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Stomach, esophageal and duodenal procedures with complications in Arizona

What 4 hospitals in Arizona charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.

DRG 327 Inpatient 2024 Medicare data
Average charge $136,302 Hospital list price billed
Average payment $27,406 Medicare + patient + other payers
Medicare paid $20,459 Average per stay
State rank #20 of 28 1 = lowest average payment

Hospitals in Arizona billed an average of $136,302 for stomach, esophageal and duodenal procedures with complications, about 5.0 times the average total payment of $27,406. That payment is about the same as the U.S. average of $27,210.

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 $27,406Billed $136,302

About 20¢ was paid for every $1 hospitals in Arizona billed for this stay.

Arizona hospitals: stomach, esophageal and duodenal procedures 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 36 $117,499 $31,394 $22,078
St Joseph's Hospital and Medical CenterPhoenix 23 $163,593 $28,021 $20,940
Scottsdale Healthcare-Shea Medical CenterScottsdale 16 $120,579 $17,561 $16,118
University Medical CenterTucson 13 $159,435 $27,390 $20,467
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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.

Stomach, esophageal and duodenal procedures with complications in other states

Questions

How much does stomach, esophageal and duodenal procedures with complications cost in Arizona?

In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 4 hospitals in Arizona was billed at $136,302 on average, while the average total payment was $27,406, of which Medicare paid $20,459. 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.