Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$13,243.13

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG1754
Min. Negotiated Rate	$13,243.13
Max. Negotiated Rate	$13,243.13
Rate for Payer: AHCCCS Medicaid	$13,243.13
Rate for Payer: Allwell Medicaid	$13,243.13
Rate for Payer: AZCH Complete Medicaid	$13,243.13
Rate for Payer: Banner UC Health Medicaid	$13,243.13
Rate for Payer: Mercy Care Medicaid	$13,243.13

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$18,408.24

Service Code	APR-DRG 1753
Hospital Charge Code	APRDRG1751
Min. Negotiated Rate	$18,408.24
Max. Negotiated Rate	$18,408.24
Rate for Payer: AHCCCS Medicaid	$18,408.24
Rate for Payer: Allwell Medicaid	$18,408.24
Rate for Payer: AZCH Complete Medicaid	$18,408.24
Rate for Payer: Banner UC Health Medicaid	$18,408.24
Rate for Payer: Mercy Care Medicaid	$18,408.24

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$36,903.46

Service Code	APR-DRG 0304
Hospital Charge Code	APRDRG0303
Min. Negotiated Rate	$36,903.46
Max. Negotiated Rate	$36,903.46
Rate for Payer: AHCCCS Medicaid	$36,903.46
Rate for Payer: Allwell Medicaid	$36,903.46
Rate for Payer: AZCH Complete Medicaid	$36,903.46
Rate for Payer: Banner UC Health Medicaid	$36,903.46
Rate for Payer: Mercy Care Medicaid	$36,903.46

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$13,076.90

Service Code	APR-DRG 0301
Hospital Charge Code	APRDRG0303
Min. Negotiated Rate	$13,076.90
Max. Negotiated Rate	$13,076.90
Rate for Payer: AHCCCS Medicaid	$13,076.90
Rate for Payer: Allwell Medicaid	$13,076.90
Rate for Payer: AZCH Complete Medicaid	$13,076.90
Rate for Payer: Banner UC Health Medicaid	$13,076.90
Rate for Payer: Mercy Care Medicaid	$13,076.90

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$18,696.52

Service Code	APR-DRG 0302
Hospital Charge Code	APRDRG0301
Min. Negotiated Rate	$18,696.52
Max. Negotiated Rate	$18,696.52
Rate for Payer: AHCCCS Medicaid	$18,696.52
Rate for Payer: Allwell Medicaid	$18,696.52
Rate for Payer: AZCH Complete Medicaid	$18,696.52
Rate for Payer: Banner UC Health Medicaid	$18,696.52
Rate for Payer: Mercy Care Medicaid	$18,696.52

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$36,903.46

Service Code	APR-DRG 0304
Hospital Charge Code	APRDRG0301
Min. Negotiated Rate	$36,903.46
Max. Negotiated Rate	$36,903.46
Rate for Payer: AHCCCS Medicaid	$36,903.46
Rate for Payer: Allwell Medicaid	$36,903.46
Rate for Payer: AZCH Complete Medicaid	$36,903.46
Rate for Payer: Banner UC Health Medicaid	$36,903.46
Rate for Payer: Mercy Care Medicaid	$36,903.46

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$13,076.90

Service Code	APR-DRG 0301
Hospital Charge Code	APRDRG0304
Min. Negotiated Rate	$13,076.90
Max. Negotiated Rate	$13,076.90
Rate for Payer: AHCCCS Medicaid	$13,076.90
Rate for Payer: Allwell Medicaid	$13,076.90
Rate for Payer: AZCH Complete Medicaid	$13,076.90
Rate for Payer: Banner UC Health Medicaid	$13,076.90
Rate for Payer: Mercy Care Medicaid	$13,076.90

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$36,903.46

Service Code	APR-DRG 0304
Hospital Charge Code	APRDRG0302
Min. Negotiated Rate	$36,903.46
Max. Negotiated Rate	$36,903.46
Rate for Payer: AHCCCS Medicaid	$36,903.46
Rate for Payer: Allwell Medicaid	$36,903.46
Rate for Payer: AZCH Complete Medicaid	$36,903.46
Rate for Payer: Banner UC Health Medicaid	$36,903.46
Rate for Payer: Mercy Care Medicaid	$36,903.46

