▸ Hospital · AZ · CCN 030136
Dignity Health - Arizona General Hospital
7171 S 51ST AVENUE, LAVEEN, AZ, 85339
16 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
168
of 209 target codes
Payers
12
with negotiated rates
Rates published
5,293
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $10,227 | $20,872 | $39,761 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | $588 | $411.6 | $18.41 | $138.15 | $576.77 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $575 | $402.5 | $27.98 | $112.91 | $575 |
| ED visit level 2 | CPT | 99282 | 11 | $1,031.4 | $721.98 | $54.48 | $222 | $1,031.4 |
| ED visit level 3 | CPT | 99283 | 11 | $1,839 | $1,287.3 | $80.98 | $330 | $1,803.88 |
| ED visit level 4 | CPT | 99284 | 11 | $2,931 | $2,051.7 | $153.87 | $617.97 | $2,875.02 |
| ED visit level 5 | CPT | 99285 | 11 | $3,750 | $2,625 | $227.49 | $923.63 | $3,718.5 |
| Critical care, first hour | CPT | 99291 | 11 | $8,529.3 | $5,970.51 | $514.74 | $2,880.42 | $8,366.39 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $2,841 | $1,988.7 | $80.98 | $1,215.95 | $2,786.74 |
| CT head with contrast | CPT | 70460 | 12 | $3,800 | $2,660 | $132.69 | $1,143.76 | $3,727.42 |
| CT head with and without contrast | CPT | 70470 | 12 | $4,589 | $3,212.3 | $132.69 | $1,936.56 | $4,501.35 |
| CT neck with contrast | CPT | 70491 | 12 | $3,725 | $2,607.5 | $132.69 | $1,134.56 | $3,653.85 |
| MRI brain without contrast | CPT | 70551 | 12 | $2,811 | $1,967.7 | $171.01 | $938.03 | $2,757.31 |
| MRI brain with contrast | CPT | 70552 | 12 | $4,418 | $3,092.6 | $247.87 | $1,474.29 | $4,333.62 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $5,020 | $3,514 | $273.56 | $1,675.18 | $4,924.12 |
| Chest X-ray single view | CPT | 71045 | 12 | $482.33 | $337.63 | $33.98 | $140.4 | $473.12 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $626.4 | $438.48 | $46.51 | $166.48 | $614.44 |
| CT chest without contrast | CPT | 71250 | 12 | $2,240 | $1,568 | $80.98 | $945.28 | $2,197.22 |
| CT chest with contrast | CPT | 71260 | 12 | $3,605 | $2,523.5 | $132.69 | $1,521.31 | $3,536.14 |
| CT chest with and without contrast | CPT | 71270 | 12 | $3,896 | $2,727.2 | $132.69 | $1,155.54 | $3,821.59 |
| MRI chest without contrast | CPT | 71550 | 12 | $2,241 | $1,568.7 | $171.01 | $952.43 | $2,198.2 |
| MRI chest with contrast | CPT | 71551 | 12 | $3,362 | $2,353.4 | $531.47 | $1,328.62 | $3,297.79 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $3,362 | $2,353.4 | $273.56 | $1,424.1 | $3,297.79 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $1,197 | $837.9 | $58.3 | $256.61 | $1,174.14 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $3,395 | $2,376.5 | $80.98 | $1,432.69 | $3,330.16 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $3,217 | $2,251.9 | $80.98 | $1,365.32 | $3,155.56 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $3,520 | $2,464 | $80.98 | $1,109.41 | $3,452.77 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $2,943 | $2,060.1 | $171.01 | $982.08 | $2,886.79 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $3,334 | $2,333.8 | $171.01 | $1,112.56 | $3,270.32 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $2,933 | $2,053.1 | $171.01 | $978.75 | $2,876.98 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $4,050 | $2,835 | $273.56 | $1,351.49 | $3,972.65 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $4,747 | $3,322.9 | $273.56 | $1,584.07 | $4,656.33 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $4,655 | $3,258.5 | $273.56 | $1,553.38 | $4,566.09 |
| CT pelvis without contrast | CPT | 72192 | 12 | $3,437 | $2,405.9 | $80.98 | $1,442.25 | $3,371.35 |
| CT pelvis with contrast | CPT | 72193 | 12 | $3,717.8 | $2,602.46 | $132.69 | $1,133.68 | $3,646.79 |
| Shoulder X-ray | CPT | 73030 | 12 | $1,284 | $898.8 | $50.67 | $288.19 | $1,259.48 |
