facebook tracking Fractures of hip and pelvis without major complications cost in Arizona: 12 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Arizona

What 12 hospitals in Arizona charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $41,761 Hospital list price billed
Average payment $6,201 Medicare + patient + other payers
Medicare paid $4,675 Average per stay
State rank #6 of 37 1 = lowest average payment

Hospitals in Arizona billed an average of $41,761 for fractures of hip and pelvis without major complications, about 6.7 times the average total payment of $6,201. That payment is 18% below the U.S. average of $7,596.

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 $6,201Billed $41,761

About 15¢ 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: fractures of hip and pelvis without 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
Chandler Regional Medical CenterChandler 29 $35,735 $5,736 $4,549
Yavapai Regional Medical CenterPrescott 19 $27,187 $6,842 $5,354
Oro Valley HospitalOro Valley 17 $44,003 $5,597 $4,144
Mercy Gilbert Medical CenterGilbert 15 $43,448 $5,963 $4,657
Tucson Medical CenterTucson 14 $28,334 $6,621 $5,096
Banner Desert Medical CenterMesa 14 $23,774 $6,843 $4,983
Northwest Medical CenterTucson 13 $53,552 $5,952 $4,766
Carondelet St Josephs HospitalTucson 12 $92,476 $5,953 $4,457
Banner Boswell Medical CenterSun City 12 $28,433 $5,343 $4,239
Banner del E Webb Medical CenterSun City West 12 $37,151 $5,546 $4,320
Scottsdale Healthcare-Shea Medical CenterScottsdale 11 $34,506 $7,087 $3,513
West Valley HospitalGoodyear 11 $74,604 $7,554 $5,907
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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 Boswell Medical CenterSun City, AZ$5,343
Banner del E Webb Medical CenterSun City West, AZ$5,546
Oro Valley HospitalOro Valley, AZ$5,597
Chandler Regional Medical CenterChandler, AZ$5,736
Northwest Medical CenterTucson, AZ$5,952

Highest

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Arizona?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 12 hospitals in Arizona was billed at $41,761 on average, while the average total payment was $6,201, of which Medicare paid $4,675. 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 6.7 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.