facebook tracking Major small and large bowel procedures without complications cost in Arizona: 14 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Arizona

What 14 hospitals in Arizona charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $100,821 Hospital list price billed
Average payment $15,258 Medicare + patient + other payers
Medicare paid $11,334 Average per stay
State rank #20 of 42 1 = lowest average payment

Hospitals in Arizona billed an average of $100,821 for major small and large bowel procedures without complications, about 6.6 times the average total payment of $15,258. That payment is 5% below the U.S. average of $16,035.

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 $15,258Billed $100,821

About 15¢ was paid for every $1 hospitals in Arizona billed for this stay.

Arizona hospitals: major small and large bowel procedures without 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
Tucson Medical CenterTucson 46 $59,457 $14,340 $10,919
Chandler Regional Medical CenterChandler 34 $125,892 $13,823 $10,761
Scottsdale Healthcare-Shea Medical CenterScottsdale 34 $136,893 $12,808 $10,599
Banner Desert Medical CenterMesa 32 $85,921 $17,373 $10,502
Banner - University Medical Center PhoenixPhoenix 29 $94,667 $16,276 $13,786
Mayo Clinic HospitalPhoenix 24 $71,830 $18,772 $12,661
Banner Boswell Medical CenterSun City 21 $73,130 $13,155 $10,110
Northwest Medical CenterTucson 19 $157,824 $13,171 $10,062
Banner Baywood Medical CenterMesa 15 $77,587 $14,453 $10,215
Yavapai Regional Medical CenterPrescott 14 $77,018 $17,064 $11,921
Arrowhead HospitalGlendale 14 $125,461 $14,195 $12,649
West Valley HospitalGoodyear 14 $146,275 $14,753 $13,060
St Joseph's Hospital and Medical CenterPhoenix 13 $113,623 $23,215 $12,460
Mercy Gilbert Medical CenterGilbert 13 $116,765 $13,878 $10,441
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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 small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Arizona?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 14 hospitals in Arizona was billed at $100,821 on average, while the average total payment was $15,258, of which Medicare paid $11,334. 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 6.6 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.