Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Transient Ischemia

Facility

$6,159.69

Service Code	APR-DRG 0473
Hospital Charge Code	APRDRG0472
Min. Negotiated Rate	$6,159.69
Max. Negotiated Rate	$6,159.69
Rate for Payer: AHCCCS Medicaid	$6,159.69
Rate for Payer: Allwell Medicaid	$6,159.69
Rate for Payer: AZCH Complete Medicaid	$6,159.69
Rate for Payer: Banner UC Health Medicaid	$6,159.69
Rate for Payer: Mercy Care Medicaid	$6,159.69

Transient Ischemia

Facility

$6,159.69

Service Code	APR-DRG 0473
Hospital Charge Code	APRDRG0471
Min. Negotiated Rate	$6,159.69
Max. Negotiated Rate	$6,159.69
Rate for Payer: AHCCCS Medicaid	$6,159.69
Rate for Payer: Allwell Medicaid	$6,159.69
Rate for Payer: AZCH Complete Medicaid	$6,159.69
Rate for Payer: Banner UC Health Medicaid	$6,159.69
Rate for Payer: Mercy Care Medicaid	$6,159.69

Transient Ischemia

Facility

$4,765.31

Service Code	APR-DRG 0472
Hospital Charge Code	APRDRG0472
Min. Negotiated Rate	$4,765.31
Max. Negotiated Rate	$4,765.31
Rate for Payer: AHCCCS Medicaid	$4,765.31
Rate for Payer: Allwell Medicaid	$4,765.31
Rate for Payer: AZCH Complete Medicaid	$4,765.31
Rate for Payer: Banner UC Health Medicaid	$4,765.31
Rate for Payer: Mercy Care Medicaid	$4,765.31

Transient Ischemia

Facility

$4,300.98

Service Code	APR-DRG 0471
Hospital Charge Code	APRDRG0473
Min. Negotiated Rate	$4,300.98
Max. Negotiated Rate	$4,300.98
Rate for Payer: AHCCCS Medicaid	$4,300.98
Rate for Payer: Allwell Medicaid	$4,300.98
Rate for Payer: AZCH Complete Medicaid	$4,300.98
Rate for Payer: Banner UC Health Medicaid	$4,300.98
Rate for Payer: Mercy Care Medicaid	$4,300.98

Transient Ischemia

Facility

$4,765.31

Service Code	APR-DRG 0472
Hospital Charge Code	APRDRG0471
Min. Negotiated Rate	$4,765.31
Max. Negotiated Rate	$4,765.31
Rate for Payer: AHCCCS Medicaid	$4,765.31
Rate for Payer: Allwell Medicaid	$4,765.31
Rate for Payer: AZCH Complete Medicaid	$4,765.31
Rate for Payer: Banner UC Health Medicaid	$4,765.31
Rate for Payer: Mercy Care Medicaid	$4,765.31

Transient Ischemia

Facility

$4,300.98

Service Code	APR-DRG 0471
Hospital Charge Code	APRDRG0474
Min. Negotiated Rate	$4,300.98
Max. Negotiated Rate	$4,300.98
Rate for Payer: AHCCCS Medicaid	$4,300.98
Rate for Payer: Allwell Medicaid	$4,300.98
Rate for Payer: AZCH Complete Medicaid	$4,300.98
Rate for Payer: Banner UC Health Medicaid	$4,300.98
Rate for Payer: Mercy Care Medicaid	$4,300.98

Transient Ischemia

Facility

$11,383.72

Service Code	APR-DRG 0474
Hospital Charge Code	APRDRG0471
Min. Negotiated Rate	$11,383.72
Max. Negotiated Rate	$11,383.72
Rate for Payer: AHCCCS Medicaid	$11,383.72
Rate for Payer: Allwell Medicaid	$11,383.72
Rate for Payer: AZCH Complete Medicaid	$11,383.72
Rate for Payer: Banner UC Health Medicaid	$11,383.72
Rate for Payer: Mercy Care Medicaid	$11,383.72

Transient Ischemia

Facility

$4,765.31

Service Code	APR-DRG 0472
Hospital Charge Code	APRDRG0474
Min. Negotiated Rate	$4,765.31
Max. Negotiated Rate	$4,765.31
Rate for Payer: AHCCCS Medicaid	$4,765.31
Rate for Payer: Allwell Medicaid	$4,765.31
Rate for Payer: AZCH Complete Medicaid	$4,765.31
Rate for Payer: Banner UC Health Medicaid	$4,765.31
Rate for Payer: Mercy Care Medicaid	$4,765.31

