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Charge Type Setting Price  
Service Code APR-DRG 3833
Hospital Charge Code APRDRG3833
Min. Negotiated Rate $6,029.94
Max. Negotiated Rate $6,029.94
Rate for Payer: AHCCCS Medicaid $6,029.94
Rate for Payer: Allwell Medicaid $6,029.94
Rate for Payer: AZCH Complete Medicaid $6,029.94
Rate for Payer: Banner UC Health Medicaid $6,029.94
Rate for Payer: Mercy Care Medicaid $6,029.94
Service Code APR-DRG 3834
Hospital Charge Code APRDRG3834
Min. Negotiated Rate $12,128.61
Max. Negotiated Rate $12,128.61
Rate for Payer: AHCCCS Medicaid $12,128.61
Rate for Payer: Allwell Medicaid $12,128.61
Rate for Payer: AZCH Complete Medicaid $12,128.61
Rate for Payer: Banner UC Health Medicaid $12,128.61
Rate for Payer: Mercy Care Medicaid $12,128.61
Service Code APR-DRG 3832
Hospital Charge Code APRDRG3834
Min. Negotiated Rate $3,991.67
Max. Negotiated Rate $3,991.67
Rate for Payer: AHCCCS Medicaid $3,991.67
Rate for Payer: Allwell Medicaid $3,991.67
Rate for Payer: AZCH Complete Medicaid $3,991.67
Rate for Payer: Banner UC Health Medicaid $3,991.67
Rate for Payer: Mercy Care Medicaid $3,991.67
Service Code APR-DRG 3831
Hospital Charge Code APRDRG3833
Min. Negotiated Rate $3,010.41
Max. Negotiated Rate $3,010.41
Rate for Payer: AHCCCS Medicaid $3,010.41
Rate for Payer: Allwell Medicaid $3,010.41
Rate for Payer: AZCH Complete Medicaid $3,010.41
Rate for Payer: Banner UC Health Medicaid $3,010.41
Rate for Payer: Mercy Care Medicaid $3,010.41
Service Code APR-DRG 3833
Hospital Charge Code APRDRG3831
Min. Negotiated Rate $6,029.94
Max. Negotiated Rate $6,029.94
Rate for Payer: AHCCCS Medicaid $6,029.94
Rate for Payer: Allwell Medicaid $6,029.94
Rate for Payer: AZCH Complete Medicaid $6,029.94
Rate for Payer: Banner UC Health Medicaid $6,029.94
Rate for Payer: Mercy Care Medicaid $6,029.94
Service Code APR-DRG 3834
Hospital Charge Code APRDRG3832
Min. Negotiated Rate $12,128.61
Max. Negotiated Rate $12,128.61
Rate for Payer: AHCCCS Medicaid $12,128.61
Rate for Payer: Allwell Medicaid $12,128.61
Rate for Payer: AZCH Complete Medicaid $12,128.61
Rate for Payer: Banner UC Health Medicaid $12,128.61
Rate for Payer: Mercy Care Medicaid $12,128.61
Service Code APR-DRG 3833
Hospital Charge Code APRDRG3834
Min. Negotiated Rate $6,029.94
Max. Negotiated Rate $6,029.94
Rate for Payer: AHCCCS Medicaid $6,029.94
Rate for Payer: Allwell Medicaid $6,029.94
Rate for Payer: AZCH Complete Medicaid $6,029.94
Rate for Payer: Banner UC Health Medicaid $6,029.94
Rate for Payer: Mercy Care Medicaid $6,029.94
Service Code APR-DRG 3832
Hospital Charge Code APRDRG3831
Min. Negotiated Rate $3,991.67
Max. Negotiated Rate $3,991.67
Rate for Payer: AHCCCS Medicaid $3,991.67
Rate for Payer: Allwell Medicaid $3,991.67
Rate for Payer: AZCH Complete Medicaid $3,991.67
Rate for Payer: Banner UC Health Medicaid $3,991.67
Rate for Payer: Mercy Care Medicaid $3,991.67
Service Code APR-DRG 3832
Hospital Charge Code APRDRG3833
Min. Negotiated Rate $3,991.67
Max. Negotiated Rate $3,991.67
Rate for Payer: AHCCCS Medicaid $3,991.67
Rate for Payer: Allwell Medicaid $3,991.67
Rate for Payer: AZCH Complete Medicaid $3,991.67
Rate for Payer: Banner UC Health Medicaid $3,991.67
Rate for Payer: Mercy Care Medicaid $3,991.67
Service Code APR-DRG 3831
Hospital Charge Code APRDRG3834
Min. Negotiated Rate $3,010.41
Max. Negotiated Rate $3,010.41
Rate for Payer: AHCCCS Medicaid $3,010.41
Rate for Payer: Allwell Medicaid $3,010.41
Rate for Payer: AZCH Complete Medicaid $3,010.41
Rate for Payer: Banner UC Health Medicaid $3,010.41
Rate for Payer: Mercy Care Medicaid $3,010.41
Service Code APR-DRG 3831
Hospital Charge Code APRDRG3831
Min. Negotiated Rate $3,010.41
Max. Negotiated Rate $3,010.41
Rate for Payer: AHCCCS Medicaid $3,010.41
Rate for Payer: Allwell Medicaid $3,010.41
Rate for Payer: AZCH Complete Medicaid $3,010.41
