Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code APR-DRG 4233
Hospital Charge Code APRDRG4232
Min. Negotiated Rate $8,634.23
Max. Negotiated Rate $8,634.23
Rate for Payer: AHCCCS Medicaid $8,634.23
Rate for Payer: Allwell Medicaid $8,634.23
Rate for Payer: AZCH Complete Medicaid $8,634.23
Rate for Payer: Banner UC Health Medicaid $8,634.23
Rate for Payer: Mercy Care Medicaid $8,634.23
Service Code APR-DRG 4234
Hospital Charge Code APRDRG4233
Min. Negotiated Rate $20,239.60
Max. Negotiated Rate $20,239.60
Rate for Payer: AHCCCS Medicaid $20,239.60
Rate for Payer: Allwell Medicaid $20,239.60
Rate for Payer: AZCH Complete Medicaid $20,239.60
Rate for Payer: Banner UC Health Medicaid $20,239.60
Rate for Payer: Mercy Care Medicaid $20,239.60
Service Code APR-DRG 4234
Hospital Charge Code APRDRG4232
Min. Negotiated Rate $20,239.60
Max. Negotiated Rate $20,239.60
Rate for Payer: AHCCCS Medicaid $20,239.60
Rate for Payer: Allwell Medicaid $20,239.60
Rate for Payer: AZCH Complete Medicaid $20,239.60
Rate for Payer: Banner UC Health Medicaid $20,239.60
Rate for Payer: Mercy Care Medicaid $20,239.60
Service Code APR-DRG 4232
Hospital Charge Code APRDRG4233
Min. Negotiated Rate $5,705.19
Max. Negotiated Rate $5,705.19
Rate for Payer: AHCCCS Medicaid $5,705.19
Rate for Payer: Allwell Medicaid $5,705.19
Rate for Payer: AZCH Complete Medicaid $5,705.19
Rate for Payer: Banner UC Health Medicaid $5,705.19
Rate for Payer: Mercy Care Medicaid $5,705.19
Service Code APR-DRG 4231
Hospital Charge Code APRDRG4231
Min. Negotiated Rate $3,920.83
Max. Negotiated Rate $3,920.83
Rate for Payer: AHCCCS Medicaid $3,920.83
Rate for Payer: Allwell Medicaid $3,920.83
Rate for Payer: AZCH Complete Medicaid $3,920.83
Rate for Payer: Banner UC Health Medicaid $3,920.83
Rate for Payer: Mercy Care Medicaid $3,920.83
Service Code APR-DRG 4231
Hospital Charge Code APRDRG4232
Min. Negotiated Rate $3,920.83
Max. Negotiated Rate $3,920.83
Rate for Payer: AHCCCS Medicaid $3,920.83
Rate for Payer: Allwell Medicaid $3,920.83
Rate for Payer: AZCH Complete Medicaid $3,920.83
Rate for Payer: Banner UC Health Medicaid $3,920.83
Rate for Payer: Mercy Care Medicaid $3,920.83
Service Code APR-DRG 4232
Hospital Charge Code APRDRG4234
Min. Negotiated Rate $5,705.19
Max. Negotiated Rate $5,705.19
Rate for Payer: AHCCCS Medicaid $5,705.19
Rate for Payer: Allwell Medicaid $5,705.19
Rate for Payer: AZCH Complete Medicaid $5,705.19
Rate for Payer: Banner UC Health Medicaid $5,705.19
Rate for Payer: Mercy Care Medicaid $5,705.19
Service Code APR-DRG 4233
Hospital Charge Code APRDRG4233
Min. Negotiated Rate $8,634.23
Max. Negotiated Rate $8,634.23
Rate for Payer: AHCCCS Medicaid $8,634.23
Rate for Payer: Allwell Medicaid $8,634.23
Rate for Payer: AZCH Complete Medicaid $8,634.23
Rate for Payer: Banner UC Health Medicaid $8,634.23
Rate for Payer: Mercy Care Medicaid $8,634.23
Service Code APR-DRG 4234
Hospital Charge Code APRDRG4231
Min. Negotiated Rate $20,239.60
Max. Negotiated Rate $20,239.60
Rate for Payer: AHCCCS Medicaid $20,239.60
Rate for Payer: Allwell Medicaid $20,239.60
