Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code CPT 99231 QZ
Hospital Charge Code 22789175
Hospital Revenue Code 370
Min. Negotiated Rate $48.36
Max. Negotiated Rate $167.40
Rate for Payer: Aetna of AZ Commercial $167.40
Rate for Payer: Bisbee Police All Plans $48.36
Rate for Payer: Cash Price $148.80
Rate for Payer: Self Pay Self Pay $148.80
Hospital Charge Code 24135537
Hospital Revenue Code 270
Min. Negotiated Rate $37.44
Max. Negotiated Rate $129.60
Rate for Payer: Aetna of AZ Commercial $129.60
Rate for Payer: Bisbee Police All Plans $37.44
Rate for Payer: Cash Price $115.20
Rate for Payer: Self Pay Self Pay $115.20
Hospital Charge Code 24135537
Hospital Revenue Code 270
Min. Negotiated Rate $21.60
Max. Negotiated Rate $129.60
Rate for Payer: Aetna of AZ Commercial $129.60
Rate for Payer: Aetna of AZ Medicare $40.32
Rate for Payer: Allwell Medicare $21.60
Rate for Payer: Amerigroup Medicare $21.60
Rate for Payer: APIPA Medicare/Medicaid $53.78
Rate for Payer: AZCH Complete Medicare $21.60
Rate for Payer: Banner UC Health Medicare $21.60
Rate for Payer: Bisbee Police All Plans $37.44
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $97.92
Rate for Payer: Cash Price $115.20
Rate for Payer: Cigna of AZ Commercial $100.80
Rate for Payer: Copperpoint Commercial $35.64
Rate for Payer: Health Net of AZ Commercial $86.40
Rate for Payer: Health Net of AZ Medicare $40.32
Rate for Payer: Humana of AZ Medicare $21.60
Rate for Payer: Self Pay Self Pay $115.20
Rate for Payer: TriWest Medicare $21.60
Rate for Payer: UnitedHealth Group of AZ Commercial $83.95
Rate for Payer: UnitedHealth Group of AZ Medicare $25.92
Service Code HCPCS J7510
Hospital Charge Code 105937577
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.44
Rate for Payer: Aetna of AZ Commercial $0.12
Rate for Payer: Aetna of AZ Medicare $0.04
Rate for Payer: AHCCCS Medicaid $0.44
Rate for Payer: Allwell Medicaid $0.44
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.05
Rate for Payer: AZCH Complete Medicaid $0.44
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicaid $0.44
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.09
Rate for Payer: Cash Price $0.10
Rate for Payer: Cash Price $0.10
Rate for Payer: Cigna of AZ Commercial $0.08
Rate for Payer: Copperpoint Commercial $0.03
Rate for Payer: Health Net of AZ Commercial $0.08
Rate for Payer: Health Net of AZ Medicare $0.04
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Mercy Care Medicaid $0.44
Rate for Payer: Self Pay Self Pay $0.10
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.08
Rate for Payer: UnitedHealth Group of AZ Medicare $0.02
Service Code HCPCS J7510
Hospital Charge Code 105937577
Hospital Revenue Code 250
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.12
Rate for Payer: Aetna of AZ Commercial $0.12
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Cash Price $0.10
Rate for Payer: Self Pay Self Pay $0.10
Service Code NDC 61314063705
Hospital Charge Code 105937654
Hospital Revenue Code 251
Min. Negotiated Rate $2.25
Max. Negotiated Rate $7.78
Rate for Payer: Aetna of AZ Commercial $7.78
Rate for Payer: Bisbee Police All Plans $2.25
Rate for Payer: Cash Price $6.92
Rate for Payer: Self Pay Self Pay $6.92
Service Code NDC 61314063705
Hospital Charge Code 105937654
Hospital Revenue Code 251
Min. Negotiated Rate $1.30
Max. Negotiated Rate $7.78
Rate for Payer: Aetna of AZ Commercial $7.78
Rate for Payer: Aetna of AZ Medicare $2.42
Rate for Payer: Allwell Medicare $1.30
