Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

TRIGGER POINT INJECTION

Facility

$227.00

Hospital Charge Code	22282950
Hospital Revenue Code	450
Min. Negotiated Rate	$59.02
Max. Negotiated Rate	$204.30
Rate for Payer: Aetna of AZ Commercial	$204.30
Rate for Payer: Bisbee Police All Plans	$59.02
Rate for Payer: Cash Price	$181.60
Rate for Payer: Self Pay Self Pay	$181.60

TRIGGER POINT INJECTION

Facility

$227.00

Hospital Charge Code	22282950
Hospital Revenue Code	450
Min. Negotiated Rate	$34.05
Max. Negotiated Rate	$204.30
Rate for Payer: Aetna of AZ Commercial	$204.30
Rate for Payer: Aetna of AZ Medicare	$63.56
Rate for Payer: Allwell Medicare	$34.05
Rate for Payer: Amerigroup Medicare	$34.05
Rate for Payer: APIPA Medicare/Medicaid	$84.78
Rate for Payer: AZCH Complete Medicare	$34.05
Rate for Payer: Banner UC Health Medicare	$34.05
Rate for Payer: Bisbee Police All Plans	$59.02
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$154.36
Rate for Payer: Cash Price	$181.60
Rate for Payer: Cigna of AZ Commercial	$158.90
Rate for Payer: Copperpoint Commercial	$56.18
Rate for Payer: Health Net of AZ Commercial	$136.20
Rate for Payer: Health Net of AZ Medicare	$63.56
Rate for Payer: Humana of AZ Medicare	$34.05
Rate for Payer: Self Pay Self Pay	$181.60
Rate for Payer: TriWest Medicare	$34.05
Rate for Payer: UnitedHealth Group of AZ Commercial	$132.34
Rate for Payer: UnitedHealth Group of AZ Medicare	$40.86

Triglycerides

Facility

$136.00

Service Code	CPT 84478
Hospital Charge Code	633852
Hospital Revenue Code	301
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$122.40
Rate for Payer: Aetna of AZ Commercial	$122.40
Rate for Payer: Aetna of AZ Medicare	$38.08
Rate for Payer: AHCCCS Medicaid	$5.74
Rate for Payer: Allwell Medicaid	$5.74
Rate for Payer: Allwell Medicare	$20.40
Rate for Payer: Amerigroup Medicare	$20.40
Rate for Payer: APIPA Medicare/Medicaid	$50.80
Rate for Payer: AZCH Complete Medicaid	$5.74
Rate for Payer: AZCH Complete Medicare	$20.40
Rate for Payer: Banner UC Health Medicaid	$5.74
Rate for Payer: Banner UC Health Medicare	$20.40
Rate for Payer: Bisbee Police All Plans	$35.36
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$92.48
Rate for Payer: Cash Price	$108.80
Rate for Payer: Cash Price	$108.80
Rate for Payer: Cigna of AZ Commercial	$88.40
Rate for Payer: Copperpoint Commercial	$33.66
Rate for Payer: Health Net of AZ Commercial	$81.60
Rate for Payer: Health Net of AZ Medicare	$38.08
Rate for Payer: Humana of AZ Medicare	$20.40
Rate for Payer: Mercy Care Medicaid	$5.74
Rate for Payer: Self Pay Self Pay	$108.80
Rate for Payer: TriWest Medicare	$20.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$79.29
Rate for Payer: UnitedHealth Group of AZ Medicare	$24.48

Triglycerides

Facility

$136.00

Service Code	CPT 84478
Hospital Charge Code	633852
Hospital Revenue Code	301
Min. Negotiated Rate	$35.36
Max. Negotiated Rate	$122.40
Rate for Payer: Aetna of AZ Commercial	$122.40
Rate for Payer: Bisbee Police All Plans	$35.36
Rate for Payer: Cash Price	$108.80
Rate for Payer: Self Pay Self Pay	$108.80

