Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: AHCCCS Medicaid	$6,668.21
Rate for Payer: Allwell Medicaid	$6,668.21
Rate for Payer: AZCH Complete Medicaid	$6,668.21
Rate for Payer: Banner UC Health Medicaid	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$5,397.97

Service Code	APR-DRG 4461
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$5,397.97
Max. Negotiated Rate	$5,397.97
Rate for Payer: AHCCCS Medicaid	$5,397.97
Rate for Payer: Allwell Medicaid	$5,397.97
Rate for Payer: AZCH Complete Medicaid	$5,397.97
Rate for Payer: Banner UC Health Medicaid	$5,397.97
Rate for Payer: Mercy Care Medicaid	$5,397.97

Urethral And Transurethral Procedures

Facility

IP

$20,260.64

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$20,260.64
Max. Negotiated Rate	$20,260.64
Rate for Payer: AHCCCS Medicaid	$20,260.64
Rate for Payer: Allwell Medicaid	$20,260.64
Rate for Payer: AZCH Complete Medicaid	$20,260.64
Rate for Payer: Banner UC Health Medicaid	$20,260.64
Rate for Payer: Mercy Care Medicaid	$20,260.64

Urethral And Transurethral Procedures

Facility

IP

$20,260.64

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG4461
Min. Negotiated Rate	$20,260.64
Max. Negotiated Rate	$20,260.64
Rate for Payer: AHCCCS Medicaid	$20,260.64
Rate for Payer: Allwell Medicaid	$20,260.64
Rate for Payer: AZCH Complete Medicaid	$20,260.64
Rate for Payer: Banner UC Health Medicaid	$20,260.64
Rate for Payer: Mercy Care Medicaid	$20,260.64

Urethral And Transurethral Procedures

Facility

IP

$5,397.97

Service Code	APR-DRG 4461
Hospital Charge Code	APRDRG4462
Min. Negotiated Rate	$5,397.97
Max. Negotiated Rate	$5,397.97
Rate for Payer: AHCCCS Medicaid	$5,397.97
Rate for Payer: Allwell Medicaid	$5,397.97
Rate for Payer: AZCH Complete Medicaid	$5,397.97
Rate for Payer: Banner UC Health Medicaid	$5,397.97
Rate for Payer: Mercy Care Medicaid	$5,397.97

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4463
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: AHCCCS Medicaid	$6,668.21
Rate for Payer: Allwell Medicaid	$6,668.21
Rate for Payer: AZCH Complete Medicaid	$6,668.21
Rate for Payer: Banner UC Health Medicaid	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$5,397.97

Service Code	APR-DRG 4461
Hospital Charge Code	APRDRG4463
Min. Negotiated Rate	$5,397.97
Max. Negotiated Rate	$5,397.97
Rate for Payer: AHCCCS Medicaid	$5,397.97
Rate for Payer: Allwell Medicaid	$5,397.97
Rate for Payer: AZCH Complete Medicaid	$5,397.97
Rate for Payer: Banner UC Health Medicaid	$5,397.97
Rate for Payer: Mercy Care Medicaid	$5,397.97

Urethral And Transurethral Procedures

Facility

IP

$11,218.19

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$11,218.19
Max. Negotiated Rate	$11,218.19
Rate for Payer: AHCCCS Medicaid	$11,218.19
Rate for Payer: Allwell Medicaid	$11,218.19
Rate for Payer: AZCH Complete Medicaid	$11,218.19
Rate for Payer: Banner UC Health Medicaid	$11,218.19
Rate for Payer: Mercy Care Medicaid	$11,218.19

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4462
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: AHCCCS Medicaid	$6,668.21
Rate for Payer: Allwell Medicaid	$6,668.21
Rate for Payer: AZCH Complete Medicaid	$6,668.21
Rate for Payer: Banner UC Health Medicaid	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$20,260.64

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG4463
Min. Negotiated Rate	$20,260.64
Max. Negotiated Rate	$20,260.64
Rate for Payer: AHCCCS Medicaid	$20,260.64
Rate for Payer: Allwell Medicaid	$20,260.64
Rate for Payer: AZCH Complete Medicaid	$20,260.64
Rate for Payer: Banner UC Health Medicaid	$20,260.64
Rate for Payer: Mercy Care Medicaid	$20,260.64