Rate for Payer: Amerigroup Medicare $1.30
Rate for Payer: APIPA Medicare/Medicaid $3.23
Rate for Payer: AZCH Complete Medicare $1.30
Rate for Payer: Banner UC Health Medicare $1.30
Rate for Payer: Bisbee Police All Plans $2.25
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $5.88
Rate for Payer: Cash Price $6.92
Rate for Payer: Cigna of AZ Commercial $5.62
Rate for Payer: Copperpoint Commercial $2.14
Rate for Payer: Health Net of AZ Commercial $5.19
Rate for Payer: Health Net of AZ Medicare $2.42
Rate for Payer: Humana of AZ Medicare $1.30
Rate for Payer: Self Pay Self Pay $6.92
Rate for Payer: TriWest Medicare $1.30
Rate for Payer: UnitedHealth Group of AZ Commercial $5.04
Rate for Payer: UnitedHealth Group of AZ Medicare $1.56
Service Code HCPCS J7510
Hospital Charge Code 105937790
Hospital Revenue Code 251
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.14
Rate for Payer: Aetna of AZ Commercial $0.14
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Cash Price $0.12
Rate for Payer: Self Pay Self Pay $0.12
Service Code HCPCS J7510
Hospital Charge Code 105937790
Hospital Revenue Code 251
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.44
Rate for Payer: Aetna of AZ Commercial $0.14
Rate for Payer: Aetna of AZ Medicare $0.04
Rate for Payer: AHCCCS Medicaid $0.44
Rate for Payer: Allwell Medicaid $0.44
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.06
Rate for Payer: AZCH Complete Medicaid $0.44
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicaid $0.44
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.10
Rate for Payer: Cash Price $0.12
Rate for Payer: Cash Price $0.12
Rate for Payer: Cigna of AZ Commercial $0.10
Rate for Payer: Copperpoint Commercial $0.04
Rate for Payer: Health Net of AZ Commercial $0.09
Rate for Payer: Health Net of AZ Medicare $0.04
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Mercy Care Medicaid $0.44
Rate for Payer: Self Pay Self Pay $0.12
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.09
Rate for Payer: UnitedHealth Group of AZ Medicare $0.03
Service Code HCPCS J7510
Hospital Charge Code 105937861
Hospital Revenue Code 251
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.44
Rate for Payer: Aetna of AZ Commercial $0.14
Rate for Payer: Aetna of AZ Medicare $0.04
Rate for Payer: AHCCCS Medicaid $0.44
Rate for Payer: Allwell Medicaid $0.44
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.06
Rate for Payer: AZCH Complete Medicaid $0.44
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicaid $0.44
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.11
Rate for Payer: Cash Price $0.13
Rate for Payer: Cash Price $0.13
Rate for Payer: Cigna of AZ Commercial $0.10
Rate for Payer: Copperpoint Commercial $0.04
Rate for Payer: Health Net of AZ Commercial $0.10
Rate for Payer: Health Net of AZ Medicare $0.04
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Mercy Care Medicaid $0.44
Rate for Payer: Self Pay Self Pay $0.13
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.09
Rate for Payer: UnitedHealth Group of AZ Medicare $0.03
Service Code HCPCS J7510
Hospital Charge Code 105937861
Hospital Revenue Code 251
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.14
Rate for Payer: Aetna of AZ Commercial $0.14
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Cash Price $0.13
Rate for Payer: Self Pay Self Pay $0.13
Service Code HCPCS J7510
Hospital Charge Code 105937930
Hospital Revenue Code 251
