facebook tracking Extracranial procedures with complications cost in Arizona: 4 hospitals compared (DRG 038)

Extracranial procedures with complications in Arizona

What 4 hospitals in Arizona charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $79,482 Hospital list price billed
Average payment $14,017 Medicare + patient + other payers
Medicare paid $11,831 Average per stay
State rank #15 of 29 1 = lowest average payment

Hospitals in Arizona billed an average of $79,482 for extracranial procedures with complications, about 5.7 times the average total payment of $14,017. That payment is 6% below the U.S. average of $14,903.

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 $14,017Billed $79,482

About 18¢ was paid for every $1 hospitals in Arizona billed for this stay.

Arizona hospitals: extracranial procedures with 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
Yavapai Regional Medical CenterPrescott 14 $64,518 $13,834 $12,172
Chandler Regional Medical CenterChandler 12 $128,138 $12,339 $10,827
Tucson Medical CenterTucson 11 $51,479 $13,107 $11,391
Mayo Clinic HospitalPhoenix 11 $73,450 $16,989 $12,934
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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$12,339
Tucson Medical CenterTucson, AZ$13,107
Yavapai Regional Medical CenterPrescott, AZ$13,834
Mayo Clinic HospitalPhoenix, AZ$16,989

Highest

Mayo Clinic HospitalPhoenix, AZ$16,989
Yavapai Regional Medical CenterPrescott, AZ$13,834
Tucson Medical CenterTucson, AZ$13,107
Chandler Regional Medical CenterChandler, AZ$12,339

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in Arizona?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 4 hospitals in Arizona was billed at $79,482 on average, while the average total payment was $14,017, of which Medicare paid $11,831. 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 5.7 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.