Rate for Payer: Banner UC Health Medicaid $3,010.41
Rate for Payer: Mercy Care Medicaid $3,010.41
Service Code APR-DRG 3834
Hospital Charge Code APRDRG3831
Min. Negotiated Rate $12,128.61
Max. Negotiated Rate $12,128.61
Rate for Payer: AHCCCS Medicaid $12,128.61
Rate for Payer: Allwell Medicaid $12,128.61
Rate for Payer: AZCH Complete Medicaid $12,128.61
Rate for Payer: Banner UC Health Medicaid $12,128.61
Rate for Payer: Mercy Care Medicaid $12,128.61
Service Code APR-DRG 3832
Hospital Charge Code APRDRG3832
Min. Negotiated Rate $3,991.67
Max. Negotiated Rate $3,991.67
Rate for Payer: AHCCCS Medicaid $3,991.67
Rate for Payer: Allwell Medicaid $3,991.67
Rate for Payer: AZCH Complete Medicaid $3,991.67
Rate for Payer: Banner UC Health Medicaid $3,991.67
Rate for Payer: Mercy Care Medicaid $3,991.67
Service Code APR-DRG 3834
Hospital Charge Code APRDRG3833
Min. Negotiated Rate $12,128.61
Max. Negotiated Rate $12,128.61
Rate for Payer: AHCCCS Medicaid $12,128.61
Rate for Payer: Allwell Medicaid $12,128.61
Rate for Payer: AZCH Complete Medicaid $12,128.61
Rate for Payer: Banner UC Health Medicaid $12,128.61
Rate for Payer: Mercy Care Medicaid $12,128.61
Service Code APR-DRG 3833
Hospital Charge Code APRDRG3832
Min. Negotiated Rate $6,029.94
Max. Negotiated Rate $6,029.94
Rate for Payer: AHCCCS Medicaid $6,029.94
Rate for Payer: Allwell Medicaid $6,029.94
Rate for Payer: AZCH Complete Medicaid $6,029.94
Rate for Payer: Banner UC Health Medicaid $6,029.94
Rate for Payer: Mercy Care Medicaid $6,029.94
Service Code NDC 63824071316
Hospital Charge Code 105930625
Hospital Revenue Code 251
Min. Negotiated Rate $0.24
Max. Negotiated Rate $0.84
Rate for Payer: Aetna of AZ Commercial $0.84
Rate for Payer: Bisbee Police All Plans $0.24
Rate for Payer: Cash Price $0.74
Rate for Payer: Self Pay Self Pay $0.74
Service Code NDC 63824071316
Hospital Charge Code 105930625
Hospital Revenue Code 251
Min. Negotiated Rate $0.14
Max. Negotiated Rate $0.84
Rate for Payer: Aetna of AZ Commercial $0.84
Rate for Payer: Aetna of AZ Medicare $0.26
Rate for Payer: Allwell Medicare $0.14
Rate for Payer: Amerigroup Medicare $0.14
Rate for Payer: APIPA Medicare/Medicaid $0.35
Rate for Payer: AZCH Complete Medicare $0.14
Rate for Payer: Banner UC Health Medicare $0.14
Rate for Payer: Bisbee Police All Plans $0.24
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.63
Rate for Payer: Cash Price $0.74
Rate for Payer: Cigna of AZ Commercial $0.60
Rate for Payer: Copperpoint Commercial $0.23
Rate for Payer: Health Net of AZ Commercial $0.56
Rate for Payer: Health Net of AZ Medicare $0.26
Rate for Payer: Humana of AZ Medicare $0.14
Rate for Payer: Self Pay Self Pay $0.74
Rate for Payer: TriWest Medicare $0.14
Rate for Payer: UnitedHealth Group of AZ Commercial $0.54
Rate for Payer: UnitedHealth Group of AZ Medicare $0.17
Service Code NDC 68180044102
Hospital Charge Code 105915857
Hospital Revenue Code 251
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of AZ Commercial $0.05
Rate for Payer: Bisbee Police All Plans $0.01
Rate for Payer: Cash Price $0.04
Rate for Payer: Self Pay Self Pay $0.04
Service Code NDC 68180044102
Hospital Charge Code 105915857
Hospital Revenue Code 251
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of AZ Commercial $0.05
Rate for Payer: Aetna of AZ Medicare $0.01
Rate for Payer: Allwell Medicare $0.01
Rate for Payer: Amerigroup Medicare $0.01
Rate for Payer: APIPA Medicare/Medicaid $0.02
Rate for Payer: AZCH Complete Medicare $0.01
Rate for Payer: Banner UC Health Medicare $0.01
Rate for Payer: Bisbee Police All Plans $0.01
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.03
Rate for Payer: Cash Price $0.04
Rate for Payer: Cigna of AZ Commercial $0.03
Rate for Payer: Copperpoint Commercial $0.01
Rate for Payer: Health Net of AZ Commercial $0.03