| Humerus X-ray | CPT | 73060 | 12 | $733 | $513.1 | $48.57 | $300.15 | $719 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $1,101 | $770.7 | $56.24 | $258.87 | $1,079.97 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $3,113 | $2,179.1 | $171.01 | $1,038.81 | $3,053.54 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $3,673 | $2,571.1 | $273.56 | $1,384.52 | $3,602.85 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $614 | $429.8 | $52.76 | $246.6 | $602.27 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $1,539 | $1,077.3 | $56.94 | $346.89 | $1,509.61 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $3,676 | $2,573.2 | $171.01 | $1,226.68 | $3,605.79 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $4,999 | $3,499.3 | $273.56 | $1,668.17 | $4,903.52 |
| CT abdomen without contrast | CPT | 74150 | 12 | $2,250 | $1,575 | $80.98 | $963 | $2,207.03 |
| CT abdomen with contrast | CPT | 74160 | 12 | $3,656 | $2,559.2 | $132.69 | $1,518.3 | $3,586.17 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $4,347 | $3,042.9 | $132.69 | $1,751.85 | $4,263.97 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $3,600 | $2,520 | $171.01 | $1,475.1 | $3,531.24 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $5,190 | $3,633 | $247.87 | $1,314.32 | $5,090.87 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $6,020 | $4,214 | $247.87 | $1,416.16 | $5,905.02 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $3,243 | $2,270.1 | $171.01 | $1,082.19 | $3,181.06 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $5,230 | $3,661 | $273.56 | $1,745.25 | $5,130.11 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $1,500 | $1,050 | $80.98 | $500.55 | $1,471.35 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $1,304 | $912.8 | $80.98 | $427.77 | $1,279.09 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $1,238 | $866.6 | $80.98 | $413.13 | $1,214.35 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $1,181 | $826.7 | $80.98 | $394.1 | $1,158.44 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $1,075 | $752.5 | $80.98 | $358.73 | $1,054.47 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $1,101 | $770.7 | $171.01 | $367.41 | $1,079.97 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $1,041 | $728.7 | $80.98 | $347.38 | $1,021.12 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $1,348 | $943.6 | $80.98 | $449.83 | $1,322.25 |
| Scrotal ultrasound | CPT | 76870 | 12 | $1,154 | $807.8 | $80.98 | $385.09 | $1,131.96 |
| EKG complete | CPT | 93000 | 11 | $667 | $466.9 | $67.56 | $300.15 | $654.26 |
| EKG tracing only | CPT | 93005 | 12 | $565 | $395.5 | $26.25 | $181.76 | $554.21 |
| EKG interpretation only | CPT | 93010 | 11 | $78 | $54.6 | $19.14 | $35.18 | $76.51 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,810 | $1,967 | $358.85 | $1,056.45 | $2,756.33 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $967 | $676.9 | $171.01 | $406.57 | $948.53 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $15,914 | $32,478 | $43,869 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $9,626.5 | $19,646 | $38,991 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $7,512.71 | $15,332 | $37,369 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $5,967.75 | $12,179 | $36,097 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $7,477.36 | $15,260 | $37,231 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $5,739.71 | $11,714 | $35,897 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $13,724 | $28,436 | $42,237 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $8,151.39 | $17,748 | $37,681 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $6,209.26 | $13,519 | $36,303 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $11,325 | $23,111 | $39,956 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $7,619.57 | $15,550 | $37,229 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $5,514.2 | $12,006 | $35,385 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $9,994.22 | $20,396 | $39,502 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $6,364.09 | $12,988 | $36,467 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $4,706.38 | $9,604.86 | $35,179 