TMC Healthcare · Tucson, AZ
32
In-network payers
336
Disclosed rate categories
499
Beds
3
Care quality
Tucson Medical Center is a 499-bed voluntary non-profit - private hospital in Tucson, AZ, affiliated with TMC Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 336 disclosed rate categories.
CCN (Medicare provider number)
030006
NPI
1174512792
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
499
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 Tucson Medical Center 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.
Childbirth · Inpatient
MS-DRG 807
$4,539 - $9,745
from 3 insurers · median $9,020
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,549 - $13,465
from 3 insurers · median $11,548
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$98,554 - $164,246
from 4 insurers · median $133,148
13 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,748 - $5,868
from 4 insurers · median $2,764
51 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$17,584 - $54,884
from 4 insurers · median $44,712
26 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$606 - $2,065
from 4 insurers · median $766
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$25,029 - $32,316
from 4 insurers · median $28,999
31 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$3,186 - $11,091
from 4 insurers · median $5,591
188 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,797 - $2,884
from 4 insurers · median $2,199
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,539 - $9,745
from 3 insurers · median $9,020
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$1,751 - $2,861
from 4 insurers · median $1,993
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,797 - $2,891
from 4 insurers · median $2,199
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$196 - $910
from 4 insurers · median $350
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,540 - $11,091
from 4 insurers · median $4,535
188 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$267 - $1,012
from 4 insurers · median $914
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,644 - $18,476
from 3 insurers · median $6,071
66 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$339 - $1,878
from 4 insurers · median $683
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$170 - $308
from 3 insurers · median $303
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$606 - $2,867
from 4 insurers · median $999
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$314 - $1,299
from 4 insurers · median $534
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,599 - $4,234
from 4 insurers · median $3,417
Typical for a hospital with this service line
Urology
CPT 50590
$3,267 - $8,736
from 4 insurers · median $6,218
110 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 64721
$1,814 - $3,582
from 4 insurers · median $2,777
247 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$60 - $249
from 4 insurers · median $129
Common here, based on CMS Medicare volume
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* | 24 | 192% | 11 | 8 |
| Insurer B* | 24 | 180% | 7 | 14 |
| Insurer C* | 20 | 180% | 0 | 11 |
| Insurer D* | 23 | 159% | 0 | 20 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 Tucson Medical Center.
5301 East Grant Road, Tucson, AZ 85712
(520) 327-5461
The nearest hospitals of similar type and size. Their rates are compared with Tucson Medical Center for the same insurers and services above.
St. Joseph Hospital
▲ Rates typically 17% higher than Tucson Medical Center (21 services)
Banner University Medical Center Tucson
▲ Rates typically 12% higher than Tucson Medical Center (21 services)
St. Mary S Hospital
▲ Rates typically 17% higher than Tucson Medical Center (21 services)
Northwest Medical Center
▼ Rates typically 9% lower than Tucson Medical Center (21 services)
Banner Baywood Medical Center
▲ Rates typically 46% higher than Tucson Medical Center (21 services)
Chandler Regional Medical Center
▲ Rates typically 41% higher than Tucson Medical Center (21 services)
Carondelet Heart And Vascular Institute
About Tucson Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tucson Medical Center range from $606 to $2,867 across 4 insurers. Cigna's rate is $606. The median at nearby comparable hospitals is $826. 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 Tucson Medical Center range from $606 to $2,065 across 4 insurers. Blue Cross Blue Shield's rate is $673. The median at nearby comparable hospitals is $836. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Tucson Medical Center range from $1,797 to $2,884 across 4 insurers. Cigna's rate is $2,195. The median at nearby comparable hospitals is $2,423. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Tucson Medical Center range from $4,539 to $9,745 across 3 insurers. UnitedHealthcare's rate is $9,020. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tucson Medical Center range from $170 to $308 across 3 insurers. Aetna's rate is $308. The median at nearby comparable hospitals is $232. 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 Tucson Medical Center range from $25,029 to $32,316 across 4 insurers. Aetna's rate is $32,316. The median at nearby comparable hospitals is $37,932. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tucson Medical Center has 499 beds. Facility type: Short Term Acute Care Hospital.
Tucson Medical Center is located at 5301 East Grant Road, Tucson, AZ 85712. Its main phone number is (520) 327-5461.
Tucson Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 030006.
The National Provider Identifier (NPI) on file for Tucson Medical Center is 1174512792.
Tucson Medical Center is affiliated with TMC Healthcare.
Tucson Medical Center lists 32 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.
336 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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