facebook tracking Digestive malignancy with major complications cost in Arizona: 3 hospitals compared (DRG 374)

Digestive malignancy with major complications in Arizona

What 3 hospitals in Arizona charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.

DRG 374 Inpatient 2024 Medicare data
Average charge $70,446 Hospital list price billed
Average payment $26,844 Medicare + patient + other payers
Medicare paid $16,162 Average per stay
State rank #24 of 28 1 = lowest average payment

Hospitals in Arizona billed an average of $70,446 for digestive malignancy with major complications, about 2.6 times the average total payment of $26,844. That payment is 16% above the U.S. average of $23,203.

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 $26,844Billed $70,446

About 38¢ was paid for every $1 hospitals in Arizona billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Arizona:

Arizona hospitals: digestive malignancy 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 47 $65,555 $29,609 $14,990
University Medical CenterTucson 15 $86,432 $26,490 $20,465
Banner Gateway Medical CenterGilbert 12 $69,620 $16,458 $15,370
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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

Banner Gateway Medical CenterGilbert, AZ$16,458
University Medical CenterTucson, AZ$26,490
Mayo Clinic HospitalPhoenix, AZ$29,609

Highest

Mayo Clinic HospitalPhoenix, AZ$29,609
University Medical CenterTucson, AZ$26,490
Banner Gateway Medical CenterGilbert, AZ$16,458

Digestive malignancy with major complications in other states

Questions

How much does digestive malignancy with major complications cost in Arizona?

In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 3 hospitals in Arizona was billed at $70,446 on average, while the average total payment was $26,844, of which Medicare paid $16,162. 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 2.6 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.