Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Facility

IP

$9,906.97

Service Code	MSDRG 182
Min. Negotiated Rate	$9,906.97
Max. Negotiated Rate	$9,906.97
Rate for Payer: Seven Corners Travel Insurance	$9,906.97

Respiratory Panel 2.1 (BioFire)

Facility

IP

$1,979.00

Service Code	CPT 0202U
Hospital Charge Code	23979884
Hospital Revenue Code	301
Min. Negotiated Rate	$1,781.10
Max. Negotiated Rate	$1,781.10
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Cash Price	$1,583.20

Respiratory Panel 2.1 (BioFire)

Facility

OP

$1,979.00

Service Code	CPT 0202U
Hospital Charge Code	23979884
Hospital Revenue Code	301
Min. Negotiated Rate	$313.47
Max. Negotiated Rate	$1,781.10
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Arizona Complete Health Allwell	$316.64
Rate for Payer: Banner UC Health Medicare	$316.64
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,345.72
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$316.64
Rate for Payer: Care1st Health Plan Arizona Medicare	$316.64
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cigna of AZ Commercial	$1,286.35
Rate for Payer: Devoted Health Medicare	$356.22
Rate for Payer: Humana of AZ Medicare	$316.64
Rate for Payer: Seven Corners Travel Insurance	$604.33
Rate for Payer: Southwest Service Administrators UFCW	$1,345.72
Rate for Payer: TriWest Medicare	$316.64
Rate for Payer: United Healthcare Commercial	$1,131.99
Rate for Payer: United Healthcare Medicare	$316.64
Rate for Payer: Veterans Affairs TRICARE	$313.47

RESPIRATORY SIGNS AND SYMPTOMS

Facility

IP

$10,586.15

Service Code	MSDRG 204
Min. Negotiated Rate	$10,586.15
Max. Negotiated Rate	$10,586.15
Rate for Payer: Seven Corners Travel Insurance	$10,586.15

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,564.01

Service Code	APR-DRG 1442
Hospital Charge Code	APRDRG1441
Min. Negotiated Rate	$4,564.01
Max. Negotiated Rate	$4,564.01
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,564.01
Rate for Payer: Mercy Care Medicaid	$4,564.01
Rate for Payer: NaphCare Correctional Healthcare	$4,564.01

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,920.10

Service Code	APR-DRG 1444
Hospital Charge Code	APRDRG1443
Min. Negotiated Rate	$10,920.10
Max. Negotiated Rate	$10,920.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,920.10
Rate for Payer: Mercy Care Medicaid	$10,920.10
Rate for Payer: NaphCare Correctional Healthcare	$10,920.10

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,584.15

Service Code	APR-DRG 1441
Hospital Charge Code	APRDRG1443
Min. Negotiated Rate	$3,584.15
Max. Negotiated Rate	$3,584.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,584.15
Rate for Payer: Mercy Care Medicaid	$3,584.15
Rate for Payer: NaphCare Correctional Healthcare	$3,584.15

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,920.10

Service Code	APR-DRG 1444
Hospital Charge Code	APRDRG1444
Min. Negotiated Rate	$10,920.10
Max. Negotiated Rate	$10,920.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,920.10
Rate for Payer: Mercy Care Medicaid	$10,920.10
Rate for Payer: NaphCare Correctional Healthcare	$10,920.10

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,396.07

Service Code	APR-DRG 1443
Hospital Charge Code	APRDRG1441
Min. Negotiated Rate	$6,396.07
Max. Negotiated Rate	$6,396.07
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,396.07
Rate for Payer: Mercy Care Medicaid	$6,396.07
Rate for Payer: NaphCare Correctional Healthcare	$6,396.07

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,920.10

Service Code	APR-DRG 1444
Hospital Charge Code	APRDRG1441
Min. Negotiated Rate	$10,920.10
Max. Negotiated Rate	$10,920.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,920.10
Rate for Payer: Mercy Care Medicaid	$10,920.10
Rate for Payer: NaphCare Correctional Healthcare	$10,920.10

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,584.15

Service Code	APR-DRG 1441
Hospital Charge Code	APRDRG1442
Min. Negotiated Rate	$3,584.15
Max. Negotiated Rate	$3,584.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,584.15
Rate for Payer: Mercy Care Medicaid	$3,584.15
Rate for Payer: NaphCare Correctional Healthcare	$3,584.15

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,396.07

Service Code	APR-DRG 1443
Hospital Charge Code	APRDRG1444
Min. Negotiated Rate	$6,396.07
Max. Negotiated Rate	$6,396.07
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,396.07
Rate for Payer: Mercy Care Medicaid	$6,396.07
Rate for Payer: NaphCare Correctional Healthcare	$6,396.07

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,564.01

Service Code	APR-DRG 1442
Hospital Charge Code	APRDRG1444
Min. Negotiated Rate	$4,564.01
Max. Negotiated Rate	$4,564.01
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,564.01
Rate for Payer: Mercy Care Medicaid	$4,564.01
Rate for Payer: NaphCare Correctional Healthcare	$4,564.01

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,564.01

Service Code	APR-DRG 1442
Hospital Charge Code	APRDRG1442
Min. Negotiated Rate	$4,564.01
Max. Negotiated Rate	$4,564.01
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,564.01
Rate for Payer: Mercy Care Medicaid	$4,564.01
Rate for Payer: NaphCare Correctional Healthcare	$4,564.01

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,396.07

Service Code	APR-DRG 1443
Hospital Charge Code	APRDRG1442
Min. Negotiated Rate	$6,396.07
Max. Negotiated Rate	$6,396.07
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,396.07
Rate for Payer: Mercy Care Medicaid	$6,396.07
Rate for Payer: NaphCare Correctional Healthcare	$6,396.07

