facebook tracking Major chest procedures with complications cost in Arizona: 11 hospitals compared (DRG 164)

Major chest procedures with complications in Arizona

What 11 hospitals in Arizona charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $136,089 Hospital list price billed
Average payment $25,119 Medicare + patient + other payers
Medicare paid $19,651 Average per stay
State rank #28 of 41 1 = lowest average payment

Hospitals in Arizona billed an average of $136,089 for major chest procedures with complications, about 5.4 times the average total payment of $25,119. That payment is 1% below the U.S. average of $25,501.

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 $25,119Billed $136,089

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

Arizona hospitals: major chest 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
Mayo Clinic HospitalPhoenix 115 $105,597 $30,602 $20,303
Northwest Medical CenterTucson 25 $222,727 $19,849 $18,567
Scottsdale Healthcare-Osborn Medical CenterScottsdale 23 $162,114 $16,736 $15,492
Chandler Regional Medical CenterChandler 18 $161,568 $20,377 $19,262
Banner Boswell Medical CenterSun City 17 $178,882 $17,778 $16,413
University Medical CenterTucson 17 $116,755 $27,887 $24,182
St Joseph's Hospital and Medical CenterPhoenix 14 $154,708 $27,247 $22,554
Scottsdale Healthcare-Shea Medical CenterScottsdale 14 $170,691 $18,728 $17,081
Tucson Medical CenterTucson 12 $112,182 $21,240 $19,645
Banner - University Medical Center PhoenixPhoenix 11 $107,716 $25,719 $22,005
City of Hope Cancer Center PhoenixGoodyear 11 $112,315 $21,185 $19,849
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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.

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Arizona?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 11 hospitals in Arizona was billed at $136,089 on average, while the average total payment was $25,119, of which Medicare paid $19,651. 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 5.4 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.