Copper Queen Community Hospital

These charges represent the costs of individual services and supplies at Copper Queen Community Hospital.

Charges

Download All Charges as Machine Readable .CSV file

Charge Charge Type Standard Charge  
Service Code CPT 85240
Hospital Charge Code 23090952
Hospital Revenue Code 301
Min. Negotiated Rate $17.90
Max. Negotiated Rate $17.90
Rate for Payer: AHCCCS Medicaid $17.90
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $17.90
Rate for Payer: Arizona Complete Care Health Medicaid $17.90
Rate for Payer: Banner University Family Care Medicaid $17.90
Rate for Payer: Mercy Care Medicaid $17.90
Service Code CPT 85730
Hospital Charge Code 23091063
Hospital Revenue Code 301
Min. Negotiated Rate $91.17
Max. Negotiated Rate $91.17
Rate for Payer: Blue Cross Blue Shield AZ PPO $91.17
Service Code CPT 85730
Hospital Charge Code 23091063
Hospital Revenue Code 301
Min. Negotiated Rate $6.01
Max. Negotiated Rate $91.17
Rate for Payer: AHCCCS Medicaid $6.01
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $6.01
Rate for Payer: Arizona Complete Care Health Medicaid $6.01
Rate for Payer: Banner University Family Care Medicaid $6.01
Rate for Payer: Blue Cross Blue Shield AZ PPO $91.17
Rate for Payer: Mercy Care Medicaid $6.01
Service Code CPT 86003
Hospital Charge Code 23756989
Hospital Revenue Code 302
Min. Negotiated Rate $771.12
Max. Negotiated Rate $771.12
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Service Code CPT 86003
Hospital Charge Code 23756989
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: Mercy Care Medicaid $5.22
Service Code CPT 86235
Hospital Charge Code 23298219
Hospital Revenue Code 301
Min. Negotiated Rate $138.04
Max. Negotiated Rate $138.04
Rate for Payer: Blue Cross Blue Shield AZ PPO $138.04
Service Code CPT 86235
Hospital Charge Code 23298219
Hospital Revenue Code 301
Min. Negotiated Rate $17.93
Max. Negotiated Rate $138.04
Rate for Payer: AHCCCS Medicaid $17.93
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $17.93
Rate for Payer: Banner University Family Care Medicaid $17.93
Rate for Payer: Blue Cross Blue Shield AZ PPO $138.04
Rate for Payer: Mercy Care Medicaid $17.93
Service Code CPT 86331
Hospital Charge Code 23298045
Hospital Revenue Code 301
Min. Negotiated Rate $11.98
Max. Negotiated Rate $11.98
Rate for Payer: AHCCCS Medicaid $11.98
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $11.98
Rate for Payer: Arizona Complete Care Health Medicaid $11.98
Rate for Payer: Banner University Family Care Medicaid $11.98
Rate for Payer: Mercy Care Medicaid $11.98
Service Code CPT 86356
Hospital Charge Code 23568452
Hospital Revenue Code 301
Min. Negotiated Rate $22.44
Max. Negotiated Rate $118.80
Rate for Payer: Aetna POS, PPO, HMO $118.80
Rate for Payer: Aetna Medicare $36.96
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $22.44
Rate for Payer: Amerigroup Medicare $22.44
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $49.30
Rate for Payer: Arizona Complete Care Health Medicare Advantage $22.44
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $22.44
Rate for Payer: City of Bisbee Police Bisbee Police $34.32
Rate for Payer: Cigna All Products $92.40
Rate for Payer: Copperpoint $37.03
Rate for Payer: HealthNet Commercial $79.20
Rate for Payer: HealthNet Medicare $36.96
Rate for Payer: Humana Medicare $22.44
Rate for Payer: Veterans (Triwest) $22.44
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $79.99
Rate for Payer: United Healthcare Medicare $22.44
Service Code CPT 86356
Hospital Charge Code 23568452
Hospital Revenue Code 301
Min. Negotiated Rate $22.44
Max. Negotiated Rate $118.80
Rate for Payer: Aetna POS, PPO, HMO $118.80
Rate for Payer: Aetna Medicare $36.96
Rate for Payer: AHCCCS Medicaid $26.78
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $26.78
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $22.44
Rate for Payer: Amerigroup Medicare $22.44
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $49.30
Rate for Payer: Arizona Complete Care Health Medicaid $26.78
Rate for Payer: Arizona Complete Care Health Medicare Advantage $22.44
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $22.44
Rate for Payer: Banner University Family Care Medicaid $26.78
Rate for Payer: City of Bisbee Police Bisbee Police $34.32
Rate for Payer: Cigna All Products $92.40
