Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Cesarean Section Without Sterilization

Facility

IP

$11,774.40

Service Code	APR-DRG 5404
Hospital Charge Code	APRDRG5404
Min. Negotiated Rate	$11,774.40
Max. Negotiated Rate	$11,774.40
Rate for Payer: AHCCCS Medicaid	$11,774.40
Rate for Payer: Allwell Medicaid	$11,774.40
Rate for Payer: AZCH Complete Medicaid	$11,774.40
Rate for Payer: Banner UC Health Medicaid	$11,774.40
Rate for Payer: Mercy Care Medicaid	$11,774.40

Cesarean Section Without Sterilization

Facility

IP

$4,371.83

Service Code	APR-DRG 5402
Hospital Charge Code	APRDRG5401
Min. Negotiated Rate	$4,371.83
Max. Negotiated Rate	$4,371.83
Rate for Payer: AHCCCS Medicaid	$4,371.83
Rate for Payer: Allwell Medicaid	$4,371.83
Rate for Payer: AZCH Complete Medicaid	$4,371.83
Rate for Payer: Banner UC Health Medicaid	$4,371.83
Rate for Payer: Mercy Care Medicaid	$4,371.83

Cesarean Section With Sterilization

Facility

IP

$4,119.32

Service Code	APR-DRG 5392
Hospital Charge Code	APRDRG5392
Min. Negotiated Rate	$4,119.32
Max. Negotiated Rate	$4,119.32
Rate for Payer: AHCCCS Medicaid	$4,119.32
Rate for Payer: Allwell Medicaid	$4,119.32
Rate for Payer: AZCH Complete Medicaid	$4,119.32
Rate for Payer: Banner UC Health Medicaid	$4,119.32
Rate for Payer: Mercy Care Medicaid	$4,119.32

Cesarean Section With Sterilization

Facility

IP

$3,573.63

Service Code	APR-DRG 5391
Hospital Charge Code	APRDRG5393
Min. Negotiated Rate	$3,573.63
Max. Negotiated Rate	$3,573.63
Rate for Payer: AHCCCS Medicaid	$3,573.63
Rate for Payer: Allwell Medicaid	$3,573.63
Rate for Payer: AZCH Complete Medicaid	$3,573.63
Rate for Payer: Banner UC Health Medicaid	$3,573.63
Rate for Payer: Mercy Care Medicaid	$3,573.63

Cesarean Section With Sterilization

Facility

IP

$3,573.63

Service Code	APR-DRG 5391
Hospital Charge Code	APRDRG5394
Min. Negotiated Rate	$3,573.63
Max. Negotiated Rate	$3,573.63
Rate for Payer: AHCCCS Medicaid	$3,573.63
Rate for Payer: Allwell Medicaid	$3,573.63
Rate for Payer: AZCH Complete Medicaid	$3,573.63
Rate for Payer: Banner UC Health Medicaid	$3,573.63
Rate for Payer: Mercy Care Medicaid	$3,573.63

Cesarean Section With Sterilization

Facility

IP

$3,573.63

Service Code	APR-DRG 5391
Hospital Charge Code	APRDRG5392
Min. Negotiated Rate	$3,573.63
Max. Negotiated Rate	$3,573.63
Rate for Payer: AHCCCS Medicaid	$3,573.63
Rate for Payer: Allwell Medicaid	$3,573.63
Rate for Payer: AZCH Complete Medicaid	$3,573.63
Rate for Payer: Banner UC Health Medicaid	$3,573.63
Rate for Payer: Mercy Care Medicaid	$3,573.63

Cesarean Section With Sterilization

Facility

IP

$16,231.80

Service Code	APR-DRG 5394
Hospital Charge Code	APRDRG5391
Min. Negotiated Rate	$16,231.80
Max. Negotiated Rate	$16,231.80
Rate for Payer: AHCCCS Medicaid	$16,231.80
Rate for Payer: Allwell Medicaid	$16,231.80
Rate for Payer: AZCH Complete Medicaid	$16,231.80
Rate for Payer: Banner UC Health Medicaid	$16,231.80
Rate for Payer: Mercy Care Medicaid	$16,231.80

