How many shoppable procedure prices are published for Canyon Vista Medical Center?

Canyon Vista Medical Center in Sierra Vista, AZ currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Canyon Vista Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Canyon Vista Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Canyon Vista Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Canyon Vista Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 74 Beds · rural Updated: 2026-07-18

Canyon Vista Medical Center

5700 East Highway 90, Sierra Vista, AZ 85635 · 110 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.15×vs. Fair Market Price

Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness85

Price Logic96

Peer Alignment72

Clean Billing63

Real Cash Discount50

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.15× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 8,142), Canyon Vista Medical Center commands a 1.15× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#33 of 56 in AZ · 57th State Percentile#1,855 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
2-Star CMS clinical rating with 57% patient recommendation (62/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
Commercial insurance median sits at 1.09× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.34×) jump +23% above the median procedure ratio (Q50 1.09×)
Consolidated metro market (HHI 8,142) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+23% Upper Tail

Q25 0.98× · Q50 1.09× · Q75 1.34×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Canyon Vista Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	—	$30,775	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$28,960	$19,087	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$17,376	$8,223	unverified
Total hip replacement CPT Code: `27130`	—	$14,800	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,800	$13,523	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,584	$19,432	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,711	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,405	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$4,059	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,732	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,732	$3,446	1.1×
C-section delivery (full package) CPT Code: `59510`	—	—	$2,975	—
Vaginal delivery (full package) CPT Code: `59400`	—	—	$2,680	—
Trauma team activation HCPCS Code: `G0390`	—	$1,522	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,356	$1,256	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,170	$1,021	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,078	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,049	$981	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$983	$511	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	—	$621	$338	1.8×
MRI, brain (no contrast) CPT Code: `70551`	—	$621	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	—	$621	$369	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$631	$583	1.1×
CT scan, head (with contrast) CPT Code: `70460`	—	$501	$242	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$501	$258	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$501	$448	1.1×
Blood transfusion CPT Code: `36430`	—	$503	$498	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$353	$126	2.8×
Ultrasound, pelvis CPT Code: `76856`	—	$353	$130	2.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$353	$134	2.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$278	$272	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$296	$322	0.9×
CT scan, head (no contrast) CPT Code: `70450`	—	$258	$160	1.6×
CT scan, pelvis CPT Code: `72192`	—	$258	$163	1.6×
CT scan, sinuses CPT Code: `70486`	—	$258	$166	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	—	$258	$167	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$258	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$258	$169	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$234	$201	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$258	$303	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$153	$148	1.0×
X-ray, pelvis CPT Code: `72170`	—	$122	$110	1.1×
X-ray, shoulder CPT Code: `73030`	—	$101	$92	1.1×
X-ray, foot CPT Code: `73630`	—	$101	$92	1.1×
X-ray, lower back CPT Code: `72110`	—	$122	$112	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$101	$93	1.1×
X-ray, hand CPT Code: `73130`	—	$101	$93	1.1×
X-ray, hip CPT Code: `73502`	—	$101	$93	1.1×
X-ray, ankle CPT Code: `73610`	—	$101	$93	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$124	$123	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$122	$132	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	—
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	—
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	—
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Typhoid vaccine HCPCS Code: `90675`	—	$324	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	—
Blood antibody screen CPT Code: `86850`	—	$61	$46	1.3×
Flu vaccine injection HCPCS Code: `G0008`	—	$53	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$53	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$68	$64	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$76	$86	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$43	$35	1.2×
Prosthetic fitting and training CPT Code: `97761`	—	$41	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	—	$46	$51	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Physical therapy (gait training) CPT Code: `97116`	—	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	—	$32	$38	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$14	$14	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	—	$27	$34	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	—
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	—

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Canyon Vista Medical Center (Zero PHI Required)

CMS CCN: 030043

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $35,391

1. Amount on Your Bill or Quote ($) Pre-filled with Canyon Vista Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Canyon Vista Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$382,215 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($412,990) is $382,215 above the denoised Fair BaseRate ($30,775) and 17.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 900942222

Public IRS & CMS ownership records classify Canyon Vista Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait203 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Canyon Vista Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-25·administrative_or_closure
Closure Notice
Recorded
2025-06-27·warning_notice
Warning Notice
Recorded
2023-02-24·administrative_or_closure
Closure Notice
Recorded
2022-10-17·cap_corrective_action
CAP Request
Recorded
2022-06-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (734 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Canyon Vista Medical Center.

Price Index: 0.63× regional baseline

Quality: 57/100 CMS composite

Median Household Income$58,970U.S. Census ACS

Local Uninsured Share8.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 030043 EIN 900942222

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 030043) ↗ Verify IRS Form 990 (EIN 900942222) ↗ CMS HCRIS Cost Reports ↗

Published MRF File90-0942222_canyon-vista-medical-center_standardcharges.csv

Publication / Vintage2026-07-18 · 11.13 MB

Validated Rate Rows650 (CMS v3.0.0)

File Integrity Digest46dc75fc957cf462d483…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy