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Charge Type Setting Price  
Service Code CPT 96361
Hospital Charge Code 22247980
Hospital Revenue Code 260
Min. Negotiated Rate $14.55
Max. Negotiated Rate $87.30
Rate for Payer: Aetna of AZ Commercial $87.30
Rate for Payer: Aetna of AZ Medicare $27.16
Rate for Payer: AHCCCS Medicaid $58.00
Rate for Payer: Allwell Medicaid $58.00
Rate for Payer: Allwell Medicare $14.55
Rate for Payer: Amerigroup Medicare $14.55
Rate for Payer: APIPA Medicare/Medicaid $36.23
Rate for Payer: AZCH Complete Medicaid $58.00
Rate for Payer: AZCH Complete Medicare $14.55
Rate for Payer: Banner UC Health Medicaid $58.00
Rate for Payer: Banner UC Health Medicare $14.55
Rate for Payer: Bisbee Police All Plans $25.22
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $65.96
Rate for Payer: Cash Price $77.60
Rate for Payer: Cash Price $77.60
Rate for Payer: Cigna of AZ Commercial $67.90
Rate for Payer: Copperpoint Commercial $24.01
Rate for Payer: Health Net of AZ Commercial $58.20
Rate for Payer: Health Net of AZ Medicare $27.16
Rate for Payer: Humana of AZ Medicare $14.55
Rate for Payer: Mercy Care Medicaid $58.00
Rate for Payer: Self Pay Self Pay $77.60
Rate for Payer: TriWest Medicare $14.55
Rate for Payer: UnitedHealth Group of AZ Commercial $56.55
Rate for Payer: UnitedHealth Group of AZ Medicare $17.46
Service Code APR-DRG 1102
Hospital Charge Code APRDRG1103
Min. Negotiated Rate $5,968.21
Max. Negotiated Rate $5,968.21
Rate for Payer: AHCCCS Medicaid $5,968.21
Rate for Payer: Allwell Medicaid $5,968.21
Rate for Payer: AZCH Complete Medicaid $5,968.21
Rate for Payer: Banner UC Health Medicaid $5,968.21
Rate for Payer: Mercy Care Medicaid $5,968.21
Service Code APR-DRG 1101
Hospital Charge Code APRDRG1102
Min. Negotiated Rate $4,909.80
Max. Negotiated Rate $4,909.80
Rate for Payer: AHCCCS Medicaid $4,909.80
Rate for Payer: Allwell Medicaid $4,909.80
Rate for Payer: AZCH Complete Medicaid $4,909.80
Rate for Payer: Banner UC Health Medicaid $4,909.80
Rate for Payer: Mercy Care Medicaid $4,909.80
Service Code APR-DRG 1103
Hospital Charge Code APRDRG1104
Min. Negotiated Rate $9,130.12
Max. Negotiated Rate $9,130.12
Rate for Payer: AHCCCS Medicaid $9,130.12
Rate for Payer: Allwell Medicaid $9,130.12
Rate for Payer: AZCH Complete Medicaid $9,130.12
Rate for Payer: Banner UC Health Medicaid $9,130.12
Rate for Payer: Mercy Care Medicaid $9,130.12
Service Code APR-DRG 1102
Hospital Charge Code APRDRG1101
Min. Negotiated Rate $5,968.21
Max. Negotiated Rate $5,968.21
Rate for Payer: AHCCCS Medicaid $5,968.21
Rate for Payer: Allwell Medicaid $5,968.21
Rate for Payer: AZCH Complete Medicaid $5,968.21
Rate for Payer: Banner UC Health Medicaid $5,968.21
Rate for Payer: Mercy Care Medicaid $5,968.21
Service Code APR-DRG 1104
Hospital Charge Code APRDRG1101
Min. Negotiated Rate $15,546.53
Max. Negotiated Rate $15,546.53
Rate for Payer: AHCCCS Medicaid $15,546.53
Rate for Payer: Allwell Medicaid $15,546.53
Rate for Payer: AZCH Complete Medicaid $15,546.53
Rate for Payer: Banner UC Health Medicaid $15,546.53
Rate for Payer: Mercy Care Medicaid $15,546.53
Service Code APR-DRG 1104
Hospital Charge Code APRDRG1104
Min. Negotiated Rate $15,546.53
Max. Negotiated Rate $15,546.53
Rate for Payer: AHCCCS Medicaid $15,546.53
