Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$17,739.81

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG3433
Min. Negotiated Rate	$17,739.81
Max. Negotiated Rate	$17,739.81
Rate for Payer: AHCCCS Medicaid	$17,739.81
Rate for Payer: Allwell Medicaid	$17,739.81
Rate for Payer: AZCH Complete Medicaid	$17,739.81
Rate for Payer: Banner UC Health Medicaid	$17,739.81
Rate for Payer: Mercy Care Medicaid	$17,739.81

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$17,739.81

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG3432
Min. Negotiated Rate	$17,739.81
Max. Negotiated Rate	$17,739.81
Rate for Payer: AHCCCS Medicaid	$17,739.81
Rate for Payer: Allwell Medicaid	$17,739.81
Rate for Payer: AZCH Complete Medicaid	$17,739.81
Rate for Payer: Banner UC Health Medicaid	$17,739.81
Rate for Payer: Mercy Care Medicaid	$17,739.81

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$17,739.81

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG3434
Min. Negotiated Rate	$17,739.81
Max. Negotiated Rate	$17,739.81
Rate for Payer: AHCCCS Medicaid	$17,739.81
Rate for Payer: Allwell Medicaid	$17,739.81
Rate for Payer: AZCH Complete Medicaid	$17,739.81
Rate for Payer: Banner UC Health Medicaid	$17,739.81
Rate for Payer: Mercy Care Medicaid	$17,739.81

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$6,634.54

Service Code	APR-DRG 3432
Hospital Charge Code	APRDRG3432
Min. Negotiated Rate	$6,634.54
Max. Negotiated Rate	$6,634.54
Rate for Payer: AHCCCS Medicaid	$6,634.54
Rate for Payer: Allwell Medicaid	$6,634.54
Rate for Payer: AZCH Complete Medicaid	$6,634.54
Rate for Payer: Banner UC Health Medicaid	$6,634.54
Rate for Payer: Mercy Care Medicaid	$6,634.54

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$10,084.73

Service Code	APR-DRG 3433
Hospital Charge Code	APRDRG3431
Min. Negotiated Rate	$10,084.73
Max. Negotiated Rate	$10,084.73
Rate for Payer: AHCCCS Medicaid	$10,084.73
Rate for Payer: Allwell Medicaid	$10,084.73
Rate for Payer: AZCH Complete Medicaid	$10,084.73
Rate for Payer: Banner UC Health Medicaid	$10,084.73
Rate for Payer: Mercy Care Medicaid	$10,084.73

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$5,616.11

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG3434
Min. Negotiated Rate	$5,616.11
Max. Negotiated Rate	$5,616.11
Rate for Payer: AHCCCS Medicaid	$5,616.11
Rate for Payer: Allwell Medicaid	$5,616.11
Rate for Payer: AZCH Complete Medicaid	$5,616.11
Rate for Payer: Banner UC Health Medicaid	$5,616.11
Rate for Payer: Mercy Care Medicaid	$5,616.11

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$6,634.54

Service Code	APR-DRG 3432
Hospital Charge Code	APRDRG3434
Min. Negotiated Rate	$6,634.54
Max. Negotiated Rate	$6,634.54
Rate for Payer: AHCCCS Medicaid	$6,634.54
Rate for Payer: Allwell Medicaid	$6,634.54
Rate for Payer: AZCH Complete Medicaid	$6,634.54
Rate for Payer: Banner UC Health Medicaid	$6,634.54
Rate for Payer: Mercy Care Medicaid	$6,634.54

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$5,616.11

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG3431
Min. Negotiated Rate	$5,616.11
Max. Negotiated Rate	$5,616.11
Rate for Payer: AHCCCS Medicaid	$5,616.11
Rate for Payer: Allwell Medicaid	$5,616.11
Rate for Payer: AZCH Complete Medicaid	$5,616.11
Rate for Payer: Banner UC Health Medicaid	$5,616.11
Rate for Payer: Mercy Care Medicaid	$5,616.11

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$5,616.11

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG3432
Min. Negotiated Rate	$5,616.11
Max. Negotiated Rate	$5,616.11
Rate for Payer: AHCCCS Medicaid	$5,616.11
Rate for Payer: Allwell Medicaid	$5,616.11
Rate for Payer: AZCH Complete Medicaid	$5,616.11
Rate for Payer: Banner UC Health Medicaid	$5,616.11
Rate for Payer: Mercy Care Medicaid	$5,616.11

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$10,084.73

Service Code	APR-DRG 3433
Hospital Charge Code	APRDRG3434
Min. Negotiated Rate	$10,084.73
Max. Negotiated Rate	$10,084.73
Rate for Payer: AHCCCS Medicaid	$10,084.73
Rate for Payer: Allwell Medicaid	$10,084.73
Rate for Payer: AZCH Complete Medicaid	$10,084.73
Rate for Payer: Banner UC Health Medicaid	$10,084.73
Rate for Payer: Mercy Care Medicaid	$10,084.73

