Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Direct LDL

Facility

IP

$158.00

Service Code	CPT 83721
Hospital Charge Code	1735730
Hospital Revenue Code	301
Min. Negotiated Rate	$41.08
Max. Negotiated Rate	$142.20
Rate for Payer: Aetna of AZ Commercial	$142.20
Rate for Payer: Bisbee Police All Plans	$41.08
Rate for Payer: Cash Price	$126.40
Rate for Payer: Self Pay Self Pay	$126.40

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$4,418.12

Service Code	APR-DRG 2841
Hospital Charge Code	APRDRG2843
Min. Negotiated Rate	$4,418.12
Max. Negotiated Rate	$4,418.12
Rate for Payer: AHCCCS Medicaid	$4,418.12
Rate for Payer: Allwell Medicaid	$4,418.12
Rate for Payer: AZCH Complete Medicaid	$4,418.12
Rate for Payer: Banner UC Health Medicaid	$4,418.12
Rate for Payer: Mercy Care Medicaid	$4,418.12

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$15,486.91

Service Code	APR-DRG 2844
Hospital Charge Code	APRDRG2842
Min. Negotiated Rate	$15,486.91
Max. Negotiated Rate	$15,486.91
Rate for Payer: AHCCCS Medicaid	$15,486.91
Rate for Payer: Allwell Medicaid	$15,486.91
Rate for Payer: AZCH Complete Medicaid	$15,486.91
Rate for Payer: Banner UC Health Medicaid	$15,486.91
Rate for Payer: Mercy Care Medicaid	$15,486.91

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$8,132.03

Service Code	APR-DRG 2843
Hospital Charge Code	APRDRG2842
Min. Negotiated Rate	$8,132.03
Max. Negotiated Rate	$8,132.03
Rate for Payer: AHCCCS Medicaid	$8,132.03
Rate for Payer: Allwell Medicaid	$8,132.03
Rate for Payer: AZCH Complete Medicaid	$8,132.03
Rate for Payer: Banner UC Health Medicaid	$8,132.03
Rate for Payer: Mercy Care Medicaid	$8,132.03

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$5,649.08

Service Code	APR-DRG 2842
Hospital Charge Code	APRDRG2842
Min. Negotiated Rate	$5,649.08
Max. Negotiated Rate	$5,649.08
Rate for Payer: AHCCCS Medicaid	$5,649.08
Rate for Payer: Allwell Medicaid	$5,649.08
Rate for Payer: AZCH Complete Medicaid	$5,649.08
Rate for Payer: Banner UC Health Medicaid	$5,649.08
Rate for Payer: Mercy Care Medicaid	$5,649.08

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$8,132.03

Service Code	APR-DRG 2843
Hospital Charge Code	APRDRG2843
Min. Negotiated Rate	$8,132.03
Max. Negotiated Rate	$8,132.03
Rate for Payer: AHCCCS Medicaid	$8,132.03
Rate for Payer: Allwell Medicaid	$8,132.03
Rate for Payer: AZCH Complete Medicaid	$8,132.03
Rate for Payer: Banner UC Health Medicaid	$8,132.03
Rate for Payer: Mercy Care Medicaid	$8,132.03

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$4,418.12

Service Code	APR-DRG 2841
Hospital Charge Code	APRDRG2844
Min. Negotiated Rate	$4,418.12
Max. Negotiated Rate	$4,418.12
Rate for Payer: AHCCCS Medicaid	$4,418.12
Rate for Payer: Allwell Medicaid	$4,418.12
Rate for Payer: AZCH Complete Medicaid	$4,418.12
Rate for Payer: Banner UC Health Medicaid	$4,418.12
Rate for Payer: Mercy Care Medicaid	$4,418.12

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$5,649.08

Service Code	APR-DRG 2842
Hospital Charge Code	APRDRG2841
Min. Negotiated Rate	$5,649.08
Max. Negotiated Rate	$5,649.08
Rate for Payer: AHCCCS Medicaid	$5,649.08
Rate for Payer: Allwell Medicaid	$5,649.08
Rate for Payer: AZCH Complete Medicaid	$5,649.08
Rate for Payer: Banner UC Health Medicaid	$5,649.08
Rate for Payer: Mercy Care Medicaid	$5,649.08

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$4,418.12

Service Code	APR-DRG 2841
Hospital Charge Code	APRDRG2842
Min. Negotiated Rate	$4,418.12
Max. Negotiated Rate	$4,418.12
Rate for Payer: AHCCCS Medicaid	$4,418.12
Rate for Payer: Allwell Medicaid	$4,418.12
Rate for Payer: AZCH Complete Medicaid	$4,418.12
Rate for Payer: Banner UC Health Medicaid	$4,418.12
Rate for Payer: Mercy Care Medicaid	$4,418.12

