Extensive operating room procedures unrelated to principal diagnosis with major complications in Arizona
What 16 hospitals in Arizona charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$234,727
Hospital list price billed
Average payment
$47,277
Medicare + patient + other payers
Medicare paid
$40,566
Average per stay
State rank
#30 of 42
1 = lowest average payment
Hospitals in Arizona billed an average of $234,727 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.0 times the average total payment of $47,277. That payment is about the same as the U.S. average of $47,051.
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 $47,277Billed $234,727
About 20¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 43 | $189,200 | $62,925 | $48,081 |
| Chandler Regional Medical CenterChandler | 27 | $202,229 | $35,318 | $31,383 |
| Banner - University Medical Center PhoenixPhoenix | 25 | $233,870 | $52,048 | $38,471 |
| University Medical CenterTucson | 20 | $171,119 | $55,353 | $47,381 |
| St Joseph's Hospital and Medical CenterPhoenix | 19 | $334,082 | $59,612 | $46,696 |
| Banner Desert Medical CenterMesa | 19 | $241,769 | $39,695 | $38,710 |
| Flagstaff Medical CenterFlagstaff | 14 | $203,450 | $67,791 | $58,974 |
| Tucson Medical CenterTucson | 13 | $193,228 | $48,476 | $47,363 |
| Banner Boswell Medical CenterSun City | 13 | $241,282 | $35,901 | $34,582 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 13 | $299,971 | $36,237 | $34,919 |
| West Valley HospitalGoodyear | 13 | $384,034 | $37,278 | $34,452 |
| Yuma Regional Medical CenterYuma | 12 | $165,032 | $41,715 | $40,338 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 12 | $294,858 | $36,878 | $35,397 |
| Banner del E Webb Medical CenterSun City West | 12 | $111,584 | $35,418 | $28,634 |
| Arrowhead HospitalGlendale | 12 | $380,101 | $41,943 | $39,420 |
| Mercy Gilbert Medical CenterGilbert | 12 | $239,568 | $30,219 | $29,403 |
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
| Mercy Gilbert Medical CenterGilbert, AZ | $30,219 |
|---|---|
| Chandler Regional Medical CenterChandler, AZ | $35,318 |
| Banner del E Webb Medical CenterSun City West, AZ | $35,418 |
| Banner Boswell Medical CenterSun City, AZ | $35,901 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $36,237 |
Highest
| Flagstaff Medical CenterFlagstaff, AZ | $67,791 |
|---|---|
| Mayo Clinic HospitalPhoenix, AZ | $62,925 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $59,612 |
| University Medical CenterTucson, AZ | $55,353 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $52,048 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Arizona?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 16 hospitals in Arizona was billed at $234,727 on average, while the average total payment was $47,277, of which Medicare paid $40,566. 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 5.0 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.