Rate for Payer: AZCH Complete Medicaid $20,239.60
Rate for Payer: Banner UC Health Medicaid $20,239.60
Rate for Payer: Mercy Care Medicaid $20,239.60
Service Code APR-DRG 4234
Hospital Charge Code APRDRG4234
Min. Negotiated Rate $20,239.60
Max. Negotiated Rate $20,239.60
Rate for Payer: AHCCCS Medicaid $20,239.60
Rate for Payer: Allwell Medicaid $20,239.60
Rate for Payer: AZCH Complete Medicaid $20,239.60
Rate for Payer: Banner UC Health Medicaid $20,239.60
Rate for Payer: Mercy Care Medicaid $20,239.60
Service Code APR-DRG 4231
Hospital Charge Code APRDRG4234
Min. Negotiated Rate $3,920.83
Max. Negotiated Rate $3,920.83
Rate for Payer: AHCCCS Medicaid $3,920.83
Rate for Payer: Allwell Medicaid $3,920.83
Rate for Payer: AZCH Complete Medicaid $3,920.83
Rate for Payer: Banner UC Health Medicaid $3,920.83
Rate for Payer: Mercy Care Medicaid $3,920.83
Service Code APR-DRG 4233
Hospital Charge Code APRDRG4234
Min. Negotiated Rate $8,634.23
Max. Negotiated Rate $8,634.23
Rate for Payer: AHCCCS Medicaid $8,634.23
Rate for Payer: Allwell Medicaid $8,634.23
Rate for Payer: AZCH Complete Medicaid $8,634.23
Rate for Payer: Banner UC Health Medicaid $8,634.23
Rate for Payer: Mercy Care Medicaid $8,634.23
Service Code APR-DRG 4232
Hospital Charge Code APRDRG4232
Min. Negotiated Rate $5,705.19
Max. Negotiated Rate $5,705.19
Rate for Payer: AHCCCS Medicaid $5,705.19
Rate for Payer: Allwell Medicaid $5,705.19
Rate for Payer: AZCH Complete Medicaid $5,705.19
Rate for Payer: Banner UC Health Medicaid $5,705.19
Rate for Payer: Mercy Care Medicaid $5,705.19
Service Code APR-DRG 4231
Hospital Charge Code APRDRG4233
Min. Negotiated Rate $3,920.83
Max. Negotiated Rate $3,920.83
Rate for Payer: AHCCCS Medicaid $3,920.83
Rate for Payer: Allwell Medicaid $3,920.83
Rate for Payer: AZCH Complete Medicaid $3,920.83
Rate for Payer: Banner UC Health Medicaid $3,920.83
Rate for Payer: Mercy Care Medicaid $3,920.83
Service Code APR-DRG 4232
Hospital Charge Code APRDRG4231
Min. Negotiated Rate $5,705.19
Max. Negotiated Rate $5,705.19
Rate for Payer: AHCCCS Medicaid $5,705.19
Rate for Payer: Allwell Medicaid $5,705.19
Rate for Payer: AZCH Complete Medicaid $5,705.19
Rate for Payer: Banner UC Health Medicaid $5,705.19
Rate for Payer: Mercy Care Medicaid $5,705.19
Service Code APR-DRG 4233
Hospital Charge Code APRDRG4231
Min. Negotiated Rate $8,634.23
Max. Negotiated Rate $8,634.23
Rate for Payer: AHCCCS Medicaid $8,634.23
Rate for Payer: Allwell Medicaid $8,634.23
Rate for Payer: AZCH Complete Medicaid $8,634.23
Rate for Payer: Banner UC Health Medicaid $8,634.23
Rate for Payer: Mercy Care Medicaid $8,634.23
Service Code CPT 94010
Hospital Charge Code 1886937
Hospital Revenue Code 412
Min. Negotiated Rate $21.58
Max. Negotiated Rate $74.70
Rate for Payer: Aetna of AZ Commercial $74.70
Rate for Payer: Bisbee Police All Plans $21.58
Rate for Payer: Cash Price $66.40
Rate for Payer: Self Pay Self Pay $66.40
Service Code CPT 94010
Hospital Charge Code 1886937
Hospital Revenue Code 412
Min. Negotiated Rate $12.45
Max. Negotiated Rate $202.34
Rate for Payer: Aetna of AZ Commercial $74.70
