Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Elective Hip Joint Replacement

Facility

IP

$8,616.70

Service Code	APR-DRG 3241
Hospital Charge Code	APRDRG3241
Min. Negotiated Rate	$8,616.70
Max. Negotiated Rate	$8,616.70
Rate for Payer: AHCCCS Medicaid	$8,616.70
Rate for Payer: Allwell Medicaid	$8,616.70
Rate for Payer: AZCH Complete Medicaid	$8,616.70
Rate for Payer: Banner UC Health Medicaid	$8,616.70
Rate for Payer: Mercy Care Medicaid	$8,616.70

Elective Hip Joint Replacement

Facility

IP

$8,616.70

Service Code	APR-DRG 3241
Hospital Charge Code	APRDRG3244
Min. Negotiated Rate	$8,616.70
Max. Negotiated Rate	$8,616.70
Rate for Payer: AHCCCS Medicaid	$8,616.70
Rate for Payer: Allwell Medicaid	$8,616.70
Rate for Payer: AZCH Complete Medicaid	$8,616.70
Rate for Payer: Banner UC Health Medicaid	$8,616.70
Rate for Payer: Mercy Care Medicaid	$8,616.70

Elective Hip Joint Replacement

Facility

IP

$9,593.05

Service Code	APR-DRG 3242
Hospital Charge Code	APRDRG3241
Min. Negotiated Rate	$9,593.05
Max. Negotiated Rate	$9,593.05
Rate for Payer: AHCCCS Medicaid	$9,593.05
Rate for Payer: Allwell Medicaid	$9,593.05
Rate for Payer: AZCH Complete Medicaid	$9,593.05
Rate for Payer: Banner UC Health Medicaid	$9,593.05
Rate for Payer: Mercy Care Medicaid	$9,593.05

Elective Hip Joint Replacement

Facility

IP

$13,788.12

Service Code	APR-DRG 3243
Hospital Charge Code	APRDRG3243
Min. Negotiated Rate	$13,788.12
Max. Negotiated Rate	$13,788.12
Rate for Payer: AHCCCS Medicaid	$13,788.12
Rate for Payer: Allwell Medicaid	$13,788.12
Rate for Payer: AZCH Complete Medicaid	$13,788.12
Rate for Payer: Banner UC Health Medicaid	$13,788.12
Rate for Payer: Mercy Care Medicaid	$13,788.12

Elective Knee Joint Replacement

Facility

IP

$12,891.73

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG3264
Min. Negotiated Rate	$12,891.73
Max. Negotiated Rate	$12,891.73
Rate for Payer: AHCCCS Medicaid	$12,891.73
Rate for Payer: Allwell Medicaid	$12,891.73
Rate for Payer: AZCH Complete Medicaid	$12,891.73
Rate for Payer: Banner UC Health Medicaid	$12,891.73
Rate for Payer: Mercy Care Medicaid	$12,891.73

Elective Knee Joint Replacement

Facility

IP

$12,891.73

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG3261
Min. Negotiated Rate	$12,891.73
Max. Negotiated Rate	$12,891.73
Rate for Payer: AHCCCS Medicaid	$12,891.73
Rate for Payer: Allwell Medicaid	$12,891.73
Rate for Payer: AZCH Complete Medicaid	$12,891.73
Rate for Payer: Banner UC Health Medicaid	$12,891.73
Rate for Payer: Mercy Care Medicaid	$12,891.73

Elective Knee Joint Replacement

Facility

IP

$12,891.73

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG3263
Min. Negotiated Rate	$12,891.73
Max. Negotiated Rate	$12,891.73
Rate for Payer: AHCCCS Medicaid	$12,891.73
Rate for Payer: Allwell Medicaid	$12,891.73
Rate for Payer: AZCH Complete Medicaid	$12,891.73
Rate for Payer: Banner UC Health Medicaid	$12,891.73
Rate for Payer: Mercy Care Medicaid	$12,891.73