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.12
Rate for Payer: Aetna of AZ Commercial $0.12
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Cash Price $0.10
Rate for Payer: Self Pay Self Pay $0.10
Service Code HCPCS J7510
Hospital Charge Code 105937930
Hospital Revenue Code 251
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.44
Rate for Payer: Aetna of AZ Commercial $0.12
Rate for Payer: Aetna of AZ Medicare $0.04
Rate for Payer: AHCCCS Medicaid $0.44
Rate for Payer: Allwell Medicaid $0.44
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.05
Rate for Payer: AZCH Complete Medicaid $0.44
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicaid $0.44
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.03
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.09
Rate for Payer: Cash Price $0.10
Rate for Payer: Cash Price $0.10
Rate for Payer: Cigna of AZ Commercial $0.08
Rate for Payer: Copperpoint Commercial $0.03
Rate for Payer: Health Net of AZ Commercial $0.08
Rate for Payer: Health Net of AZ Medicare $0.04
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Mercy Care Medicaid $0.44
Rate for Payer: Self Pay Self Pay $0.10
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.08
Rate for Payer: UnitedHealth Group of AZ Medicare $0.02
Service Code HCPCS J7510
Hospital Charge Code 105937719
Hospital Revenue Code 251
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.13
Rate for Payer: Aetna of AZ Commercial $0.13
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Cash Price $0.11
Rate for Payer: Self Pay Self Pay $0.11
Service Code HCPCS J7510
Hospital Charge Code 105937719
Hospital Revenue Code 251
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.44
Rate for Payer: Aetna of AZ Commercial $0.13
Rate for Payer: Aetna of AZ Medicare $0.04
Rate for Payer: AHCCCS Medicaid $0.44
Rate for Payer: Allwell Medicaid $0.44
Rate for Payer: Allwell Medicare $0.02
Rate for Payer: Amerigroup Medicare $0.02
Rate for Payer: APIPA Medicare/Medicaid $0.05
Rate for Payer: AZCH Complete Medicaid $0.44
Rate for Payer: AZCH Complete Medicare $0.02
Rate for Payer: Banner UC Health Medicaid $0.44
Rate for Payer: Banner UC Health Medicare $0.02
Rate for Payer: Bisbee Police All Plans $0.04
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.10
Rate for Payer: Cash Price $0.11
Rate for Payer: Cash Price $0.11
Rate for Payer: Cigna of AZ Commercial $0.09
Rate for Payer: Copperpoint Commercial $0.03
Rate for Payer: Health Net of AZ Commercial $0.08
Rate for Payer: Health Net of AZ Medicare $0.04
Rate for Payer: Humana of AZ Medicare $0.02
Rate for Payer: Mercy Care Medicaid $0.44
Rate for Payer: Self Pay Self Pay $0.11
Rate for Payer: TriWest Medicare $0.02
Rate for Payer: UnitedHealth Group of AZ Commercial $0.08
Rate for Payer: UnitedHealth Group of AZ Medicare $0.03
Service Code NDC 904699261
Hospital Charge Code 105937999
Hospital Revenue Code 251
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.37
Rate for Payer: Aetna of AZ Commercial $0.37
Rate for Payer: Bisbee Police All Plans $0.11
Rate for Payer: Cash Price $0.32
Rate for Payer: Self Pay Self Pay $0.33
Service Code NDC 904699261
Hospital Charge Code 105937999
Hospital Revenue Code 251
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.37
Rate for Payer: Aetna of AZ Commercial $0.37
Rate for Payer: Aetna of AZ Medicare $0.11
Rate for Payer: Allwell Medicare $0.06
Rate for Payer: Amerigroup Medicare $0.06
Rate for Payer: APIPA Medicare/Medicaid $0.15
