Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Open Extracranial Vascular Procedures

Facility

IP

$28,182.25

Service Code	APR-DRG 0244
Hospital Charge Code	APRDRG0244
Min. Negotiated Rate	$28,182.25
Max. Negotiated Rate	$28,182.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,182.25
Rate for Payer: Mercy Care Medicaid	$28,182.25
Rate for Payer: NaphCare Correctional Healthcare	$28,182.25

Open Extracranial Vascular Procedures

Facility

IP

$6,133.74

Service Code	APR-DRG 0241
Hospital Charge Code	APRDRG0242
Min. Negotiated Rate	$6,133.74
Max. Negotiated Rate	$6,133.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,133.74
Rate for Payer: Mercy Care Medicaid	$6,133.74
Rate for Payer: NaphCare Correctional Healthcare	$6,133.74

Open Extracranial Vascular Procedures

Facility

IP

$28,182.25

Service Code	APR-DRG 0244
Hospital Charge Code	APRDRG0242
Min. Negotiated Rate	$28,182.25
Max. Negotiated Rate	$28,182.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,182.25
Rate for Payer: Mercy Care Medicaid	$28,182.25
Rate for Payer: NaphCare Correctional Healthcare	$28,182.25

Open Extracranial Vascular Procedures

Facility

IP

$8,391.55

Service Code	APR-DRG 0242
Hospital Charge Code	APRDRG0244
Min. Negotiated Rate	$8,391.55
Max. Negotiated Rate	$8,391.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,391.55
Rate for Payer: Mercy Care Medicaid	$8,391.55
Rate for Payer: NaphCare Correctional Healthcare	$8,391.55

Open Extracranial Vascular Procedures

Facility

IP

$6,133.74

Service Code	APR-DRG 0241
Hospital Charge Code	APRDRG0243
Min. Negotiated Rate	$6,133.74
Max. Negotiated Rate	$6,133.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,133.74
Rate for Payer: Mercy Care Medicaid	$6,133.74
Rate for Payer: NaphCare Correctional Healthcare	$6,133.74

Open Extracranial Vascular Procedures

Facility

IP

$28,182.25

Service Code	APR-DRG 0244
Hospital Charge Code	APRDRG0243
Min. Negotiated Rate	$28,182.25
Max. Negotiated Rate	$28,182.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,182.25
Rate for Payer: Mercy Care Medicaid	$28,182.25
Rate for Payer: NaphCare Correctional Healthcare	$28,182.25

Open Extracranial Vascular Procedures

Facility

IP

$6,133.74

Service Code	APR-DRG 0241
Hospital Charge Code	APRDRG0244
Min. Negotiated Rate	$6,133.74
Max. Negotiated Rate	$6,133.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,133.74
Rate for Payer: Mercy Care Medicaid	$6,133.74
Rate for Payer: NaphCare Correctional Healthcare	$6,133.74

Open Extracranial Vascular Procedures

Facility

IP

$28,182.25

Service Code	APR-DRG 0244
Hospital Charge Code	APRDRG0241
Min. Negotiated Rate	$28,182.25
Max. Negotiated Rate	$28,182.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,182.25
Rate for Payer: Mercy Care Medicaid	$28,182.25
Rate for Payer: NaphCare Correctional Healthcare	$28,182.25

Open Extracranial Vascular Procedures

Facility

IP

$15,424.49

Service Code	APR-DRG 0243
Hospital Charge Code	APRDRG0244
Min. Negotiated Rate	$15,424.49
Max. Negotiated Rate	$15,424.49
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,424.49
Rate for Payer: Mercy Care Medicaid	$15,424.49
Rate for Payer: NaphCare Correctional Healthcare	$15,424.49

Open Extracranial Vascular Procedures

Facility

IP

$6,133.74

Service Code	APR-DRG 0241
Hospital Charge Code	APRDRG0241
Min. Negotiated Rate	$6,133.74
Max. Negotiated Rate	$6,133.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,133.74
Rate for Payer: Mercy Care Medicaid	$6,133.74
Rate for Payer: NaphCare Correctional Healthcare	$6,133.74

