Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7523
Hospital Charge Code	APRDRG7521
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$2,166.62

Service Code	APR-DRG 7521
Hospital Charge Code	APRDRG7524
Min. Negotiated Rate	$2,166.62
Max. Negotiated Rate	$2,166.62
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,166.62
Rate for Payer: Mercy Care Medicaid	$2,166.62
Rate for Payer: NaphCare Correctional Healthcare	$2,166.62

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7524
Hospital Charge Code	APRDRG7523
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7524
Hospital Charge Code	APRDRG7521
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$2,166.62

Service Code	APR-DRG 7521
Hospital Charge Code	APRDRG7523
Min. Negotiated Rate	$2,166.62
Max. Negotiated Rate	$2,166.62
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,166.62
Rate for Payer: Mercy Care Medicaid	$2,166.62
Rate for Payer: NaphCare Correctional Healthcare	$2,166.62

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7523
Hospital Charge Code	APRDRG7522
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$2,814.02

Service Code	APR-DRG 7522
Hospital Charge Code	APRDRG7522
Min. Negotiated Rate	$2,814.02
Max. Negotiated Rate	$2,814.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,814.02
Rate for Payer: Mercy Care Medicaid	$2,814.02
Rate for Payer: NaphCare Correctional Healthcare	$2,814.02

Disorders Of Personality And Impulse Control

Facility

IP

$2,814.02

Service Code	APR-DRG 7522
Hospital Charge Code	APRDRG7524
Min. Negotiated Rate	$2,814.02
Max. Negotiated Rate	$2,814.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,814.02
Rate for Payer: Mercy Care Medicaid	$2,814.02
Rate for Payer: NaphCare Correctional Healthcare	$2,814.02

Disorders Of Personality And Impulse Control

Facility

IP

$2,814.02

Service Code	APR-DRG 7522
Hospital Charge Code	APRDRG7521
Min. Negotiated Rate	$2,814.02
Max. Negotiated Rate	$2,814.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,814.02
Rate for Payer: Mercy Care Medicaid	$2,814.02
Rate for Payer: NaphCare Correctional Healthcare	$2,814.02

Disorders Of Personality And Impulse Control

Facility

IP

$2,166.62

Service Code	APR-DRG 7521
Hospital Charge Code	APRDRG7521
Min. Negotiated Rate	$2,166.62
Max. Negotiated Rate	$2,166.62
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,166.62
Rate for Payer: Mercy Care Medicaid	$2,166.62
Rate for Payer: NaphCare Correctional Healthcare	$2,166.62

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7524
Hospital Charge Code	APRDRG7522
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7523
Hospital Charge Code	APRDRG7524
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$6,509.69

Service Code	APR-DRG 7524
Hospital Charge Code	APRDRG7524
Min. Negotiated Rate	$6,509.69
Max. Negotiated Rate	$6,509.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,509.69
Rate for Payer: Mercy Care Medicaid	$6,509.69
Rate for Payer: NaphCare Correctional Healthcare	$6,509.69

Disorders Of Personality And Impulse Control

Facility

IP

$2,166.62

Service Code	APR-DRG 7521
Hospital Charge Code	APRDRG7522
Min. Negotiated Rate	$2,166.62
Max. Negotiated Rate	$2,166.62
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,166.62
Rate for Payer: Mercy Care Medicaid	$2,166.62
Rate for Payer: NaphCare Correctional Healthcare	$2,166.62

DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

IP

$25,412.73

Service Code	MSDRG 883
Min. Negotiated Rate	$25,412.73
Max. Negotiated Rate	$25,412.73
Rate for Payer: Seven Corners Travel Insurance	$25,412.73

DISORDERS OF THE BILIARY TRACT WITH CC

Facility

IP

$14,222.75

Service Code	MSDRG 445
Min. Negotiated Rate	$14,222.75
Max. Negotiated Rate	$14,222.75
Rate for Payer: Seven Corners Travel Insurance	$14,222.75

DISORDERS OF THE BILIARY TRACT WITH MCC

Facility

IP

$21,594.95

Service Code	MSDRG 444
Min. Negotiated Rate	$21,594.95
Max. Negotiated Rate	$21,594.95
Rate for Payer: Seven Corners Travel Insurance	$21,594.95

DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC

Facility

IP

$10,838.30

Service Code	MSDRG 446
Min. Negotiated Rate	$10,838.30
Max. Negotiated Rate	$10,838.30
Rate for Payer: Seven Corners Travel Insurance	$10,838.30

DISP BIOPSY FORCEP 2.8MM

Facility

OP

$41.00

Hospital Charge Code	22355304
Hospital Revenue Code	270
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Arizona Complete Health Allwell	$6.56
Rate for Payer: Banner UC Health Medicare	$6.56
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$27.88
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$6.56
Rate for Payer: Care1st Health Plan Arizona Medicare	$6.56
Rate for Payer: Cash Price	$32.80
Rate for Payer: Cigna of AZ Commercial	$28.70
Rate for Payer: Devoted Health Medicare	$7.38
Rate for Payer: Humana of AZ Medicare	$6.56
Rate for Payer: Southwest Service Administrators UFCW	$27.88
Rate for Payer: TriWest Medicare	$6.56
Rate for Payer: United Healthcare Commercial	$23.45
Rate for Payer: United Healthcare Medicare	$6.56
Rate for Payer: Veterans Affairs TRICARE	$6.49

DISP BIOPSY FORCEP 2.8MM

Facility

IP

$41.00

Hospital Charge Code	22355304
Hospital Revenue Code	270
Min. Negotiated Rate	$36.90
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Cash Price	$32.80

DISP INJECTION NEEDLE

Facility

OP

$109.00

Hospital Charge Code	22354820
Hospital Revenue Code	270
Min. Negotiated Rate	$17.27
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna of AZ Commercial	$98.10
Rate for Payer: Arizona Complete Health Allwell	$17.44
Rate for Payer: Banner UC Health Medicare	$17.44
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$74.12
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$17.44
Rate for Payer: Care1st Health Plan Arizona Medicare	$17.44
Rate for Payer: Cash Price	$87.20
Rate for Payer: Cigna of AZ Commercial	$76.30
Rate for Payer: Devoted Health Medicare	$19.62
Rate for Payer: Humana of AZ Medicare	$17.44
Rate for Payer: Southwest Service Administrators UFCW	$74.12
Rate for Payer: TriWest Medicare	$17.44
Rate for Payer: United Healthcare Commercial	$62.35
Rate for Payer: United Healthcare Medicare	$17.44
Rate for Payer: Veterans Affairs TRICARE	$17.27

DISP INJECTION NEEDLE

Facility

IP

$109.00

Hospital Charge Code	22354820
Hospital Revenue Code	270
Min. Negotiated Rate	$98.10
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna of AZ Commercial	$98.10
Rate for Payer: Cash Price	$87.20

DISPOSABLE CORE BIOPSY INSTRUMENT

Facility

OP

$125.44

Hospital Charge Code	27750233
Hospital Revenue Code	270
Min. Negotiated Rate	$19.87
Max. Negotiated Rate	$112.90
Rate for Payer: Aetna of AZ Commercial	$112.90
Rate for Payer: Arizona Complete Health Allwell	$20.07
Rate for Payer: Banner UC Health Medicare	$20.07
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$85.30
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$20.07
Rate for Payer: Care1st Health Plan Arizona Medicare	$20.07
Rate for Payer: Cash Price	$100.35
Rate for Payer: Cigna of AZ Commercial	$87.81
Rate for Payer: Devoted Health Medicare	$22.58
Rate for Payer: Humana of AZ Medicare	$20.07
Rate for Payer: Southwest Service Administrators UFCW	$85.30
Rate for Payer: TriWest Medicare	$20.07
Rate for Payer: United Healthcare Commercial	$71.75
Rate for Payer: United Healthcare Medicare	$20.07
Rate for Payer: Veterans Affairs TRICARE	$19.87

DISPOSABLE CORE BIOPSY INSTRUMENT

Facility

IP

$125.44

Hospital Charge Code	27750233
Hospital Revenue Code	270
Min. Negotiated Rate	$112.90
Max. Negotiated Rate	$112.90
Rate for Payer: Aetna of AZ Commercial	$112.90
Rate for Payer: Cash Price	$100.35

DISP SOFT SNARE

Facility

IP

$49.00

Hospital Charge Code	22354920
Hospital Revenue Code	270
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Aetna of AZ Commercial	$44.10
Rate for Payer: Cash Price	$39.20

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