Northwest Medical Center Sahuarita
Northwest Medical Center Sahuarita charges 7.5x the Medicare reimbursement rate across 24 analyzed procedures, representing a significant markup for this nonprofit hospital in Sahuarita, Arizona.
Sahuarita, AZ 85629 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
7.52x
Charge / Medicare rate
Max markup
10.8x
Worst procedure
Procedures analyzed
24
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $187,792 | $93,896 | — | 10.8x |
| SYNCOPE AND COLLAPSE | 312 | $60,286 | $30,143 | — | 10.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $51,083 | $25,541 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $242,030 | $121,015 | — | 9.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $137,156 | $68,578 | — | 9.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $47,670 | $23,835 | — | 9.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,293 | $22,147 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $63,784 | $31,892 | — | 8.3x |
| RENAL FAILURE WITH CC | 683 | $47,835 | $23,917 | — | 8.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $59,985 | $29,992 | — | 8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $40,174 | $20,087 | — | 7.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $136,734 | $68,367 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $72,535 | $36,267 | — | 7x |
| CELLULITIS WITHOUT MCC | 603 | $38,082 | $19,041 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $44,678 | $22,339 | — | 6.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,740 | $26,870 | — | 6.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,101 | $26,050 | — | 5.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $37,459 | $18,730 | — | 5.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $222,848 | $111,424 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $50,543 | $25,272 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $54,839 | $27,419 | — | 5.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $57,556 | $28,778 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $72,793 | $36,397 | — | 5.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $63,059 | $31,529 | — | 4.8x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use