Simple pneumonia and pleurisy with major complications in Arizona
What 49 hospitals in Arizona charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$59,733
Hospital list price billed
Average payment
$11,725
Medicare + patient + other payers
Medicare paid
$9,809
Average per stay
State rank
#31 of 50
1 = lowest average payment
Hospitals in Arizona billed an average of $59,733 for simple pneumonia and pleurisy with major complications, about 5.1 times the average total payment of $11,725. That payment is 2% below the U.S. average of $12,020.
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 $11,725Billed $59,733
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 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 |
|---|---|---|---|---|
| Yavapai Regional Medical CenterPrescott | 172 | $46,920 | $11,680 | $10,186 |
| Banner Boswell Medical CenterSun City | 131 | $51,595 | $10,039 | $8,622 |
| Tucson Medical CenterTucson | 130 | $40,632 | $10,984 | $9,437 |
| Mayo Clinic HospitalPhoenix | 123 | $43,985 | $17,318 | $10,074 |
| Banner Baywood Medical CenterMesa | 121 | $45,269 | $10,136 | $8,485 |
| Chandler Regional Medical CenterChandler | 120 | $72,102 | $10,047 | $8,940 |
| Mercy Gilbert Medical CenterGilbert | 112 | $76,262 | $9,932 | $8,665 |
| Kingman Regional Medical CenterKingman | 104 | $66,719 | $12,160 | $10,559 |
| Banner del E Webb Medical CenterSun City West | 100 | $43,902 | $10,238 | $8,518 |
| Yuma Regional Medical CenterYuma | 99 | $48,027 | $11,319 | $9,894 |
| Sierra Vista Regional Health Center INCSierra Vista | 84 | $41,967 | $13,315 | $11,813 |
| Banner Desert Medical CenterMesa | 81 | $47,104 | $11,071 | $9,276 |
| Flagstaff Medical CenterFlagstaff | 79 | $52,005 | $17,394 | $15,876 |
| Banner Thunderbird Medical CenterGlendale | 79 | $42,700 | $11,033 | $9,370 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 67 | $74,748 | $9,680 | $8,463 |
| Northwest Medical CenterTucson | 66 | $72,025 | $9,854 | $8,393 |
| Northwest Medical Center SahuaritaSahuarita | 65 | $67,574 | $10,998 | $9,359 |
| Western Arizona Regional Medical CtrBullhead City | 64 | $108,556 | $9,963 | $8,518 |
| Banner - University Medical Center PhoenixPhoenix | 57 | $55,727 | $15,393 | $11,184 |
| Oro Valley HospitalOro Valley | 57 | $73,534 | $9,710 | $7,892 |
| Arrowhead HospitalGlendale | 56 | $101,032 | $10,968 | $9,382 |
| West Valley HospitalGoodyear | 56 | $81,500 | $11,817 | $9,877 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 54 | $72,164 | $10,688 | $9,369 |
| Verde Valley Medical CenterCottonwood | 51 | $72,548 | $15,208 | $13,624 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 51 | $77,555 | $11,625 | $9,417 |
| John C Lincoln Deer Valley HospitalPhoenix | 50 | $79,423 | $10,338 | $8,882 |
| St Joseph's Hospital and Medical CenterPhoenix | 47 | $53,088 | $15,105 | $11,438 |
| Banner Gateway Medical CenterGilbert | 46 | $44,080 | $10,423 | $9,059 |
| John C Lincoln North Mountain HospitalPhoenix | 42 | $85,526 | $11,079 | $9,290 |
| Summit Healthcare Regional Medical CenterShow Low | 38 | $30,029 | $13,445 | $12,200 |
| Dignity Health Arizona General HospitalMesa | 37 | $59,879 | $11,504 | $8,875 |
| University Medical CenterTucson | 36 | $42,304 | $16,827 | $12,444 |
| Banner Estrella Medical CenterPhoenix | 36 | $60,439 | $11,190 | $9,727 |
| Havasu Regional Medical CenterLake Havasu City | 34 | $108,561 | $10,242 | $8,510 |
| Honorhealth Four Peaks Medical CenterMesa | 34 | $45,053 | $12,369 | $10,191 |
| Carondelet St Josephs HospitalTucson | 31 | $102,154 | $9,922 | $8,555 |
| Casa Grande Regional Medical CenterCasa Grande | 31 | $38,808 | $11,584 | $10,584 |
| Banner Ironwood Medical CenterQueen Creek | 29 | $39,420 | $10,279 | $8,986 |
| Carondelet St Marys HospitalTucson | 28 | $77,881 | $10,243 | $8,960 |
| Abrazo Central CampusPhoenix | 27 | $115,346 | $12,798 | $10,233 |
| Banner-University Medical Center South CampusTucson | 22 | $29,620 | $14,846 | $12,752 |
| Banner Ocotillo Medical CenterChandler | 22 | $42,574 | $9,729 | $8,323 |
| Abrazo Scottsdale CampusPhoenix | 21 | $125,399 | $10,650 | $8,511 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 21 | $48,681 | $9,381 | $8,294 |
| Banner Goldfield Medical CenterApache Junction | 17 | $28,198 | $9,394 | $8,052 |
| Chinle Comprehensive Health Care FacilityChinle | 16 | $20,014 | $16,213 | $14,785 |
| Valley View Medical CenterFort Mohave | 16 | $91,753 | $9,913 | $8,485 |
| Fort Defiance Indian HospitalFort Defiance | 14 | $17,939 | $15,280 | $13,998 |
| Tuba City Indian Medical CtrTuba City | 12 | $9,396 | $16,848 | $15,352 |
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
| Honorhealth Sonoran Crossing Medical CenterPhoenix, AZ | $9,381 |
|---|---|
| Banner Goldfield Medical CenterApache Junction, AZ | $9,394 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $9,680 |
| Oro Valley HospitalOro Valley, AZ | $9,710 |
| Banner Ocotillo Medical CenterChandler, AZ | $9,729 |
Highest
| Flagstaff Medical CenterFlagstaff, AZ | $17,394 |
|---|---|
| Mayo Clinic HospitalPhoenix, AZ | $17,318 |
| Tuba City Indian Medical CtrTuba City, AZ | $16,848 |
| University Medical CenterTucson, AZ | $16,827 |
| Chinle Comprehensive Health Care FacilityChinle, AZ | $16,213 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Arizona?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 49 hospitals in Arizona was billed at $59,733 on average, while the average total payment was $11,725, of which Medicare paid $9,809. 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.