Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Coronary Bypass With Ami Or Complex Principal Diagnosis

Facility

IP

$50,697.89

Service Code	APR-DRG 1654
Hospital Charge Code	APRDRG1651
Min. Negotiated Rate	$50,697.89
Max. Negotiated Rate	$50,697.89
Rate for Payer: AHCCCS Medicaid	$50,697.89
Rate for Payer: Allwell Medicaid	$50,697.89
Rate for Payer: AZCH Complete Medicaid	$50,697.89
Rate for Payer: Banner UC Health Medicaid	$50,697.89
Rate for Payer: Mercy Care Medicaid	$50,697.89

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: AHCCCS Medicaid	$22,646.80
Rate for Payer: Allwell Medicaid	$22,646.80
Rate for Payer: AZCH Complete Medicaid	$22,646.80
Rate for Payer: Banner UC Health Medicaid	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: AHCCCS Medicaid	$43,690.21
Rate for Payer: Allwell Medicaid	$43,690.21
Rate for Payer: AZCH Complete Medicaid	$43,690.21
Rate for Payer: Banner UC Health Medicaid	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: AHCCCS Medicaid	$20,292.90
Rate for Payer: Allwell Medicaid	$20,292.90
Rate for Payer: AZCH Complete Medicaid	$20,292.90
Rate for Payer: Banner UC Health Medicaid	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: AHCCCS Medicaid	$20,292.90
Rate for Payer: Allwell Medicaid	$20,292.90
Rate for Payer: AZCH Complete Medicaid	$20,292.90
Rate for Payer: Banner UC Health Medicaid	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: AHCCCS Medicaid	$22,646.80
Rate for Payer: Allwell Medicaid	$22,646.80
Rate for Payer: AZCH Complete Medicaid	$22,646.80
Rate for Payer: Banner UC Health Medicaid	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: AHCCCS Medicaid	$22,646.80
Rate for Payer: Allwell Medicaid	$22,646.80
Rate for Payer: AZCH Complete Medicaid	$22,646.80
Rate for Payer: Banner UC Health Medicaid	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: AHCCCS Medicaid	$20,292.90
Rate for Payer: Allwell Medicaid	$20,292.90
Rate for Payer: AZCH Complete Medicaid	$20,292.90
Rate for Payer: Banner UC Health Medicaid	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: AHCCCS Medicaid	$43,690.21
Rate for Payer: Allwell Medicaid	$43,690.21
Rate for Payer: AZCH Complete Medicaid	$43,690.21
Rate for Payer: Banner UC Health Medicaid	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: AHCCCS Medicaid	$43,690.21
Rate for Payer: Allwell Medicaid	$43,690.21
Rate for Payer: AZCH Complete Medicaid	$43,690.21
Rate for Payer: Banner UC Health Medicaid	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: AHCCCS Medicaid	$20,292.90
Rate for Payer: Allwell Medicaid	$20,292.90
Rate for Payer: AZCH Complete Medicaid	$20,292.90
Rate for Payer: Banner UC Health Medicaid	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: AHCCCS Medicaid	$22,646.80
Rate for Payer: Allwell Medicaid	$22,646.80
Rate for Payer: AZCH Complete Medicaid	$22,646.80
Rate for Payer: Banner UC Health Medicaid	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: AHCCCS Medicaid	$28,395.48
Rate for Payer: Allwell Medicaid	$28,395.48
Rate for Payer: AZCH Complete Medicaid	$28,395.48
Rate for Payer: Banner UC Health Medicaid	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: AHCCCS Medicaid	$28,395.48
Rate for Payer: Allwell Medicaid	$28,395.48
Rate for Payer: AZCH Complete Medicaid	$28,395.48
Rate for Payer: Banner UC Health Medicaid	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: AHCCCS Medicaid	$28,395.48
Rate for Payer: Allwell Medicaid	$28,395.48
Rate for Payer: AZCH Complete Medicaid	$28,395.48
Rate for Payer: Banner UC Health Medicaid	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: AHCCCS Medicaid	$43,690.21
Rate for Payer: Allwell Medicaid	$43,690.21
Rate for Payer: AZCH Complete Medicaid	$43,690.21
Rate for Payer: Banner UC Health Medicaid	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: AHCCCS Medicaid	$28,395.48
Rate for Payer: Allwell Medicaid	$28,395.48
Rate for Payer: AZCH Complete Medicaid	$28,395.48
Rate for Payer: Banner UC Health Medicaid	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48

CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY

Facility

IP

$2,518.00

Service Code	CPT 28296
Hospital Charge Code	24043261
Hospital Revenue Code	360
Min. Negotiated Rate	$654.68
Max. Negotiated Rate	$2,266.20
Rate for Payer: Aetna of AZ Commercial	$2,266.20
Rate for Payer: Bisbee Police All Plans	$654.68
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Self Pay Self Pay	$2,014.40

CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY

Facility

OP

$2,518.00

Service Code	CPT 28296
Hospital Charge Code	24043261
Hospital Revenue Code	360
Min. Negotiated Rate	$402.88
Max. Negotiated Rate	$3,914.00
Rate for Payer: Aetna of AZ Commercial	$2,266.20
Rate for Payer: Aetna of AZ Medicare	$705.04
Rate for Payer: AHCCCS Medicaid	$2,052.04
Rate for Payer: Allwell Medicaid	$2,052.04
Rate for Payer: Allwell Medicare	$402.88
Rate for Payer: Amerigroup Medicare	$402.88
Rate for Payer: APIPA Medicare/Medicaid	$940.47
Rate for Payer: AZCH Complete Medicaid	$2,052.04
Rate for Payer: AZCH Complete Medicare	$402.88
Rate for Payer: Banner UC Health Medicaid	$2,052.04
Rate for Payer: Banner UC Health Medicare	$402.88
Rate for Payer: Bisbee Police All Plans	$654.68
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,712.24
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Cigna of AZ Commercial	$1,259.00
Rate for Payer: Copperpoint Commercial	$623.21
Rate for Payer: Health Net of AZ Commercial	$1,510.80
Rate for Payer: Health Net of AZ Medicare	$705.04
Rate for Payer: Humana of AZ Medicare	$402.88
Rate for Payer: Mercy Care Medicaid	$2,052.04
Rate for Payer: Self Pay Self Pay	$2,014.40
Rate for Payer: TriWest Medicare	$402.88
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,914.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$453.24

CORRECTION HAMMERTOE (EG INTERPHALANGEAL FUSION PARTIAL OR TOTAL

Facility

OP

$1,851.00

Service Code	CPT 28285
Hospital Charge Code	24043260
Hospital Revenue Code	360
Min. Negotiated Rate	$296.16
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$1,665.90
Rate for Payer: Aetna of AZ Medicare	$518.28
Rate for Payer: AHCCCS Medicaid	$2,052.04
Rate for Payer: Allwell Medicaid	$2,052.04
Rate for Payer: Allwell Medicare	$296.16
Rate for Payer: Amerigroup Medicare	$296.16
Rate for Payer: APIPA Medicare/Medicaid	$691.35
Rate for Payer: AZCH Complete Medicaid	$2,052.04
Rate for Payer: AZCH Complete Medicare	$296.16
Rate for Payer: Banner UC Health Medicaid	$2,052.04
Rate for Payer: Banner UC Health Medicare	$296.16
Rate for Payer: Bisbee Police All Plans	$481.26
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,258.68
Rate for Payer: Cash Price	$1,480.80
Rate for Payer: Cash Price	$1,480.80
Rate for Payer: Cigna of AZ Commercial	$925.50
Rate for Payer: Copperpoint Commercial	$458.12
Rate for Payer: Health Net of AZ Commercial	$1,110.60
Rate for Payer: Health Net of AZ Medicare	$518.28
Rate for Payer: Humana of AZ Medicare	$296.16
Rate for Payer: Mercy Care Medicaid	$2,052.04
Rate for Payer: Self Pay Self Pay	$1,480.80
Rate for Payer: TriWest Medicare	$296.16
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$333.18

