Yavapai Regional Medical Center: charges and Medicare payments

Yavapai Regional Medical Center reported 3,257 Medicare inpatient stays across 95 DRGs in 2024. Across them it charged 4.25 times what it was paid — among the lower ratios in Arizona, number 39 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 172 stays at an average charge of $46,920, 21% below the national average. It also billed 2,818 outpatient services, charging 6.08 times what Medicare paid.

1Medicare inpatient stays 3,257
2Charge ÷ paid, inpatient 4.25×
3Rank in AZ (highest ratio = 1) 39 of 53
4CMS price-transparency actions 0

Average charge per stay at Yavapai Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 95 DRGs that can be compared with the national average, Yavapai Regional Medical Center charged more than the national average in 3 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
193 Simple Pneumonia and Pleurisy with MCC	172	$46,920	-21%	$11,680
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	155	$63,687	-29%	$17,021
177 Respiratory Infections and Inflammations with MCC	132	$44,176	-37%	$14,373
291 Heart Failure and Shock with MCC	124	$36,994	-34%	$11,210
690 Kidney and Urinary Tract Infections without MCC	93	$27,740	-27%	$7,092
189 Pulmonary Edema and Respiratory Failure	88	$40,464	-30%	$10,867
603 Cellulitis without MCC	78	$34,044	-9%	$7,751
683 Renal Failure with CC	75	$30,206	-26%	$7,781
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	70	$37,710	-23%	$8,863
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	68	$28,931	-22%	$6,738
309 Cardiac Arrhythmia and Conduction Disorders with CC	63	$33,358	-8%	$6,692
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	61	$65,017	-36%	$18,146
322 Percutaneous Cardiovascular Procedures with Intraluminal...	59	$111,359	-3%	$16,822
682 Renal Failure with MCC	59	$42,751	-35%	$12,959
378 Gastrointestinal Hemorrhage with CC	58	$34,690	-29%	$8,472
280 Acute Myocardial Infarction, Discharged Alive with MCC	57	$59,250	-22%	$14,902
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	56	$46,883	-16%	$9,228
689 Kidney and Urinary Tract Infections with MCC	56	$40,683	-21%	$10,757
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$35,057	-13%	$6,781
470 Major Hip and Knee Joint Replacement or Reattachment of...	53	$74,674	-20%	$16,142
194 Simple Pneumonia and Pleurisy with CC	51	$31,086	-19%	$7,649
312 Syncope and Collapse	50	$33,709	-26%	$7,479
190 Chronic Obstructive Pulmonary Disease with MCC	48	$37,623	-26%	$9,991
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	46	$31,629	+10%	$5,012
069 Transient Ischemia without Thrombolytic	44	$32,615	-35%	$6,904
281 Acute Myocardial Infarction, Discharged Alive with CC	44	$45,876	-9%	$7,876
481 Hip and Femur Procedures except Major Joint with CC	44	$65,612	-35%	$17,881
267 Endovascular Cardiac Valve Replacement and Supplement...	43	$198,659	-10%	$41,532
308 Cardiac Arrhythmia and Conduction Disorders with MCC	42	$39,841	-30%	$10,419
274 Percutaneous and Other Intracardiac Procedures without MCC	41	$132,157	-16%	$27,577
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	35	$49,088	-25%	$12,092
321 Percutaneous Cardiovascular Procedures with Intraluminal...	35	$154,192	-6%	$24,694
287 Circulatory Disorders except AMI, with Cardiac...	32	$58,028	-9%	$9,339
066 Intracranial Hemorrhage or Cerebral Infarction without...	31	$38,038	-10%	$6,720
313 Chest Pain	30	$30,590	-23%	$6,240
389 Gastrointestinal Obstruction with CC	29	$30,303	-22%	$6,920
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	29	$30,835	-28%	$7,753
266 Endovascular Cardiac Valve Replacement and Supplement...	28	$225,263	-21%	$53,135
482 Hip and Femur Procedures except Major Joint without CC/MCC	27	$57,783	-26%	$14,956
202 Bronchitis and Asthma with CC/MCC	26	$37,880	-18%	$8,264
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	25	$53,095	-47%	$17,758
286 Circulatory Disorders except AMI, with Cardiac...	25	$73,107	-35%	$18,763
390 Gastrointestinal Obstruction without CC/MCC	25	$24,635	-12%	$4,815
948 Signs and Symptoms without MCC	25	$34,556	-9%	$7,902
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$53,934	-11%	$11,334
178 Respiratory Infections and Inflammations with CC	23	$35,617	-21%	$8,561
176 Pulmonary Embolism without MCC	22	$36,313	-12%	$7,030
638 Diabetes with CC	22	$34,321	-18%	$7,796
234 Coronary Bypass with Cardiac Catheterization or Open...	21	$200,616	-25%	$44,782
330 Major Small and Large Bowel Procedures with CC	21	$76,842	-35%	$20,417
853 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$140,690	-39%	$43,192
179 Respiratory Infections and Inflammations without CC/MCC	19	$29,199	-17%	$6,645
536 Fractures of Hip and Pelvis without MCC	19	$27,187	-28%	$6,842
552 Medical Back Problems without MCC	19	$30,551	-37%	$8,353
292 Heart Failure and Shock with CC	18	$29,496	-24%	$7,468
329 Major Small and Large Bowel Procedures with MCC	18	$117,191	-45%	$39,142
236 Coronary Bypass without Cardiac Catheterization without MCC	17	$149,900	-29%	$34,447
243 Permanent Cardiac Pacemaker Implant with CC	17	$114,597	+3%	$19,524
418 Laparoscopic Cholecystectomy without C.D.E. with CC	17	$70,373	-25%	$16,941
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	17	$46,770	-31%	$11,576