Elective Knee Joint Replacement

Facility

IP

$19,383.19

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG3264
Min. Negotiated Rate	$19,383.19
Max. Negotiated Rate	$19,383.19
Rate for Payer: AHCCCS Medicaid	$19,383.19
Rate for Payer: Allwell Medicaid	$19,383.19
Rate for Payer: AZCH Complete Medicaid	$19,383.19
Rate for Payer: Banner UC Health Medicaid	$19,383.19
Rate for Payer: Mercy Care Medicaid	$19,383.19

Elective Knee Joint Replacement

Facility

IP

$8,367.70

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG3262
Min. Negotiated Rate	$8,367.70
Max. Negotiated Rate	$8,367.70
Rate for Payer: AHCCCS Medicaid	$8,367.70
Rate for Payer: Allwell Medicaid	$8,367.70
Rate for Payer: AZCH Complete Medicaid	$8,367.70
Rate for Payer: Banner UC Health Medicaid	$8,367.70
Rate for Payer: Mercy Care Medicaid	$8,367.70

Elective Knee Joint Replacement

Facility

IP

$9,159.58

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG3261
Min. Negotiated Rate	$9,159.58
Max. Negotiated Rate	$9,159.58
Rate for Payer: AHCCCS Medicaid	$9,159.58
Rate for Payer: Allwell Medicaid	$9,159.58
Rate for Payer: AZCH Complete Medicaid	$9,159.58
Rate for Payer: Banner UC Health Medicaid	$9,159.58
Rate for Payer: Mercy Care Medicaid	$9,159.58

Elective Knee Joint Replacement

Facility

IP

$8,367.70

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG3263
Min. Negotiated Rate	$8,367.70
Max. Negotiated Rate	$8,367.70
Rate for Payer: AHCCCS Medicaid	$8,367.70
Rate for Payer: Allwell Medicaid	$8,367.70
Rate for Payer: AZCH Complete Medicaid	$8,367.70
Rate for Payer: Banner UC Health Medicaid	$8,367.70
Rate for Payer: Mercy Care Medicaid	$8,367.70

Elective Knee Joint Replacement

Facility

IP

$8,367.70

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG3264
Min. Negotiated Rate	$8,367.70
Max. Negotiated Rate	$8,367.70
Rate for Payer: AHCCCS Medicaid	$8,367.70
Rate for Payer: Allwell Medicaid	$8,367.70
Rate for Payer: AZCH Complete Medicaid	$8,367.70
Rate for Payer: Banner UC Health Medicaid	$8,367.70
Rate for Payer: Mercy Care Medicaid	$8,367.70

Elective Knee Joint Replacement

Facility

IP

$9,159.58

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG3263
Min. Negotiated Rate	$9,159.58
Max. Negotiated Rate	$9,159.58
Rate for Payer: AHCCCS Medicaid	$9,159.58
Rate for Payer: Allwell Medicaid	$9,159.58
Rate for Payer: AZCH Complete Medicaid	$9,159.58
Rate for Payer: Banner UC Health Medicaid	$9,159.58
Rate for Payer: Mercy Care Medicaid	$9,159.58

Elective Knee Joint Replacement

Facility

IP

$19,383.19

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG3262
Min. Negotiated Rate	$19,383.19
Max. Negotiated Rate	$19,383.19
Rate for Payer: AHCCCS Medicaid	$19,383.19
Rate for Payer: Allwell Medicaid	$19,383.19
Rate for Payer: AZCH Complete Medicaid	$19,383.19
Rate for Payer: Banner UC Health Medicaid	$19,383.19
Rate for Payer: Mercy Care Medicaid	$19,383.19

Elective Knee Joint Replacement

Facility

IP

$19,383.19

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG3263
Min. Negotiated Rate	$19,383.19
Max. Negotiated Rate	$19,383.19
Rate for Payer: AHCCCS Medicaid	$19,383.19
Rate for Payer: Allwell Medicaid	$19,383.19
Rate for Payer: AZCH Complete Medicaid	$19,383.19
Rate for Payer: Banner UC Health Medicaid	$19,383.19
Rate for Payer: Mercy Care Medicaid	$19,383.19

