▸ Hospital · AZ · CCN 030137
SANTA CRUZ VALLEY REGIONAL HOSPITAL
4455 I-19 FRONTAGE ROAD, GREEN VALLEY, AZ, 85614
49 beds4
Compliance grade
A
100/100
Procedures tracked
135
of 209 target codes
Payers
11
with negotiated rates
Rates published
18,127
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $102 | $61.2 | $15.61 | $50.91 | $91.8 |
| ED visit level 2 | CPT | 99282 | 11 | $240 | $144 | $36.72 | $91.56 | $216 |
| ED visit level 3 | CPT | 99283 | 11 | $467 | $280.2 | $71.45 | $160.09 | $420.3 |
| ED visit level 4 | CPT | 99284 | 11 | $2,936 | $1,761.6 | $191.8 | $449.21 | $2,642.4 |
| ED visit level 5 | CPT | 99285 | 11 | $5,007 | $3,004.2 | $285.8 | $766.07 | $4,506.3 |
| Critical care, first hour | CPT | 99291 | 7 | $467 | $280.2 | $157.68 | $195.02 | $321.78 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $2,812 | $1,687.2 | $30.11 | $62.38 | $2,530.8 |
| CT head with contrast | CPT | 70460 | 11 | $3,080 | $1,848 | $102.92 | $471.24 | $2,772 |
| CT head with and without contrast | CPT | 70470 | 11 | $4,374 | $2,624.4 | $102.92 | $605.61 | $3,936.6 |
| CT neck with contrast | CPT | 70491 | 11 | $4,494 | $2,696.4 | $102.92 | $614.79 | $4,044.6 |
| MRI brain without contrast | CPT | 70551 | 11 | $6,894 | $4,136.4 | $139.75 | $907.39 | $6,204.6 |
| MRI brain with contrast | CPT | 70552 | 11 | $7,856 | $4,713.6 | $206.48 | $980.98 | $7,070.4 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $9,896 | $5,937.6 | $206.48 | $1,137.04 | $8,906.4 |
| Chest X-ray single view | CPT | 71045 | 11 | $417 | $250.2 | $6.44 | $50.91 | $375.3 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $491 | $294.6 | $50.91 | $75.12 | $441.9 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $554 | $332.4 | $50.91 | $84.76 | $498.6 |
| CT chest without contrast | CPT | 71250 | 11 | $3,455 | $2,073 | $38.35 | $70.45 | $3,109.5 |
| CT chest with contrast | CPT | 71260 | 11 | $4,732 | $2,839.2 | $41.18 | $102.92 | $4,258.8 |
| CT chest with and without contrast | CPT | 71270 | 11 | $5,660 | $3,396 | $102.92 | $703.99 | $5,094 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $648 | $388.8 | $61.48 | $99.14 | $583.2 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $4,791 | $2,874.6 | $61.48 | $637.51 | $4,311.9 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $4,885 | $2,931 | $35 | $68.01 | $4,396.5 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $4,542 | $2,725.2 | $35 | $68.01 | $4,087.8 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $7,468 | $4,480.8 | $139.75 | $951.3 | $6,721.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $6,488 | $3,892.8 | $139.75 | $876.33 | $5,839.2 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $6,081 | $3,648.6 | $139.75 | $845.2 | $5,472.9 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $6,245 | $3,747 | $206.48 | $857.74 | $5,620.5 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $11,133 | $6,679.8 | $206.48 | $1,231.67 | $10,020 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $7,477 | $4,486.2 | $206.48 | $951.99 | $6,729.3 |
| CT pelvis without contrast | CPT | 72192 | 11 | $3,316 | $1,989.6 | $61.48 | $507.35 | $2,984.4 |
| CT pelvis with contrast | CPT | 72193 | 11 | $4,600 | $2,760 | $102.92 | $622.9 | $4,140 |
| Shoulder X-ray | CPT | 73030 | 11 | $1,109 | $665.4 | $6.69 | $84.76 | $998.1 |
| Humerus X-ray | CPT | 73060 | 11 | $1,109 | $665.4 | $5.66 | $84.76 | $998.1 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $1,125 | $675 | $6.17 | $86.14 | $1,012.5 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $6,382 | $3,829.2 | $139.75 | $868.22 | $5,743.8 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $6,372 | $3,823.2 | $206.48 | $867.46 | $5,734.8 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $1,070 | $642 | $5.92 | $81.7 | $963 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $1,211 | $726.6 | $6.17 | $92.57 | $1,089.9 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $11,294 | $6,776.4 | $139.75 | $1,298.81 | $10,165 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $6,372 | $3,823.2 | $206.48 | $867.46 | $5,734.8 |
| CT abdomen without contrast | CPT | 74150 | 11 | $2,990 | $1,794 | $61.48 | $457.47 | $2,691 |