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$5,616.11

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG3433
Min. Negotiated Rate	$5,616.11
Max. Negotiated Rate	$5,616.11
Rate for Payer: AHCCCS Medicaid	$5,616.11
Rate for Payer: Allwell Medicaid	$5,616.11
Rate for Payer: AZCH Complete Medicaid	$5,616.11
Rate for Payer: Banner UC Health Medicaid	$5,616.11
Rate for Payer: Mercy Care Medicaid	$5,616.11

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$17,739.81

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG3431
Min. Negotiated Rate	$17,739.81
Max. Negotiated Rate	$17,739.81
Rate for Payer: AHCCCS Medicaid	$17,739.81
Rate for Payer: Allwell Medicaid	$17,739.81
Rate for Payer: AZCH Complete Medicaid	$17,739.81
Rate for Payer: Banner UC Health Medicaid	$17,739.81
Rate for Payer: Mercy Care Medicaid	$17,739.81

Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy

Facility

IP

$6,634.54

Service Code	APR-DRG 3432
Hospital Charge Code	APRDRG3433
Min. Negotiated Rate	$6,634.54
Max. Negotiated Rate	$6,634.54
Rate for Payer: AHCCCS Medicaid	$6,634.54
Rate for Payer: Allwell Medicaid	$6,634.54
Rate for Payer: AZCH Complete Medicaid	$6,634.54
Rate for Payer: Banner UC Health Medicaid	$6,634.54
Rate for Payer: Mercy Care Medicaid	$6,634.54

mycophenolate 500 mg Tab UD [CQCH]

Facility

OP

$0.62

Service Code	HCPCS J7517
Hospital Charge Code	108074965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$0.56
Rate for Payer: Aetna of AZ Commercial	$0.56
Rate for Payer: Aetna of AZ Medicare	$0.17
Rate for Payer: AHCCCS Medicaid	$0.42
Rate for Payer: Allwell Medicaid	$0.42
Rate for Payer: Allwell Medicare	$0.09
Rate for Payer: Amerigroup Medicare	$0.09
Rate for Payer: APIPA Medicare/Medicaid	$0.23
Rate for Payer: AZCH Complete Medicaid	$0.42
Rate for Payer: AZCH Complete Medicare	$0.09
Rate for Payer: Banner UC Health Medicaid	$0.42
Rate for Payer: Banner UC Health Medicare	$0.09
Rate for Payer: Bisbee Police All Plans	$0.16
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$0.42
Rate for Payer: Cash Price	$0.50
Rate for Payer: Cash Price	$0.50
Rate for Payer: Cigna of AZ Commercial	$0.40
Rate for Payer: Copperpoint Commercial	$0.15
Rate for Payer: Health Net of AZ Commercial	$0.37
Rate for Payer: Health Net of AZ Medicare	$0.17
Rate for Payer: Humana of AZ Medicare	$0.09
Rate for Payer: Mercy Care Medicaid	$0.42
Rate for Payer: Self Pay Self Pay	$0.50
Rate for Payer: TriWest Medicare	$0.09
Rate for Payer: UnitedHealth Group of AZ Commercial	$0.36
Rate for Payer: UnitedHealth Group of AZ Medicare	$0.11

mycophenolate 500 mg Tab UD [CQCH]

Facility

IP

$0.62

Service Code	HCPCS J7517
Hospital Charge Code	108074965
Hospital Revenue Code	250
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$0.56
Rate for Payer: Aetna of AZ Commercial	$0.56
Rate for Payer: Bisbee Police All Plans	$0.16
Rate for Payer: Cash Price	$0.50
Rate for Payer: Self Pay Self Pay	$0.50

