Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

COLLAR STIFF NECK PED

Facility

$59.00

Service Code	CPT L0120
Hospital Charge Code	22354178
Hospital Revenue Code	270
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$53.10
Rate for Payer: Aetna of AZ Commercial	$53.10
Rate for Payer: Aetna of AZ Medicare	$16.52
Rate for Payer: Allwell Medicare	$9.44
Rate for Payer: Amerigroup Medicare	$9.44
Rate for Payer: APIPA Medicare/Medicaid	$22.04
Rate for Payer: AZCH Complete Medicare	$9.44
Rate for Payer: Banner UC Health Medicare	$9.44
Rate for Payer: Bisbee Police All Plans	$15.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$40.12
Rate for Payer: Cash Price	$47.20
Rate for Payer: Cigna of AZ Commercial	$41.30
Rate for Payer: Copperpoint Commercial	$14.60
Rate for Payer: Health Net of AZ Commercial	$35.40
Rate for Payer: Health Net of AZ Medicare	$16.52
Rate for Payer: Humana of AZ Medicare	$9.44
Rate for Payer: Self Pay Self Pay	$47.20
Rate for Payer: TriWest Medicare	$9.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$34.40
Rate for Payer: UnitedHealth Group of AZ Medicare	$10.62

COLLAR STIFF NECK PED

Facility

$59.00

Service Code	CPT L0120
Hospital Charge Code	22354178
Hospital Revenue Code	270
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$53.10
Rate for Payer: Aetna of AZ Commercial	$53.10
Rate for Payer: Bisbee Police All Plans	$15.34
Rate for Payer: Cash Price	$47.20
Rate for Payer: Self Pay Self Pay	$47.20

COLLAR STIFF NECK REGULAR

Facility

$97.00

Service Code	CPT L0120
Hospital Charge Code	22354179
Hospital Revenue Code	270
Min. Negotiated Rate	$15.52
Max. Negotiated Rate	$87.30
Rate for Payer: Aetna of AZ Commercial	$87.30
Rate for Payer: Aetna of AZ Medicare	$27.16
Rate for Payer: Allwell Medicare	$15.52
Rate for Payer: Amerigroup Medicare	$15.52
Rate for Payer: APIPA Medicare/Medicaid	$36.23
Rate for Payer: AZCH Complete Medicare	$15.52
Rate for Payer: Banner UC Health Medicare	$15.52
Rate for Payer: Bisbee Police All Plans	$25.22
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$65.96
Rate for Payer: Cash Price	$77.60
Rate for Payer: Cigna of AZ Commercial	$67.90
Rate for Payer: Copperpoint Commercial	$24.01
Rate for Payer: Health Net of AZ Commercial	$58.20
Rate for Payer: Health Net of AZ Medicare	$27.16
Rate for Payer: Humana of AZ Medicare	$15.52
Rate for Payer: Self Pay Self Pay	$77.60
Rate for Payer: TriWest Medicare	$15.52
Rate for Payer: UnitedHealth Group of AZ Commercial	$56.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$17.46

COLLAR STIFF NECK REGULAR

Facility

$97.00

Service Code	CPT L0120
Hospital Charge Code	22354179
Hospital Revenue Code	270
Min. Negotiated Rate	$25.22
Max. Negotiated Rate	$87.30
Rate for Payer: Aetna of AZ Commercial	$87.30
Rate for Payer: Bisbee Police All Plans	$25.22
Rate for Payer: Cash Price	$77.60
Rate for Payer: Self Pay Self Pay	$77.60

COLLAR STIFF NECK SHORT

Facility

$59.00

Service Code	CPT L0120
Hospital Charge Code	22354180
Hospital Revenue Code	270
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$53.10
Rate for Payer: Aetna of AZ Commercial	$53.10
Rate for Payer: Aetna of AZ Medicare	$16.52
Rate for Payer: Allwell Medicare	$9.44
Rate for Payer: Amerigroup Medicare	$9.44
Rate for Payer: APIPA Medicare/Medicaid	$22.04
Rate for Payer: AZCH Complete Medicare	$9.44
Rate for Payer: Banner UC Health Medicare	$9.44
Rate for Payer: Bisbee Police All Plans	$15.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$40.12
Rate for Payer: Cash Price	$47.20
Rate for Payer: Cigna of AZ Commercial	$41.30
Rate for Payer: Copperpoint Commercial	$14.60
Rate for Payer: Health Net of AZ Commercial	$35.40
Rate for Payer: Health Net of AZ Medicare	$16.52
Rate for Payer: Humana of AZ Medicare	$9.44
Rate for Payer: Self Pay Self Pay	$47.20
Rate for Payer: TriWest Medicare	$9.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$34.40
Rate for Payer: UnitedHealth Group of AZ Medicare	$10.62

