Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation

Facility

$5,365.71

Service Code	APR-DRG 6602
Hospital Charge Code	APRDRG6604
Min. Negotiated Rate	$5,365.71
Max. Negotiated Rate	$5,365.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,365.71
Rate for Payer: Mercy Care Medicaid	$5,365.71
Rate for Payer: NaphCare Correctional Healthcare	$5,365.71

Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation

Facility

$5,365.71

Service Code	APR-DRG 6602
Hospital Charge Code	APRDRG6602
Min. Negotiated Rate	$5,365.71
Max. Negotiated Rate	$5,365.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,365.71
Rate for Payer: Mercy Care Medicaid	$5,365.71
Rate for Payer: NaphCare Correctional Healthcare	$5,365.71

Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation

Facility

$9,175.71

Service Code	APR-DRG 6603
Hospital Charge Code	APRDRG6604
Min. Negotiated Rate	$9,175.71
Max. Negotiated Rate	$9,175.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,175.71
Rate for Payer: Mercy Care Medicaid	$9,175.71
Rate for Payer: NaphCare Correctional Healthcare	$9,175.71

Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation

Facility

$9,175.71

Service Code	APR-DRG 6603
Hospital Charge Code	APRDRG6601
Min. Negotiated Rate	$9,175.71
Max. Negotiated Rate	$9,175.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,175.71
Rate for Payer: Mercy Care Medicaid	$9,175.71
Rate for Payer: NaphCare Correctional Healthcare	$9,175.71

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Facility

$39,201.49

Service Code	MSDRG 469
Min. Negotiated Rate	$39,201.49
Max. Negotiated Rate	$39,201.49
Rate for Payer: Seven Corners Travel Insurance	$39,201.49

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Facility

$24,929.39

Service Code	MSDRG 470
Min. Negotiated Rate	$24,929.39
Max. Negotiated Rate	$24,929.39
Rate for Payer: Seven Corners Travel Insurance	$24,929.39

MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

Facility

$35,824.44

Service Code	MSDRG 483
Min. Negotiated Rate	$35,824.44
Max. Negotiated Rate	$35,824.44
Rate for Payer: Seven Corners Travel Insurance	$35,824.44

Major Large Bowel Procedures

Facility

$17,794.52

Service Code	APR-DRG 2313
Hospital Charge Code	APRDRG2313
Min. Negotiated Rate	$17,794.52
Max. Negotiated Rate	$17,794.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,794.52
Rate for Payer: Mercy Care Medicaid	$17,794.52
Rate for Payer: NaphCare Correctional Healthcare	$17,794.52

Major Large Bowel Procedures

Facility

$17,794.52

Service Code	APR-DRG 2313
Hospital Charge Code	APRDRG2312
Min. Negotiated Rate	$17,794.52
Max. Negotiated Rate	$17,794.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,794.52
Rate for Payer: Mercy Care Medicaid	$17,794.52
Rate for Payer: NaphCare Correctional Healthcare	$17,794.52

Major Large Bowel Procedures

Facility

$17,794.52

Service Code	APR-DRG 2313
Hospital Charge Code	APRDRG2314
Min. Negotiated Rate	$17,794.52
Max. Negotiated Rate	$17,794.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,794.52
Rate for Payer: Mercy Care Medicaid	$17,794.52
Rate for Payer: NaphCare Correctional Healthcare	$17,794.52

Major Large Bowel Procedures

Facility

$17,794.52

Service Code	APR-DRG 2313
Hospital Charge Code	APRDRG2311
Min. Negotiated Rate	$17,794.52
Max. Negotiated Rate	$17,794.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,794.52
Rate for Payer: Mercy Care Medicaid	$17,794.52
Rate for Payer: NaphCare Correctional Healthcare	$17,794.52

Major Large Bowel Procedures

Facility

$30,310.30

Service Code	APR-DRG 2314
Hospital Charge Code	APRDRG2314
Min. Negotiated Rate	$30,310.30
Max. Negotiated Rate	$30,310.30
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$30,310.30
Rate for Payer: Mercy Care Medicaid	$30,310.30
Rate for Payer: NaphCare Correctional Healthcare	$30,310.30

Major Large Bowel Procedures

Facility

$9,038.24

Service Code	APR-DRG 2311
Hospital Charge Code	APRDRG2314
Min. Negotiated Rate	$9,038.24
Max. Negotiated Rate	$9,038.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,038.24
Rate for Payer: Mercy Care Medicaid	$9,038.24
Rate for Payer: NaphCare Correctional Healthcare	$9,038.24