Cesarean Section With Sterilization

Facility

IP

$4,119.32

Service Code	APR-DRG 5392
Hospital Charge Code	APRDRG5391
Min. Negotiated Rate	$4,119.32
Max. Negotiated Rate	$4,119.32
Rate for Payer: AHCCCS Medicaid	$4,119.32
Rate for Payer: Allwell Medicaid	$4,119.32
Rate for Payer: AZCH Complete Medicaid	$4,119.32
Rate for Payer: Banner UC Health Medicaid	$4,119.32
Rate for Payer: Mercy Care Medicaid	$4,119.32

Cesarean Section With Sterilization

Facility

IP

$6,450.07

Service Code	APR-DRG 5393
Hospital Charge Code	APRDRG5393
Min. Negotiated Rate	$6,450.07
Max. Negotiated Rate	$6,450.07
Rate for Payer: AHCCCS Medicaid	$6,450.07
Rate for Payer: Allwell Medicaid	$6,450.07
Rate for Payer: AZCH Complete Medicaid	$6,450.07
Rate for Payer: Banner UC Health Medicaid	$6,450.07
Rate for Payer: Mercy Care Medicaid	$6,450.07

Cesarean Section With Sterilization

Facility

IP

$6,450.07

Service Code	APR-DRG 5393
Hospital Charge Code	APRDRG5394
Min. Negotiated Rate	$6,450.07
Max. Negotiated Rate	$6,450.07
Rate for Payer: AHCCCS Medicaid	$6,450.07
Rate for Payer: Allwell Medicaid	$6,450.07
Rate for Payer: AZCH Complete Medicaid	$6,450.07
Rate for Payer: Banner UC Health Medicaid	$6,450.07
Rate for Payer: Mercy Care Medicaid	$6,450.07

Cesarean Section With Sterilization

Facility

IP

$4,119.32

Service Code	APR-DRG 5392
Hospital Charge Code	APRDRG5394
Min. Negotiated Rate	$4,119.32
Max. Negotiated Rate	$4,119.32
Rate for Payer: AHCCCS Medicaid	$4,119.32
Rate for Payer: Allwell Medicaid	$4,119.32
Rate for Payer: AZCH Complete Medicaid	$4,119.32
Rate for Payer: Banner UC Health Medicaid	$4,119.32
Rate for Payer: Mercy Care Medicaid	$4,119.32

Cesarean Section With Sterilization

Facility

IP

$3,573.63

Service Code	APR-DRG 5391
Hospital Charge Code	APRDRG5391
Min. Negotiated Rate	$3,573.63
Max. Negotiated Rate	$3,573.63
Rate for Payer: AHCCCS Medicaid	$3,573.63
Rate for Payer: Allwell Medicaid	$3,573.63
Rate for Payer: AZCH Complete Medicaid	$3,573.63
Rate for Payer: Banner UC Health Medicaid	$3,573.63
Rate for Payer: Mercy Care Medicaid	$3,573.63

Cesarean Section With Sterilization

Facility

IP

$6,450.07

Service Code	APR-DRG 5393
Hospital Charge Code	APRDRG5391
Min. Negotiated Rate	$6,450.07
Max. Negotiated Rate	$6,450.07
Rate for Payer: AHCCCS Medicaid	$6,450.07
Rate for Payer: Allwell Medicaid	$6,450.07
Rate for Payer: AZCH Complete Medicaid	$6,450.07
Rate for Payer: Banner UC Health Medicaid	$6,450.07
Rate for Payer: Mercy Care Medicaid	$6,450.07

Cesarean Section With Sterilization

Facility

IP

$16,231.80

Service Code	APR-DRG 5394
Hospital Charge Code	APRDRG5393
Min. Negotiated Rate	$16,231.80
Max. Negotiated Rate	$16,231.80
Rate for Payer: AHCCCS Medicaid	$16,231.80
Rate for Payer: Allwell Medicaid	$16,231.80
Rate for Payer: AZCH Complete Medicaid	$16,231.80
Rate for Payer: Banner UC Health Medicaid	$16,231.80
Rate for Payer: Mercy Care Medicaid	$16,231.80

