Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Major Skin Disorders

Facility

$23,974.55

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG3812
Min. Negotiated Rate	$23,974.55
Max. Negotiated Rate	$23,974.55
Rate for Payer: AHCCCS Medicaid	$23,974.55
Rate for Payer: Allwell Medicaid	$23,974.55
Rate for Payer: AZCH Complete Medicaid	$23,974.55
Rate for Payer: Banner UC Health Medicaid	$23,974.55
Rate for Payer: Mercy Care Medicaid	$23,974.55

Major Skin Disorders

Facility

$23,974.55

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG3814
Min. Negotiated Rate	$23,974.55
Max. Negotiated Rate	$23,974.55
Rate for Payer: AHCCCS Medicaid	$23,974.55
Rate for Payer: Allwell Medicaid	$23,974.55
Rate for Payer: AZCH Complete Medicaid	$23,974.55
Rate for Payer: Banner UC Health Medicaid	$23,974.55
Rate for Payer: Mercy Care Medicaid	$23,974.55

Major Skin Disorders

Facility

$23,974.55

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG3811
Min. Negotiated Rate	$23,974.55
Max. Negotiated Rate	$23,974.55
Rate for Payer: AHCCCS Medicaid	$23,974.55
Rate for Payer: Allwell Medicaid	$23,974.55
Rate for Payer: AZCH Complete Medicaid	$23,974.55
Rate for Payer: Banner UC Health Medicaid	$23,974.55
Rate for Payer: Mercy Care Medicaid	$23,974.55

Major Skin Disorders

Facility

$5,306.79

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG3813
Min. Negotiated Rate	$5,306.79
Max. Negotiated Rate	$5,306.79
Rate for Payer: AHCCCS Medicaid	$5,306.79
Rate for Payer: Allwell Medicaid	$5,306.79
Rate for Payer: AZCH Complete Medicaid	$5,306.79
Rate for Payer: Banner UC Health Medicaid	$5,306.79
Rate for Payer: Mercy Care Medicaid	$5,306.79

Major Skin Disorders

Facility

$23,974.55

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG3813
Min. Negotiated Rate	$23,974.55
Max. Negotiated Rate	$23,974.55
Rate for Payer: AHCCCS Medicaid	$23,974.55
Rate for Payer: Allwell Medicaid	$23,974.55
Rate for Payer: AZCH Complete Medicaid	$23,974.55
Rate for Payer: Banner UC Health Medicaid	$23,974.55
Rate for Payer: Mercy Care Medicaid	$23,974.55

Major Skin Disorders

Facility

$5,306.79

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG3812
Min. Negotiated Rate	$5,306.79
Max. Negotiated Rate	$5,306.79
Rate for Payer: AHCCCS Medicaid	$5,306.79
Rate for Payer: Allwell Medicaid	$5,306.79
Rate for Payer: AZCH Complete Medicaid	$5,306.79
Rate for Payer: Banner UC Health Medicaid	$5,306.79
Rate for Payer: Mercy Care Medicaid	$5,306.79

Major Small Bowel Procedures

Facility

$8,732.43

Service Code	APR-DRG 2301
Hospital Charge Code	APRDRG2301
Min. Negotiated Rate	$8,732.43
Max. Negotiated Rate	$8,732.43
Rate for Payer: AHCCCS Medicaid	$8,732.43
Rate for Payer: Allwell Medicaid	$8,732.43
Rate for Payer: AZCH Complete Medicaid	$8,732.43
Rate for Payer: Banner UC Health Medicaid	$8,732.43
Rate for Payer: Mercy Care Medicaid	$8,732.43

Major Small Bowel Procedures

Facility

$17,896.22

Service Code	APR-DRG 2303
Hospital Charge Code	APRDRG2304
Min. Negotiated Rate	$17,896.22
Max. Negotiated Rate	$17,896.22
Rate for Payer: AHCCCS Medicaid	$17,896.22
Rate for Payer: Allwell Medicaid	$17,896.22
Rate for Payer: AZCH Complete Medicaid	$17,896.22
Rate for Payer: Banner UC Health Medicaid	$17,896.22
Rate for Payer: Mercy Care Medicaid	$17,896.22

Major Small Bowel Procedures

Facility

$34,522.21

Service Code	APR-DRG 2304
Hospital Charge Code	APRDRG2304
Min. Negotiated Rate	$34,522.21
Max. Negotiated Rate	$34,522.21
Rate for Payer: AHCCCS Medicaid	$34,522.21
Rate for Payer: Allwell Medicaid	$34,522.21
Rate for Payer: AZCH Complete Medicaid	$34,522.21
Rate for Payer: Banner UC Health Medicaid	$34,522.21
Rate for Payer: Mercy Care Medicaid	$34,522.21