COLLAR STIFF NECK SHORT

Facility

$59.00

Service Code	CPT L0120
Hospital Charge Code	22354180
Hospital Revenue Code	270
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$53.10
Rate for Payer: Aetna of AZ Commercial	$53.10
Rate for Payer: Bisbee Police All Plans	$15.34
Rate for Payer: Cash Price	$47.20
Rate for Payer: Self Pay Self Pay	$47.20

COLLAR STIFF NECK TALL

Facility

$56.00

Service Code	CPT L0120
Hospital Charge Code	22354181
Hospital Revenue Code	270
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$50.40
Rate for Payer: Aetna of AZ Commercial	$50.40
Rate for Payer: Bisbee Police All Plans	$14.56
Rate for Payer: Cash Price	$44.80
Rate for Payer: Self Pay Self Pay	$44.80

COLLAR STIFF NECK TALL

Facility

$56.00

Service Code	CPT L0120
Hospital Charge Code	22354181
Hospital Revenue Code	270
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$50.40
Rate for Payer: Aetna of AZ Commercial	$50.40
Rate for Payer: Aetna of AZ Medicare	$15.68
Rate for Payer: Allwell Medicare	$8.96
Rate for Payer: Amerigroup Medicare	$8.96
Rate for Payer: APIPA Medicare/Medicaid	$20.92
Rate for Payer: AZCH Complete Medicare	$8.96
Rate for Payer: Banner UC Health Medicare	$8.96
Rate for Payer: Bisbee Police All Plans	$14.56
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$38.08
Rate for Payer: Cash Price	$44.80
Rate for Payer: Cigna of AZ Commercial	$39.20
Rate for Payer: Copperpoint Commercial	$13.86
Rate for Payer: Health Net of AZ Commercial	$33.60
Rate for Payer: Health Net of AZ Medicare	$15.68
Rate for Payer: Humana of AZ Medicare	$8.96
Rate for Payer: Self Pay Self Pay	$44.80
Rate for Payer: TriWest Medicare	$8.96
Rate for Payer: UnitedHealth Group of AZ Commercial	$32.65
Rate for Payer: UnitedHealth Group of AZ Medicare	$10.08

COLLECTING CONTAINER

Facility

$127.19

Hospital Charge Code	27839760
Hospital Revenue Code	270
Min. Negotiated Rate	$33.07
Max. Negotiated Rate	$114.47
Rate for Payer: Aetna of AZ Commercial	$114.47
Rate for Payer: Bisbee Police All Plans	$33.07
Rate for Payer: Cash Price	$101.75
Rate for Payer: Self Pay Self Pay	$101.75

COLLECTING CONTAINER

Facility

$127.19

Hospital Charge Code	27839760
Hospital Revenue Code	270
Min. Negotiated Rate	$20.35
Max. Negotiated Rate	$114.47
Rate for Payer: Aetna of AZ Commercial	$114.47
Rate for Payer: Aetna of AZ Medicare	$35.61
Rate for Payer: Allwell Medicare	$20.35
Rate for Payer: Amerigroup Medicare	$20.35
Rate for Payer: APIPA Medicare/Medicaid	$47.51
Rate for Payer: AZCH Complete Medicare	$20.35
Rate for Payer: Banner UC Health Medicare	$20.35
Rate for Payer: Bisbee Police All Plans	$33.07
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$86.49
Rate for Payer: Cash Price	$101.75
Rate for Payer: Cigna of AZ Commercial	$89.03
Rate for Payer: Copperpoint Commercial	$31.48
Rate for Payer: Health Net of AZ Commercial	$76.31
Rate for Payer: Health Net of AZ Medicare	$35.61
Rate for Payer: Humana of AZ Medicare	$20.35
Rate for Payer: Self Pay Self Pay	$101.75
Rate for Payer: TriWest Medicare	$20.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$74.15
Rate for Payer: UnitedHealth Group of AZ Medicare	$22.89

COLLECTION: Capillary

Facility

$38.00

Service Code	CPT 36416
Hospital Charge Code	796177
Hospital Revenue Code	300
Min. Negotiated Rate	$9.88
Max. Negotiated Rate	$34.20
Rate for Payer: Aetna of AZ Commercial	$34.20
Rate for Payer: Bisbee Police All Plans	$9.88
Rate for Payer: Cash Price	$30.40
Rate for Payer: Self Pay Self Pay	$30.40

