Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0011
Hospital Charge Code	APRDRG0011
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$55,504.59

Service Code	APR-DRG 0013
Hospital Charge Code	APRDRG0014
Min. Negotiated Rate	$55,504.59
Max. Negotiated Rate	$55,504.59
Rate for Payer: AHCCCS Medicaid	$55,504.59
Rate for Payer: Allwell Medicaid	$55,504.59
Rate for Payer: AZCH Complete Medicaid	$55,504.59
Rate for Payer: Banner UC Health Medicaid	$55,504.59
Rate for Payer: Mercy Care Medicaid	$55,504.59

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$117,754.54

Service Code	APR-DRG 0014
Hospital Charge Code	APRDRG0014
Min. Negotiated Rate	$117,754.54
Max. Negotiated Rate	$117,754.54
Rate for Payer: AHCCCS Medicaid	$117,754.54
Rate for Payer: Allwell Medicaid	$117,754.54
Rate for Payer: AZCH Complete Medicaid	$117,754.54
Rate for Payer: Banner UC Health Medicaid	$117,754.54
Rate for Payer: Mercy Care Medicaid	$117,754.54

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0012
Hospital Charge Code	APRDRG0011
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0012
Hospital Charge Code	APRDRG0013
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0012
Hospital Charge Code	APRDRG0014
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0011
Hospital Charge Code	APRDRG0013
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$55,504.59

Service Code	APR-DRG 0013
Hospital Charge Code	APRDRG0011
Min. Negotiated Rate	$55,504.59
Max. Negotiated Rate	$55,504.59
Rate for Payer: AHCCCS Medicaid	$55,504.59
Rate for Payer: Allwell Medicaid	$55,504.59
Rate for Payer: AZCH Complete Medicaid	$55,504.59
Rate for Payer: Banner UC Health Medicaid	$55,504.59
Rate for Payer: Mercy Care Medicaid	$55,504.59

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$117,754.54

Service Code	APR-DRG 0014
Hospital Charge Code	APRDRG0011
Min. Negotiated Rate	$117,754.54
Max. Negotiated Rate	$117,754.54
Rate for Payer: AHCCCS Medicaid	$117,754.54
Rate for Payer: Allwell Medicaid	$117,754.54
Rate for Payer: AZCH Complete Medicaid	$117,754.54
Rate for Payer: Banner UC Health Medicaid	$117,754.54
Rate for Payer: Mercy Care Medicaid	$117,754.54

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0012
Hospital Charge Code	APRDRG0012
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$117,754.54

Service Code	APR-DRG 0014
Hospital Charge Code	APRDRG0012
Min. Negotiated Rate	$117,754.54
Max. Negotiated Rate	$117,754.54
Rate for Payer: AHCCCS Medicaid	$117,754.54
Rate for Payer: Allwell Medicaid	$117,754.54
Rate for Payer: AZCH Complete Medicaid	$117,754.54
Rate for Payer: Banner UC Health Medicaid	$117,754.54
Rate for Payer: Mercy Care Medicaid	$117,754.54

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$55,504.59

Service Code	APR-DRG 0013
Hospital Charge Code	APRDRG0012
Min. Negotiated Rate	$55,504.59
Max. Negotiated Rate	$55,504.59
Rate for Payer: AHCCCS Medicaid	$55,504.59
Rate for Payer: Allwell Medicaid	$55,504.59
Rate for Payer: AZCH Complete Medicaid	$55,504.59
Rate for Payer: Banner UC Health Medicaid	$55,504.59
Rate for Payer: Mercy Care Medicaid	$55,504.59

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$55,504.59

Service Code	APR-DRG 0013
Hospital Charge Code	APRDRG0013
Min. Negotiated Rate	$55,504.59
Max. Negotiated Rate	$55,504.59
Rate for Payer: AHCCCS Medicaid	$55,504.59
Rate for Payer: Allwell Medicaid	$55,504.59
Rate for Payer: AZCH Complete Medicaid	$55,504.59
Rate for Payer: Banner UC Health Medicaid	$55,504.59
Rate for Payer: Mercy Care Medicaid	$55,504.59

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0011
Hospital Charge Code	APRDRG0014
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$46,835.28

Service Code	APR-DRG 0011
Hospital Charge Code	APRDRG0012
Min. Negotiated Rate	$46,835.28
Max. Negotiated Rate	$46,835.28
Rate for Payer: AHCCCS Medicaid	$46,835.28
Rate for Payer: Allwell Medicaid	$46,835.28
Rate for Payer: AZCH Complete Medicaid	$46,835.28
Rate for Payer: Banner UC Health Medicaid	$46,835.28
Rate for Payer: Mercy Care Medicaid	$46,835.28

