Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21
Rate for Payer: NaphCare Correctional Healthcare	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80
Rate for Payer: NaphCare Correctional Healthcare	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80
Rate for Payer: NaphCare Correctional Healthcare	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80
Rate for Payer: NaphCare Correctional Healthcare	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48
Rate for Payer: NaphCare Correctional Healthcare	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21
Rate for Payer: NaphCare Correctional Healthcare	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21
Rate for Payer: NaphCare Correctional Healthcare	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90
Rate for Payer: NaphCare Correctional Healthcare	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90
Rate for Payer: NaphCare Correctional Healthcare	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48
Rate for Payer: NaphCare Correctional Healthcare	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$43,690.21

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG1661
Min. Negotiated Rate	$43,690.21
Max. Negotiated Rate	$43,690.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$43,690.21
Rate for Payer: Mercy Care Medicaid	$43,690.21
Rate for Payer: NaphCare Correctional Healthcare	$43,690.21

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$22,646.80

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$22,646.80
Max. Negotiated Rate	$22,646.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,646.80
Rate for Payer: Mercy Care Medicaid	$22,646.80
Rate for Payer: NaphCare Correctional Healthcare	$22,646.80

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1662
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90
Rate for Payer: NaphCare Correctional Healthcare	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1663
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48
Rate for Payer: NaphCare Correctional Healthcare	$28,395.48

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$20,292.90

Service Code	APR-DRG 1661
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$20,292.90
Max. Negotiated Rate	$20,292.90
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,292.90
Rate for Payer: Mercy Care Medicaid	$20,292.90
Rate for Payer: NaphCare Correctional Healthcare	$20,292.90

Coronary Bypass Without Ami Or Complex Principal Diagnosis

Facility

IP

$28,395.48

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG1664
Min. Negotiated Rate	$28,395.48
Max. Negotiated Rate	$28,395.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,395.48
Rate for Payer: Mercy Care Medicaid	$28,395.48
Rate for Payer: NaphCare Correctional Healthcare	$28,395.48

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

IP

$75,846.60

Service Code	MSDRG 235
Min. Negotiated Rate	$75,846.60
Max. Negotiated Rate	$75,846.60
Rate for Payer: Seven Corners Travel Insurance	$75,846.60

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Facility

IP

$54,136.62

Service Code	MSDRG 236
Min. Negotiated Rate	$54,136.62
Max. Negotiated Rate	$54,136.62
Rate for Payer: Seven Corners Travel Insurance	$54,136.62

CORONARY BYPASS WITH PTCA WITH MCC

Facility

IP

$108,949.22

Service Code	MSDRG 231
Min. Negotiated Rate	$108,949.22
Max. Negotiated Rate	$108,949.22
Rate for Payer: Seven Corners Travel Insurance	$108,949.22

CORONARY BYPASS WITH PTCA WITHOUT MCC

Facility

IP

$78,353.91

Service Code	MSDRG 232
Min. Negotiated Rate	$78,353.91
Max. Negotiated Rate	$78,353.91
Rate for Payer: Seven Corners Travel Insurance	$78,353.91

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

Facility

IP

$55,927.94

Service Code	MSDRG 323
Min. Negotiated Rate	$55,927.94
Max. Negotiated Rate	$55,927.94
Rate for Payer: Seven Corners Travel Insurance	$55,927.94

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

IP

$40,723.97

Service Code	MSDRG 324
Min. Negotiated Rate	$40,723.97
Max. Negotiated Rate	$40,723.97
Rate for Payer: Seven Corners Travel Insurance	$40,723.97

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

Facility

IP

$41,491.66

Service Code	MSDRG 325
Min. Negotiated Rate	$41,491.66
Max. Negotiated Rate	$41,491.66
Rate for Payer: Seven Corners Travel Insurance	$41,491.66

CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY

Facility

IP

$2,518.00

Service Code	CPT 28296
Hospital Charge Code	24043261
Hospital Revenue Code	360
Min. Negotiated Rate	$2,266.20
Max. Negotiated Rate	$2,266.20
Rate for Payer: Aetna of AZ Commercial	$2,266.20
Rate for Payer: Cash Price	$2,014.40

CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY

Facility

OP

$2,518.00

Service Code	CPT 28296
Hospital Charge Code	24043261
Hospital Revenue Code	360
Min. Negotiated Rate	$360.17
Max. Negotiated Rate	$5,062.66
Rate for Payer: Aetna of AZ Commercial	$2,266.20
Rate for Payer: Arizona Complete Health Allwell	$402.88
Rate for Payer: Banner UC Health Medicare	$1,062.88
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,712.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$360.17
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$402.88
Rate for Payer: Care1st Health Plan Arizona Medicare	$402.88
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Cash Price	$2,014.40
Rate for Payer: Cigna of AZ Commercial	$1,259.00
Rate for Payer: Devoted Health Medicare	$453.24
Rate for Payer: Humana of AZ Medicare	$402.88
Rate for Payer: Mercy Care Medicaid	$360.17
Rate for Payer: NaphCare Correctional Healthcare	$1,062.88
Rate for Payer: Seven Corners Travel Insurance	$5,062.66
Rate for Payer: Southwest Service Administrators UFCW	$1,712.24
Rate for Payer: TriWest Medicare	$402.88
Rate for Payer: United Healthcare Commercial	$4,838.00
Rate for Payer: United Healthcare Medicare	$402.88
Rate for Payer: Veterans Affairs TRICARE	$398.85

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