| CT abdomen with contrast | CPT | 74160 | 11 | $3,691 | $2,214.6 | $102.92 | $553.36 | $3,321.9 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $4,407 | $2,644.2 | $102.92 | $608.14 | $3,966.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $6,309 | $3,785.4 | $61.51 | $139.75 | $5,678.1 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $8,289 | $4,973.4 | $64.86 | $206.48 | $7,460.1 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $9,244 | $5,546.4 | $206.48 | $978.17 | $8,319.6 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $5,314 | $3,188.4 | $139.75 | $786.52 | $4,782.6 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $5,314 | $3,188.4 | $206.48 | $786.52 | $4,782.6 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,673 | $1,003.8 | $61.48 | $255.97 | $1,505.7 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,239 | $743.4 | $61.48 | $189.57 | $1,115.1 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,090 | $654 | $61.48 | $166.77 | $981 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $1,453 | $871.8 | $61.48 | $222.31 | $1,307.7 |
| Transvaginal ultrasound | CPT | 76830 | 11 | $1,439 | $863.4 | $61.48 | $220.17 | $1,295.1 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,706 | $1,023.6 | $61.48 | $261.02 | $1,535.4 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,941 | $1,164.6 | $61.48 | $296.97 | $1,746.9 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $1,079 | $647.4 | $76.62 | $142.54 | $971.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $1,079 | $647.4 | $98.3 | $142.54 | $971.1 |
| Screening mammography bilateral | CPT | 77067 | 11 | $433 | $259.8 | $7.65 | $81.07 | $389.7 |
| EKG complete | CPT | 93000 | 8 | $239 | $143.4 | $36.57 | $143.4 | $215.1 |
| EKG tracing only | CPT | 93005 | 11 | $411 | $246.6 | $16.37 | $62.88 | $369.9 |
| EKG interpretation only | CPT | 93010 | 10 | $87 | $52.2 | $5.92 | $13.31 | $78.3 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $4,564 | $2,738.4 | $50.44 | $317.01 | $4,107.6 |
| Stress echocardiogram | CPT | 93350 | 11 | $2,624 | $1,574.4 | $317.01 | $401.47 | $2,361.6 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $10,729 | $13,497 | $22,674 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $6,969.68 | $9,566.92 | $16,072 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $5,369.57 | $7,280.77 | $12,232 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $4,059.11 | $5,544.79 | $9,315.24 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $5,200.07 | $6,960.35 | $11,693 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $3,956.66 | $5,428.19 | $9,119.36 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $10,034 | $13,854 | $23,275 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $4,541.68 | $6,245.23 | $10,492 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $8,120.13 | $11,088 | $18,628 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $5,417 | $7,332.59 | $12,319 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $3,551.25 | $4,888.39 | $8,212.5 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $7,603.41 | $10,399 | $17,470 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $4,709.91 | $6,354.05 | $10,675 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $3,497.49 | $4,889.26 | $8,213.95 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $6,222.12 | $8,470.05 | $14,230 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $4,004.72 | $5,444.6 | $9,146.93 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $4,968.59 | $6,733.2 | $11,312 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $7,427.58 | $10,021 | $16,836 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $5,103.3 | $6,991.44 | $11,746 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $12,539 | $16,777 | $28,185 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $6,513.68 | $8,837.98 | $14,848 |
| Initial hospital care, low complexity | CPT | 99221 | 7 | $162 | $97.2 | $51.66 | $72.79 | $120.1 |
| Initial hospital care, moderate complexity | CPT | 99222 | 7 | $222 | $133.2 | $85.6 | $114.33 | $188.64 |
| Initial hospital care, high complexity | CPT | 99223 | 7 | $321 | $192.6 | $119.25 | $152.94 | $252.35 |
| Hospital discharge, <30 min | CPT | 99238 | 7 | $152 | $91.2 | $53.44 | $72.54 | $119.69 |
| Hospital discharge, >30 min | CPT | 99239 | 7 | $198 | $118.8 | $72.89 | $103.34 | $170.51 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $224 | $134.4 | $5.69 | $8.46 | $201.6 |
| Electrolyte panel | CPT | 80051 | 11 | $176 | $105.6 | $4.75 | $7.01 | $158.4 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $264 | $158.4 | $7.15 | $10.56 | $237.6 |
