How many shoppable procedure prices are published for Northwest Medical Center Sahuarita?

Northwest Medical Center Sahuarita in Sahuarita, AZ currently has 112 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwest Medical Center Sahuarita's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwest Medical Center Sahuarita's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Northwest Medical Center Sahuarita's CMS Care Compare overall star rating?

CMS Care Compare assigns Northwest Medical Center Sahuarita an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 62 Beds · urban Updated: 2026-04-01

Northwest Medical Center Sahuarita

16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629 · 112 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 13% of the Time

File Completeness66

Price Logic97

Peer Alignment70

Clean Billing77

Real Cash Discount100

Regional Value Leader

2-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Northwest Medical Center Sahuarita prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#15 of 56 in AZ · 25th State Percentile#1,015 of 3,385 in U.S. · 29th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 13% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (60/100 safety score) with 67% patient recommendation
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 2.4× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 18.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 0.89× · Q50 0.98× · Q75 1.02×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.9× MedicareWatchout

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

0.9× MedicareGood

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

13% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 60/100Elevated

Procedure Prices at Northwest Medical Center Sahuarita

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,005	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,420	$19,087	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,284	$17,936	1.0×
Total hip replacement CPT Code: `27130`	$21,755	$13,700	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$22,275	$13,700	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,474	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$22,047	$6,766	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$3,597	$4,220	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$18,146	$3,947	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,195	$3,607	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$12,678	$3,607	$3,446	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,060	$1,596	$1,256	1.3×
Trauma team activation HCPCS Code: `G0390`	$1,407	$1,440	$1,453	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,952	$1,240	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,945	$1,210	$987	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,161	$927	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$795	$778	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,112	$590	$583	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,636	$553	$369	unverified
Blood transfusion CPT Code: `36430`	$1,514	$486	$498	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,057	$385	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,746	$385	$511	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,112	$258	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,741	$263	$303	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$280	$232	$201	1.2×
Rabies immune globulin HCPCS Code: `90375`	$138	$251	$322	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,178	$263	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$3,154	$263	$343	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$234	$196	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$261	$196	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$2,328	$193	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,441	$193	$258	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$209	$196	$166	unverified
Family therapy session CPT Code: `90847`	$184	$192	$173	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$370	$151	$148	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$103	$138	$151	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$92	$86	1.1×
X-ray, pelvis CPT Code: `72170`	$382	$110	$110	1.0×
X-ray, hand CPT Code: `73130`	$465	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$456	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$568	$111	$112	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$404	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$433	$92	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$309	$91	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$347	$91	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$850	$115	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,019	$115	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$681	$115	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,243	$115	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,209	$115	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,719	$115	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,660	$115	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,955	$115	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,695	$115	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,695	$115	$169	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$278	$88	$123	0.7×
X-ray, shoulder CPT Code: `73030`	$480	$93	$92	unverified
X-ray, foot CPT Code: `73630`	$439	$93	$92	unverified
Group therapy session CPT Code: `90853`	$107	$110	$100	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$99	$99	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$268	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$114	$110	$111	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$119	$50	$35	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$85	$50	$48	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$40	$39	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$92	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$92	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$273	$63	$64	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$51	$54	$56	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$78	$78	$140	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$162	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$251	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$239	$14	$14	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$154	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$151	$14	$14	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$162	$20	$20	1.0×
Blood test, vitamin D CPT Code: `82306`	$180	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	$95	$41	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$81	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$65	$30	$33	0.9×
Orthotic fitting and training CPT Code: `97760`	$80	$46	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$36	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$61	$34	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$30	$35	0.9×
Blood antibody screen CPT Code: `86850`	$181	$55	$46	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$102	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$132	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$77	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$203	$10	$10	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$106	$33	$38	0.9×
Blood test, lipase CPT Code: `83690`	$144	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$105	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$72	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$163	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$73	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$47	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$156	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$94	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$172	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$229	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$283	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$209	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$153	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$52	$24	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$66	$28	$34	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$79	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$41	$2	$3	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$31	$21	$37	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$10	$25	0.4×

Showing top 25 high-impact procedures of 112 total

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

Audit a Bill or Quote at Northwest Medical Center Sahuarita (Zero PHI Required)

CMS CCN: 030148

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $20,005

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Medical Center Sahuarita’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 Northwest Medical Center Sahuarita'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 +$28,580 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($48,012) is $28,580 above the denoised Fair BaseRate ($19,432) and 3.4× the $14,044 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)

Public IRS & CMS ownership records classify Northwest Medical Center Sahuarita 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 Overall2/5 Stars (2/5)

Safety Composite60/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait179 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (920 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 Northwest Medical Center Sahuarita.

Price Index: 0.90× regional baseline

Quality: 49/100 CMS composite

Median Household Income$67,929U.S. Census ACS

Local Uninsured Share8.9%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 82/100 · Corroborated CMS CCN 030148

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 030148) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows6,785 (CMS v3.0.0)

File Integrity DigestVerified · CCN 030148

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