Triiodothyronine,Free,Serum LC

Facility

$475.00

Service Code	CPT 84481
Hospital Charge Code	1285541
Hospital Revenue Code	301
Min. Negotiated Rate	$16.94
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna of AZ Commercial	$427.50
Rate for Payer: Aetna of AZ Medicare	$133.00
Rate for Payer: AHCCCS Medicaid	$16.94
Rate for Payer: Allwell Medicaid	$16.94
Rate for Payer: Allwell Medicare	$71.25
Rate for Payer: Amerigroup Medicare	$71.25
Rate for Payer: APIPA Medicare/Medicaid	$177.41
Rate for Payer: AZCH Complete Medicaid	$16.94
Rate for Payer: AZCH Complete Medicare	$71.25
Rate for Payer: Banner UC Health Medicaid	$16.94
Rate for Payer: Banner UC Health Medicare	$71.25
Rate for Payer: Bisbee Police All Plans	$123.50
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$323.00
Rate for Payer: Cash Price	$380.00
Rate for Payer: Cash Price	$380.00
Rate for Payer: Cigna of AZ Commercial	$308.75
Rate for Payer: Copperpoint Commercial	$117.56
Rate for Payer: Health Net of AZ Commercial	$285.00
Rate for Payer: Health Net of AZ Medicare	$133.00
Rate for Payer: Humana of AZ Medicare	$71.25
Rate for Payer: Mercy Care Medicaid	$16.94
Rate for Payer: Self Pay Self Pay	$380.00
Rate for Payer: TriWest Medicare	$71.25
Rate for Payer: UnitedHealth Group of AZ Commercial	$276.92
Rate for Payer: UnitedHealth Group of AZ Medicare	$85.50

Triiodothyronine,Free,Serum LC

Facility

$475.00

Service Code	CPT 84481
Hospital Charge Code	1285541
Hospital Revenue Code	301
Min. Negotiated Rate	$123.50
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna of AZ Commercial	$427.50
Rate for Payer: Bisbee Police All Plans	$123.50
Rate for Payer: Cash Price	$380.00
Rate for Payer: Self Pay Self Pay	$380.00

Triiodothyronine (T3) LC

Facility

$258.00

Service Code	CPT 84480
Hospital Charge Code	1285540
Hospital Revenue Code	301
Min. Negotiated Rate	$67.08
Max. Negotiated Rate	$232.20
Rate for Payer: Aetna of AZ Commercial	$232.20
Rate for Payer: Bisbee Police All Plans	$67.08
Rate for Payer: Cash Price	$206.40
Rate for Payer: Self Pay Self Pay	$206.40

Triiodothyronine (T3) LC

Facility

$258.00

Service Code	CPT 84480
Hospital Charge Code	1285540
Hospital Revenue Code	301
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$232.20
Rate for Payer: Aetna of AZ Commercial	$232.20
Rate for Payer: Aetna of AZ Medicare	$72.24
Rate for Payer: AHCCCS Medicaid	$14.18
Rate for Payer: Allwell Medicaid	$14.18
Rate for Payer: Allwell Medicare	$38.70
Rate for Payer: Amerigroup Medicare	$38.70
Rate for Payer: APIPA Medicare/Medicaid	$96.36
Rate for Payer: AZCH Complete Medicaid	$14.18
Rate for Payer: AZCH Complete Medicare	$38.70
Rate for Payer: Banner UC Health Medicaid	$14.18
Rate for Payer: Banner UC Health Medicare	$38.70
Rate for Payer: Bisbee Police All Plans	$67.08
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$175.44
Rate for Payer: Cash Price	$206.40
Rate for Payer: Cash Price	$206.40
Rate for Payer: Cigna of AZ Commercial	$167.70
Rate for Payer: Copperpoint Commercial	$63.86
Rate for Payer: Health Net of AZ Commercial	$154.80
Rate for Payer: Health Net of AZ Medicare	$72.24
Rate for Payer: Humana of AZ Medicare	$38.70
Rate for Payer: Mercy Care Medicaid	$14.18
Rate for Payer: Self Pay Self Pay	$206.40
Rate for Payer: TriWest Medicare	$38.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$150.41
Rate for Payer: UnitedHealth Group of AZ Medicare	$46.44

TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER CQCH

Facility

$39.00

Service Code	CPT 11719
Hospital Charge Code	24049505
Hospital Revenue Code	360
Min. Negotiated Rate	$10.14
Max. Negotiated Rate	$35.10
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Cash Price	$31.20
Rate for Payer: Self Pay Self Pay	$31.20

TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER CQCH

Facility

$39.00

Service Code	CPT 11719
Hospital Charge Code	24049505
Hospital Revenue Code	360
Min. Negotiated Rate	$5.85
Max. Negotiated Rate	$2,161.00
Rate for Payer: Aetna of AZ Commercial	$35.10
Rate for Payer: Aetna of AZ Medicare	$10.92
Rate for Payer: AHCCCS Medicaid	$80.70
Rate for Payer: Allwell Medicaid	$80.70
Rate for Payer: Allwell Medicare	$5.85
Rate for Payer: Amerigroup Medicare	$5.85
Rate for Payer: APIPA Medicare/Medicaid	$14.57
Rate for Payer: AZCH Complete Medicaid	$80.70
Rate for Payer: AZCH Complete Medicare	$5.85
Rate for Payer: Banner UC Health Medicaid	$80.70
Rate for Payer: Banner UC Health Medicare	$5.85
Rate for Payer: Bisbee Police All Plans	$10.14
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$26.52
Rate for Payer: Cash Price	$31.20
Rate for Payer: Cash Price	$31.20
Rate for Payer: Cigna of AZ Commercial	$19.50
Rate for Payer: Copperpoint Commercial	$9.65
Rate for Payer: Health Net of AZ Commercial	$23.40
Rate for Payer: Health Net of AZ Medicare	$10.92
Rate for Payer: Humana of AZ Medicare	$5.85
Rate for Payer: Mercy Care Medicaid	$80.70
Rate for Payer: Self Pay Self Pay	$31.20
Rate for Payer: TriWest Medicare	$5.85
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$7.02

TRINITY 37CM

Facility

$1,352.00

Hospital Charge Code	27445199
Hospital Revenue Code	270
Min. Negotiated Rate	$351.52
Max. Negotiated Rate	$1,216.80
Rate for Payer: Aetna of AZ Commercial	$1,216.80
Rate for Payer: Bisbee Police All Plans	$351.52
Rate for Payer: Cash Price	$1,081.60
Rate for Payer: Self Pay Self Pay	$1,081.60

TRINITY 37CM

Facility

$1,352.00

Hospital Charge Code	27445199
Hospital Revenue Code	270
Min. Negotiated Rate	$202.80
Max. Negotiated Rate	$1,216.80
Rate for Payer: Aetna of AZ Commercial	$1,216.80
Rate for Payer: Aetna of AZ Medicare	$378.56
Rate for Payer: Allwell Medicare	$202.80
Rate for Payer: Amerigroup Medicare	$202.80
Rate for Payer: APIPA Medicare/Medicaid	$504.97
Rate for Payer: AZCH Complete Medicare	$202.80
Rate for Payer: Banner UC Health Medicare	$202.80
Rate for Payer: Bisbee Police All Plans	$351.52
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$919.36
Rate for Payer: Cash Price	$1,081.60
Rate for Payer: Cigna of AZ Commercial	$946.40
Rate for Payer: Copperpoint Commercial	$334.62
Rate for Payer: Health Net of AZ Commercial	$811.20
Rate for Payer: Health Net of AZ Medicare	$378.56
Rate for Payer: Humana of AZ Medicare	$202.80
Rate for Payer: Self Pay Self Pay	$1,081.60
Rate for Payer: TriWest Medicare	$202.80
Rate for Payer: UnitedHealth Group of AZ Commercial	$788.22
Rate for Payer: UnitedHealth Group of AZ Medicare	$243.36

