Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Chronic Obstructive Pulmonary Disease

Facility

IP

$5,325.73

Service Code	APR-DRG 1403
Hospital Charge Code	APRDRG1403
Min. Negotiated Rate	$5,325.73
Max. Negotiated Rate	$5,325.73
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,325.73
Rate for Payer: Mercy Care Medicaid	$5,325.73
Rate for Payer: NaphCare Correctional Healthcare	$5,325.73

Chronic Obstructive Pulmonary Disease

Facility

IP

$8,423.11

Service Code	APR-DRG 1404
Hospital Charge Code	APRDRG1403
Min. Negotiated Rate	$8,423.11
Max. Negotiated Rate	$8,423.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,423.11
Rate for Payer: Mercy Care Medicaid	$8,423.11
Rate for Payer: NaphCare Correctional Healthcare	$8,423.11

Chronic Obstructive Pulmonary Disease

Facility

IP

$8,423.11

Service Code	APR-DRG 1404
Hospital Charge Code	APRDRG1401
Min. Negotiated Rate	$8,423.11
Max. Negotiated Rate	$8,423.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,423.11
Rate for Payer: Mercy Care Medicaid	$8,423.11
Rate for Payer: NaphCare Correctional Healthcare	$8,423.11

Chronic Obstructive Pulmonary Disease

Facility

IP

$3,418.62

Service Code	APR-DRG 1401
Hospital Charge Code	APRDRG1401
Min. Negotiated Rate	$3,418.62
Max. Negotiated Rate	$3,418.62
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,418.62
Rate for Payer: Mercy Care Medicaid	$3,418.62
Rate for Payer: NaphCare Correctional Healthcare	$3,418.62

Chronic Obstructive Pulmonary Disease

Facility

IP

$5,325.73

Service Code	APR-DRG 1403
Hospital Charge Code	APRDRG1404
Min. Negotiated Rate	$5,325.73
Max. Negotiated Rate	$5,325.73
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,325.73
Rate for Payer: Mercy Care Medicaid	$5,325.73
Rate for Payer: NaphCare Correctional Healthcare	$5,325.73

Chronic Obstructive Pulmonary Disease

Facility

IP

$4,269.42

Service Code	APR-DRG 1402
Hospital Charge Code	APRDRG1403
Min. Negotiated Rate	$4,269.42
Max. Negotiated Rate	$4,269.42
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,269.42
Rate for Payer: Mercy Care Medicaid	$4,269.42
Rate for Payer: NaphCare Correctional Healthcare	$4,269.42

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

Facility

IP

$11,037.24

Service Code	MSDRG 191
Min. Negotiated Rate	$11,037.24
Max. Negotiated Rate	$11,037.24
Rate for Payer: Seven Corners Travel Insurance	$11,037.24

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

Facility

IP

$14,391.29

Service Code	MSDRG 190
Min. Negotiated Rate	$14,391.29
Max. Negotiated Rate	$14,391.29
Rate for Payer: Seven Corners Travel Insurance	$14,391.29

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Facility

IP

$8,490.33

Service Code	MSDRG 192
Min. Negotiated Rate	$8,490.33
Max. Negotiated Rate	$8,490.33
Rate for Payer: Seven Corners Travel Insurance	$8,490.33

ciprofloxacin 400 mg Premix IVPB [CQCH]

Facility

IP

$0.01

Service Code	HCPCS J0706
Hospital Charge Code	105916460
Hospital Revenue Code	250
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna of AZ Commercial	$0.01
Rate for Payer: Cash Price	$0.01

ciprofloxacin 400 mg Premix IVPB [CQCH]

Facility

OP

$0.01

Service Code	HCPCS J0706
Hospital Charge Code	105916460
Hospital Revenue Code	250
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna of AZ Commercial	$0.01
Rate for Payer: Arizona Complete Health Allwell	$0.00
Rate for Payer: Banner UC Health Medicare	$0.00
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$0.01
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$0.00
Rate for Payer: Care1st Health Plan Arizona Medicare	$0.00
Rate for Payer: Cash Price	$0.01
Rate for Payer: Cigna of AZ Commercial	$0.01
Rate for Payer: Devoted Health Medicare	$0.00
Rate for Payer: Humana of AZ Medicare	$0.00
Rate for Payer: Southwest Service Administrators UFCW	$0.01
Rate for Payer: TriWest Medicare	$0.00
Rate for Payer: United Healthcare Commercial	$0.01
Rate for Payer: United Healthcare Medicare	$0.00
Rate for Payer: Veterans Affairs TRICARE	$0.00

ciprofloxacin 500 mg Tab [CQCH]