Cesarean Section With Sterilization

Facility

IP

$4,119.32

Service Code	APR-DRG 5392
Hospital Charge Code	APRDRG5393
Min. Negotiated Rate	$4,119.32
Max. Negotiated Rate	$4,119.32
Rate for Payer: AHCCCS Medicaid	$4,119.32
Rate for Payer: Allwell Medicaid	$4,119.32
Rate for Payer: AZCH Complete Medicaid	$4,119.32
Rate for Payer: Banner UC Health Medicaid	$4,119.32
Rate for Payer: Mercy Care Medicaid	$4,119.32

Cesarean Section With Sterilization

Facility

IP

$16,231.80

Service Code	APR-DRG 5394
Hospital Charge Code	APRDRG5394
Min. Negotiated Rate	$16,231.80
Max. Negotiated Rate	$16,231.80
Rate for Payer: AHCCCS Medicaid	$16,231.80
Rate for Payer: Allwell Medicaid	$16,231.80
Rate for Payer: AZCH Complete Medicaid	$16,231.80
Rate for Payer: Banner UC Health Medicaid	$16,231.80
Rate for Payer: Mercy Care Medicaid	$16,231.80

Cesarean Section With Sterilization

Facility

IP

$16,231.80

Service Code	APR-DRG 5394
Hospital Charge Code	APRDRG5392
Min. Negotiated Rate	$16,231.80
Max. Negotiated Rate	$16,231.80
Rate for Payer: AHCCCS Medicaid	$16,231.80
Rate for Payer: Allwell Medicaid	$16,231.80
Rate for Payer: AZCH Complete Medicaid	$16,231.80
Rate for Payer: Banner UC Health Medicaid	$16,231.80
Rate for Payer: Mercy Care Medicaid	$16,231.80

Cesarean Section With Sterilization

Facility

IP

$6,450.07

Service Code	APR-DRG 5393
Hospital Charge Code	APRDRG5392
Min. Negotiated Rate	$6,450.07
Max. Negotiated Rate	$6,450.07
Rate for Payer: AHCCCS Medicaid	$6,450.07
Rate for Payer: Allwell Medicaid	$6,450.07
Rate for Payer: AZCH Complete Medicaid	$6,450.07
Rate for Payer: Banner UC Health Medicaid	$6,450.07
Rate for Payer: Mercy Care Medicaid	$6,450.07

CHAIN OF CUST URINE

Facility

OP

$49.00

Service Code	CPT 99001
Hospital Charge Code	22587919
Hospital Revenue Code	300
Min. Negotiated Rate	$7.84
Max. Negotiated Rate	$44.10
Rate for Payer: Aetna of AZ Commercial	$44.10
Rate for Payer: Aetna of AZ Medicare	$13.72
Rate for Payer: Allwell Medicare	$7.84
Rate for Payer: Amerigroup Medicare	$7.84
Rate for Payer: APIPA Medicare/Medicaid	$18.30
Rate for Payer: AZCH Complete Medicare	$7.84
Rate for Payer: Banner UC Health Medicare	$7.84
Rate for Payer: Bisbee Police All Plans	$12.74
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$33.32
Rate for Payer: Cash Price	$39.20
Rate for Payer: Cigna of AZ Commercial	$31.85
Rate for Payer: Copperpoint Commercial	$12.13
Rate for Payer: Health Net of AZ Commercial	$29.40
Rate for Payer: Health Net of AZ Medicare	$13.72
Rate for Payer: Humana of AZ Medicare	$7.84
Rate for Payer: Self Pay Self Pay	$39.20
Rate for Payer: TriWest Medicare	$7.84
Rate for Payer: UnitedHealth Group of AZ Commercial	$28.57
Rate for Payer: UnitedHealth Group of AZ Medicare	$8.82