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$26,175.55

Service Code	APR-DRG 0303
Hospital Charge Code	APRDRG0303
Min. Negotiated Rate	$26,175.55
Max. Negotiated Rate	$26,175.55
Rate for Payer: AHCCCS Medicaid	$26,175.55
Rate for Payer: Allwell Medicaid	$26,175.55
Rate for Payer: AZCH Complete Medicaid	$26,175.55
Rate for Payer: Banner UC Health Medicaid	$26,175.55
Rate for Payer: Mercy Care Medicaid	$26,175.55

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$18,696.52

Service Code	APR-DRG 0302
Hospital Charge Code	APRDRG0303
Min. Negotiated Rate	$18,696.52
Max. Negotiated Rate	$18,696.52
Rate for Payer: AHCCCS Medicaid	$18,696.52
Rate for Payer: Allwell Medicaid	$18,696.52
Rate for Payer: AZCH Complete Medicaid	$18,696.52
Rate for Payer: Banner UC Health Medicaid	$18,696.52
Rate for Payer: Mercy Care Medicaid	$18,696.52

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$26,175.55

Service Code	APR-DRG 0303
Hospital Charge Code	APRDRG0304
Min. Negotiated Rate	$26,175.55
Max. Negotiated Rate	$26,175.55
Rate for Payer: AHCCCS Medicaid	$26,175.55
Rate for Payer: Allwell Medicaid	$26,175.55
Rate for Payer: AZCH Complete Medicaid	$26,175.55
Rate for Payer: Banner UC Health Medicaid	$26,175.55
Rate for Payer: Mercy Care Medicaid	$26,175.55

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$18,696.52

Service Code	APR-DRG 0302
Hospital Charge Code	APRDRG0302
Min. Negotiated Rate	$18,696.52
Max. Negotiated Rate	$18,696.52
Rate for Payer: AHCCCS Medicaid	$18,696.52
Rate for Payer: Allwell Medicaid	$18,696.52
Rate for Payer: AZCH Complete Medicaid	$18,696.52
Rate for Payer: Banner UC Health Medicaid	$18,696.52
Rate for Payer: Mercy Care Medicaid	$18,696.52

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$18,696.52

Service Code	APR-DRG 0302
Hospital Charge Code	APRDRG0304
Min. Negotiated Rate	$18,696.52
Max. Negotiated Rate	$18,696.52
Rate for Payer: AHCCCS Medicaid	$18,696.52
Rate for Payer: Allwell Medicaid	$18,696.52
Rate for Payer: AZCH Complete Medicaid	$18,696.52
Rate for Payer: Banner UC Health Medicaid	$18,696.52
Rate for Payer: Mercy Care Medicaid	$18,696.52

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$26,175.55

Service Code	APR-DRG 0303
Hospital Charge Code	APRDRG0301
Min. Negotiated Rate	$26,175.55
Max. Negotiated Rate	$26,175.55
Rate for Payer: AHCCCS Medicaid	$26,175.55
Rate for Payer: Allwell Medicaid	$26,175.55
Rate for Payer: AZCH Complete Medicaid	$26,175.55
Rate for Payer: Banner UC Health Medicaid	$26,175.55
Rate for Payer: Mercy Care Medicaid	$26,175.55

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$13,076.90

Service Code	APR-DRG 0301
Hospital Charge Code	APRDRG0302
Min. Negotiated Rate	$13,076.90
Max. Negotiated Rate	$13,076.90
Rate for Payer: AHCCCS Medicaid	$13,076.90
Rate for Payer: Allwell Medicaid	$13,076.90
Rate for Payer: AZCH Complete Medicaid	$13,076.90
Rate for Payer: Banner UC Health Medicaid	$13,076.90
Rate for Payer: Mercy Care Medicaid	$13,076.90

