Copper Queen Community Hospital

These charges represent the costs of individual services and supplies at Copper Queen Community Hospital.

Charges

Download All Charges as Machine Readable .CSV file

Charge Charge Type Standard Charge  
Service Code CPT 80307
Hospital Charge Code 23090951
Hospital Revenue Code 301
Min. Negotiated Rate $46.07
Max. Negotiated Rate $243.90
Rate for Payer: Aetna POS, PPO, HMO $243.90
Rate for Payer: Aetna Medicare $75.88
Rate for Payer: AHCCCS Medicaid $62.14
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $62.14
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $46.07
Rate for Payer: Amerigroup Medicare $46.07
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $101.22
Rate for Payer: Arizona Complete Care Health Medicaid $62.14
Rate for Payer: Arizona Complete Care Health Medicare Advantage $46.07
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $46.07
Rate for Payer: Banner University Family Care Medicaid $62.14
Rate for Payer: Blue Cross Blue Shield AZ PPO $182.51
Rate for Payer: City of Bisbee Police Bisbee Police $70.46
Rate for Payer: Cigna All Products $189.70
Rate for Payer: Copperpoint $76.02
Rate for Payer: HealthNet Commercial $162.60
Rate for Payer: HealthNet Medicare $75.88
Rate for Payer: Humana Medicare $46.07
Rate for Payer: Mercy Care Medicaid $62.14
Rate for Payer: Veterans (Triwest) $46.07
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $164.23
Rate for Payer: United Healthcare Medicare $46.07
Service Code CPT 81050
Hospital Charge Code 22525241
Hospital Revenue Code 307
Min. Negotiated Rate $2.38
Max. Negotiated Rate $12.60
Rate for Payer: Aetna POS, PPO, HMO $12.60
Rate for Payer: Aetna Medicare $3.92
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $2.38
Rate for Payer: Amerigroup Medicare $2.38
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $5.23
Rate for Payer: Arizona Complete Care Health Medicare Advantage $2.38
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $2.38
Rate for Payer: City of Bisbee Police Bisbee Police $3.64
Rate for Payer: Cigna All Products $9.80
Rate for Payer: Copperpoint $3.93
Rate for Payer: HealthNet Commercial $8.40
Rate for Payer: HealthNet Medicare $3.92
Rate for Payer: Humana Medicare $2.38
Rate for Payer: Veterans (Triwest) $2.38
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $8.48
Rate for Payer: United Healthcare Medicare $2.38
Service Code CPT 81050
Hospital Charge Code 22525241
Hospital Revenue Code 307
Min. Negotiated Rate $2.38
Max. Negotiated Rate $12.60
Rate for Payer: Aetna POS, PPO, HMO $12.60
Rate for Payer: Aetna Medicare $3.92
Rate for Payer: AHCCCS Medicaid $3.64
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $3.64
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $2.38
Rate for Payer: Amerigroup Medicare $2.38
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $5.23
Rate for Payer: Arizona Complete Care Health Medicaid $3.64
Rate for Payer: Arizona Complete Care Health Medicare Advantage $2.38
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $2.38
Rate for Payer: Banner University Family Care Medicaid $3.64
Rate for Payer: City of Bisbee Police Bisbee Police $3.64
Rate for Payer: Cigna All Products $9.80
Rate for Payer: Copperpoint $3.93
Rate for Payer: HealthNet Commercial $8.40
Rate for Payer: HealthNet Medicare $3.92
Rate for Payer: Humana Medicare $2.38
Rate for Payer: Mercy Care Medicaid $3.64
Rate for Payer: Veterans (Triwest) $2.38
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $8.48
Rate for Payer: United Healthcare Medicare $2.38
Service Code CPT 82107
Hospital Charge Code 23294379
Hospital Revenue Code 301
Min. Negotiated Rate $36.89
Max. Negotiated Rate $195.30
Rate for Payer: Aetna POS, PPO, HMO $195.30
Rate for Payer: Aetna Medicare $60.76
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $36.89
Rate for Payer: Amerigroup Medicare $36.89
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $81.05
Rate for Payer: Arizona Complete Care Health Medicare Advantage $36.89
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $36.89
Rate for Payer: City of Bisbee Police Bisbee Police $56.42
Rate for Payer: Cigna All Products $151.90
Rate for Payer: Copperpoint $60.87
Rate for Payer: HealthNet Commercial $130.20
Rate for Payer: HealthNet Medicare $60.76
Rate for Payer: Humana Medicare $36.89
