 Average per stay
State rank #21 of 37 1 = lowest average payment

Hospitals in Arizona billed an average of $441,915 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.6 times the average total payment of $78,607. That payment is 6% below the U.S. average of $83,705.

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 $78,607Billed $441,915

About 18¢ 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: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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 59 $286,152 $91,211 $72,538
Banner - University Medical Center PhoenixPhoenix 35 $414,230 $93,639 $79,626
Scottsdale Healthcare-Shea Medical CenterScottsdale 35 $629,838 $75,827 $65,966
Havasu Regional Medical CenterLake Havasu City 23 $574,412 $64,264 $62,916
University Medical CenterTucson 21 $316,494 $82,331 $75,787
Banner Boswell Medical CenterSun City 17 $352,633 $59,468 $58,149
Arrowhead HospitalGlendale 16 $897,246 $67,390 $64,943
Tucson Medical CenterTucson 15 $301,447 $72,765 $65,157
Chandler Regional Medical CenterChandler 14 $474,130 $56,180 $54,635
St Joseph's Hospital and Medical CenterPhoenix 12 $363,300 $77,403 $68,944
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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

Chandler Regional Medical CenterChandler, AZ$56,180
Banner Boswell Medical CenterSun City, AZ$59,468
Havasu Regional Medical CenterLake Havasu City, AZ$64,264
Arrowhead HospitalGlendale, AZ$67,390
Tucson Medical CenterTucson, AZ$72,765

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Arizona?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 10 hospitals in Arizona was billed at $441,915 on average, while the average total payment was $78,607, of which Medicare paid $68,872. 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 5.6 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.