Showing the 60 most frequent of 95 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	276	$8,489	$1,683
Level 1 Endovascular Procedures	244	$27,771	$3,399
Comprehensive Observation Services	226	$22,615	$2,849
Level 5 Musculoskeletal Procedures	205	$63,537	$13,604
Level 2 Upper GI Procedures	203	$9,995	$1,979
Level 3 Vascular Procedures	162	$15,627	$3,329
Level 3 Endovascular Procedures	130	$70,506	$11,399
Level 3 Electrophysiologic Procedures	121	$152,113	$24,736
Level 4 Musculoskeletal Procedures	111	$38,157	$7,471
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	107	$13,705	$3,559
Level 1 Laparoscopy and Related Services	104	$25,044	$6,026
Level 3 Musculoskeletal Procedures	88	$13,221	$3,350
Level 3 Pacemaker and Similar Procedures	76	$49,892	$11,139
Level 4 Urology and Related Services	76	$11,769	$3,641
Level 1 Breast/Lymphatic Surgery and Related Procedures	71	$21,320	$3,953
Level 5 Urology and Related Services	68	$17,443	$5,404
Level 2 Vascular Procedures	61	$9,057	$1,632
Level 6 Musculoskeletal Procedures	57	$84,466	$19,104
Level 2 Endovascular Procedures	52	$36,762	$5,969
Level 3 Excision/ Biopsy/ Incision and Drainage	47	$14,657	$2,968
Level 4 Endovascular Procedures	44	$93,731	$17,441
Level 2 Musculoskeletal Procedures	43	$10,460	$1,648
Level 2 Pacemaker and Similar Procedures	41	$37,851	$8,869
Level 5 Neurostimulator and Related Procedures	38	$113,701	$31,529
Level 2 Breast/Lymphatic Surgery and Related Procedures	30	$30,340	$6,810

Against the Arizona average

For Simple Pneumonia and Pleurisy with MCC (DRG 193), Yavapai Regional Medical Center charged $46,920 on average, 21% less than the Arizona average of $59,468, and was paid $11,680 against a state average of $11,853. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Yavapai Regional Medical Center charged $63,687 on average, 27% less than the Arizona average of $87,638, and was paid $17,021 against a state average of $17,455. For Respiratory Infections and Inflammations with MCC (DRG 177), Yavapai Regional Medical Center charged $44,176 on average, 38% less than the Arizona average of $70,869, and was paid $14,373 against a state average of $14,917. For Heart Failure and Shock with MCC (DRG 291), Yavapai Regional Medical Center charged $36,994 on average, 38% less than the Arizona average of $59,877, and was paid $11,210 against a state average of $11,479. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,489 was 27% below the state average of $11,577. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,771 was 18% below the state average of $34,042. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,615 was 6% below the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,537 was 30% below the state average of $91,091.

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.