Major Small Bowel Procedures

Facility

$12,110.37

Service Code	APR-DRG 2302
Hospital Charge Code	APRDRG2304
Min. Negotiated Rate	$12,110.37
Max. Negotiated Rate	$12,110.37
Rate for Payer: AHCCCS Medicaid	$12,110.37
Rate for Payer: Allwell Medicaid	$12,110.37
Rate for Payer: AZCH Complete Medicaid	$12,110.37
Rate for Payer: Banner UC Health Medicaid	$12,110.37
Rate for Payer: Mercy Care Medicaid	$12,110.37

Major Small Bowel Procedures

Facility

$8,732.43

Service Code	APR-DRG 2301
Hospital Charge Code	APRDRG2302
Min. Negotiated Rate	$8,732.43
Max. Negotiated Rate	$8,732.43
Rate for Payer: AHCCCS Medicaid	$8,732.43
Rate for Payer: Allwell Medicaid	$8,732.43
Rate for Payer: AZCH Complete Medicaid	$8,732.43
Rate for Payer: Banner UC Health Medicaid	$8,732.43
Rate for Payer: Mercy Care Medicaid	$8,732.43

Major Small Bowel Procedures

Facility

$12,110.37

Service Code	APR-DRG 2302
Hospital Charge Code	APRDRG2301
Min. Negotiated Rate	$12,110.37
Max. Negotiated Rate	$12,110.37
Rate for Payer: AHCCCS Medicaid	$12,110.37
Rate for Payer: Allwell Medicaid	$12,110.37
Rate for Payer: AZCH Complete Medicaid	$12,110.37
Rate for Payer: Banner UC Health Medicaid	$12,110.37
Rate for Payer: Mercy Care Medicaid	$12,110.37

Major Small Bowel Procedures

Facility

$12,110.37

Service Code	APR-DRG 2302
Hospital Charge Code	APRDRG2303
Min. Negotiated Rate	$12,110.37
Max. Negotiated Rate	$12,110.37
Rate for Payer: AHCCCS Medicaid	$12,110.37
Rate for Payer: Allwell Medicaid	$12,110.37
Rate for Payer: AZCH Complete Medicaid	$12,110.37
Rate for Payer: Banner UC Health Medicaid	$12,110.37
Rate for Payer: Mercy Care Medicaid	$12,110.37

Major Small Bowel Procedures

Facility

$17,896.22

Service Code	APR-DRG 2303
Hospital Charge Code	APRDRG2303
Min. Negotiated Rate	$17,896.22
Max. Negotiated Rate	$17,896.22
Rate for Payer: AHCCCS Medicaid	$17,896.22
Rate for Payer: Allwell Medicaid	$17,896.22
Rate for Payer: AZCH Complete Medicaid	$17,896.22
Rate for Payer: Banner UC Health Medicaid	$17,896.22
Rate for Payer: Mercy Care Medicaid	$17,896.22

Major Small Bowel Procedures

Facility

$17,896.22

Service Code	APR-DRG 2303
Hospital Charge Code	APRDRG2301
Min. Negotiated Rate	$17,896.22
Max. Negotiated Rate	$17,896.22
Rate for Payer: AHCCCS Medicaid	$17,896.22
Rate for Payer: Allwell Medicaid	$17,896.22
Rate for Payer: AZCH Complete Medicaid	$17,896.22
Rate for Payer: Banner UC Health Medicaid	$17,896.22
Rate for Payer: Mercy Care Medicaid	$17,896.22

Major Small Bowel Procedures

Facility

$34,522.21

Service Code	APR-DRG 2304
Hospital Charge Code	APRDRG2301
Min. Negotiated Rate	$34,522.21
Max. Negotiated Rate	$34,522.21
Rate for Payer: AHCCCS Medicaid	$34,522.21
Rate for Payer: Allwell Medicaid	$34,522.21
Rate for Payer: AZCH Complete Medicaid	$34,522.21
Rate for Payer: Banner UC Health Medicaid	$34,522.21
Rate for Payer: Mercy Care Medicaid	$34,522.21

Major Small Bowel Procedures

Facility

$8,732.43

Service Code	APR-DRG 2301
Hospital Charge Code	APRDRG2304
Min. Negotiated Rate	$8,732.43
Max. Negotiated Rate	$8,732.43
Rate for Payer: AHCCCS Medicaid	$8,732.43
Rate for Payer: Allwell Medicaid	$8,732.43
Rate for Payer: AZCH Complete Medicaid	$8,732.43
Rate for Payer: Banner UC Health Medicaid	$8,732.43
Rate for Payer: Mercy Care Medicaid	$8,732.43

