Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

KIT LAPAROSCOPIC MORCELLATOR

Facility

IP

$3,378.00

Hospital Charge Code	22354835
Hospital Revenue Code	270
Min. Negotiated Rate	$878.28
Max. Negotiated Rate	$3,040.20
Rate for Payer: Aetna of AZ Commercial	$3,040.20
Rate for Payer: Bisbee Police All Plans	$878.28
Rate for Payer: Cash Price	$2,702.40
Rate for Payer: Self Pay Self Pay	$2,702.40

KIT LAPAROSCOPIC MORCELLATOR

Facility

OP

$3,378.00

Hospital Charge Code	22354835
Hospital Revenue Code	270
Min. Negotiated Rate	$540.48
Max. Negotiated Rate	$3,040.20
Rate for Payer: Aetna of AZ Commercial	$3,040.20
Rate for Payer: Aetna of AZ Medicare	$945.84
Rate for Payer: Allwell Medicare	$540.48
Rate for Payer: Amerigroup Medicare	$540.48
Rate for Payer: APIPA Medicare/Medicaid	$1,261.68
Rate for Payer: AZCH Complete Medicare	$540.48
Rate for Payer: Banner UC Health Medicare	$540.48
Rate for Payer: Bisbee Police All Plans	$878.28
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$2,297.04
Rate for Payer: Cash Price	$2,702.40
Rate for Payer: Cigna of AZ Commercial	$2,364.60
Rate for Payer: Copperpoint Commercial	$836.05
Rate for Payer: Health Net of AZ Commercial	$2,026.80
Rate for Payer: Health Net of AZ Medicare	$945.84
Rate for Payer: Humana of AZ Medicare	$540.48
Rate for Payer: Self Pay Self Pay	$2,702.40
Rate for Payer: TriWest Medicare	$540.48
Rate for Payer: UnitedHealth Group of AZ Commercial	$1,969.37
Rate for Payer: UnitedHealth Group of AZ Medicare	$608.04

Knee And Lower Leg Procedures Except Foot

Facility

IP

$11,014.79

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG3132
Min. Negotiated Rate	$11,014.79
Max. Negotiated Rate	$11,014.79
Rate for Payer: AHCCCS Medicaid	$11,014.79
Rate for Payer: Allwell Medicaid	$11,014.79
Rate for Payer: AZCH Complete Medicaid	$11,014.79
Rate for Payer: Banner UC Health Medicaid	$11,014.79
Rate for Payer: Mercy Care Medicaid	$11,014.79

Knee And Lower Leg Procedures Except Foot

Facility

IP

$17,227.09

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG3132
Min. Negotiated Rate	$17,227.09
Max. Negotiated Rate	$17,227.09
Rate for Payer: AHCCCS Medicaid	$17,227.09
Rate for Payer: Allwell Medicaid	$17,227.09
Rate for Payer: AZCH Complete Medicaid	$17,227.09
Rate for Payer: Banner UC Health Medicaid	$17,227.09
Rate for Payer: Mercy Care Medicaid	$17,227.09

Knee And Lower Leg Procedures Except Foot

Facility

IP

$8,129.93

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG3133
Min. Negotiated Rate	$8,129.93
Max. Negotiated Rate	$8,129.93
Rate for Payer: AHCCCS Medicaid	$8,129.93
Rate for Payer: Allwell Medicaid	$8,129.93
Rate for Payer: AZCH Complete Medicaid	$8,129.93
Rate for Payer: Banner UC Health Medicaid	$8,129.93
Rate for Payer: Mercy Care Medicaid	$8,129.93

Knee And Lower Leg Procedures Except Foot

Facility

IP

$28,088.97

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG3133
Min. Negotiated Rate	$28,088.97
Max. Negotiated Rate	$28,088.97
Rate for Payer: AHCCCS Medicaid	$28,088.97
Rate for Payer: Allwell Medicaid	$28,088.97
Rate for Payer: AZCH Complete Medicaid	$28,088.97
Rate for Payer: Banner UC Health Medicaid	$28,088.97
Rate for Payer: Mercy Care Medicaid	$28,088.97

