Northwest Healthcare (AZ) · Oro Valley, AZ
34
In-network payers
349
Disclosed rate categories
146
Beds
3
Care quality
Oro Valley Hospital is a 146-bed proprietary hospital in Oro Valley, AZ, affiliated with Northwest Healthcare (AZ). Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 349 disclosed rate categories.
CCN (Medicare provider number)
030114
NPI
1386697688
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
146
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Oro Valley Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$21,401 - $27,893
from 4 insurers · median $23,666
30 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$6,824 - $10,939
from 3 insurers · median $7,960
92 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$108,540 - $124,740
from 4 insurers · median $113,568
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 49650
$3,580 - $10,939
from 3 insurers · median $7,960
92 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$3,280 - $10,939
from 3 insurers · median $7,960
39 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$301 - $771
from 4 insurers · median $729
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,013 - $5,348
from 3 insurers · median $2,517
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,304 - $5,348
from 3 insurers · median $2,517
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,158 - $5,348
from 3 insurers · median $2,517
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,755 - $7,960
from 3 insurers · median $7,511
81 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 49505
$3,580 - $7,960
from 3 insurers · median $7,511
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$5,947 - $10,939
from 3 insurers · median $7,960
119 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$76 - $232
from 4 insurers · median $216
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$181 - $889
from 2 insurers · median $535
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$135 - $648
from 4 insurers · median $496
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$6,106 - $9,010
from 3 insurers · median $7,960
14 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Orthopedics and pain
CPT 29880
$4,008 - $7,960
from 3 insurers · median $7,511
81 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$123 - $277
from 4 insurers · median $224
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$159 - $939
from 4 insurers · median $714
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$132 - $473
from 4 insurers · median $348
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,573 - $1,891
from 2 insurers · median $1,732
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,071 - $10,939
from 3 insurers · median $7,960
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$424 - $2,688
from 4 insurers · median $1,802
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,960 - $12,406
from 3 insurers · median $10,939
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 204% | 18 | 5 |
| Insurer B* | 9 | 200% | 1 | 8 |
| Insurer C* | 24 | 153% | 0 | 23 |
| Insurer D* | 23 | 129% | 13 | 10 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Oro Valley Hospital.
1551 East Tangerine Road, Oro Valley, AZ 85755
(520) 901-3549
The nearest hospitals of similar type and size. Their rates are compared with Oro Valley Hospital for the same insurers and services above.
Banner University Med Center South
Rates about the same as Oro Valley Hospital (24 services)
Banner Casa Grande Medical Center
▲ Rates typically 17% higher than Oro Valley Hospital (24 services)
Banner Ironwood Medical Center
▲ Rates typically 41% higher than Oro Valley Hospital (24 services)
San Carlos Apache Healthcare Corp
▼ Rates typically 15% lower than Oro Valley Hospital (11 services)
Canyon Vista Medical Center
▲ Rates typically 32% higher than Oro Valley Hospital (24 services)
Mountain Vista Medical Center
▼ Rates typically 47% lower than Oro Valley Hospital (24 services)
Northwest Medical Center Sahuarita
Northwest Medical Center
Arizona General Hospital - Laveen
Carondelet Heart And Vascular Institute
About Oro Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Oro Valley Hospital range from $159 to $939 across 4 insurers. UnitedHealthcare's rate is $746. The median at nearby comparable hospitals is $868. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Oro Valley Hospital range from $301 to $771 across 4 insurers. Cigna's rate is $712. The median at nearby comparable hospitals is $966. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Oro Valley Hospital range from $2,304 to $5,348 across 3 insurers. Blue Cross Blue Shield's rate is $2,304. The median at nearby comparable hospitals is $2,781. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Oro Valley Hospital range from $123 to $277 across 4 insurers. Cigna's rate is $259. The median at nearby comparable hospitals is $219. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Oro Valley Hospital range from $21,401 to $27,893 across 4 insurers. Aetna's rate is $21,401. The median at nearby comparable hospitals is $39,587. What a patient pays depends on their plan's deductible, coinsurance and network status.
Oro Valley Hospital has 146 beds. Facility type: Short Term Acute Care Hospital.
Oro Valley Hospital is located at 1551 East Tangerine Road, Oro Valley, AZ 85755. Its main phone number is (520) 901-3549.
Oro Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 030114.
The National Provider Identifier (NPI) on file for Oro Valley Hospital is 1386697688.
Oro Valley Hospital is affiliated with Northwest Healthcare (AZ).
Oro Valley Hospital lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
349 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers