St. Mary's Hospital
St. Mary's Hospital in Tucson, Arizona charges 11.2x the Medicare reimbursement rate across 34 analyzed procedures, with nearly a quarter showing significant pricing variations.
Tucson, AZ 85745 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
11.18x
Charge / Medicare rate
Max markup
16.32x
Worst procedure
Procedures analyzed
34
With pricing data
Outlier procedures
23.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $39,505 | $19,753 | — | 16.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $182,007 | $91,003 | — | 15.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $112,805 | $56,402 | — | 15.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $267,307 | $133,654 | — | 15.3x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $944,043 | $472,022 | — | 15.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $103,609 | $51,805 | — | 13.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $71,057 | $35,529 | — | 12.9x |
| SYNCOPE AND COLLAPSE | 312 | $63,875 | $31,938 | — | 12.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $67,668 | $33,834 | — | 12.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $49,945 | $24,973 | — | 12.3x |
| RENAL FAILURE WITH CC | 683 | $60,991 | $30,495 | — | 11.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $52,305 | $26,153 | — | 11.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $87,171 | $43,585 | — | 11.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $159,138 | $79,569 | — | 11.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $85,229 | $42,615 | — | 11.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $54,181 | $27,090 | — | 11.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $46,577 | $23,288 | — | 11x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $938,197 | $469,099 | — | 10.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $90,874 | $45,437 | — | 10.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $381,867 | $190,934 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $101,708 | $50,854 | — | 10.2x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $303,203 | $151,602 | — | 10.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $125,993 | $62,997 | — | 10.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $324,551 | $162,276 | — | 10.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $220,167 | $110,083 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $117,304 | $58,652 | — | 9.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $58,308 | $29,154 | — | 9.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $75,679 | $37,840 | — | 9.1x |
| RENAL FAILURE WITH MCC | 682 | $81,655 | $40,828 | — | 8.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $381,266 | $190,633 | — | 8.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $80,342 | $40,171 | — | 8.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $97,746 | $48,873 | — | 8.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $61,600 | $30,800 | — | 7.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $56,673 | $28,336 | — | 7.3x |
How ST. MARY'S HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use