Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Thyroid Disorders

Facility

IP

$4,531.75

Service Code	APR-DRG 4272
Hospital Charge Code	APRDRG4272
Min. Negotiated Rate	$4,531.75
Max. Negotiated Rate	$4,531.75
Rate for Payer: AHCCCS Medicaid	$4,531.75
Rate for Payer: Allwell Medicaid	$4,531.75
Rate for Payer: AZCH Complete Medicaid	$4,531.75
Rate for Payer: Banner UC Health Medicaid	$4,531.75
Rate for Payer: Mercy Care Medicaid	$4,531.75

Thyroid Disorders

Facility

IP

$4,531.75

Service Code	APR-DRG 4272
Hospital Charge Code	APRDRG4274
Min. Negotiated Rate	$4,531.75
Max. Negotiated Rate	$4,531.75
Rate for Payer: AHCCCS Medicaid	$4,531.75
Rate for Payer: Allwell Medicaid	$4,531.75
Rate for Payer: AZCH Complete Medicaid	$4,531.75
Rate for Payer: Banner UC Health Medicaid	$4,531.75
Rate for Payer: Mercy Care Medicaid	$4,531.75

Thyroid Disorders

Facility

IP

$7,267.91

Service Code	APR-DRG 4273
Hospital Charge Code	APRDRG4274
Min. Negotiated Rate	$7,267.91
Max. Negotiated Rate	$7,267.91
Rate for Payer: AHCCCS Medicaid	$7,267.91
Rate for Payer: Allwell Medicaid	$7,267.91
Rate for Payer: AZCH Complete Medicaid	$7,267.91
Rate for Payer: Banner UC Health Medicaid	$7,267.91
Rate for Payer: Mercy Care Medicaid	$7,267.91

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$31,813.40

Service Code	APR-DRG 4044
Hospital Charge Code	APRDRG4042
Min. Negotiated Rate	$31,813.40
Max. Negotiated Rate	$31,813.40
Rate for Payer: AHCCCS Medicaid	$31,813.40
Rate for Payer: Allwell Medicaid	$31,813.40
Rate for Payer: AZCH Complete Medicaid	$31,813.40
Rate for Payer: Banner UC Health Medicaid	$31,813.40
Rate for Payer: Mercy Care Medicaid	$31,813.40

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$16,795.72

Service Code	APR-DRG 4043
Hospital Charge Code	APRDRG4043
Min. Negotiated Rate	$16,795.72
Max. Negotiated Rate	$16,795.72
Rate for Payer: AHCCCS Medicaid	$16,795.72
Rate for Payer: Allwell Medicaid	$16,795.72
Rate for Payer: AZCH Complete Medicaid	$16,795.72
Rate for Payer: Banner UC Health Medicaid	$16,795.72
Rate for Payer: Mercy Care Medicaid	$16,795.72

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$6,098.67

Service Code	APR-DRG 4041
Hospital Charge Code	APRDRG4041
Min. Negotiated Rate	$6,098.67
Max. Negotiated Rate	$6,098.67
Rate for Payer: AHCCCS Medicaid	$6,098.67
Rate for Payer: Allwell Medicaid	$6,098.67
Rate for Payer: AZCH Complete Medicaid	$6,098.67
Rate for Payer: Banner UC Health Medicaid	$6,098.67
Rate for Payer: Mercy Care Medicaid	$6,098.67

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$6,098.67

Service Code	APR-DRG 4041
Hospital Charge Code	APRDRG4043
Min. Negotiated Rate	$6,098.67
Max. Negotiated Rate	$6,098.67
Rate for Payer: AHCCCS Medicaid	$6,098.67
Rate for Payer: Allwell Medicaid	$6,098.67
Rate for Payer: AZCH Complete Medicaid	$6,098.67
Rate for Payer: Banner UC Health Medicaid	$6,098.67
Rate for Payer: Mercy Care Medicaid	$6,098.67