Facility

IP

$0.16

Service Code	NDC 63739055910
Hospital Charge Code	105916393
Hospital Revenue Code	251
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$0.14
Rate for Payer: Aetna of AZ Commercial	$0.14
Rate for Payer: Cash Price	$0.13

ciprofloxacin 500 mg Tab [CQCH]

Facility

OP

$0.16

Service Code	NDC 63739055910
Hospital Charge Code	105916393
Hospital Revenue Code	251
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.14
Rate for Payer: Aetna of AZ Commercial	$0.14
Rate for Payer: Arizona Complete Health Allwell	$0.03
Rate for Payer: Banner UC Health Medicare	$0.03
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$0.11
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$0.03
Rate for Payer: Care1st Health Plan Arizona Medicare	$0.03
Rate for Payer: Cash Price	$0.13
Rate for Payer: Cigna of AZ Commercial	$0.10
Rate for Payer: Devoted Health Medicare	$0.03
Rate for Payer: Humana of AZ Medicare	$0.03
Rate for Payer: Southwest Service Administrators UFCW	$0.11
Rate for Payer: TriWest Medicare	$0.03
Rate for Payer: United Healthcare Commercial	$0.09
Rate for Payer: United Healthcare Medicare	$0.03
Rate for Payer: Veterans Affairs TRICARE	$0.03

ciprofloxacin-dexamethasone otic Sus 7.5 mL [CQCH]

Facility

IP

$231.68

Service Code	NDC 65853302
Hospital Charge Code	107994705
Hospital Revenue Code	250
Min. Negotiated Rate	$208.51
Max. Negotiated Rate	$208.51
Rate for Payer: Aetna of AZ Commercial	$208.51
Rate for Payer: Cash Price	$185.34

ciprofloxacin-dexamethasone otic Sus 7.5 mL [CQCH]

Facility

OP

$231.68

Service Code	NDC 65853302
Hospital Charge Code	107994705
Hospital Revenue Code	250
Min. Negotiated Rate	$36.70
Max. Negotiated Rate	$208.51
Rate for Payer: Aetna of AZ Commercial	$208.51
Rate for Payer: Arizona Complete Health Allwell	$37.07
Rate for Payer: Banner UC Health Medicare	$37.07
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$157.54
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$37.07
Rate for Payer: Care1st Health Plan Arizona Medicare	$37.07
Rate for Payer: Cash Price	$185.34
Rate for Payer: Cigna of AZ Commercial	$150.59
Rate for Payer: Devoted Health Medicare	$41.70
Rate for Payer: Humana of AZ Medicare	$37.07
Rate for Payer: Southwest Service Administrators UFCW	$157.54
Rate for Payer: TriWest Medicare	$37.07
Rate for Payer: United Healthcare Commercial	$132.52
Rate for Payer: United Healthcare Medicare	$37.07
Rate for Payer: Veterans Affairs TRICARE	$36.70

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC

Facility

IP

$28,598.55

Service Code	MSDRG 286
Min. Negotiated Rate	$28,598.55
Max. Negotiated Rate	$28,598.55
Rate for Payer: Seven Corners Travel Insurance	$28,598.55

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC

Facility

IP

$13,914.87

Service Code	MSDRG 287
Min. Negotiated Rate	$13,914.87
Max. Negotiated Rate	$13,914.87
Rate for Payer: Seven Corners Travel Insurance	$13,914.87

Circumcision, Using Clamp or Other Device; Newborn Charge

Facility

IP

$408.00

Service Code	CPT 54150
Hospital Charge Code	730749
Hospital Revenue Code	521
Min. Negotiated Rate	$367.20
Max. Negotiated Rate	$367.20
Rate for Payer: Aetna of AZ Commercial	$367.20
Rate for Payer: Cash Price	$326.40

