Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Hernia Procedures Except Inguinal, Femoral And Umbilical

Facility

IP

$9,499.76

Service Code	APR-DRG 2272
Hospital Charge Code	APRDRG2273
Min. Negotiated Rate	$9,499.76
Max. Negotiated Rate	$9,499.76
Rate for Payer: AHCCCS Medicaid	$9,499.76
Rate for Payer: Allwell Medicaid	$9,499.76
Rate for Payer: AZCH Complete Medicaid	$9,499.76
Rate for Payer: Banner UC Health Medicaid	$9,499.76
Rate for Payer: Mercy Care Medicaid	$9,499.76

Hernia Procedures Except Inguinal, Femoral And Umbilical

Facility

IP

$14,697.84

Service Code	APR-DRG 2273
Hospital Charge Code	APRDRG2272
Min. Negotiated Rate	$14,697.84
Max. Negotiated Rate	$14,697.84
Rate for Payer: AHCCCS Medicaid	$14,697.84
Rate for Payer: Allwell Medicaid	$14,697.84
Rate for Payer: AZCH Complete Medicaid	$14,697.84
Rate for Payer: Banner UC Health Medicaid	$14,697.84
Rate for Payer: Mercy Care Medicaid	$14,697.84

Hernia Procedures Except Inguinal, Femoral And Umbilical

Facility

IP

$26,146.09

Service Code	APR-DRG 2274
Hospital Charge Code	APRDRG2273
Min. Negotiated Rate	$26,146.09
Max. Negotiated Rate	$26,146.09
Rate for Payer: AHCCCS Medicaid	$26,146.09
Rate for Payer: Allwell Medicaid	$26,146.09
Rate for Payer: AZCH Complete Medicaid	$26,146.09
Rate for Payer: Banner UC Health Medicaid	$26,146.09
Rate for Payer: Mercy Care Medicaid	$26,146.09

Hernia Procedures Except Inguinal, Femoral And Umbilical

Facility

IP

$14,697.84

Service Code	APR-DRG 2273
Hospital Charge Code	APRDRG2273
Min. Negotiated Rate	$14,697.84
Max. Negotiated Rate	$14,697.84
Rate for Payer: AHCCCS Medicaid	$14,697.84
Rate for Payer: Allwell Medicaid	$14,697.84
Rate for Payer: AZCH Complete Medicaid	$14,697.84
Rate for Payer: Banner UC Health Medicaid	$14,697.84
Rate for Payer: Mercy Care Medicaid	$14,697.84

Hernia Procedures Except Inguinal, Femoral And Umbilical

Facility

IP

$14,697.84

Service Code	APR-DRG 2273
Hospital Charge Code	APRDRG2274
Min. Negotiated Rate	$14,697.84
Max. Negotiated Rate	$14,697.84
Rate for Payer: AHCCCS Medicaid	$14,697.84
Rate for Payer: Allwell Medicaid	$14,697.84
Rate for Payer: AZCH Complete Medicaid	$14,697.84
Rate for Payer: Banner UC Health Medicaid	$14,697.84
Rate for Payer: Mercy Care Medicaid	$14,697.84

Herpes Simplex (HSV) 1 2, NAA

Facility

IP

$603.00

Service Code	CPT 87529
Hospital Charge Code	22948345
Hospital Revenue Code	306
Min. Negotiated Rate	$156.78
Max. Negotiated Rate	$542.70
Rate for Payer: Aetna of AZ Commercial	$542.70
Rate for Payer: Bisbee Police All Plans	$156.78
Rate for Payer: Cash Price	$482.40
Rate for Payer: Self Pay Self Pay	$482.40

Herpes Simplex (HSV) 1 2, NAA

Facility

OP

$603.00

Service Code	CPT 87529
Hospital Charge Code	22948345
Hospital Revenue Code	306
Min. Negotiated Rate	$96.48
Max. Negotiated Rate	$542.70
Rate for Payer: Aetna of AZ Commercial	$542.70
Rate for Payer: Aetna of AZ Medicare	$168.84
Rate for Payer: Allwell Medicare	$96.48
Rate for Payer: Amerigroup Medicare	$96.48
Rate for Payer: APIPA Medicare/Medicaid	$225.22
Rate for Payer: AZCH Complete Medicare	$96.48
Rate for Payer: Banner UC Health Medicare	$96.48
Rate for Payer: Bisbee Police All Plans	$156.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$410.04
Rate for Payer: Cash Price	$482.40
Rate for Payer: Cigna of AZ Commercial	$391.95
Rate for Payer: Copperpoint Commercial	$149.24
Rate for Payer: Health Net of AZ Commercial	$361.80
Rate for Payer: Health Net of AZ Medicare	$168.84
Rate for Payer: Humana of AZ Medicare	$96.48
Rate for Payer: Self Pay Self Pay	$482.40
Rate for Payer: TriWest Medicare	$96.48
Rate for Payer: UnitedHealth Group of AZ Commercial	$351.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$108.54

