Simple pneumonia and pleurisy without complications in Arizona
What 4 hospitals in Arizona charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy without complications (DRG 195), from 2024 Medicare claims.
Average charge
$34,988
Hospital list price billed
Average payment
$5,842
Medicare + patient + other payers
Medicare paid
$4,354
Average per stay
State rank
#8 of 16
1 = lowest average payment
Hospitals in Arizona billed an average of $34,988 for simple pneumonia and pleurisy without complications, about 6.0 times the average total payment of $5,842. That payment is 3% below the U.S. average of $6,019.
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 $5,842Billed $34,988
About 17¢ 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 without 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 |
|---|---|---|---|---|
| Chinle Comprehensive Health Care FacilityChinle | 18 | $10,805 | $8,767 | $7,317 |
| Yavapai Regional Medical CenterPrescott | 16 | $29,031 | $5,409 | $4,062 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 16 | $30,812 | $4,526 | $2,886 |
| Exceptional Community Hospital YumaYuma | 15 | $74,817 | $4,197 | $2,676 |
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
| Exceptional Community Hospital YumaYuma, AZ | $4,197 |
|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $4,526 |
| Yavapai Regional Medical CenterPrescott, AZ | $5,409 |
| Chinle Comprehensive Health Care FacilityChinle, AZ | $8,767 |
Highest
| Chinle Comprehensive Health Care FacilityChinle, AZ | $8,767 |
|---|---|
| Yavapai Regional Medical CenterPrescott, AZ | $5,409 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $4,526 |
| Exceptional Community Hospital YumaYuma, AZ | $4,197 |
Simple pneumonia and pleurisy without complications in other states
Questions
How much does simple pneumonia and pleurisy without complications cost in Arizona?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy without complications (DRG 195) at 4 hospitals in Arizona was billed at $34,988 on average, while the average total payment was $5,842, of which Medicare paid $4,354. 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.