Open Extracranial Vascular Procedures

Facility

IP

$8,391.55

Service Code	APR-DRG 0242
Hospital Charge Code	APRDRG0241
Min. Negotiated Rate	$8,391.55
Max. Negotiated Rate	$8,391.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,391.55
Rate for Payer: Mercy Care Medicaid	$8,391.55
Rate for Payer: NaphCare Correctional Healthcare	$8,391.55

Open Extracranial Vascular Procedures

Facility

IP

$8,391.55

Service Code	APR-DRG 0242
Hospital Charge Code	APRDRG0243
Min. Negotiated Rate	$8,391.55
Max. Negotiated Rate	$8,391.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,391.55
Rate for Payer: Mercy Care Medicaid	$8,391.55
Rate for Payer: NaphCare Correctional Healthcare	$8,391.55

Open Extracranial Vascular Procedures

Facility

IP

$15,424.49

Service Code	APR-DRG 0243
Hospital Charge Code	APRDRG0242
Min. Negotiated Rate	$15,424.49
Max. Negotiated Rate	$15,424.49
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,424.49
Rate for Payer: Mercy Care Medicaid	$15,424.49
Rate for Payer: NaphCare Correctional Healthcare	$15,424.49

OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION INCLUDES INTERNAL FIXATION

Facility

OP

$1,960.00

Service Code	CPT 28675
Hospital Charge Code	24043327
Hospital Revenue Code	360
Min. Negotiated Rate	$156.20
Max. Negotiated Rate	$5,062.66
Rate for Payer: Aetna of AZ Commercial	$1,764.00
Rate for Payer: Arizona Complete Health Allwell	$313.60
Rate for Payer: Banner UC Health Medicare	$1,062.88
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,332.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$156.20
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$313.60
Rate for Payer: Care1st Health Plan Arizona Medicare	$313.60
Rate for Payer: Cash Price	$1,568.00
Rate for Payer: Cash Price	$1,568.00
Rate for Payer: Cash Price	$1,568.00
Rate for Payer: Cigna of AZ Commercial	$980.00
Rate for Payer: Devoted Health Medicare	$352.80
Rate for Payer: Humana of AZ Medicare	$313.60
Rate for Payer: Mercy Care Medicaid	$156.20
Rate for Payer: NaphCare Correctional Healthcare	$1,062.88
Rate for Payer: Seven Corners Travel Insurance	$5,062.66
Rate for Payer: Southwest Service Administrators UFCW	$1,332.80
Rate for Payer: TriWest Medicare	$313.60
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$313.60
Rate for Payer: Veterans Affairs TRICARE	$310.46

OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION INCLUDES INTERNAL FIXATION

Facility

IP

$1,960.00

Service Code	CPT 28675
Hospital Charge Code	24043327
Hospital Revenue Code	360
Min. Negotiated Rate	$1,764.00
Max. Negotiated Rate	$1,764.00
Rate for Payer: Aetna of AZ Commercial	$1,764.00
Rate for Payer: Cash Price	$1,568.00

OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE INCLUDES INTERNAL FIXATION

Facility

IP

$2,938.00

Service Code	CPT 27766
Hospital Charge Code	24043288
Hospital Revenue Code	360
Min. Negotiated Rate	$2,644.20
Max. Negotiated Rate	$2,644.20
Rate for Payer: Aetna of AZ Commercial	$2,644.20
Rate for Payer: Cash Price	$2,350.40

OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE INCLUDES INTERNAL FIXATION

