Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Heart And/Or Lung Transplant

Facility

$80,073.23

Service Code	APR-DRG 0022
Hospital Charge Code	APRDRG0021
Min. Negotiated Rate	$80,073.23
Max. Negotiated Rate	$80,073.23
Rate for Payer: AHCCCS Medicaid	$80,073.23
Rate for Payer: Allwell Medicaid	$80,073.23
Rate for Payer: AZCH Complete Medicaid	$80,073.23
Rate for Payer: Banner UC Health Medicaid	$80,073.23
Rate for Payer: Mercy Care Medicaid	$80,073.23

Heart And/Or Lung Transplant

Facility

$61,900.65

Service Code	APR-DRG 0021
Hospital Charge Code	APRDRG0023
Min. Negotiated Rate	$61,900.65
Max. Negotiated Rate	$61,900.65
Rate for Payer: AHCCCS Medicaid	$61,900.65
Rate for Payer: Allwell Medicaid	$61,900.65
Rate for Payer: AZCH Complete Medicaid	$61,900.65
Rate for Payer: Banner UC Health Medicaid	$61,900.65
Rate for Payer: Mercy Care Medicaid	$61,900.65

Heart And/Or Lung Transplant

Facility

$181,701.18

Service Code	APR-DRG 0024
Hospital Charge Code	APRDRG0021
Min. Negotiated Rate	$181,701.18
Max. Negotiated Rate	$181,701.18
Rate for Payer: AHCCCS Medicaid	$181,701.18
Rate for Payer: Allwell Medicaid	$181,701.18
Rate for Payer: AZCH Complete Medicaid	$181,701.18
Rate for Payer: Banner UC Health Medicaid	$181,701.18
Rate for Payer: Mercy Care Medicaid	$181,701.18

Heart And/Or Lung Transplant

Facility

$61,900.65

Service Code	APR-DRG 0021
Hospital Charge Code	APRDRG0022
Min. Negotiated Rate	$61,900.65
Max. Negotiated Rate	$61,900.65
Rate for Payer: AHCCCS Medicaid	$61,900.65
Rate for Payer: Allwell Medicaid	$61,900.65
Rate for Payer: AZCH Complete Medicaid	$61,900.65
Rate for Payer: Banner UC Health Medicaid	$61,900.65
Rate for Payer: Mercy Care Medicaid	$61,900.65

Heart And/Or Lung Transplant

Facility

$80,073.23

Service Code	APR-DRG 0022
Hospital Charge Code	APRDRG0023
Min. Negotiated Rate	$80,073.23
Max. Negotiated Rate	$80,073.23
Rate for Payer: AHCCCS Medicaid	$80,073.23
Rate for Payer: Allwell Medicaid	$80,073.23
Rate for Payer: AZCH Complete Medicaid	$80,073.23
Rate for Payer: Banner UC Health Medicaid	$80,073.23
Rate for Payer: Mercy Care Medicaid	$80,073.23

Heart And/Or Lung Transplant

Facility

$61,900.65

Service Code	APR-DRG 0021
Hospital Charge Code	APRDRG0024
Min. Negotiated Rate	$61,900.65
Max. Negotiated Rate	$61,900.65
Rate for Payer: AHCCCS Medicaid	$61,900.65
Rate for Payer: Allwell Medicaid	$61,900.65
Rate for Payer: AZCH Complete Medicaid	$61,900.65
Rate for Payer: Banner UC Health Medicaid	$61,900.65
Rate for Payer: Mercy Care Medicaid	$61,900.65

Heart And/Or Lung Transplant

Facility

$181,701.18

Service Code	APR-DRG 0024
Hospital Charge Code	APRDRG0022
Min. Negotiated Rate	$181,701.18
Max. Negotiated Rate	$181,701.18
Rate for Payer: AHCCCS Medicaid	$181,701.18
Rate for Payer: Allwell Medicaid	$181,701.18
Rate for Payer: AZCH Complete Medicaid	$181,701.18
Rate for Payer: Banner UC Health Medicaid	$181,701.18
Rate for Payer: Mercy Care Medicaid	$181,701.18

Heart And/Or Lung Transplant

Facility

$95,511.04

Service Code	APR-DRG 0023
Hospital Charge Code	APRDRG0022
Min. Negotiated Rate	$95,511.04
Max. Negotiated Rate	$95,511.04
Rate for Payer: AHCCCS Medicaid	$95,511.04
Rate for Payer: Allwell Medicaid	$95,511.04
Rate for Payer: AZCH Complete Medicaid	$95,511.04
Rate for Payer: Banner UC Health Medicaid	$95,511.04
Rate for Payer: Mercy Care Medicaid	$95,511.04

