Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$8,339.65

Service Code	APR-DRG 1311
Hospital Charge Code	APRDRG1312
Min. Negotiated Rate	$8,339.65
Max. Negotiated Rate	$8,339.65
Rate for Payer: AHCCCS Medicaid	$8,339.65
Rate for Payer: Allwell Medicaid	$8,339.65
Rate for Payer: AZCH Complete Medicaid	$8,339.65
Rate for Payer: Banner UC Health Medicaid	$8,339.65
Rate for Payer: Mercy Care Medicaid	$8,339.65

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$10,269.90

Service Code	APR-DRG 1312
Hospital Charge Code	APRDRG1311
Min. Negotiated Rate	$10,269.90
Max. Negotiated Rate	$10,269.90
Rate for Payer: AHCCCS Medicaid	$10,269.90
Rate for Payer: Allwell Medicaid	$10,269.90
Rate for Payer: AZCH Complete Medicaid	$10,269.90
Rate for Payer: Banner UC Health Medicaid	$10,269.90
Rate for Payer: Mercy Care Medicaid	$10,269.90

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$13,952.95

Service Code	APR-DRG 1313
Hospital Charge Code	APRDRG1314
Min. Negotiated Rate	$13,952.95
Max. Negotiated Rate	$13,952.95
Rate for Payer: AHCCCS Medicaid	$13,952.95
Rate for Payer: Allwell Medicaid	$13,952.95
Rate for Payer: AZCH Complete Medicaid	$13,952.95
Rate for Payer: Banner UC Health Medicaid	$13,952.95
Rate for Payer: Mercy Care Medicaid	$13,952.95

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$8,339.65

Service Code	APR-DRG 1311
Hospital Charge Code	APRDRG1314
Min. Negotiated Rate	$8,339.65
Max. Negotiated Rate	$8,339.65
Rate for Payer: AHCCCS Medicaid	$8,339.65
Rate for Payer: Allwell Medicaid	$8,339.65
Rate for Payer: AZCH Complete Medicaid	$8,339.65
Rate for Payer: Banner UC Health Medicaid	$8,339.65
Rate for Payer: Mercy Care Medicaid	$8,339.65

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$13,952.95

Service Code	APR-DRG 1313
Hospital Charge Code	APRDRG1313
Min. Negotiated Rate	$13,952.95
Max. Negotiated Rate	$13,952.95
Rate for Payer: AHCCCS Medicaid	$13,952.95
Rate for Payer: Allwell Medicaid	$13,952.95
Rate for Payer: AZCH Complete Medicaid	$13,952.95
Rate for Payer: Banner UC Health Medicaid	$13,952.95
Rate for Payer: Mercy Care Medicaid	$13,952.95

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$10,269.90

Service Code	APR-DRG 1312
Hospital Charge Code	APRDRG1313
Min. Negotiated Rate	$10,269.90
Max. Negotiated Rate	$10,269.90
Rate for Payer: AHCCCS Medicaid	$10,269.90
Rate for Payer: Allwell Medicaid	$10,269.90
Rate for Payer: AZCH Complete Medicaid	$10,269.90
Rate for Payer: Banner UC Health Medicaid	$10,269.90
Rate for Payer: Mercy Care Medicaid	$10,269.90

Cystic Fibrosis - Pulmonary Disease

Facility

IP

$8,339.65

Service Code	APR-DRG 1311
Hospital Charge Code	APRDRG1313
Min. Negotiated Rate	$8,339.65
Max. Negotiated Rate	$8,339.65
Rate for Payer: AHCCCS Medicaid	$8,339.65
Rate for Payer: Allwell Medicaid	$8,339.65
Rate for Payer: AZCH Complete Medicaid	$8,339.65
Rate for Payer: Banner UC Health Medicaid	$8,339.65
Rate for Payer: Mercy Care Medicaid	$8,339.65

CYSTINE 24HR

Facility

OP

$298.00

Service Code	CPT 82131
Hospital Charge Code	22481472
Hospital Revenue Code	301
Min. Negotiated Rate	$22.98
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: AHCCCS Medicaid	$22.98
Rate for Payer: Allwell Medicaid	$22.98
Rate for Payer: Allwell Medicare	$44.70
Rate for Payer: Amerigroup Medicare	$44.70
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicaid	$22.98
Rate for Payer: AZCH Complete Medicare	$44.70
Rate for Payer: Banner UC Health Medicaid	$22.98
Rate for Payer: Banner UC Health Medicare	$44.70
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.76
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$44.70
Rate for Payer: Mercy Care Medicaid	$22.98
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$44.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