Rate for Payer: Allwell Medicaid $15,546.53
Rate for Payer: AZCH Complete Medicaid $15,546.53
Rate for Payer: Banner UC Health Medicaid $15,546.53
Rate for Payer: Mercy Care Medicaid $15,546.53
Service Code APR-DRG 1103
Hospital Charge Code APRDRG1102
Min. Negotiated Rate $9,130.12
Max. Negotiated Rate $9,130.12
Rate for Payer: AHCCCS Medicaid $9,130.12
Rate for Payer: Allwell Medicaid $9,130.12
Rate for Payer: AZCH Complete Medicaid $9,130.12
Rate for Payer: Banner UC Health Medicaid $9,130.12
Rate for Payer: Mercy Care Medicaid $9,130.12
Service Code APR-DRG 1104
Hospital Charge Code APRDRG1102
Min. Negotiated Rate $15,546.53
Max. Negotiated Rate $15,546.53
Rate for Payer: AHCCCS Medicaid $15,546.53
Rate for Payer: Allwell Medicaid $15,546.53
Rate for Payer: AZCH Complete Medicaid $15,546.53
Rate for Payer: Banner UC Health Medicaid $15,546.53
Rate for Payer: Mercy Care Medicaid $15,546.53
Service Code APR-DRG 1101
Hospital Charge Code APRDRG1103
Min. Negotiated Rate $4,909.80
Max. Negotiated Rate $4,909.80
Rate for Payer: AHCCCS Medicaid $4,909.80
Rate for Payer: Allwell Medicaid $4,909.80
Rate for Payer: AZCH Complete Medicaid $4,909.80
Rate for Payer: Banner UC Health Medicaid $4,909.80
Rate for Payer: Mercy Care Medicaid $4,909.80
Service Code APR-DRG 1103
Hospital Charge Code APRDRG1101
Min. Negotiated Rate $9,130.12
Max. Negotiated Rate $9,130.12
Rate for Payer: AHCCCS Medicaid $9,130.12
Rate for Payer: Allwell Medicaid $9,130.12
Rate for Payer: AZCH Complete Medicaid $9,130.12
Rate for Payer: Banner UC Health Medicaid $9,130.12
Rate for Payer: Mercy Care Medicaid $9,130.12
Service Code APR-DRG 1104
Hospital Charge Code APRDRG1103
Min. Negotiated Rate $15,546.53
Max. Negotiated Rate $15,546.53
Rate for Payer: AHCCCS Medicaid $15,546.53
Rate for Payer: Allwell Medicaid $15,546.53
Rate for Payer: AZCH Complete Medicaid $15,546.53
Rate for Payer: Banner UC Health Medicaid $15,546.53
Rate for Payer: Mercy Care Medicaid $15,546.53
Service Code APR-DRG 1101
Hospital Charge Code APRDRG1104
Min. Negotiated Rate $4,909.80
Max. Negotiated Rate $4,909.80
Rate for Payer: AHCCCS Medicaid $4,909.80
Rate for Payer: Allwell Medicaid $4,909.80
Rate for Payer: AZCH Complete Medicaid $4,909.80
Rate for Payer: Banner UC Health Medicaid $4,909.80
Rate for Payer: Mercy Care Medicaid $4,909.80
Service Code APR-DRG 1102
Hospital Charge Code APRDRG1104
Min. Negotiated Rate $5,968.21
Max. Negotiated Rate $5,968.21
Rate for Payer: AHCCCS Medicaid $5,968.21
Rate for Payer: Allwell Medicaid $5,968.21
Rate for Payer: AZCH Complete Medicaid $5,968.21
Rate for Payer: Banner UC Health Medicaid $5,968.21
Rate for Payer: Mercy Care Medicaid $5,968.21
Service Code APR-DRG 1101
Hospital Charge Code APRDRG1101
Min. Negotiated Rate $4,909.80
Max. Negotiated Rate $4,909.80
Rate for Payer: AHCCCS Medicaid $4,909.80
Rate for Payer: Allwell Medicaid $4,909.80
Rate for Payer: AZCH Complete Medicaid $4,909.80
Rate for Payer: Banner UC Health Medicaid $4,909.80
Rate for Payer: Mercy Care Medicaid $4,909.80
Service Code APR-DRG 1102
Hospital Charge Code APRDRG1102
Min. Negotiated Rate $5,968.21
Max. Negotiated Rate $5,968.21
Rate for Payer: AHCCCS Medicaid $5,968.21
Rate for Payer: Allwell Medicaid $5,968.21
Rate for Payer: AZCH Complete Medicaid $5,968.21
