Oro Valley Hospital
ORO VALLEY HOSPITAL in Oro Valley, Arizona charges 9.8x the Medicare reimbursement rate on average across 44 analyzed procedures, reflecting the significant price variations patients may encounter at this for-profit facility.
Oro Valley, AZ 85755 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
No credit card required. Results in 60 seconds.
Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
9.76x
Charge / Medicare rate
Max markup
17.86x
Worst procedure
Procedures analyzed
44
With pricing data
Outlier procedures
2.3%
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $71,529 | $35,765 | — | 17.9x |
| SYNCOPE AND COLLAPSE | 312 | $65,477 | $32,739 | — | 14.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $55,845 | $27,922 | — | 14.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $34,281 | $17,140 | — | 14x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $70,453 | $35,227 | — | 13x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $180,278 | $90,139 | — | 12.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $45,620 | $22,810 | — | 11.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $48,930 | $24,465 | — | 11.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $42,511 | $21,256 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $133,581 | $66,791 | — | 10.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $45,814 | $22,907 | — | 10.5x |
| RENAL FAILURE WITH CC | 683 | $47,691 | $23,846 | — | 10.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $175,073 | $87,537 | — | 10.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $117,898 | $58,949 | — | 10.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $63,328 | $31,664 | — | 10.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $58,511 | $29,255 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $55,410 | $27,705 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,983 | $19,491 | — | 9.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $127,484 | $63,742 | — | 9.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $145,110 | $72,555 | — | 9.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $90,699 | $45,350 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $40,811 | $20,405 | — | 9.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $43,497 | $21,749 | — | 9.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $126,535 | $63,268 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $56,757 | $28,379 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $66,052 | $33,026 | — | 9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $62,412 | $31,206 | — | 9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $48,728 | $24,364 | — | 8.9x |
| CELLULITIS WITHOUT MCC | 603 | $43,793 | $21,897 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $76,913 | $38,456 | — | 8.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $152,325 | $76,162 | — | 8.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $62,216 | $31,108 | — | 8.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $61,939 | $30,969 | — | 8.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $191,473 | $95,737 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $95,647 | $47,823 | — | 7.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $57,477 | $28,739 | — | 7.8x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $65,036 | $32,518 | — | 7.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $236,273 | $118,136 | — | 7.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $58,465 | $29,233 | — | 7.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $57,881 | $28,940 | — | 7.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $67,867 | $33,934 | — | 7.3x |
| RENAL FAILURE WITH MCC | 682 | $62,523 | $31,261 | — | 7.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $80,298 | $40,149 | — | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $64,748 | $32,374 | — | 5.9x |
Got a bill from ORO VALLEY HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — for-profit hospital billing
How much do for-profit hospitals typically charge compared to Medicare rates?
Why do for-profit hospitals charge more than Medicare rates?
Does insurance typically pay the full hospital charge amount?
What should I know about billing differences between hospital types?
Related pricing data
Got a bill from Oro Valley Hospital?
Free guides to help you take action
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