Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Craniotomy For Multiple Significant Trauma

Facility

IP

$22,777.26

Service Code	APR-DRG 9102
Hospital Charge Code	APRDRG9104
Min. Negotiated Rate	$22,777.26
Max. Negotiated Rate	$22,777.26
Rate for Payer: AHCCCS Medicaid	$22,777.26
Rate for Payer: Allwell Medicaid	$22,777.26
Rate for Payer: AZCH Complete Medicaid	$22,777.26
Rate for Payer: Banner UC Health Medicaid	$22,777.26
Rate for Payer: Mercy Care Medicaid	$22,777.26

Craniotomy For Multiple Significant Trauma

Facility

IP

$50,111.52

Service Code	APR-DRG 9104
Hospital Charge Code	APRDRG9102
Min. Negotiated Rate	$50,111.52
Max. Negotiated Rate	$50,111.52
Rate for Payer: AHCCCS Medicaid	$50,111.52
Rate for Payer: Allwell Medicaid	$50,111.52
Rate for Payer: AZCH Complete Medicaid	$50,111.52
Rate for Payer: Banner UC Health Medicaid	$50,111.52
Rate for Payer: Mercy Care Medicaid	$50,111.52

Craniotomy For Multiple Significant Trauma

Facility

IP

$28,854.89

Service Code	APR-DRG 9103
Hospital Charge Code	APRDRG9103
Min. Negotiated Rate	$28,854.89
Max. Negotiated Rate	$28,854.89
Rate for Payer: AHCCCS Medicaid	$28,854.89
Rate for Payer: Allwell Medicaid	$28,854.89
Rate for Payer: AZCH Complete Medicaid	$28,854.89
Rate for Payer: Banner UC Health Medicaid	$28,854.89
Rate for Payer: Mercy Care Medicaid	$28,854.89

Craniotomy For Multiple Significant Trauma

Facility

IP

$22,777.26

Service Code	APR-DRG 9102
Hospital Charge Code	APRDRG9103
Min. Negotiated Rate	$22,777.26
Max. Negotiated Rate	$22,777.26
Rate for Payer: AHCCCS Medicaid	$22,777.26
Rate for Payer: Allwell Medicaid	$22,777.26
Rate for Payer: AZCH Complete Medicaid	$22,777.26
Rate for Payer: Banner UC Health Medicaid	$22,777.26
Rate for Payer: Mercy Care Medicaid	$22,777.26

Craniotomy For Multiple Significant Trauma

Facility

IP

$22,777.26

Service Code	APR-DRG 9102
Hospital Charge Code	APRDRG9102
Min. Negotiated Rate	$22,777.26
Max. Negotiated Rate	$22,777.26
Rate for Payer: AHCCCS Medicaid	$22,777.26
Rate for Payer: Allwell Medicaid	$22,777.26
Rate for Payer: AZCH Complete Medicaid	$22,777.26
Rate for Payer: Banner UC Health Medicaid	$22,777.26
Rate for Payer: Mercy Care Medicaid	$22,777.26

Craniotomy For Multiple Significant Trauma

Facility

IP

$22,777.26

Service Code	APR-DRG 9101
Hospital Charge Code	APRDRG9104
Min. Negotiated Rate	$22,777.26
Max. Negotiated Rate	$22,777.26
Rate for Payer: AHCCCS Medicaid	$22,777.26
Rate for Payer: Allwell Medicaid	$22,777.26
Rate for Payer: AZCH Complete Medicaid	$22,777.26
Rate for Payer: Banner UC Health Medicaid	$22,777.26
Rate for Payer: Mercy Care Medicaid	$22,777.26

Craniotomy For Multiple Significant Trauma

Facility

IP

$50,111.52

Service Code	APR-DRG 9104
Hospital Charge Code	APRDRG9103
Min. Negotiated Rate	$50,111.52
Max. Negotiated Rate	$50,111.52
Rate for Payer: AHCCCS Medicaid	$50,111.52
Rate for Payer: Allwell Medicaid	$50,111.52
Rate for Payer: AZCH Complete Medicaid	$50,111.52
Rate for Payer: Banner UC Health Medicaid	$50,111.52
Rate for Payer: Mercy Care Medicaid	$50,111.52