Rate for Payer: Banner UC Health Medicaid $5,968.21
Rate for Payer: Mercy Care Medicaid $5,968.21
Service Code APR-DRG 1103
Hospital Charge Code APRDRG1103
Min. Negotiated Rate $9,130.12
Max. Negotiated Rate $9,130.12
Rate for Payer: AHCCCS Medicaid $9,130.12
Rate for Payer: Allwell Medicaid $9,130.12
Rate for Payer: AZCH Complete Medicaid $9,130.12
Rate for Payer: Banner UC Health Medicaid $9,130.12
Rate for Payer: Mercy Care Medicaid $9,130.12
Service Code APR-DRG 7594
Hospital Charge Code APRDRG7592
Min. Negotiated Rate $28,590.47
Max. Negotiated Rate $28,590.47
Rate for Payer: AHCCCS Medicaid $28,590.47
Rate for Payer: Allwell Medicaid $28,590.47
Rate for Payer: AZCH Complete Medicaid $28,590.47
Rate for Payer: Banner UC Health Medicaid $28,590.47
Rate for Payer: Mercy Care Medicaid $28,590.47
Service Code APR-DRG 7592
Hospital Charge Code APRDRG7594
Min. Negotiated Rate $8,143.96
Max. Negotiated Rate $8,143.96
Rate for Payer: AHCCCS Medicaid $8,143.96
Rate for Payer: Allwell Medicaid $8,143.96
Rate for Payer: AZCH Complete Medicaid $8,143.96
Rate for Payer: Banner UC Health Medicaid $8,143.96
Rate for Payer: Mercy Care Medicaid $8,143.96
Service Code APR-DRG 7591
Hospital Charge Code APRDRG7594
Min. Negotiated Rate $7,972.81
Max. Negotiated Rate $7,972.81
Rate for Payer: AHCCCS Medicaid $7,972.81
Rate for Payer: Allwell Medicaid $7,972.81
Rate for Payer: AZCH Complete Medicaid $7,972.81
Rate for Payer: Banner UC Health Medicaid $7,972.81
Rate for Payer: Mercy Care Medicaid $7,972.81
Service Code APR-DRG 7593
Hospital Charge Code APRDRG7594
Min. Negotiated Rate $11,545.04
Max. Negotiated Rate $11,545.04
Rate for Payer: AHCCCS Medicaid $11,545.04
Rate for Payer: Allwell Medicaid $11,545.04
Rate for Payer: AZCH Complete Medicaid $11,545.04
Rate for Payer: Banner UC Health Medicaid $11,545.04
Rate for Payer: Mercy Care Medicaid $11,545.04
Service Code APR-DRG 7591
Hospital Charge Code APRDRG7591
Min. Negotiated Rate $7,972.81
Max. Negotiated Rate $7,972.81
Rate for Payer: AHCCCS Medicaid $7,972.81
Rate for Payer: Allwell Medicaid $7,972.81
Rate for Payer: AZCH Complete Medicaid $7,972.81
Rate for Payer: Banner UC Health Medicaid $7,972.81
Rate for Payer: Mercy Care Medicaid $7,972.81
Service Code APR-DRG 7591
Hospital Charge Code APRDRG7593
Min. Negotiated Rate $7,972.81
Max. Negotiated Rate $7,972.81
Rate for Payer: AHCCCS Medicaid $7,972.81
Rate for Payer: Allwell Medicaid $7,972.81
Rate for Payer: AZCH Complete Medicaid $7,972.81
Rate for Payer: Banner UC Health Medicaid $7,972.81
Rate for Payer: Mercy Care Medicaid $7,972.81
Service Code APR-DRG 7594
Hospital Charge Code APRDRG7594
Min. Negotiated Rate $28,590.47
Max. Negotiated Rate $28,590.47
Rate for Payer: AHCCCS Medicaid $28,590.47
Rate for Payer: Allwell Medicaid $28,590.47
Rate for Payer: AZCH Complete Medicaid $28,590.47
Rate for Payer: Banner UC Health Medicaid $28,590.47
Rate for Payer: Mercy Care Medicaid $28,590.47
Service Code APR-DRG 7593
Hospital Charge Code APRDRG7591
Min. Negotiated Rate $11,545.04
Max. Negotiated Rate $11,545.04
Rate for Payer: AHCCCS Medicaid $11,545.04
Rate for Payer: Allwell Medicaid $11,545.04
Rate for Payer: AZCH Complete Medicaid $11,545.04
Rate for Payer: Banner UC Health Medicaid $11,545.04
Rate for Payer: Mercy Care Medicaid $11,545.04