CYSTINE 24HR

Facility

IP

$298.00

Service Code	CPT 82131
Hospital Charge Code	22481472
Hospital Revenue Code	301
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

Cystometrogram- Complex

Facility

IP

$1,649.00

Service Code	CPT 51726
Hospital Charge Code	27267786
Hospital Revenue Code	360
Min. Negotiated Rate	$428.74
Max. Negotiated Rate	$1,484.10
Rate for Payer: Aetna of AZ Commercial	$1,484.10
Rate for Payer: Bisbee Police All Plans	$428.74
Rate for Payer: Cash Price	$1,319.20
Rate for Payer: Self Pay Self Pay	$1,319.20

Cystometrogram- Complex

Facility

OP

$1,649.00

Service Code	CPT 51726
Hospital Charge Code	27267786
Hospital Revenue Code	360
Min. Negotiated Rate	$247.35
Max. Negotiated Rate	$2,161.00
Rate for Payer: Aetna of AZ Commercial	$1,484.10
Rate for Payer: Aetna of AZ Medicare	$461.72
Rate for Payer: AHCCCS Medicaid	$385.90
Rate for Payer: Allwell Medicaid	$385.90
Rate for Payer: Allwell Medicare	$247.35
Rate for Payer: Amerigroup Medicare	$247.35
Rate for Payer: APIPA Medicare/Medicaid	$615.90
Rate for Payer: AZCH Complete Medicaid	$385.90
Rate for Payer: AZCH Complete Medicare	$247.35
Rate for Payer: Banner UC Health Medicaid	$385.90
Rate for Payer: Banner UC Health Medicare	$247.35
Rate for Payer: Bisbee Police All Plans	$428.74
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,121.32
Rate for Payer: Cash Price	$1,319.20
Rate for Payer: Cash Price	$1,319.20
Rate for Payer: Cigna of AZ Commercial	$824.50
Rate for Payer: Copperpoint Commercial	$408.13
Rate for Payer: Health Net of AZ Commercial	$989.40
Rate for Payer: Health Net of AZ Medicare	$461.72
Rate for Payer: Humana of AZ Medicare	$247.35
Rate for Payer: Mercy Care Medicaid	$385.90
Rate for Payer: Self Pay Self Pay	$1,319.20
Rate for Payer: TriWest Medicare	$247.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$296.82

Cystometrogram-Simple

Facility

OP

$1,234.00

Service Code	CPT 51725
Hospital Charge Code	27267785
Hospital Revenue Code	360
Min. Negotiated Rate	$185.10
Max. Negotiated Rate	$2,161.00
Rate for Payer: Aetna of AZ Commercial	$1,110.60
Rate for Payer: Aetna of AZ Medicare	$345.52
Rate for Payer: AHCCCS Medicaid	$385.90
Rate for Payer: Allwell Medicaid	$385.90
Rate for Payer: Allwell Medicare	$185.10
Rate for Payer: Amerigroup Medicare	$185.10
Rate for Payer: APIPA Medicare/Medicaid	$460.90
Rate for Payer: AZCH Complete Medicaid	$385.90
Rate for Payer: AZCH Complete Medicare	$185.10
Rate for Payer: Banner UC Health Medicaid	$385.90
Rate for Payer: Banner UC Health Medicare	$185.10
Rate for Payer: Bisbee Police All Plans	$320.84
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$839.12
Rate for Payer: Cash Price	$987.20
Rate for Payer: Cash Price	$987.20
Rate for Payer: Cigna of AZ Commercial	$617.00
Rate for Payer: Copperpoint Commercial	$305.42
Rate for Payer: Health Net of AZ Commercial	$740.40
Rate for Payer: Health Net of AZ Medicare	$345.52
Rate for Payer: Humana of AZ Medicare	$185.10
Rate for Payer: Mercy Care Medicaid	$385.90
Rate for Payer: Self Pay Self Pay	$987.20
Rate for Payer: TriWest Medicare	$185.10
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$222.12

