Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Hypertension

Facility

IP

$5,703.08

Service Code	APR-DRG 1993
Hospital Charge Code	APRDRG1993
Min. Negotiated Rate	$5,703.08
Max. Negotiated Rate	$5,703.08
Rate for Payer: AHCCCS Medicaid	$5,703.08
Rate for Payer: Allwell Medicaid	$5,703.08
Rate for Payer: AZCH Complete Medicaid	$5,703.08
Rate for Payer: Banner UC Health Medicaid	$5,703.08
Rate for Payer: Mercy Care Medicaid	$5,703.08

Hypertension

Facility

IP

$9,200.97

Service Code	APR-DRG 1994
Hospital Charge Code	APRDRG1993
Min. Negotiated Rate	$9,200.97
Max. Negotiated Rate	$9,200.97
Rate for Payer: AHCCCS Medicaid	$9,200.97
Rate for Payer: Allwell Medicaid	$9,200.97
Rate for Payer: AZCH Complete Medicaid	$9,200.97
Rate for Payer: Banner UC Health Medicaid	$9,200.97
Rate for Payer: Mercy Care Medicaid	$9,200.97

Hypertension

Facility

IP

$3,474.03

Service Code	APR-DRG 1991
Hospital Charge Code	APRDRG1991
Min. Negotiated Rate	$3,474.03
Max. Negotiated Rate	$3,474.03
Rate for Payer: AHCCCS Medicaid	$3,474.03
Rate for Payer: Allwell Medicaid	$3,474.03
Rate for Payer: AZCH Complete Medicaid	$3,474.03
Rate for Payer: Banner UC Health Medicaid	$3,474.03
Rate for Payer: Mercy Care Medicaid	$3,474.03

Hypertension

Facility

IP

$5,703.08

Service Code	APR-DRG 1993
Hospital Charge Code	APRDRG1991
Min. Negotiated Rate	$5,703.08
Max. Negotiated Rate	$5,703.08
Rate for Payer: AHCCCS Medicaid	$5,703.08
Rate for Payer: Allwell Medicaid	$5,703.08
Rate for Payer: AZCH Complete Medicaid	$5,703.08
Rate for Payer: Banner UC Health Medicaid	$5,703.08
Rate for Payer: Mercy Care Medicaid	$5,703.08

Hypertension

Facility

IP

$4,081.45

Service Code	APR-DRG 1992
Hospital Charge Code	APRDRG1993
Min. Negotiated Rate	$4,081.45
Max. Negotiated Rate	$4,081.45
Rate for Payer: AHCCCS Medicaid	$4,081.45
Rate for Payer: Allwell Medicaid	$4,081.45
Rate for Payer: AZCH Complete Medicaid	$4,081.45
Rate for Payer: Banner UC Health Medicaid	$4,081.45
Rate for Payer: Mercy Care Medicaid	$4,081.45

Hypertension

Facility

IP

$9,200.97

Service Code	APR-DRG 1994
Hospital Charge Code	APRDRG1991
Min. Negotiated Rate	$9,200.97
Max. Negotiated Rate	$9,200.97
Rate for Payer: AHCCCS Medicaid	$9,200.97
Rate for Payer: Allwell Medicaid	$9,200.97
Rate for Payer: AZCH Complete Medicaid	$9,200.97
Rate for Payer: Banner UC Health Medicaid	$9,200.97
Rate for Payer: Mercy Care Medicaid	$9,200.97

Hypertension

Facility

IP

$4,081.45

Service Code	APR-DRG 1992
Hospital Charge Code	APRDRG1994
Min. Negotiated Rate	$4,081.45
Max. Negotiated Rate	$4,081.45
Rate for Payer: AHCCCS Medicaid	$4,081.45
Rate for Payer: Allwell Medicaid	$4,081.45
Rate for Payer: AZCH Complete Medicaid	$4,081.45
Rate for Payer: Banner UC Health Medicaid	$4,081.45
Rate for Payer: Mercy Care Medicaid	$4,081.45

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$2,471.73

Service Code	APR-DRG 4221
Hospital Charge Code	APRDRG4223
Min. Negotiated Rate	$2,471.73
Max. Negotiated Rate	$2,471.73
Rate for Payer: AHCCCS Medicaid	$2,471.73
Rate for Payer: Allwell Medicaid	$2,471.73
Rate for Payer: AZCH Complete Medicaid	$2,471.73
Rate for Payer: Banner UC Health Medicaid	$2,471.73
Rate for Payer: Mercy Care Medicaid	$2,471.73

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$2,471.73

Service Code	APR-DRG 4221
Hospital Charge Code	APRDRG4224
Min. Negotiated Rate	$2,471.73
Max. Negotiated Rate	$2,471.73
Rate for Payer: AHCCCS Medicaid	$2,471.73
Rate for Payer: Allwell Medicaid	$2,471.73
Rate for Payer: AZCH Complete Medicaid	$2,471.73
Rate for Payer: Banner UC Health Medicaid	$2,471.73
Rate for Payer: Mercy Care Medicaid	$2,471.73

