Arizona / Tucson Medical Center
CMS certification 030006 · Tucson, AZ · 3 entries in CMS's price-transparency list
Tucson Medical Center: charges and Medicare payments
Tucson Medical Center reported 5,389 Medicare inpatient stays across 154 DRGs in 2024. Across them it charged 3.93 times what it was paid — among the lower ratios in Arizona, number 43 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: 384 stays at an average charge of $69,589, 23% below the national average. It also billed 4,403 outpatient services, charging 4.32 times what Medicare paid.
- 1Medicare inpatient stays 5,389
- 2Charge ÷ paid, inpatient 3.93×
- 3Rank in AZ (highest ratio = 1) 43 of 53
- 4CMS price-transparency actions 3
Inpatient stays
For the 154 DRGs that can be compared with the national average, Tucson Medical Center charged more than the national average in 1 (1%). 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 | 384 | $69,589 | -23% | $15,655 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 183 | $95,042 | -39% | $25,734 |
| 291 Heart Failure and Shock with MCC | 179 | $43,001 | -24% | $10,615 |
| 177 Respiratory Infections and Inflammations with MCC | 135 | $47,372 | -33% | $13,453 |
| 193 Simple Pneumonia and Pleurisy with MCC | 130 | $40,632 | -32% | $10,984 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 125 | $158,993 | -28% | $39,315 |
| 378 Gastrointestinal Hemorrhage with CC | 104 | $39,257 | -19% | $8,243 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 103 | $50,759 | -33% | $12,903 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 98 | $38,692 | -21% | $8,669 |
| 189 Pulmonary Edema and Respiratory Failure | 90 | $43,363 | -25% | $10,171 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 88 | $30,442 | -24% | $6,583 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $31,298 | -17% | $6,898 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 83 | $155,123 | -32% | $39,186 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 80 | $36,259 | -28% | $7,890 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 79 | $43,025 | -23% | $8,689 |
| 603 Cellulitis without MCC | 78 | $30,959 | -17% | $7,309 |
| 689 Kidney and Urinary Tract Infections with MCC | 76 | $38,188 | -26% | $9,873 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $50,127 | -32% | $12,748 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 72 | $44,196 | -53% | $15,235 |
| 683 Renal Failure with CC | 70 | $30,349 | -25% | $7,381 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 68 | $43,390 | -28% | $10,397 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 62 | $194,862 | -32% | $51,111 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 58 | $33,034 | -35% | $9,229 |
| 682 Renal Failure with MCC | 58 | $50,954 | -23% | $12,783 |
| 194 Simple Pneumonia and Pleurisy with CC | 57 | $29,096 | -24% | $6,904 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $28,338 | -24% | $6,500 |
| 330 Major Small and Large Bowel Procedures with CC | 54 | $82,762 | -30% | $19,218 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 54 | $52,960 | -48% | $17,765 |
| 377 Gastrointestinal Hemorrhage with MCC | 53 | $60,067 | -30% | $14,490 |
| 329 Major Small and Large Bowel Procedures with MCC | 52 | $149,359 | -31% | $39,366 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 52 | $98,112 | -52% | $38,878 |
| 481 Hip and Femur Procedures except Major Joint with CC | 52 | $60,458 | -40% | $16,604 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 50 | $26,164 | -28% | $6,342 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 47 | $80,008 | -30% | $14,897 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 46 | $66,986 | -33% | $17,637 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 46 | $21,533 | -25% | $4,881 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 46 | $59,457 | -31% | $14,340 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $54,971 | -10% | $12,764 |
| 460 Spinal Fusion except Cervical without MCC | 45 | $100,219 | -41% | $30,021 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 40 | $46,261 | -28% | $9,129 |
| 389 Gastrointestinal Obstruction with CC | 40 | $33,294 | -14% | $6,651 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 35 | $43,224 | -34% | $11,351 |
| 312 Syncope and Collapse | 35 | $32,694 | -28% | $7,306 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 35 | $116,779 | -58% | $51,071 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 33 | $110,203 | -52% | $31,715 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $47,076 | -17% | $10,031 |
| 472 Cervical Spinal Fusion with CC | 29 | $78,037 | -45% | $22,926 |
| 176 Pulmonary Embolism without MCC | 28 | $27,939 | -33% | $7,013 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 28 | $31,513 | -27% | $6,608 |
| 300 Peripheral Vascular Disorders with CC | 28 | $27,074 | -45% | $8,821 |
| 467 Revision of Hip or Knee Replacement with CC | 28 | $81,283 | -48% | $27,176 |
| 069 Transient Ischemia without Thrombolytic | 27 | $36,204 | -28% | $6,741 |
| 638 Diabetes with CC | 27 | $26,841 | -36% | $7,336 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 26 | $33,170 | -22% | $5,907 |
| 394 Other Digestive System Diagnoses with CC | 26 | $33,754 | -28% | $8,051 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 26 | $65,539 | -47% | $21,319 |
| 305 Hypertension without MCC | 25 | $30,519 | -24% | $6,528 |
| 314 Other Circulatory System Diagnoses with MCC | 25 | $80,098 | -16% | $16,374 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $105,260 | -36% | $23,075 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 25 | $45,326 | -42% | $12,987 |
Showing the 60 most frequent of 154 DRGs.
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tucson Medical Center charged $69,589 on average, 21% less than the Arizona average of $87,638, and was paid $15,655 against a state average of $17,455. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Tucson Medical Center charged $95,042 on average, 42% less than the Arizona average of $164,794, and was paid $25,734 against a state average of $26,205. For Heart Failure and Shock with MCC (DRG 291), Tucson Medical Center charged $43,001 on average, 28% less than the Arizona average of $59,877, and was paid $10,615 against a state average of $11,479. For Respiratory Infections and Inflammations with MCC (DRG 177), Tucson Medical Center charged $47,372 on average, 33% less than the Arizona average of $70,869, and was paid $13,453 against a state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,704 was 27% below the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,909 was 63% below the state average of $91,091. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $77,727 was 50% below the state average of $155,808. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,610 was 33% below the state average of $14,311.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tucson Medical Center in Tucson, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-08-17 (CMS case 1701)
- Warning Notice — 2025-02-18 (CMS case 3106)
- Closure Notice — 2025-05-16 (CMS case 3106)
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.