Rate for Payer: Copperpoint $37.03
Rate for Payer: HealthNet Commercial $79.20
Rate for Payer: HealthNet Medicare $36.96
Rate for Payer: Humana Medicare $22.44
Rate for Payer: Mercy Care Medicaid $26.78
Rate for Payer: Veterans (Triwest) $22.44
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $79.99
Rate for Payer: United Healthcare Medicare $22.44
Service Code CPT 86357
Hospital Charge Code 23568453
Hospital Revenue Code 301
Min. Negotiated Rate $59.33
Max. Negotiated Rate $314.10
Rate for Payer: Aetna POS, PPO, HMO $314.10
Rate for Payer: Aetna Medicare $97.72
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $59.33
Rate for Payer: Amerigroup Medicare $59.33
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $130.35
Rate for Payer: Arizona Complete Care Health Medicare Advantage $59.33
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $59.33
Rate for Payer: City of Bisbee Police Bisbee Police $90.74
Rate for Payer: Cigna All Products $244.30
Rate for Payer: Copperpoint $97.89
Rate for Payer: HealthNet Commercial $209.40
Rate for Payer: HealthNet Medicare $97.72
Rate for Payer: Humana Medicare $59.33
Rate for Payer: Veterans (Triwest) $59.33
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $211.49
Rate for Payer: United Healthcare Medicare $59.33
Service Code CPT 86357
Hospital Charge Code 23568453
Hospital Revenue Code 301
Min. Negotiated Rate $37.73
Max. Negotiated Rate $314.10
Rate for Payer: Aetna POS, PPO, HMO $314.10
Rate for Payer: Aetna Medicare $97.72
Rate for Payer: AHCCCS Medicaid $37.73
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $37.73
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $59.33
Rate for Payer: Amerigroup Medicare $59.33
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $130.35
Rate for Payer: Arizona Complete Care Health Medicaid $37.73
Rate for Payer: Arizona Complete Care Health Medicare Advantage $59.33
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $59.33
Rate for Payer: Banner University Family Care Medicaid $37.73
Rate for Payer: City of Bisbee Police Bisbee Police $90.74
Rate for Payer: Cigna All Products $244.30
Rate for Payer: Copperpoint $97.89
Rate for Payer: HealthNet Commercial $209.40
Rate for Payer: HealthNet Medicare $97.72
Rate for Payer: Humana Medicare $59.33
Rate for Payer: Mercy Care Medicaid $37.73
Rate for Payer: Veterans (Triwest) $59.33
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $211.49
Rate for Payer: United Healthcare Medicare $59.33
Service Code CPT 86359
Hospital Charge Code 23568454
Hospital Revenue Code 301
Min. Negotiated Rate $54.06
Max. Negotiated Rate $286.20
Rate for Payer: Aetna POS, PPO, HMO $286.20
Rate for Payer: Aetna Medicare $89.04
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $54.06
Rate for Payer: Amerigroup Medicare $54.06
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $118.77
Rate for Payer: Arizona Complete Care Health Medicare Advantage $54.06
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $54.06
Rate for Payer: City of Bisbee Police Bisbee Police $82.68
Rate for Payer: Cigna All Products $222.60
Rate for Payer: Copperpoint $89.20
Rate for Payer: HealthNet Commercial $190.80
Rate for Payer: HealthNet Medicare $89.04
Rate for Payer: Humana Medicare $54.06
Rate for Payer: Veterans (Triwest) $54.06
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $192.71
Rate for Payer: United Healthcare Medicare $54.06
Service Code CPT 86359
Hospital Charge Code 23568454
Hospital Revenue Code 301
Min. Negotiated Rate $37.73
Max. Negotiated Rate $286.20
Rate for Payer: Aetna POS, PPO, HMO $286.20
Rate for Payer: Aetna Medicare $89.04
Rate for Payer: AHCCCS Medicaid $37.73
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $37.73
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $54.06
Rate for Payer: Amerigroup Medicare $54.06
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $118.77
Rate for Payer: Arizona Complete Care Health Medicaid $37.73
Rate for Payer: Arizona Complete Care Health Medicare Advantage $54.06
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $54.06
Rate for Payer: Banner University Family Care Medicaid $37.73
Rate for Payer: City of Bisbee Police Bisbee Police $82.68
Rate for Payer: Cigna All Products $222.60
Rate for Payer: Copperpoint $89.20
Rate for Payer: HealthNet Commercial $190.80
Rate for Payer: HealthNet Medicare $89.04
