Pulmonary edema and respiratory failure in Arizona
What 37 hospitals in Arizona charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$59,343
Hospital list price billed
Average payment
$11,551
Medicare + patient + other payers
Medicare paid
$9,748
Average per stay
State rank
#29 of 50
1 = lowest average payment
Hospitals in Arizona billed an average of $59,343 for pulmonary edema and respiratory failure, about 5.1 times the average total payment of $11,551. That payment is 5% below the U.S. average of $12,197.
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 $11,551Billed $59,343
About 19¢ was paid for every $1 hospitals in Arizona billed for this stay.
Arizona hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Havasu Regional Medical CenterLake Havasu City | 107 | $98,496 | $10,227 | $8,662 |
| Tucson Medical CenterTucson | 90 | $43,363 | $10,171 | $8,845 |
| Chandler Regional Medical CenterChandler | 90 | $67,171 | $9,834 | $8,481 |
| Yavapai Regional Medical CenterPrescott | 88 | $40,464 | $10,867 | $9,137 |
| Sierra Vista Regional Health Center INCSierra Vista | 65 | $40,110 | $12,394 | $10,886 |
| Kingman Regional Medical CenterKingman | 62 | $58,217 | $10,966 | $9,149 |
| Yuma Regional Medical CenterYuma | 60 | $44,506 | $10,733 | $9,389 |
| Flagstaff Medical CenterFlagstaff | 59 | $50,394 | $16,282 | $14,336 |
| Mayo Clinic HospitalPhoenix | 49 | $64,455 | $16,983 | $11,011 |
| Mercy Gilbert Medical CenterGilbert | 49 | $81,325 | $9,713 | $8,606 |
| Banner del E Webb Medical CenterSun City West | 45 | $38,500 | $9,467 | $8,126 |
| John C Lincoln Deer Valley HospitalPhoenix | 42 | $89,101 | $9,863 | $8,215 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 41 | $80,092 | $10,051 | $8,612 |
| Banner Boswell Medical CenterSun City | 41 | $40,871 | $10,286 | $7,583 |
| Banner Thunderbird Medical CenterGlendale | 40 | $54,439 | $10,215 | $9,032 |
| St Joseph's Hospital and Medical CenterPhoenix | 37 | $65,671 | $14,686 | $11,076 |
| Banner Baywood Medical CenterMesa | 34 | $47,516 | $10,014 | $7,552 |
| Summit Healthcare Regional Medical CenterShow Low | 32 | $24,947 | $12,550 | $11,173 |
| University Medical CenterTucson | 31 | $43,050 | $15,164 | $11,376 |
| Banner Desert Medical CenterMesa | 31 | $57,970 | $10,182 | $9,065 |
| John C Lincoln North Mountain HospitalPhoenix | 28 | $101,632 | $10,055 | $8,936 |
| Verde Valley Medical CenterCottonwood | 27 | $58,949 | $14,104 | $12,658 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 26 | $92,210 | $11,154 | $8,904 |
| Fort Defiance Indian HospitalFort Defiance | 25 | $18,352 | $14,160 | $12,887 |
| West Valley HospitalGoodyear | 22 | $74,683 | $11,194 | $9,651 |
| Oro Valley HospitalOro Valley | 20 | $58,737 | $8,990 | $8,158 |
| Tuba City Indian Medical CtrTuba City | 18 | $8,930 | $15,951 | $14,863 |
| Carondelet St Marys HospitalTucson | 17 | $82,699 | $9,687 | $8,583 |
| Arrowhead HospitalGlendale | 17 | $79,989 | $10,789 | $9,041 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 17 | $56,470 | $10,770 | $9,077 |
| Chinle Comprehensive Health Care FacilityChinle | 16 | $33,357 | $15,230 | $14,108 |
| Banner Estrella Medical CenterPhoenix | 15 | $51,135 | $10,525 | $9,400 |
| Carondelet St Josephs HospitalTucson | 13 | $72,176 | $9,442 | $7,935 |
| Abrazo Scottsdale CampusPhoenix | 13 | $112,583 | $10,493 | $7,855 |
| Dignity Health Arizona General HospitalMesa | 12 | $66,339 | $10,559 | $9,199 |
| Valleywise Health Medical CenterPhoenix | 11 | $50,953 | $25,630 | $24,091 |
| Banner-University Medical Center South CampusTucson | 11 | $40,368 | $14,504 | $12,543 |
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 | $8,990 |
|---|---|
| Carondelet St Josephs HospitalTucson, AZ | $9,442 |
| Banner del E Webb Medical CenterSun City West, AZ | $9,467 |
| Carondelet St Marys HospitalTucson, AZ | $9,687 |
| Mercy Gilbert Medical CenterGilbert, AZ | $9,713 |
Highest
| Valleywise Health Medical CenterPhoenix, AZ | $25,630 |
|---|---|
| Mayo Clinic HospitalPhoenix, AZ | $16,983 |
| Flagstaff Medical CenterFlagstaff, AZ | $16,282 |
| Tuba City Indian Medical CtrTuba City, AZ | $15,951 |
| Chinle Comprehensive Health Care FacilityChinle, AZ | $15,230 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Arizona?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 37 hospitals in Arizona was billed at $59,343 on average, while the average total payment was $11,551, of which Medicare paid $9,748. 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 5.1 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.