Urethral And Transurethral Procedures

Facility

IP

$20,260.64

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG4462
Min. Negotiated Rate	$20,260.64
Max. Negotiated Rate	$20,260.64
Rate for Payer: AHCCCS Medicaid	$20,260.64
Rate for Payer: Allwell Medicaid	$20,260.64
Rate for Payer: AZCH Complete Medicaid	$20,260.64
Rate for Payer: Banner UC Health Medicaid	$20,260.64
Rate for Payer: Mercy Care Medicaid	$20,260.64

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4461
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: AHCCCS Medicaid	$6,668.21
Rate for Payer: Allwell Medicaid	$6,668.21
Rate for Payer: AZCH Complete Medicaid	$6,668.21
Rate for Payer: Banner UC Health Medicaid	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$11,218.19

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG4462
Min. Negotiated Rate	$11,218.19
Max. Negotiated Rate	$11,218.19
Rate for Payer: AHCCCS Medicaid	$11,218.19
Rate for Payer: Allwell Medicaid	$11,218.19
Rate for Payer: AZCH Complete Medicaid	$11,218.19
Rate for Payer: Banner UC Health Medicaid	$11,218.19
Rate for Payer: Mercy Care Medicaid	$11,218.19

Urethral And Transurethral Procedures

Facility

IP

$11,218.19

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG4463
Min. Negotiated Rate	$11,218.19
Max. Negotiated Rate	$11,218.19
Rate for Payer: AHCCCS Medicaid	$11,218.19
Rate for Payer: Allwell Medicaid	$11,218.19
Rate for Payer: AZCH Complete Medicaid	$11,218.19
Rate for Payer: Banner UC Health Medicaid	$11,218.19
Rate for Payer: Mercy Care Medicaid	$11,218.19

Urethral caruncle excision

Facility

IP

$1,019.00

Service Code	CPT 53265
Hospital Charge Code	27291801
Hospital Revenue Code	360
Min. Negotiated Rate	$264.94
Max. Negotiated Rate	$917.10
Rate for Payer: Aetna of AZ Commercial	$917.10
Rate for Payer: Bisbee Police All Plans	$264.94
Rate for Payer: Cash Price	$815.20
Rate for Payer: Self Pay Self Pay	$815.20

Urethral caruncle excision

Facility

OP

$1,019.00

Service Code	CPT 53265
Hospital Charge Code	27291801
Hospital Revenue Code	360
Min. Negotiated Rate	$163.04
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$917.10
Rate for Payer: Aetna of AZ Medicare	$285.32
Rate for Payer: AHCCCS Medicaid	$1,299.92
Rate for Payer: Allwell Medicaid	$1,299.92
Rate for Payer: Allwell Medicare	$163.04
Rate for Payer: Amerigroup Medicare	$163.04
Rate for Payer: APIPA Medicare/Medicaid	$380.60
Rate for Payer: AZCH Complete Medicaid	$1,299.92
Rate for Payer: AZCH Complete Medicare	$163.04
Rate for Payer: Banner UC Health Medicaid	$1,299.92
Rate for Payer: Banner UC Health Medicare	$163.04
Rate for Payer: Bisbee Police All Plans	$264.94
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$692.92
Rate for Payer: Cash Price	$815.20
Rate for Payer: Cash Price	$815.20
Rate for Payer: Cigna of AZ Commercial	$509.50
Rate for Payer: Copperpoint Commercial	$252.20
Rate for Payer: Health Net of AZ Commercial	$611.40
Rate for Payer: Health Net of AZ Medicare	$285.32
Rate for Payer: Humana of AZ Medicare	$163.04
Rate for Payer: Mercy Care Medicaid	$1,299.92
Rate for Payer: Self Pay Self Pay	$815.20
Rate for Payer: TriWest Medicare	$163.04
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$183.42