Rate for Payer: Humana Medicare $54.06
Rate for Payer: Mercy Care Medicaid $37.73
Rate for Payer: Veterans (Triwest) $54.06
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $192.71
Rate for Payer: United Healthcare Medicare $54.06
Service Code CPT 86602
Hospital Charge Code 23298044
Hospital Revenue Code 301
Min. Negotiated Rate $10.18
Max. Negotiated Rate $10.18
Rate for Payer: AHCCCS Medicaid $10.18
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $10.18
Rate for Payer: Arizona Complete Care Health Medicaid $10.18
Rate for Payer: Banner University Family Care Medicaid $10.18
Rate for Payer: Mercy Care Medicaid $10.18
Service Code CPT 86606
Hospital Charge Code 23090954
Hospital Revenue Code 301
Min. Negotiated Rate $18.87
Max. Negotiated Rate $99.90
Rate for Payer: Aetna POS, PPO, HMO $99.90
Rate for Payer: Aetna Medicare $31.08
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $18.87
Rate for Payer: Amerigroup Medicare $18.87
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $41.46
Rate for Payer: Arizona Complete Care Health Medicare Advantage $18.87
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $18.87
Rate for Payer: City of Bisbee Police Bisbee Police $28.86
Rate for Payer: Cigna All Products $77.70
Rate for Payer: Copperpoint $31.14
Rate for Payer: HealthNet Commercial $66.60
Rate for Payer: HealthNet Medicare $31.08
Rate for Payer: Humana Medicare $18.87
Rate for Payer: Veterans (Triwest) $18.87
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $67.27
Rate for Payer: United Healthcare Medicare $18.87
Service Code CPT 86606
Hospital Charge Code 23090954
Hospital Revenue Code 301
Min. Negotiated Rate $15.05
Max. Negotiated Rate $99.90
Rate for Payer: Aetna POS, PPO, HMO $99.90
Rate for Payer: Aetna Medicare $31.08
Rate for Payer: AHCCCS Medicaid $15.05
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $15.05
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $18.87
Rate for Payer: Amerigroup Medicare $18.87
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $41.46
Rate for Payer: Arizona Complete Care Health Medicaid $15.05
Rate for Payer: Arizona Complete Care Health Medicare Advantage $18.87
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $18.87
Rate for Payer: Banner University Family Care Medicaid $15.05
Rate for Payer: City of Bisbee Police Bisbee Police $28.86
Rate for Payer: Cigna All Products $77.70
Rate for Payer: Copperpoint $31.14
Rate for Payer: HealthNet Commercial $66.60
Rate for Payer: HealthNet Medicare $31.08
Rate for Payer: Humana Medicare $18.87
Rate for Payer: Mercy Care Medicaid $15.05
Rate for Payer: Veterans (Triwest) $18.87
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $67.27
Rate for Payer: United Healthcare Medicare $18.87
Service Code CPT 86606
Hospital Charge Code 23298046
Hospital Revenue Code 301
Min. Negotiated Rate $15.05
Max. Negotiated Rate $15.05
Rate for Payer: AHCCCS Medicaid $15.05
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $15.05
Rate for Payer: Arizona Complete Care Health Medicaid $15.05
Rate for Payer: Banner University Family Care Medicaid $15.05
Rate for Payer: Mercy Care Medicaid $15.05
Service Code CPT 86609
Hospital Charge Code 23298047
Hospital Revenue Code 301
Min. Negotiated Rate $12.88
Max. Negotiated Rate $12.88
Rate for Payer: AHCCCS Medicaid $12.88
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $12.88
Rate for Payer: Arizona Complete Care Health Medicaid $12.88
Rate for Payer: Banner University Family Care Medicaid $12.88
Rate for Payer: Mercy Care Medicaid $12.88
Service Code CPT 86611
Hospital Charge Code 22912241
Hospital Revenue Code 301
Min. Negotiated Rate $12.75
Max. Negotiated Rate $67.50
Rate for Payer: Aetna POS, PPO, HMO $67.50
Rate for Payer: Aetna Medicare $21.00
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $12.75
Rate for Payer: Amerigroup Medicare $12.75
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $28.01
Rate for Payer: Arizona Complete Care Health Medicare Advantage $12.75
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $12.75
Rate for Payer: City of Bisbee Police Bisbee Police $19.50
Rate for Payer: Cigna All Products $52.50
Rate for Payer: Copperpoint $21.04
Rate for Payer: HealthNet Commercial $45.00
Rate for Payer: HealthNet Medicare $21.00
Rate for Payer: Humana Medicare $12.75