Myoglobin, Serum LC

Facility

OP

$301.00

Service Code	CPT 83874
Hospital Charge Code	2087628
Hospital Revenue Code	301
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$270.90
Rate for Payer: Aetna of AZ Commercial	$270.90
Rate for Payer: Aetna of AZ Medicare	$84.28
Rate for Payer: AHCCCS Medicaid	$12.92
Rate for Payer: Allwell Medicaid	$12.92
Rate for Payer: Allwell Medicare	$45.15
Rate for Payer: Amerigroup Medicare	$45.15
Rate for Payer: APIPA Medicare/Medicaid	$112.42
Rate for Payer: AZCH Complete Medicaid	$12.92
Rate for Payer: AZCH Complete Medicare	$45.15
Rate for Payer: Banner UC Health Medicaid	$12.92
Rate for Payer: Banner UC Health Medicare	$45.15
Rate for Payer: Bisbee Police All Plans	$78.26
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$204.68
Rate for Payer: Cash Price	$240.80
Rate for Payer: Cash Price	$240.80
Rate for Payer: Cigna of AZ Commercial	$195.65
Rate for Payer: Copperpoint Commercial	$74.50
Rate for Payer: Health Net of AZ Commercial	$180.60
Rate for Payer: Health Net of AZ Medicare	$84.28
Rate for Payer: Humana of AZ Medicare	$45.15
Rate for Payer: Mercy Care Medicaid	$12.92
Rate for Payer: Self Pay Self Pay	$240.80
Rate for Payer: TriWest Medicare	$45.15
Rate for Payer: UnitedHealth Group of AZ Commercial	$175.48
Rate for Payer: UnitedHealth Group of AZ Medicare	$54.18

Myoglobin, Serum LC

Facility

IP

$301.00

Service Code	CPT 83874
Hospital Charge Code	2087628
Hospital Revenue Code	301
Min. Negotiated Rate	$78.26
Max. Negotiated Rate	$270.90
Rate for Payer: Aetna of AZ Commercial	$270.90
Rate for Payer: Bisbee Police All Plans	$78.26
Rate for Payer: Cash Price	$240.80
Rate for Payer: Self Pay Self Pay	$240.80

Myoglobin, Urine LC

Facility

IP

$324.00

Service Code	CPT 83874
Hospital Charge Code	2269443
Hospital Revenue Code	301
Min. Negotiated Rate	$84.24
Max. Negotiated Rate	$291.60
Rate for Payer: Aetna of AZ Commercial	$291.60
Rate for Payer: Bisbee Police All Plans	$84.24
Rate for Payer: Cash Price	$259.20
Rate for Payer: Self Pay Self Pay	$259.20

Myoglobin, Urine LC

Facility

OP

$324.00

Service Code	CPT 83874
Hospital Charge Code	2269443
Hospital Revenue Code	301
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$291.60
Rate for Payer: Aetna of AZ Commercial	$291.60
Rate for Payer: Aetna of AZ Medicare	$90.72
Rate for Payer: AHCCCS Medicaid	$12.92
Rate for Payer: Allwell Medicaid	$12.92
Rate for Payer: Allwell Medicare	$48.60
Rate for Payer: Amerigroup Medicare	$48.60
Rate for Payer: APIPA Medicare/Medicaid	$121.01
Rate for Payer: AZCH Complete Medicaid	$12.92
Rate for Payer: AZCH Complete Medicare	$48.60
Rate for Payer: Banner UC Health Medicaid	$12.92
Rate for Payer: Banner UC Health Medicare	$48.60
Rate for Payer: Bisbee Police All Plans	$84.24
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$220.32
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cigna of AZ Commercial	$210.60
Rate for Payer: Copperpoint Commercial	$80.19
Rate for Payer: Health Net of AZ Commercial	$194.40
Rate for Payer: Health Net of AZ Medicare	$90.72
Rate for Payer: Humana of AZ Medicare	$48.60
Rate for Payer: Mercy Care Medicaid	$12.92
Rate for Payer: Self Pay Self Pay	$259.20
Rate for Payer: TriWest Medicare	$48.60
Rate for Payer: UnitedHealth Group of AZ Commercial	$188.89
Rate for Payer: UnitedHealth Group of AZ Medicare	$58.32

Myomectomy abdominal

Facility

IP

$5,082.00

Service Code	CPT 58140
Hospital Charge Code	27281892
Hospital Revenue Code	360
Min. Negotiated Rate	$1,321.32
Max. Negotiated Rate	$4,573.80
Rate for Payer: Aetna of AZ Commercial	$4,573.80
Rate for Payer: Bisbee Police All Plans	$1,321.32
Rate for Payer: Cash Price	$4,065.60
Rate for Payer: Self Pay Self Pay	$4,065.60

