Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

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: Blue Cross Blue Shield of Arizona Health Choice	$12,428.81
Rate for Payer: Mercy Care Medicaid	$12,428.81
Rate for Payer: NaphCare Correctional Healthcare	$12,428.81

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: Blue Cross Blue Shield of Arizona Health Choice	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04
Rate for Payer: NaphCare Correctional Healthcare	$7,082.04

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: Blue Cross Blue Shield of Arizona Health Choice	$4,633.45
Rate for Payer: Mercy Care Medicaid	$4,633.45
Rate for Payer: NaphCare Correctional Healthcare	$4,633.45

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: Blue Cross Blue Shield of Arizona Health Choice	$2,807.70
Rate for Payer: Mercy Care Medicaid	$2,807.70
Rate for Payer: NaphCare Correctional Healthcare	$2,807.70

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC

Facility

$12,722.49

Service Code	MSDRG 178
Min. Negotiated Rate	$12,722.49
Max. Negotiated Rate	$12,722.49
Rate for Payer: Seven Corners Travel Insurance	$12,722.49

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC

Facility

$20,196.54

Service Code	MSDRG 177
Min. Negotiated Rate	$20,196.54
Max. Negotiated Rate	$20,196.54
Rate for Payer: Seven Corners Travel Insurance	$20,196.54

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC

Facility

$9,922.18

Service Code	MSDRG 179
Min. Negotiated Rate	$9,922.18
Max. Negotiated Rate	$9,922.18
Rate for Payer: Seven Corners Travel Insurance	$9,922.18

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: Blue Cross Blue Shield of Arizona Health Choice	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57
Rate for Payer: NaphCare Correctional Healthcare	$12,962.57

Respiratory Malignancy

Facility

$4,724.63

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG1364
Min. Negotiated Rate	$4,724.63
Max. Negotiated Rate	$4,724.63
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63
Rate for Payer: NaphCare Correctional Healthcare	$4,724.63

Respiratory Malignancy

Facility

$12,962.57

Service Code	APR-DRG 1364
Hospital Charge Code	APRDRG1364
Min. Negotiated Rate	$12,962.57
Max. Negotiated Rate	$12,962.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57
Rate for Payer: NaphCare Correctional Healthcare	$12,962.57

Respiratory Malignancy

Facility

$8,765.40

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG1364
Min. Negotiated Rate	$8,765.40
Max. Negotiated Rate	$8,765.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,765.40
Rate for Payer: Mercy Care Medicaid	$8,765.40
Rate for Payer: NaphCare Correctional Healthcare	$8,765.40

Respiratory Malignancy

Facility

$8,765.40

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG1362
Min. Negotiated Rate	$8,765.40
Max. Negotiated Rate	$8,765.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,765.40
Rate for Payer: Mercy Care Medicaid	$8,765.40
Rate for Payer: NaphCare Correctional Healthcare	$8,765.40

Respiratory Malignancy

Facility

$8,765.40

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG1361
Min. Negotiated Rate	$8,765.40
Max. Negotiated Rate	$8,765.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,765.40
Rate for Payer: Mercy Care Medicaid	$8,765.40
Rate for Payer: NaphCare Correctional Healthcare	$8,765.40

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: Blue Cross Blue Shield of Arizona Health Choice	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63
Rate for Payer: NaphCare Correctional Healthcare	$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: Blue Cross Blue Shield of Arizona Health Choice	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14
Rate for Payer: NaphCare Correctional Healthcare	$6,182.14

Respiratory Malignancy

Facility

$6,182.14

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG1364
Min. Negotiated Rate	$6,182.14
Max. Negotiated Rate	$6,182.14
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14
Rate for Payer: NaphCare Correctional Healthcare	$6,182.14

Respiratory Malignancy

Facility

$8,765.40

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG1363
Min. Negotiated Rate	$8,765.40
Max. Negotiated Rate	$8,765.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,765.40
Rate for Payer: Mercy Care Medicaid	$8,765.40
Rate for Payer: NaphCare Correctional Healthcare	$8,765.40

Respiratory Malignancy

Facility

$12,962.57

Service Code	APR-DRG 1364
Hospital Charge Code	APRDRG1362
Min. Negotiated Rate	$12,962.57
Max. Negotiated Rate	$12,962.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57
Rate for Payer: NaphCare Correctional Healthcare	$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: Blue Cross Blue Shield of Arizona Health Choice	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63
Rate for Payer: NaphCare Correctional Healthcare	$4,724.63

Respiratory Malignancy

Facility

$4,724.63

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG1361
Min. Negotiated Rate	$4,724.63
Max. Negotiated Rate	$4,724.63
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,724.63
Rate for Payer: Mercy Care Medicaid	$4,724.63
Rate for Payer: NaphCare Correctional Healthcare	$4,724.63

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: Blue Cross Blue Shield of Arizona Health Choice	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14
Rate for Payer: NaphCare Correctional Healthcare	$6,182.14

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: Blue Cross Blue Shield of Arizona Health Choice	$12,962.57
Rate for Payer: Mercy Care Medicaid	$12,962.57
Rate for Payer: NaphCare Correctional Healthcare	$12,962.57

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: Blue Cross Blue Shield of Arizona Health Choice	$6,182.14
Rate for Payer: Mercy Care Medicaid	$6,182.14
Rate for Payer: NaphCare Correctional Healthcare	$6,182.14

RESPIRATORY NEOPLASMS WITH CC

Facility

$13,926.28

Service Code	MSDRG 181
Min. Negotiated Rate	$13,926.28
Max. Negotiated Rate	$13,926.28
Rate for Payer: Seven Corners Travel Insurance	$13,926.28

RESPIRATORY NEOPLASMS WITH MCC

Facility

$22,824.03

Service Code	MSDRG 180
Min. Negotiated Rate	$22,824.03
Max. Negotiated Rate	$22,824.03
Rate for Payer: Seven Corners Travel Insurance	$22,824.03

Know your out-of-pocket cost for care.

All Charges