Heart And/Or Lung Transplant

Facility

$61,900.65

Service Code	APR-DRG 0021
Hospital Charge Code	APRDRG0021
Min. Negotiated Rate	$61,900.65
Max. Negotiated Rate	$61,900.65
Rate for Payer: AHCCCS Medicaid	$61,900.65
Rate for Payer: Allwell Medicaid	$61,900.65
Rate for Payer: AZCH Complete Medicaid	$61,900.65
Rate for Payer: Banner UC Health Medicaid	$61,900.65
Rate for Payer: Mercy Care Medicaid	$61,900.65

Heart Failure

Facility

$3,331.65

Service Code	APR-DRG 1941
Hospital Charge Code	APRDRG1943
Min. Negotiated Rate	$3,331.65
Max. Negotiated Rate	$3,331.65
Rate for Payer: AHCCCS Medicaid	$3,331.65
Rate for Payer: Allwell Medicaid	$3,331.65
Rate for Payer: AZCH Complete Medicaid	$3,331.65
Rate for Payer: Banner UC Health Medicaid	$3,331.65
Rate for Payer: Mercy Care Medicaid	$3,331.65

Heart Failure

Facility

$3,331.65

Service Code	APR-DRG 1941
Hospital Charge Code	APRDRG1944
Min. Negotiated Rate	$3,331.65
Max. Negotiated Rate	$3,331.65
Rate for Payer: AHCCCS Medicaid	$3,331.65
Rate for Payer: Allwell Medicaid	$3,331.65
Rate for Payer: AZCH Complete Medicaid	$3,331.65
Rate for Payer: Banner UC Health Medicaid	$3,331.65
Rate for Payer: Mercy Care Medicaid	$3,331.65

Heart Failure

Facility

$3,331.65

Service Code	APR-DRG 1941
Hospital Charge Code	APRDRG1941
Min. Negotiated Rate	$3,331.65
Max. Negotiated Rate	$3,331.65
Rate for Payer: AHCCCS Medicaid	$3,331.65
Rate for Payer: Allwell Medicaid	$3,331.65
Rate for Payer: AZCH Complete Medicaid	$3,331.65
Rate for Payer: Banner UC Health Medicaid	$3,331.65
Rate for Payer: Mercy Care Medicaid	$3,331.65

Heart Failure

Facility

$4,503.69

Service Code	APR-DRG 1942
Hospital Charge Code	APRDRG1944
Min. Negotiated Rate	$4,503.69
Max. Negotiated Rate	$4,503.69
Rate for Payer: AHCCCS Medicaid	$4,503.69
Rate for Payer: Allwell Medicaid	$4,503.69
Rate for Payer: AZCH Complete Medicaid	$4,503.69
Rate for Payer: Banner UC Health Medicaid	$4,503.69
Rate for Payer: Mercy Care Medicaid	$4,503.69

Heart Failure

Facility

$6,358.19

Service Code	APR-DRG 1943
Hospital Charge Code	APRDRG1941
Min. Negotiated Rate	$6,358.19
Max. Negotiated Rate	$6,358.19
Rate for Payer: AHCCCS Medicaid	$6,358.19
Rate for Payer: Allwell Medicaid	$6,358.19
Rate for Payer: AZCH Complete Medicaid	$6,358.19
Rate for Payer: Banner UC Health Medicaid	$6,358.19
Rate for Payer: Mercy Care Medicaid	$6,358.19

Heart Failure

Facility

$10,411.58

Service Code	APR-DRG 1944
Hospital Charge Code	APRDRG1943
Min. Negotiated Rate	$10,411.58
Max. Negotiated Rate	$10,411.58
Rate for Payer: AHCCCS Medicaid	$10,411.58
Rate for Payer: Allwell Medicaid	$10,411.58
Rate for Payer: AZCH Complete Medicaid	$10,411.58
Rate for Payer: Banner UC Health Medicaid	$10,411.58
Rate for Payer: Mercy Care Medicaid	$10,411.58

Heart Failure

Facility

$6,358.19

Service Code	APR-DRG 1943
Hospital Charge Code	APRDRG1943
Min. Negotiated Rate	$6,358.19
Max. Negotiated Rate	$6,358.19
Rate for Payer: AHCCCS Medicaid	$6,358.19
Rate for Payer: Allwell Medicaid	$6,358.19
Rate for Payer: AZCH Complete Medicaid	$6,358.19
Rate for Payer: Banner UC Health Medicaid	$6,358.19
Rate for Payer: Mercy Care Medicaid	$6,358.19

Heart Failure

Facility

$6,358.19

Service Code	APR-DRG 1943
Hospital Charge Code	APRDRG1942
Min. Negotiated Rate	$6,358.19
Max. Negotiated Rate	$6,358.19
Rate for Payer: AHCCCS Medicaid	$6,358.19
Rate for Payer: Allwell Medicaid	$6,358.19
Rate for Payer: AZCH Complete Medicaid	$6,358.19
Rate for Payer: Banner UC Health Medicaid	$6,358.19
Rate for Payer: Mercy Care Medicaid	$6,358.19

