Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

00912 ANES TRANS RESECTION OF BLDR TUMERS ADDTNL 0:30 CHARGE

Facility

$298.00

Hospital Charge Code	22406151
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00914 ANES TRANSUR RESECTION OF PROSTATE ADDITIONAL MINUTES

Facility

$9.00

Hospital Charge Code	22406153
Hospital Revenue Code	370
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Aetna of AZ Medicare	$2.52
Rate for Payer: Allwell Medicare	$1.44
Rate for Payer: Amerigroup Medicare	$1.44
Rate for Payer: APIPA Medicare/Medicaid	$3.36
Rate for Payer: AZCH Complete Medicare	$1.44
Rate for Payer: Banner UC Health Medicare	$1.44
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$6.12
Rate for Payer: Cash Price	$7.20
Rate for Payer: Cigna of AZ Commercial	$5.85
Rate for Payer: Copperpoint Commercial	$2.23
Rate for Payer: Health Net of AZ Commercial	$5.40
Rate for Payer: Health Net of AZ Medicare	$2.52
Rate for Payer: Humana of AZ Medicare	$1.44
Rate for Payer: Self Pay Self Pay	$7.20
Rate for Payer: TriWest Medicare	$1.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$5.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$1.62

00914 ANES TRANSUR RESECTION OF PROSTATE ADDITIONAL MINUTES

Facility

$9.00

Hospital Charge Code	22406153
Hospital Revenue Code	370
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Cash Price	$7.20
Rate for Payer: Self Pay Self Pay	$7.20

00914 ANES TRANSUR RESECTION OF PROSTATE ADDTNL 0:30 CHARGE

Facility

$298.00

Hospital Charge Code	22406154
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00914 ANES TRANSUR RESECTION OF PROSTATE ADDTNL 0:30 CHARGE

Facility

$298.00

Hospital Charge Code	22406154
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00918 ANES TRANSURETHRAL URETERAL CALC ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00918
Hospital Charge Code	22406157
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00918 ANES TRANSURETHRAL URETERAL CALC ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00918
Hospital Charge Code	22406157
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00921 ANES VASECTOMY ADDITIONAL MINUTES

Facility

$9.00

Service Code	CPT 00921
Hospital Charge Code	22406161
Hospital Revenue Code	370
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Aetna of AZ Medicare	$2.52
Rate for Payer: Allwell Medicare	$1.44
Rate for Payer: Amerigroup Medicare	$1.44
Rate for Payer: APIPA Medicare/Medicaid	$3.36
Rate for Payer: AZCH Complete Medicare	$1.44
Rate for Payer: Banner UC Health Medicare	$1.44
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$6.12
Rate for Payer: Cash Price	$7.20
Rate for Payer: Cigna of AZ Commercial	$5.85
Rate for Payer: Copperpoint Commercial	$2.23
Rate for Payer: Health Net of AZ Commercial	$5.40
Rate for Payer: Health Net of AZ Medicare	$2.52
Rate for Payer: Humana of AZ Medicare	$1.44
Rate for Payer: Self Pay Self Pay	$7.20
Rate for Payer: TriWest Medicare	$1.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$5.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$1.62

00921 ANES VASECTOMY ADDITIONAL MINUTES

Facility

$9.00

Service Code	CPT 00921
Hospital Charge Code	22406161
Hospital Revenue Code	370
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Cash Price	$7.20
Rate for Payer: Self Pay Self Pay	$7.20

00921 ANES VASECTOMY ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00921
Hospital Charge Code	22406162
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00921 ANES VASECTOMY ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00921
Hospital Charge Code	22406162
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00921 ANES VASECTOMY BASE CHARGE AND 1ST MINUTE

Facility

$515.00

Service Code	CPT 00921
Hospital Charge Code	22406160
Hospital Revenue Code	370
Min. Negotiated Rate	$133.90
Max. Negotiated Rate	$463.50
Rate for Payer: Aetna of AZ Commercial	$463.50
Rate for Payer: Bisbee Police All Plans	$133.90
Rate for Payer: Cash Price	$412.00
Rate for Payer: Self Pay Self Pay	$412.00