Rate for Payer: Aetna of AZ Medicare $23.24
Rate for Payer: AHCCCS Medicaid $202.34
Rate for Payer: Allwell Medicaid $202.34
Rate for Payer: Allwell Medicare $12.45
Rate for Payer: Amerigroup Medicare $12.45
Rate for Payer: APIPA Medicare/Medicaid $31.00
Rate for Payer: AZCH Complete Medicaid $202.34
Rate for Payer: AZCH Complete Medicare $12.45
Rate for Payer: Banner UC Health Medicaid $202.34
Rate for Payer: Banner UC Health Medicare $12.45
Rate for Payer: Bisbee Police All Plans $21.58
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $56.44
Rate for Payer: Cash Price $66.40
Rate for Payer: Cash Price $66.40
Rate for Payer: Cigna of AZ Commercial $58.10
Rate for Payer: Copperpoint Commercial $20.54
Rate for Payer: Health Net of AZ Commercial $49.80
Rate for Payer: Health Net of AZ Medicare $23.24
Rate for Payer: Humana of AZ Medicare $12.45
Rate for Payer: Mercy Care Medicaid $202.34
Rate for Payer: Self Pay Self Pay $66.40
Rate for Payer: TriWest Medicare $12.45
Rate for Payer: UnitedHealth Group of AZ Commercial $48.39
Rate for Payer: UnitedHealth Group of AZ Medicare $14.94
Service Code CPT 10061
Hospital Charge Code 24049283
Hospital Revenue Code 360
Min. Negotiated Rate $131.10
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $786.60
Rate for Payer: Aetna of AZ Medicare $244.72
Rate for Payer: AHCCCS Medicaid $501.46
Rate for Payer: Allwell Medicaid $501.46
Rate for Payer: Allwell Medicare $131.10
Rate for Payer: Amerigroup Medicare $131.10
Rate for Payer: APIPA Medicare/Medicaid $326.44
Rate for Payer: AZCH Complete Medicaid $501.46
Rate for Payer: AZCH Complete Medicare $131.10
Rate for Payer: Banner UC Health Medicaid $501.46
Rate for Payer: Banner UC Health Medicare $131.10
Rate for Payer: Bisbee Police All Plans $227.24
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $594.32
Rate for Payer: Cash Price $699.20
Rate for Payer: Cash Price $699.20
Rate for Payer: Cigna of AZ Commercial $437.00
Rate for Payer: Copperpoint Commercial $216.32
Rate for Payer: Health Net of AZ Commercial $524.40
Rate for Payer: Health Net of AZ Medicare $244.72
Rate for Payer: Humana of AZ Medicare $131.10
Rate for Payer: Mercy Care Medicaid $501.46
Rate for Payer: Self Pay Self Pay $699.20
Rate for Payer: TriWest Medicare $131.10
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $157.32
Service Code CPT 10061
Hospital Charge Code 24049283
Hospital Revenue Code 360
Min. Negotiated Rate $227.24
Max. Negotiated Rate $786.60
Rate for Payer: Aetna of AZ Commercial $786.60
Rate for Payer: Bisbee Police All Plans $227.24
Rate for Payer: Cash Price $699.20
Rate for Payer: Self Pay Self Pay $699.20
Service Code CPT 56420
Hospital Charge Code 23008149
Hospital Revenue Code 360
Min. Negotiated Rate $104.10
Max. Negotiated Rate $2,161.00
Rate for Payer: Aetna of AZ Commercial $624.60
Rate for Payer: Aetna of AZ Medicare $194.32
Rate for Payer: AHCCCS Medicaid $246.96
Rate for Payer: Allwell Medicaid $246.96
Rate for Payer: Allwell Medicare $104.10
Rate for Payer: Amerigroup Medicare $104.10
Rate for Payer: APIPA Medicare/Medicaid $259.21