TROCAR 10-12MM (LONG) CONMED

Facility

$909.00

Hospital Charge Code	22354203
Hospital Revenue Code	270
Min. Negotiated Rate	$236.34
Max. Negotiated Rate	$818.10
Rate for Payer: Aetna of AZ Commercial	$818.10
Rate for Payer: Bisbee Police All Plans	$236.34
Rate for Payer: Cash Price	$727.20
Rate for Payer: Self Pay Self Pay	$727.20

TROCAR 10-12MM (LONG) CONMED

Facility

$909.00

Hospital Charge Code	22354203
Hospital Revenue Code	270
Min. Negotiated Rate	$136.35
Max. Negotiated Rate	$818.10
Rate for Payer: Aetna of AZ Commercial	$818.10
Rate for Payer: Aetna of AZ Medicare	$254.52
Rate for Payer: Allwell Medicare	$136.35
Rate for Payer: Amerigroup Medicare	$136.35
Rate for Payer: APIPA Medicare/Medicaid	$339.51
Rate for Payer: AZCH Complete Medicare	$136.35
Rate for Payer: Banner UC Health Medicare	$136.35
Rate for Payer: Bisbee Police All Plans	$236.34
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$618.12
Rate for Payer: Cash Price	$727.20
Rate for Payer: Cigna of AZ Commercial	$636.30
Rate for Payer: Copperpoint Commercial	$224.98
Rate for Payer: Health Net of AZ Commercial	$545.40
Rate for Payer: Health Net of AZ Medicare	$254.52
Rate for Payer: Humana of AZ Medicare	$136.35
Rate for Payer: Self Pay Self Pay	$727.20
Rate for Payer: TriWest Medicare	$136.35
Rate for Payer: UnitedHealth Group of AZ Commercial	$529.95
Rate for Payer: UnitedHealth Group of AZ Medicare	$163.62

TROCAR 12MM BLADELESS

Facility

$1,198.00

Hospital Charge Code	22528801
Hospital Revenue Code	270
Min. Negotiated Rate	$311.48
Max. Negotiated Rate	$1,078.20
Rate for Payer: Aetna of AZ Commercial	$1,078.20
Rate for Payer: Bisbee Police All Plans	$311.48
Rate for Payer: Cash Price	$958.40
Rate for Payer: Self Pay Self Pay	$958.40

TROCAR 12MM BLADELESS

Facility

$1,198.00

Hospital Charge Code	22528801
Hospital Revenue Code	270
Min. Negotiated Rate	$179.70
Max. Negotiated Rate	$1,078.20
Rate for Payer: Aetna of AZ Commercial	$1,078.20
Rate for Payer: Aetna of AZ Medicare	$335.44
Rate for Payer: Allwell Medicare	$179.70
Rate for Payer: Amerigroup Medicare	$179.70
Rate for Payer: APIPA Medicare/Medicaid	$447.45
Rate for Payer: AZCH Complete Medicare	$179.70
Rate for Payer: Banner UC Health Medicare	$179.70
Rate for Payer: Bisbee Police All Plans	$311.48
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$814.64
Rate for Payer: Cash Price	$958.40
Rate for Payer: Cigna of AZ Commercial	$838.60
Rate for Payer: Copperpoint Commercial	$296.50
Rate for Payer: Health Net of AZ Commercial	$718.80
Rate for Payer: Health Net of AZ Medicare	$335.44
Rate for Payer: Humana of AZ Medicare	$179.70
Rate for Payer: Self Pay Self Pay	$958.40
Rate for Payer: TriWest Medicare	$179.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$698.43
Rate for Payer: UnitedHealth Group of AZ Medicare	$215.64