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$31,813.40

Service Code	APR-DRG 4044
Hospital Charge Code	APRDRG4041
Min. Negotiated Rate	$31,813.40
Max. Negotiated Rate	$31,813.40
Rate for Payer: AHCCCS Medicaid	$31,813.40
Rate for Payer: Allwell Medicaid	$31,813.40
Rate for Payer: AZCH Complete Medicaid	$31,813.40
Rate for Payer: Banner UC Health Medicaid	$31,813.40
Rate for Payer: Mercy Care Medicaid	$31,813.40

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$9,064.19

Service Code	APR-DRG 4042
Hospital Charge Code	APRDRG4044
Min. Negotiated Rate	$9,064.19
Max. Negotiated Rate	$9,064.19
Rate for Payer: AHCCCS Medicaid	$9,064.19
Rate for Payer: Allwell Medicaid	$9,064.19
Rate for Payer: AZCH Complete Medicaid	$9,064.19
Rate for Payer: Banner UC Health Medicaid	$9,064.19
Rate for Payer: Mercy Care Medicaid	$9,064.19

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$31,813.40

Service Code	APR-DRG 4044
Hospital Charge Code	APRDRG4044
Min. Negotiated Rate	$31,813.40
Max. Negotiated Rate	$31,813.40
Rate for Payer: AHCCCS Medicaid	$31,813.40
Rate for Payer: Allwell Medicaid	$31,813.40
Rate for Payer: AZCH Complete Medicaid	$31,813.40
Rate for Payer: Banner UC Health Medicaid	$31,813.40
Rate for Payer: Mercy Care Medicaid	$31,813.40

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$9,064.19

Service Code	APR-DRG 4042
Hospital Charge Code	APRDRG4041
Min. Negotiated Rate	$9,064.19
Max. Negotiated Rate	$9,064.19
Rate for Payer: AHCCCS Medicaid	$9,064.19
Rate for Payer: Allwell Medicaid	$9,064.19
Rate for Payer: AZCH Complete Medicaid	$9,064.19
Rate for Payer: Banner UC Health Medicaid	$9,064.19
Rate for Payer: Mercy Care Medicaid	$9,064.19

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$6,098.67

Service Code	APR-DRG 4041
Hospital Charge Code	APRDRG4044
Min. Negotiated Rate	$6,098.67
Max. Negotiated Rate	$6,098.67
Rate for Payer: AHCCCS Medicaid	$6,098.67
Rate for Payer: Allwell Medicaid	$6,098.67
Rate for Payer: AZCH Complete Medicaid	$6,098.67
Rate for Payer: Banner UC Health Medicaid	$6,098.67
Rate for Payer: Mercy Care Medicaid	$6,098.67

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$6,098.67

Service Code	APR-DRG 4041
Hospital Charge Code	APRDRG4042
Min. Negotiated Rate	$6,098.67
Max. Negotiated Rate	$6,098.67
Rate for Payer: AHCCCS Medicaid	$6,098.67
Rate for Payer: Allwell Medicaid	$6,098.67
Rate for Payer: AZCH Complete Medicaid	$6,098.67
Rate for Payer: Banner UC Health Medicaid	$6,098.67
Rate for Payer: Mercy Care Medicaid	$6,098.67

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$31,813.40

Service Code	APR-DRG 4044
Hospital Charge Code	APRDRG4043
Min. Negotiated Rate	$31,813.40
Max. Negotiated Rate	$31,813.40
Rate for Payer: AHCCCS Medicaid	$31,813.40
Rate for Payer: Allwell Medicaid	$31,813.40
Rate for Payer: AZCH Complete Medicaid	$31,813.40
Rate for Payer: Banner UC Health Medicaid	$31,813.40
Rate for Payer: Mercy Care Medicaid	$31,813.40

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$16,795.72

Service Code	APR-DRG 4043
Hospital Charge Code	APRDRG4044
Min. Negotiated Rate	$16,795.72
Max. Negotiated Rate	$16,795.72
Rate for Payer: AHCCCS Medicaid	$16,795.72
Rate for Payer: Allwell Medicaid	$16,795.72
Rate for Payer: AZCH Complete Medicaid	$16,795.72
Rate for Payer: Banner UC Health Medicaid	$16,795.72
Rate for Payer: Mercy Care Medicaid	$16,795.72