CORRECTION HAMMERTOE (EG INTERPHALANGEAL FUSION PARTIAL OR TOTAL

Facility

IP

$1,851.00

Service Code	CPT 28285
Hospital Charge Code	24043260
Hospital Revenue Code	360
Min. Negotiated Rate	$481.26
Max. Negotiated Rate	$1,665.90
Rate for Payer: Aetna of AZ Commercial	$1,665.90
Rate for Payer: Bisbee Police All Plans	$481.26
Rate for Payer: Cash Price	$1,480.80
Rate for Payer: Self Pay Self Pay	$1,480.80

Cortisol LC

Facility

OP

$192.00

Service Code	CPT 82533
Hospital Charge Code	1906812
Hospital Revenue Code	301
Min. Negotiated Rate	$30.72
Max. Negotiated Rate	$172.80
Rate for Payer: Aetna of AZ Commercial	$172.80
Rate for Payer: Aetna of AZ Medicare	$53.76
Rate for Payer: Allwell Medicare	$30.72
Rate for Payer: Amerigroup Medicare	$30.72
Rate for Payer: APIPA Medicare/Medicaid	$71.71
Rate for Payer: AZCH Complete Medicare	$30.72
Rate for Payer: Banner UC Health Medicare	$30.72
Rate for Payer: Bisbee Police All Plans	$49.92
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$130.56
Rate for Payer: Cash Price	$153.60
Rate for Payer: Cigna of AZ Commercial	$124.80
Rate for Payer: Copperpoint Commercial	$47.52
Rate for Payer: Health Net of AZ Commercial	$115.20
Rate for Payer: Health Net of AZ Medicare	$53.76
Rate for Payer: Humana of AZ Medicare	$30.72
Rate for Payer: Self Pay Self Pay	$153.60
Rate for Payer: TriWest Medicare	$30.72
Rate for Payer: UnitedHealth Group of AZ Commercial	$111.94
Rate for Payer: UnitedHealth Group of AZ Medicare	$34.56

Cortisol LC

Facility

IP

$192.00

Service Code	CPT 82533
Hospital Charge Code	1906812
Hospital Revenue Code	301
Min. Negotiated Rate	$49.92
Max. Negotiated Rate	$172.80
Rate for Payer: Aetna of AZ Commercial	$172.80
Rate for Payer: Bisbee Police All Plans	$49.92
Rate for Payer: Cash Price	$153.60
Rate for Payer: Self Pay Self Pay	$153.60

Cortisol, Urinary Free LC

Facility

OP

$257.00

Service Code	CPT 82533
Hospital Charge Code	1906820
Hospital Revenue Code	306
Min. Negotiated Rate	$41.12
Max. Negotiated Rate	$231.30
Rate for Payer: Aetna of AZ Commercial	$231.30
Rate for Payer: Aetna of AZ Medicare	$71.96
Rate for Payer: Allwell Medicare	$41.12
Rate for Payer: Amerigroup Medicare	$41.12
Rate for Payer: APIPA Medicare/Medicaid	$95.99
Rate for Payer: AZCH Complete Medicare	$41.12
Rate for Payer: Banner UC Health Medicare	$41.12
Rate for Payer: Bisbee Police All Plans	$66.82
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$174.76
Rate for Payer: Cash Price	$205.60
Rate for Payer: Cigna of AZ Commercial	$167.05
Rate for Payer: Copperpoint Commercial	$63.61
Rate for Payer: Health Net of AZ Commercial	$154.20
Rate for Payer: Health Net of AZ Medicare	$71.96
Rate for Payer: Humana of AZ Medicare	$41.12
Rate for Payer: Self Pay Self Pay	$205.60
Rate for Payer: TriWest Medicare	$41.12
Rate for Payer: UnitedHealth Group of AZ Commercial	$149.83
Rate for Payer: UnitedHealth Group of AZ Medicare	$46.26

Cortisol, Urinary Free LC

Facility

IP

$257.00

Service Code	CPT 82533
Hospital Charge Code	1906820
Hospital Revenue Code	306
Min. Negotiated Rate	$66.82
Max. Negotiated Rate	$231.30
Rate for Payer: Aetna of AZ Commercial	$231.30
Rate for Payer: Bisbee Police All Plans	$66.82
Rate for Payer: Cash Price	$205.60
Rate for Payer: Self Pay Self Pay	$205.60

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