Rate for Payer: Health Net of AZ Medicare $0.01
Rate for Payer: Humana of AZ Medicare $0.01
Rate for Payer: Self Pay Self Pay $0.04
Rate for Payer: TriWest Medicare $0.01
Rate for Payer: UnitedHealth Group of AZ Commercial $0.03
Rate for Payer: UnitedHealth Group of AZ Medicare $0.01
Service Code NDC 50268015215
Hospital Charge Code 105915922
Hospital Revenue Code 251
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of AZ Commercial $0.26
Rate for Payer: Aetna of AZ Medicare $0.08
Rate for Payer: Allwell Medicare $0.04
Rate for Payer: Amerigroup Medicare $0.04
Rate for Payer: APIPA Medicare/Medicaid $0.11
Rate for Payer: AZCH Complete Medicare $0.04
Rate for Payer: Banner UC Health Medicare $0.04
Rate for Payer: Bisbee Police All Plans $0.08
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.20
Rate for Payer: Cash Price $0.23
Rate for Payer: Cigna of AZ Commercial $0.19
Rate for Payer: Copperpoint Commercial $0.07
Rate for Payer: Health Net of AZ Commercial $0.17
Rate for Payer: Health Net of AZ Medicare $0.08
Rate for Payer: Humana of AZ Medicare $0.04
Rate for Payer: Self Pay Self Pay $0.23
Rate for Payer: TriWest Medicare $0.04
Rate for Payer: UnitedHealth Group of AZ Commercial $0.17
Rate for Payer: UnitedHealth Group of AZ Medicare $0.05
Service Code NDC 50268015215
Hospital Charge Code 105915922
Hospital Revenue Code 251
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of AZ Commercial $0.26
Rate for Payer: Bisbee Police All Plans $0.08
Rate for Payer: Cash Price $0.23
Rate for Payer: Self Pay Self Pay $0.23
Service Code CPT 82390
Hospital Charge Code 1906804
Hospital Revenue Code 301
Min. Negotiated Rate $10.74
Max. Negotiated Rate $171.00
Rate for Payer: Aetna of AZ Commercial $171.00
Rate for Payer: Aetna of AZ Medicare $53.20
Rate for Payer: AHCCCS Medicaid $10.74
Rate for Payer: Allwell Medicaid $10.74
Rate for Payer: Allwell Medicare $28.50
Rate for Payer: Amerigroup Medicare $28.50
Rate for Payer: APIPA Medicare/Medicaid $70.96
Rate for Payer: AZCH Complete Medicaid $10.74
Rate for Payer: AZCH Complete Medicare $28.50
Rate for Payer: Banner UC Health Medicaid $10.74
Rate for Payer: Banner UC Health Medicare $28.50
Rate for Payer: Bisbee Police All Plans $49.40
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $129.20
Rate for Payer: Cash Price $152.00
Rate for Payer: Cash Price $152.00
Rate for Payer: Cigna of AZ Commercial $123.50
Rate for Payer: Copperpoint Commercial $47.02
Rate for Payer: Health Net of AZ Commercial $114.00
Rate for Payer: Health Net of AZ Medicare $53.20
Rate for Payer: Humana of AZ Medicare $28.50
Rate for Payer: Mercy Care Medicaid $10.74
Rate for Payer: Self Pay Self Pay $152.00
Rate for Payer: TriWest Medicare $28.50
Rate for Payer: UnitedHealth Group of AZ Commercial $110.77
Rate for Payer: UnitedHealth Group of AZ Medicare $34.20
Service Code CPT 82390
Hospital Charge Code 1906804
Hospital Revenue Code 301
Min. Negotiated Rate $49.40
Max. Negotiated Rate $171.00
Rate for Payer: Aetna of AZ Commercial $171.00
Rate for Payer: Bisbee Police All Plans $49.40
Rate for Payer: Cash Price $152.00
Rate for Payer: Self Pay Self Pay $152.00
Service Code APR-DRG 3214
Hospital Charge Code APRDRG3212
Min. Negotiated Rate $35,817.69
Max. Negotiated Rate $35,817.69
Rate for Payer: AHCCCS Medicaid $35,817.69
Rate for Payer: Allwell Medicaid $35,817.69
Rate for Payer: AZCH Complete Medicaid $35,817.69
Rate for Payer: Banner UC Health Medicaid $35,817.69
Rate for Payer: Mercy Care Medicaid $35,817.69
Service Code APR-DRG 3214
Hospital Charge Code APRDRG3211
Min. Negotiated Rate $35,817.69
Max. Negotiated Rate $35,817.69
Rate for Payer: AHCCCS Medicaid $35,817.69
Rate for Payer: Allwell Medicaid $35,817.69
Rate for Payer: AZCH Complete Medicaid $35,817.69
Rate for Payer: Banner UC Health Medicaid $35,817.69
Rate for Payer: Mercy Care Medicaid $35,817.69