Major Large Bowel Procedures

Facility

$30,310.30

Service Code	APR-DRG 2314
Hospital Charge Code	APRDRG2312
Min. Negotiated Rate	$30,310.30
Max. Negotiated Rate	$30,310.30
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$30,310.30
Rate for Payer: Mercy Care Medicaid	$30,310.30
Rate for Payer: NaphCare Correctional Healthcare	$30,310.30

Major Large Bowel Procedures

Facility

$9,038.24

Service Code	APR-DRG 2311
Hospital Charge Code	APRDRG2311
Min. Negotiated Rate	$9,038.24
Max. Negotiated Rate	$9,038.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,038.24
Rate for Payer: Mercy Care Medicaid	$9,038.24
Rate for Payer: NaphCare Correctional Healthcare	$9,038.24

Major Large Bowel Procedures

Facility

$11,551.36

Service Code	APR-DRG 2312
Hospital Charge Code	APRDRG2313
Min. Negotiated Rate	$11,551.36
Max. Negotiated Rate	$11,551.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,551.36
Rate for Payer: Mercy Care Medicaid	$11,551.36
Rate for Payer: NaphCare Correctional Healthcare	$11,551.36

Major Large Bowel Procedures

Facility

$9,038.24

Service Code	APR-DRG 2311
Hospital Charge Code	APRDRG2312
Min. Negotiated Rate	$9,038.24
Max. Negotiated Rate	$9,038.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,038.24
Rate for Payer: Mercy Care Medicaid	$9,038.24
Rate for Payer: NaphCare Correctional Healthcare	$9,038.24

Major Large Bowel Procedures

Facility

$11,551.36

Service Code	APR-DRG 2312
Hospital Charge Code	APRDRG2311
Min. Negotiated Rate	$11,551.36
Max. Negotiated Rate	$11,551.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,551.36
Rate for Payer: Mercy Care Medicaid	$11,551.36
Rate for Payer: NaphCare Correctional Healthcare	$11,551.36

Major Large Bowel Procedures

Facility

$11,551.36

Service Code	APR-DRG 2312
Hospital Charge Code	APRDRG2314
Min. Negotiated Rate	$11,551.36
Max. Negotiated Rate	$11,551.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,551.36
Rate for Payer: Mercy Care Medicaid	$11,551.36
Rate for Payer: NaphCare Correctional Healthcare	$11,551.36

Major Large Bowel Procedures

Facility

$30,310.30

Service Code	APR-DRG 2314
Hospital Charge Code	APRDRG2313
Min. Negotiated Rate	$30,310.30
Max. Negotiated Rate	$30,310.30
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$30,310.30
Rate for Payer: Mercy Care Medicaid	$30,310.30
Rate for Payer: NaphCare Correctional Healthcare	$30,310.30

Major Large Bowel Procedures

Facility

$9,038.24

Service Code	APR-DRG 2311
Hospital Charge Code	APRDRG2313
Min. Negotiated Rate	$9,038.24
Max. Negotiated Rate	$9,038.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,038.24
Rate for Payer: Mercy Care Medicaid	$9,038.24
Rate for Payer: NaphCare Correctional Healthcare	$9,038.24

Major Large Bowel Procedures

Facility

$30,310.30

Service Code	APR-DRG 2314
Hospital Charge Code	APRDRG2311
Min. Negotiated Rate	$30,310.30
Max. Negotiated Rate	$30,310.30
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$30,310.30
Rate for Payer: Mercy Care Medicaid	$30,310.30
Rate for Payer: NaphCare Correctional Healthcare	$30,310.30

Major Large Bowel Procedures

Facility

$11,551.36

Service Code	APR-DRG 2312
Hospital Charge Code	APRDRG2312
Min. Negotiated Rate	$11,551.36
Max. Negotiated Rate	$11,551.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,551.36
Rate for Payer: Mercy Care Medicaid	$11,551.36
Rate for Payer: NaphCare Correctional Healthcare	$11,551.36

Major Male Pelvic Procedures

Facility

$14,384.31

Service Code	APR-DRG 4803
Hospital Charge Code	APRDRG4801
Min. Negotiated Rate	$14,384.31
Max. Negotiated Rate	$14,384.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,384.31
Rate for Payer: Mercy Care Medicaid	$14,384.31
Rate for Payer: NaphCare Correctional Healthcare	$14,384.31

Major Male Pelvic Procedures

Facility

$9,064.19

Service Code	APR-DRG 4802
Hospital Charge Code	APRDRG4801
Min. Negotiated Rate	$9,064.19
Max. Negotiated Rate	$9,064.19
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,064.19
Rate for Payer: Mercy Care Medicaid	$9,064.19
Rate for Payer: NaphCare Correctional Healthcare	$9,064.19

Know your out-of-pocket cost for care.

All Charges