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$9,064.19

Service Code	APR-DRG 4042
Hospital Charge Code	APRDRG4043
Min. Negotiated Rate	$9,064.19
Max. Negotiated Rate	$9,064.19
Rate for Payer: AHCCCS Medicaid	$9,064.19
Rate for Payer: Allwell Medicaid	$9,064.19
Rate for Payer: AZCH Complete Medicaid	$9,064.19
Rate for Payer: Banner UC Health Medicaid	$9,064.19
Rate for Payer: Mercy Care Medicaid	$9,064.19

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$9,064.19

Service Code	APR-DRG 4042
Hospital Charge Code	APRDRG4042
Min. Negotiated Rate	$9,064.19
Max. Negotiated Rate	$9,064.19
Rate for Payer: AHCCCS Medicaid	$9,064.19
Rate for Payer: Allwell Medicaid	$9,064.19
Rate for Payer: AZCH Complete Medicaid	$9,064.19
Rate for Payer: Banner UC Health Medicaid	$9,064.19
Rate for Payer: Mercy Care Medicaid	$9,064.19

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$16,795.72

Service Code	APR-DRG 4043
Hospital Charge Code	APRDRG4042
Min. Negotiated Rate	$16,795.72
Max. Negotiated Rate	$16,795.72
Rate for Payer: AHCCCS Medicaid	$16,795.72
Rate for Payer: Allwell Medicaid	$16,795.72
Rate for Payer: AZCH Complete Medicaid	$16,795.72
Rate for Payer: Banner UC Health Medicaid	$16,795.72
Rate for Payer: Mercy Care Medicaid	$16,795.72

Thyroid, Parathyroid And Thyroglossal Procedures

Facility

IP

$16,795.72

Service Code	APR-DRG 4043
Hospital Charge Code	APRDRG4041
Min. Negotiated Rate	$16,795.72
Max. Negotiated Rate	$16,795.72
Rate for Payer: AHCCCS Medicaid	$16,795.72
Rate for Payer: Allwell Medicaid	$16,795.72
Rate for Payer: AZCH Complete Medicaid	$16,795.72
Rate for Payer: Banner UC Health Medicaid	$16,795.72
Rate for Payer: Mercy Care Medicaid	$16,795.72

THYROID PEROX

Facility

IP

$244.00

Service Code	CPT 86376
Hospital Charge Code	22481507
Hospital Revenue Code	302
Min. Negotiated Rate	$63.44
Max. Negotiated Rate	$219.60
Rate for Payer: Aetna of AZ Commercial	$219.60
Rate for Payer: Bisbee Police All Plans	$63.44
Rate for Payer: Cash Price	$195.20
Rate for Payer: Self Pay Self Pay	$195.20

THYROID PEROX

Facility

OP

$244.00

Service Code	CPT 86376
Hospital Charge Code	22481507
Hospital Revenue Code	302
Min. Negotiated Rate	$39.04
Max. Negotiated Rate	$219.60
Rate for Payer: Aetna of AZ Commercial	$219.60
Rate for Payer: Aetna of AZ Medicare	$68.32
Rate for Payer: Allwell Medicare	$39.04
Rate for Payer: Amerigroup Medicare	$39.04
Rate for Payer: APIPA Medicare/Medicaid	$91.13
Rate for Payer: AZCH Complete Medicare	$39.04
Rate for Payer: Banner UC Health Medicare	$39.04
Rate for Payer: Bisbee Police All Plans	$63.44
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$165.92
Rate for Payer: Cash Price	$195.20
Rate for Payer: Cigna of AZ Commercial	$158.60
Rate for Payer: Copperpoint Commercial	$60.39
Rate for Payer: Health Net of AZ Commercial	$146.40
Rate for Payer: Health Net of AZ Medicare	$68.32
Rate for Payer: Humana of AZ Medicare	$39.04
Rate for Payer: Self Pay Self Pay	$195.20
Rate for Payer: TriWest Medicare	$39.04
Rate for Payer: UnitedHealth Group of AZ Commercial	$142.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$43.92

.Thyroid Peroxidase (TPO) Ab LC

Facility

IP

$244.00

Service Code	CPT 86376
Hospital Charge Code	22531070
Hospital Revenue Code	301
Min. Negotiated Rate	$63.44
Max. Negotiated Rate	$219.60
Rate for Payer: Aetna of AZ Commercial	$219.60
Rate for Payer: Bisbee Police All Plans	$63.44
Rate for Payer: Cash Price	$195.20
Rate for Payer: Self Pay Self Pay	$195.20

.Thyroid Peroxidase (TPO) Ab LC

Facility

OP

$244.00

Service Code	CPT 86376
Hospital Charge Code	22531070
Hospital Revenue Code	301
Min. Negotiated Rate	$39.04
Max. Negotiated Rate	$219.60
Rate for Payer: Aetna of AZ Commercial	$219.60
Rate for Payer: Aetna of AZ Medicare	$68.32
Rate for Payer: Allwell Medicare	$39.04
Rate for Payer: Amerigroup Medicare	$39.04
Rate for Payer: APIPA Medicare/Medicaid	$91.13
Rate for Payer: AZCH Complete Medicare	$39.04
Rate for Payer: Banner UC Health Medicare	$39.04
Rate for Payer: Bisbee Police All Plans	$63.44
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$165.92
Rate for Payer: Cash Price	$195.20
Rate for Payer: Cigna of AZ Commercial	$158.60
Rate for Payer: Copperpoint Commercial	$60.39
Rate for Payer: Health Net of AZ Commercial	$146.40
Rate for Payer: Health Net of AZ Medicare	$68.32
Rate for Payer: Humana of AZ Medicare	$39.04
Rate for Payer: Self Pay Self Pay	$195.20
Rate for Payer: TriWest Medicare	$39.04
Rate for Payer: UnitedHealth Group of AZ Commercial	$142.25
Rate for Payer: UnitedHealth Group of AZ Medicare	$43.92

Thyroid Peroxidase (TPO) Ab LC

Facility

OP

$232.00

Service Code	CPT 86376
Hospital Charge Code	1285786
Hospital Revenue Code	302
Min. Negotiated Rate	$37.12
Max. Negotiated Rate	$208.80
Rate for Payer: Aetna of AZ Commercial	$208.80
Rate for Payer: Aetna of AZ Medicare	$64.96
Rate for Payer: Allwell Medicare	$37.12
Rate for Payer: Amerigroup Medicare	$37.12
Rate for Payer: APIPA Medicare/Medicaid	$86.65
Rate for Payer: AZCH Complete Medicare	$37.12
Rate for Payer: Banner UC Health Medicare	$37.12
Rate for Payer: Bisbee Police All Plans	$60.32
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$157.76
Rate for Payer: Cash Price	$185.60
Rate for Payer: Cigna of AZ Commercial	$150.80
Rate for Payer: Copperpoint Commercial	$57.42
Rate for Payer: Health Net of AZ Commercial	$139.20
Rate for Payer: Health Net of AZ Medicare	$64.96
Rate for Payer: Humana of AZ Medicare	$37.12
Rate for Payer: Self Pay Self Pay	$185.60
Rate for Payer: TriWest Medicare	$37.12
Rate for Payer: UnitedHealth Group of AZ Commercial	$135.26
Rate for Payer: UnitedHealth Group of AZ Medicare	$41.76

Thyroid Peroxidase (TPO) Ab LC

Facility

IP

$232.00

Service Code	CPT 86376
Hospital Charge Code	1285786
Hospital Revenue Code	302
Min. Negotiated Rate	$60.32
Max. Negotiated Rate	$208.80
Rate for Payer: Aetna of AZ Commercial	$208.80
Rate for Payer: Bisbee Police All Plans	$60.32
Rate for Payer: Cash Price	$185.60
Rate for Payer: Self Pay Self Pay	$185.60

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