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,564.01

Service Code	APR-DRG 1442
Hospital Charge Code	APRDRG1443
Min. Negotiated Rate	$4,564.01
Max. Negotiated Rate	$4,564.01
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,564.01
Rate for Payer: Mercy Care Medicaid	$4,564.01
Rate for Payer: NaphCare Correctional Healthcare	$4,564.01

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,396.07

Service Code	APR-DRG 1443
Hospital Charge Code	APRDRG1443
Min. Negotiated Rate	$6,396.07
Max. Negotiated Rate	$6,396.07
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,396.07
Rate for Payer: Mercy Care Medicaid	$6,396.07
Rate for Payer: NaphCare Correctional Healthcare	$6,396.07

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,584.15

Service Code	APR-DRG 1441
Hospital Charge Code	APRDRG1444
Min. Negotiated Rate	$3,584.15
Max. Negotiated Rate	$3,584.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,584.15
Rate for Payer: Mercy Care Medicaid	$3,584.15
Rate for Payer: NaphCare Correctional Healthcare	$3,584.15

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,584.15

Service Code	APR-DRG 1441
Hospital Charge Code	APRDRG1441
Min. Negotiated Rate	$3,584.15
Max. Negotiated Rate	$3,584.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,584.15
Rate for Payer: Mercy Care Medicaid	$3,584.15
Rate for Payer: NaphCare Correctional Healthcare	$3,584.15

Respiratory Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,920.10

Service Code	APR-DRG 1444
Hospital Charge Code	APRDRG1442
Min. Negotiated Rate	$10,920.10
Max. Negotiated Rate	$10,920.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,920.10
Rate for Payer: Mercy Care Medicaid	$10,920.10
Rate for Payer: NaphCare Correctional Healthcare	$10,920.10

Respiratory Syncytial Virus (RSV)

Facility

OP

$330.00

Service Code	CPT 87807
Hospital Charge Code	787102
Hospital Revenue Code	306
Min. Negotiated Rate	$19.00
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna of AZ Commercial	$297.00
Rate for Payer: Aetna of AZ Commercial	$214.20
Rate for Payer: Arizona Complete Health Allwell	$38.08
Rate for Payer: Arizona Complete Health Allwell	$52.80
Rate for Payer: Banner UC Health Medicare	$38.08
Rate for Payer: Banner UC Health Medicare	$52.80
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$224.40
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$161.84
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$38.08
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$52.80
Rate for Payer: Care1st Health Plan Arizona Medicare	$38.08
Rate for Payer: Care1st Health Plan Arizona Medicare	$52.80
Rate for Payer: Cash Price	$264.00
Rate for Payer: Cash Price	$190.40
Rate for Payer: Cash Price	$264.00
Rate for Payer: Cash Price	$190.40
Rate for Payer: Cigna of AZ Commercial	$214.50
Rate for Payer: Cigna of AZ Commercial	$154.70
Rate for Payer: Devoted Health Medicare	$59.40
Rate for Payer: Devoted Health Medicare	$42.84
Rate for Payer: Humana of AZ Medicare	$38.08
Rate for Payer: Humana of AZ Medicare	$52.80
Rate for Payer: Seven Corners Travel Insurance	$19.00
Rate for Payer: Seven Corners Travel Insurance	$19.00
Rate for Payer: Southwest Service Administrators UFCW	$161.84
Rate for Payer: Southwest Service Administrators UFCW	$224.40
Rate for Payer: TriWest Medicare	$38.08
Rate for Payer: TriWest Medicare	$52.80
Rate for Payer: United Healthcare Commercial	$188.76
Rate for Payer: United Healthcare Commercial	$136.14
Rate for Payer: United Healthcare Medicare	$38.08
Rate for Payer: United Healthcare Medicare	$52.80
Rate for Payer: Veterans Affairs TRICARE	$52.27
Rate for Payer: Veterans Affairs TRICARE	$37.70

Respiratory Syncytial Virus (RSV)

Facility

IP

$238.00

Service Code	CPT 87807
Hospital Charge Code	787102
Hospital Revenue Code	306
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$214.20
Rate for Payer: Aetna of AZ Commercial	$214.20
Rate for Payer: Aetna of AZ Commercial	$297.00
Rate for Payer: Cash Price	$190.40
Rate for Payer: Cash Price	$264.00

Respiratory System Diagnosis With Ventilator Support > 96 Hours

Facility

IP

$35,760.18

Service Code	APR-DRG 1304
Hospital Charge Code	APRDRG1304
Min. Negotiated Rate	$35,760.18
Max. Negotiated Rate	$35,760.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,760.18
Rate for Payer: Mercy Care Medicaid	$35,760.18
Rate for Payer: NaphCare Correctional Healthcare	$35,760.18

Respiratory System Diagnosis With Ventilator Support > 96 Hours

Facility

IP

$26,639.87

Service Code	APR-DRG 1303
Hospital Charge Code	APRDRG1303
Min. Negotiated Rate	$26,639.87
Max. Negotiated Rate	$26,639.87
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$26,639.87
Rate for Payer: Mercy Care Medicaid	$26,639.87
Rate for Payer: NaphCare Correctional Healthcare	$26,639.87

Respiratory System Diagnosis With Ventilator Support > 96 Hours

Facility

IP

$22,654.52

Service Code	APR-DRG 1302
Hospital Charge Code	APRDRG1301
Min. Negotiated Rate	$22,654.52
Max. Negotiated Rate	$22,654.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,654.52
Rate for Payer: Mercy Care Medicaid	$22,654.52
Rate for Payer: NaphCare Correctional Healthcare	$22,654.52

<<
<
490
491
492
493
494
495
496
497
498
499
>
>>