Knee And Lower Leg Procedures Except Foot

Facility

IP

$28,088.97

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG3134
Min. Negotiated Rate	$28,088.97
Max. Negotiated Rate	$28,088.97
Rate for Payer: AHCCCS Medicaid	$28,088.97
Rate for Payer: Allwell Medicaid	$28,088.97
Rate for Payer: AZCH Complete Medicaid	$28,088.97
Rate for Payer: Banner UC Health Medicaid	$28,088.97
Rate for Payer: Mercy Care Medicaid	$28,088.97

Knee And Lower Leg Procedures Except Foot

Facility

IP

$8,129.93

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG3134
Min. Negotiated Rate	$8,129.93
Max. Negotiated Rate	$8,129.93
Rate for Payer: AHCCCS Medicaid	$8,129.93
Rate for Payer: Allwell Medicaid	$8,129.93
Rate for Payer: AZCH Complete Medicaid	$8,129.93
Rate for Payer: Banner UC Health Medicaid	$8,129.93
Rate for Payer: Mercy Care Medicaid	$8,129.93

Knee And Lower Leg Procedures Except Foot

Facility

IP

$28,088.97

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG3131
Min. Negotiated Rate	$28,088.97
Max. Negotiated Rate	$28,088.97
Rate for Payer: AHCCCS Medicaid	$28,088.97
Rate for Payer: Allwell Medicaid	$28,088.97
Rate for Payer: AZCH Complete Medicaid	$28,088.97
Rate for Payer: Banner UC Health Medicaid	$28,088.97
Rate for Payer: Mercy Care Medicaid	$28,088.97

Knee And Lower Leg Procedures Except Foot

Facility

IP

$17,227.09

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG3134
Min. Negotiated Rate	$17,227.09
Max. Negotiated Rate	$17,227.09
Rate for Payer: AHCCCS Medicaid	$17,227.09
Rate for Payer: Allwell Medicaid	$17,227.09
Rate for Payer: AZCH Complete Medicaid	$17,227.09
Rate for Payer: Banner UC Health Medicaid	$17,227.09
Rate for Payer: Mercy Care Medicaid	$17,227.09

Knee And Lower Leg Procedures Except Foot

Facility

IP

$11,014.79

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG3133
Min. Negotiated Rate	$11,014.79
Max. Negotiated Rate	$11,014.79
Rate for Payer: AHCCCS Medicaid	$11,014.79
Rate for Payer: Allwell Medicaid	$11,014.79
Rate for Payer: AZCH Complete Medicaid	$11,014.79
Rate for Payer: Banner UC Health Medicaid	$11,014.79
Rate for Payer: Mercy Care Medicaid	$11,014.79

Knee And Lower Leg Procedures Except Foot

Facility

IP

$17,227.09

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG3131
Min. Negotiated Rate	$17,227.09
Max. Negotiated Rate	$17,227.09
Rate for Payer: AHCCCS Medicaid	$17,227.09
Rate for Payer: Allwell Medicaid	$17,227.09
Rate for Payer: AZCH Complete Medicaid	$17,227.09
Rate for Payer: Banner UC Health Medicaid	$17,227.09
Rate for Payer: Mercy Care Medicaid	$17,227.09

Knee And Lower Leg Procedures Except Foot

Facility

IP

$11,014.79

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG3134
Min. Negotiated Rate	$11,014.79
Max. Negotiated Rate	$11,014.79
Rate for Payer: AHCCCS Medicaid	$11,014.79
Rate for Payer: Allwell Medicaid	$11,014.79
Rate for Payer: AZCH Complete Medicaid	$11,014.79
Rate for Payer: Banner UC Health Medicaid	$11,014.79
Rate for Payer: Mercy Care Medicaid	$11,014.79