Rate for Payer: AZCH Complete Medicare $0.06
Rate for Payer: Banner UC Health Medicare $0.06
Rate for Payer: Bisbee Police All Plans $0.11
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $0.28
Rate for Payer: Cash Price $0.32
Rate for Payer: Cigna of AZ Commercial $0.27
Rate for Payer: Copperpoint Commercial $0.10
Rate for Payer: Health Net of AZ Commercial $0.25
Rate for Payer: Health Net of AZ Medicare $0.11
Rate for Payer: Humana of AZ Medicare $0.06
Rate for Payer: Self Pay Self Pay $0.33
Rate for Payer: TriWest Medicare $0.06
Rate for Payer: UnitedHealth Group of AZ Commercial $0.24
Rate for Payer: UnitedHealth Group of AZ Medicare $0.07
Service Code CPT 84163
Hospital Charge Code 23294372
Hospital Revenue Code 301
Min. Negotiated Rate $15.05
Max. Negotiated Rate $98.10
Rate for Payer: Aetna of AZ Commercial $98.10
Rate for Payer: Aetna of AZ Medicare $30.52
Rate for Payer: AHCCCS Medicaid $15.05
Rate for Payer: Allwell Medicaid $15.05
Rate for Payer: Allwell Medicare $16.35
Rate for Payer: Amerigroup Medicare $16.35
Rate for Payer: APIPA Medicare/Medicaid $40.71
Rate for Payer: AZCH Complete Medicaid $15.05
Rate for Payer: AZCH Complete Medicare $16.35
Rate for Payer: Banner UC Health Medicaid $15.05
Rate for Payer: Banner UC Health Medicare $16.35
Rate for Payer: Bisbee Police All Plans $28.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $74.12
Rate for Payer: Cash Price $87.20
Rate for Payer: Cash Price $87.20
Rate for Payer: Cigna of AZ Commercial $70.85
Rate for Payer: Copperpoint Commercial $26.98
Rate for Payer: Health Net of AZ Commercial $65.40
Rate for Payer: Health Net of AZ Medicare $30.52
Rate for Payer: Humana of AZ Medicare $16.35
Rate for Payer: Mercy Care Medicaid $15.05
Rate for Payer: Self Pay Self Pay $87.20
Rate for Payer: TriWest Medicare $16.35
Rate for Payer: UnitedHealth Group of AZ Commercial $63.55
Rate for Payer: UnitedHealth Group of AZ Medicare $19.62
Service Code CPT 84163
Hospital Charge Code 23294372
Hospital Revenue Code 301
Min. Negotiated Rate $28.34
Max. Negotiated Rate $98.10
Rate for Payer: Aetna of AZ Commercial $98.10
Rate for Payer: Bisbee Police All Plans $28.34
Rate for Payer: Cash Price $87.20
Rate for Payer: Self Pay Self Pay $87.20
Service Code CPT 84163
Hospital Charge Code 23296930
Hospital Revenue Code 301
Min. Negotiated Rate $15.05
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of AZ Commercial $102.60
Rate for Payer: Aetna of AZ Medicare $31.92
Rate for Payer: AHCCCS Medicaid $15.05
Rate for Payer: Allwell Medicaid $15.05
Rate for Payer: Allwell Medicare $17.10
Rate for Payer: Amerigroup Medicare $17.10
Rate for Payer: APIPA Medicare/Medicaid $42.58
Rate for Payer: AZCH Complete Medicaid $15.05
Rate for Payer: AZCH Complete Medicare $17.10
Rate for Payer: Banner UC Health Medicaid $15.05
Rate for Payer: Banner UC Health Medicare $17.10
Rate for Payer: Bisbee Police All Plans $29.64
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $77.52
Rate for Payer: Cash Price $91.20
Rate for Payer: Cash Price $91.20
Rate for Payer: Cigna of AZ Commercial $74.10
Rate for Payer: Copperpoint Commercial $28.22
Rate for Payer: Health Net of AZ Commercial $68.40
Rate for Payer: Health Net of AZ Medicare $31.92
Rate for Payer: Humana of AZ Medicare $17.10
Rate for Payer: Mercy Care Medicaid $15.05
Rate for Payer: Self Pay Self Pay $91.20
Rate for Payer: TriWest Medicare $17.10
Rate for Payer: UnitedHealth Group of AZ Commercial $66.46
Rate for Payer: UnitedHealth Group of AZ Medicare $20.52
