Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Arizona
What 11 hospitals in Arizona charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$57,350
Hospital list price billed
Average payment
$9,726
Medicare + patient + other payers
Medicare paid
$7,279
Average per stay
State rank
#15 of 34
1 = lowest average payment
Hospitals in Arizona billed an average of $57,350 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 5.9 times the average total payment of $9,726. That payment is 6% below the U.S. average of $10,379.
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 $9,726Billed $57,350
About 17¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy 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-Osborn Medical CenterScottsdale | 77 | $72,005 | $8,892 | $7,036 |
| John C Lincoln Deer Valley HospitalPhoenix | 57 | $66,330 | $8,175 | $6,986 |
| Mayo Clinic HospitalPhoenix | 45 | $47,010 | $17,803 | $9,217 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 42 | $41,817 | $9,066 | $7,106 |
| John C Lincoln North Mountain HospitalPhoenix | 36 | $70,924 | $8,428 | $6,854 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 31 | $49,005 | $7,717 | $6,331 |
| Chandler Regional Medical CenterChandler | 25 | $55,069 | $8,009 | $6,755 |
| Mercy Gilbert Medical CenterGilbert | 16 | $53,895 | $7,503 | $6,483 |
| Banner Desert Medical CenterMesa | 13 | $38,149 | $8,984 | $7,643 |
| Banner - University Medical Center PhoenixPhoenix | 11 | $49,302 | $12,273 | $9,184 |
| Tucson Medical CenterTucson | 11 | $29,888 | $8,470 | $7,324 |
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
| Mercy Gilbert Medical CenterGilbert, AZ | $7,503 |
|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $7,717 |
| Chandler Regional Medical CenterChandler, AZ | $8,009 |
| John C Lincoln Deer Valley HospitalPhoenix, AZ | $8,175 |
| John C Lincoln North Mountain HospitalPhoenix, AZ | $8,428 |
Highest
| Mayo Clinic HospitalPhoenix, AZ | $17,803 |
|---|---|
| Banner - University Medical Center PhoenixPhoenix, AZ | $12,273 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale, AZ | $9,066 |
| Banner Desert Medical CenterMesa, AZ | $8,984 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $8,892 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Arizona?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 11 hospitals in Arizona was billed at $57,350 on average, while the average total payment was $9,726, of which Medicare paid $7,279. 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 5.9 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.