Herpes Simplex (HSV) 1 2, NAA

Facility

IP

$573.00

Service Code	CPT 87529
Hospital Charge Code	22587723
Hospital Revenue Code	306
Min. Negotiated Rate	$148.98
Max. Negotiated Rate	$515.70
Rate for Payer: Aetna of AZ Commercial	$515.70
Rate for Payer: Bisbee Police All Plans	$148.98
Rate for Payer: Cash Price	$458.40
Rate for Payer: Self Pay Self Pay	$458.40

Herpes Simplex (HSV) 1 2, NAA

Facility

OP

$573.00

Service Code	CPT 87529
Hospital Charge Code	22587723
Hospital Revenue Code	306
Min. Negotiated Rate	$91.68
Max. Negotiated Rate	$515.70
Rate for Payer: Aetna of AZ Commercial	$515.70
Rate for Payer: Aetna of AZ Medicare	$160.44
Rate for Payer: Allwell Medicare	$91.68
Rate for Payer: Amerigroup Medicare	$91.68
Rate for Payer: APIPA Medicare/Medicaid	$214.02
Rate for Payer: AZCH Complete Medicare	$91.68
Rate for Payer: Banner UC Health Medicare	$91.68
Rate for Payer: Bisbee Police All Plans	$148.98
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$389.64
Rate for Payer: Cash Price	$458.40
Rate for Payer: Cigna of AZ Commercial	$372.45
Rate for Payer: Copperpoint Commercial	$141.82
Rate for Payer: Health Net of AZ Commercial	$343.80
Rate for Payer: Health Net of AZ Medicare	$160.44
Rate for Payer: Humana of AZ Medicare	$91.68
Rate for Payer: Self Pay Self Pay	$458.40
Rate for Payer: TriWest Medicare	$91.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$334.06
Rate for Payer: UnitedHealth Group of AZ Medicare	$103.14

Hgb Frac. w/o Solubility LC

Facility

IP

$213.00

Service Code	CPT 83021
Hospital Charge Code	2087611
Hospital Revenue Code	301
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$191.70
Rate for Payer: Aetna of AZ Commercial	$191.70
Rate for Payer: Bisbee Police All Plans	$55.38
Rate for Payer: Cash Price	$170.40
Rate for Payer: Self Pay Self Pay	$170.40

Hgb Frac. w/o Solubility LC

Facility

OP

$213.00

Service Code	CPT 83021
Hospital Charge Code	2087611
Hospital Revenue Code	301
Min. Negotiated Rate	$34.08
Max. Negotiated Rate	$191.70
Rate for Payer: Aetna of AZ Commercial	$191.70
Rate for Payer: Aetna of AZ Medicare	$59.64
Rate for Payer: Allwell Medicare	$34.08
Rate for Payer: Amerigroup Medicare	$34.08
Rate for Payer: APIPA Medicare/Medicaid	$79.56
Rate for Payer: AZCH Complete Medicare	$34.08
Rate for Payer: Banner UC Health Medicare	$34.08
Rate for Payer: Bisbee Police All Plans	$55.38
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$144.84
Rate for Payer: Cash Price	$170.40
Rate for Payer: Cigna of AZ Commercial	$138.45
Rate for Payer: Copperpoint Commercial	$52.72
Rate for Payer: Health Net of AZ Commercial	$127.80
Rate for Payer: Health Net of AZ Medicare	$59.64
Rate for Payer: Humana of AZ Medicare	$34.08
Rate for Payer: Self Pay Self Pay	$170.40
Rate for Payer: TriWest Medicare	$34.08
Rate for Payer: UnitedHealth Group of AZ Commercial	$124.18
Rate for Payer: UnitedHealth Group of AZ Medicare	$38.34

HIFLO BUBBLE HUMIDIFIER EMPTY

Facility

IP

$148.00

Hospital Charge Code	24180129
Hospital Revenue Code	270
Min. Negotiated Rate	$38.48
Max. Negotiated Rate	$133.20
Rate for Payer: Aetna of AZ Commercial	$133.20
Rate for Payer: Bisbee Police All Plans	$38.48
Rate for Payer: Cash Price	$118.40
Rate for Payer: Self Pay Self Pay	$118.40