CHAIN OF CUST URINE

Facility

IP

$49.00

Service Code	CPT 99001
Hospital Charge Code	22587919
Hospital Revenue Code	300
Min. Negotiated Rate	$12.74
Max. Negotiated Rate	$44.10
Rate for Payer: Aetna of AZ Commercial	$44.10
Rate for Payer: Bisbee Police All Plans	$12.74
Rate for Payer: Cash Price	$39.20
Rate for Payer: Self Pay Self Pay	$39.20

charcoal 25 g Oral Susp 120 mL [CQCH]

Facility

OP

$0.11

Service Code	NDC 574012174
Hospital Charge Code	105915987
Hospital Revenue Code	251
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.10
Rate for Payer: Aetna of AZ Commercial	$0.10
Rate for Payer: Aetna of AZ Medicare	$0.03
Rate for Payer: Allwell Medicare	$0.02
Rate for Payer: Amerigroup Medicare	$0.02
Rate for Payer: APIPA Medicare/Medicaid	$0.04
Rate for Payer: AZCH Complete Medicare	$0.02
Rate for Payer: Banner UC Health Medicare	$0.02
Rate for Payer: Bisbee Police All Plans	$0.03
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$0.07
Rate for Payer: Cash Price	$0.09
Rate for Payer: Cigna of AZ Commercial	$0.07
Rate for Payer: Copperpoint Commercial	$0.03
Rate for Payer: Health Net of AZ Commercial	$0.07
Rate for Payer: Health Net of AZ Medicare	$0.03
Rate for Payer: Humana of AZ Medicare	$0.02
Rate for Payer: Self Pay Self Pay	$0.09
Rate for Payer: TriWest Medicare	$0.02
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.06
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.02

charcoal 25 g Oral Susp 120 mL [CQCH]

Facility

IP

$0.11

Service Code	NDC 574012174
Hospital Charge Code	105915987
Hospital Revenue Code	251
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.10
Rate for Payer: Aetna of AZ Commercial	$0.10
Rate for Payer: Bisbee Police All Plans	$0.03
Rate for Payer: Cash Price	$0.09
Rate for Payer: Self Pay Self Pay	$0.09

charcoal-sorbitol 25 g Oral Susp 120 mL [CQCH]

Facility

OP

$0.18

Service Code	NDC 66689020304
Hospital Charge Code	105916052
Hospital Revenue Code	251
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.16
Rate for Payer: Aetna of AZ Commercial	$0.16
Rate for Payer: Aetna of AZ Medicare	$0.05
Rate for Payer: Allwell Medicare	$0.03
Rate for Payer: Amerigroup Medicare	$0.03
Rate for Payer: APIPA Medicare/Medicaid	$0.07
Rate for Payer: AZCH Complete Medicare	$0.03
Rate for Payer: Banner UC Health Medicare	$0.03
Rate for Payer: Bisbee Police All Plans	$0.05
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$0.12
Rate for Payer: Cash Price	$0.14
Rate for Payer: Cigna of AZ Commercial	$0.12
Rate for Payer: Copperpoint Commercial	$0.04
Rate for Payer: Health Net of AZ Commercial	$0.11
Rate for Payer: Health Net of AZ Medicare	$0.05
Rate for Payer: Humana of AZ Medicare	$0.03
Rate for Payer: Self Pay Self Pay	$0.14
Rate for Payer: TriWest Medicare	$0.03
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.10
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.03

charcoal-sorbitol 25 g Oral Susp 120 mL [CQCH]

Facility

IP

$0.18

Service Code	NDC 66689020304
Hospital Charge Code	105916052
Hospital Revenue Code	251
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.16
Rate for Payer: Aetna of AZ Commercial	$0.16
Rate for Payer: Bisbee Police All Plans	$0.05
Rate for Payer: Cash Price	$0.14
Rate for Payer: Self Pay Self Pay	$0.14

CHECKMATE EXTENSION SET ANESTHESIA

Facility

IP

$63.00

Hospital Charge Code	22355567
Hospital Revenue Code	270
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$56.70
Rate for Payer: Aetna of AZ Commercial	$56.70
Rate for Payer: Bisbee Police All Plans	$16.38
Rate for Payer: Cash Price	$50.40
Rate for Payer: Self Pay Self Pay	$50.40

<<
<
105
106
107
108
109
110
111
112
113
114
>
>>