COLLECTION: Capillary

Facility

$38.00

Service Code	CPT 36416
Hospital Charge Code	796177
Hospital Revenue Code	300
Min. Negotiated Rate	$6.08
Max. Negotiated Rate	$34.20
Rate for Payer: Aetna of AZ Commercial	$34.20
Rate for Payer: Aetna of AZ Medicare	$10.64
Rate for Payer: Allwell Medicare	$6.08
Rate for Payer: Amerigroup Medicare	$6.08
Rate for Payer: APIPA Medicare/Medicaid	$14.19
Rate for Payer: AZCH Complete Medicare	$6.08
Rate for Payer: Banner UC Health Medicare	$6.08
Rate for Payer: Bisbee Police All Plans	$9.88
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$25.84
Rate for Payer: Cash Price	$30.40
Rate for Payer: Cigna of AZ Commercial	$24.70
Rate for Payer: Copperpoint Commercial	$9.40
Rate for Payer: Health Net of AZ Commercial	$22.80
Rate for Payer: Health Net of AZ Medicare	$10.64
Rate for Payer: Humana of AZ Medicare	$6.08
Rate for Payer: Self Pay Self Pay	$30.40
Rate for Payer: TriWest Medicare	$6.08
Rate for Payer: UnitedHealth Group of AZ Commercial	$22.15
Rate for Payer: UnitedHealth Group of AZ Medicare	$6.84

COLLECTION: Fingerstick

Facility

$41.00

Service Code	CPT 36416
Hospital Charge Code	796183
Hospital Revenue Code	300
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Bisbee Police All Plans	$10.66
Rate for Payer: Cash Price	$32.80
Rate for Payer: Self Pay Self Pay	$32.80

COLLECTION: Fingerstick

Facility

$41.00

Service Code	CPT 36416
Hospital Charge Code	796183
Hospital Revenue Code	300
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Aetna of AZ Medicare	$11.48
Rate for Payer: Allwell Medicare	$6.56
Rate for Payer: Amerigroup Medicare	$6.56
Rate for Payer: APIPA Medicare/Medicaid	$15.31
Rate for Payer: AZCH Complete Medicare	$6.56
Rate for Payer: Banner UC Health Medicare	$6.56
Rate for Payer: Bisbee Police All Plans	$10.66
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$27.88
Rate for Payer: Cash Price	$32.80
Rate for Payer: Cigna of AZ Commercial	$26.65
Rate for Payer: Copperpoint Commercial	$10.15
Rate for Payer: Health Net of AZ Commercial	$24.60
Rate for Payer: Health Net of AZ Medicare	$11.48
Rate for Payer: Humana of AZ Medicare	$6.56
Rate for Payer: Self Pay Self Pay	$32.80
Rate for Payer: TriWest Medicare	$6.56
Rate for Payer: UnitedHealth Group of AZ Commercial	$23.90
Rate for Payer: UnitedHealth Group of AZ Medicare	$7.38

Collection of Venous Blood by venipuncture

Facility

$39.00

Service Code	CPT 36415
Hospital Charge Code	23597541
Hospital Revenue Code	301
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$35.10
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Aetna of AZ Medicare	$10.92
Rate for Payer: Allwell Medicare	$6.24
Rate for Payer: Amerigroup Medicare	$6.24
Rate for Payer: APIPA Medicare/Medicaid	$14.57
Rate for Payer: AZCH Complete Medicare	$6.24
Rate for Payer: Banner UC Health Medicare	$6.24
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$26.52
Rate for Payer: Cash Price	$31.20
Rate for Payer: Cigna of AZ Commercial	$25.35
Rate for Payer: Copperpoint Commercial	$9.65
Rate for Payer: Health Net of AZ Commercial	$23.40
Rate for Payer: Health Net of AZ Medicare	$10.92
Rate for Payer: Humana of AZ Medicare	$6.24
Rate for Payer: Self Pay Self Pay	$31.20
Rate for Payer: TriWest Medicare	$6.24
Rate for Payer: UnitedHealth Group of AZ Commercial	$22.74
Rate for Payer: UnitedHealth Group of AZ Medicare	$7.02

Collection of Venous Blood by venipuncture

Facility

$39.00

Service Code	CPT 36415
Hospital Charge Code	23597541
Hospital Revenue Code	301
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$35.10
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Cash Price	$31.20
Rate for Payer: Self Pay Self Pay	$31.20

COLLECTION: Venous Draw

Facility

$39.00

Service Code	CPT 36415
Hospital Charge Code	796180
Hospital Revenue Code	300
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$35.10
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Cash Price	$31.20
Rate for Payer: Self Pay Self Pay	$31.20