HIFLO BUBBLE HUMIDIFIER EMPTY

Facility

OP

$148.00

Hospital Charge Code	24180129
Hospital Revenue Code	270
Min. Negotiated Rate	$23.68
Max. Negotiated Rate	$133.20
Rate for Payer: Aetna of AZ Commercial	$133.20
Rate for Payer: Aetna of AZ Medicare	$41.44
Rate for Payer: Allwell Medicare	$23.68
Rate for Payer: Amerigroup Medicare	$23.68
Rate for Payer: APIPA Medicare/Medicaid	$55.28
Rate for Payer: AZCH Complete Medicare	$23.68
Rate for Payer: Banner UC Health Medicare	$23.68
Rate for Payer: Bisbee Police All Plans	$38.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$100.64
Rate for Payer: Cash Price	$118.40
Rate for Payer: Cigna of AZ Commercial	$103.60
Rate for Payer: Copperpoint Commercial	$36.63
Rate for Payer: Health Net of AZ Commercial	$88.80
Rate for Payer: Health Net of AZ Medicare	$41.44
Rate for Payer: Humana of AZ Medicare	$23.68
Rate for Payer: Self Pay Self Pay	$118.40
Rate for Payer: TriWest Medicare	$23.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$86.28
Rate for Payer: UnitedHealth Group of AZ Medicare	$26.64

HIGHFLOW NASAL CANNULA

Facility

OP

$16.00

Hospital Charge Code	24153385
Hospital Revenue Code	270
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna of AZ Commercial	$14.40
Rate for Payer: Aetna of AZ Medicare	$4.48
Rate for Payer: Allwell Medicare	$2.56
Rate for Payer: Amerigroup Medicare	$2.56
Rate for Payer: APIPA Medicare/Medicaid	$5.98
Rate for Payer: AZCH Complete Medicare	$2.56
Rate for Payer: Banner UC Health Medicare	$2.56
Rate for Payer: Bisbee Police All Plans	$4.16
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$10.88
Rate for Payer: Cash Price	$12.80
Rate for Payer: Cigna of AZ Commercial	$11.20
Rate for Payer: Copperpoint Commercial	$3.96
Rate for Payer: Health Net of AZ Commercial	$9.60
Rate for Payer: Health Net of AZ Medicare	$4.48
Rate for Payer: Humana of AZ Medicare	$2.56
Rate for Payer: Self Pay Self Pay	$12.80
Rate for Payer: TriWest Medicare	$2.56
Rate for Payer: UnitedHealth Group of AZ Commercial	$9.33
Rate for Payer: UnitedHealth Group of AZ Medicare	$2.88

HIGHFLOW NASAL CANNULA

Facility

IP

$16.00

Hospital Charge Code	24153385
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna of AZ Commercial	$14.40
Rate for Payer: Bisbee Police All Plans	$4.16
Rate for Payer: Cash Price	$12.80
Rate for Payer: Self Pay Self Pay	$12.80

Hip And Femur Fracture Repair

Facility

IP

$8,388.74

Service Code	APR-DRG 3081
Hospital Charge Code	APRDRG3083
Min. Negotiated Rate	$8,388.74
Max. Negotiated Rate	$8,388.74
Rate for Payer: AHCCCS Medicaid	$8,388.74
Rate for Payer: Allwell Medicaid	$8,388.74
Rate for Payer: AZCH Complete Medicaid	$8,388.74
Rate for Payer: Banner UC Health Medicaid	$8,388.74
Rate for Payer: Mercy Care Medicaid	$8,388.74

Hip And Femur Fracture Repair

Facility

IP

$13,332.91

Service Code	APR-DRG 3083
Hospital Charge Code	APRDRG3084
Min. Negotiated Rate	$13,332.91
Max. Negotiated Rate	$13,332.91
Rate for Payer: AHCCCS Medicaid	$13,332.91
Rate for Payer: Allwell Medicaid	$13,332.91
Rate for Payer: AZCH Complete Medicaid	$13,332.91
Rate for Payer: Banner UC Health Medicaid	$13,332.91
Rate for Payer: Mercy Care Medicaid	$13,332.91

