Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock

Facility

IP

$13,306.26

Service Code	APR-DRG 1701
Hospital Charge Code	APRDRG1701
Min. Negotiated Rate	$13,306.26
Max. Negotiated Rate	$13,306.26
Rate for Payer: AHCCCS Medicaid	$13,306.26
Rate for Payer: Allwell Medicaid	$13,306.26
Rate for Payer: AZCH Complete Medicaid	$13,306.26
Rate for Payer: Banner UC Health Medicaid	$13,306.26
Rate for Payer: Mercy Care Medicaid	$13,306.26

Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock

Facility

IP

$30,224.73

Service Code	APR-DRG 1704
Hospital Charge Code	APRDRG1702
Min. Negotiated Rate	$30,224.73
Max. Negotiated Rate	$30,224.73
Rate for Payer: AHCCCS Medicaid	$30,224.73
Rate for Payer: Allwell Medicaid	$30,224.73
Rate for Payer: AZCH Complete Medicaid	$30,224.73
Rate for Payer: Banner UC Health Medicaid	$30,224.73
Rate for Payer: Mercy Care Medicaid	$30,224.73

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$10,013.89

Service Code	APR-DRG 1711
Hospital Charge Code	APRDRG1712
Min. Negotiated Rate	$10,013.89
Max. Negotiated Rate	$10,013.89
Rate for Payer: AHCCCS Medicaid	$10,013.89
Rate for Payer: Allwell Medicaid	$10,013.89
Rate for Payer: AZCH Complete Medicaid	$10,013.89
Rate for Payer: Banner UC Health Medicaid	$10,013.89
Rate for Payer: Mercy Care Medicaid	$10,013.89

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$15,065.37

Service Code	APR-DRG 1713
Hospital Charge Code	APRDRG1712
Min. Negotiated Rate	$15,065.37
Max. Negotiated Rate	$15,065.37
Rate for Payer: AHCCCS Medicaid	$15,065.37
Rate for Payer: Allwell Medicaid	$15,065.37
Rate for Payer: AZCH Complete Medicaid	$15,065.37
Rate for Payer: Banner UC Health Medicaid	$15,065.37
Rate for Payer: Mercy Care Medicaid	$15,065.37

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$24,199.00

Service Code	APR-DRG 1714
Hospital Charge Code	APRDRG1711
Min. Negotiated Rate	$24,199.00
Max. Negotiated Rate	$24,199.00
Rate for Payer: AHCCCS Medicaid	$24,199.00
Rate for Payer: Allwell Medicaid	$24,199.00
Rate for Payer: AZCH Complete Medicaid	$24,199.00
Rate for Payer: Banner UC Health Medicaid	$24,199.00
Rate for Payer: Mercy Care Medicaid	$24,199.00

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$11,450.36

Service Code	APR-DRG 1712
Hospital Charge Code	APRDRG1712
Min. Negotiated Rate	$11,450.36
Max. Negotiated Rate	$11,450.36
Rate for Payer: AHCCCS Medicaid	$11,450.36
Rate for Payer: Allwell Medicaid	$11,450.36
Rate for Payer: AZCH Complete Medicaid	$11,450.36
Rate for Payer: Banner UC Health Medicaid	$11,450.36
Rate for Payer: Mercy Care Medicaid	$11,450.36

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$15,065.37

Service Code	APR-DRG 1713
Hospital Charge Code	APRDRG1711
Min. Negotiated Rate	$15,065.37
Max. Negotiated Rate	$15,065.37
Rate for Payer: AHCCCS Medicaid	$15,065.37
Rate for Payer: Allwell Medicaid	$15,065.37
Rate for Payer: AZCH Complete Medicaid	$15,065.37
Rate for Payer: Banner UC Health Medicaid	$15,065.37
Rate for Payer: Mercy Care Medicaid	$15,065.37

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$10,013.89

Service Code	APR-DRG 1711
Hospital Charge Code	APRDRG1711
Min. Negotiated Rate	$10,013.89
Max. Negotiated Rate	$10,013.89
Rate for Payer: AHCCCS Medicaid	$10,013.89
Rate for Payer: Allwell Medicaid	$10,013.89
Rate for Payer: AZCH Complete Medicaid	$10,013.89
Rate for Payer: Banner UC Health Medicaid	$10,013.89
Rate for Payer: Mercy Care Medicaid	$10,013.89