Rate for Payer: Veterans (Triwest) $36.89
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $131.50
Rate for Payer: United Healthcare Medicare $36.89
Service Code CPT 82107
Hospital Charge Code 23294379
Hospital Revenue Code 301
Min. Negotiated Rate $36.89
Max. Negotiated Rate $195.30
Rate for Payer: Aetna POS, PPO, HMO $195.30
Rate for Payer: Aetna Medicare $60.76
Rate for Payer: AHCCCS Medicaid $64.41
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $64.41
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $36.89
Rate for Payer: Amerigroup Medicare $36.89
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $81.05
Rate for Payer: Arizona Complete Care Health Medicaid $64.41
Rate for Payer: Arizona Complete Care Health Medicare Advantage $36.89
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $36.89
Rate for Payer: Banner University Family Care Medicaid $64.41
Rate for Payer: City of Bisbee Police Bisbee Police $56.42
Rate for Payer: Cigna All Products $151.90
Rate for Payer: Copperpoint $60.87
Rate for Payer: HealthNet Commercial $130.20
Rate for Payer: HealthNet Medicare $60.76
Rate for Payer: Humana Medicare $36.89
Rate for Payer: Mercy Care Medicaid $64.41
Rate for Payer: Veterans (Triwest) $36.89
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $131.50
Rate for Payer: United Healthcare Medicare $36.89
Service Code CPT 82164
Hospital Charge Code 23298220
Hospital Revenue Code 301
Min. Negotiated Rate $14.60
Max. Negotiated Rate $14.60
Rate for Payer: AHCCCS Medicaid $14.60
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $14.60
Rate for Payer: Arizona Complete Care Health Medicaid $14.60
Rate for Payer: Banner University Family Care Medicaid $14.60
Rate for Payer: Mercy Care Medicaid $14.60
Service Code CPT 82525
Hospital Charge Code 23294399
Hospital Revenue Code 301
Min. Negotiated Rate $12.41
Max. Negotiated Rate $12.41
Rate for Payer: AHCCCS Medicaid $12.41
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $12.41
Rate for Payer: Arizona Complete Care Health Medicaid $12.41
Rate for Payer: Banner University Family Care Medicaid $12.41
Rate for Payer: Mercy Care Medicaid $12.41
Service Code CPT 82553
Hospital Charge Code 22525239
Hospital Revenue Code 301
Min. Negotiated Rate $52.36
Max. Negotiated Rate $277.20
Rate for Payer: Aetna POS, PPO, HMO $277.20
Rate for Payer: Aetna Medicare $86.24
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $52.36
Rate for Payer: Amerigroup Medicare $52.36
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $115.04
Rate for Payer: Arizona Complete Care Health Medicare Advantage $52.36
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $52.36
Rate for Payer: City of Bisbee Police Bisbee Police $80.08
Rate for Payer: Cigna All Products $215.60
Rate for Payer: Copperpoint $86.39
Rate for Payer: HealthNet Commercial $184.80
Rate for Payer: HealthNet Medicare $86.24
Rate for Payer: Humana Medicare $52.36
Rate for Payer: Veterans (Triwest) $52.36
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $186.65
Rate for Payer: United Healthcare Medicare $52.36
Service Code CPT 82553
Hospital Charge Code 22525239
Hospital Revenue Code 301
Min. Negotiated Rate $11.55
Max. Negotiated Rate $277.20
Rate for Payer: Aetna POS, PPO, HMO $277.20
Rate for Payer: Aetna Medicare $86.24
Rate for Payer: AHCCCS Medicaid $11.55
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $11.55
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $52.36
Rate for Payer: Amerigroup Medicare $52.36
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $115.04
Rate for Payer: Arizona Complete Care Health Medicaid $11.55
Rate for Payer: Arizona Complete Care Health Medicare Advantage $52.36
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $52.36
Rate for Payer: Banner University Family Care Medicaid $11.55
Rate for Payer: City of Bisbee Police Bisbee Police $80.08
Rate for Payer: Cigna All Products $215.60
Rate for Payer: Copperpoint $86.39
Rate for Payer: HealthNet Commercial $184.80
Rate for Payer: HealthNet Medicare $86.24
Rate for Payer: Humana Medicare $52.36
Rate for Payer: Mercy Care Medicaid $11.55
Rate for Payer: Veterans (Triwest) $52.36
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $186.65
Rate for Payer: United Healthcare Medicare $52.36
Service Code CPT 82565
Hospital Charge Code 22525233
