Complex GI Procedures in Arizona
What 37 hospitals in Arizona charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$27,845
Hospital list price billed
Average allowed
$4,962
Medicare's payment + patient's share
Medicare paid
$3,949
Average per service
State rank
#20 of 48
1 = lowest average payment
Hospitals in Arizona billed an average of $27,845 for complex gi procedures, about 5.6 times the average medicare-allowed amount of $4,962. That payment is 7% below the U.S. average of $5,364.
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 $4,962Billed $27,845
About 18¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: complex gi procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Arizona
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mayo Clinic HospitalPhoenix, AZ | $4,308 |
|---|---|
| John C Lincoln Deer Valley HospitalPhoenix, AZ | $4,464 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $4,644 |
| Chandler Regional Medical CenterChandler, AZ | $5,336 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $5,557 |
Highest
| Banner Gateway Medical CenterGilbert, AZ | $5,558 |
|---|---|
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $5,558 |
| Banner Boswell Medical CenterSun City, AZ | $5,557 |
| University Medical CenterTucson, AZ | $5,557 |
| Banner del E Webb Medical CenterSun City West, AZ | $5,557 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Arizona?
In 2024 Medicare data, complex gi procedures (APC 5331) at 37 hospitals in Arizona was billed at $27,845 on average, while the average medicare-allowed amount was $4,962, of which Medicare paid $3,949. 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 service 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 Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.