Craniotomy For Multiple Significant Trauma

Facility

IP

$28,854.89

Service Code	APR-DRG 9103
Hospital Charge Code	APRDRG9104
Min. Negotiated Rate	$28,854.89
Max. Negotiated Rate	$28,854.89
Rate for Payer: AHCCCS Medicaid	$28,854.89
Rate for Payer: Allwell Medicaid	$28,854.89
Rate for Payer: AZCH Complete Medicaid	$28,854.89
Rate for Payer: Banner UC Health Medicaid	$28,854.89
Rate for Payer: Mercy Care Medicaid	$28,854.89

C-Reactive Protein

Facility

OP

$165.00

Service Code	CPT 86141
Hospital Charge Code	633716
Hospital Revenue Code	302
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$148.50
Rate for Payer: Aetna of AZ Commercial	$148.50
Rate for Payer: Aetna of AZ Medicare	$46.20
Rate for Payer: AHCCCS Medicaid	$12.95
Rate for Payer: Allwell Medicaid	$12.95
Rate for Payer: Allwell Medicare	$24.75
Rate for Payer: Amerigroup Medicare	$24.75
Rate for Payer: APIPA Medicare/Medicaid	$61.63
Rate for Payer: AZCH Complete Medicaid	$12.95
Rate for Payer: AZCH Complete Medicare	$24.75
Rate for Payer: Banner UC Health Medicaid	$12.95
Rate for Payer: Banner UC Health Medicare	$24.75
Rate for Payer: Bisbee Police All Plans	$42.90
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$112.20
Rate for Payer: Cash Price	$132.00
Rate for Payer: Cash Price	$132.00
Rate for Payer: Cigna of AZ Commercial	$107.25
Rate for Payer: Copperpoint Commercial	$40.84
Rate for Payer: Health Net of AZ Commercial	$99.00
Rate for Payer: Health Net of AZ Medicare	$46.20
Rate for Payer: Humana of AZ Medicare	$24.75
Rate for Payer: Mercy Care Medicaid	$12.95
Rate for Payer: Self Pay Self Pay	$132.00
Rate for Payer: TriWest Medicare	$24.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$96.20
Rate for Payer: UnitedHealth Group of AZ Medicare	$29.70

C-Reactive Protein

Facility

IP

$165.00

Service Code	CPT 86141
Hospital Charge Code	633716
Hospital Revenue Code	302
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$148.50
Rate for Payer: Aetna of AZ Commercial	$148.50
Rate for Payer: Bisbee Police All Plans	$42.90
Rate for Payer: Cash Price	$132.00
Rate for Payer: Self Pay Self Pay	$132.00

C-Reactive Protein, Cardiac LC

Facility

IP

$165.00

Service Code	CPT 86141
Hospital Charge Code	1285588
Hospital Revenue Code	302
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$148.50
Rate for Payer: Aetna of AZ Commercial	$148.50
Rate for Payer: Bisbee Police All Plans	$42.90
Rate for Payer: Cash Price	$132.00
Rate for Payer: Self Pay Self Pay	$132.00

C-Reactive Protein, Cardiac LC

Facility

OP

$165.00

Service Code	CPT 86141
Hospital Charge Code	1285588
Hospital Revenue Code	302
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$148.50
Rate for Payer: Aetna of AZ Commercial	$148.50
Rate for Payer: Aetna of AZ Medicare	$46.20
Rate for Payer: AHCCCS Medicaid	$12.95
Rate for Payer: Allwell Medicaid	$12.95
Rate for Payer: Allwell Medicare	$24.75
Rate for Payer: Amerigroup Medicare	$24.75
Rate for Payer: APIPA Medicare/Medicaid	$61.63
Rate for Payer: AZCH Complete Medicaid	$12.95
Rate for Payer: AZCH Complete Medicare	$24.75
Rate for Payer: Banner UC Health Medicaid	$12.95
Rate for Payer: Banner UC Health Medicare	$24.75
Rate for Payer: Bisbee Police All Plans	$42.90
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$112.20
Rate for Payer: Cash Price	$132.00
Rate for Payer: Cash Price	$132.00
Rate for Payer: Cigna of AZ Commercial	$107.25
Rate for Payer: Copperpoint Commercial	$40.84
Rate for Payer: Health Net of AZ Commercial	$99.00
Rate for Payer: Health Net of AZ Medicare	$46.20
Rate for Payer: Humana of AZ Medicare	$24.75
Rate for Payer: Mercy Care Medicaid	$12.95
Rate for Payer: Self Pay Self Pay	$132.00
Rate for Payer: TriWest Medicare	$24.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$96.20
Rate for Payer: UnitedHealth Group of AZ Medicare	$29.70

