Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Arizona
What 48 hospitals in Arizona charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$38,468
Hospital list price billed
Average allowed
$3,391
Medicare's payment + patient's share
Medicare paid
$2,690
Average per service
State rank
#35 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $38,468 for level 1 abdominal/peritoneal/biliary and related procedures, about 11.3 times the average medicare-allowed amount of $3,391. That payment is 2% above the U.S. average of $3,323.
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 $3,391Billed $38,468
About 9¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 154 | $21,361 | $3,356 | $2,670 |
| Yavapai Regional Medical CenterPrescott | 107 | $13,705 | $3,559 | $2,820 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 71 | $43,814 | $3,336 | $2,650 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 69 | $45,749 | $3,374 | $2,684 |
| Carondelet St Marys HospitalTucson | 59 | $77,845 | $3,289 | $2,603 |
| Banner Baywood Medical CenterMesa | 57 | $34,638 | $3,279 | $2,588 |
| Summit Healthcare Regional Medical CenterShow Low | 54 | $16,650 | $3,613 | $2,871 |
| Banner del E Webb Medical CenterSun City West | 54 | $47,943 | $3,324 | $2,630 |
| Havasu Regional Medical CenterLake Havasu City | 53 | $49,291 | $3,632 | $2,868 |
| University Medical CenterTucson | 48 | $22,624 | $3,340 | $2,653 |
| Arrowhead HospitalGlendale | 46 | $61,017 | $3,327 | $2,641 |
| Banner Boswell Medical CenterSun City | 43 | $33,723 | $3,374 | $2,677 |
| Banner Gateway Medical CenterGilbert | 41 | $23,404 | $3,374 | $2,685 |
| Tucson Medical CenterTucson | 40 | $14,713 | $3,374 | $2,688 |
| Banner Desert Medical CenterMesa | 40 | $26,925 | $3,306 | $2,621 |
| Verde Valley Medical CenterCottonwood | 38 | $18,949 | $3,613 | $2,879 |
| Flagstaff Medical CenterFlagstaff | 37 | $13,516 | $3,535 | $2,798 |
| Yuma Regional Medical CenterYuma | 35 | $36,251 | $3,613 | $2,877 |
| Northwest Medical CenterTucson | 33 | $63,359 | $3,374 | $2,678 |
| Western Arizona Regional Medical CtrBullhead City | 32 | $86,160 | $3,206 | $2,518 |
| St Joseph's Hospital and Medical CenterPhoenix | 30 | $66,256 | $3,374 | $2,687 |
| Chandler Regional Medical CenterChandler | 28 | $37,994 | $3,278 | $2,584 |
| Mercy Gilbert Medical CenterGilbert | 28 | $45,596 | $3,374 | $2,684 |
| Banner Thunderbird Medical CenterGlendale | 27 | $38,241 | $3,174 | $2,489 |
| Banner Estrella Medical CenterPhoenix | 25 | $27,126 | $3,374 | $2,680 |
| Banner-University Medical Center South CampusTucson | 23 | $19,811 | $3,287 | $2,601 |
| Northwest Medical Center SahuaritaSahuarita | 22 | $72,412 | $3,251 | $2,566 |
| Banner - University Medical Center PhoenixPhoenix | 21 | $35,486 | $3,118 | $2,432 |
| Kingman Regional Medical CenterKingman | 21 | $57,786 | $3,374 | $2,688 |
| Oro Valley HospitalOro Valley | 21 | $59,104 | $3,374 | $2,686 |
| Carondelet St Josephs HospitalTucson | 17 | $108,575 | $3,243 | $2,557 |
| John C Lincoln Deer Valley HospitalPhoenix | 15 | $42,140 | $3,374 | $2,679 |
| Casa Grande Regional Medical CenterCasa Grande | 14 | $37,760 | $3,613 | $2,872 |
| John C Lincoln North Mountain HospitalPhoenix | 13 | $40,901 | $3,374 | $2,688 |
| Sierra Vista Regional Health Center INCSierra Vista | 13 | $56,941 | $3,613 | $2,879 |
| West Valley HospitalGoodyear | 13 | $61,773 | $3,374 | $2,688 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 13 | $39,133 | $3,374 | $2,688 |
| Banner Ironwood Medical CenterQueen Creek | 12 | $46,539 | $3,374 | $2,688 |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| Abrazo Central CampusPhoenix | – | – | – | – |
| St Lukes Medical CenterPhoenix | – | – | – | – |
| Abrazo Scottsdale CampusPhoenix | – | – | – | – |
| Valley View Medical CenterFort Mohave | – | – | – | – |
| Honorhealth Four Peaks Medical CenterMesa | – | – | – | – |
| City of Hope Cancer Center PhoenixGoodyear | – | – | – | – |
| Dignity Health Arizona General HospitalMesa | – | – | – | – |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | – | – | – | – |
| Banner Ocotillo Medical CenterChandler | – | – | – | – |
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
| Banner - University Medical Center PhoenixPhoenix, AZ | $3,118 |
|---|---|
| Banner Thunderbird Medical CenterGlendale, AZ | $3,174 |
| Western Arizona Regional Medical CtrBullhead City, AZ | $3,206 |
| Carondelet St Josephs HospitalTucson, AZ | $3,243 |
| Northwest Medical Center SahuaritaSahuarita, AZ | $3,251 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $3,632 |
|---|---|
| Summit Healthcare Regional Medical CenterShow Low, AZ | $3,613 |
| Casa Grande Regional Medical CenterCasa Grande, AZ | $3,613 |
| Yuma Regional Medical CenterYuma, AZ | $3,613 |
| Verde Valley Medical CenterCottonwood, AZ | $3,613 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Arizona?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 48 hospitals in Arizona was billed at $38,468 on average, while the average medicare-allowed amount was $3,391, of which Medicare paid $2,690. 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 11.3 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.