Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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	APRDRG9101
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 9101
Hospital Charge Code	APRDRG9101
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	APRDRG9101
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	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

$50,111.52

Service Code	APR-DRG 9104
Hospital Charge Code	APRDRG9104
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

Craniotomy For Multiple Significant Trauma

Facility

IP

$22,777.26

Service Code	APR-DRG 9101
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

$28,854.89

Service Code	APR-DRG 9103
Hospital Charge Code	APRDRG9102
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 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

C-Reactive Protein

Facility

IP

$157.00

Service Code	CPT 86141
Hospital Charge Code	633716
Hospital Revenue Code	302
Min. Negotiated Rate	$40.82
Max. Negotiated Rate	$141.30
Rate for Payer: Aetna of AZ Commercial	$141.30
Rate for Payer: Bisbee Police All Plans	$40.82
Rate for Payer: Cash Price	$125.60
Rate for Payer: Self Pay Self Pay	$125.60

C-Reactive Protein

Facility

OP

$157.00

Service Code	CPT 86141
Hospital Charge Code	633716
Hospital Revenue Code	302
Min. Negotiated Rate	$25.12
Max. Negotiated Rate	$141.30
Rate for Payer: Aetna of AZ Commercial	$141.30
Rate for Payer: Aetna of AZ Medicare	$43.96
Rate for Payer: Allwell Medicare	$25.12
Rate for Payer: Amerigroup Medicare	$25.12
Rate for Payer: APIPA Medicare/Medicaid	$58.64
Rate for Payer: AZCH Complete Medicare	$25.12
Rate for Payer: Banner UC Health Medicare	$25.12
Rate for Payer: Bisbee Police All Plans	$40.82
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$106.76
Rate for Payer: Cash Price	$125.60
Rate for Payer: Cigna of AZ Commercial	$102.05
Rate for Payer: Copperpoint Commercial	$38.86
Rate for Payer: Health Net of AZ Commercial	$94.20
Rate for Payer: Health Net of AZ Medicare	$43.96
Rate for Payer: Humana of AZ Medicare	$25.12
Rate for Payer: Self Pay Self Pay	$125.60
Rate for Payer: TriWest Medicare	$25.12
Rate for Payer: UnitedHealth Group of AZ Commercial	$91.53
Rate for Payer: UnitedHealth Group of AZ Medicare	$28.26

C-Reactive Protein, Cardiac LC

Facility

OP

$165.00

Service Code	CPT 86141
Hospital Charge Code	1285588
Hospital Revenue Code	302
Min. Negotiated Rate	$26.40
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: Allwell Medicare	$26.40
Rate for Payer: Amerigroup Medicare	$26.40
Rate for Payer: APIPA Medicare/Medicaid	$61.63
Rate for Payer: AZCH Complete Medicare	$26.40
Rate for Payer: Banner UC Health Medicare	$26.40
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: 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	$26.40
Rate for Payer: Self Pay Self Pay	$132.00
Rate for Payer: TriWest Medicare	$26.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$96.19
Rate for Payer: UnitedHealth Group of AZ Medicare	$29.70

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, Quant LC

Facility

OP

$116.00

Service Code	CPT 86140
Hospital Charge Code	1285587
Hospital Revenue Code	302
Min. Negotiated Rate	$18.56
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: Allwell Medicare	$18.56
Rate for Payer: Amerigroup Medicare	$18.56
Rate for Payer: APIPA Medicare/Medicaid	$43.33
Rate for Payer: AZCH Complete Medicare	$18.56
Rate for Payer: Banner UC Health Medicare	$18.56
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: 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	$18.56
Rate for Payer: Self Pay Self Pay	$92.80
Rate for Payer: TriWest Medicare	$18.56
Rate for Payer: UnitedHealth Group of AZ Commercial	$67.63
Rate for Payer: UnitedHealth Group of AZ Medicare	$20.88

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-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

C-REACT PROT CARDIAC

Facility

OP

$173.00

Service Code	CPT 86141
Hospital Charge Code	22334831
Hospital Revenue Code	302
Min. Negotiated Rate	$27.68
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: Allwell Medicare	$27.68
Rate for Payer: Amerigroup Medicare	$27.68
Rate for Payer: APIPA Medicare/Medicaid	$64.62
Rate for Payer: AZCH Complete Medicare	$27.68
Rate for Payer: Banner UC Health Medicare	$27.68
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: 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	$27.68
Rate for Payer: Self Pay Self Pay	$138.40
Rate for Payer: TriWest Medicare	$27.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$100.86
Rate for Payer: UnitedHealth Group of AZ Medicare	$31.14

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	$4.64
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	$4.64
Rate for Payer: Amerigroup Medicare	$4.64
Rate for Payer: APIPA Medicare/Medicaid	$10.83
Rate for Payer: AZCH Complete Medicare	$4.64
Rate for Payer: Banner UC Health Medicare	$4.64
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	$4.64
Rate for Payer: Self Pay Self Pay	$23.20
Rate for Payer: TriWest Medicare	$4.64
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	$25.44
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: Allwell Medicare	$25.44
Rate for Payer: Amerigroup Medicare	$25.44
Rate for Payer: APIPA Medicare/Medicaid	$59.39
Rate for Payer: AZCH Complete Medicare	$25.44
Rate for Payer: Banner UC Health Medicare	$25.44
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: 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	$25.44
Rate for Payer: Self Pay Self Pay	$127.20
Rate for Payer: TriWest Medicare	$25.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$92.70
Rate for Payer: UnitedHealth Group of AZ Medicare	$28.62

Creatine Kinase

Facility

OP

$78.00

Service Code	CPT 82550
Hospital Charge Code	633712
Hospital Revenue Code	301
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna of AZ Commercial	$70.20
Rate for Payer: Aetna of AZ Medicare	$21.84
Rate for Payer: Allwell Medicare	$12.48
Rate for Payer: Amerigroup Medicare	$12.48
Rate for Payer: APIPA Medicare/Medicaid	$29.13
Rate for Payer: AZCH Complete Medicare	$12.48
Rate for Payer: Banner UC Health Medicare	$12.48
Rate for Payer: Bisbee Police All Plans	$20.28
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$53.04
Rate for Payer: Cash Price	$62.40
Rate for Payer: Cigna of AZ Commercial	$50.70
Rate for Payer: Copperpoint Commercial	$19.30
Rate for Payer: Health Net of AZ Commercial	$46.80
Rate for Payer: Health Net of AZ Medicare	$21.84
Rate for Payer: Humana of AZ Medicare	$12.48
Rate for Payer: Self Pay Self Pay	$62.40
Rate for Payer: TriWest Medicare	$12.48
Rate for Payer: UnitedHealth Group of AZ Commercial	$45.47
Rate for Payer: UnitedHealth Group of AZ Medicare	$14.04

Creatine Kinase

Facility

IP

$78.00

Service Code	CPT 82550
Hospital Charge Code	633712
Hospital Revenue Code	301
Min. Negotiated Rate	$20.28
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna of AZ Commercial	$70.20
Rate for Payer: Bisbee Police All Plans	$20.28
Rate for Payer: Cash Price	$62.40
Rate for Payer: Self Pay Self Pay	$62.40

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