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$11,450.36

Service Code	APR-DRG 1712
Hospital Charge Code	APRDRG1711
Min. Negotiated Rate	$11,450.36
Max. Negotiated Rate	$11,450.36
Rate for Payer: AHCCCS Medicaid	$11,450.36
Rate for Payer: Allwell Medicaid	$11,450.36
Rate for Payer: AZCH Complete Medicaid	$11,450.36
Rate for Payer: Banner UC Health Medicaid	$11,450.36
Rate for Payer: Mercy Care Medicaid	$11,450.36

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$10,013.89

Service Code	APR-DRG 1711
Hospital Charge Code	APRDRG1713
Min. Negotiated Rate	$10,013.89
Max. Negotiated Rate	$10,013.89
Rate for Payer: AHCCCS Medicaid	$10,013.89
Rate for Payer: Allwell Medicaid	$10,013.89
Rate for Payer: AZCH Complete Medicaid	$10,013.89
Rate for Payer: Banner UC Health Medicaid	$10,013.89
Rate for Payer: Mercy Care Medicaid	$10,013.89

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$11,450.36

Service Code	APR-DRG 1712
Hospital Charge Code	APRDRG1714
Min. Negotiated Rate	$11,450.36
Max. Negotiated Rate	$11,450.36
Rate for Payer: AHCCCS Medicaid	$11,450.36
Rate for Payer: Allwell Medicaid	$11,450.36
Rate for Payer: AZCH Complete Medicaid	$11,450.36
Rate for Payer: Banner UC Health Medicaid	$11,450.36
Rate for Payer: Mercy Care Medicaid	$11,450.36

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$15,065.37

Service Code	APR-DRG 1713
Hospital Charge Code	APRDRG1713
Min. Negotiated Rate	$15,065.37
Max. Negotiated Rate	$15,065.37
Rate for Payer: AHCCCS Medicaid	$15,065.37
Rate for Payer: Allwell Medicaid	$15,065.37
Rate for Payer: AZCH Complete Medicaid	$15,065.37
Rate for Payer: Banner UC Health Medicaid	$15,065.37
Rate for Payer: Mercy Care Medicaid	$15,065.37

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$15,065.37

Service Code	APR-DRG 1713
Hospital Charge Code	APRDRG1714
Min. Negotiated Rate	$15,065.37
Max. Negotiated Rate	$15,065.37
Rate for Payer: AHCCCS Medicaid	$15,065.37
Rate for Payer: Allwell Medicaid	$15,065.37
Rate for Payer: AZCH Complete Medicaid	$15,065.37
Rate for Payer: Banner UC Health Medicaid	$15,065.37
Rate for Payer: Mercy Care Medicaid	$15,065.37

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$24,199.00

Service Code	APR-DRG 1714
Hospital Charge Code	APRDRG1714
Min. Negotiated Rate	$24,199.00
Max. Negotiated Rate	$24,199.00
Rate for Payer: AHCCCS Medicaid	$24,199.00
Rate for Payer: Allwell Medicaid	$24,199.00
Rate for Payer: AZCH Complete Medicaid	$24,199.00
Rate for Payer: Banner UC Health Medicaid	$24,199.00
Rate for Payer: Mercy Care Medicaid	$24,199.00

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$10,013.89

Service Code	APR-DRG 1711
Hospital Charge Code	APRDRG1714
Min. Negotiated Rate	$10,013.89
Max. Negotiated Rate	$10,013.89
Rate for Payer: AHCCCS Medicaid	$10,013.89
Rate for Payer: Allwell Medicaid	$10,013.89
Rate for Payer: AZCH Complete Medicaid	$10,013.89
Rate for Payer: Banner UC Health Medicaid	$10,013.89
Rate for Payer: Mercy Care Medicaid	$10,013.89