Liver Transplant And/Or Intestinal Transplant

Facility

IP

$117,754.54

Service Code	APR-DRG 0014
Hospital Charge Code	APRDRG0013
Min. Negotiated Rate	$117,754.54
Max. Negotiated Rate	$117,754.54
Rate for Payer: AHCCCS Medicaid	$117,754.54
Rate for Payer: Allwell Medicaid	$117,754.54
Rate for Payer: AZCH Complete Medicaid	$117,754.54
Rate for Payer: Banner UC Health Medicaid	$117,754.54
Rate for Payer: Mercy Care Medicaid	$117,754.54

LNCS ADULT ADHESIVE SPO2 SENSOR

Facility

IP

$53.00

Hospital Charge Code	24249671
Hospital Revenue Code	270
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna of AZ Commercial	$47.70
Rate for Payer: Bisbee Police All Plans	$13.78
Rate for Payer: Cash Price	$42.40
Rate for Payer: Self Pay Self Pay	$42.40

LNCS ADULT ADHESIVE SPO2 SENSOR

Facility

OP

$53.00

Hospital Charge Code	24249671
Hospital Revenue Code	270
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna of AZ Commercial	$47.70
Rate for Payer: Aetna of AZ Medicare	$14.84
Rate for Payer: Allwell Medicare	$7.95
Rate for Payer: Amerigroup Medicare	$7.95
Rate for Payer: APIPA Medicare/Medicaid	$19.80
Rate for Payer: AZCH Complete Medicare	$7.95
Rate for Payer: Banner UC Health Medicare	$7.95
Rate for Payer: Bisbee Police All Plans	$13.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$36.04
Rate for Payer: Cash Price	$42.40
Rate for Payer: Cigna of AZ Commercial	$37.10
Rate for Payer: Copperpoint Commercial	$13.12
Rate for Payer: Health Net of AZ Commercial	$31.80
Rate for Payer: Health Net of AZ Medicare	$14.84
Rate for Payer: Humana of AZ Medicare	$7.95
Rate for Payer: Self Pay Self Pay	$42.40
Rate for Payer: TriWest Medicare	$7.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$30.90
Rate for Payer: UnitedHealth Group of AZ Medicare	$9.54

LNCS E1 SINGLE PATIENT EAR SENSOR

Facility

IP

$122.00

Hospital Charge Code	27736622
Hospital Revenue Code	270
Min. Negotiated Rate	$31.72
Max. Negotiated Rate	$109.80
Rate for Payer: Aetna of AZ Commercial	$109.80
Rate for Payer: Bisbee Police All Plans	$31.72
Rate for Payer: Cash Price	$97.60
Rate for Payer: Self Pay Self Pay	$97.60

LNCS E1 SINGLE PATIENT EAR SENSOR

Facility

OP

$122.00

Hospital Charge Code	27736622
Hospital Revenue Code	270
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$109.80
Rate for Payer: Aetna of AZ Commercial	$109.80
Rate for Payer: Aetna of AZ Medicare	$34.16
Rate for Payer: Allwell Medicare	$18.30
Rate for Payer: Amerigroup Medicare	$18.30
Rate for Payer: APIPA Medicare/Medicaid	$45.57
Rate for Payer: AZCH Complete Medicare	$18.30
Rate for Payer: Banner UC Health Medicare	$18.30
Rate for Payer: Bisbee Police All Plans	$31.72
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$82.96
Rate for Payer: Cash Price	$97.60
Rate for Payer: Cigna of AZ Commercial	$85.40
Rate for Payer: Copperpoint Commercial	$30.20
Rate for Payer: Health Net of AZ Commercial	$73.20
Rate for Payer: Health Net of AZ Medicare	$34.16
Rate for Payer: Humana of AZ Medicare	$18.30
Rate for Payer: Self Pay Self Pay	$97.60
Rate for Payer: TriWest Medicare	$18.30
Rate for Payer: UnitedHealth Group of AZ Commercial	$71.13
Rate for Payer: UnitedHealth Group of AZ Medicare	$21.96