Circumcision, Using Clamp or Other Device; Newborn Charge

Facility

OP

$408.00

Service Code	CPT 54150
Hospital Charge Code	730749
Hospital Revenue Code	521
Min. Negotiated Rate	$64.63
Max. Negotiated Rate	$3,234.38
Rate for Payer: Aetna of AZ Commercial	$367.20
Rate for Payer: Arizona Complete Health Allwell	$65.28
Rate for Payer: Banner UC Health Medicare	$65.28
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$277.44
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$65.28
Rate for Payer: Care1st Health Plan Arizona Medicare	$65.28
Rate for Payer: Cash Price	$326.40
Rate for Payer: Cash Price	$326.40
Rate for Payer: Cigna of AZ Commercial	$285.60
Rate for Payer: Devoted Health Medicare	$73.44
Rate for Payer: Humana of AZ Medicare	$65.28
Rate for Payer: Seven Corners Travel Insurance	$3,234.38
Rate for Payer: Southwest Service Administrators UFCW	$277.44
Rate for Payer: TriWest Medicare	$65.28
Rate for Payer: United Healthcare Commercial	$233.38
Rate for Payer: United Healthcare Medicare	$65.28
Rate for Payer: Veterans Affairs TRICARE	$64.63

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC

Facility

IP

$13,738.74

Service Code	MSDRG 433
Min. Negotiated Rate	$13,738.74
Max. Negotiated Rate	$13,738.74
Rate for Payer: Seven Corners Travel Insurance	$13,738.74

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC

Facility

IP

$25,437.32

Service Code	MSDRG 432
Min. Negotiated Rate	$25,437.32
Max. Negotiated Rate	$25,437.32
Rate for Payer: Seven Corners Travel Insurance	$25,437.32

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Facility

IP

$9,383.63

Service Code	MSDRG 434
Min. Negotiated Rate	$9,383.63
Max. Negotiated Rate	$9,383.63
Rate for Payer: Seven Corners Travel Insurance	$9,383.63

CIT AC 24HR

Facility

OP

$344.00

Service Code	CPT 82507
Hospital Charge Code	22481467
Hospital Revenue Code	301
Min. Negotiated Rate	$40.31
Max. Negotiated Rate	$309.60
Rate for Payer: Aetna of AZ Commercial	$309.60
Rate for Payer: Arizona Complete Health Allwell	$55.04
Rate for Payer: Banner UC Health Medicare	$55.04
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$233.92
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$55.04
Rate for Payer: Care1st Health Plan Arizona Medicare	$55.04
Rate for Payer: Cash Price	$275.20
Rate for Payer: Cash Price	$275.20
Rate for Payer: Cigna of AZ Commercial	$223.60
Rate for Payer: Devoted Health Medicare	$61.92
Rate for Payer: Humana of AZ Medicare	$55.04
Rate for Payer: Seven Corners Travel Insurance	$40.31
Rate for Payer: Southwest Service Administrators UFCW	$233.92
Rate for Payer: TriWest Medicare	$55.04
Rate for Payer: United Healthcare Commercial	$196.77
Rate for Payer: United Healthcare Medicare	$55.04
Rate for Payer: Veterans Affairs TRICARE	$54.49

CIT AC 24HR

Facility

IP

$344.00

Service Code	CPT 82507
Hospital Charge Code	22481467
Hospital Revenue Code	301
Min. Negotiated Rate	$309.60
Max. Negotiated Rate	$309.60
Rate for Payer: Aetna of AZ Commercial	$309.60
Rate for Payer: Cash Price	$275.20

citalopram 20 mg Tab [CQCH]

Facility

OP

$0.06

Service Code	NDC 904608561
Hospital Charge Code	105916535
Hospital Revenue Code	251
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.05
Rate for Payer: Aetna of AZ Commercial	$0.05
Rate for Payer: Arizona Complete Health Allwell	$0.01
Rate for Payer: Banner UC Health Medicare	$0.01
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$0.04
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$0.01
Rate for Payer: Care1st Health Plan Arizona Medicare	$0.01
Rate for Payer: Cash Price	$0.05
Rate for Payer: Cigna of AZ Commercial	$0.04
Rate for Payer: Devoted Health Medicare	$0.01
Rate for Payer: Humana of AZ Medicare	$0.01
Rate for Payer: Southwest Service Administrators UFCW	$0.04
Rate for Payer: TriWest Medicare	$0.01
Rate for Payer: United Healthcare Commercial	$0.03
Rate for Payer: United Healthcare Medicare	$0.01
Rate for Payer: Veterans Affairs TRICARE	$0.01

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