Heart Failure

Facility

$4,503.69

Service Code	APR-DRG 1942
Hospital Charge Code	APRDRG1941
Min. Negotiated Rate	$4,503.69
Max. Negotiated Rate	$4,503.69
Rate for Payer: AHCCCS Medicaid	$4,503.69
Rate for Payer: Allwell Medicaid	$4,503.69
Rate for Payer: AZCH Complete Medicaid	$4,503.69
Rate for Payer: Banner UC Health Medicaid	$4,503.69
Rate for Payer: Mercy Care Medicaid	$4,503.69

Heart Failure

Facility

$10,411.58

Service Code	APR-DRG 1944
Hospital Charge Code	APRDRG1942
Min. Negotiated Rate	$10,411.58
Max. Negotiated Rate	$10,411.58
Rate for Payer: AHCCCS Medicaid	$10,411.58
Rate for Payer: Allwell Medicaid	$10,411.58
Rate for Payer: AZCH Complete Medicaid	$10,411.58
Rate for Payer: Banner UC Health Medicaid	$10,411.58
Rate for Payer: Mercy Care Medicaid	$10,411.58

Heart Failure

Facility

$10,411.58

Service Code	APR-DRG 1944
Hospital Charge Code	APRDRG1944
Min. Negotiated Rate	$10,411.58
Max. Negotiated Rate	$10,411.58
Rate for Payer: AHCCCS Medicaid	$10,411.58
Rate for Payer: Allwell Medicaid	$10,411.58
Rate for Payer: AZCH Complete Medicaid	$10,411.58
Rate for Payer: Banner UC Health Medicaid	$10,411.58
Rate for Payer: Mercy Care Medicaid	$10,411.58

Heart Failure

Facility

$6,358.19

Service Code	APR-DRG 1943
Hospital Charge Code	APRDRG1944
Min. Negotiated Rate	$6,358.19
Max. Negotiated Rate	$6,358.19
Rate for Payer: AHCCCS Medicaid	$6,358.19
Rate for Payer: Allwell Medicaid	$6,358.19
Rate for Payer: AZCH Complete Medicaid	$6,358.19
Rate for Payer: Banner UC Health Medicaid	$6,358.19
Rate for Payer: Mercy Care Medicaid	$6,358.19

Heart Failure

Facility

$4,503.69

Service Code	APR-DRG 1942
Hospital Charge Code	APRDRG1943
Min. Negotiated Rate	$4,503.69
Max. Negotiated Rate	$4,503.69
Rate for Payer: AHCCCS Medicaid	$4,503.69
Rate for Payer: Allwell Medicaid	$4,503.69
Rate for Payer: AZCH Complete Medicaid	$4,503.69
Rate for Payer: Banner UC Health Medicaid	$4,503.69
Rate for Payer: Mercy Care Medicaid	$4,503.69

Heart Failure

Facility

$3,331.65

Service Code	APR-DRG 1941
Hospital Charge Code	APRDRG1942
Min. Negotiated Rate	$3,331.65
Max. Negotiated Rate	$3,331.65
Rate for Payer: AHCCCS Medicaid	$3,331.65
Rate for Payer: Allwell Medicaid	$3,331.65
Rate for Payer: AZCH Complete Medicaid	$3,331.65
Rate for Payer: Banner UC Health Medicaid	$3,331.65
Rate for Payer: Mercy Care Medicaid	$3,331.65

Heart Failure

Facility

$4,503.69

Service Code	APR-DRG 1942
Hospital Charge Code	APRDRG1942
Min. Negotiated Rate	$4,503.69
Max. Negotiated Rate	$4,503.69
Rate for Payer: AHCCCS Medicaid	$4,503.69
Rate for Payer: Allwell Medicaid	$4,503.69
Rate for Payer: AZCH Complete Medicaid	$4,503.69
Rate for Payer: Banner UC Health Medicaid	$4,503.69
Rate for Payer: Mercy Care Medicaid	$4,503.69

Heart Failure

Facility

$10,411.58

Service Code	APR-DRG 1944
Hospital Charge Code	APRDRG1941
Min. Negotiated Rate	$10,411.58
Max. Negotiated Rate	$10,411.58
Rate for Payer: AHCCCS Medicaid	$10,411.58
Rate for Payer: Allwell Medicaid	$10,411.58
Rate for Payer: AZCH Complete Medicaid	$10,411.58
Rate for Payer: Banner UC Health Medicaid	$10,411.58
Rate for Payer: Mercy Care Medicaid	$10,411.58

Know your out-of-pocket cost for care.

All Charges