C-Reactive Protein, Quant LC

Facility

IP

$116.00

Service Code	CPT 86140
Hospital Charge Code	1285587
Hospital Revenue Code	302
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$104.40
Rate for Payer: Aetna of AZ Commercial	$104.40
Rate for Payer: Bisbee Police All Plans	$30.16
Rate for Payer: Cash Price	$92.80
Rate for Payer: Self Pay Self Pay	$92.80

C-Reactive Protein, Quant LC

Facility

OP

$116.00

Service Code	CPT 86140
Hospital Charge Code	1285587
Hospital Revenue Code	302
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$104.40
Rate for Payer: Aetna of AZ Commercial	$104.40
Rate for Payer: Aetna of AZ Medicare	$32.48
Rate for Payer: AHCCCS Medicaid	$5.18
Rate for Payer: Allwell Medicaid	$5.18
Rate for Payer: Allwell Medicare	$17.40
Rate for Payer: Amerigroup Medicare	$17.40
Rate for Payer: APIPA Medicare/Medicaid	$43.33
Rate for Payer: AZCH Complete Medicaid	$5.18
Rate for Payer: AZCH Complete Medicare	$17.40
Rate for Payer: Banner UC Health Medicaid	$5.18
Rate for Payer: Banner UC Health Medicare	$17.40
Rate for Payer: Bisbee Police All Plans	$30.16
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$78.88
Rate for Payer: Cash Price	$92.80
Rate for Payer: Cash Price	$92.80
Rate for Payer: Cigna of AZ Commercial	$75.40
Rate for Payer: Copperpoint Commercial	$28.71
Rate for Payer: Health Net of AZ Commercial	$69.60
Rate for Payer: Health Net of AZ Medicare	$32.48
Rate for Payer: Humana of AZ Medicare	$17.40
Rate for Payer: Mercy Care Medicaid	$5.18
Rate for Payer: Self Pay Self Pay	$92.80
Rate for Payer: TriWest Medicare	$17.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$67.63
Rate for Payer: UnitedHealth Group of AZ Medicare	$20.88

C-REACT PROT CARDIAC

Facility

OP

$173.00

Service Code	CPT 86141
Hospital Charge Code	22334831
Hospital Revenue Code	302
Min. Negotiated Rate	$12.95
Max. Negotiated Rate	$155.70
Rate for Payer: Aetna of AZ Commercial	$155.70
Rate for Payer: Aetna of AZ Medicare	$48.44
Rate for Payer: AHCCCS Medicaid	$12.95
Rate for Payer: Allwell Medicaid	$12.95
Rate for Payer: Allwell Medicare	$25.95
Rate for Payer: Amerigroup Medicare	$25.95
Rate for Payer: APIPA Medicare/Medicaid	$64.62
Rate for Payer: AZCH Complete Medicaid	$12.95
Rate for Payer: AZCH Complete Medicare	$25.95
Rate for Payer: Banner UC Health Medicaid	$12.95
Rate for Payer: Banner UC Health Medicare	$25.95
Rate for Payer: Bisbee Police All Plans	$44.98
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$117.64
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cigna of AZ Commercial	$112.45
Rate for Payer: Copperpoint Commercial	$42.82
Rate for Payer: Health Net of AZ Commercial	$103.80
Rate for Payer: Health Net of AZ Medicare	$48.44
Rate for Payer: Humana of AZ Medicare	$25.95
Rate for Payer: Mercy Care Medicaid	$12.95
Rate for Payer: Self Pay Self Pay	$138.40
Rate for Payer: TriWest Medicare	$25.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$100.86
Rate for Payer: UnitedHealth Group of AZ Medicare	$31.14

C-REACT PROT CARDIAC

Facility

IP

$173.00

Service Code	CPT 86141
Hospital Charge Code	22334831
Hospital Revenue Code	302
Min. Negotiated Rate	$44.98
Max. Negotiated Rate	$155.70
Rate for Payer: Aetna of AZ Commercial	$155.70
Rate for Payer: Bisbee Police All Plans	$44.98
Rate for Payer: Cash Price	$138.40
Rate for Payer: Self Pay Self Pay	$138.40