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$11,450.36

Service Code	APR-DRG 1712
Hospital Charge Code	APRDRG1713
Min. Negotiated Rate	$11,450.36
Max. Negotiated Rate	$11,450.36
Rate for Payer: AHCCCS Medicaid	$11,450.36
Rate for Payer: Allwell Medicaid	$11,450.36
Rate for Payer: AZCH Complete Medicaid	$11,450.36
Rate for Payer: Banner UC Health Medicaid	$11,450.36
Rate for Payer: Mercy Care Medicaid	$11,450.36

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$24,199.00

Service Code	APR-DRG 1714
Hospital Charge Code	APRDRG1713
Min. Negotiated Rate	$24,199.00
Max. Negotiated Rate	$24,199.00
Rate for Payer: AHCCCS Medicaid	$24,199.00
Rate for Payer: Allwell Medicaid	$24,199.00
Rate for Payer: AZCH Complete Medicaid	$24,199.00
Rate for Payer: Banner UC Health Medicaid	$24,199.00
Rate for Payer: Mercy Care Medicaid	$24,199.00

Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock

Facility

IP

$24,199.00

Service Code	APR-DRG 1714
Hospital Charge Code	APRDRG1712
Min. Negotiated Rate	$24,199.00
Max. Negotiated Rate	$24,199.00
Rate for Payer: AHCCCS Medicaid	$24,199.00
Rate for Payer: Allwell Medicaid	$24,199.00
Rate for Payer: AZCH Complete Medicaid	$24,199.00
Rate for Payer: Banner UC Health Medicaid	$24,199.00
Rate for Payer: Mercy Care Medicaid	$24,199.00

PESSARY, NON-RUBBER ANY TYPE

Facility

OP

$296.00

Service Code	CPT A4562
Hospital Charge Code	22951059
Hospital Revenue Code	278
Min. Negotiated Rate	$44.40
Max. Negotiated Rate	$266.40
Rate for Payer: Aetna of AZ Commercial	$266.40
Rate for Payer: Aetna of AZ Medicare	$82.88
Rate for Payer: AHCCCS Medicaid	$89.48
Rate for Payer: Allwell Medicaid	$89.48
Rate for Payer: Allwell Medicare	$44.40
Rate for Payer: Amerigroup Medicare	$44.40
Rate for Payer: APIPA Medicare/Medicaid	$110.56
Rate for Payer: AZCH Complete Medicaid	$89.48
Rate for Payer: AZCH Complete Medicare	$44.40
Rate for Payer: Banner UC Health Medicaid	$89.48
Rate for Payer: Banner UC Health Medicare	$44.40
Rate for Payer: Bisbee Police All Plans	$76.96
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$201.28
Rate for Payer: Cash Price	$236.80
Rate for Payer: Cash Price	$236.80
Rate for Payer: Cigna of AZ Commercial	$148.00
Rate for Payer: Copperpoint Commercial	$73.26
Rate for Payer: Health Net of AZ Commercial	$177.60
Rate for Payer: Health Net of AZ Medicare	$82.88
Rate for Payer: Humana of AZ Medicare	$44.40
Rate for Payer: Mercy Care Medicaid	$89.48
Rate for Payer: Self Pay Self Pay	$236.80
Rate for Payer: TriWest Medicare	$44.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$172.57
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.28

PESSARY, NON-RUBBER ANY TYPE

Facility

IP

$296.00

Service Code	CPT A4562
Hospital Charge Code	22951059
Hospital Revenue Code	278
Min. Negotiated Rate	$76.96
Max. Negotiated Rate	$266.40
Rate for Payer: Aetna of AZ Commercial	$266.40
Rate for Payer: Bisbee Police All Plans	$76.96
Rate for Payer: Cash Price	$236.80
Rate for Payer: Self Pay Self Pay	$236.80