Service Code CPT 84163
Hospital Charge Code 23296930
Hospital Revenue Code 301
Min. Negotiated Rate $29.64
Max. Negotiated Rate $102.60
Rate for Payer: Aetna of AZ Commercial $102.60
Rate for Payer: Bisbee Police All Plans $29.64
Rate for Payer: Cash Price $91.20
Rate for Payer: Self Pay Self Pay $91.20
Service Code CPT 84703
Hospital Charge Code 9579719
Hospital Revenue Code 301
Min. Negotiated Rate $7.52
Max. Negotiated Rate $190.80
Rate for Payer: Aetna of AZ Commercial $190.80
Rate for Payer: Aetna of AZ Medicare $59.36
Rate for Payer: AHCCCS Medicaid $7.52
Rate for Payer: Allwell Medicaid $7.52
Rate for Payer: Allwell Medicare $31.80
Rate for Payer: Amerigroup Medicare $31.80
Rate for Payer: APIPA Medicare/Medicaid $79.18
Rate for Payer: AZCH Complete Medicaid $7.52
Rate for Payer: AZCH Complete Medicare $31.80
Rate for Payer: Banner UC Health Medicaid $7.52
Rate for Payer: Banner UC Health Medicare $31.80
Rate for Payer: Bisbee Police All Plans $55.12
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $144.16
Rate for Payer: Cash Price $169.60
Rate for Payer: Cash Price $169.60
Rate for Payer: Cigna of AZ Commercial $137.80
Rate for Payer: Copperpoint Commercial $52.47
Rate for Payer: Health Net of AZ Commercial $127.20
Rate for Payer: Health Net of AZ Medicare $59.36
Rate for Payer: Humana of AZ Medicare $31.80
Rate for Payer: Mercy Care Medicaid $7.52
Rate for Payer: Self Pay Self Pay $169.60
Rate for Payer: TriWest Medicare $31.80
Rate for Payer: UnitedHealth Group of AZ Commercial $123.60
Rate for Payer: UnitedHealth Group of AZ Medicare $38.16
Service Code CPT 84703
Hospital Charge Code 9579719
Hospital Revenue Code 301
Min. Negotiated Rate $55.12
Max. Negotiated Rate $190.80
Rate for Payer: Aetna of AZ Commercial $190.80
Rate for Payer: Bisbee Police All Plans $55.12
Rate for Payer: Cash Price $169.60
Rate for Payer: Self Pay Self Pay $169.60
Service Code CPT 81025
Hospital Charge Code 9579720
Hospital Revenue Code 300
Min. Negotiated Rate $8.61
Max. Negotiated Rate $143.10
Rate for Payer: Aetna of AZ Commercial $143.10
Rate for Payer: Aetna of AZ Medicare $44.52
Rate for Payer: AHCCCS Medicaid $8.61
Rate for Payer: Allwell Medicaid $8.61
Rate for Payer: Allwell Medicare $23.85
Rate for Payer: Amerigroup Medicare $23.85
Rate for Payer: APIPA Medicare/Medicaid $59.39
Rate for Payer: AZCH Complete Medicaid $8.61
Rate for Payer: AZCH Complete Medicare $23.85
Rate for Payer: Banner UC Health Medicaid $8.61
Rate for Payer: Banner UC Health Medicare $23.85
Rate for Payer: Bisbee Police All Plans $41.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial $108.12
Rate for Payer: Cash Price $127.20
Rate for Payer: Cash Price $127.20
Rate for Payer: Cigna of AZ Commercial $103.35
Rate for Payer: Copperpoint Commercial $39.35
Rate for Payer: Health Net of AZ Commercial $95.40
Rate for Payer: Health Net of AZ Medicare $44.52
Rate for Payer: Humana of AZ Medicare $23.85
Rate for Payer: Mercy Care Medicaid $8.61
Rate for Payer: Self Pay Self Pay $127.20
Rate for Payer: TriWest Medicare $23.85
Rate for Payer: UnitedHealth Group of AZ Commercial $92.70
Rate for Payer: UnitedHealth Group of AZ Medicare $28.62
Service Code CPT 81025
Hospital Charge Code 9579720
Hospital Revenue Code 300
Min. Negotiated Rate $41.34
Max. Negotiated Rate $143.10
Rate for Payer: Aetna of AZ Commercial $143.10
Rate for Payer: Bisbee Police All Plans $41.34
Rate for Payer: Cash Price $127.20
Rate for Payer: Self Pay Self Pay $127.20