Rate for Payer: AZCH Complete Medicaid $246.96
Rate for Payer: AZCH Complete Medicare $104.10
Rate for Payer: Banner UC Health Medicaid $246.96
Rate for Payer: Banner UC Health Medicare $104.10
Rate for Payer: Bisbee Police All Plans $180.44
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $471.92
Rate for Payer: Cash Price $555.20
Rate for Payer: Cash Price $555.20
Rate for Payer: Cigna of AZ Commercial $347.00
Rate for Payer: Copperpoint Commercial $171.76
Rate for Payer: Health Net of AZ Commercial $416.40
Rate for Payer: Health Net of AZ Medicare $194.32
Rate for Payer: Humana of AZ Medicare $104.10
Rate for Payer: Mercy Care Medicaid $246.96
Rate for Payer: Self Pay Self Pay $555.20
Rate for Payer: TriWest Medicare $104.10
Rate for Payer: UnitedHealth Group of AZ Commercial $2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare $124.92
Service Code CPT 56420
Hospital Charge Code 23008149
Hospital Revenue Code 360
Min. Negotiated Rate $180.44
Max. Negotiated Rate $624.60
Rate for Payer: Aetna of AZ Commercial $624.60
Rate for Payer: Bisbee Police All Plans $180.44
Rate for Payer: Cash Price $555.20
Rate for Payer: Self Pay Self Pay $555.20
Service Code CPT 10121
Hospital Charge Code 24049284
Hospital Revenue Code 360
Min. Negotiated Rate $234.26
Max. Negotiated Rate $810.90
Rate for Payer: Aetna of AZ Commercial $810.90
Rate for Payer: Bisbee Police All Plans $234.26
Rate for Payer: Cash Price $720.80
Rate for Payer: Self Pay Self Pay $720.80
Service Code CPT 10121
Hospital Charge Code 24049284
Hospital Revenue Code 360
Min. Negotiated Rate $135.15
Max. Negotiated Rate $2,909.00
Rate for Payer: Aetna of AZ Commercial $810.90
Rate for Payer: Aetna of AZ Medicare $252.28
Rate for Payer: AHCCCS Medicaid $2,040.16
Rate for Payer: Allwell Medicaid $2,040.16
Rate for Payer: Allwell Medicare $135.15
Rate for Payer: Amerigroup Medicare $135.15
Rate for Payer: APIPA Medicare/Medicaid $336.52
Rate for Payer: AZCH Complete Medicaid $2,040.16
Rate for Payer: AZCH Complete Medicare $135.15
Rate for Payer: Banner UC Health Medicaid $2,040.16
Rate for Payer: Banner UC Health Medicare $135.15
Rate for Payer: Bisbee Police All Plans $234.26
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $612.68
Rate for Payer: Cash Price $720.80
Rate for Payer: Cash Price $720.80
Rate for Payer: Cigna of AZ Commercial $450.50
Rate for Payer: Copperpoint Commercial $223.00
Rate for Payer: Health Net of AZ Commercial $540.60
Rate for Payer: Health Net of AZ Medicare $252.28
Rate for Payer: Humana of AZ Medicare $135.15
Rate for Payer: Mercy Care Medicaid $2,040.16
Rate for Payer: Self Pay Self Pay $720.80
Rate for Payer: TriWest Medicare $135.15
Rate for Payer: UnitedHealth Group of AZ Commercial $2,909.00
Rate for Payer: UnitedHealth Group of AZ Medicare $162.18
Service Code HCPCS J1306
Hospital Charge Code 242946825
Hospital Revenue Code 250
Min. Negotiated Rate $586.11
Max. Negotiated Rate $2,028.85
Rate for Payer: Aetna of AZ Commercial $2,028.85
Rate for Payer: Bisbee Police All Plans $586.11
Rate for Payer: Cash Price $1,803.42
Rate for Payer: Self Pay Self Pay $1,803.42