Lower extremity and humerus procedures except hip, foot and femur with complications in Arizona
What 14 hospitals in Arizona charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$144,269
Hospital list price billed
Average payment
$20,611
Medicare + patient + other payers
Medicare paid
$18,264
Average per stay
State rank
#18 of 40
1 = lowest average payment
Hospitals in Arizona billed an average of $144,269 for lower extremity and humerus procedures except hip, foot and femur with complications, about 7.0 times the average total payment of $20,611. That payment is 10% below the U.S. average of $22,820.
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 $20,611Billed $144,269
About 14¢ 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: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| Banner Desert Medical CenterMesa | 25 | $111,809 | $18,569 | $17,381 |
| Chandler Regional Medical CenterChandler | 24 | $164,972 | $17,553 | $16,251 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 23 | $216,202 | $18,485 | $17,131 |
| John C Lincoln North Mountain HospitalPhoenix | 19 | $167,535 | $18,608 | $17,480 |
| Flagstaff Medical CenterFlagstaff | 18 | $78,827 | $31,016 | $29,746 |
| University Medical CenterTucson | 18 | $82,655 | $27,667 | $21,513 |
| John C Lincoln Deer Valley HospitalPhoenix | 18 | $178,015 | $20,827 | $14,391 |
| Carondelet St Josephs HospitalTucson | 16 | $291,836 | $18,448 | $15,528 |
| Yavapai Regional Medical CenterPrescott | 15 | $88,701 | $20,561 | $19,211 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 14 | $199,577 | $20,167 | $17,966 |
| Tucson Medical CenterTucson | 12 | $59,909 | $17,847 | $16,748 |
| St Joseph's Hospital and Medical CenterPhoenix | 12 | $102,327 | $24,966 | $20,701 |
| Oro Valley HospitalOro Valley | 12 | $123,511 | $16,743 | $15,371 |
| Banner del E Webb Medical CenterSun City West | 11 | $86,138 | $17,176 | $15,838 |
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
| Oro Valley HospitalOro Valley, AZ | $16,743 |
|---|---|
| Banner del E Webb Medical CenterSun City West, AZ | $17,176 |
| Chandler Regional Medical CenterChandler, AZ | $17,553 |
| Tucson Medical CenterTucson, AZ | $17,847 |
| Carondelet St Josephs HospitalTucson, AZ | $18,448 |
Highest
| Flagstaff Medical CenterFlagstaff, AZ | $31,016 |
|---|---|
| University Medical CenterTucson, AZ | $27,667 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $24,966 |
| John C Lincoln Deer Valley HospitalPhoenix, AZ | $20,827 |
| Yavapai Regional Medical CenterPrescott, AZ | $20,561 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Arizona?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 14 hospitals in Arizona was billed at $144,269 on average, while the average total payment was $20,611, of which Medicare paid $18,264. 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 7.0 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.