Other digestive system operating room procedures with complications in Arizona
What 2 hospitals in Arizona charged and were paid for a Medicare hospital stay for other digestive system operating room procedures with complications (DRG 357), from 2024 Medicare claims.
Average charge
$109,664
Hospital list price billed
Average payment
$19,879
Medicare + patient + other payers
Medicare paid
$16,496
Average per stay
Volume
25
Medicare hospital stays
Hospitals in Arizona billed an average of $109,664 for other digestive system operating room procedures with complications, about 5.5 times the average total payment of $19,879. That payment is 12% below the U.S. average of $22,570.
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 $19,879Billed $109,664
About 18¢ 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: other digestive system operating room 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 |
|---|---|---|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 13 | $155,507 | $16,067 | $14,727 |
| Mayo Clinic HospitalPhoenix | 12 | $60,002 | $24,008 | $18,412 |
Other digestive system operating room procedures with complications in other states
Questions
How much does other digestive system operating room procedures with complications cost in Arizona?
In 2024 Medicare data, a hospital stay for other digestive system operating room procedures with complications (DRG 357) at 2 hospitals in Arizona was billed at $109,664 on average, while the average total payment was $19,879, of which Medicare paid $16,496. 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 5.5 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.