Arizona / Abrazo Scottsdale Campus
CMS certification 030083 · Phoenix, AZ · 4 entries in CMS's price-transparency list
Abrazo Scottsdale Campus: charges and Medicare payments
Abrazo Scottsdale Campus reported 342 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 9.64 times what it was paid — among the higher ratios in Arizona, number 5 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 91 stays at an average charge of $150,837, 67% above the national average. It also billed 838 outpatient services, charging 10.86 times what Medicare paid.
- 1Medicare inpatient stays 342
- 2Charge ÷ paid, inpatient 9.64×
- 3Rank in AZ (highest ratio = 1) 5 of 53
- 4CMS price-transparency actions 4
Inpatient stays
For the 16 DRGs that can be compared with the national average, Abrazo Scottsdale Campus charged more than the national average in 16 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 91 | $150,837 | +67% | $15,179 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 34 | $170,031 | +37% | $20,972 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 24 | $140,719 | +51% | $14,650 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $125,399 | +110% | $10,650 |
| 291 Heart Failure and Shock with MCC | 18 | $113,448 | +101% | $10,232 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 17 | $371,870 | +83% | $34,189 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $286,703 | +25% | $36,465 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $105,664 | +163% | $6,505 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 16 | $440,564 | +57% | $50,499 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $200,239 | +27% | $27,897 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $143,332 | +103% | $12,745 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $112,583 | +96% | $10,493 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $114,649 | +51% | $11,851 |
| 460 Spinal Fusion except Cervical without MCC | 12 | $247,313 | +45% | $26,029 |
| 472 Cervical Spinal Fusion with CC | 11 | $258,346 | +81% | $22,588 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $130,516 | +166% | $8,380 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 551 | $107,671 | $12,715 |
| Comprehensive Observation Services | 79 | $52,735 | $2,669 |
| Level 6 Musculoskeletal Procedures | 69 | $205,285 | $17,917 |
| Level 4 Musculoskeletal Procedures | 48 | $90,757 | $6,860 |
| Level 3 Musculoskeletal Procedures | 28 | $48,344 | $3,090 |
| Level 1 Laparoscopy and Related Services | 18 | $75,972 | $5,626 |
| Level 2 Upper GI Procedures | 17 | $29,265 | $1,855 |
| Level 2 Musculoskeletal Procedures | 14 | $21,843 | $1,567 |
| Level 8 Urology and Related Services | 14 | $172,981 | $19,623 |
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Abrazo Scottsdale Campus charged $150,837 on average, 72% more than the Arizona average of $87,638, and was paid $15,179 against a state average of $17,455. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Abrazo Scottsdale Campus charged $170,031 on average, 20% more than the Arizona average of $141,515, and was paid $20,972 against a state average of $22,198. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Abrazo Scottsdale Campus charged $140,719 on average, 26% more than the Arizona average of $111,535, and was paid $14,650 against a state average of $15,451. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Abrazo Scottsdale Campus charged $125,399 on average, 111% more than the Arizona average of $59,468, and was paid $10,650 against a state average of $11,853. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $107,671 was 18% above the state average of $91,091. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $52,735 was 119% above the state average of $24,129. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $205,285 was 81% above the state average of $113,386. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $90,757 was 57% above the state average of $57,782.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Abrazo Scottsdale Campus in Phoenix, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-14 (CMS case 803)
- Closure Notice — 2023-08-03 (CMS case 803)
- Warning Notice — 2025-03-10 (CMS case 3200)
- Closure Notice — 2025-06-11 (CMS case 3200)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.