Arizona / Mayo Clinic Hospital

CMS certification 030103 · Phoenix, AZ

Mayo Clinic Hospital: charges and Medicare payments

Mayo Clinic Hospital reported 9,689 Medicare inpatient stays across 217 DRGs in 2024. Across them it charged 3.03 times what it was paid — among the lower ratios in Arizona, number 46 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: 762 stays at an average charge of $77,963, 14% below the national average. It also billed 14,556 outpatient services, charging 6.28 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 9,689
  2. 2Charge ÷ paid, inpatient 3.03×
  3. 3Rank in AZ (highest ratio = 1) 46 of 53
  4. 4CMS price-transparency actions 0
DRG 871$77,963DRG 291$47,146DRG 177$60,821DRG 872$36,358DRG 652$204,758DRG 392$31,152DRG 698$51,485DRG 640$56,119DRG 699$38,354DRG 690$24,306
Average charge per stay at Mayo Clinic Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 217 DRGs that can be compared with the national average, Mayo Clinic Hospital charged more than the national average in 18 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC762$77,963-14%$27,024
291 Heart Failure and Shock with MCC329$47,146-16%$17,184
177 Respiratory Infections and Inflammations with MCC260$60,821-14%$21,563
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC170$36,358-26%$14,594
652 Kidney Transplant157$204,758-39%$55,171
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...155$31,152-22%$12,196
698 Other Kidney and Urinary Tract Diagnoses with MCC153$51,485-30%$20,325
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...152$56,119-7%$18,119
699 Other Kidney and Urinary Tract Diagnoses with CC148$38,354-19%$15,526
690 Kidney and Urinary Tract Infections without MCC140$24,306-36%$10,879
683 Renal Failure with CC125$33,073-19%$12,061
193 Simple Pneumonia and Pleurisy with MCC123$43,985-26%$17,318
689 Kidney and Urinary Tract Infections with MCC120$34,881-32%$14,950
164 Major Chest Procedures with CC115$105,597-17%$30,602
267 Endovascular Cardiac Valve Replacement and Supplement...109$197,493-11%$51,168
330 Major Small and Large Bowel Procedures with CC105$88,837-25%$29,709
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...105$43,314-29%$16,995
378 Gastrointestinal Hemorrhage with CC100$45,447-6%$13,309
853 Infectious and Parasitic Diseases with O.R. Procedures with...94$186,459-19%$66,831
178 Respiratory Infections and Inflammations with CC93$42,800-6%$13,440
603 Cellulitis without MCC93$27,000-28%$12,686
389 Gastrointestinal Obstruction with CC92$27,211-30%$11,136
682 Renal Failure with MCC92$58,256-12%$22,078
314 Other Circulatory System Diagnoses with MCC88$79,402-16%$29,049
393 Other Digestive System Diagnoses with MCC84$65,058-15%$23,024
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...83$80,823-6%$28,996
377 Gastrointestinal Hemorrhage with MCC82$66,325-22%$21,644
274 Percutaneous and Other Intracardiac Procedures without MCC81$117,731-25%$32,545
394 Other Digestive System Diagnoses with CC80$35,879-24%$12,516
064 Intracranial Hemorrhage or Cerebral Infarction with MCC79$77,792-22%$25,236
309 Cardiac Arrhythmia and Conduction Disorders with CC75$28,812-20%$10,105
329 Major Small and Large Bowel Procedures with MCC71$182,060-15%$67,469
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...70$30,073-19%$11,506
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...69$48,868-12%$15,531
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...69$40,962-39%$15,538
194 Simple Pneumonia and Pleurisy with CC67$32,794-15%$13,127
025 Craniotomy and Endovascular Intracranial Procedures with MCC65$188,675-19%$61,412
919 Complications of Treatment with MCC65$73,275-17%$22,996
220 Cardiac Valve and Other Major Cardiothoracic Procedures...60$224,129-19%$69,250
454 Combined Anterior and Posterior Spinal Fusion with CC60$169,850-39%$62,652
219 Cardiac Valve and Other Major Cardiothoracic Procedures...59$286,152-28%$91,211
308 Cardiac Arrhythmia and Conduction Disorders with MCC59$44,820-21%$13,905
322 Percutaneous Cardiovascular Procedures with Intraluminal...58$86,080-25%$24,005
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale57$74,064+14%$20,757
101 Seizures without MCC56$37,436-23%$13,265
372 Major Gastrointestinal Disorders and Peritoneal Infections...55$46,960-1%$19,221
470 Major Hip and Knee Joint Replacement or Reattachment of...55$74,953-20%$22,688
286 Circulatory Disorders except AMI, with Cardiac...54$97,557-13%$34,460
027 Craniotomy and Endovascular Intracranial Procedures without...51$107,529-23%$25,069
026 Craniotomy and Endovascular Intracranial Procedures with CC49$120,548-27%$37,824
189 Pulmonary Edema and Respiratory Failure49$64,455+12%$16,983
280 Acute Myocardial Infarction, Discharged Alive with MCC48$59,261-22%$20,068
651 Kidney Transplant with Hemodialysis without MCC48$223,159-40%$42,694
374 Digestive Malignancy with MCC47$65,555-35%$29,609
650 Kidney Transplant with Hemodialysis with MCC47$235,071-44%$54,024
371 Major Gastrointestinal Disorders and Peritoneal Infections...46$65,554-16%$25,538
522 Hip Replacement with Principal Diagnosis of Hip Fracture...46$77,480-24%$24,048
552 Medical Back Problems without MCC46$31,687-35%$12,222
543 Pathological Fractures and Musculoskeletal and Connective...45$47,010-4%$17,803
481 Hip and Femur Procedures except Major Joint with CC44$80,156-20%$24,747

Showing the 60 most frequent of 217 DRGs.

Outpatient services

Against the Arizona average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic Hospital charged $77,963 on average, 11% less than the Arizona average of $87,638, and was paid $27,024 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic Hospital charged $47,146 on average, 21% less than the Arizona average of $59,877, and was paid $17,184 against a state average of $11,479. For Respiratory Infections and Inflammations with MCC (DRG 177), Mayo Clinic Hospital charged $60,821 on average, 14% less than the Arizona average of $70,869, and was paid $21,563 against a state average of $14,917. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mayo Clinic Hospital charged $36,358 on average, 25% less than the Arizona average of $48,588, and was paid $14,594 against a state average of $9,717. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,482 was 36% below the state average of $24,129. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,060 was 22% below the state average of $11,577. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $15,843 was 23% below the state average of $20,704. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,551 was 7% above the state average of $14,511.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.