00921 ANES VASECTOMY BASE CHARGE AND 1ST MINUTE

Facility

$515.00

Service Code	CPT 00921
Hospital Charge Code	22406160
Hospital Revenue Code	370
Min. Negotiated Rate	$82.40
Max. Negotiated Rate	$463.50
Rate for Payer: Aetna of AZ Commercial	$463.50
Rate for Payer: Aetna of AZ Medicare	$144.20
Rate for Payer: Allwell Medicare	$82.40
Rate for Payer: Amerigroup Medicare	$82.40
Rate for Payer: APIPA Medicare/Medicaid	$192.35
Rate for Payer: AZCH Complete Medicare	$82.40
Rate for Payer: Banner UC Health Medicare	$82.40
Rate for Payer: Bisbee Police All Plans	$133.90
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$350.20
Rate for Payer: Cash Price	$412.00
Rate for Payer: Cigna of AZ Commercial	$334.75
Rate for Payer: Copperpoint Commercial	$127.46
Rate for Payer: Health Net of AZ Commercial	$309.00
Rate for Payer: Health Net of AZ Medicare	$144.20
Rate for Payer: Humana of AZ Medicare	$82.40
Rate for Payer: Self Pay Self Pay	$412.00
Rate for Payer: TriWest Medicare	$82.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$300.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$92.70

00926 ANES RADICAL ORCHIECTOMY ING ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00926
Hospital Charge Code	22406166
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00926 ANES RADICAL ORCHIECTOMY ING ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00926
Hospital Charge Code	22406166
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00926 ANES RADICAL ORCHIECTOMY INGUIN ADDITONAL MINUTES

Facility

$9.00

Service Code	CPT 00926
Hospital Charge Code	22406165
Hospital Revenue Code	370
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Cash Price	$7.20
Rate for Payer: Self Pay Self Pay	$7.20

00926 ANES RADICAL ORCHIECTOMY INGUIN ADDITONAL MINUTES

Facility

$9.00

Service Code	CPT 00926
Hospital Charge Code	22406165
Hospital Revenue Code	370
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Aetna of AZ Medicare	$2.52
Rate for Payer: Allwell Medicare	$1.44
Rate for Payer: Amerigroup Medicare	$1.44
Rate for Payer: APIPA Medicare/Medicaid	$3.36
Rate for Payer: AZCH Complete Medicare	$1.44
Rate for Payer: Banner UC Health Medicare	$1.44
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$6.12
Rate for Payer: Cash Price	$7.20
Rate for Payer: Cigna of AZ Commercial	$5.85
Rate for Payer: Copperpoint Commercial	$2.23
Rate for Payer: Health Net of AZ Commercial	$5.40
Rate for Payer: Health Net of AZ Medicare	$2.52
Rate for Payer: Humana of AZ Medicare	$1.44
Rate for Payer: Self Pay Self Pay	$7.20
Rate for Payer: TriWest Medicare	$1.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$5.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$1.62

00926 ANES RADICAL ORCHIECTOMY INGUINAL BASE CHG AND 1ST MIN

Facility

$826.00

Service Code	CPT 00926
Hospital Charge Code	22406164
Hospital Revenue Code	370
Min. Negotiated Rate	$214.76
Max. Negotiated Rate	$743.40
Rate for Payer: Aetna of AZ Commercial	$743.40
Rate for Payer: Bisbee Police All Plans	$214.76
Rate for Payer: Cash Price	$660.80
Rate for Payer: Self Pay Self Pay	$660.80

00926 ANES RADICAL ORCHIECTOMY INGUINAL BASE CHG AND 1ST MIN

Facility

$826.00

Service Code	CPT 00926
Hospital Charge Code	22406164
Hospital Revenue Code	370
Min. Negotiated Rate	$132.16
Max. Negotiated Rate	$743.40
Rate for Payer: Aetna of AZ Commercial	$743.40
Rate for Payer: Aetna of AZ Medicare	$231.28
Rate for Payer: Allwell Medicare	$132.16
Rate for Payer: Amerigroup Medicare	$132.16
Rate for Payer: APIPA Medicare/Medicaid	$308.51
Rate for Payer: AZCH Complete Medicare	$132.16
Rate for Payer: Banner UC Health Medicare	$132.16
Rate for Payer: Bisbee Police All Plans	$214.76
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$561.68
Rate for Payer: Cash Price	$660.80
Rate for Payer: Cigna of AZ Commercial	$536.90
Rate for Payer: Copperpoint Commercial	$204.44
Rate for Payer: Health Net of AZ Commercial	$495.60
Rate for Payer: Health Net of AZ Medicare	$231.28
Rate for Payer: Humana of AZ Medicare	$132.16
Rate for Payer: Self Pay Self Pay	$660.80
Rate for Payer: TriWest Medicare	$132.16
Rate for Payer: UnitedHealth Group of AZ Commercial	$481.56
Rate for Payer: UnitedHealth Group of AZ Medicare	$148.68

