Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Malignancy Of Hepatobiliary System And Pancreas

Facility

$7,898.47

Service Code	APR-DRG 2813
Hospital Charge Code	APRDRG2814
Min. Negotiated Rate	$7,898.47
Max. Negotiated Rate	$7,898.47
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,898.47
Rate for Payer: Mercy Care Medicaid	$7,898.47
Rate for Payer: NaphCare Correctional Healthcare	$7,898.47

Malignancy Of Hepatobiliary System And Pancreas

Facility

$6,007.49

Service Code	APR-DRG 2812
Hospital Charge Code	APRDRG2814
Min. Negotiated Rate	$6,007.49
Max. Negotiated Rate	$6,007.49
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,007.49
Rate for Payer: Mercy Care Medicaid	$6,007.49
Rate for Payer: NaphCare Correctional Healthcare	$6,007.49

Malignancy Of Hepatobiliary System And Pancreas

Facility

$4,715.51

Service Code	APR-DRG 2811
Hospital Charge Code	APRDRG2814
Min. Negotiated Rate	$4,715.51
Max. Negotiated Rate	$4,715.51
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,715.51
Rate for Payer: Mercy Care Medicaid	$4,715.51
Rate for Payer: NaphCare Correctional Healthcare	$4,715.51

Malignancy Of Hepatobiliary System And Pancreas

Facility

$12,783.72

Service Code	APR-DRG 2814
Hospital Charge Code	APRDRG2813
Min. Negotiated Rate	$12,783.72
Max. Negotiated Rate	$12,783.72
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,783.72
Rate for Payer: Mercy Care Medicaid	$12,783.72
Rate for Payer: NaphCare Correctional Healthcare	$12,783.72

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$14,687.82

Service Code	MSDRG 436
Min. Negotiated Rate	$14,687.82
Max. Negotiated Rate	$14,687.82
Rate for Payer: Seven Corners Travel Insurance	$14,687.82

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$23,737.79

Service Code	MSDRG 435
Min. Negotiated Rate	$23,737.79
Max. Negotiated Rate	$23,737.79
Rate for Payer: Seven Corners Travel Insurance	$23,737.79

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$11,167.75

Service Code	MSDRG 437
Min. Negotiated Rate	$11,167.75
Max. Negotiated Rate	$11,167.75
Rate for Payer: Seven Corners Travel Insurance	$11,167.75

Malignant Breast Disorders

Facility

$12,879.11

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG3822
Min. Negotiated Rate	$12,879.11
Max. Negotiated Rate	$12,879.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,879.11
Rate for Payer: Mercy Care Medicaid	$12,879.11
Rate for Payer: NaphCare Correctional Healthcare	$12,879.11

Malignant Breast Disorders

Facility

$4,275.03

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG3823
Min. Negotiated Rate	$4,275.03
Max. Negotiated Rate	$4,275.03
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,275.03
Rate for Payer: Mercy Care Medicaid	$4,275.03
Rate for Payer: NaphCare Correctional Healthcare	$4,275.03

Malignant Breast Disorders

Facility

$5,483.55

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG3821
Min. Negotiated Rate	$5,483.55
Max. Negotiated Rate	$5,483.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,483.55
Rate for Payer: Mercy Care Medicaid	$5,483.55
Rate for Payer: NaphCare Correctional Healthcare	$5,483.55

Malignant Breast Disorders

Facility

$4,275.03

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG3824
Min. Negotiated Rate	$4,275.03
Max. Negotiated Rate	$4,275.03
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,275.03
Rate for Payer: Mercy Care Medicaid	$4,275.03
Rate for Payer: NaphCare Correctional Healthcare	$4,275.03

Malignant Breast Disorders

Facility

$5,483.55

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG3823
Min. Negotiated Rate	$5,483.55
Max. Negotiated Rate	$5,483.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,483.55
Rate for Payer: Mercy Care Medicaid	$5,483.55
Rate for Payer: NaphCare Correctional Healthcare	$5,483.55