Major Small Bowel Procedures

Facility

$12,110.37

Service Code	APR-DRG 2302
Hospital Charge Code	APRDRG2302
Min. Negotiated Rate	$12,110.37
Max. Negotiated Rate	$12,110.37
Rate for Payer: AHCCCS Medicaid	$12,110.37
Rate for Payer: Allwell Medicaid	$12,110.37
Rate for Payer: AZCH Complete Medicaid	$12,110.37
Rate for Payer: Banner UC Health Medicaid	$12,110.37
Rate for Payer: Mercy Care Medicaid	$12,110.37

Major Small Bowel Procedures

Facility

$34,522.21

Service Code	APR-DRG 2304
Hospital Charge Code	APRDRG2303
Min. Negotiated Rate	$34,522.21
Max. Negotiated Rate	$34,522.21
Rate for Payer: AHCCCS Medicaid	$34,522.21
Rate for Payer: Allwell Medicaid	$34,522.21
Rate for Payer: AZCH Complete Medicaid	$34,522.21
Rate for Payer: Banner UC Health Medicaid	$34,522.21
Rate for Payer: Mercy Care Medicaid	$34,522.21

Major Small Bowel Procedures

Facility

$34,522.21

Service Code	APR-DRG 2304
Hospital Charge Code	APRDRG2302
Min. Negotiated Rate	$34,522.21
Max. Negotiated Rate	$34,522.21
Rate for Payer: AHCCCS Medicaid	$34,522.21
Rate for Payer: Allwell Medicaid	$34,522.21
Rate for Payer: AZCH Complete Medicaid	$34,522.21
Rate for Payer: Banner UC Health Medicaid	$34,522.21
Rate for Payer: Mercy Care Medicaid	$34,522.21

Major Small Bowel Procedures

Facility

$17,896.22

Service Code	APR-DRG 2303
Hospital Charge Code	APRDRG2302
Min. Negotiated Rate	$17,896.22
Max. Negotiated Rate	$17,896.22
Rate for Payer: AHCCCS Medicaid	$17,896.22
Rate for Payer: Allwell Medicaid	$17,896.22
Rate for Payer: AZCH Complete Medicaid	$17,896.22
Rate for Payer: Banner UC Health Medicaid	$17,896.22
Rate for Payer: Mercy Care Medicaid	$17,896.22

Major Small Bowel Procedures

Facility

$8,732.43

Service Code	APR-DRG 2301
Hospital Charge Code	APRDRG2303
Min. Negotiated Rate	$8,732.43
Max. Negotiated Rate	$8,732.43
Rate for Payer: AHCCCS Medicaid	$8,732.43
Rate for Payer: Allwell Medicaid	$8,732.43
Rate for Payer: AZCH Complete Medicaid	$8,732.43
Rate for Payer: Banner UC Health Medicaid	$8,732.43
Rate for Payer: Mercy Care Medicaid	$8,732.43

Major Stomach, Esophageal And Duodenal Procedures

Facility

$8,895.86

Service Code	APR-DRG 2201
Hospital Charge Code	APRDRG2202
Min. Negotiated Rate	$8,895.86
Max. Negotiated Rate	$8,895.86
Rate for Payer: AHCCCS Medicaid	$8,895.86
Rate for Payer: Allwell Medicaid	$8,895.86
Rate for Payer: AZCH Complete Medicaid	$8,895.86
Rate for Payer: Banner UC Health Medicaid	$8,895.86
Rate for Payer: Mercy Care Medicaid	$8,895.86

Major Stomach, Esophageal And Duodenal Procedures

Facility

$8,895.86

Service Code	APR-DRG 2201
Hospital Charge Code	APRDRG2204
Min. Negotiated Rate	$8,895.86
Max. Negotiated Rate	$8,895.86
Rate for Payer: AHCCCS Medicaid	$8,895.86
Rate for Payer: Allwell Medicaid	$8,895.86
Rate for Payer: AZCH Complete Medicaid	$8,895.86
Rate for Payer: Banner UC Health Medicaid	$8,895.86
Rate for Payer: Mercy Care Medicaid	$8,895.86

Major Stomach, Esophageal And Duodenal Procedures

Facility

$13,548.94

Service Code	APR-DRG 2202
Hospital Charge Code	APRDRG2201
Min. Negotiated Rate	$13,548.94
Max. Negotiated Rate	$13,548.94
Rate for Payer: AHCCCS Medicaid	$13,548.94
Rate for Payer: Allwell Medicaid	$13,548.94
Rate for Payer: AZCH Complete Medicaid	$13,548.94
Rate for Payer: Banner UC Health Medicaid	$13,548.94
Rate for Payer: Mercy Care Medicaid	$13,548.94

Know your out-of-pocket cost for care.

All Charges