Knee And Lower Leg Procedures Except Foot

Facility

IP

$17,227.09

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG3133
Min. Negotiated Rate	$17,227.09
Max. Negotiated Rate	$17,227.09
Rate for Payer: AHCCCS Medicaid	$17,227.09
Rate for Payer: Allwell Medicaid	$17,227.09
Rate for Payer: AZCH Complete Medicaid	$17,227.09
Rate for Payer: Banner UC Health Medicaid	$17,227.09
Rate for Payer: Mercy Care Medicaid	$17,227.09

Knee And Lower Leg Procedures Except Foot

Facility

IP

$8,129.93

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG3131
Min. Negotiated Rate	$8,129.93
Max. Negotiated Rate	$8,129.93
Rate for Payer: AHCCCS Medicaid	$8,129.93
Rate for Payer: Allwell Medicaid	$8,129.93
Rate for Payer: AZCH Complete Medicaid	$8,129.93
Rate for Payer: Banner UC Health Medicaid	$8,129.93
Rate for Payer: Mercy Care Medicaid	$8,129.93

Knee And Lower Leg Procedures Except Foot

Facility

IP

$11,014.79

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG3131
Min. Negotiated Rate	$11,014.79
Max. Negotiated Rate	$11,014.79
Rate for Payer: AHCCCS Medicaid	$11,014.79
Rate for Payer: Allwell Medicaid	$11,014.79
Rate for Payer: AZCH Complete Medicaid	$11,014.79
Rate for Payer: Banner UC Health Medicaid	$11,014.79
Rate for Payer: Mercy Care Medicaid	$11,014.79

Knee And Lower Leg Procedures Except Foot

Facility

IP

$28,088.97

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG3132
Min. Negotiated Rate	$28,088.97
Max. Negotiated Rate	$28,088.97
Rate for Payer: AHCCCS Medicaid	$28,088.97
Rate for Payer: Allwell Medicaid	$28,088.97
Rate for Payer: AZCH Complete Medicaid	$28,088.97
Rate for Payer: Banner UC Health Medicaid	$28,088.97
Rate for Payer: Mercy Care Medicaid	$28,088.97

Knee And Lower Leg Procedures Except Foot

Facility

IP

$8,129.93

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG3132
Min. Negotiated Rate	$8,129.93
Max. Negotiated Rate	$8,129.93
Rate for Payer: AHCCCS Medicaid	$8,129.93
Rate for Payer: Allwell Medicaid	$8,129.93
Rate for Payer: AZCH Complete Medicaid	$8,129.93
Rate for Payer: Banner UC Health Medicaid	$8,129.93
Rate for Payer: Mercy Care Medicaid	$8,129.93

KNEE IMMOBILIZER 16

Facility

IP

$78.00

Hospital Charge Code	22354185
Hospital Revenue Code	270
Min. Negotiated Rate	$20.28
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna of AZ Commercial	$70.20
Rate for Payer: Bisbee Police All Plans	$20.28
Rate for Payer: Cash Price	$62.40
Rate for Payer: Self Pay Self Pay	$62.40

KNEE IMMOBILIZER 16

Facility

OP

$78.00

Hospital Charge Code	22354185
Hospital Revenue Code	270
Min. Negotiated Rate	$12.48
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna of AZ Commercial	$70.20
Rate for Payer: Aetna of AZ Medicare	$21.84
Rate for Payer: Allwell Medicare	$12.48
Rate for Payer: Amerigroup Medicare	$12.48
Rate for Payer: APIPA Medicare/Medicaid	$29.13
Rate for Payer: AZCH Complete Medicare	$12.48
Rate for Payer: Banner UC Health Medicare	$12.48
Rate for Payer: Bisbee Police All Plans	$20.28
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$53.04
Rate for Payer: Cash Price	$62.40
Rate for Payer: Cigna of AZ Commercial	$54.60
Rate for Payer: Copperpoint Commercial	$19.30
Rate for Payer: Health Net of AZ Commercial	$46.80
Rate for Payer: Health Net of AZ Medicare	$21.84
Rate for Payer: Humana of AZ Medicare	$12.48
Rate for Payer: Self Pay Self Pay	$62.40
Rate for Payer: TriWest Medicare	$12.48
Rate for Payer: UnitedHealth Group of AZ Commercial	$45.47
Rate for Payer: UnitedHealth Group of AZ Medicare	$14.04