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$3,302.19

Service Code	APR-DRG 4222
Hospital Charge Code	APRDRG4223
Min. Negotiated Rate	$3,302.19
Max. Negotiated Rate	$3,302.19
Rate for Payer: AHCCCS Medicaid	$3,302.19
Rate for Payer: Allwell Medicaid	$3,302.19
Rate for Payer: AZCH Complete Medicaid	$3,302.19
Rate for Payer: Banner UC Health Medicaid	$3,302.19
Rate for Payer: Mercy Care Medicaid	$3,302.19

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$3,302.19

Service Code	APR-DRG 4222
Hospital Charge Code	APRDRG4224
Min. Negotiated Rate	$3,302.19
Max. Negotiated Rate	$3,302.19
Rate for Payer: AHCCCS Medicaid	$3,302.19
Rate for Payer: Allwell Medicaid	$3,302.19
Rate for Payer: AZCH Complete Medicaid	$3,302.19
Rate for Payer: Banner UC Health Medicaid	$3,302.19
Rate for Payer: Mercy Care Medicaid	$3,302.19

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$5,028.34

Service Code	APR-DRG 4223
Hospital Charge Code	APRDRG4221
Min. Negotiated Rate	$5,028.34
Max. Negotiated Rate	$5,028.34
Rate for Payer: AHCCCS Medicaid	$5,028.34
Rate for Payer: Allwell Medicaid	$5,028.34
Rate for Payer: AZCH Complete Medicaid	$5,028.34
Rate for Payer: Banner UC Health Medicaid	$5,028.34
Rate for Payer: Mercy Care Medicaid	$5,028.34

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$5,028.34

Service Code	APR-DRG 4223
Hospital Charge Code	APRDRG4223
Min. Negotiated Rate	$5,028.34
Max. Negotiated Rate	$5,028.34
Rate for Payer: AHCCCS Medicaid	$5,028.34
Rate for Payer: Allwell Medicaid	$5,028.34
Rate for Payer: AZCH Complete Medicaid	$5,028.34
Rate for Payer: Banner UC Health Medicaid	$5,028.34
Rate for Payer: Mercy Care Medicaid	$5,028.34

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$3,302.19

Service Code	APR-DRG 4222
Hospital Charge Code	APRDRG4222
Min. Negotiated Rate	$3,302.19
Max. Negotiated Rate	$3,302.19
Rate for Payer: AHCCCS Medicaid	$3,302.19
Rate for Payer: Allwell Medicaid	$3,302.19
Rate for Payer: AZCH Complete Medicaid	$3,302.19
Rate for Payer: Banner UC Health Medicaid	$3,302.19
Rate for Payer: Mercy Care Medicaid	$3,302.19

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$3,302.19

Service Code	APR-DRG 4222
Hospital Charge Code	APRDRG4221
Min. Negotiated Rate	$3,302.19
Max. Negotiated Rate	$3,302.19
Rate for Payer: AHCCCS Medicaid	$3,302.19
Rate for Payer: Allwell Medicaid	$3,302.19
Rate for Payer: AZCH Complete Medicaid	$3,302.19
Rate for Payer: Banner UC Health Medicaid	$3,302.19
Rate for Payer: Mercy Care Medicaid	$3,302.19

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$10,095.25

Service Code	APR-DRG 4224
Hospital Charge Code	APRDRG4223
Min. Negotiated Rate	$10,095.25
Max. Negotiated Rate	$10,095.25
Rate for Payer: AHCCCS Medicaid	$10,095.25
Rate for Payer: Allwell Medicaid	$10,095.25
Rate for Payer: AZCH Complete Medicaid	$10,095.25
Rate for Payer: Banner UC Health Medicaid	$10,095.25
Rate for Payer: Mercy Care Medicaid	$10,095.25

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$10,095.25

Service Code	APR-DRG 4224
Hospital Charge Code	APRDRG4224
Min. Negotiated Rate	$10,095.25
Max. Negotiated Rate	$10,095.25
Rate for Payer: AHCCCS Medicaid	$10,095.25
Rate for Payer: Allwell Medicaid	$10,095.25
Rate for Payer: AZCH Complete Medicaid	$10,095.25
Rate for Payer: Banner UC Health Medicaid	$10,095.25
Rate for Payer: Mercy Care Medicaid	$10,095.25

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$10,095.25

Service Code	APR-DRG 4224
Hospital Charge Code	APRDRG4221
Min. Negotiated Rate	$10,095.25
Max. Negotiated Rate	$10,095.25
Rate for Payer: AHCCCS Medicaid	$10,095.25
Rate for Payer: Allwell Medicaid	$10,095.25
Rate for Payer: AZCH Complete Medicaid	$10,095.25
Rate for Payer: Banner UC Health Medicaid	$10,095.25
Rate for Payer: Mercy Care Medicaid	$10,095.25

