Arizona / Northwest Medical Center Sahuarita
CMS certification 030148 · Sahuarita, AZ
Northwest Medical Center Sahuarita: charges and Medicare payments
Northwest Medical Center Sahuarita reported 699 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 6.46 times what it was paid — among the higher ratios in Arizona, number 17 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: 117 stays at an average charge of $81,249, 10% below the national average. It also billed 790 outpatient services, charging 12.68 times what Medicare paid.
- 1Medicare inpatient stays 699
- 2Charge ÷ paid, inpatient 6.46×
- 3Rank in AZ (highest ratio = 1) 17 of 53
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, Northwest Medical Center Sahuarita charged more than the national average in 23 (85%). 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 | 117 | $81,249 | -10% | $15,250 |
| 291 Heart Failure and Shock with MCC | 70 | $61,519 | +9% | $10,260 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $67,574 | +13% | $10,998 |
| 177 Respiratory Infections and Inflammations with MCC | 64 | $71,329 | +1% | $13,193 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 36 | $52,637 | +31% | $6,694 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $50,132 | +2% | $8,551 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $73,455 | -3% | $11,598 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $48,320 | +30% | $6,520 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $48,459 | +28% | $6,723 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $62,848 | +24% | $9,137 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $73,194 | +31% | $8,264 |
| 312 Syncope and Collapse | 16 | $59,582 | +31% | $7,063 |
| 683 Renal Failure with CC | 16 | $46,458 | +14% | $7,718 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $61,667 | +20% | $9,472 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $38,573 | +34% | $4,628 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $199,644 | +74% | $17,633 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $72,493 | +44% | $8,531 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $131,815 | +29% | $18,073 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $46,500 | +21% | $6,665 |
| 389 Gastrointestinal Obstruction with CC | 12 | $51,061 | +31% | $6,429 |
| 603 Cellulitis without MCC | 12 | $39,943 | +7% | $6,861 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $65,992 | -10% | $13,020 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $57,173 | +26% | $7,718 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $52,586 | -7% | $9,642 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $251,667 | +54% | $26,737 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $82,782 | +36% | $10,922 |
| 638 Diabetes with CC | 11 | $46,095 | +11% | $8,290 |
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northwest Medical Center Sahuarita charged $81,249 on average, 7% less than the Arizona average of $87,638, and was paid $15,250 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Northwest Medical Center Sahuarita charged $61,519 on average, 3% more than the Arizona average of $59,877, and was paid $10,260 against a state average of $11,479. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northwest Medical Center Sahuarita charged $67,574 on average, 14% more than the Arizona average of $59,468, and was paid $10,998 against a state average of $11,853. For Respiratory Infections and Inflammations with MCC (DRG 177), Northwest Medical Center Sahuarita charged $71,329 on average, 1% more than the Arizona average of $70,869, and was paid $13,193 against a state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,954 was 66% above the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $124,230 was 36% above the state average of $91,091. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $40,755 was 38% above the state average of $29,563. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $71,779 was 46% above the state average of $49,210.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.