Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Resolution Clip

Facility

$838.00

Hospital Charge Code	22926472
Hospital Revenue Code	272
Min. Negotiated Rate	$125.70
Max. Negotiated Rate	$754.20
Rate for Payer: Aetna of AZ Commercial	$754.20
Rate for Payer: Aetna of AZ Medicare	$234.64
Rate for Payer: Allwell Medicare	$125.70
Rate for Payer: Amerigroup Medicare	$125.70
Rate for Payer: APIPA Medicare/Medicaid	$312.99
Rate for Payer: AZCH Complete Medicare	$125.70
Rate for Payer: Banner UC Health Medicare	$125.70
Rate for Payer: Bisbee Police All Plans	$217.88
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$569.84
Rate for Payer: Cash Price	$670.40
Rate for Payer: Cigna of AZ Commercial	$586.60
Rate for Payer: Copperpoint Commercial	$207.40
Rate for Payer: Health Net of AZ Commercial	$502.80
Rate for Payer: Health Net of AZ Medicare	$234.64
Rate for Payer: Humana of AZ Medicare	$125.70
Rate for Payer: Self Pay Self Pay	$670.40
Rate for Payer: TriWest Medicare	$125.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$488.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$150.84

Resolution Clip

Facility

$838.00

Hospital Charge Code	22926472
Hospital Revenue Code	272
Min. Negotiated Rate	$217.88
Max. Negotiated Rate	$754.20
Rate for Payer: Aetna of AZ Commercial	$754.20
Rate for Payer: Bisbee Police All Plans	$217.88
Rate for Payer: Cash Price	$670.40
Rate for Payer: Self Pay Self Pay	$670.40

Respiratory Failure

Facility

$4,633.45

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG1331
Min. Negotiated Rate	$4,633.45
Max. Negotiated Rate	$4,633.45
Rate for Payer: AHCCCS Medicaid	$4,633.45
Rate for Payer: Allwell Medicaid	$4,633.45
Rate for Payer: AZCH Complete Medicaid	$4,633.45
Rate for Payer: Banner UC Health Medicaid	$4,633.45
Rate for Payer: Mercy Care Medicaid	$4,633.45

Respiratory Failure

Facility

$2,807.70

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG1332
Min. Negotiated Rate	$2,807.70
Max. Negotiated Rate	$2,807.70
Rate for Payer: AHCCCS Medicaid	$2,807.70
Rate for Payer: Allwell Medicaid	$2,807.70
Rate for Payer: AZCH Complete Medicaid	$2,807.70
Rate for Payer: Banner UC Health Medicaid	$2,807.70
Rate for Payer: Mercy Care Medicaid	$2,807.70

Respiratory Failure

Facility

$2,807.70

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG1333
Min. Negotiated Rate	$2,807.70
Max. Negotiated Rate	$2,807.70
Rate for Payer: AHCCCS Medicaid	$2,807.70
Rate for Payer: Allwell Medicaid	$2,807.70
Rate for Payer: AZCH Complete Medicaid	$2,807.70
Rate for Payer: Banner UC Health Medicaid	$2,807.70
Rate for Payer: Mercy Care Medicaid	$2,807.70

Respiratory Failure

Facility

$4,633.45

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG1333
Min. Negotiated Rate	$4,633.45
Max. Negotiated Rate	$4,633.45
Rate for Payer: AHCCCS Medicaid	$4,633.45
Rate for Payer: Allwell Medicaid	$4,633.45
Rate for Payer: AZCH Complete Medicaid	$4,633.45
Rate for Payer: Banner UC Health Medicaid	$4,633.45
Rate for Payer: Mercy Care Medicaid	$4,633.45

Respiratory Failure

Facility

$12,428.81

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG1334
Min. Negotiated Rate	$12,428.81
Max. Negotiated Rate	$12,428.81
Rate for Payer: AHCCCS Medicaid	$12,428.81
Rate for Payer: Allwell Medicaid	$12,428.81
Rate for Payer: AZCH Complete Medicaid	$12,428.81
Rate for Payer: Banner UC Health Medicaid	$12,428.81
Rate for Payer: Mercy Care Medicaid	$12,428.81

Respiratory Failure

Facility

$2,807.70

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG1334
Min. Negotiated Rate	$2,807.70
Max. Negotiated Rate	$2,807.70
Rate for Payer: AHCCCS Medicaid	$2,807.70
Rate for Payer: Allwell Medicaid	$2,807.70
Rate for Payer: AZCH Complete Medicaid	$2,807.70
Rate for Payer: Banner UC Health Medicaid	$2,807.70
Rate for Payer: Mercy Care Medicaid	$2,807.70

Respiratory Failure

Facility

$7,082.04

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG1333
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Respiratory Failure

Facility

$2,807.70

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG1331
Min. Negotiated Rate	$2,807.70
Max. Negotiated Rate	$2,807.70
Rate for Payer: AHCCCS Medicaid	$2,807.70
Rate for Payer: Allwell Medicaid	$2,807.70
Rate for Payer: AZCH Complete Medicaid	$2,807.70
Rate for Payer: Banner UC Health Medicaid	$2,807.70
Rate for Payer: Mercy Care Medicaid	$2,807.70

Respiratory Failure

Facility

$7,082.04

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG1332
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Respiratory Failure