Hospital Revenue Code 301
Min. Negotiated Rate $12.92
Max. Negotiated Rate $68.40
Rate for Payer: Aetna POS, PPO, HMO $68.40
Rate for Payer: Aetna Medicare $21.28
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $12.92
Rate for Payer: Amerigroup Medicare $12.92
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $28.39
Rate for Payer: Arizona Complete Care Health Medicare Advantage $12.92
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $12.92
Rate for Payer: Blue Cross Blue Shield AZ PPO $51.48
Rate for Payer: City of Bisbee Police Bisbee Police $19.76
Rate for Payer: Cigna All Products $53.20
Rate for Payer: Copperpoint $21.32
Rate for Payer: HealthNet Commercial $45.60
Rate for Payer: HealthNet Medicare $21.28
Rate for Payer: Humana Medicare $12.92
Rate for Payer: Veterans (Triwest) $12.92
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $46.06
Rate for Payer: United Healthcare Medicare $12.92
Rate for Payer: UMR - Non-Contracted Commercial $45.45
Service Code CPT 82565
Hospital Charge Code 22525233
Hospital Revenue Code 301
Min. Negotiated Rate $5.12
Max. Negotiated Rate $68.40
Rate for Payer: Aetna POS, PPO, HMO $68.40
Rate for Payer: Aetna Medicare $21.28
Rate for Payer: AHCCCS Medicaid $5.12
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.12
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $12.92
Rate for Payer: Amerigroup Medicare $12.92
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $28.39
Rate for Payer: Arizona Complete Care Health Medicaid $5.12
Rate for Payer: Arizona Complete Care Health Medicare Advantage $12.92
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $12.92
Rate for Payer: Banner University Family Care Medicaid $5.12
Rate for Payer: Blue Cross Blue Shield AZ PPO $51.48
Rate for Payer: City of Bisbee Police Bisbee Police $19.76
Rate for Payer: Cigna All Products $53.20
Rate for Payer: Copperpoint $21.32
Rate for Payer: HealthNet Commercial $45.60
Rate for Payer: HealthNet Medicare $21.28
Rate for Payer: Humana Medicare $12.92
Rate for Payer: Mercy Care Medicaid $5.12
Rate for Payer: Veterans (Triwest) $12.92
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $46.06
Rate for Payer: United Healthcare Medicare $12.92
Rate for Payer: UMR - Non-Contracted Commercial $45.45
Service Code CPT 82570
Hospital Charge Code 23090955
Hospital Revenue Code 301
Min. Negotiated Rate $5.18
Max. Negotiated Rate $5.18
Rate for Payer: AHCCCS Medicaid $5.18
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.18
Rate for Payer: Arizona Complete Care Health Medicaid $5.18
Rate for Payer: Banner University Family Care Medicaid $5.18
Rate for Payer: Mercy Care Medicaid $5.18
Service Code CPT 82952
Hospital Charge Code 22525225
Hospital Revenue Code 301
Min. Negotiated Rate $5.27
Max. Negotiated Rate $27.90
Rate for Payer: Aetna POS, PPO, HMO $27.90
Rate for Payer: Aetna Medicare $8.68
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $5.27
Rate for Payer: Amerigroup Medicare $5.27
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $11.58
Rate for Payer: Arizona Complete Care Health Medicare Advantage $5.27
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $5.27
Rate for Payer: City of Bisbee Police Bisbee Police $8.06
Rate for Payer: Cigna All Products $21.70
Rate for Payer: Copperpoint $8.70
Rate for Payer: HealthNet Commercial $18.60
Rate for Payer: HealthNet Medicare $8.68
Rate for Payer: Humana Medicare $5.27
Rate for Payer: Veterans (Triwest) $5.27
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $18.79
Rate for Payer: United Healthcare Medicare $5.27
Service Code CPT 82952
Hospital Charge Code 22525225
Hospital Revenue Code 301
Min. Negotiated Rate $3.92
Max. Negotiated Rate $27.90
Rate for Payer: Aetna POS, PPO, HMO $27.90
Rate for Payer: Aetna Medicare $8.68
Rate for Payer: AHCCCS Medicaid $3.92
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $3.92
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $5.27
Rate for Payer: Amerigroup Medicare $5.27
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $11.58
Rate for Payer: Arizona Complete Care Health Medicaid $3.92
Rate for Payer: Arizona Complete Care Health Medicare Advantage $5.27
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $5.27
Rate for Payer: Banner University Family Care Medicaid $3.92
Rate for Payer: City of Bisbee Police Bisbee Police $8.06
