Arizona / Summit Healthcare Regional Medical Center

CMS certification 030062 · Show Low, AZ · 4 entries in CMS's price-transparency list

Summit Healthcare Regional Medical Center: charges and Medicare payments

Summit Healthcare Regional Medical Center reported 830 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 2.7 times what it was paid — among the lower ratios in Arizona, number 48 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: 195 stays at an average charge of $41,459, 54% below the national average. It also billed 1,383 outpatient services, charging 6.07 times what Medicare paid.

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  1. 1Medicare inpatient stays 830
  2. 2Charge ÷ paid, inpatient 2.7×
  3. 3Rank in AZ (highest ratio = 1) 48 of 53
  4. 4CMS price-transparency actions 4
DRG 871$41,459DRG 291$34,610DRG 193$30,029DRG 872$32,322DRG 189$24,947DRG 177$30,501DRG 640$30,222DRG 065$39,674DRG 280$38,346DRG 392$25,810
Average charge per stay at Summit Healthcare Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 33 DRGs that can be compared with the national average, Summit Healthcare Regional Medical Center charged more than the national average in 1 (3%). 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 MCC195$41,459-54%$19,974
291 Heart Failure and Shock with MCC57$34,610-39%$13,069
193 Simple Pneumonia and Pleurisy with MCC38$30,029-50%$13,445
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC35$32,322-34%$10,481
189 Pulmonary Edema and Respiratory Failure32$24,947-57%$12,550
177 Respiratory Infections and Inflammations with MCC29$30,501-57%$17,028
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...28$30,222-50%$13,451
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...25$39,674-29%$10,285
280 Acute Myocardial Infarction, Discharged Alive with MCC25$38,346-49%$16,052
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...23$25,810-36%$7,990
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$25,188-32%$7,984
308 Cardiac Arrhythmia and Conduction Disorders with MCC18$33,410-41%$12,178
470 Major Hip and Knee Joint Replacement or Reattachment of...18$97,582+5%$19,123
522 Hip Replacement with Principal Diagnosis of Hip Fracture...18$88,699-13%$21,412
853 Infectious and Parasitic Diseases with O.R. Procedures with...18$125,425-45%$50,129
190 Chronic Obstructive Pulmonary Disease with MCC17$22,640-55%$11,299
603 Cellulitis without MCC17$28,627-23%$8,977
481 Hip and Femur Procedures except Major Joint with CC16$74,836-26%$21,155
521 Hip Replacement with Principal Diagnosis of Hip Fracture...16$103,057-24%$30,114
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale15$35,922-45%$14,252
389 Gastrointestinal Obstruction with CC15$24,549-37%$8,135
281 Acute Myocardial Infarction, Discharged Alive with CC14$39,343-22%$9,267
322 Percutaneous Cardiovascular Procedures with Intraluminal...14$91,493-20%$22,242
480 Hip and Femur Procedures except Major Joint with MCC14$97,729-30%$29,725
682 Renal Failure with MCC14$35,551-46%$15,176
378 Gastrointestinal Hemorrhage with CC13$45,001-7%$10,014
638 Diabetes with CC13$32,541-22%$9,143
683 Renal Failure with CC13$25,624-37%$9,606
689 Kidney and Urinary Tract Infections with MCC13$34,175-33%$11,879
066 Intracranial Hemorrhage or Cerebral Infarction without...12$28,334-33%$6,997
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC12$21,956-24%$5,633
377 Gastrointestinal Hemorrhage with MCC11$48,901-43%$18,137
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$36,331-40%$12,969

Outpatient services

Against the Arizona average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Summit Healthcare Regional Medical Center charged $41,459 on average, 53% less than the Arizona average of $87,638, and was paid $19,974 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Summit Healthcare Regional Medical Center charged $34,610 on average, 42% less than the Arizona average of $59,877, and was paid $13,069 against a state average of $11,479. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Summit Healthcare Regional Medical Center charged $30,029 on average, 50% less than the Arizona average of $59,468, and was paid $13,445 against a state average of $11,853. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Summit Healthcare Regional Medical Center charged $32,322 on average, 33% less than the Arizona average of $48,588, and was paid $10,481 against a state average of $9,717. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,574 was 2% above the state average of $24,129. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,765 was 24% below the state average of $11,577. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,746 was 8% below the state average of $91,091. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,448 was 27% below the state average of $14,311.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Summit Healthcare Regional Medical Center in Show Low, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.