COLLECTION: Venous Draw

Facility

$39.00

Service Code	CPT 36415
Hospital Charge Code	796180
Hospital Revenue Code	300
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$35.10
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Aetna of AZ Medicare	$10.92
Rate for Payer: Allwell Medicare	$6.24
Rate for Payer: Amerigroup Medicare	$6.24
Rate for Payer: APIPA Medicare/Medicaid	$14.57
Rate for Payer: AZCH Complete Medicare	$6.24
Rate for Payer: Banner UC Health Medicare	$6.24
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$26.52
Rate for Payer: Cash Price	$31.20
Rate for Payer: Cigna of AZ Commercial	$25.35
Rate for Payer: Copperpoint Commercial	$9.65
Rate for Payer: Health Net of AZ Commercial	$23.40
Rate for Payer: Health Net of AZ Medicare	$10.92
Rate for Payer: Humana of AZ Medicare	$6.24
Rate for Payer: Self Pay Self Pay	$31.20
Rate for Payer: TriWest Medicare	$6.24
Rate for Payer: UnitedHealth Group of AZ Commercial	$22.74
Rate for Payer: UnitedHealth Group of AZ Medicare	$7.02

Colonoscopy

Facility

$3,684.00

Service Code	CPT 45378
Hospital Charge Code	22499690
Hospital Revenue Code	750
Min. Negotiated Rate	$957.84
Max. Negotiated Rate	$3,315.60
Rate for Payer: Aetna of AZ Commercial	$3,315.60
Rate for Payer: Bisbee Police All Plans	$957.84
Rate for Payer: Cash Price	$2,947.20
Rate for Payer: Self Pay Self Pay	$2,947.20

Colonoscopy

Facility

$3,684.00

Service Code	CPT 45378
Hospital Charge Code	22499690
Hospital Revenue Code	750
Min. Negotiated Rate	$575.40
Max. Negotiated Rate	$3,315.60
Rate for Payer: Aetna of AZ Commercial	$3,315.60
Rate for Payer: Aetna of AZ Medicare	$1,031.52
Rate for Payer: AHCCCS Medicaid	$575.40
Rate for Payer: Allwell Medicaid	$575.40
Rate for Payer: Allwell Medicare	$589.44
Rate for Payer: Amerigroup Medicare	$589.44
Rate for Payer: APIPA Medicare/Medicaid	$1,375.97
Rate for Payer: AZCH Complete Medicaid	$575.40
Rate for Payer: AZCH Complete Medicare	$589.44
Rate for Payer: Banner UC Health Medicaid	$575.40
Rate for Payer: Banner UC Health Medicare	$589.44
Rate for Payer: Bisbee Police All Plans	$957.84
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$2,505.12
Rate for Payer: Cash Price	$2,947.20
Rate for Payer: Cash Price	$2,947.20
Rate for Payer: Cigna of AZ Commercial	$2,578.80
Rate for Payer: Copperpoint Commercial	$911.79
Rate for Payer: Health Net of AZ Commercial	$2,210.40
Rate for Payer: Health Net of AZ Medicare	$1,031.52
Rate for Payer: Humana of AZ Medicare	$589.44
Rate for Payer: Mercy Care Medicaid	$575.40
Rate for Payer: Self Pay Self Pay	$2,947.20
Rate for Payer: TriWest Medicare	$589.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$663.12

COLONOSCOPY

Facility

$2,114.00

Service Code	CPT 45378
Hospital Charge Code	885907
Hospital Revenue Code	750
Min. Negotiated Rate	$549.64
Max. Negotiated Rate	$1,902.60
Rate for Payer: Aetna of AZ Commercial	$1,902.60
Rate for Payer: Bisbee Police All Plans	$549.64
Rate for Payer: Cash Price	$1,691.20
Rate for Payer: Self Pay Self Pay	$1,691.20

