Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Other Endocrine Disorders

Facility

$4,780.04

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$4,780.04
Max. Negotiated Rate	$4,780.04
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,780.04
Rate for Payer: Mercy Care Medicaid	$4,780.04
Rate for Payer: NaphCare Correctional Healthcare	$4,780.04

Other Endocrine Disorders

Facility

$13,603.65

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG4241
Min. Negotiated Rate	$13,603.65
Max. Negotiated Rate	$13,603.65
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,603.65
Rate for Payer: Mercy Care Medicaid	$13,603.65
Rate for Payer: NaphCare Correctional Healthcare	$13,603.65

Other Endocrine Disorders

Facility

$7,105.88

Service Code	APR-DRG 4243
Hospital Charge Code	APRDRG4243
Min. Negotiated Rate	$7,105.88
Max. Negotiated Rate	$7,105.88
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,105.88
Rate for Payer: Mercy Care Medicaid	$7,105.88
Rate for Payer: NaphCare Correctional Healthcare	$7,105.88

Other Endocrine Disorders

Facility

$3,579.24

Service Code	APR-DRG 4241
Hospital Charge Code	APRDRG4244
Min. Negotiated Rate	$3,579.24
Max. Negotiated Rate	$3,579.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,579.24
Rate for Payer: Mercy Care Medicaid	$3,579.24
Rate for Payer: NaphCare Correctional Healthcare	$3,579.24

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$28,159.12

Service Code	MSDRG 629
Min. Negotiated Rate	$28,159.12
Max. Negotiated Rate	$28,159.12
Rate for Payer: Seven Corners Travel Insurance	$28,159.12

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$48,165.69

Service Code	MSDRG 628
Min. Negotiated Rate	$48,165.69
Max. Negotiated Rate	$48,165.69
Rate for Payer: Seven Corners Travel Insurance	$48,165.69

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$18,862.80

Service Code	MSDRG 630
Min. Negotiated Rate	$18,862.80
Max. Negotiated Rate	$18,862.80
Rate for Payer: Seven Corners Travel Insurance	$18,862.80

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$57,679.14

Service Code	MSDRG 319
Min. Negotiated Rate	$57,679.14
Max. Negotiated Rate	$57,679.14
Rate for Payer: Seven Corners Travel Insurance	$57,679.14

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$31,086.46

Service Code	MSDRG 320
Min. Negotiated Rate	$31,086.46
Max. Negotiated Rate	$31,086.46
Rate for Payer: Seven Corners Travel Insurance	$31,086.46

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91
Rate for Payer: NaphCare Correctional Healthcare	$4,561.91

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91
Rate for Payer: NaphCare Correctional Healthcare	$4,561.91

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08
Rate for Payer: NaphCare Correctional Healthcare	$3,798.08

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91
Rate for Payer: NaphCare Correctional Healthcare	$4,561.91

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20
Rate for Payer: NaphCare Correctional Healthcare	$6,661.20

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71
Rate for Payer: NaphCare Correctional Healthcare	$13,180.71

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71
Rate for Payer: NaphCare Correctional Healthcare	$13,180.71

Other Esophageal Disorders

Facility

$4,561.91

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$4,561.91
Max. Negotiated Rate	$4,561.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,561.91
Rate for Payer: Mercy Care Medicaid	$4,561.91
Rate for Payer: NaphCare Correctional Healthcare	$4,561.91

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20
Rate for Payer: NaphCare Correctional Healthcare	$6,661.20

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08
Rate for Payer: NaphCare Correctional Healthcare	$3,798.08

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20
Rate for Payer: NaphCare Correctional Healthcare	$6,661.20

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2434
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08
Rate for Payer: NaphCare Correctional Healthcare	$3,798.08

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2431
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71
Rate for Payer: NaphCare Correctional Healthcare	$13,180.71

Other Esophageal Disorders

Facility

$6,661.20

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$6,661.20
Max. Negotiated Rate	$6,661.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,661.20
Rate for Payer: Mercy Care Medicaid	$6,661.20
Rate for Payer: NaphCare Correctional Healthcare	$6,661.20

Other Esophageal Disorders

Facility

$3,798.08

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG2432
Min. Negotiated Rate	$3,798.08
Max. Negotiated Rate	$3,798.08
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,798.08
Rate for Payer: Mercy Care Medicaid	$3,798.08
Rate for Payer: NaphCare Correctional Healthcare	$3,798.08

Other Esophageal Disorders

Facility

$13,180.71

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG2433
Min. Negotiated Rate	$13,180.71
Max. Negotiated Rate	$13,180.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,180.71
Rate for Payer: Mercy Care Medicaid	$13,180.71
Rate for Payer: NaphCare Correctional Healthcare	$13,180.71

Know your out-of-pocket cost for care.

All Charges