Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Other Endocrine Disorders

Facility

$3,579.24

Service Code	APR-DRG 4241
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$3,579.24
Max. Negotiated Rate	$3,579.24
Rate for Payer: AHCCCS Medicaid	$3,579.24
Rate for Payer: Allwell Medicaid	$3,579.24
Rate for Payer: AZCH Complete Medicaid	$3,579.24
Rate for Payer: Banner UC Health Medicaid	$3,579.24
Rate for Payer: Mercy Care Medicaid	$3,579.24

Other Endocrine Disorders

Facility

$4,780.04

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG4242
Min. Negotiated Rate	$4,780.04
Max. Negotiated Rate	$4,780.04
Rate for Payer: AHCCCS Medicaid	$4,780.04
Rate for Payer: Allwell Medicaid	$4,780.04
Rate for Payer: AZCH Complete Medicaid	$4,780.04
Rate for Payer: Banner UC Health Medicaid	$4,780.04
Rate for Payer: Mercy Care Medicaid	$4,780.04

Other Endocrine Disorders

Facility

$3,579.24

Service Code	APR-DRG 4241
Hospital Charge Code	APRDRG4241
Min. Negotiated Rate	$3,579.24
Max. Negotiated Rate	$3,579.24
Rate for Payer: AHCCCS Medicaid	$3,579.24
Rate for Payer: Allwell Medicaid	$3,579.24
Rate for Payer: AZCH Complete Medicaid	$3,579.24
Rate for Payer: Banner UC Health Medicaid	$3,579.24
Rate for Payer: Mercy Care Medicaid	$3,579.24

Other Endocrine Disorders

Facility

$4,780.04

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$4,780.04
Max. Negotiated Rate	$4,780.04
Rate for Payer: AHCCCS Medicaid	$4,780.04
Rate for Payer: Allwell Medicaid	$4,780.04
Rate for Payer: AZCH Complete Medicaid	$4,780.04
Rate for Payer: Banner UC Health Medicaid	$4,780.04
Rate for Payer: Mercy Care Medicaid	$4,780.04

Other Endocrine Disorders

Facility

$13,603.65

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$13,603.65
Max. Negotiated Rate	$13,603.65
Rate for Payer: AHCCCS Medicaid	$13,603.65
Rate for Payer: Allwell Medicaid	$13,603.65
Rate for Payer: AZCH Complete Medicaid	$13,603.65
Rate for Payer: Banner UC Health Medicaid	$13,603.65
Rate for Payer: Mercy Care Medicaid	$13,603.65

Other Endocrine Disorders

Facility

$13,603.65

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG4244
Min. Negotiated Rate	$13,603.65
Max. Negotiated Rate	$13,603.65
Rate for Payer: AHCCCS Medicaid	$13,603.65
Rate for Payer: Allwell Medicaid	$13,603.65
Rate for Payer: AZCH Complete Medicaid	$13,603.65
Rate for Payer: Banner UC Health Medicaid	$13,603.65
Rate for Payer: Mercy Care Medicaid	$13,603.65

Other Endocrine Disorders

Facility

$13,603.65

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG4242
Min. Negotiated Rate	$13,603.65
Max. Negotiated Rate	$13,603.65
Rate for Payer: AHCCCS Medicaid	$13,603.65
Rate for Payer: Allwell Medicaid	$13,603.65
Rate for Payer: AZCH Complete Medicaid	$13,603.65
Rate for Payer: Banner UC Health Medicaid	$13,603.65
Rate for Payer: Mercy Care Medicaid	$13,603.65

Other Endocrine Disorders

Facility

$3,579.24

Service Code	APR-DRG 4241
Hospital Charge Code	APRDRG4242
Min. Negotiated Rate	$3,579.24
Max. Negotiated Rate	$3,579.24
Rate for Payer: AHCCCS Medicaid	$3,579.24
Rate for Payer: Allwell Medicaid	$3,579.24
Rate for Payer: AZCH Complete Medicaid	$3,579.24
Rate for Payer: Banner UC Health Medicaid	$3,579.24
Rate for Payer: Mercy Care Medicaid	$3,579.24

Other Endocrine Disorders

Facility

$13,603.65

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG4241
Min. Negotiated Rate	$13,603.65
Max. Negotiated Rate	$13,603.65
Rate for Payer: AHCCCS Medicaid	$13,603.65
Rate for Payer: Allwell Medicaid	$13,603.65
Rate for Payer: AZCH Complete Medicaid	$13,603.65
Rate for Payer: Banner UC Health Medicaid	$13,603.65
Rate for Payer: Mercy Care Medicaid	$13,603.65

