Simple pneumonia and pleurisy with complications in Arizona
What 26 hospitals in Arizona charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$38,812
Hospital list price billed
Average payment
$7,732
Medicare + patient + other payers
Medicare paid
$5,616
Average per stay
State rank
#29 of 47
1 = lowest average payment
Hospitals in Arizona billed an average of $38,812 for simple pneumonia and pleurisy with complications, about 5.0 times the average total payment of $7,732. That payment is 3% below the U.S. average of $7,941.
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 $7,732Billed $38,812
About 20¢ 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: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 67 | $32,794 | $13,127 | $5,638 |
| Tucson Medical CenterTucson | 57 | $29,096 | $6,904 | $5,352 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 56 | $47,215 | $6,573 | $4,540 |
| Yavapai Regional Medical CenterPrescott | 51 | $31,086 | $7,649 | $5,651 |
| Banner Boswell Medical CenterSun City | 45 | $29,165 | $5,995 | $4,783 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 44 | $43,224 | $7,169 | $5,358 |
| Yuma Regional Medical CenterYuma | 35 | $39,401 | $7,204 | $6,002 |
| Chandler Regional Medical CenterChandler | 32 | $61,800 | $6,443 | $5,107 |
| Banner del E Webb Medical CenterSun City West | 31 | $26,136 | $6,179 | $4,913 |
| John C Lincoln North Mountain HospitalPhoenix | 30 | $55,380 | $6,830 | $5,511 |
| Mercy Gilbert Medical CenterGilbert | 30 | $56,265 | $6,752 | $5,062 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 29 | $49,972 | $7,086 | $5,268 |
| Dignity Health Arizona General HospitalMesa | 26 | $40,538 | $7,450 | $5,944 |
| Fort Defiance Indian HospitalFort Defiance | 23 | $17,886 | $10,503 | $9,368 |
| John C Lincoln Deer Valley HospitalPhoenix | 20 | $49,617 | $6,905 | $5,131 |
| Banner Thunderbird Medical CenterGlendale | 19 | $36,227 | $7,741 | $5,562 |
| Northwest Medical CenterTucson | 18 | $44,123 | $6,196 | $4,989 |
| Banner Desert Medical CenterMesa | 17 | $32,052 | $7,078 | $6,011 |
| Banner Baywood Medical CenterMesa | 16 | $29,840 | $6,206 | $4,950 |
| Whiteriver Phs Indian HospitalWhiteriver | 15 | $10,791 | $10,984 | $9,570 |
| Chinle Comprehensive Health Care FacilityChinle | 14 | $14,618 | $10,858 | $9,809 |
| Carondelet St Marys HospitalTucson | 12 | $58,790 | $6,478 | $5,118 |
| Valley View Medical CenterFort Mohave | 12 | $66,562 | $6,718 | $5,222 |
| Northwest Medical Center SahuaritaSahuarita | 12 | $46,500 | $6,665 | $5,441 |
| Banner - University Medical Center PhoenixPhoenix | 11 | $30,618 | $9,516 | $6,824 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 11 | $41,471 | $7,006 | $4,536 |
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
| Banner Boswell Medical CenterSun City, AZ | $5,995 |
|---|---|
| Banner del E Webb Medical CenterSun City West, AZ | $6,179 |
| Northwest Medical CenterTucson, AZ | $6,196 |
| Banner Baywood Medical CenterMesa, AZ | $6,206 |
| Chandler Regional Medical CenterChandler, AZ | $6,443 |
Highest
| Mayo Clinic HospitalPhoenix, AZ | $13,127 |
|---|---|
| Whiteriver Phs Indian HospitalWhiteriver, AZ | $10,984 |
| Chinle Comprehensive Health Care FacilityChinle, AZ | $10,858 |
| Fort Defiance Indian HospitalFort Defiance, AZ | $10,503 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $9,516 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Arizona?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 26 hospitals in Arizona was billed at $38,812 on average, while the average total payment was $7,732, of which Medicare paid $5,616. 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 5.0 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.