00930 ANES ORCHIOPEXY UNILAT OR BI ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00930
Hospital Charge Code	22406169
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00930 ANES ORCHIOPEXY UNILAT OR BI ADDTNL 0:30 CHARGE

Facility

$298.00

Service Code	CPT 00930
Hospital Charge Code	22406169
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

00930 ANES ORCHIOPEXY UNILAT OR BILAT ADDITIONAL MINUTES

Facility

$9.00

Service Code	CPT 00930
Hospital Charge Code	22406168
Hospital Revenue Code	370
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Aetna of AZ Medicare	$2.52
Rate for Payer: Allwell Medicare	$1.44
Rate for Payer: Amerigroup Medicare	$1.44
Rate for Payer: APIPA Medicare/Medicaid	$3.36
Rate for Payer: AZCH Complete Medicare	$1.44
Rate for Payer: Banner UC Health Medicare	$1.44
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$6.12
Rate for Payer: Cash Price	$7.20
Rate for Payer: Cigna of AZ Commercial	$5.85
Rate for Payer: Copperpoint Commercial	$2.23
Rate for Payer: Health Net of AZ Commercial	$5.40
Rate for Payer: Health Net of AZ Medicare	$2.52
Rate for Payer: Humana of AZ Medicare	$1.44
Rate for Payer: Self Pay Self Pay	$7.20
Rate for Payer: TriWest Medicare	$1.44
Rate for Payer: UnitedHealth Group of AZ Commercial	$5.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$1.62

00930 ANES ORCHIOPEXY UNILAT OR BILAT ADDITIONAL MINUTES

Facility

$9.00

Service Code	CPT 00930
Hospital Charge Code	22406168
Hospital Revenue Code	370
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$8.10
Rate for Payer: Aetna of AZ Commercial	$8.10
Rate for Payer: Bisbee Police All Plans	$2.34
Rate for Payer: Cash Price	$7.20
Rate for Payer: Self Pay Self Pay	$7.20

00938 ANES INSERTION OF PENILE PRO ADDTNL 0:30 CHARGE

Facility

$298.00

Hospital Charge Code	22406172
Hospital Revenue Code	370
Min. Negotiated Rate	$77.48
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Cash Price	$238.40
Rate for Payer: Self Pay Self Pay	$238.40

00938 ANES INSERTION OF PENILE PRO ADDTNL 0:30 CHARGE

Facility

$298.00

Hospital Charge Code	22406172
Hospital Revenue Code	370
Min. Negotiated Rate	$47.68
Max. Negotiated Rate	$268.20
Rate for Payer: Aetna of AZ Commercial	$268.20
Rate for Payer: Aetna of AZ Medicare	$83.44
Rate for Payer: Allwell Medicare	$47.68
Rate for Payer: Amerigroup Medicare	$47.68
Rate for Payer: APIPA Medicare/Medicaid	$111.30
Rate for Payer: AZCH Complete Medicare	$47.68
Rate for Payer: Banner UC Health Medicare	$47.68
Rate for Payer: Bisbee Police All Plans	$77.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$202.64
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cigna of AZ Commercial	$193.70
Rate for Payer: Copperpoint Commercial	$73.75
Rate for Payer: Health Net of AZ Commercial	$178.80
Rate for Payer: Health Net of AZ Medicare	$83.44
Rate for Payer: Humana of AZ Medicare	$47.68
Rate for Payer: Self Pay Self Pay	$238.40
Rate for Payer: TriWest Medicare	$47.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$173.73
Rate for Payer: UnitedHealth Group of AZ Medicare	$53.64

Know your out-of-pocket cost for care.

All Charges