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$15,486.91

Service Code	APR-DRG 2844
Hospital Charge Code	APRDRG2844
Min. Negotiated Rate	$15,486.91
Max. Negotiated Rate	$15,486.91
Rate for Payer: AHCCCS Medicaid	$15,486.91
Rate for Payer: Allwell Medicaid	$15,486.91
Rate for Payer: AZCH Complete Medicaid	$15,486.91
Rate for Payer: Banner UC Health Medicaid	$15,486.91
Rate for Payer: Mercy Care Medicaid	$15,486.91

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$15,486.91

Service Code	APR-DRG 2844
Hospital Charge Code	APRDRG2841
Min. Negotiated Rate	$15,486.91
Max. Negotiated Rate	$15,486.91
Rate for Payer: AHCCCS Medicaid	$15,486.91
Rate for Payer: Allwell Medicaid	$15,486.91
Rate for Payer: AZCH Complete Medicaid	$15,486.91
Rate for Payer: Banner UC Health Medicaid	$15,486.91
Rate for Payer: Mercy Care Medicaid	$15,486.91

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$5,649.08

Service Code	APR-DRG 2842
Hospital Charge Code	APRDRG2843
Min. Negotiated Rate	$5,649.08
Max. Negotiated Rate	$5,649.08
Rate for Payer: AHCCCS Medicaid	$5,649.08
Rate for Payer: Allwell Medicaid	$5,649.08
Rate for Payer: AZCH Complete Medicaid	$5,649.08
Rate for Payer: Banner UC Health Medicaid	$5,649.08
Rate for Payer: Mercy Care Medicaid	$5,649.08

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$15,486.91

Service Code	APR-DRG 2844
Hospital Charge Code	APRDRG2843
Min. Negotiated Rate	$15,486.91
Max. Negotiated Rate	$15,486.91
Rate for Payer: AHCCCS Medicaid	$15,486.91
Rate for Payer: Allwell Medicaid	$15,486.91
Rate for Payer: AZCH Complete Medicaid	$15,486.91
Rate for Payer: Banner UC Health Medicaid	$15,486.91
Rate for Payer: Mercy Care Medicaid	$15,486.91

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$8,132.03

Service Code	APR-DRG 2843
Hospital Charge Code	APRDRG2844
Min. Negotiated Rate	$8,132.03
Max. Negotiated Rate	$8,132.03
Rate for Payer: AHCCCS Medicaid	$8,132.03
Rate for Payer: Allwell Medicaid	$8,132.03
Rate for Payer: AZCH Complete Medicaid	$8,132.03
Rate for Payer: Banner UC Health Medicaid	$8,132.03
Rate for Payer: Mercy Care Medicaid	$8,132.03

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$8,132.03

Service Code	APR-DRG 2843
Hospital Charge Code	APRDRG2841
Min. Negotiated Rate	$8,132.03
Max. Negotiated Rate	$8,132.03
Rate for Payer: AHCCCS Medicaid	$8,132.03
Rate for Payer: Allwell Medicaid	$8,132.03
Rate for Payer: AZCH Complete Medicaid	$8,132.03
Rate for Payer: Banner UC Health Medicaid	$8,132.03
Rate for Payer: Mercy Care Medicaid	$8,132.03

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$4,418.12

Service Code	APR-DRG 2841
Hospital Charge Code	APRDRG2841
Min. Negotiated Rate	$4,418.12
Max. Negotiated Rate	$4,418.12
Rate for Payer: AHCCCS Medicaid	$4,418.12
Rate for Payer: Allwell Medicaid	$4,418.12
Rate for Payer: AZCH Complete Medicaid	$4,418.12
Rate for Payer: Banner UC Health Medicaid	$4,418.12
Rate for Payer: Mercy Care Medicaid	$4,418.12

Disorders Of Gallbladder And Biliary Tract

Facility

IP

$5,649.08

Service Code	APR-DRG 2842
Hospital Charge Code	APRDRG2844
Min. Negotiated Rate	$5,649.08
Max. Negotiated Rate	$5,649.08
Rate for Payer: AHCCCS Medicaid	$5,649.08
Rate for Payer: Allwell Medicaid	$5,649.08
Rate for Payer: AZCH Complete Medicaid	$5,649.08
Rate for Payer: Banner UC Health Medicaid	$5,649.08
Rate for Payer: Mercy Care Medicaid	$5,649.08