CREAM SPECIAL CARE

Facility

IP

$29.00

Hospital Charge Code	22355370
Hospital Revenue Code	270
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$26.10
Rate for Payer: Aetna of AZ Commercial	$26.10
Rate for Payer: Bisbee Police All Plans	$7.54
Rate for Payer: Cash Price	$23.20
Rate for Payer: Self Pay Self Pay	$23.20

CREAM SPECIAL CARE

Facility

OP

$29.00

Hospital Charge Code	22355370
Hospital Revenue Code	270
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$26.10
Rate for Payer: Aetna of AZ Commercial	$26.10
Rate for Payer: Aetna of AZ Medicare	$8.12
Rate for Payer: Allwell Medicare	$4.35
Rate for Payer: Amerigroup Medicare	$4.35
Rate for Payer: APIPA Medicare/Medicaid	$10.83
Rate for Payer: AZCH Complete Medicare	$4.35
Rate for Payer: Banner UC Health Medicare	$4.35
Rate for Payer: Bisbee Police All Plans	$7.54
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$19.72
Rate for Payer: Cash Price	$23.20
Rate for Payer: Cigna of AZ Commercial	$20.30
Rate for Payer: Copperpoint Commercial	$7.18
Rate for Payer: Health Net of AZ Commercial	$17.40
Rate for Payer: Health Net of AZ Medicare	$8.12
Rate for Payer: Humana of AZ Medicare	$4.35
Rate for Payer: Self Pay Self Pay	$23.20
Rate for Payer: TriWest Medicare	$4.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$16.91
Rate for Payer: UnitedHealth Group of AZ Medicare	$5.22

Creatine, 24-Hour Urine LC

Facility

IP

$159.00

Service Code	CPT 82575
Hospital Charge Code	22311189
Hospital Revenue Code	301
Min. Negotiated Rate	$41.34
Max. Negotiated Rate	$143.10
Rate for Payer: Aetna of AZ Commercial	$143.10
Rate for Payer: Bisbee Police All Plans	$41.34
Rate for Payer: Cash Price	$127.20
Rate for Payer: Self Pay Self Pay	$127.20

Creatine, 24-Hour Urine LC

Facility

OP

$159.00

Service Code	CPT 82575
Hospital Charge Code	22311189
Hospital Revenue Code	301
Min. Negotiated Rate	$9.46
Max. Negotiated Rate	$143.10
Rate for Payer: Aetna of AZ Commercial	$143.10
Rate for Payer: Aetna of AZ Medicare	$44.52
Rate for Payer: AHCCCS Medicaid	$9.46
Rate for Payer: Allwell Medicaid	$9.46
Rate for Payer: Allwell Medicare	$23.85
Rate for Payer: Amerigroup Medicare	$23.85
Rate for Payer: APIPA Medicare/Medicaid	$59.39
Rate for Payer: AZCH Complete Medicaid	$9.46
Rate for Payer: AZCH Complete Medicare	$23.85
Rate for Payer: Banner UC Health Medicaid	$9.46
Rate for Payer: Banner UC Health Medicare	$23.85
Rate for Payer: Bisbee Police All Plans	$41.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$108.12
Rate for Payer: Cash Price	$127.20
Rate for Payer: Cash Price	$127.20
Rate for Payer: Cigna of AZ Commercial	$103.35
Rate for Payer: Copperpoint Commercial	$39.35
Rate for Payer: Health Net of AZ Commercial	$95.40
Rate for Payer: Health Net of AZ Medicare	$44.52
Rate for Payer: Humana of AZ Medicare	$23.85
Rate for Payer: Mercy Care Medicaid	$9.46
Rate for Payer: Self Pay Self Pay	$127.20
Rate for Payer: TriWest Medicare	$23.85
Rate for Payer: UnitedHealth Group of AZ Commercial	$92.70
Rate for Payer: UnitedHealth Group of AZ Medicare	$28.62

Creatine Kinase

Facility

IP

$82.00

Service Code	CPT 82550
Hospital Charge Code	633712
Hospital Revenue Code	301
Min. Negotiated Rate	$21.32
Max. Negotiated Rate	$73.80
Rate for Payer: Aetna of AZ Commercial	$73.80
Rate for Payer: Bisbee Police All Plans	$21.32
Rate for Payer: Cash Price	$65.60
Rate for Payer: Self Pay Self Pay	$65.60

