Arizona / Arizona Specialty Hospital
CMS certification 030112 · Phoenix, AZ · 5 entries in CMS's price-transparency list
Arizona Specialty Hospital: charges and Medicare payments
Arizona Specialty Hospital reported 328 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 5.66 times what it was paid — mid-range in Arizona, number 22 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 156 stays at an average charge of $84,421, 9% below the national average. It also billed 848 outpatient services, charging 9.48 times what Medicare paid.
- 1Medicare inpatient stays 328
- 2Charge ÷ paid, inpatient 5.66×
- 3Rank in AZ (highest ratio = 1) 22 of 53
- 4CMS price-transparency actions 5
Inpatient stays
For the 9 DRGs that can be compared with the national average, Arizona Specialty Hospital charged more than the national average in 3 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 156 | $84,421 | -9% | $13,457 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 36 | $66,531 | -46% | $18,736 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 29 | $224,822 | +11% | $34,882 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $160,019 | -6% | $25,914 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 20 | $223,367 | -20% | $45,914 |
| 467 Revision of Hip or Knee Replacement with CC | 17 | $84,817 | -46% | $23,427 |
| 472 Cervical Spinal Fusion with CC | 17 | $101,698 | -29% | $20,865 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 16 | $190,479 | +1% | $29,186 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 13 | $134,829 | +7% | $17,749 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 468 | $95,962 | $12,790 |
| Level 4 Musculoskeletal Procedures | 140 | $60,701 | $6,897 |
| Level 6 Musculoskeletal Procedures | 129 | $179,461 | $18,131 |
| Level 3 Musculoskeletal Procedures | 53 | $28,603 | $3,064 |
| Level 4 Urology and Related Services | 18 | $12,891 | $3,400 |
| Level 5 Neurostimulator and Related Procedures | 16 | $300,731 | $30,189 |
| Level 5 Urology and Related Services | 13 | $27,496 | $5,046 |
| Level 2 Musculoskeletal Procedures | 11 | $7,605 | $1,567 |
Against the Arizona average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Arizona Specialty Hospital charged $84,421 on average, 24% less than the Arizona average of $111,535, and was paid $13,457 against a state average of $15,451. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Arizona Specialty Hospital charged $66,531 on average, 53% less than the Arizona average of $141,515, and was paid $18,736 against a state average of $22,198. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Arizona Specialty Hospital charged $224,822 on average, 8% less than the Arizona average of $245,505, and was paid $34,882 against a state average of $40,238. For Spinal Fusion except Cervical without MCC (DRG 460), Arizona Specialty Hospital charged $160,019 on average, 30% less than the Arizona average of $229,169, and was paid $25,914 against a state average of $32,241. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,962 was 5% above the state average of $91,091. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $60,701 was 5% above the state average of $57,782. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $179,461 was 58% above the state average of $113,386. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $28,603 was 3% below the state average of $29,563.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Arizona Specialty Hospital 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 — 2023-07-18 (CMS case 1277)
- CAP Request — 2023-11-01 (CMS case 1277)
- Closure Notice — 2024-03-28 (CMS case 1277)
- CAP Request — 2025-08-06 (CMS case 5771)
- Closure Notice — 2025-08-13 (CMS case 5771)
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.