Hip And Femur Fracture Repair

Facility

IP

$19,971.66

Service Code	APR-DRG 3084
Hospital Charge Code	APRDRG3082
Min. Negotiated Rate	$19,971.66
Max. Negotiated Rate	$19,971.66
Rate for Payer: AHCCCS Medicaid	$19,971.66
Rate for Payer: Allwell Medicaid	$19,971.66
Rate for Payer: AZCH Complete Medicaid	$19,971.66
Rate for Payer: Banner UC Health Medicaid	$19,971.66
Rate for Payer: Mercy Care Medicaid	$19,971.66

Hip And Femur Fracture Repair

Facility

IP

$13,332.91

Service Code	APR-DRG 3083
Hospital Charge Code	APRDRG3083
Min. Negotiated Rate	$13,332.91
Max. Negotiated Rate	$13,332.91
Rate for Payer: AHCCCS Medicaid	$13,332.91
Rate for Payer: Allwell Medicaid	$13,332.91
Rate for Payer: AZCH Complete Medicaid	$13,332.91
Rate for Payer: Banner UC Health Medicaid	$13,332.91
Rate for Payer: Mercy Care Medicaid	$13,332.91

Hip And Femur Fracture Repair

Facility

IP

$13,332.91

Service Code	APR-DRG 3083
Hospital Charge Code	APRDRG3082
Min. Negotiated Rate	$13,332.91
Max. Negotiated Rate	$13,332.91
Rate for Payer: AHCCCS Medicaid	$13,332.91
Rate for Payer: Allwell Medicaid	$13,332.91
Rate for Payer: AZCH Complete Medicaid	$13,332.91
Rate for Payer: Banner UC Health Medicaid	$13,332.91
Rate for Payer: Mercy Care Medicaid	$13,332.91

Hip And Femur Fracture Repair

Facility

IP

$8,388.74

Service Code	APR-DRG 3081
Hospital Charge Code	APRDRG3084
Min. Negotiated Rate	$8,388.74
Max. Negotiated Rate	$8,388.74
Rate for Payer: AHCCCS Medicaid	$8,388.74
Rate for Payer: Allwell Medicaid	$8,388.74
Rate for Payer: AZCH Complete Medicaid	$8,388.74
Rate for Payer: Banner UC Health Medicaid	$8,388.74
Rate for Payer: Mercy Care Medicaid	$8,388.74

Hip And Femur Fracture Repair

Facility

IP

$9,774.71

Service Code	APR-DRG 3082
Hospital Charge Code	APRDRG3083
Min. Negotiated Rate	$9,774.71
Max. Negotiated Rate	$9,774.71
Rate for Payer: AHCCCS Medicaid	$9,774.71
Rate for Payer: Allwell Medicaid	$9,774.71
Rate for Payer: AZCH Complete Medicaid	$9,774.71
Rate for Payer: Banner UC Health Medicaid	$9,774.71
Rate for Payer: Mercy Care Medicaid	$9,774.71

Hip And Femur Fracture Repair

Facility

IP

$8,388.74

Service Code	APR-DRG 3081
Hospital Charge Code	APRDRG3082
Min. Negotiated Rate	$8,388.74
Max. Negotiated Rate	$8,388.74
Rate for Payer: AHCCCS Medicaid	$8,388.74
Rate for Payer: Allwell Medicaid	$8,388.74
Rate for Payer: AZCH Complete Medicaid	$8,388.74
Rate for Payer: Banner UC Health Medicaid	$8,388.74
Rate for Payer: Mercy Care Medicaid	$8,388.74

Hip And Femur Fracture Repair

Facility

IP

$9,774.71

Service Code	APR-DRG 3082
Hospital Charge Code	APRDRG3084
Min. Negotiated Rate	$9,774.71
Max. Negotiated Rate	$9,774.71
Rate for Payer: AHCCCS Medicaid	$9,774.71
Rate for Payer: Allwell Medicaid	$9,774.71
Rate for Payer: AZCH Complete Medicaid	$9,774.71
Rate for Payer: Banner UC Health Medicaid	$9,774.71
Rate for Payer: Mercy Care Medicaid	$9,774.71

Hip And Femur Fracture Repair

Facility

IP

$19,971.66

Service Code	APR-DRG 3084
Hospital Charge Code	APRDRG3081
Min. Negotiated Rate	$19,971.66
Max. Negotiated Rate	$19,971.66
Rate for Payer: AHCCCS Medicaid	$19,971.66
Rate for Payer: Allwell Medicaid	$19,971.66
Rate for Payer: AZCH Complete Medicaid	$19,971.66
Rate for Payer: Banner UC Health Medicaid	$19,971.66
Rate for Payer: Mercy Care Medicaid	$19,971.66

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