Cystometrogram-Simple

Facility

IP

$1,234.00

Service Code	CPT 51725
Hospital Charge Code	27267785
Hospital Revenue Code	360
Min. Negotiated Rate	$320.84
Max. Negotiated Rate	$1,110.60
Rate for Payer: Aetna of AZ Commercial	$1,110.60
Rate for Payer: Bisbee Police All Plans	$320.84
Rate for Payer: Cash Price	$987.20
Rate for Payer: Self Pay Self Pay	$987.20

Cystorrhaphy suture baldder inury simple

Facility

OP

$4,037.00

Service Code	CPT 51860
Hospital Charge Code	27267818
Hospital Revenue Code	360
Min. Negotiated Rate	$605.55
Max. Negotiated Rate	$6,400.16
Rate for Payer: Aetna of AZ Commercial	$3,633.30
Rate for Payer: Aetna of AZ Medicare	$1,130.36
Rate for Payer: AHCCCS Medicaid	$6,400.16
Rate for Payer: Allwell Medicaid	$6,400.16
Rate for Payer: Allwell Medicare	$605.55
Rate for Payer: Amerigroup Medicare	$605.55
Rate for Payer: APIPA Medicare/Medicaid	$1,507.82
Rate for Payer: AZCH Complete Medicaid	$6,400.16
Rate for Payer: AZCH Complete Medicare	$605.55
Rate for Payer: Banner UC Health Medicaid	$6,400.16
Rate for Payer: Banner UC Health Medicare	$605.55
Rate for Payer: Bisbee Police All Plans	$1,049.62
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$2,745.16
Rate for Payer: Cash Price	$3,229.60
Rate for Payer: Cash Price	$3,229.60
Rate for Payer: Cigna of AZ Commercial	$2,018.50
Rate for Payer: Copperpoint Commercial	$999.16
Rate for Payer: Health Net of AZ Commercial	$2,422.20
Rate for Payer: Health Net of AZ Medicare	$1,130.36
Rate for Payer: Humana of AZ Medicare	$605.55
Rate for Payer: Mercy Care Medicaid	$6,400.16
Rate for Payer: Self Pay Self Pay	$3,229.60
Rate for Payer: TriWest Medicare	$605.55
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$726.66

Cystorrhaphy suture baldder inury simple

Facility

IP

$4,037.00

Service Code	CPT 51860
Hospital Charge Code	27267818
Hospital Revenue Code	360
Min. Negotiated Rate	$1,049.62
Max. Negotiated Rate	$3,633.30
Rate for Payer: Aetna of AZ Commercial	$3,633.30
Rate for Payer: Bisbee Police All Plans	$1,049.62
Rate for Payer: Cash Price	$3,229.60
Rate for Payer: Self Pay Self Pay	$3,229.60

Cystorrhaphy suture ballder injury complicated

Facility

IP

$4,862.00

Service Code	CPT 51865
Hospital Charge Code	27291795
Hospital Revenue Code	360
Min. Negotiated Rate	$1,264.12
Max. Negotiated Rate	$4,375.80
Rate for Payer: Aetna of AZ Commercial	$4,375.80
Rate for Payer: Bisbee Police All Plans	$1,264.12
Rate for Payer: Cash Price	$3,889.60
Rate for Payer: Self Pay Self Pay	$3,889.60

Cystorrhaphy suture ballder injury complicated

Facility

OP

$4,862.00

Service Code	CPT 51865
Hospital Charge Code	27291795
Hospital Revenue Code	360
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$4,375.80
Rate for Payer: Aetna of AZ Commercial	$4,375.80
Rate for Payer: Aetna of AZ Medicare	$1,361.36
Rate for Payer: AHCCCS Medicaid	$0.13
Rate for Payer: Allwell Medicaid	$0.13
Rate for Payer: Allwell Medicare	$729.30
Rate for Payer: Amerigroup Medicare	$729.30
Rate for Payer: APIPA Medicare/Medicaid	$1,815.96
Rate for Payer: AZCH Complete Medicaid	$0.13
Rate for Payer: AZCH Complete Medicare	$729.30
Rate for Payer: Banner UC Health Medicaid	$0.13
Rate for Payer: Banner UC Health Medicare	$729.30
Rate for Payer: Bisbee Police All Plans	$1,264.12
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$3,306.16
Rate for Payer: Cash Price	$3,889.60
Rate for Payer: Cash Price	$3,889.60
Rate for Payer: Cigna of AZ Commercial	$2,431.00
Rate for Payer: Copperpoint Commercial	$1,203.34
Rate for Payer: Health Net of AZ Commercial	$2,917.20
Rate for Payer: Health Net of AZ Medicare	$1,361.36
Rate for Payer: Humana of AZ Medicare	$729.30
Rate for Payer: Mercy Care Medicaid	$0.13
Rate for Payer: Self Pay Self Pay	$3,889.60
Rate for Payer: TriWest Medicare	$729.30
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,914.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$875.16