Elective Knee Joint Replacement

Facility

IP

$19,383.19

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG3261
Min. Negotiated Rate	$19,383.19
Max. Negotiated Rate	$19,383.19
Rate for Payer: AHCCCS Medicaid	$19,383.19
Rate for Payer: Allwell Medicaid	$19,383.19
Rate for Payer: AZCH Complete Medicaid	$19,383.19
Rate for Payer: Banner UC Health Medicaid	$19,383.19
Rate for Payer: Mercy Care Medicaid	$19,383.19

Elective Knee Joint Replacement

Facility

IP

$12,891.73

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG3262
Min. Negotiated Rate	$12,891.73
Max. Negotiated Rate	$12,891.73
Rate for Payer: AHCCCS Medicaid	$12,891.73
Rate for Payer: Allwell Medicaid	$12,891.73
Rate for Payer: AZCH Complete Medicaid	$12,891.73
Rate for Payer: Banner UC Health Medicaid	$12,891.73
Rate for Payer: Mercy Care Medicaid	$12,891.73

Elective Knee Joint Replacement

Facility

IP

$9,159.58

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG3264
Min. Negotiated Rate	$9,159.58
Max. Negotiated Rate	$9,159.58
Rate for Payer: AHCCCS Medicaid	$9,159.58
Rate for Payer: Allwell Medicaid	$9,159.58
Rate for Payer: AZCH Complete Medicaid	$9,159.58
Rate for Payer: Banner UC Health Medicaid	$9,159.58
Rate for Payer: Mercy Care Medicaid	$9,159.58

Elective Knee Joint Replacement

Facility

IP

$9,159.58

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG3262
Min. Negotiated Rate	$9,159.58
Max. Negotiated Rate	$9,159.58
Rate for Payer: AHCCCS Medicaid	$9,159.58
Rate for Payer: Allwell Medicaid	$9,159.58
Rate for Payer: AZCH Complete Medicaid	$9,159.58
Rate for Payer: Banner UC Health Medicaid	$9,159.58
Rate for Payer: Mercy Care Medicaid	$9,159.58

Elective Knee Joint Replacement

Facility

IP

$8,367.70

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG3261
Min. Negotiated Rate	$8,367.70
Max. Negotiated Rate	$8,367.70
Rate for Payer: AHCCCS Medicaid	$8,367.70
Rate for Payer: Allwell Medicaid	$8,367.70
Rate for Payer: AZCH Complete Medicaid	$8,367.70
Rate for Payer: Banner UC Health Medicaid	$8,367.70
Rate for Payer: Mercy Care Medicaid	$8,367.70

ELECT PED QUIK-COMBO RTS PK/2

Facility

OP

$143.00

Service Code	CPT A4556
Hospital Charge Code	22354172
Hospital Revenue Code	270
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$128.70
Rate for Payer: Aetna of AZ Commercial	$128.70
Rate for Payer: Aetna of AZ Medicare	$40.04
Rate for Payer: AHCCCS Medicaid	$21.88
Rate for Payer: Allwell Medicaid	$21.88
Rate for Payer: Allwell Medicare	$21.45
Rate for Payer: Amerigroup Medicare	$21.45
Rate for Payer: APIPA Medicare/Medicaid	$53.41
Rate for Payer: AZCH Complete Medicaid	$21.88
Rate for Payer: AZCH Complete Medicare	$21.45
Rate for Payer: Banner UC Health Medicaid	$21.88
Rate for Payer: Banner UC Health Medicare	$21.45
Rate for Payer: Bisbee Police All Plans	$37.18
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$97.24
Rate for Payer: Cash Price	$114.40
Rate for Payer: Cash Price	$114.40
Rate for Payer: Cigna of AZ Commercial	$100.10
Rate for Payer: Copperpoint Commercial	$35.39
Rate for Payer: Health Net of AZ Commercial	$85.80
Rate for Payer: Health Net of AZ Medicare	$40.04
Rate for Payer: Humana of AZ Medicare	$21.45
Rate for Payer: Mercy Care Medicaid	$21.88
Rate for Payer: Self Pay Self Pay	$114.40
Rate for Payer: TriWest Medicare	$21.45
Rate for Payer: UnitedHealth Group of AZ Commercial	$83.37
Rate for Payer: UnitedHealth Group of AZ Medicare	$25.74