Malignant Breast Disorders

Facility

$7,657.18

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG3822
Min. Negotiated Rate	$7,657.18
Max. Negotiated Rate	$7,657.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,657.18
Rate for Payer: Mercy Care Medicaid	$7,657.18
Rate for Payer: NaphCare Correctional Healthcare	$7,657.18

Malignant Breast Disorders

Facility

$4,275.03

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG3822
Min. Negotiated Rate	$4,275.03
Max. Negotiated Rate	$4,275.03
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,275.03
Rate for Payer: Mercy Care Medicaid	$4,275.03
Rate for Payer: NaphCare Correctional Healthcare	$4,275.03

Malignant Breast Disorders

Facility

$5,483.55

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG3824
Min. Negotiated Rate	$5,483.55
Max. Negotiated Rate	$5,483.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,483.55
Rate for Payer: Mercy Care Medicaid	$5,483.55
Rate for Payer: NaphCare Correctional Healthcare	$5,483.55

Malignant Breast Disorders

Facility

$5,483.55

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG3822
Min. Negotiated Rate	$5,483.55
Max. Negotiated Rate	$5,483.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,483.55
Rate for Payer: Mercy Care Medicaid	$5,483.55
Rate for Payer: NaphCare Correctional Healthcare	$5,483.55

Malignant Breast Disorders

Facility

$7,657.18

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG3823
Min. Negotiated Rate	$7,657.18
Max. Negotiated Rate	$7,657.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,657.18
Rate for Payer: Mercy Care Medicaid	$7,657.18
Rate for Payer: NaphCare Correctional Healthcare	$7,657.18

Malignant Breast Disorders

Facility

$12,879.11

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG3823
Min. Negotiated Rate	$12,879.11
Max. Negotiated Rate	$12,879.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,879.11
Rate for Payer: Mercy Care Medicaid	$12,879.11
Rate for Payer: NaphCare Correctional Healthcare	$12,879.11

Malignant Breast Disorders

Facility

$4,275.03

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG3821
Min. Negotiated Rate	$4,275.03
Max. Negotiated Rate	$4,275.03
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,275.03
Rate for Payer: Mercy Care Medicaid	$4,275.03
Rate for Payer: NaphCare Correctional Healthcare	$4,275.03

Malignant Breast Disorders

Facility

$7,657.18

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG3821
Min. Negotiated Rate	$7,657.18
Max. Negotiated Rate	$7,657.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,657.18
Rate for Payer: Mercy Care Medicaid	$7,657.18
Rate for Payer: NaphCare Correctional Healthcare	$7,657.18

Malignant Breast Disorders

Facility

$7,657.18

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG3824
Min. Negotiated Rate	$7,657.18
Max. Negotiated Rate	$7,657.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,657.18
Rate for Payer: Mercy Care Medicaid	$7,657.18
Rate for Payer: NaphCare Correctional Healthcare	$7,657.18

Malignant Breast Disorders

Facility

$12,879.11

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG3824
Min. Negotiated Rate	$12,879.11
Max. Negotiated Rate	$12,879.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,879.11
Rate for Payer: Mercy Care Medicaid	$12,879.11
Rate for Payer: NaphCare Correctional Healthcare	$12,879.11

Malignant Breast Disorders

Facility

$12,879.11

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG3821
Min. Negotiated Rate	$12,879.11
Max. Negotiated Rate	$12,879.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,879.11
Rate for Payer: Mercy Care Medicaid	$12,879.11
Rate for Payer: NaphCare Correctional Healthcare	$12,879.11

MALIGNANT BREAST DISORDERS WITH CC

Facility

$14,690.33

Service Code	MSDRG 598
Min. Negotiated Rate	$14,690.33
Max. Negotiated Rate	$14,690.33
Rate for Payer: Seven Corners Travel Insurance	$14,690.33

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$21,545.84

Service Code	MSDRG 597
Min. Negotiated Rate	$21,545.84
Max. Negotiated Rate	$21,545.84
Rate for Payer: Seven Corners Travel Insurance	$21,545.84

Know your out-of-pocket cost for care.

All Charges