Rate for Payer: Cigna All Products $21.70
Rate for Payer: Copperpoint $8.70
Rate for Payer: HealthNet Commercial $18.60
Rate for Payer: HealthNet Medicare $8.68
Rate for Payer: Humana Medicare $5.27
Rate for Payer: Mercy Care Medicaid $3.92
Rate for Payer: Veterans (Triwest) $5.27
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $18.79
Rate for Payer: United Healthcare Medicare $5.27
Service Code CPT 83735
Hospital Charge Code 23173801
Hospital Revenue Code 301
Min. Negotiated Rate $6.70
Max. Negotiated Rate $72.00
Rate for Payer: Aetna POS, PPO, HMO $72.00
Rate for Payer: Aetna Medicare $22.40
Rate for Payer: AHCCCS Medicaid $6.70
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $6.70
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $13.60
Rate for Payer: Amerigroup Medicare $13.60
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $29.88
Rate for Payer: Arizona Complete Care Health Medicaid $6.70
Rate for Payer: Arizona Complete Care Health Medicare Advantage $13.60
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $13.60
Rate for Payer: Banner University Family Care Medicaid $6.70
Rate for Payer: Blue Cross Blue Shield AZ PPO $54.40
Rate for Payer: City of Bisbee Police Bisbee Police $20.80
Rate for Payer: Cigna All Products $56.00
Rate for Payer: Copperpoint $22.44
Rate for Payer: HealthNet Commercial $48.00
Rate for Payer: HealthNet Medicare $22.40
Rate for Payer: Humana Medicare $13.60
Rate for Payer: Mercy Care Medicaid $6.70
Rate for Payer: Veterans (Triwest) $13.60
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $48.48
Rate for Payer: United Healthcare Medicare $13.60
Service Code CPT 83883
Hospital Charge Code 23756988
Hospital Revenue Code 300
Min. Negotiated Rate $13.94
Max. Negotiated Rate $178.84
Rate for Payer: Aetna POS, PPO, HMO $73.80
Rate for Payer: Aetna Medicare $22.96
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $13.94
Rate for Payer: Amerigroup Medicare $13.94
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $30.63
Rate for Payer: Arizona Complete Care Health Medicare Advantage $13.94
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $13.94
Rate for Payer: Blue Cross Blue Shield AZ PPO $178.84
Rate for Payer: City of Bisbee Police Bisbee Police $21.32
Rate for Payer: Cigna All Products $57.40
Rate for Payer: Copperpoint $23.00
Rate for Payer: HealthNet Commercial $49.20
Rate for Payer: HealthNet Medicare $22.96
Rate for Payer: Humana Medicare $13.94
Rate for Payer: Veterans (Triwest) $13.94
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $49.69
Rate for Payer: United Healthcare Medicare $13.94
Rate for Payer: UMR - Non-Contracted Commercial $157.27
Service Code CPT 83883
Hospital Charge Code 23756988
Hospital Revenue Code 300
Min. Negotiated Rate $13.60
Max. Negotiated Rate $178.84
Rate for Payer: Aetna POS, PPO, HMO $73.80
Rate for Payer: Aetna Medicare $22.96
Rate for Payer: AHCCCS Medicaid $13.60
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $13.60
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $13.94
Rate for Payer: Amerigroup Medicare $13.94
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $30.63
Rate for Payer: Arizona Complete Care Health Medicaid $13.60
Rate for Payer: Arizona Complete Care Health Medicare Advantage $13.94
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $13.94
Rate for Payer: Banner University Family Care Medicaid $13.60
Rate for Payer: Blue Cross Blue Shield AZ PPO $178.84
Rate for Payer: City of Bisbee Police Bisbee Police $21.32
Rate for Payer: Cigna All Products $57.40
Rate for Payer: Copperpoint $23.00
Rate for Payer: HealthNet Commercial $49.20
Rate for Payer: HealthNet Medicare $22.96
Rate for Payer: Humana Medicare $13.94
Rate for Payer: Mercy Care Medicaid $13.60
Rate for Payer: Veterans (Triwest) $13.94
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $49.69
Rate for Payer: United Healthcare Medicare $13.94
Rate for Payer: UMR - Non-Contracted Commercial $157.27
Service Code CPT 83883
Hospital Charge Code 22589663
Hospital Revenue Code 301
Min. Negotiated Rate $11.22
Max. Negotiated Rate $178.84
Rate for Payer: Aetna POS, PPO, HMO $59.40
Rate for Payer: Aetna Medicare $18.48
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $11.22
Rate for Payer: Amerigroup Medicare $11.22
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $24.65