Creatine Kinase

Facility

OP

$82.00

Service Code	CPT 82550
Hospital Charge Code	633712
Hospital Revenue Code	301
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$73.80
Rate for Payer: Aetna of AZ Commercial	$73.80
Rate for Payer: Aetna of AZ Medicare	$22.96
Rate for Payer: AHCCCS Medicaid	$6.51
Rate for Payer: Allwell Medicaid	$6.51
Rate for Payer: Allwell Medicare	$12.30
Rate for Payer: Amerigroup Medicare	$12.30
Rate for Payer: APIPA Medicare/Medicaid	$30.63
Rate for Payer: AZCH Complete Medicaid	$6.51
Rate for Payer: AZCH Complete Medicare	$12.30
Rate for Payer: Banner UC Health Medicaid	$6.51
Rate for Payer: Banner UC Health Medicare	$12.30
Rate for Payer: Bisbee Police All Plans	$21.32
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$55.76
Rate for Payer: Cash Price	$65.60
Rate for Payer: Cash Price	$65.60
Rate for Payer: Cigna of AZ Commercial	$53.30
Rate for Payer: Copperpoint Commercial	$20.30
Rate for Payer: Health Net of AZ Commercial	$49.20
Rate for Payer: Health Net of AZ Medicare	$22.96
Rate for Payer: Humana of AZ Medicare	$12.30
Rate for Payer: Mercy Care Medicaid	$6.51
Rate for Payer: Self Pay Self Pay	$65.60
Rate for Payer: TriWest Medicare	$12.30
Rate for Payer: UnitedHealth Group of AZ Commercial	$47.81
Rate for Payer: UnitedHealth Group of AZ Medicare	$14.76

Creatine Kinase-MB

Facility

OP

$321.00

Service Code	CPT 82553
Hospital Charge Code	785969
Hospital Revenue Code	301
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$288.90
Rate for Payer: Aetna of AZ Commercial	$288.90
Rate for Payer: Aetna of AZ Medicare	$89.88
Rate for Payer: AHCCCS Medicaid	$11.55
Rate for Payer: Allwell Medicaid	$11.55
Rate for Payer: Allwell Medicare	$48.15
Rate for Payer: Amerigroup Medicare	$48.15
Rate for Payer: APIPA Medicare/Medicaid	$119.89
Rate for Payer: AZCH Complete Medicaid	$11.55
Rate for Payer: AZCH Complete Medicare	$48.15
Rate for Payer: Banner UC Health Medicaid	$11.55
Rate for Payer: Banner UC Health Medicare	$48.15
Rate for Payer: Bisbee Police All Plans	$83.46
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$218.28
Rate for Payer: Cash Price	$256.80
Rate for Payer: Cash Price	$256.80
Rate for Payer: Cigna of AZ Commercial	$208.65
Rate for Payer: Copperpoint Commercial	$79.45
Rate for Payer: Health Net of AZ Commercial	$192.60
Rate for Payer: Health Net of AZ Medicare	$89.88
Rate for Payer: Humana of AZ Medicare	$48.15
Rate for Payer: Mercy Care Medicaid	$11.55
Rate for Payer: Self Pay Self Pay	$256.80
Rate for Payer: TriWest Medicare	$48.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$187.14
Rate for Payer: UnitedHealth Group of AZ Medicare	$57.78

Creatine Kinase-MB

Facility

IP

$321.00

Service Code	CPT 82553
Hospital Charge Code	785969
Hospital Revenue Code	301
Min. Negotiated Rate	$83.46
Max. Negotiated Rate	$288.90
Rate for Payer: Aetna of AZ Commercial	$288.90
Rate for Payer: Bisbee Police All Plans	$83.46
Rate for Payer: Cash Price	$256.80
Rate for Payer: Self Pay Self Pay	$256.80

Creatinine

Facility

IP

$80.00

Service Code	CPT 82565
Hospital Charge Code	22525233
Hospital Revenue Code	301
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna of AZ Commercial	$72.00
Rate for Payer: Bisbee Police All Plans	$20.80
Rate for Payer: Cash Price	$64.00
Rate for Payer: Self Pay Self Pay	$64.00

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