Rate for Payer: Veterans (Triwest) $12.75
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $45.45
Rate for Payer: United Healthcare Medicare $12.75
Service Code CPT 86611
Hospital Charge Code 22912241
Hospital Revenue Code 301
Min. Negotiated Rate $10.18
Max. Negotiated Rate $67.50
Rate for Payer: Aetna POS, PPO, HMO $67.50
Rate for Payer: Aetna Medicare $21.00
Rate for Payer: AHCCCS Medicaid $10.18
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $10.18
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $12.75
Rate for Payer: Amerigroup Medicare $12.75
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $28.01
Rate for Payer: Arizona Complete Care Health Medicaid $10.18
Rate for Payer: Arizona Complete Care Health Medicare Advantage $12.75
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $12.75
Rate for Payer: Banner University Family Care Medicaid $10.18
Rate for Payer: City of Bisbee Police Bisbee Police $19.50
Rate for Payer: Cigna All Products $52.50
Rate for Payer: Copperpoint $21.04
Rate for Payer: HealthNet Commercial $45.00
Rate for Payer: HealthNet Medicare $21.00
Rate for Payer: Humana Medicare $12.75
Rate for Payer: Mercy Care Medicaid $10.18
Rate for Payer: Veterans (Triwest) $12.75
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $45.45
Rate for Payer: United Healthcare Medicare $12.75
Service Code CPT 86628
Hospital Charge Code 23294423
Hospital Revenue Code 301
Min. Negotiated Rate $12.01
Max. Negotiated Rate $220.50
Rate for Payer: Aetna POS, PPO, HMO $220.50
Rate for Payer: Aetna Medicare $68.60
Rate for Payer: AHCCCS Medicaid $12.01
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $12.01
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $41.65
Rate for Payer: Amerigroup Medicare $41.65
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $91.51
Rate for Payer: Arizona Complete Care Health Medicaid $12.01
Rate for Payer: Arizona Complete Care Health Medicare Advantage $41.65
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $41.65
Rate for Payer: Banner University Family Care Medicaid $12.01
Rate for Payer: City of Bisbee Police Bisbee Police $63.70
Rate for Payer: Cigna All Products $171.50
Rate for Payer: Copperpoint $68.72
Rate for Payer: HealthNet Commercial $147.00
Rate for Payer: HealthNet Medicare $68.60
Rate for Payer: Humana Medicare $41.65
Rate for Payer: Mercy Care Medicaid $12.01
Rate for Payer: Veterans (Triwest) $41.65
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $148.47
Rate for Payer: United Healthcare Medicare $41.65
Service Code CPT 86628
Hospital Charge Code 23173802
Hospital Revenue Code 302
Min. Negotiated Rate $12.01
Max. Negotiated Rate $220.50
Rate for Payer: Aetna POS, PPO, HMO $220.50
Rate for Payer: Aetna Medicare $68.60
Rate for Payer: AHCCCS Medicaid $12.01
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $12.01
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $41.65
Rate for Payer: Amerigroup Medicare $41.65
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $91.51
Rate for Payer: Arizona Complete Care Health Medicaid $12.01
Rate for Payer: Arizona Complete Care Health Medicare Advantage $41.65
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $41.65
Rate for Payer: Banner University Family Care Medicaid $12.01
Rate for Payer: City of Bisbee Police Bisbee Police $63.70
Rate for Payer: Cigna All Products $171.50
Rate for Payer: Copperpoint $68.72
Rate for Payer: HealthNet Commercial $147.00
Rate for Payer: HealthNet Medicare $68.60
Rate for Payer: Humana Medicare $41.65
Rate for Payer: Mercy Care Medicaid $12.01
Rate for Payer: Veterans (Triwest) $41.65
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $148.47
Rate for Payer: United Healthcare Medicare $41.65
Service Code CPT 86635
Hospital Charge Code 23090953
Hospital Revenue Code 301
Min. Negotiated Rate $92.48
Max. Negotiated Rate $92.48
Rate for Payer: Blue Cross Blue Shield AZ PPO $92.48
Service Code CPT 86635
Hospital Charge Code 23090953
Hospital Revenue Code 301
Min. Negotiated Rate $11.47
Max. Negotiated Rate $92.48
Rate for Payer: AHCCCS Medicaid $11.47
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $11.47
Rate for Payer: Arizona Complete Care Health Medicaid $11.47
Rate for Payer: Banner University Family Care Medicaid $11.47
Rate for Payer: Blue Cross Blue Shield AZ PPO $92.48
Rate for Payer: Mercy Care Medicaid $11.47