AZ CMS Medicare PUF 2023 Avg payment #6 of 56

Arizona procedure costs

106 hospitals · 3,922 Medicare providers · 4,884 procedure codes with Arizona locality adjustments.

The short answer

Arizona has 106 hospitals and 3,922 Medicare-billing providers across 4,884 procedure codes. The average Medicare payment per procedure is $286.66; the average submitted (billed) charge is $1,545.28.

Procedure codes
4,884
Providers per hospital
37.0
Billed-to-Medicare ratio
5.4x
Markup rank
#32 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

106
Hospitals
3,922
Providers
$286.66
Avg Medicare Payment
$1,545.28
Avg Billed Charge

Arizona against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$287 higher than 89% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). Below this entry. $275–$300: 4 states (7%). This entry sits in this band. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Arizona

Highest average Medicare payment per procedure billed in Arizona. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Arizona

Sipuleucel-T, Minimum Of 50 …42037Removal Of Plaque And Insert…9130Insertion Of New Or Replacem…7948Insertion Of Spinal Neurosti…7840Catheter Removal Of Plaque F…7786Implantable Neurostimulator,…7667Mrna Gene Expression Analysi…7602Revascularization, Endovascu…7083
Top procedures by Medicare payment - Arizona-Average Medicare payment per procedure (CMS 2023)

The cost spread in Arizona

The highest- and lowest-paying procedures Medicare reimbursed in Arizona, side by side.

Top Procedures by Volume

Procedure Medicare Services
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.12 4.2M
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 2.6M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $82.99 2.6M
Injection, Ferric Carboxymaltose, 1 Mg $0.87 2.1M
Injection, Tocilizumab, 1 Mg $4.66 1.9M
Injection, Denosumab, 1 Mg $18.25 1.8M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $17.26 1.7M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $56.88 1.6M
Injection, Onabotulinumtoxina, 1 Unit $4.86 1.6M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.91 1.5M
Ground Mileage, Per Statute Mile $7.49 1.5M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.16 1.5M
Therapy Procedure Using Functional Activities $24.04 1.3M
Injection, Testosterone Cypionate, 1 Mg $0.02 1.3M
Injection, Pembrolizumab, 1 Mg $42.77 1.3M
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.07 1.2M
Hyaluronan Or Derivative, Gelsyn-3, For Intra-Articular Injection, 0.1 Mg $0.55 1.2M
Injection, Romosozumab-Aqqg, 1 Mg $7.84 1.1M
Blood Test, Comprehensive Group Of Blood Chemicals $10.33 1.0M
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.62 984.6K
Injection, Nivolumab, 1 Mg $23.27 955.1K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.60 927.6K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $20.36 869.2K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.43 851.0K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.36 827.3K
Injection, Faricimab-Svoa, 0.1 Mg $28.98 823.1K
Injection, Filgrastim-Aafi, Biosimilar, (nivestym), 1 Microgram $0.25 720.4K
Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified $1.15 710.2K
Destruction Of Precancer Skin Growth, 2-14 Growths $4.50 673.0K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.79 668.3K

Arizona Healthcare Cost Landscape

CMS lists 106 hospitals in Arizona across 52 cities. PHOENIX holds 22 (21%). The three densest cities together hold 37% of the state roster. Statewide that is 3,922 Medicare-billing providers, 37.0 per listed hospital.

53 hospitals carry a CMS overall star rating (5 five-star, 9 four-star, 21 three-star, 18 two-star, 0 one-star) ; five-star share among rated facilities is 9%. 53 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 64 (60%); Psychiatric 21 (20%); Critical Access Hospitals 17 (16%); Acute Care - Veterans Administration 3 (3%).

Among the 30 highest-volume procedure codes billed in Arizona, Drugs (Administered) leads with 18.6M services (44% of this top-volume slice) across 15 codes. Next is Temporary Codes at 12%.

Submitted charges average $1,545.28 against $286.66 Medicare payment (5.4x billed-to-Medicare). That ratio ranks #32 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #6 of 56.

Volume leaders are not the high-payment codes. Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Arizona, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Arizona hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 52 distinct cities appear on 106 listed facilities.

City Hospitals Share of state roster
PHOENIX 22 21%
TUCSON 10 9%
MESA 7 7%
SCOTTSDALE 5 5%
CHANDLER 3 3%
GILBERT 3 3%
GLENDALE 3 3%
PRESCOTT 3 3%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Arizona: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (106 here).

Similar average Medicare payment

Nearest states with published averages ($286.66 here).

Hospitals in Arizona

ABRAZO ARROWHEAD HOSPITAL
GLENDALE · ★★☆☆☆
ABRAZO CENTRAL CAMPUS
PHOENIX · ★★☆☆☆
ABRAZO SCOTTSDALE CAMPUS
PHOENIX · ★★☆☆☆
ABRAZO WEST CAMPUS
GOODYEAR · ★★☆☆☆
AGAVE RIDGE BEHAVIORAL HOSPITAL
MESA · -
ARIZONA ORTHOPEDIC AND SURGICAL SPECIALTY HOSPITAL
PHOENIX · -
ARIZONA SPINE AND JOINT HOSPITAL
MESA · -
ARIZONA STATE HOSPITAL
PHOENIX · -
AURORA BEHAVIORAL HEALTH SYSTEM
GLENDALE · -
AURORA BEHAVIORAL HEALTHCARE-TEMPE
TEMPE · -
AVENIR BEHAVIORAL HEALTH CENTER
SURPRISE · -
BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
PHOENIX · ★★★☆☆
BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS
TUCSON · ★★★☆☆
BANNER BAYWOOD MEDICAL CENTER
MESA · ★★☆☆☆
BANNER BEHAVIORAL HEALTH HOSPITAL
SCOTTSDALE · -
BANNER BOSWELL MEDICAL CENTER
SUN CITY · ★★★☆☆
BANNER CASA GRANDE MEDICAL CENTER
CASA GRANDE · ★★☆☆☆
BANNER DEL E. WEBB MEDICAL CENTER
SUN CITY WEST · ★★★☆☆
BANNER DESERT MEDICAL CENTER
MESA · ★★☆☆☆
BANNER ESTRELLA MEDICAL CENTER
PHOENIX · ★★★☆☆
BANNER GATEWAY MEDICAL CENTER
GILBERT · ★★★★☆
BANNER GOLDFIELD MEDICAL CENTER
APACHE JUNCTION · -
BANNER HEART HOSPITAL
MESA · ★★★☆☆
BANNER IRONWOOD MEDICAL CENTER
QUEEN CREEK · ★★★☆☆
BANNER OCOTILLO MEDICAL CENTER
CHANDLER · ★★☆☆☆
BANNER PAYSON MEDICAL CENTER
PAYSON · ★★★★☆
BANNER THUNDERBIRD MEDICAL CENTER
GLENDALE · ★★★☆☆
BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS
TUCSON · ★★★☆☆
BENSON HOSPITAL
BENSON · -
CANYON VISTA MEDICAL CENTER
SIERRA VISTA · ★★☆☆☆

View all 106 hospitals in Arizona →

How Arizona Compares Nationally

Arizona's average Medicare payment is #6 of 56 in this extract. Submitted-over-Medicare markup ranks #32 of 56 (5.4x). Hospital-count peers (nearest CMS roster size to 106): Mississippi 106, Alabama 102, Kentucky 102, Washington 100. Payment peers (nearest average Medicare payment to $286.66): Pennsylvania $284.85, New Jersey $283.16, Illinois $281.39, Texas $303.51.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Arizona, not an out-of-pocket quote.

Related registry pages

Arizona averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Arizona CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.