Transient Ischemia

Facility

$4,300.98

Service Code	APR-DRG 0471
Hospital Charge Code	APRDRG0471
Min. Negotiated Rate	$4,300.98
Max. Negotiated Rate	$4,300.98
Rate for Payer: AHCCCS Medicaid	$4,300.98
Rate for Payer: Allwell Medicaid	$4,300.98
Rate for Payer: AZCH Complete Medicaid	$4,300.98
Rate for Payer: Banner UC Health Medicaid	$4,300.98
Rate for Payer: Mercy Care Medicaid	$4,300.98

Transient Ischemia

Facility

$4,765.31

Service Code	APR-DRG 0472
Hospital Charge Code	APRDRG0473
Min. Negotiated Rate	$4,765.31
Max. Negotiated Rate	$4,765.31
Rate for Payer: AHCCCS Medicaid	$4,765.31
Rate for Payer: Allwell Medicaid	$4,765.31
Rate for Payer: AZCH Complete Medicaid	$4,765.31
Rate for Payer: Banner UC Health Medicaid	$4,765.31
Rate for Payer: Mercy Care Medicaid	$4,765.31

Transient Ischemia

Facility

$11,383.72

Service Code	APR-DRG 0474
Hospital Charge Code	APRDRG0473
Min. Negotiated Rate	$11,383.72
Max. Negotiated Rate	$11,383.72
Rate for Payer: AHCCCS Medicaid	$11,383.72
Rate for Payer: Allwell Medicaid	$11,383.72
Rate for Payer: AZCH Complete Medicaid	$11,383.72
Rate for Payer: Banner UC Health Medicaid	$11,383.72
Rate for Payer: Mercy Care Medicaid	$11,383.72

Transurethral Prostatectomy

Facility

$5,847.57

Service Code	APR-DRG 4822
Hospital Charge Code	APRDRG4821
Min. Negotiated Rate	$5,847.57
Max. Negotiated Rate	$5,847.57
Rate for Payer: AHCCCS Medicaid	$5,847.57
Rate for Payer: Allwell Medicaid	$5,847.57
Rate for Payer: AZCH Complete Medicaid	$5,847.57
Rate for Payer: Banner UC Health Medicaid	$5,847.57
Rate for Payer: Mercy Care Medicaid	$5,847.57

Transurethral Prostatectomy

Facility

$22,298.91

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG4823
Min. Negotiated Rate	$22,298.91
Max. Negotiated Rate	$22,298.91
Rate for Payer: AHCCCS Medicaid	$22,298.91
Rate for Payer: Allwell Medicaid	$22,298.91
Rate for Payer: AZCH Complete Medicaid	$22,298.91
Rate for Payer: Banner UC Health Medicaid	$22,298.91
Rate for Payer: Mercy Care Medicaid	$22,298.91

Transurethral Prostatectomy

Facility

$22,298.91

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG4822
Min. Negotiated Rate	$22,298.91
Max. Negotiated Rate	$22,298.91
Rate for Payer: AHCCCS Medicaid	$22,298.91
Rate for Payer: Allwell Medicaid	$22,298.91
Rate for Payer: AZCH Complete Medicaid	$22,298.91
Rate for Payer: Banner UC Health Medicaid	$22,298.91
Rate for Payer: Mercy Care Medicaid	$22,298.91

Transurethral Prostatectomy

Facility

$11,878.21

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG4824
Min. Negotiated Rate	$11,878.21
Max. Negotiated Rate	$11,878.21
Rate for Payer: AHCCCS Medicaid	$11,878.21
Rate for Payer: Allwell Medicaid	$11,878.21
Rate for Payer: AZCH Complete Medicaid	$11,878.21
Rate for Payer: Banner UC Health Medicaid	$11,878.21
Rate for Payer: Mercy Care Medicaid	$11,878.21

Transurethral Prostatectomy

Facility

$11,878.21

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG4822
Min. Negotiated Rate	$11,878.21
Max. Negotiated Rate	$11,878.21
Rate for Payer: AHCCCS Medicaid	$11,878.21
Rate for Payer: Allwell Medicaid	$11,878.21
Rate for Payer: AZCH Complete Medicaid	$11,878.21
Rate for Payer: Banner UC Health Medicaid	$11,878.21
Rate for Payer: Mercy Care Medicaid	$11,878.21