CYSTOSCOPY

Facility

OP

$1,713.00

Service Code	CPT 52000
Hospital Charge Code	885909
Hospital Revenue Code	750
Min. Negotiated Rate	$256.95
Max. Negotiated Rate	$2,507.00
Rate for Payer: Aetna of AZ Commercial	$1,541.70
Rate for Payer: Aetna of AZ Medicare	$479.64
Rate for Payer: AHCCCS Medicaid	$833.42
Rate for Payer: Allwell Medicaid	$833.42
Rate for Payer: Allwell Medicare	$256.95
Rate for Payer: Amerigroup Medicare	$256.95
Rate for Payer: APIPA Medicare/Medicaid	$639.81
Rate for Payer: AZCH Complete Medicaid	$833.42
Rate for Payer: AZCH Complete Medicare	$256.95
Rate for Payer: Banner UC Health Medicaid	$833.42
Rate for Payer: Banner UC Health Medicare	$256.95
Rate for Payer: Bisbee Police All Plans	$445.38
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,164.84
Rate for Payer: Cash Price	$1,370.40
Rate for Payer: Cash Price	$1,370.40
Rate for Payer: Cigna of AZ Commercial	$1,199.10
Rate for Payer: Copperpoint Commercial	$423.97
Rate for Payer: Health Net of AZ Commercial	$1,027.80
Rate for Payer: Health Net of AZ Medicare	$479.64
Rate for Payer: Humana of AZ Medicare	$256.95
Rate for Payer: Mercy Care Medicaid	$833.42
Rate for Payer: Self Pay Self Pay	$1,370.40
Rate for Payer: TriWest Medicare	$256.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,507.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$308.34

CYSTOSCOPY

Facility

IP

$1,713.00

Service Code	CPT 52000
Hospital Charge Code	885909
Hospital Revenue Code	750
Min. Negotiated Rate	$445.38
Max. Negotiated Rate	$1,541.70
Rate for Payer: Aetna of AZ Commercial	$1,541.70
Rate for Payer: Bisbee Police All Plans	$445.38
Rate for Payer: Cash Price	$1,370.40
Rate for Payer: Self Pay Self Pay	$1,370.40

Cystoscopy and Biopsy

Facility

OP

$761.00

Service Code	CPT 52204
Hospital Charge Code	27281885
Hospital Revenue Code	360
Min. Negotiated Rate	$114.15
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$684.90
Rate for Payer: Aetna of AZ Medicare	$213.08
Rate for Payer: AHCCCS Medicaid	$2,599.84
Rate for Payer: Allwell Medicaid	$2,599.84
Rate for Payer: Allwell Medicare	$114.15
Rate for Payer: Amerigroup Medicare	$114.15
Rate for Payer: APIPA Medicare/Medicaid	$284.23
Rate for Payer: AZCH Complete Medicaid	$2,599.84
Rate for Payer: AZCH Complete Medicare	$114.15
Rate for Payer: Banner UC Health Medicaid	$2,599.84
Rate for Payer: Banner UC Health Medicare	$114.15
Rate for Payer: Bisbee Police All Plans	$197.86
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$517.48
Rate for Payer: Cash Price	$608.80
Rate for Payer: Cash Price	$608.80
Rate for Payer: Cigna of AZ Commercial	$380.50
Rate for Payer: Copperpoint Commercial	$188.35
Rate for Payer: Health Net of AZ Commercial	$456.60
Rate for Payer: Health Net of AZ Medicare	$213.08
Rate for Payer: Humana of AZ Medicare	$114.15
Rate for Payer: Mercy Care Medicaid	$2,599.84
Rate for Payer: Self Pay Self Pay	$608.80
Rate for Payer: TriWest Medicare	$114.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$136.98