Rate for Payer: Arizona Complete Care Health Medicare Advantage $11.22
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $11.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $178.84
Rate for Payer: City of Bisbee Police Bisbee Police $17.16
Rate for Payer: Cigna All Products $46.20
Rate for Payer: Copperpoint $18.51
Rate for Payer: HealthNet Commercial $39.60
Rate for Payer: HealthNet Medicare $18.48
Rate for Payer: Humana Medicare $11.22
Rate for Payer: Veterans (Triwest) $11.22
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $40.00
Rate for Payer: United Healthcare Medicare $11.22
Rate for Payer: UMR - Non-Contracted Commercial $157.27
Service Code CPT 83883
Hospital Charge Code 22589663
Hospital Revenue Code 301
Min. Negotiated Rate $11.22
Max. Negotiated Rate $178.84
Rate for Payer: Aetna POS, PPO, HMO $59.40
Rate for Payer: Aetna Medicare $18.48
Rate for Payer: AHCCCS Medicaid $13.60
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $13.60
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $11.22
Rate for Payer: Amerigroup Medicare $11.22
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $24.65
Rate for Payer: Arizona Complete Care Health Medicaid $13.60
Rate for Payer: Arizona Complete Care Health Medicare Advantage $11.22
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $11.22
Rate for Payer: Banner University Family Care Medicaid $13.60
Rate for Payer: Blue Cross Blue Shield AZ PPO $178.84
Rate for Payer: City of Bisbee Police Bisbee Police $17.16
Rate for Payer: Cigna All Products $46.20
Rate for Payer: Copperpoint $18.51
Rate for Payer: HealthNet Commercial $39.60
Rate for Payer: HealthNet Medicare $18.48
Rate for Payer: Humana Medicare $11.22
Rate for Payer: Mercy Care Medicaid $13.60
Rate for Payer: Veterans (Triwest) $11.22
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $40.00
Rate for Payer: United Healthcare Medicare $11.22
Rate for Payer: UMR - Non-Contracted Commercial $157.27
Service Code CPT 83951
Hospital Charge Code 23187087
Hospital Revenue Code 302
Min. Negotiated Rate $51.85
Max. Negotiated Rate $274.50
Rate for Payer: Aetna POS, PPO, HMO $274.50
Rate for Payer: Aetna Medicare $85.40
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $51.85
Rate for Payer: Amerigroup Medicare $51.85
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $113.92
Rate for Payer: Arizona Complete Care Health Medicare Advantage $51.85
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $51.85
Rate for Payer: City of Bisbee Police Bisbee Police $79.30
Rate for Payer: Cigna All Products $213.50
Rate for Payer: Copperpoint $85.55
Rate for Payer: HealthNet Commercial $183.00
Rate for Payer: HealthNet Medicare $85.40
Rate for Payer: Humana Medicare $51.85
Rate for Payer: Veterans (Triwest) $51.85
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $184.83
Rate for Payer: United Healthcare Medicare $51.85
Service Code CPT 83951
Hospital Charge Code 23187087
Hospital Revenue Code 302
Min. Negotiated Rate $51.85
Max. Negotiated Rate $274.50
Rate for Payer: Aetna POS, PPO, HMO $274.50
Rate for Payer: Aetna Medicare $85.40
Rate for Payer: AHCCCS Medicaid $64.41
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $64.41
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $51.85
Rate for Payer: Amerigroup Medicare $51.85
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $113.92
Rate for Payer: Arizona Complete Care Health Medicaid $64.41
Rate for Payer: Arizona Complete Care Health Medicare Advantage $51.85
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $51.85
Rate for Payer: Banner University Family Care Medicaid $64.41
Rate for Payer: City of Bisbee Police Bisbee Police $79.30
Rate for Payer: Cigna All Products $213.50
Rate for Payer: Copperpoint $85.55
Rate for Payer: HealthNet Commercial $183.00
Rate for Payer: HealthNet Medicare $85.40
Rate for Payer: Humana Medicare $51.85
Rate for Payer: Mercy Care Medicaid $64.41
Rate for Payer: Veterans (Triwest) $51.85
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $184.83
Rate for Payer: United Healthcare Medicare $51.85
Service Code CPT 84484
Hospital Charge Code 22525240
Hospital Revenue Code 301
Min. Negotiated Rate $50.83
Max. Negotiated Rate $269.10
Rate for Payer: Aetna POS, PPO, HMO $269.10
Rate for Payer: Aetna Medicare $83.72