ELECT PED QUIK-COMBO RTS PK/2

Facility

IP

$143.00

Service Code	CPT A4556
Hospital Charge Code	22354172
Hospital Revenue Code	270
Min. Negotiated Rate	$37.18
Max. Negotiated Rate	$128.70
Rate for Payer: Aetna of AZ Commercial	$128.70
Rate for Payer: Bisbee Police All Plans	$37.18
Rate for Payer: Cash Price	$114.40
Rate for Payer: Self Pay Self Pay	$114.40

Electrocardiogram

Facility

OP

$230.00

Service Code	CPT 93005
Hospital Charge Code	683593
Hospital Revenue Code	730
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$207.00
Rate for Payer: Aetna of AZ Commercial	$207.00
Rate for Payer: Aetna of AZ Medicare	$64.40
Rate for Payer: AHCCCS Medicaid	$51.98
Rate for Payer: Allwell Medicaid	$51.98
Rate for Payer: Allwell Medicare	$34.50
Rate for Payer: Amerigroup Medicare	$34.50
Rate for Payer: APIPA Medicare/Medicaid	$85.90
Rate for Payer: AZCH Complete Medicaid	$51.98
Rate for Payer: AZCH Complete Medicare	$34.50
Rate for Payer: Banner UC Health Medicaid	$51.98
Rate for Payer: Banner UC Health Medicare	$34.50
Rate for Payer: Bisbee Police All Plans	$59.80
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$156.40
Rate for Payer: Cash Price	$184.00
Rate for Payer: Cash Price	$184.00
Rate for Payer: Cigna of AZ Commercial	$161.00
Rate for Payer: Copperpoint Commercial	$56.92
Rate for Payer: Health Net of AZ Commercial	$138.00
Rate for Payer: Health Net of AZ Medicare	$64.40
Rate for Payer: Humana of AZ Medicare	$34.50
Rate for Payer: Mercy Care Medicaid	$51.98
Rate for Payer: Self Pay Self Pay	$184.00
Rate for Payer: TriWest Medicare	$34.50
Rate for Payer: UnitedHealth Group of AZ Commercial	$134.09
Rate for Payer: UnitedHealth Group of AZ Medicare	$41.40

Electrocardiogram

Facility

IP

$230.00

Service Code	CPT 93005
Hospital Charge Code	683593
Hospital Revenue Code	730
Min. Negotiated Rate	$59.80
Max. Negotiated Rate	$207.00
Rate for Payer: Aetna of AZ Commercial	$207.00
Rate for Payer: Bisbee Police All Plans	$59.80
Rate for Payer: Cash Price	$184.00
Rate for Payer: Self Pay Self Pay	$184.00

ELECTRODE BLADE 6-IN DISP BOVIE EXT TIP

Facility

OP

$27.00

Hospital Charge Code	22355558
Hospital Revenue Code	270
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$24.30
Rate for Payer: Aetna of AZ Commercial	$24.30
Rate for Payer: Aetna of AZ Medicare	$7.56
Rate for Payer: Allwell Medicare	$4.05
Rate for Payer: Amerigroup Medicare	$4.05
Rate for Payer: APIPA Medicare/Medicaid	$10.08
Rate for Payer: AZCH Complete Medicare	$4.05
Rate for Payer: Banner UC Health Medicare	$4.05
Rate for Payer: Bisbee Police All Plans	$7.02
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$18.36
Rate for Payer: Cash Price	$21.60
Rate for Payer: Cigna of AZ Commercial	$18.90
Rate for Payer: Copperpoint Commercial	$6.68
Rate for Payer: Health Net of AZ Commercial	$16.20
Rate for Payer: Health Net of AZ Medicare	$7.56
Rate for Payer: Humana of AZ Medicare	$4.05
Rate for Payer: Self Pay Self Pay	$21.60
Rate for Payer: TriWest Medicare	$4.05
Rate for Payer: UnitedHealth Group of AZ Commercial	$15.74
Rate for Payer: UnitedHealth Group of AZ Medicare	$4.86

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