Disorders Of Pancreas Except Malignancy

Facility

IP

$7,508.49

Service Code	APR-DRG 2823
Hospital Charge Code	APRDRG2822
Min. Negotiated Rate	$7,508.49
Max. Negotiated Rate	$7,508.49
Rate for Payer: AHCCCS Medicaid	$7,508.49
Rate for Payer: Allwell Medicaid	$7,508.49
Rate for Payer: AZCH Complete Medicaid	$7,508.49
Rate for Payer: Banner UC Health Medicaid	$7,508.49
Rate for Payer: Mercy Care Medicaid	$7,508.49

Disorders Of Pancreas Except Malignancy

Facility

IP

$4,552.79

Service Code	APR-DRG 2822
Hospital Charge Code	APRDRG2824
Min. Negotiated Rate	$4,552.79
Max. Negotiated Rate	$4,552.79
Rate for Payer: AHCCCS Medicaid	$4,552.79
Rate for Payer: Allwell Medicaid	$4,552.79
Rate for Payer: AZCH Complete Medicaid	$4,552.79
Rate for Payer: Banner UC Health Medicaid	$4,552.79
Rate for Payer: Mercy Care Medicaid	$4,552.79

Disorders Of Pancreas Except Malignancy

Facility

IP

$18,963.75

Service Code	APR-DRG 2824
Hospital Charge Code	APRDRG2824
Min. Negotiated Rate	$18,963.75
Max. Negotiated Rate	$18,963.75
Rate for Payer: AHCCCS Medicaid	$18,963.75
Rate for Payer: Allwell Medicaid	$18,963.75
Rate for Payer: AZCH Complete Medicaid	$18,963.75
Rate for Payer: Banner UC Health Medicaid	$18,963.75
Rate for Payer: Mercy Care Medicaid	$18,963.75

Disorders Of Pancreas Except Malignancy

Facility

IP

$7,508.49

Service Code	APR-DRG 2823
Hospital Charge Code	APRDRG2824
Min. Negotiated Rate	$7,508.49
Max. Negotiated Rate	$7,508.49
Rate for Payer: AHCCCS Medicaid	$7,508.49
Rate for Payer: Allwell Medicaid	$7,508.49
Rate for Payer: AZCH Complete Medicaid	$7,508.49
Rate for Payer: Banner UC Health Medicaid	$7,508.49
Rate for Payer: Mercy Care Medicaid	$7,508.49

Disorders Of Pancreas Except Malignancy

Facility

IP

$3,455.80

Service Code	APR-DRG 2821
Hospital Charge Code	APRDRG2824
Min. Negotiated Rate	$3,455.80
Max. Negotiated Rate	$3,455.80
Rate for Payer: AHCCCS Medicaid	$3,455.80
Rate for Payer: Allwell Medicaid	$3,455.80
Rate for Payer: AZCH Complete Medicaid	$3,455.80
Rate for Payer: Banner UC Health Medicaid	$3,455.80
Rate for Payer: Mercy Care Medicaid	$3,455.80

Disorders Of Pancreas Except Malignancy

Facility

IP

$7,508.49

Service Code	APR-DRG 2823
Hospital Charge Code	APRDRG2821
Min. Negotiated Rate	$7,508.49
Max. Negotiated Rate	$7,508.49
Rate for Payer: AHCCCS Medicaid	$7,508.49
Rate for Payer: Allwell Medicaid	$7,508.49
Rate for Payer: AZCH Complete Medicaid	$7,508.49
Rate for Payer: Banner UC Health Medicaid	$7,508.49
Rate for Payer: Mercy Care Medicaid	$7,508.49

Disorders Of Pancreas Except Malignancy

Facility

IP

$18,963.75

Service Code	APR-DRG 2824
Hospital Charge Code	APRDRG2822
Min. Negotiated Rate	$18,963.75
Max. Negotiated Rate	$18,963.75
Rate for Payer: AHCCCS Medicaid	$18,963.75
Rate for Payer: Allwell Medicaid	$18,963.75
Rate for Payer: AZCH Complete Medicaid	$18,963.75
Rate for Payer: Banner UC Health Medicaid	$18,963.75
Rate for Payer: Mercy Care Medicaid	$18,963.75

Disorders Of Pancreas Except Malignancy

Facility

IP

$4,552.79

Service Code	APR-DRG 2822
Hospital Charge Code	APRDRG2821
Min. Negotiated Rate	$4,552.79
Max. Negotiated Rate	$4,552.79
Rate for Payer: AHCCCS Medicaid	$4,552.79
Rate for Payer: Allwell Medicaid	$4,552.79
Rate for Payer: AZCH Complete Medicaid	$4,552.79
Rate for Payer: Banner UC Health Medicaid	$4,552.79
Rate for Payer: Mercy Care Medicaid	$4,552.79

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