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $50.83
Rate for Payer: Amerigroup Medicare $50.83
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $111.68
Rate for Payer: Arizona Complete Care Health Medicare Advantage $50.83
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $50.83
Rate for Payer: Blue Cross Blue Shield AZ PPO $203.32
Rate for Payer: City of Bisbee Police Bisbee Police $77.74
Rate for Payer: Cigna All Products $209.30
Rate for Payer: Copperpoint $83.87
Rate for Payer: HealthNet Commercial $179.40
Rate for Payer: HealthNet Medicare $83.72
Rate for Payer: Humana Medicare $50.83
Rate for Payer: Veterans (Triwest) $50.83
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $181.19
Rate for Payer: United Healthcare Medicare $50.83
Service Code CPT 84484
Hospital Charge Code 22525240
Hospital Revenue Code 301
Min. Negotiated Rate $12.47
Max. Negotiated Rate $269.10
Rate for Payer: Aetna POS, PPO, HMO $269.10
Rate for Payer: Aetna Medicare $83.72
Rate for Payer: AHCCCS Medicaid $12.47
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $12.47
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $50.83
Rate for Payer: Amerigroup Medicare $50.83
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $111.68
Rate for Payer: Arizona Complete Care Health Medicaid $12.47
Rate for Payer: Arizona Complete Care Health Medicare Advantage $50.83
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $50.83
Rate for Payer: Banner University Family Care Medicaid $12.47
Rate for Payer: Blue Cross Blue Shield AZ PPO $203.32
Rate for Payer: City of Bisbee Police Bisbee Police $77.74
Rate for Payer: Cigna All Products $209.30
Rate for Payer: Copperpoint $83.87
Rate for Payer: HealthNet Commercial $179.40
Rate for Payer: HealthNet Medicare $83.72
Rate for Payer: Humana Medicare $50.83
Rate for Payer: Mercy Care Medicaid $12.47
Rate for Payer: Veterans (Triwest) $50.83
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $181.19
Rate for Payer: United Healthcare Medicare $50.83
Service Code CPT 84702
Hospital Charge Code 23294406
Hospital Revenue Code 301
Min. Negotiated Rate $35.02
Max. Negotiated Rate $185.40
Rate for Payer: Aetna POS, PPO, HMO $185.40
Rate for Payer: Aetna Medicare $57.68
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $35.02
Rate for Payer: Amerigroup Medicare $35.02
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $76.94
Rate for Payer: Arizona Complete Care Health Medicare Advantage $35.02
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $35.02
Rate for Payer: Blue Cross Blue Shield AZ PPO $140.08
Rate for Payer: City of Bisbee Police Bisbee Police $53.56
Rate for Payer: Cigna All Products $144.20
Rate for Payer: Copperpoint $57.78
Rate for Payer: HealthNet Commercial $123.60
Rate for Payer: HealthNet Medicare $57.68
Rate for Payer: Humana Medicare $35.02
Rate for Payer: Veterans (Triwest) $35.02
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $124.84
Rate for Payer: United Healthcare Medicare $35.02
Rate for Payer: UMR - Non-Contracted Commercial $123.18
Service Code CPT 84702
Hospital Charge Code 23294406
Hospital Revenue Code 301
Min. Negotiated Rate $15.05
Max. Negotiated Rate $185.40
Rate for Payer: Aetna POS, PPO, HMO $185.40
Rate for Payer: Aetna Medicare $57.68
Rate for Payer: AHCCCS Medicaid $15.05
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $15.05
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $35.02
Rate for Payer: Amerigroup Medicare $35.02
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $76.94
Rate for Payer: Arizona Complete Care Health Medicaid $15.05
Rate for Payer: Arizona Complete Care Health Medicare Advantage $35.02
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $35.02
Rate for Payer: Banner University Family Care Medicaid $15.05
Rate for Payer: Blue Cross Blue Shield AZ PPO $140.08
Rate for Payer: City of Bisbee Police Bisbee Police $53.56
Rate for Payer: Cigna All Products $144.20
Rate for Payer: Copperpoint $57.78
Rate for Payer: HealthNet Commercial $123.60
Rate for Payer: HealthNet Medicare $57.68
Rate for Payer: Humana Medicare $35.02
Rate for Payer: Mercy Care Medicaid $15.05
Rate for Payer: Veterans (Triwest) $35.02
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $124.84
Rate for Payer: United Healthcare Medicare $35.02
Rate for Payer: UMR - Non-Contracted Commercial $123.18