Transurethral Prostatectomy

Facility

$5,016.41

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG4823
Min. Negotiated Rate	$5,016.41
Max. Negotiated Rate	$5,016.41
Rate for Payer: AHCCCS Medicaid	$5,016.41
Rate for Payer: Allwell Medicaid	$5,016.41
Rate for Payer: AZCH Complete Medicaid	$5,016.41
Rate for Payer: Banner UC Health Medicaid	$5,016.41
Rate for Payer: Mercy Care Medicaid	$5,016.41

Transurethral Prostatectomy

Facility

$11,878.21

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG4823
Min. Negotiated Rate	$11,878.21
Max. Negotiated Rate	$11,878.21
Rate for Payer: AHCCCS Medicaid	$11,878.21
Rate for Payer: Allwell Medicaid	$11,878.21
Rate for Payer: AZCH Complete Medicaid	$11,878.21
Rate for Payer: Banner UC Health Medicaid	$11,878.21
Rate for Payer: Mercy Care Medicaid	$11,878.21

Transurethral Prostatectomy

Facility

$11,878.21

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG4821
Min. Negotiated Rate	$11,878.21
Max. Negotiated Rate	$11,878.21
Rate for Payer: AHCCCS Medicaid	$11,878.21
Rate for Payer: Allwell Medicaid	$11,878.21
Rate for Payer: AZCH Complete Medicaid	$11,878.21
Rate for Payer: Banner UC Health Medicaid	$11,878.21
Rate for Payer: Mercy Care Medicaid	$11,878.21

Transurethral Prostatectomy

Facility

$5,847.57

Service Code	APR-DRG 4822
Hospital Charge Code	APRDRG4824
Min. Negotiated Rate	$5,847.57
Max. Negotiated Rate	$5,847.57
Rate for Payer: AHCCCS Medicaid	$5,847.57
Rate for Payer: Allwell Medicaid	$5,847.57
Rate for Payer: AZCH Complete Medicaid	$5,847.57
Rate for Payer: Banner UC Health Medicaid	$5,847.57
Rate for Payer: Mercy Care Medicaid	$5,847.57

Transurethral Prostatectomy

Facility

$5,847.57

Service Code	APR-DRG 4822
Hospital Charge Code	APRDRG4823
Min. Negotiated Rate	$5,847.57
Max. Negotiated Rate	$5,847.57
Rate for Payer: AHCCCS Medicaid	$5,847.57
Rate for Payer: Allwell Medicaid	$5,847.57
Rate for Payer: AZCH Complete Medicaid	$5,847.57
Rate for Payer: Banner UC Health Medicaid	$5,847.57
Rate for Payer: Mercy Care Medicaid	$5,847.57

Transurethral Prostatectomy

Facility

$5,016.41

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG4821
Min. Negotiated Rate	$5,016.41
Max. Negotiated Rate	$5,016.41
Rate for Payer: AHCCCS Medicaid	$5,016.41
Rate for Payer: Allwell Medicaid	$5,016.41
Rate for Payer: AZCH Complete Medicaid	$5,016.41
Rate for Payer: Banner UC Health Medicaid	$5,016.41
Rate for Payer: Mercy Care Medicaid	$5,016.41

Transurethral Prostatectomy

Facility

$5,016.41

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG4824
Min. Negotiated Rate	$5,016.41
Max. Negotiated Rate	$5,016.41
Rate for Payer: AHCCCS Medicaid	$5,016.41
Rate for Payer: Allwell Medicaid	$5,016.41
Rate for Payer: AZCH Complete Medicaid	$5,016.41
Rate for Payer: Banner UC Health Medicaid	$5,016.41
Rate for Payer: Mercy Care Medicaid	$5,016.41

Transurethral Prostatectomy

Facility

$22,298.91

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG4821
Min. Negotiated Rate	$22,298.91
Max. Negotiated Rate	$22,298.91
Rate for Payer: AHCCCS Medicaid	$22,298.91
Rate for Payer: Allwell Medicaid	$22,298.91
Rate for Payer: AZCH Complete Medicaid	$22,298.91
Rate for Payer: Banner UC Health Medicaid	$22,298.91
Rate for Payer: Mercy Care Medicaid	$22,298.91

Transurethral Prostatectomy

Facility

$5,016.41

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG4822
Min. Negotiated Rate	$5,016.41
Max. Negotiated Rate	$5,016.41
Rate for Payer: AHCCCS Medicaid	$5,016.41
Rate for Payer: Allwell Medicaid	$5,016.41
Rate for Payer: AZCH Complete Medicaid	$5,016.41
Rate for Payer: Banner UC Health Medicaid	$5,016.41
Rate for Payer: Mercy Care Medicaid	$5,016.41

Know your out-of-pocket cost for care.

All Charges