TROCAR 12MM BLUNT TIP SMOOTH SLEEVE

Facility

$237.00

Hospital Charge Code	22528797
Hospital Revenue Code	270
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$213.30
Rate for Payer: Aetna of AZ Commercial	$213.30
Rate for Payer: Aetna of AZ Medicare	$66.36
Rate for Payer: Allwell Medicare	$35.55
Rate for Payer: Amerigroup Medicare	$35.55
Rate for Payer: APIPA Medicare/Medicaid	$88.52
Rate for Payer: AZCH Complete Medicare	$35.55
Rate for Payer: Banner UC Health Medicare	$35.55
Rate for Payer: Bisbee Police All Plans	$61.62
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$161.16
Rate for Payer: Cash Price	$189.60
Rate for Payer: Cigna of AZ Commercial	$165.90
Rate for Payer: Copperpoint Commercial	$58.66
Rate for Payer: Health Net of AZ Commercial	$142.20
Rate for Payer: Health Net of AZ Medicare	$66.36
Rate for Payer: Humana of AZ Medicare	$35.55
Rate for Payer: Self Pay Self Pay	$189.60
Rate for Payer: TriWest Medicare	$35.55
Rate for Payer: UnitedHealth Group of AZ Commercial	$138.17
Rate for Payer: UnitedHealth Group of AZ Medicare	$42.66

TROCAR 12MM BLUNT TIP SMOOTH SLEEVE

Facility

$237.00

Hospital Charge Code	22528797
Hospital Revenue Code	270
Min. Negotiated Rate	$61.62
Max. Negotiated Rate	$213.30
Rate for Payer: Aetna of AZ Commercial	$213.30
Rate for Payer: Bisbee Police All Plans	$61.62
Rate for Payer: Cash Price	$189.60
Rate for Payer: Self Pay Self Pay	$189.60

TROCAR 5-11MM CONMED

Facility

$1,053.00

Hospital Charge Code	22354204
Hospital Revenue Code	270
Min. Negotiated Rate	$157.95
Max. Negotiated Rate	$947.70
Rate for Payer: Aetna of AZ Commercial	$947.70
Rate for Payer: Aetna of AZ Medicare	$294.84
Rate for Payer: Allwell Medicare	$157.95
Rate for Payer: Amerigroup Medicare	$157.95
Rate for Payer: APIPA Medicare/Medicaid	$393.30
Rate for Payer: AZCH Complete Medicare	$157.95
Rate for Payer: Banner UC Health Medicare	$157.95
Rate for Payer: Bisbee Police All Plans	$273.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$716.04
Rate for Payer: Cash Price	$842.40
Rate for Payer: Cigna of AZ Commercial	$737.10
Rate for Payer: Copperpoint Commercial	$260.62
Rate for Payer: Health Net of AZ Commercial	$631.80
Rate for Payer: Health Net of AZ Medicare	$294.84
Rate for Payer: Humana of AZ Medicare	$157.95
Rate for Payer: Self Pay Self Pay	$842.40
Rate for Payer: TriWest Medicare	$157.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$613.90
Rate for Payer: UnitedHealth Group of AZ Medicare	$189.54

TROCAR 5-11MM CONMED

Facility

$1,053.00

Hospital Charge Code	22354204
Hospital Revenue Code	270
Min. Negotiated Rate	$273.78
Max. Negotiated Rate	$947.70
Rate for Payer: Aetna of AZ Commercial	$947.70
Rate for Payer: Bisbee Police All Plans	$273.78
Rate for Payer: Cash Price	$842.40
Rate for Payer: Self Pay Self Pay	$842.40

TROCAR 5-12MM CONMED

Facility

$1,053.00

Hospital Charge Code	22354205
Hospital Revenue Code	270
Min. Negotiated Rate	$157.95
Max. Negotiated Rate	$947.70
Rate for Payer: Aetna of AZ Commercial	$947.70
Rate for Payer: Aetna of AZ Medicare	$294.84
Rate for Payer: Allwell Medicare	$157.95
Rate for Payer: Amerigroup Medicare	$157.95
Rate for Payer: APIPA Medicare/Medicaid	$393.30
Rate for Payer: AZCH Complete Medicare	$157.95
Rate for Payer: Banner UC Health Medicare	$157.95
Rate for Payer: Bisbee Police All Plans	$273.78
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$716.04
Rate for Payer: Cash Price	$842.40
Rate for Payer: Cigna of AZ Commercial	$737.10
Rate for Payer: Copperpoint Commercial	$260.62
Rate for Payer: Health Net of AZ Commercial	$631.80
Rate for Payer: Health Net of AZ Medicare	$294.84
Rate for Payer: Humana of AZ Medicare	$157.95
Rate for Payer: Self Pay Self Pay	$842.40
Rate for Payer: TriWest Medicare	$157.95
Rate for Payer: UnitedHealth Group of AZ Commercial	$613.90
Rate for Payer: UnitedHealth Group of AZ Medicare	$189.54