| Lipid panel | CPT | 80061 | 11 | $369 | $221.4 | $9.68 | $13.39 | $332.1 |
| Renal function panel | CPT | 80069 | 11 | $348 | $208.8 | $5.69 | $8.68 | $313.2 |
| Hepatic function panel | CPT | 80076 | 11 | $307 | $184.2 | $5.69 | $8.17 | $276.3 |
| Urinalysis non-automated | CPT | 81002 | 11 | $59 | $35.4 | $2.05 | $13.69 | $53.1 |
| Urinalysis automated | CPT | 81003 | 11 | $56 | $33.6 | $1.91 | $5.06 | $50.4 |
| Glucose quantitative | CPT | 82947 | 11 | $112 | $67.2 | $3.34 | $3.93 | $100.8 |
| Hemoglobin A1c | CPT | 83036 | 11 | $125 | $75 | $8.25 | $9.71 | $112.5 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $280 | $168 | $14.28 | $16.8 | $252 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $126 | $75.6 | $6.61 | $7.77 | $113.4 |
| Complete blood count without differential | CPT | 85027 | 11 | $96 | $57.6 | $5.5 | $6.47 | $86.4 |
| Urine culture bacterial | CPT | 87086 | 11 | $207 | $124.2 | $6.86 | $8.07 | $186.3 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $159 | $95.4 | $22.55 | $36.51 | $143.1 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 11 | $285 | $171 | $11.32 | $40.23 | $256.5 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 11 | $331 | $198.6 | $16.37 | $69.96 | $297.9 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 11 | $1,159 | $695.4 | $27.85 | $114.34 | $1,043.1 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 11 | $1,527 | $916.2 | $35.8 | $156.59 | $1,374.3 |
| Office visit, established patient, 5 min | CPT | 99211 | 8 | $238 | $142.8 | $8.72 | $38.64 | $214.2 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 10 | $423 | $253.8 | $11.32 | $30.41 | $380.7 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 11 | $520 | $312 | $11.32 | $56.25 | $468 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 11 | $1,159 | $695.4 | $16.68 | $82.78 | $1,043.1 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 11 | $1,527 | $916.2 | $23.56 | $122.82 | $1,374.3 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 7 | $1,039 | $623.4 | $91.62 | $106.59 | $175.87 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 7 | $983 | $589.8 | $102.94 | $119.33 | $196.89 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | $315 | $189 | $42.46 | $51.2 | $84.48 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | $436 | $261.6 | $54.04 | $63.94 | $105.5 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | $1,242 | $745.2 | $138.2 | $159.33 | $282.66 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | $1,412 | $847.2 | $150.55 | $172.05 | $338.07 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | $1,731 | $1,038.6 | $189.67 | $216.7 | $401.36 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | $5,821 | $3,492.6 | $1,101.73 | $1,245.94 | $2,055.8 |
| Total hip replacement | CPT | 27130 | 7 | $6,679 | $4,007.4 | $981.55 | $1,112.92 | $1,836.32 |
| Total knee replacement | CPT | 27447 | 7 | $6,291 | $3,774.6 | $980.52 | $1,110.51 | $1,832.34 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | $3,440 | $2,064 | $787.23 | $931.56 | $1,537.07 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | $3,268 | $1,960.8 | $410.99 | $487.5 | $804.38 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $28,567 | $39,699 | $66,694 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $15,003 | $20,704 | $34,783 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $10,575 | $14,535 | $24,418 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $10,339 | $14,610 | $24,545 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $8,305.44 | $11,796 | $19,817 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | $2,331 | $1,398.6 | $395.19 | $552.95 | $912.37 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $11,901 | $16,659 | $27,988 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | $3,046 | $1,827.6 | $513.93 | $604.97 | $998.2 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | $3,367 | $2,020.2 | $559.49 | $655.67 | $1,081.86 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | $1,872 | $1,123.2 | $302.13 | $403.51 | $665.79 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 135 | $202.95 |
| caresoure kentucky | 135 | $360.28 |
| UnitedHealthcare | 135 | $228.72 |
| WellCare | 135 | $139.75 |
| the health plan | 133 | $102.92 |
| optum ccn region 2 | 133 | $103.34 |
| optum ccn region 1 | 131 | $102.92 |
| Humana | 113 | $174.73 |
| Molina | 113 | $453.34 |
| Anthem BCBS | 113 | $497.37 |
| umr | 86 | $773.64 |