How many shoppable procedure prices are published for Valleywise Health Medical Center?

Valleywise Health Medical Center in Phoenix, AZ currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Valleywise Health Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Valleywise Health Medical Center's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Valleywise Health Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Valleywise Health Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 298 Beds · rural Updated: 2026-06-28

Valleywise Health Medical Center

2601 East Roosevelt Street, Phoenix, AZ 85008 · 141 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.81×vs. Fair Market Price

Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness51

Price Logic89

Peer Alignment67

Clean Billing90

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.81× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Valleywise Health Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.3× Medicare, p75 1.01× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 56 in AZ · 7th State Percentile#300 of 3,385 in U.S. · 8th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 19% below peer Fair BaseRate (0.81×)
Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 72% patient recommendation (68/100 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)

Even at low-cost facilities (0.81× 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.
Captive ER (2.7×) & laboratory (3.1×) services average 1.63× higher multiples than routine shoppable care (0.8×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 10.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.63× Divergence

1.3× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.66× · Q50 0.90× · Q75 1.01×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

1.1× MedicareGood

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

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 68/100Fair

Procedure Prices at Valleywise Health Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 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`	—	$64,077	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$49,665	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$49,513	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$47,656	$17,936	unverified
Total knee replacement CPT Code: `27447`	$15,755	$13,700	$13,523	1.0×
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,419	$6,612	$6,109	1.1×
Inguinal hernia repair CPT Code: `49505`	$4,394	$3,821	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,015	$3,491	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$4,015	$3,491	$3,446	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,402	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,173	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$1,636	$1,849	$1,453	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	$866	$904	$855	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,054	$916	$1,021	0.9×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$660	$257	2.6×
Cataract surgery with lens implant CPT Code: `66984`	$2,832	$619	$2,540	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$671	$583	$583	unverified
Breast lump removal CPT Code: `19120`	—	$555	$3,875	0.1×
Blood transfusion CPT Code: `36430`	$541	$513	$498	1.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$450	$65	6.9×
Behavioral health residential care HCPCS Code: `H0011`	—	$448	$364	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,468	$469	$1,256	0.4×
Psychological testing by technician CPT Code: `96138`	$548	$446	$395	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$389	$343	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,113	$409	$987	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,141	$370	$981	0.4×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$320	$269	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$428	$294	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$428	$308	$511	0.6×
Review of medical records for care CPT Code: `90889`	—	$260	$114	2.3×
Rabies immune globulin HCPCS Code: `90375`	$322	$280	$322	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$270	$406	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$269	$234	$201	1.2×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$187	$88	2.1×
Mental health services (assessment) HCPCS Code: `H0031`	—	$210	$140	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$218	$164	$185	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$293	$188	$272	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$215	$167	$258	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$293	$178	$303	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$293	$188	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$293	$190	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$293	$196	$369	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$245	$153	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$198	$123	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$158	$138	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$218	$153	$181	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$215	$145	$242	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$128	$111	$132	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$96	$123	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$119	$157	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$90	$100	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$128	$100	$134	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$82	$110	0.7×
Ultrasound, pelvis CPT Code: `76856`	$128	$94	$130	0.7×
CT scan, pelvis CPT Code: `72192`	$128	$112	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$128	$112	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$128	$112	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$128	$112	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$128	$112	$169	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$128	$83	$126	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$218	$107	$166	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$128	$103	$160	0.6×
Family therapy session CPT Code: `90847`	$218	$110	$173	0.6×
Neurobehavioral status check CPT Code: `96116`	$265	$107	$231	0.5×
Care planning with family CPT Code: `90887`	—	$80	$107	0.7×
Typhoid vaccine HCPCS Code: `90675`	$368	$320	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	—
Drug screening test HCPCS Code: `G0480`	$132	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	—
Colorectal cancer screening HCPCS Code: `G0010`	$57	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$72	$63	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$115	$75	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$66	$87	0.8×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$34	$16	2.1×
X-ray, lower back CPT Code: `72110`	$128	$56	$112	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$29	$25	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$59	$40	$35	1.1×
Behavioral health living support HCPCS Code: `H2019`	—	$35	$34	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$22	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$30	$27	$27	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$34	$37	0.9×
Prosthetic fitting and training CPT Code: `97761`	$60	$40	$45	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$42	$56	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$49	$86	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$107	$42	$93	0.5×
X-ray, hand CPT Code: `73130`	$107	$40	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$107	$37	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$107	$37	$93	0.4×
Psychological testing evaluation CPT Code: `96136`	$163	$48	$128	0.4×
Blood test, calcium CPT Code: `82310`	$6	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$8	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$19	$19	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$16	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$12	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$10	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$34	$30	$31	1.0×
X-ray, hip CPT Code: `73502`	$107	$53	$93	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$14	$14	1.0×
Speech therapy (group session) CPT Code: `92508`	$35	$26	$27	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$24	$25	1.0×
X-ray, ankle CPT Code: `73610`	$107	$39	$93	0.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$18	$13	$14	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$41	$30	$34	0.9×
Orthotic fitting and training CPT Code: `97760`	$70	$45	$51	0.9×
Physical therapy (gait training) CPT Code: `97116`	$43	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$52	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$50	$33	$38	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$33	$39	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$48	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$48	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$43	$29	$35	0.8×
X-ray, foot CPT Code: `73630`	$107	$36	$92	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$11	$11	1.0×
Group therapy session CPT Code: `90853`	$125	$34	$100	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$57	$50	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$57	$50	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$8	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$6	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$8	$8	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$17	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$9	$8	$9	0.9×
Community mental health services HCPCS Code: `H0038`	—	$14	$16	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$4	$5	0.8×
X-ray, chest (single view) CPT Code: `71045`	$107	$28	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$128	$29	$110	0.3×
Blood test, hemoglobin CPT Code: `85018`	$3	$2	$3	0.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$20	$33	0.6×
Blood antibody screen CPT Code: `86850`	$64	$14	$46	0.3×

Showing top 25 high-impact procedures of 141 total

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

Audit a Bill or Quote at Valleywise Health Medical Center (Zero PHI Required)

CMS CCN: 030022

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $64,077

1. Amount on Your Bill or Quote ($) Pre-filled with Valleywise Health 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 Valleywise Health 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 +$123,010 Above Fair BaseRate

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

Your bill ($153,785) is $123,010 above the denoised Fair BaseRate ($30,775) and 6.5× 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)

Public IRS & CMS ownership records classify Valleywise Health 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 Composite68/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait200 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)

Central-Line Bloodstream Infectionbetter

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 Valleywise Health Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Closure Notice
Recorded
2025-04-10·warning_notice
Warning Notice
Recorded
2023-09-19·administrative_or_closure
Closure Notice
Recorded
2023-09-01·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (687 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 Valleywise Health Medical Center.

Price Index: 0.59× regional baseline

Quality: 67/100 CMS composite

Median Household Income$85,518U.S. Census ACS

Local Uninsured Share10.7%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 79/100 · Corroborated CMS CCN 030022

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 030022) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-28

Validated Rate Rows9,526 (CMS v3.0.0)

File Integrity DigestVerified · CCN 030022

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