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $8,314.63 | $16,969 | $38,105 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $5,433.42 | $11,830 | $35,704 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $6,407.85 | $13,077 | $36,570 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $12,281 | $25,062 | $40,952 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $9,412.76 | $19,210 | $38,918 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $6,654.4 | $13,580 | $36,760 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $15,704 | $32,050 | $44,025 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $8,745.47 | $19,041 | $38,326 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $192 | $134.4 | $7.61 | $20.65 | $188.33 |
| Electrolyte panel | CPT | 80051 | 12 | $156.6 | $109.62 | $6.31 | $17.11 | $153.61 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $468 | $327.6 | $9.5 | $25.78 | $459.06 |
| Lipid panel | CPT | 80061 | 12 | $425 | $297.5 | $12.05 | $32.68 | $416.88 |
| Renal function panel | CPT | 80069 | 12 | $342 | $239.4 | $7.81 | $21.18 | $335.47 |
| Hepatic function panel | CPT | 80076 | 12 | $300 | $210 | $7.36 | $19.93 | $294.27 |
| Urinalysis automated | CPT | 81003 | 12 | $72.9 | $51.03 | $2.03 | $5.48 | $71.51 |
| Glucose quantitative | CPT | 82947 | 12 | $54 | $37.8 | $3.54 | $19.69 | $52.97 |
| Hemoglobin A1c | CPT | 83036 | 12 | $149 | $104.3 | $8.74 | $23.72 | $146.15 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $280 | $196 | $15.12 | $94.09 | $274.65 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $216 | $151.2 | $7 | $65.24 | $211.87 |
| Complete blood count without differential | CPT | 85027 | 12 | $138 | $96.6 | $5.83 | $15.79 | $135.36 |
| Urine culture bacterial | CPT | 87086 | 12 | $147 | $102.9 | $7.27 | $19.71 | $144.19 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $920 | $644 | $36.98 | $93.52 | $902.43 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | — | — | $64.37 | $179.4 | $5,540 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 11 | $13,314 | $9,319.8 | $3,267.26 | $5,991.3 | $13,060 |
| Vaginal delivery only | CPT | 59409 | 12 | $4,509 | $3,156.3 | $608.84 | $2,479 | $4,509 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $2,013 | $3,623.7 | $4,831.09 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $3,623.7 | $4,831.09 | $5,540 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $1,816 | $3,623.7 | $5,540 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $3,623.7 | $4,235 | $4,831.09 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | $849 | $594.3 | $208.34 | $848.47 | $856.24 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 9 | — | — | $601.63 | $1,524.35 | $2,745 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 9 | — | — | $350.83 | $1,026.18 | $2,294 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 9 | — | — | $589.79 | $1,079.16 | $2,294 |
| Colonoscopy diagnostic | CPT | 45378 | 9 | — | — | $589.79 | $1,568.56 | $2,745 |
| Colonoscopy with biopsy | CPT | 45380 | 9 | — | — | $770.6 | $1,568.56 | $2,745 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | $1,722 | $1,205.4 | $422.58 | $1,406.87 | $1,722 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 6 | — | — | $3,047 | $7,990.68 | $13,048 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $26,698 | $51,114 | $72,952 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $17,122 | $37,278 | $49,376 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | — | — | $2,836 | $4,775 | $9,151.41 |
| Total hip replacement | CPT | 27130 | 6 | — | — | $3,047 | $11,210 | $13,048 |
| Total knee replacement | CPT | 27447 | 6 | — | — | $3,047 | $11,210 | $13,048 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $2,859 | $3,907 | $9,151.41 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | — | — | $2,859 | $4,775 | $9,151.41 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | — | — | $930.6 | $1,697 | $3,179 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | — | — | $2,610.85 | $5,781.5 | $8,349.33 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 9 | — | — | $2,103.34 | $2,982.2 | $4,161.08 |