Urethral diverticulum excision

Facility

OP

$3,302.00

Service Code	CPT 53230
Hospital Charge Code	27332470
Hospital Revenue Code	360
Min. Negotiated Rate	$528.32
Max. Negotiated Rate	$3,914.00
Rate for Payer: Aetna of AZ Commercial	$2,971.80
Rate for Payer: Aetna of AZ Medicare	$924.56
Rate for Payer: AHCCCS Medicaid	$3,200.08
Rate for Payer: Allwell Medicaid	$3,200.08
Rate for Payer: Allwell Medicare	$528.32
Rate for Payer: Amerigroup Medicare	$528.32
Rate for Payer: APIPA Medicare/Medicaid	$1,233.30
Rate for Payer: AZCH Complete Medicaid	$3,200.08
Rate for Payer: AZCH Complete Medicare	$528.32
Rate for Payer: Banner UC Health Medicaid	$3,200.08
Rate for Payer: Banner UC Health Medicare	$528.32
Rate for Payer: Bisbee Police All Plans	$858.52
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$2,245.36
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Cigna of AZ Commercial	$1,651.00
Rate for Payer: Copperpoint Commercial	$817.25
Rate for Payer: Health Net of AZ Commercial	$1,981.20
Rate for Payer: Health Net of AZ Medicare	$924.56
Rate for Payer: Humana of AZ Medicare	$528.32
Rate for Payer: Mercy Care Medicaid	$3,200.08
Rate for Payer: Self Pay Self Pay	$2,641.60
Rate for Payer: TriWest Medicare	$528.32
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,914.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$594.36

Urethral diverticulum excision

Facility

IP

$3,302.00

Service Code	CPT 53230
Hospital Charge Code	27332470
Hospital Revenue Code	360
Min. Negotiated Rate	$858.52
Max. Negotiated Rate	$2,971.80
Rate for Payer: Aetna of AZ Commercial	$2,971.80
Rate for Payer: Bisbee Police All Plans	$858.52
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Self Pay Self Pay	$2,641.60

Urethral Polyp excision

Facility

IP

$982.00

Service Code	CPT 53260
Hospital Charge Code	27267825
Hospital Revenue Code	360
Min. Negotiated Rate	$255.32
Max. Negotiated Rate	$883.80
Rate for Payer: Aetna of AZ Commercial	$883.80
Rate for Payer: Bisbee Police All Plans	$255.32
Rate for Payer: Cash Price	$785.60
Rate for Payer: Self Pay Self Pay	$785.60

Urethral Polyp excision

Facility

OP

$982.00

Service Code	CPT 53260
Hospital Charge Code	27267825
Hospital Revenue Code	360
Min. Negotiated Rate	$157.12
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$883.80
Rate for Payer: Aetna of AZ Medicare	$274.96
Rate for Payer: AHCCCS Medicaid	$2,230.35
Rate for Payer: Allwell Medicaid	$2,230.35
Rate for Payer: Allwell Medicare	$157.12
Rate for Payer: Amerigroup Medicare	$157.12
Rate for Payer: APIPA Medicare/Medicaid	$366.78
Rate for Payer: AZCH Complete Medicaid	$2,230.35
Rate for Payer: AZCH Complete Medicare	$157.12
Rate for Payer: Banner UC Health Medicaid	$2,230.35
Rate for Payer: Banner UC Health Medicare	$157.12
Rate for Payer: Bisbee Police All Plans	$255.32
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$667.76
Rate for Payer: Cash Price	$785.60
Rate for Payer: Cash Price	$785.60
Rate for Payer: Cigna of AZ Commercial	$491.00
Rate for Payer: Copperpoint Commercial	$243.04
Rate for Payer: Health Net of AZ Commercial	$589.20
Rate for Payer: Health Net of AZ Medicare	$274.96
Rate for Payer: Humana of AZ Medicare	$157.12
Rate for Payer: Mercy Care Medicaid	$2,230.35
Rate for Payer: Self Pay Self Pay	$785.60
Rate for Payer: TriWest Medicare	$157.12
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$176.76

Urethral Presasure Profile (UPP)

Facility

IP

$1,979.00

Service Code	CPT 51727
Hospital Charge Code	27281883
Hospital Revenue Code	360
Min. Negotiated Rate	$514.54
Max. Negotiated Rate	$1,781.10
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Bisbee Police All Plans	$514.54
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Self Pay Self Pay	$1,583.20