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$26,175.55

Service Code	APR-DRG 0303
Hospital Charge Code	APRDRG0302
Min. Negotiated Rate	$26,175.55
Max. Negotiated Rate	$26,175.55
Rate for Payer: AHCCCS Medicaid	$26,175.55
Rate for Payer: Allwell Medicaid	$26,175.55
Rate for Payer: AZCH Complete Medicaid	$26,175.55
Rate for Payer: Banner UC Health Medicaid	$26,175.55
Rate for Payer: Mercy Care Medicaid	$26,175.55

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$36,903.46

Service Code	APR-DRG 0304
Hospital Charge Code	APRDRG0304
Min. Negotiated Rate	$36,903.46
Max. Negotiated Rate	$36,903.46
Rate for Payer: AHCCCS Medicaid	$36,903.46
Rate for Payer: Allwell Medicaid	$36,903.46
Rate for Payer: AZCH Complete Medicaid	$36,903.46
Rate for Payer: Banner UC Health Medicaid	$36,903.46
Rate for Payer: Mercy Care Medicaid	$36,903.46

Percutaneous Intracranial And Extracranial Vascular Procedures

Facility

IP

$13,076.90

Service Code	APR-DRG 0301
Hospital Charge Code	APRDRG0301
Min. Negotiated Rate	$13,076.90
Max. Negotiated Rate	$13,076.90
Rate for Payer: AHCCCS Medicaid	$13,076.90
Rate for Payer: Allwell Medicaid	$13,076.90
Rate for Payer: AZCH Complete Medicaid	$13,076.90
Rate for Payer: Banner UC Health Medicaid	$13,076.90
Rate for Payer: Mercy Care Medicaid	$13,076.90

PERCUTANEOUS SKELETAL FIXATION OF FRACTURE GREAT TOE PHALANX OR PHALANGES

Facility

IP

$1,185.00

Service Code	CPT 28496
Hospital Charge Code	24043336
Hospital Revenue Code	360
Min. Negotiated Rate	$308.10
Max. Negotiated Rate	$1,066.50
Rate for Payer: Aetna of AZ Commercial	$1,066.50
Rate for Payer: Bisbee Police All Plans	$308.10
Rate for Payer: Cash Price	$948.00
Rate for Payer: Self Pay Self Pay	$948.00

PERCUTANEOUS SKELETAL FIXATION OF FRACTURE GREAT TOE PHALANX OR PHALANGES

Facility

OP

$1,185.00

Service Code	CPT 28496
Hospital Charge Code	24043336
Hospital Revenue Code	360
Min. Negotiated Rate	$177.75
Max. Negotiated Rate	$4,104.08
Rate for Payer: Aetna of AZ Commercial	$1,066.50
Rate for Payer: Aetna of AZ Medicare	$331.80
Rate for Payer: AHCCCS Medicaid	$4,104.08
Rate for Payer: Allwell Medicaid	$4,104.08
Rate for Payer: Allwell Medicare	$177.75
Rate for Payer: Amerigroup Medicare	$177.75
Rate for Payer: APIPA Medicare/Medicaid	$442.60
Rate for Payer: AZCH Complete Medicaid	$4,104.08
Rate for Payer: AZCH Complete Medicare	$177.75
Rate for Payer: Banner UC Health Medicaid	$4,104.08
Rate for Payer: Banner UC Health Medicare	$177.75
Rate for Payer: Bisbee Police All Plans	$308.10
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$805.80
Rate for Payer: Cash Price	$948.00
Rate for Payer: Cash Price	$948.00
Rate for Payer: Cigna of AZ Commercial	$592.50
Rate for Payer: Copperpoint Commercial	$293.29
Rate for Payer: Health Net of AZ Commercial	$711.00
Rate for Payer: Health Net of AZ Medicare	$331.80
Rate for Payer: Humana of AZ Medicare	$177.75
Rate for Payer: Mercy Care Medicaid	$4,104.08
Rate for Payer: Self Pay Self Pay	$948.00
Rate for Payer: TriWest Medicare	$177.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$213.30

PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE WITH MANIPULATION EACH - Tech

Facility

OP

$1,704.00

Service Code	CPT 28476
Hospital Charge Code	24043299
Hospital Revenue Code	360
Min. Negotiated Rate	$255.60
Max. Negotiated Rate	$4,104.08
Rate for Payer: Aetna of AZ Commercial	$1,533.60
Rate for Payer: Aetna of AZ Medicare	$477.12
Rate for Payer: AHCCCS Medicaid	$4,104.08
Rate for Payer: Allwell Medicaid	$4,104.08
Rate for Payer: Allwell Medicare	$255.60
Rate for Payer: Amerigroup Medicare	$255.60
Rate for Payer: APIPA Medicare/Medicaid	$636.44
Rate for Payer: AZCH Complete Medicaid	$4,104.08
Rate for Payer: AZCH Complete Medicare	$255.60
Rate for Payer: Banner UC Health Medicaid	$4,104.08
Rate for Payer: Banner UC Health Medicare	$255.60
Rate for Payer: Bisbee Police All Plans	$443.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,158.72
Rate for Payer: Cash Price	$1,363.20
Rate for Payer: Cash Price	$1,363.20
Rate for Payer: Cigna of AZ Commercial	$852.00
Rate for Payer: Copperpoint Commercial	$421.74
Rate for Payer: Health Net of AZ Commercial	$1,022.40
Rate for Payer: Health Net of AZ Medicare	$477.12
Rate for Payer: Humana of AZ Medicare	$255.60
Rate for Payer: Mercy Care Medicaid	$4,104.08
Rate for Payer: Self Pay Self Pay	$1,363.20
Rate for Payer: TriWest Medicare	$255.60
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$306.72

PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE WITH MANIPULATION EACH - Tech

Facility

IP

$1,704.00

Service Code	CPT 28476
Hospital Charge Code	24043299
Hospital Revenue Code	360
Min. Negotiated Rate	$443.04
Max. Negotiated Rate	$1,533.60
Rate for Payer: Aetna of AZ Commercial	$1,533.60
Rate for Payer: Bisbee Police All Plans	$443.04
Rate for Payer: Cash Price	$1,363.20
Rate for Payer: Self Pay Self Pay	$1,363.20

Percutaneous Structural Cardiac Procedures

Facility

IP

$26,889.57

Service Code	APR-DRG 1831
Hospital Charge Code	APRDRG1834
Min. Negotiated Rate	$26,889.57
Max. Negotiated Rate	$26,889.57
Rate for Payer: AHCCCS Medicaid	$26,889.57
Rate for Payer: Allwell Medicaid	$26,889.57
Rate for Payer: AZCH Complete Medicaid	$26,889.57
Rate for Payer: Banner UC Health Medicaid	$26,889.57
Rate for Payer: Mercy Care Medicaid	$26,889.57

Percutaneous Structural Cardiac Procedures

Facility

IP

$33,632.13

Service Code	APR-DRG 1833
Hospital Charge Code	APRDRG1833
Min. Negotiated Rate	$33,632.13
Max. Negotiated Rate	$33,632.13
Rate for Payer: AHCCCS Medicaid	$33,632.13
Rate for Payer: Allwell Medicaid	$33,632.13
Rate for Payer: AZCH Complete Medicaid	$33,632.13
Rate for Payer: Banner UC Health Medicaid	$33,632.13
Rate for Payer: Mercy Care Medicaid	$33,632.13

Percutaneous Structural Cardiac Procedures

Facility

IP

$28,283.25

Service Code	APR-DRG 1832
Hospital Charge Code	APRDRG1831
Min. Negotiated Rate	$28,283.25
Max. Negotiated Rate	$28,283.25
Rate for Payer: AHCCCS Medicaid	$28,283.25
Rate for Payer: Allwell Medicaid	$28,283.25
Rate for Payer: AZCH Complete Medicaid	$28,283.25
Rate for Payer: Banner UC Health Medicaid	$28,283.25
Rate for Payer: Mercy Care Medicaid	$28,283.25

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