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$2,471.73

Service Code	APR-DRG 4221
Hospital Charge Code	APRDRG4221
Min. Negotiated Rate	$2,471.73
Max. Negotiated Rate	$2,471.73
Rate for Payer: AHCCCS Medicaid	$2,471.73
Rate for Payer: Allwell Medicaid	$2,471.73
Rate for Payer: AZCH Complete Medicaid	$2,471.73
Rate for Payer: Banner UC Health Medicaid	$2,471.73
Rate for Payer: Mercy Care Medicaid	$2,471.73

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$5,028.34

Service Code	APR-DRG 4223
Hospital Charge Code	APRDRG4222
Min. Negotiated Rate	$5,028.34
Max. Negotiated Rate	$5,028.34
Rate for Payer: AHCCCS Medicaid	$5,028.34
Rate for Payer: Allwell Medicaid	$5,028.34
Rate for Payer: AZCH Complete Medicaid	$5,028.34
Rate for Payer: Banner UC Health Medicaid	$5,028.34
Rate for Payer: Mercy Care Medicaid	$5,028.34

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$5,028.34

Service Code	APR-DRG 4223
Hospital Charge Code	APRDRG4224
Min. Negotiated Rate	$5,028.34
Max. Negotiated Rate	$5,028.34
Rate for Payer: AHCCCS Medicaid	$5,028.34
Rate for Payer: Allwell Medicaid	$5,028.34
Rate for Payer: AZCH Complete Medicaid	$5,028.34
Rate for Payer: Banner UC Health Medicaid	$5,028.34
Rate for Payer: Mercy Care Medicaid	$5,028.34

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$10,095.25

Service Code	APR-DRG 4224
Hospital Charge Code	APRDRG4222
Min. Negotiated Rate	$10,095.25
Max. Negotiated Rate	$10,095.25
Rate for Payer: AHCCCS Medicaid	$10,095.25
Rate for Payer: Allwell Medicaid	$10,095.25
Rate for Payer: AZCH Complete Medicaid	$10,095.25
Rate for Payer: Banner UC Health Medicaid	$10,095.25
Rate for Payer: Mercy Care Medicaid	$10,095.25

Hypovolemia And Related Electrolyte Disorders

Facility

IP

$2,471.73

Service Code	APR-DRG 4221
Hospital Charge Code	APRDRG4222
Min. Negotiated Rate	$2,471.73
Max. Negotiated Rate	$2,471.73
Rate for Payer: AHCCCS Medicaid	$2,471.73
Rate for Payer: Allwell Medicaid	$2,471.73
Rate for Payer: AZCH Complete Medicaid	$2,471.73
Rate for Payer: Banner UC Health Medicaid	$2,471.73
Rate for Payer: Mercy Care Medicaid	$2,471.73

Hysteroscopy diagnostic

Facility

IP

$824.00

Service Code	CPT 58555
Hospital Charge Code	27267836
Hospital Revenue Code	360
Min. Negotiated Rate	$214.24
Max. Negotiated Rate	$741.60
Rate for Payer: Aetna of AZ Commercial	$741.60
Rate for Payer: Bisbee Police All Plans	$214.24
Rate for Payer: Cash Price	$659.20
Rate for Payer: Self Pay Self Pay	$659.20

Hysteroscopy diagnostic

Facility

OP

$824.00

Service Code	CPT 58555
Hospital Charge Code	27267836
Hospital Revenue Code	360
Min. Negotiated Rate	$131.84
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$741.60
Rate for Payer: Aetna of AZ Medicare	$230.72
Rate for Payer: AHCCCS Medicaid	$1,901.83
Rate for Payer: Allwell Medicaid	$1,901.83
Rate for Payer: Allwell Medicare	$131.84
Rate for Payer: Amerigroup Medicare	$131.84
Rate for Payer: APIPA Medicare/Medicaid	$307.76
Rate for Payer: AZCH Complete Medicaid	$1,901.83
Rate for Payer: AZCH Complete Medicare	$131.84
Rate for Payer: Banner UC Health Medicaid	$1,901.83
Rate for Payer: Banner UC Health Medicare	$131.84
Rate for Payer: Bisbee Police All Plans	$214.24
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$560.32
Rate for Payer: Cash Price	$659.20
Rate for Payer: Cash Price	$659.20
Rate for Payer: Cigna of AZ Commercial	$412.00
Rate for Payer: Copperpoint Commercial	$203.94
Rate for Payer: Health Net of AZ Commercial	$494.40
Rate for Payer: Health Net of AZ Medicare	$230.72
Rate for Payer: Humana of AZ Medicare	$131.84
Rate for Payer: Mercy Care Medicaid	$1,901.83
Rate for Payer: Self Pay Self Pay	$659.20
Rate for Payer: TriWest Medicare	$131.84
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$148.32

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