Urethral Presasure Profile (UPP)

Facility

OP

$1,979.00

Service Code	CPT 51727
Hospital Charge Code	27281883
Hospital Revenue Code	360
Min. Negotiated Rate	$316.64
Max. Negotiated Rate	$2,507.00
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Aetna of AZ Medicare	$554.12
Rate for Payer: AHCCCS Medicaid	$416.71
Rate for Payer: Allwell Medicaid	$416.71
Rate for Payer: Allwell Medicare	$316.64
Rate for Payer: Amerigroup Medicare	$316.64
Rate for Payer: APIPA Medicare/Medicaid	$739.16
Rate for Payer: AZCH Complete Medicaid	$416.71
Rate for Payer: AZCH Complete Medicare	$316.64
Rate for Payer: Banner UC Health Medicaid	$416.71
Rate for Payer: Banner UC Health Medicare	$316.64
Rate for Payer: Bisbee Police All Plans	$514.54
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,345.72
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cigna of AZ Commercial	$989.50
Rate for Payer: Copperpoint Commercial	$489.80
Rate for Payer: Health Net of AZ Commercial	$1,187.40
Rate for Payer: Health Net of AZ Medicare	$554.12
Rate for Payer: Humana of AZ Medicare	$316.64
Rate for Payer: Mercy Care Medicaid	$416.71
Rate for Payer: Self Pay Self Pay	$1,583.20
Rate for Payer: TriWest Medicare	$316.64
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,507.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$356.22

Urethral Prolapse excision

Facility

OP

$1,423.00

Service Code	CPT 53275
Hospital Charge Code	27267826
Hospital Revenue Code	360
Min. Negotiated Rate	$227.68
Max. Negotiated Rate	$3,373.00
Rate for Payer: Aetna of AZ Commercial	$1,280.70
Rate for Payer: Aetna of AZ Medicare	$398.44
Rate for Payer: AHCCCS Medicaid	$2,230.35
Rate for Payer: Allwell Medicaid	$2,230.35
Rate for Payer: Allwell Medicare	$227.68
Rate for Payer: Amerigroup Medicare	$227.68
Rate for Payer: APIPA Medicare/Medicaid	$531.49
Rate for Payer: AZCH Complete Medicaid	$2,230.35
Rate for Payer: AZCH Complete Medicare	$227.68
Rate for Payer: Banner UC Health Medicaid	$2,230.35
Rate for Payer: Banner UC Health Medicare	$227.68
Rate for Payer: Bisbee Police All Plans	$369.98
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$967.64
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Cigna of AZ Commercial	$711.50
Rate for Payer: Copperpoint Commercial	$352.19
Rate for Payer: Health Net of AZ Commercial	$853.80
Rate for Payer: Health Net of AZ Medicare	$398.44
Rate for Payer: Humana of AZ Medicare	$227.68
Rate for Payer: Mercy Care Medicaid	$2,230.35
Rate for Payer: Self Pay Self Pay	$1,138.40
Rate for Payer: TriWest Medicare	$227.68
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,373.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$256.14

Urethral Prolapse excision

Facility

IP

$1,423.00

Service Code	CPT 53275
Hospital Charge Code	27267826
Hospital Revenue Code	360
Min. Negotiated Rate	$369.98
Max. Negotiated Rate	$1,280.70
Rate for Payer: Aetna of AZ Commercial	$1,280.70
Rate for Payer: Bisbee Police All Plans	$369.98
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Self Pay Self Pay	$1,138.40

Urethrovaginal Fistual closure

Facility

IP

$885.00

Service Code	CPT 57310
Hospital Charge Code	27267835
Hospital Revenue Code	360
Min. Negotiated Rate	$230.10
Max. Negotiated Rate	$796.50
Rate for Payer: Aetna of AZ Commercial	$796.50
Rate for Payer: Bisbee Police All Plans	$230.10
Rate for Payer: Cash Price	$708.00
Rate for Payer: Self Pay Self Pay	$708.00

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