Facility

OP

$2,938.00

Service Code	CPT 27766
Hospital Charge Code	24043288
Hospital Revenue Code	360
Min. Negotiated Rate	$465.38
Max. Negotiated Rate	$11,227.32
Rate for Payer: Aetna of AZ Commercial	$2,644.20
Rate for Payer: Arizona Complete Health Allwell	$470.08
Rate for Payer: Banner UC Health Medicare	$3,026.13
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,997.84
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$470.08
Rate for Payer: Care1st Health Plan Arizona Medicare	$470.08
Rate for Payer: Cash Price	$2,350.40
Rate for Payer: Cash Price	$2,350.40
Rate for Payer: Cash Price	$2,350.40
Rate for Payer: Cigna of AZ Commercial	$1,469.00
Rate for Payer: Devoted Health Medicare	$528.84
Rate for Payer: Humana of AZ Medicare	$470.08
Rate for Payer: NaphCare Correctional Healthcare	$3,026.13
Rate for Payer: Seven Corners Travel Insurance	$11,227.32
Rate for Payer: Southwest Service Administrators UFCW	$1,997.84
Rate for Payer: TriWest Medicare	$470.08
Rate for Payer: United Healthcare Commercial	$6,508.00
Rate for Payer: United Healthcare Medicare	$470.08
Rate for Payer: Veterans Affairs TRICARE	$465.38

OPEN TREATMENT OF METATARSAL FRACTURE INCLUDES INTERNAL FIXATION WHEN PERFORME

Facility

IP

$2,648.00

Service Code	CPT 28485
Hospital Charge Code	24043332
Hospital Revenue Code	360
Min. Negotiated Rate	$2,383.20
Max. Negotiated Rate	$2,383.20
Rate for Payer: Aetna of AZ Commercial	$2,383.20
Rate for Payer: Cash Price	$2,118.40

OPEN TREATMENT OF METATARSAL FRACTURE INCLUDES INTERNAL FIXATION WHEN PERFORME

Facility

OP

$2,648.00

Service Code	CPT 28485
Hospital Charge Code	24043332
Hospital Revenue Code	360
Min. Negotiated Rate	$419.44
Max. Negotiated Rate	$11,227.32
Rate for Payer: Aetna of AZ Commercial	$2,383.20
Rate for Payer: Arizona Complete Health Allwell	$423.68
Rate for Payer: Banner UC Health Medicare	$3,605.92
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,800.64
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$423.68
Rate for Payer: Care1st Health Plan Arizona Medicare	$423.68
Rate for Payer: Cash Price	$2,118.40
Rate for Payer: Cash Price	$2,118.40
Rate for Payer: Cash Price	$2,118.40
Rate for Payer: Cigna of AZ Commercial	$1,324.00
Rate for Payer: Devoted Health Medicare	$476.64
Rate for Payer: Humana of AZ Medicare	$423.68
Rate for Payer: NaphCare Correctional Healthcare	$3,605.92
Rate for Payer: Seven Corners Travel Insurance	$11,227.32
Rate for Payer: Southwest Service Administrators UFCW	$1,800.64
Rate for Payer: TriWest Medicare	$423.68
Rate for Payer: United Healthcare Commercial	$6,508.00
Rate for Payer: United Healthcare Medicare	$423.68
Rate for Payer: Veterans Affairs TRICARE	$419.44

OPEN TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION INCLUDES INTERNAL FIXAT

Facility

IP

$2,370.00

Service Code	CPT 28645
Hospital Charge Code	24043325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,133.00
Max. Negotiated Rate	$2,133.00
Rate for Payer: Aetna of AZ Commercial	$2,133.00
Rate for Payer: Cash Price	$1,896.00

OPEN TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION INCLUDES INTERNAL FIXAT

Facility

OP

$2,370.00

Service Code	CPT 28645
Hospital Charge Code	24043325
Hospital Revenue Code	360
Min. Negotiated Rate	$160.04
Max. Negotiated Rate	$5,062.66
Rate for Payer: Aetna of AZ Commercial	$2,133.00
Rate for Payer: Arizona Complete Health Allwell	$379.20
Rate for Payer: Banner UC Health Medicare	$1,062.88
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,611.60
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$160.04
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$379.20
Rate for Payer: Care1st Health Plan Arizona Medicare	$379.20
Rate for Payer: Cash Price	$1,896.00
Rate for Payer: Cash Price	$1,896.00
Rate for Payer: Cash Price	$1,896.00
Rate for Payer: Cigna of AZ Commercial	$1,185.00
Rate for Payer: Devoted Health Medicare	$426.60
Rate for Payer: Humana of AZ Medicare	$379.20
Rate for Payer: Mercy Care Medicaid	$160.04
Rate for Payer: NaphCare Correctional Healthcare	$1,062.88
Rate for Payer: Seven Corners Travel Insurance	$5,062.66
Rate for Payer: Southwest Service Administrators UFCW	$1,611.60
Rate for Payer: TriWest Medicare	$379.20
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$379.20
Rate for Payer: Veterans Affairs TRICARE	$375.41