COLONOSCOPY

Facility

$2,114.00

Service Code	CPT 45378
Hospital Charge Code	885907
Hospital Revenue Code	750
Min. Negotiated Rate	$338.24
Max. Negotiated Rate	$2,909.00
Rate for Payer: Aetna of AZ Commercial	$1,902.60
Rate for Payer: Aetna of AZ Medicare	$591.92
Rate for Payer: AHCCCS Medicaid	$575.40
Rate for Payer: Allwell Medicaid	$575.40
Rate for Payer: Allwell Medicare	$338.24
Rate for Payer: Amerigroup Medicare	$338.24
Rate for Payer: APIPA Medicare/Medicaid	$789.58
Rate for Payer: AZCH Complete Medicaid	$575.40
Rate for Payer: AZCH Complete Medicare	$338.24
Rate for Payer: Banner UC Health Medicaid	$575.40
Rate for Payer: Banner UC Health Medicare	$338.24
Rate for Payer: Bisbee Police All Plans	$549.64
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,437.52
Rate for Payer: Cash Price	$1,691.20
Rate for Payer: Cash Price	$1,691.20
Rate for Payer: Cigna of AZ Commercial	$1,479.80
Rate for Payer: Copperpoint Commercial	$523.22
Rate for Payer: Health Net of AZ Commercial	$1,268.40
Rate for Payer: Health Net of AZ Medicare	$591.92
Rate for Payer: Humana of AZ Medicare	$338.24
Rate for Payer: Mercy Care Medicaid	$575.40
Rate for Payer: Self Pay Self Pay	$1,691.20
Rate for Payer: TriWest Medicare	$338.24
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$380.52

COLONOSCOPY BX

Facility

$4,896.09

Service Code	CPT 45380
Hospital Charge Code	1251755
Hospital Revenue Code	750
Min. Negotiated Rate	$1,272.98
Max. Negotiated Rate	$4,406.48
Rate for Payer: Aetna of AZ Commercial	$4,406.48
Rate for Payer: Bisbee Police All Plans	$1,272.98
Rate for Payer: Cash Price	$3,916.87
Rate for Payer: Self Pay Self Pay	$3,916.87

COLONOSCOPY BX

Facility

$4,896.09

Service Code	CPT 45380
Hospital Charge Code	1251755
Hospital Revenue Code	750
Min. Negotiated Rate	$751.80
Max. Negotiated Rate	$4,406.48
Rate for Payer: Aetna of AZ Commercial	$4,406.48
Rate for Payer: Aetna of AZ Medicare	$1,370.91
Rate for Payer: AHCCCS Medicaid	$751.80
Rate for Payer: Allwell Medicaid	$751.80
Rate for Payer: Allwell Medicare	$783.37
Rate for Payer: Amerigroup Medicare	$783.37
Rate for Payer: APIPA Medicare/Medicaid	$1,828.69
Rate for Payer: AZCH Complete Medicaid	$751.80
Rate for Payer: AZCH Complete Medicare	$783.37
Rate for Payer: Banner UC Health Medicaid	$751.80
Rate for Payer: Banner UC Health Medicare	$783.37
Rate for Payer: Bisbee Police All Plans	$1,272.98
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$3,329.34
Rate for Payer: Cash Price	$3,916.87
Rate for Payer: Cash Price	$3,916.87
Rate for Payer: Cigna of AZ Commercial	$3,427.26
Rate for Payer: Copperpoint Commercial	$1,211.78
Rate for Payer: Health Net of AZ Commercial	$2,937.65
Rate for Payer: Health Net of AZ Medicare	$1,370.91
Rate for Payer: Humana of AZ Medicare	$783.37
Rate for Payer: Mercy Care Medicaid	$751.80
Rate for Payer: Self Pay Self Pay	$3,916.87
Rate for Payer: TriWest Medicare	$783.37
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$881.30

COLONOSCOPY BX ADD ON CHARGE

Facility

$103.00

Hospital Charge Code	22331686
Hospital Revenue Code	750
Min. Negotiated Rate	$16.48
Max. Negotiated Rate	$92.70
Rate for Payer: Aetna of AZ Commercial	$92.70
Rate for Payer: Aetna of AZ Medicare	$28.84
Rate for Payer: Allwell Medicare	$16.48
Rate for Payer: Amerigroup Medicare	$16.48
Rate for Payer: APIPA Medicare/Medicaid	$38.47
Rate for Payer: AZCH Complete Medicare	$16.48
Rate for Payer: Banner UC Health Medicare	$16.48
Rate for Payer: Bisbee Police All Plans	$26.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$70.04
Rate for Payer: Cash Price	$82.40
Rate for Payer: Cigna of AZ Commercial	$72.10
Rate for Payer: Copperpoint Commercial	$25.49
Rate for Payer: Health Net of AZ Commercial	$61.80
Rate for Payer: Health Net of AZ Medicare	$28.84
Rate for Payer: Humana of AZ Medicare	$16.48
Rate for Payer: Self Pay Self Pay	$82.40
Rate for Payer: TriWest Medicare	$16.48
Rate for Payer: UnitedHealth Group of AZ Commercial	$60.05
Rate for Payer: UnitedHealth Group of AZ Medicare	$18.54

Know your out-of-pocket cost for care.

All Charges