facebook tracking Pulmonary embolism without major complications cost in Arizona: 17 hospitals compared (DRG 176)

Pulmonary embolism without major complications in Arizona

What 17 hospitals in Arizona charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $43,455 Hospital list price billed
Average payment $7,196 Medicare + patient + other payers
Medicare paid $5,233 Average per stay
State rank #10 of 39 1 = lowest average payment

Hospitals in Arizona billed an average of $43,455 for pulmonary embolism without major complications, about 6.0 times the average total payment of $7,196. That payment is 13% below the U.S. average of $8,294.

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 $7,196Billed $43,455

About 17¢ 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 without major 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
Mayo Clinic HospitalPhoenix 30 $33,833 $10,461 $5,973
Tucson Medical CenterTucson 28 $27,939 $7,013 $5,133
Chandler Regional Medical CenterChandler 27 $50,956 $6,528 $5,306
Yavapai Regional Medical CenterPrescott 22 $36,313 $7,030 $5,447
Scottsdale Healthcare-Shea Medical CenterScottsdale 21 $51,915 $5,956 $4,387
Banner del E Webb Medical CenterSun City West 21 $34,779 $6,752 $4,468
John C Lincoln North Mountain HospitalPhoenix 19 $59,208 $7,079 $5,269
Scottsdale Healthcare-Osborn Medical CenterScottsdale 19 $49,171 $6,699 $5,519
Banner Boswell Medical CenterSun City 17 $44,289 $5,818 $5,030
Scottsdale Healthcare-Thompson Peak HospitalScottsdale 15 $38,679 $7,117 $5,262
Banner Baywood Medical CenterMesa 14 $41,812 $6,139 $4,704
St Joseph's Hospital and Medical CenterPhoenix 13 $41,688 $10,212 $7,236
Yuma Regional Medical CenterYuma 12 $34,190 $7,120 $5,382
Northwest Medical CenterTucson 12 $33,680 $6,124 $4,604
Arrowhead HospitalGlendale 12 $66,049 $7,025 $5,447
Mercy Gilbert Medical CenterGilbert 12 $47,195 $7,297 $4,672
Havasu Regional Medical CenterLake Havasu City 11 $69,830 $6,357 $4,873
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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.

Pulmonary embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in Arizona?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 17 hospitals in Arizona was billed at $43,455 on average, while the average total payment was $7,196, of which Medicare paid $5,233. 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 6.0 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.