Myomectomy abdominal

Facility

OP

$5,082.00

Service Code	CPT 58140
Hospital Charge Code	27281892
Hospital Revenue Code	360
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$4,573.80
Rate for Payer: Aetna of AZ Commercial	$4,573.80
Rate for Payer: Aetna of AZ Medicare	$1,422.96
Rate for Payer: AHCCCS Medicaid	$0.13
Rate for Payer: Allwell Medicaid	$0.13
Rate for Payer: Allwell Medicare	$762.30
Rate for Payer: Amerigroup Medicare	$762.30
Rate for Payer: APIPA Medicare/Medicaid	$1,898.13
Rate for Payer: AZCH Complete Medicaid	$0.13
Rate for Payer: AZCH Complete Medicare	$762.30
Rate for Payer: Banner UC Health Medicaid	$0.13
Rate for Payer: Banner UC Health Medicare	$762.30
Rate for Payer: Bisbee Police All Plans	$1,321.32
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$3,455.76
Rate for Payer: Cash Price	$4,065.60
Rate for Payer: Cash Price	$4,065.60
Rate for Payer: Cigna of AZ Commercial	$2,541.00
Rate for Payer: Copperpoint Commercial	$1,257.80
Rate for Payer: Health Net of AZ Commercial	$3,049.20
Rate for Payer: Health Net of AZ Medicare	$1,422.96
Rate for Payer: Humana of AZ Medicare	$762.30
Rate for Payer: Mercy Care Medicaid	$0.13
Rate for Payer: Self Pay Self Pay	$4,065.60
Rate for Payer: TriWest Medicare	$762.30
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,914.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$914.76

MYOSURE HYSTEROSCOPE TISSUE REMOVAL DEV

Facility

IP

$3,713.00

Hospital Charge Code	22354782
Hospital Revenue Code	270
Min. Negotiated Rate	$965.38
Max. Negotiated Rate	$3,341.70
Rate for Payer: Aetna of AZ Commercial	$3,341.70
Rate for Payer: Bisbee Police All Plans	$965.38
Rate for Payer: Cash Price	$2,970.40
Rate for Payer: Self Pay Self Pay	$2,970.40

MYOSURE HYSTEROSCOPE TISSUE REMOVAL DEV

Facility

OP

$3,713.00

Hospital Charge Code	22354782
Hospital Revenue Code	270
Min. Negotiated Rate	$556.95
Max. Negotiated Rate	$3,341.70
Rate for Payer: Aetna of AZ Commercial	$3,341.70
Rate for Payer: Aetna of AZ Medicare	$1,039.64
Rate for Payer: Allwell Medicare	$556.95
Rate for Payer: Amerigroup Medicare	$556.95
Rate for Payer: APIPA Medicare/Medicaid	$1,386.81
Rate for Payer: AZCH Complete Medicare	$556.95
Rate for Payer: Banner UC Health Medicare	$556.95
Rate for Payer: Bisbee Police All Plans	$965.38
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$2,524.84
Rate for Payer: Cash Price	$2,970.40
Rate for Payer: Cigna of AZ Commercial	$2,599.10
Rate for Payer: Copperpoint Commercial	$918.97
Rate for Payer: Health Net of AZ Commercial	$2,227.80
Rate for Payer: Health Net of AZ Medicare	$1,039.64
Rate for Payer: Humana of AZ Medicare	$556.95
Rate for Payer: Self Pay Self Pay	$2,970.40
Rate for Payer: TriWest Medicare	$556.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,164.68
Rate for Payer: UnitedHealth Group of AZ Medicare	$668.34

MYO SURE TISSURE REMOVEL DEVICE

Facility

IP

$2,867.00

Hospital Charge Code	22354169
Hospital Revenue Code	270
Min. Negotiated Rate	$745.42
Max. Negotiated Rate	$2,580.30
Rate for Payer: Aetna of AZ Commercial	$2,580.30
Rate for Payer: Bisbee Police All Plans	$745.42
Rate for Payer: Cash Price	$2,293.60
Rate for Payer: Self Pay Self Pay	$2,293.60

MYO SURE TISSURE REMOVEL DEVICE

Facility

OP

$2,867.00

Hospital Charge Code	22354169
Hospital Revenue Code	270
Min. Negotiated Rate	$430.05
Max. Negotiated Rate	$2,580.30
Rate for Payer: Aetna of AZ Commercial	$2,580.30
Rate for Payer: Aetna of AZ Medicare	$802.76
Rate for Payer: Allwell Medicare	$430.05
Rate for Payer: Amerigroup Medicare	$430.05
Rate for Payer: APIPA Medicare/Medicaid	$1,070.82
Rate for Payer: AZCH Complete Medicare	$430.05
Rate for Payer: Banner UC Health Medicare	$430.05
Rate for Payer: Bisbee Police All Plans	$745.42
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,949.56
Rate for Payer: Cash Price	$2,293.60
Rate for Payer: Cigna of AZ Commercial	$2,006.90
Rate for Payer: Copperpoint Commercial	$709.58
Rate for Payer: Health Net of AZ Commercial	$1,720.20
Rate for Payer: Health Net of AZ Medicare	$802.76
Rate for Payer: Humana of AZ Medicare	$430.05
Rate for Payer: Self Pay Self Pay	$2,293.60
Rate for Payer: TriWest Medicare	$430.05
Rate for Payer: UnitedHealth Group of AZ Commercial	$1,671.46
Rate for Payer: UnitedHealth Group of AZ Medicare	$516.06

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