TROCAR 5-12MM CONMED

Facility

$1,053.00

Hospital Charge Code	22354205
Hospital Revenue Code	270
Min. Negotiated Rate	$273.78
Max. Negotiated Rate	$947.70
Rate for Payer: Aetna of AZ Commercial	$947.70
Rate for Payer: Bisbee Police All Plans	$273.78
Rate for Payer: Cash Price	$842.40
Rate for Payer: Self Pay Self Pay	$842.40

TROCAR 5MM BLADELESS WITH STABILITY SLV

Facility

$905.00

Hospital Charge Code	22528799
Hospital Revenue Code	270
Min. Negotiated Rate	$235.30
Max. Negotiated Rate	$814.50
Rate for Payer: Aetna of AZ Commercial	$814.50
Rate for Payer: Bisbee Police All Plans	$235.30
Rate for Payer: Cash Price	$724.00
Rate for Payer: Self Pay Self Pay	$724.00

TROCAR 5MM BLADELESS WITH STABILITY SLV

Facility

$905.00

Hospital Charge Code	22528799
Hospital Revenue Code	270
Min. Negotiated Rate	$135.75
Max. Negotiated Rate	$814.50
Rate for Payer: Aetna of AZ Commercial	$814.50
Rate for Payer: Aetna of AZ Medicare	$253.40
Rate for Payer: Allwell Medicare	$135.75
Rate for Payer: Amerigroup Medicare	$135.75
Rate for Payer: APIPA Medicare/Medicaid	$338.02
Rate for Payer: AZCH Complete Medicare	$135.75
Rate for Payer: Banner UC Health Medicare	$135.75
Rate for Payer: Bisbee Police All Plans	$235.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$615.40
Rate for Payer: Cash Price	$724.00
Rate for Payer: Cigna of AZ Commercial	$633.50
Rate for Payer: Copperpoint Commercial	$223.99
Rate for Payer: Health Net of AZ Commercial	$543.00
Rate for Payer: Health Net of AZ Medicare	$253.40
Rate for Payer: Humana of AZ Medicare	$135.75
Rate for Payer: Self Pay Self Pay	$724.00
Rate for Payer: TriWest Medicare	$135.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$527.62
Rate for Payer: UnitedHealth Group of AZ Medicare	$162.90

TROCAR TIP PLAIN GUIDE WIRES 2 X 150

Facility

$185.00

Hospital Charge Code	27339077
Hospital Revenue Code	270
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna of AZ Commercial	$166.50
Rate for Payer: Aetna of AZ Medicare	$51.80
Rate for Payer: Allwell Medicare	$27.75
Rate for Payer: Amerigroup Medicare	$27.75
Rate for Payer: APIPA Medicare/Medicaid	$69.10
Rate for Payer: AZCH Complete Medicare	$27.75
Rate for Payer: Banner UC Health Medicare	$27.75
Rate for Payer: Bisbee Police All Plans	$48.10
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$125.80
Rate for Payer: Cash Price	$148.00
Rate for Payer: Cigna of AZ Commercial	$129.50
Rate for Payer: Copperpoint Commercial	$45.79
Rate for Payer: Health Net of AZ Commercial	$111.00
Rate for Payer: Health Net of AZ Medicare	$51.80
Rate for Payer: Humana of AZ Medicare	$27.75
Rate for Payer: Self Pay Self Pay	$148.00
Rate for Payer: TriWest Medicare	$27.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$107.86
Rate for Payer: UnitedHealth Group of AZ Medicare	$33.30

Know your out-of-pocket cost for care.

All Charges