Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Cellulitis And Other Skin Infections

Facility

IP

$12,128.61

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

Cellulitis And Other Skin Infections

Facility

IP

$12,128.61

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

Cellulitis And Other Skin Infections

Facility

IP

$12,128.61

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

Cellulitis And Other Skin Infections

Facility

IP

$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

Cellulitis And Other Skin Infections

Facility

IP

$6,029.94

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

Cellulitis And Other Skin Infections

Facility

IP

$3,991.67

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

Cellulitis And Other Skin Infections

Facility

IP

$12,128.61

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

Cellulitis And Other Skin Infections

Facility

IP

$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

Cellulitis And Other Skin Infections

Facility

IP

$3,010.41

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

Cellulitis And Other Skin Infections

Facility

IP

$3,991.67

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

Cellulitis And Other Skin Infections

Facility

IP

$6,029.94

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

Cellulitis And Other Skin Infections

Facility

IP

$6,029.94

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

Cepacol oral lozenge-8 pack [CQCH]

Facility

IP

$0.93

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

Cepacol oral lozenge-8 pack [CQCH]

Facility

OP

$0.93

Service Code	NDC 63824071316
Hospital Charge Code	105930625
Hospital Revenue Code	251
Min. Negotiated Rate	$0.15
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	$0.15
Rate for Payer: Amerigroup Medicare	$0.15
Rate for Payer: APIPA Medicare/Medicaid	$0.35
Rate for Payer: AZCH Complete Medicare	$0.15
Rate for Payer: Banner UC Health Medicare	$0.15
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	$0.15
Rate for Payer: Self Pay Self Pay	$0.74
Rate for Payer: TriWest Medicare	$0.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.54
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.17

cephalexin 250 mg/5 mL Oral Liq (200 mL after reconst) [CQCH]

Facility

OP

$0.05

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

cephalexin 250 mg/5 mL Oral Liq (200 mL after reconst) [CQCH]

Facility

IP

$0.05

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

cephalexin 500 mg Cap [CQCH]

Facility

IP

$0.29

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

cephalexin 500 mg Cap [CQCH]

Facility

OP

$0.29

Service Code	NDC 50268015215
Hospital Charge Code	105915922
Hospital Revenue Code	251
Min. Negotiated Rate	$0.05
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	$0.05
Rate for Payer: Amerigroup Medicare	$0.05
Rate for Payer: APIPA Medicare/Medicaid	$0.11
Rate for Payer: AZCH Complete Medicare	$0.05
Rate for Payer: Banner UC Health Medicare	$0.05
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	$0.05
Rate for Payer: Self Pay Self Pay	$0.23
Rate for Payer: TriWest Medicare	$0.05
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.17
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.05

Ceruloplasmin LC

Facility

IP

$181.00

Service Code	CPT 82390
Hospital Charge Code	1906804
Hospital Revenue Code	301
Min. Negotiated Rate	$47.06
Max. Negotiated Rate	$162.90
Rate for Payer: Aetna of AZ Commercial	$162.90
Rate for Payer: Bisbee Police All Plans	$47.06
Rate for Payer: Cash Price	$144.80
Rate for Payer: Self Pay Self Pay	$144.80

Ceruloplasmin LC

Facility

OP

$181.00

Service Code	CPT 82390
Hospital Charge Code	1906804
Hospital Revenue Code	301
Min. Negotiated Rate	$28.96
Max. Negotiated Rate	$162.90
Rate for Payer: Aetna of AZ Commercial	$162.90
Rate for Payer: Aetna of AZ Medicare	$50.68
Rate for Payer: Allwell Medicare	$28.96
Rate for Payer: Amerigroup Medicare	$28.96
Rate for Payer: APIPA Medicare/Medicaid	$67.60
Rate for Payer: AZCH Complete Medicare	$28.96
Rate for Payer: Banner UC Health Medicare	$28.96
Rate for Payer: Bisbee Police All Plans	$47.06
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$123.08
Rate for Payer: Cash Price	$144.80
Rate for Payer: Cigna of AZ Commercial	$117.65
Rate for Payer: Copperpoint Commercial	$44.80
Rate for Payer: Health Net of AZ Commercial	$108.60
Rate for Payer: Health Net of AZ Medicare	$50.68
Rate for Payer: Humana of AZ Medicare	$28.96
Rate for Payer: Self Pay Self Pay	$144.80
Rate for Payer: TriWest Medicare	$28.96
Rate for Payer: UnitedHealth Group of AZ Commercial	$105.52
Rate for Payer: UnitedHealth Group of AZ Medicare	$32.58

Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression

Facility

IP

$10,860.48

Service Code	APR-DRG 3211
Hospital Charge Code	APRDRG3212
Min. Negotiated Rate	$10,860.48
Max. Negotiated Rate	$10,860.48
Rate for Payer: AHCCCS Medicaid	$10,860.48
Rate for Payer: Allwell Medicaid	$10,860.48
Rate for Payer: AZCH Complete Medicaid	$10,860.48
Rate for Payer: Banner UC Health Medicaid	$10,860.48
Rate for Payer: Mercy Care Medicaid	$10,860.48

Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression

Facility

IP

$13,705.36

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG3212
Min. Negotiated Rate	$13,705.36
Max. Negotiated Rate	$13,705.36
Rate for Payer: AHCCCS Medicaid	$13,705.36
Rate for Payer: Allwell Medicaid	$13,705.36
Rate for Payer: AZCH Complete Medicaid	$13,705.36
Rate for Payer: Banner UC Health Medicaid	$13,705.36
Rate for Payer: Mercy Care Medicaid	$13,705.36

Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression

Facility

IP

$13,705.36

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG3211
Min. Negotiated Rate	$13,705.36
Max. Negotiated Rate	$13,705.36
Rate for Payer: AHCCCS Medicaid	$13,705.36
Rate for Payer: Allwell Medicaid	$13,705.36
Rate for Payer: AZCH Complete Medicaid	$13,705.36
Rate for Payer: Banner UC Health Medicaid	$13,705.36
Rate for Payer: Mercy Care Medicaid	$13,705.36

Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression

Facility

IP

$13,705.36

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG3214
Min. Negotiated Rate	$13,705.36
Max. Negotiated Rate	$13,705.36
Rate for Payer: AHCCCS Medicaid	$13,705.36
Rate for Payer: Allwell Medicaid	$13,705.36
Rate for Payer: AZCH Complete Medicaid	$13,705.36
Rate for Payer: Banner UC Health Medicaid	$13,705.36
Rate for Payer: Mercy Care Medicaid	$13,705.36

Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression

Facility

IP

$10,860.48

Service Code	APR-DRG 3211
Hospital Charge Code	APRDRG3213
Min. Negotiated Rate	$10,860.48
Max. Negotiated Rate	$10,860.48
Rate for Payer: AHCCCS Medicaid	$10,860.48
Rate for Payer: Allwell Medicaid	$10,860.48
Rate for Payer: AZCH Complete Medicaid	$10,860.48
Rate for Payer: Banner UC Health Medicaid	$10,860.48
Rate for Payer: Mercy Care Medicaid	$10,860.48

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