Cystoscopy and Biopsy

Facility

IP

$761.00

Service Code	CPT 52204
Hospital Charge Code	27281885
Hospital Revenue Code	360
Min. Negotiated Rate	$197.86
Max. Negotiated Rate	$684.90
Rate for Payer: Aetna of AZ Commercial	$684.90
Rate for Payer: Bisbee Police All Plans	$197.86
Rate for Payer: Cash Price	$608.80
Rate for Payer: Self Pay Self Pay	$608.80

CYSTOSCOPY INJ NEEDLE WILIAMS -COOK

Facility

OP

$148.00

Hospital Charge Code	22354216
Hospital Revenue Code	270
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$133.20
Rate for Payer: Aetna of AZ Commercial	$133.20
Rate for Payer: Aetna of AZ Medicare	$41.44
Rate for Payer: Allwell Medicare	$22.20
Rate for Payer: Amerigroup Medicare	$22.20
Rate for Payer: APIPA Medicare/Medicaid	$55.28
Rate for Payer: AZCH Complete Medicare	$22.20
Rate for Payer: Banner UC Health Medicare	$22.20
Rate for Payer: Bisbee Police All Plans	$38.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$100.64
Rate for Payer: Cash Price	$118.40
Rate for Payer: Cigna of AZ Commercial	$103.60
Rate for Payer: Copperpoint Commercial	$36.63
Rate for Payer: Health Net of AZ Commercial	$88.80
Rate for Payer: Health Net of AZ Medicare	$41.44
Rate for Payer: Humana of AZ Medicare	$22.20
Rate for Payer: Self Pay Self Pay	$118.40
Rate for Payer: TriWest Medicare	$22.20
Rate for Payer: UnitedHealth Group of AZ Commercial	$86.28
Rate for Payer: UnitedHealth Group of AZ Medicare	$26.64

CYSTOSCOPY INJ NEEDLE WILIAMS -COOK

Facility

IP

$148.00

Hospital Charge Code	22354216
Hospital Revenue Code	270
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$133.20
Rate for Payer: Aetna of AZ Commercial	$133.20
Rate for Payer: Bisbee Police All Plans	$38.48
Rate for Payer: Cash Price	$118.40
Rate for Payer: Self Pay Self Pay	$118.40

Cystoscopy w/hydrodistension for IC

Facility

IP

$1,134.00

Service Code	CPT 52260
Hospital Charge Code	27281909
Hospital Revenue Code	360
Min. Negotiated Rate	$294.84
Max. Negotiated Rate	$1,020.60
Rate for Payer: Aetna of AZ Commercial	$1,020.60
Rate for Payer: Bisbee Police All Plans	$294.84
Rate for Payer: Cash Price	$907.20
Rate for Payer: Self Pay Self Pay	$907.20

Cystoscopy w/hydrodistension for IC

Facility

OP

$1,134.00

Service Code	CPT 52260
Hospital Charge Code	27281909
Hospital Revenue Code	360
Min. Negotiated Rate	$170.10
Max. Negotiated Rate	$2,909.00
Rate for Payer: Aetna of AZ Commercial	$1,020.60
Rate for Payer: Aetna of AZ Medicare	$317.52
Rate for Payer: AHCCCS Medicaid	$2,599.84
Rate for Payer: Allwell Medicaid	$2,599.84
Rate for Payer: Allwell Medicare	$170.10
Rate for Payer: Amerigroup Medicare	$170.10
Rate for Payer: APIPA Medicare/Medicaid	$423.55
Rate for Payer: AZCH Complete Medicaid	$2,599.84
Rate for Payer: AZCH Complete Medicare	$170.10
Rate for Payer: Banner UC Health Medicaid	$2,599.84
Rate for Payer: Banner UC Health Medicare	$170.10
Rate for Payer: Bisbee Police All Plans	$294.84
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$771.12
Rate for Payer: Cash Price	$907.20
Rate for Payer: Cash Price	$907.20
Rate for Payer: Cigna of AZ Commercial	$567.00
Rate for Payer: Copperpoint Commercial	$280.66
Rate for Payer: Health Net of AZ Commercial	$680.40
Rate for Payer: Health Net of AZ Medicare	$317.52
Rate for Payer: Humana of AZ Medicare	$170.10
Rate for Payer: Mercy Care Medicaid	$2,599.84
Rate for Payer: Self Pay Self Pay	$907.20
Rate for Payer: TriWest Medicare	$170.10
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$204.12

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