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Pulmonary embolism with major complications or acute cor pulmonale in Arizona

What 27 hospitals in Arizona charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $69,207 Hospital list price billed
Average payment $13,077 Medicare + patient + other payers
Medicare paid $10,678 Average per stay
State rank #29 of 48 1 = lowest average payment

Hospitals in Arizona billed an average of $69,207 for pulmonary embolism with major complications or acute cor pulmonale, about 5.3 times the average total payment of $13,077. That payment is 3% below the U.S. average of $13,466.

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 $13,077Billed $69,207

About 19¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 57 $74,064 $20,757 $13,217
Chandler Regional Medical CenterChandler 50 $71,705 $10,360 $9,140
Tucson Medical CenterTucson 35 $43,224 $11,351 $10,132
Yavapai Regional Medical CenterPrescott 35 $49,088 $12,092 $10,796
Banner Boswell Medical CenterSun City 32 $52,089 $10,723 $8,790
Banner del E Webb Medical CenterSun City West 29 $55,878 $10,302 $9,116
University Medical CenterTucson 27 $70,001 $17,544 $12,859
Northwest Medical CenterTucson 22 $74,752 $10,386 $8,985
Flagstaff Medical CenterFlagstaff 21 $59,402 $19,115 $16,196
John C Lincoln North Mountain HospitalPhoenix 19 $102,816 $11,364 $9,961
Scottsdale Healthcare-Shea Medical CenterScottsdale 18 $89,785 $10,052 $8,576
Mercy Gilbert Medical CenterGilbert 18 $93,602 $10,847 $10,121
Yuma Regional Medical CenterYuma 17 $45,985 $12,183 $10,697
St Joseph's Hospital and Medical CenterPhoenix 16 $76,271 $17,078 $11,816
Havasu Regional Medical CenterLake Havasu City 16 $101,587 $10,872 $9,546
West Valley HospitalGoodyear 16 $100,206 $12,439 $11,299
Banner Gateway Medical CenterGilbert 16 $50,380 $10,799 $9,677
Scottsdale Healthcare-Thompson Peak HospitalScottsdale 16 $71,535 $12,684 $9,284
Sierra Vista Regional Health Center INCSierra Vista 15 $45,044 $13,905 $12,487
Summit Healthcare Regional Medical CenterShow Low 15 $35,922 $14,252 $12,729
Oro Valley HospitalOro Valley 15 $80,312 $9,513 $8,412
Banner - University Medical Center PhoenixPhoenix 14 $82,482 $16,073 $11,690
John C Lincoln Deer Valley HospitalPhoenix 14 $106,560 $11,020 $9,825
Kingman Regional Medical CenterKingman 12 $94,251 $12,989 $11,171
Banner Desert Medical CenterMesa 11 $52,575 $11,381 $10,471
Arrowhead HospitalGlendale 11 $113,087 $12,154 $10,590
Banner Heart HospitalMesa 11 $39,991 $10,116 $8,483
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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.

Lowest

Oro Valley HospitalOro Valley, AZ$9,513
Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ$10,052
Banner Heart HospitalMesa, AZ$10,116
Banner del E Webb Medical CenterSun City West, AZ$10,302
Chandler Regional Medical CenterChandler, AZ$10,360

Highest

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Arizona?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 27 hospitals in Arizona was billed at $69,207 on average, while the average total payment was $13,077, of which Medicare paid $10,678. 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 5.3 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.