PFT Pre Post

Facility

OP

$898.00

Service Code	CPT 94060
Hospital Charge Code	15513379
Hospital Revenue Code	460
Min. Negotiated Rate	$134.70
Max. Negotiated Rate	$808.20
Rate for Payer: Aetna of AZ Commercial	$808.20
Rate for Payer: Aetna of AZ Medicare	$251.44
Rate for Payer: AHCCCS Medicaid	$383.46
Rate for Payer: Allwell Medicaid	$383.46
Rate for Payer: Allwell Medicare	$134.70
Rate for Payer: Amerigroup Medicare	$134.70
Rate for Payer: APIPA Medicare/Medicaid	$335.40
Rate for Payer: AZCH Complete Medicaid	$383.46
Rate for Payer: AZCH Complete Medicare	$134.70
Rate for Payer: Banner UC Health Medicaid	$383.46
Rate for Payer: Banner UC Health Medicare	$134.70
Rate for Payer: Bisbee Police All Plans	$233.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$610.64
Rate for Payer: Cash Price	$718.40
Rate for Payer: Cash Price	$718.40
Rate for Payer: Cigna of AZ Commercial	$628.60
Rate for Payer: Copperpoint Commercial	$222.26
Rate for Payer: Health Net of AZ Commercial	$538.80
Rate for Payer: Health Net of AZ Medicare	$251.44
Rate for Payer: Humana of AZ Medicare	$134.70
Rate for Payer: Mercy Care Medicaid	$383.46
Rate for Payer: Self Pay Self Pay	$718.40
Rate for Payer: TriWest Medicare	$134.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$523.53
Rate for Payer: UnitedHealth Group of AZ Medicare	$161.64

PFT Pre Post

Facility

IP

$898.00

Service Code	CPT 94060
Hospital Charge Code	15513379
Hospital Revenue Code	460
Min. Negotiated Rate	$233.48
Max. Negotiated Rate	$808.20
Rate for Payer: Aetna of AZ Commercial	$808.20
Rate for Payer: Bisbee Police All Plans	$233.48
Rate for Payer: Cash Price	$718.40
Rate for Payer: Self Pay Self Pay	$718.40

PHALANGEAL FIXATION COMPONENT

Facility

OP

$1,911.00

Hospital Charge Code	24129933
Hospital Revenue Code	270
Min. Negotiated Rate	$286.65
Max. Negotiated Rate	$1,719.90
Rate for Payer: Aetna of AZ Commercial	$1,719.90
Rate for Payer: Aetna of AZ Medicare	$535.08
Rate for Payer: Allwell Medicare	$286.65
Rate for Payer: Amerigroup Medicare	$286.65
Rate for Payer: APIPA Medicare/Medicaid	$713.76
Rate for Payer: AZCH Complete Medicare	$286.65
Rate for Payer: Banner UC Health Medicare	$286.65
Rate for Payer: Bisbee Police All Plans	$496.86
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,299.48
Rate for Payer: Cash Price	$1,528.80
Rate for Payer: Cigna of AZ Commercial	$1,337.70
Rate for Payer: Copperpoint Commercial	$472.97
Rate for Payer: Health Net of AZ Commercial	$1,146.60
Rate for Payer: Health Net of AZ Medicare	$535.08
Rate for Payer: Humana of AZ Medicare	$286.65
Rate for Payer: Self Pay Self Pay	$1,528.80
Rate for Payer: TriWest Medicare	$286.65
Rate for Payer: UnitedHealth Group of AZ Commercial	$1,114.11
Rate for Payer: UnitedHealth Group of AZ Medicare	$343.98

PHALANGEAL FIXATION COMPONENT

Facility

IP

$1,911.00

Hospital Charge Code	24129933
Hospital Revenue Code	270
Min. Negotiated Rate	$496.86
Max. Negotiated Rate	$1,719.90
Rate for Payer: Aetna of AZ Commercial	$1,719.90
Rate for Payer: Bisbee Police All Plans	$496.86
Rate for Payer: Cash Price	$1,528.80
Rate for Payer: Self Pay Self Pay	$1,528.80

PHALANGEAL INSERT 1.5MM OFFSET 3.6MM THICK

Facility

IP

$4,914.00

Hospital Charge Code	24129932
Hospital Revenue Code	270
Min. Negotiated Rate	$1,277.64
Max. Negotiated Rate	$4,422.60
Rate for Payer: Aetna of AZ Commercial	$4,422.60
Rate for Payer: Bisbee Police All Plans	$1,277.64
Rate for Payer: Cash Price	$3,931.20
Rate for Payer: Self Pay Self Pay	$3,931.20

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