LONE STAR STAYS 5MM

Facility

OP

$267.00

Hospital Charge Code	22354905
Hospital Revenue Code	270
Min. Negotiated Rate	$40.05
Max. Negotiated Rate	$240.30
Rate for Payer: Aetna of AZ Commercial	$240.30
Rate for Payer: Aetna of AZ Medicare	$74.76
Rate for Payer: Allwell Medicare	$40.05
Rate for Payer: Amerigroup Medicare	$40.05
Rate for Payer: APIPA Medicare/Medicaid	$99.72
Rate for Payer: AZCH Complete Medicare	$40.05
Rate for Payer: Banner UC Health Medicare	$40.05
Rate for Payer: Bisbee Police All Plans	$69.42
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$181.56
Rate for Payer: Cash Price	$213.60
Rate for Payer: Cigna of AZ Commercial	$186.90
Rate for Payer: Copperpoint Commercial	$66.08
Rate for Payer: Health Net of AZ Commercial	$160.20
Rate for Payer: Health Net of AZ Medicare	$74.76
Rate for Payer: Humana of AZ Medicare	$40.05
Rate for Payer: Self Pay Self Pay	$213.60
Rate for Payer: TriWest Medicare	$40.05
Rate for Payer: UnitedHealth Group of AZ Commercial	$155.66
Rate for Payer: UnitedHealth Group of AZ Medicare	$48.06

LONE STAR STAYS 5MM

Facility

IP

$267.00

Hospital Charge Code	22354905
Hospital Revenue Code	270
Min. Negotiated Rate	$69.42
Max. Negotiated Rate	$240.30
Rate for Payer: Aetna of AZ Commercial	$240.30
Rate for Payer: Bisbee Police All Plans	$69.42
Rate for Payer: Cash Price	$213.60
Rate for Payer: Self Pay Self Pay	$213.60

LOOP EXCISION ELECTRODE 15MMX10MM CONMED

Facility

OP

$109.00

Hospital Charge Code	22554977
Hospital Revenue Code	272
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna of AZ Commercial	$98.10
Rate for Payer: Aetna of AZ Medicare	$30.52
Rate for Payer: Allwell Medicare	$16.35
Rate for Payer: Amerigroup Medicare	$16.35
Rate for Payer: APIPA Medicare/Medicaid	$40.71
Rate for Payer: AZCH Complete Medicare	$16.35
Rate for Payer: Banner UC Health Medicare	$16.35
Rate for Payer: Bisbee Police All Plans	$28.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$74.12
Rate for Payer: Cash Price	$87.20
Rate for Payer: Cigna of AZ Commercial	$76.30
Rate for Payer: Copperpoint Commercial	$26.98
Rate for Payer: Health Net of AZ Commercial	$65.40
Rate for Payer: Health Net of AZ Medicare	$30.52
Rate for Payer: Humana of AZ Medicare	$16.35
Rate for Payer: Self Pay Self Pay	$87.20
Rate for Payer: TriWest Medicare	$16.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$63.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$19.62

LOOP EXCISION ELECTRODE 15MMX10MM CONMED

Facility

IP

$109.00

Hospital Charge Code	22554977
Hospital Revenue Code	272
Min. Negotiated Rate	$28.34
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna of AZ Commercial	$98.10
Rate for Payer: Bisbee Police All Plans	$28.34
Rate for Payer: Cash Price	$87.20
Rate for Payer: Self Pay Self Pay	$87.20

LOOP EXCISION ELECTRODE 20MMX10MM CONMED

Facility

OP

$109.00

Hospital Charge Code	22554976
Hospital Revenue Code	272
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna of AZ Commercial	$98.10
Rate for Payer: Aetna of AZ Medicare	$30.52
Rate for Payer: Allwell Medicare	$16.35
Rate for Payer: Amerigroup Medicare	$16.35
Rate for Payer: APIPA Medicare/Medicaid	$40.71
Rate for Payer: AZCH Complete Medicare	$16.35
Rate for Payer: Banner UC Health Medicare	$16.35
Rate for Payer: Bisbee Police All Plans	$28.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$74.12
Rate for Payer: Cash Price	$87.20
Rate for Payer: Cigna of AZ Commercial	$76.30
Rate for Payer: Copperpoint Commercial	$26.98
Rate for Payer: Health Net of AZ Commercial	$65.40
Rate for Payer: Health Net of AZ Medicare	$30.52
Rate for Payer: Humana of AZ Medicare	$16.35
Rate for Payer: Self Pay Self Pay	$87.20
Rate for Payer: TriWest Medicare	$16.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$63.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$19.62

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