Facility

$12,428.81

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG1332
Min. Negotiated Rate	$12,428.81
Max. Negotiated Rate	$12,428.81
Rate for Payer: AHCCCS Medicaid	$12,428.81
Rate for Payer: Allwell Medicaid	$12,428.81
Rate for Payer: AZCH Complete Medicaid	$12,428.81
Rate for Payer: Banner UC Health Medicaid	$12,428.81
Rate for Payer: Mercy Care Medicaid	$12,428.81

Respiratory Failure

Facility

$4,633.45

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG1334
Min. Negotiated Rate	$4,633.45
Max. Negotiated Rate	$4,633.45
Rate for Payer: AHCCCS Medicaid	$4,633.45
Rate for Payer: Allwell Medicaid	$4,633.45
Rate for Payer: AZCH Complete Medicaid	$4,633.45
Rate for Payer: Banner UC Health Medicaid	$4,633.45
Rate for Payer: Mercy Care Medicaid	$4,633.45

Respiratory Failure

Facility

$12,428.81

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG1333
Min. Negotiated Rate	$12,428.81
Max. Negotiated Rate	$12,428.81
Rate for Payer: AHCCCS Medicaid	$12,428.81
Rate for Payer: Allwell Medicaid	$12,428.81
Rate for Payer: AZCH Complete Medicaid	$12,428.81
Rate for Payer: Banner UC Health Medicaid	$12,428.81
Rate for Payer: Mercy Care Medicaid	$12,428.81

Respiratory Failure

Facility

$7,082.04

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG1334
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Respiratory Failure

Facility

$12,428.81

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG1331
Min. Negotiated Rate	$12,428.81
Max. Negotiated Rate	$12,428.81
Rate for Payer: AHCCCS Medicaid	$12,428.81
Rate for Payer: Allwell Medicaid	$12,428.81
Rate for Payer: AZCH Complete Medicaid	$12,428.81
Rate for Payer: Banner UC Health Medicaid	$12,428.81
Rate for Payer: Mercy Care Medicaid	$12,428.81

Respiratory Failure

Facility

$7,082.04

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG1331
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Respiratory Failure

Facility

$4,633.45

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG1332
Min. Negotiated Rate	$4,633.45
Max. Negotiated Rate	$4,633.45
Rate for Payer: AHCCCS Medicaid	$4,633.45
Rate for Payer: Allwell Medicaid	$4,633.45
Rate for Payer: AZCH Complete Medicaid	$4,633.45
Rate for Payer: Banner UC Health Medicaid	$4,633.45
Rate for Payer: Mercy Care Medicaid	$4,633.45

Respiratory Malignancy

Facility

$12,962.57

Service Code	APR-DRG 1364
Hospital Charge Code	APRDRG1361
Min. Negotiated Rate	$12,962.57
Max. Negotiated Rate	$12,962.57
Rate for Payer: AHCCCS Medicaid	$12,962.57
Rate for Payer: Allwell Medicaid	$12,962.57
Rate for Payer: AZCH Complete Medicaid	$12,962.57
Rate for Payer: Banner UC Health Medicaid	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57

Respiratory Malignancy

Facility

$4,724.63

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG1362
Min. Negotiated Rate	$4,724.63
Max. Negotiated Rate	$4,724.63
Rate for Payer: AHCCCS Medicaid	$4,724.63
Rate for Payer: Allwell Medicaid	$4,724.63
Rate for Payer: AZCH Complete Medicaid	$4,724.63
Rate for Payer: Banner UC Health Medicaid	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63

Respiratory Malignancy

Facility

$6,182.14

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG1363
Min. Negotiated Rate	$6,182.14
Max. Negotiated Rate	$6,182.14
Rate for Payer: AHCCCS Medicaid	$6,182.14
Rate for Payer: Allwell Medicaid	$6,182.14
Rate for Payer: AZCH Complete Medicaid	$6,182.14
Rate for Payer: Banner UC Health Medicaid	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14

Respiratory Malignancy

Facility

$12,962.57

Service Code	APR-DRG 1364
Hospital Charge Code	APRDRG1363
Min. Negotiated Rate	$12,962.57
Max. Negotiated Rate	$12,962.57
Rate for Payer: AHCCCS Medicaid	$12,962.57
Rate for Payer: Allwell Medicaid	$12,962.57
Rate for Payer: AZCH Complete Medicaid	$12,962.57
Rate for Payer: Banner UC Health Medicaid	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57

Respiratory Malignancy

Facility

$6,182.14

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG1361
Min. Negotiated Rate	$6,182.14
Max. Negotiated Rate	$6,182.14
Rate for Payer: AHCCCS Medicaid	$6,182.14
Rate for Payer: Allwell Medicaid	$6,182.14
Rate for Payer: AZCH Complete Medicaid	$6,182.14
Rate for Payer: Banner UC Health Medicaid	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14

Respiratory Malignancy

Facility

$6,182.14

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG1362
Min. Negotiated Rate	$6,182.14
Max. Negotiated Rate	$6,182.14
Rate for Payer: AHCCCS Medicaid	$6,182.14
Rate for Payer: Allwell Medicaid	$6,182.14
Rate for Payer: AZCH Complete Medicaid	$6,182.14
Rate for Payer: Banner UC Health Medicaid	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14

Respiratory Malignancy

Facility

$4,724.63

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG1363
Min. Negotiated Rate	$4,724.63
Max. Negotiated Rate	$4,724.63
Rate for Payer: AHCCCS Medicaid	$4,724.63
Rate for Payer: Allwell Medicaid	$4,724.63
Rate for Payer: AZCH Complete Medicaid	$4,724.63
Rate for Payer: Banner UC Health Medicaid	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63

Know your out-of-pocket cost for care.

All Charges