Arizona / Canyon Vista Medical Center
CMS certification 030043 · Sierra Vista, AZ · 5 entries in CMS's price-transparency list
Canyon Vista Medical Center: charges and Medicare payments
Canyon Vista Medical Center reported 805 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 3.93 times what it was paid — among the lower ratios in Arizona, number 42 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 157 stays at an average charge of $72,013, 20% below the national average. It also billed 851 outpatient services, charging 12.29 times what Medicare paid.
- 1Medicare inpatient stays 805
- 2Charge ÷ paid, inpatient 3.93×
- 3Rank in AZ (highest ratio = 1) 42 of 53
- 4CMS price-transparency actions 5
Inpatient stays
For the 26 DRGs that can be compared with the national average, Canyon Vista Medical Center charged more than the national average in 3 (12%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 157 | $72,013 | -20% | $19,756 |
| 193 Simple Pneumonia and Pleurisy with MCC | 84 | $41,967 | -30% | $13,315 |
| 291 Heart Failure and Shock with MCC | 69 | $41,364 | -27% | $12,955 |
| 189 Pulmonary Edema and Respiratory Failure | 65 | $40,110 | -30% | $12,394 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $48,855 | 0% | $10,577 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $51,044 | -28% | $16,728 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 34 | $138,180 | +48% | $18,538 |
| 069 Transient Ischemia without Thrombolytic | 28 | $35,999 | -29% | $8,045 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $118,953 | +18% | $20,723 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $35,943 | -11% | $7,970 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $32,852 | -11% | $7,999 |
| 683 Renal Failure with CC | 22 | $36,183 | -11% | $9,718 |
| 682 Renal Failure with MCC | 19 | $47,347 | -28% | $14,938 |
| 638 Diabetes with CC | 16 | $38,716 | -7% | $9,143 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $159,787 | -30% | $46,300 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $35,709 | -36% | $10,022 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $45,044 | -31% | $13,905 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $28,663 | -24% | $8,111 |
| 951 Other Factors Influencing Health Status | 14 | $24,245 | -5% | $5,986 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $61,279 | -19% | $15,985 |
| 312 Syncope and Collapse | 13 | $29,521 | -35% | $8,655 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $58,387 | +20% | $10,023 |
| 603 Cellulitis without MCC | 12 | $31,771 | -15% | $8,930 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $33,401 | -8% | $7,584 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $93,552 | -18% | $17,858 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $132,069 | -5% | $29,472 |
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Canyon Vista Medical Center charged $72,013 on average, 18% less than the Arizona average of $87,638, and was paid $19,756 against a state average of $17,455. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Canyon Vista Medical Center charged $41,967 on average, 29% less than the Arizona average of $59,468, and was paid $13,315 against a state average of $11,853. For Heart Failure and Shock with MCC (DRG 291), Canyon Vista Medical Center charged $41,364 on average, 31% less than the Arizona average of $59,877, and was paid $12,955 against a state average of $11,479. For Pulmonary Edema and Respiratory Failure (DRG 189), Canyon Vista Medical Center charged $40,110 on average, 32% less than the Arizona average of $59,227, and was paid $12,394 against a state average of $11,598. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,936 was 9% below the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $140,707 was 54% above the state average of $91,091. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,854 was 45% below the state average of $34,042. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $31,238 was 39% above the state average of $22,503.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Canyon Vista Medical Center in Sierra Vista, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-06-29 (CMS case 224)
- CAP Request — 2022-10-17 (CMS case 224)
- Closure Notice — 2023-02-24 (CMS case 224)
- Warning Notice — 2025-06-27 (CMS case 5225)
- Closure Notice — 2025-09-25 (CMS case 5225)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.