Other Endocrine Disorders

Facility

$7,105.88

Service Code	APR-DRG 4243
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$7,105.88
Max. Negotiated Rate	$7,105.88
Rate for Payer: AHCCCS Medicaid	$7,105.88
Rate for Payer: Allwell Medicaid	$7,105.88
Rate for Payer: AZCH Complete Medicaid	$7,105.88
Rate for Payer: Banner UC Health Medicaid	$7,105.88
Rate for Payer: Mercy Care Medicaid	$7,105.88

Other Endocrine Disorders

Facility

$4,780.04

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG4244
Min. Negotiated Rate	$4,780.04
Max. Negotiated Rate	$4,780.04
Rate for Payer: AHCCCS Medicaid	$4,780.04
Rate for Payer: Allwell Medicaid	$4,780.04
Rate for Payer: AZCH Complete Medicaid	$4,780.04
Rate for Payer: Banner UC Health Medicaid	$4,780.04
Rate for Payer: Mercy Care Medicaid	$4,780.04

Other Endocrine Disorders

Facility

$4,780.04

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG4241
Min. Negotiated Rate	$4,780.04
Max. Negotiated Rate	$4,780.04
Rate for Payer: AHCCCS Medicaid	$4,780.04
Rate for Payer: Allwell Medicaid	$4,780.04
Rate for Payer: AZCH Complete Medicaid	$4,780.04
Rate for Payer: Banner UC Health Medicaid	$4,780.04
Rate for Payer: Mercy Care Medicaid	$4,780.04

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: AHCCCS Medicaid	$6,661.20
Rate for Payer: Allwell Medicaid	$6,661.20
Rate for Payer: AZCH Complete Medicaid	$6,661.20
Rate for Payer: Banner UC Health Medicaid	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: AHCCCS Medicaid	$13,180.71
Rate for Payer: Allwell Medicaid	$13,180.71
Rate for Payer: AZCH Complete Medicaid	$13,180.71
Rate for Payer: Banner UC Health Medicaid	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: AHCCCS Medicaid	$6,661.20
Rate for Payer: Allwell Medicaid	$6,661.20
Rate for Payer: AZCH Complete Medicaid	$6,661.20
Rate for Payer: Banner UC Health Medicaid	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: AHCCCS Medicaid	$13,180.71
Rate for Payer: Allwell Medicaid	$13,180.71
Rate for Payer: AZCH Complete Medicaid	$13,180.71
Rate for Payer: Banner UC Health Medicaid	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: AHCCCS Medicaid	$6,661.20
Rate for Payer: Allwell Medicaid	$6,661.20
Rate for Payer: AZCH Complete Medicaid	$6,661.20
Rate for Payer: Banner UC Health Medicaid	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: AHCCCS Medicaid	$3,798.08
Rate for Payer: Allwell Medicaid	$3,798.08
Rate for Payer: AZCH Complete Medicaid	$3,798.08
Rate for Payer: Banner UC Health Medicaid	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: AHCCCS Medicaid	$3,798.08
Rate for Payer: Allwell Medicaid	$3,798.08
Rate for Payer: AZCH Complete Medicaid	$3,798.08
Rate for Payer: Banner UC Health Medicaid	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: AHCCCS Medicaid	$4,561.91
Rate for Payer: Allwell Medicaid	$4,561.91
Rate for Payer: AZCH Complete Medicaid	$4,561.91
Rate for Payer: Banner UC Health Medicaid	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: AHCCCS Medicaid	$13,180.71
Rate for Payer: Allwell Medicaid	$13,180.71
Rate for Payer: AZCH Complete Medicaid	$13,180.71
Rate for Payer: Banner UC Health Medicaid	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: AHCCCS Medicaid	$6,661.20
Rate for Payer: Allwell Medicaid	$6,661.20
Rate for Payer: AZCH Complete Medicaid	$6,661.20
Rate for Payer: Banner UC Health Medicaid	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: AHCCCS Medicaid	$4,561.91
Rate for Payer: Allwell Medicaid	$4,561.91
Rate for Payer: AZCH Complete Medicaid	$4,561.91
Rate for Payer: Banner UC Health Medicaid	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: AHCCCS Medicaid	$3,798.08
Rate for Payer: Allwell Medicaid	$3,798.08
Rate for Payer: AZCH Complete Medicaid	$3,798.08
Rate for Payer: Banner UC Health Medicaid	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: AHCCCS Medicaid	$4,561.91
Rate for Payer: Allwell Medicaid	$4,561.91
Rate for Payer: AZCH Complete Medicaid	$4,561.91
Rate for Payer: Banner UC Health Medicaid	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91

Know your out-of-pocket cost for care.

All Charges