| ACL reconstruction | CPT | 29888 | 9 | — | — | $1,858.85 | $5,781.5 | $11,987 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $41,293 | $64,331 | $112,831 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $21,262 | $43,393 | $58,099 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $14,214 | $29,009 | $42,935 |
| CABG single arterial graft | CPT | 33533 | 5 | — | — | $2,836 | $3,602 | $6,500.98 |
| CABG 2 arterial grafts | CPT | 33534 | 5 | — | — | $2,836 | $3,602 | $6,500.98 |
| CABG 3 arterial grafts | CPT | 33535 | 5 | — | — | $2,836 | $4,255.13 | $6,500.98 |
| CABG 4+ arterial grafts | CPT | 33536 | 5 | — | — | $2,836 | $4,255.13 | $6,500.98 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $14,043 | $28,660 | $42,790 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $10,996 | $22,442 | $40,273 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $28,903 | $53,498 | $78,976 |
| Open appendectomy | CPT | 44950 | 6 | — | — | $2,365.67 | $3,285 | $6,500.98 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $2,786 | $5,198.39 | $7,930 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $54,719 | $76,777 | $193,833 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $39,196 | $57,893 | $115,190 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $28,260 | $51,188 | $77,220 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $17,133 | $36,247 | $46,815 |
| Laparoscopic cholecystectomy | CPT | 47562 | 8 | — | — | $3,760.54 | $5,276.37 | $7,232.76 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 8 | — | — | $3,760.54 | $5,276.37 | $7,232.76 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $25,089 | $50,288 | $68,556 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $15,678 | $31,995 | $45,533 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $12,724 | $26,482 | $42,499 |
| Open umbilical hernia repair | CPT | 49560 | 12 | $4,047 | $2,832.9 | $993.13 | $3,268.65 | $4,047 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 12 | $2,826 | $1,978.2 | $693.5 | $2,826 | $3,366.71 |
| Lap inguinal hernia repair | CPT | 49650 | 9 | — | — | $2,295.95 | $5,198.39 | $7,232.76 |
| Lap incisional hernia repair | CPT | 49652 | 9 | — | — | $2,295.95 | $5,276.37 | $10,408 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $1,816 | $3,602 | $6,500.98 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $1,816 | $4,530.24 | $6,500.98 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 9 | — | — | $3,760.54 | $5,328.35 | $10,680 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 9 | — | — | $3,251 | $6,926.13 | $9,425 |
| Lap salpingo-oophorectomy | CPT | 58661 | 9 | — | — | $2,610.85 | $5,224.38 | $7,232.76 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $25,905 | $50,523 | $70,784 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $15,101 | $30,819 | $43,287 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $13,228 | $26,996 | $42,171 |
| Complex cataract surgery | CPT | 66982 | 9 | — | — | $1,545.07 | $3,147 | $7,930 |
| Cataract surgery with lens implant | CPT | 66984 | 9 | — | — | $1,545.07 | $3,147 | $7,930 |
| Intravitreal injection | CPT | 67028 | 9 | — | — | $169.1 | $775 | $2,013 |
| Vitrectomy mechanical | CPT | 67042 | 9 | — | — | $2,911.37 | $4,388.5 | $6,352 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $9,664.36 | $19,723 | $39,043 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $12,931 | $29,890 | $43,507 |
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 168 | $2,620.74 |
| UnitedHealthcare | 164 | $2,734 |
| Humana | 164 | $1,620 |
| Blue Cross Blue Shield | 162 | $1,722 |
| Cigna | 157 | $1,605 |
| Medicare | 155 | $511.3 |
| commercial | azfmc | pos | 149 | $3,165.32 |
| Bright Health | 129 | $804.42 |
| Medicaid | 112 | $171.01 |
| commercial | azfmc | all other plans | 105 | $2,197.22 |
| Multiplan | 85 | $1,502.46 |
| First Health | 85 | $974.67 |