OPEN TREATMENT OF TALOTARSAL JOINT DISLOCATION INCLUDES INTERNAL FIXATION WHEN

Facility

IP

$3,167.00

Service Code	CPT 28585
Hospital Charge Code	24043321
Hospital Revenue Code	360
Min. Negotiated Rate	$2,850.30
Max. Negotiated Rate	$2,850.30
Rate for Payer: Aetna of AZ Commercial	$2,850.30
Rate for Payer: Cash Price	$2,533.60

OPEN TREATMENT OF TALOTARSAL JOINT DISLOCATION INCLUDES INTERNAL FIXATION WHEN

Facility

OP

$3,167.00

Service Code	CPT 28585
Hospital Charge Code	24043321
Hospital Revenue Code	360
Min. Negotiated Rate	$189.33
Max. Negotiated Rate	$11,227.32
Rate for Payer: Aetna of AZ Commercial	$2,850.30
Rate for Payer: Arizona Complete Health Allwell	$506.72
Rate for Payer: Banner UC Health Medicare	$3,898.86
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$2,153.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$189.33
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$506.72
Rate for Payer: Care1st Health Plan Arizona Medicare	$506.72
Rate for Payer: Cash Price	$2,533.60
Rate for Payer: Cash Price	$2,533.60
Rate for Payer: Cash Price	$2,533.60
Rate for Payer: Cigna of AZ Commercial	$1,583.50
Rate for Payer: Devoted Health Medicare	$570.06
Rate for Payer: Humana of AZ Medicare	$506.72
Rate for Payer: Mercy Care Medicaid	$189.33
Rate for Payer: NaphCare Correctional Healthcare	$3,898.86
Rate for Payer: Seven Corners Travel Insurance	$11,227.32
Rate for Payer: Southwest Service Administrators UFCW	$2,153.56
Rate for Payer: TriWest Medicare	$506.72
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$506.72
Rate for Payer: Veterans Affairs TRICARE	$501.65

Opiates

Facility

OP

$296.00

Service Code	CPT 80307
Hospital Charge Code	23090934
Hospital Revenue Code	301
Min. Negotiated Rate	$46.89
Max. Negotiated Rate	$266.40
Rate for Payer: Aetna of AZ Commercial	$266.40
Rate for Payer: Arizona Complete Health Allwell	$47.36
Rate for Payer: Banner UC Health Medicare	$47.36
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$201.28
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$47.36
Rate for Payer: Care1st Health Plan Arizona Medicare	$47.36
Rate for Payer: Cash Price	$236.80
Rate for Payer: Cash Price	$236.80
Rate for Payer: Cigna of AZ Commercial	$192.40
Rate for Payer: Devoted Health Medicare	$53.28
Rate for Payer: Humana of AZ Medicare	$47.36
Rate for Payer: Seven Corners Travel Insurance	$90.10
Rate for Payer: Southwest Service Administrators UFCW	$201.28
Rate for Payer: TriWest Medicare	$47.36
Rate for Payer: United Healthcare Commercial	$169.31
Rate for Payer: United Healthcare Medicare	$47.36
Rate for Payer: Veterans Affairs TRICARE	$46.89

Opiates

Facility

IP

$296.00

Service Code	CPT 80307
Hospital Charge Code	23090934
Hospital Revenue Code	301
Min. Negotiated Rate	$266.40
Max. Negotiated Rate	$266.40
Rate for Payer: Aetna of AZ Commercial	$266.40
Rate for Payer: Cash Price	$236.80

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