KWIRE 100MM ONE BLUNT

Facility

IP

$168.00

Hospital Charge Code	27341813
Hospital Revenue Code	270
Min. Negotiated Rate	$43.68
Max. Negotiated Rate	$151.20
Rate for Payer: Aetna of AZ Commercial	$151.20
Rate for Payer: Bisbee Police All Plans	$43.68
Rate for Payer: Cash Price	$134.40
Rate for Payer: Self Pay Self Pay	$134.40

KWIRE 100MM ONE BLUNT

Facility

OP

$168.00

Hospital Charge Code	27341813
Hospital Revenue Code	270
Min. Negotiated Rate	$26.88
Max. Negotiated Rate	$151.20
Rate for Payer: Aetna of AZ Commercial	$151.20
Rate for Payer: Aetna of AZ Medicare	$47.04
Rate for Payer: Allwell Medicare	$26.88
Rate for Payer: Amerigroup Medicare	$26.88
Rate for Payer: APIPA Medicare/Medicaid	$62.75
Rate for Payer: AZCH Complete Medicare	$26.88
Rate for Payer: Banner UC Health Medicare	$26.88
Rate for Payer: Bisbee Police All Plans	$43.68
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$114.24
Rate for Payer: Cash Price	$134.40
Rate for Payer: Cigna of AZ Commercial	$117.60
Rate for Payer: Copperpoint Commercial	$41.58
Rate for Payer: Health Net of AZ Commercial	$100.80
Rate for Payer: Health Net of AZ Medicare	$47.04
Rate for Payer: Humana of AZ Medicare	$26.88
Rate for Payer: Self Pay Self Pay	$134.40
Rate for Payer: TriWest Medicare	$26.88
Rate for Payer: UnitedHealth Group of AZ Commercial	$97.94
Rate for Payer: UnitedHealth Group of AZ Medicare	$30.24

KWIRE SMOOTH DOUBLE TORCAR .45INX9IN

Facility

IP

$41.00

Hospital Charge Code	24100618
Hospital Revenue Code	270
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Bisbee Police All Plans	$10.66
Rate for Payer: Cash Price	$32.80
Rate for Payer: Self Pay Self Pay	$32.80

KWIRE SMOOTH DOUBLE TORCAR .45INX9IN

Facility

OP

$41.00

Hospital Charge Code	24100618
Hospital Revenue Code	270
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Aetna of AZ Medicare	$11.48
Rate for Payer: Allwell Medicare	$6.56
Rate for Payer: Amerigroup Medicare	$6.56
Rate for Payer: APIPA Medicare/Medicaid	$15.31
Rate for Payer: AZCH Complete Medicare	$6.56
Rate for Payer: Banner UC Health Medicare	$6.56
Rate for Payer: Bisbee Police All Plans	$10.66
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$27.88
Rate for Payer: Cash Price	$32.80
Rate for Payer: Cigna of AZ Commercial	$28.70
Rate for Payer: Copperpoint Commercial	$10.15
Rate for Payer: Health Net of AZ Commercial	$24.60
Rate for Payer: Health Net of AZ Medicare	$11.48
Rate for Payer: Humana of AZ Medicare	$6.56
Rate for Payer: Self Pay Self Pay	$32.80
Rate for Payer: TriWest Medicare	$6.56
Rate for Payer: UnitedHealth Group of AZ Commercial	$23.90
Rate for Payer: UnitedHealth Group of AZ Medicare	$7.38

KWIRE SMOOTH DOUBLE TROCAR 035INX9IN

Facility

IP

$41.00

Hospital Charge Code	24100620
Hospital Revenue Code	270
Min. Negotiated Rate	$10.66
Max. Negotiated Rate	$36.90
Rate for Payer: Aetna of AZ Commercial	$36.90
Rate for Payer: Bisbee Police All Plans	$10.66
Rate for Payer: Cash Price	$32.80
Rate for Payer: Self Pay Self Pay	$32.80

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