Copper Queen Community Hospital

These charges represent the costs of individual services and supplies at Copper Queen Community Hospital.

Charges

Download All Charges as Machine Readable .CSV file

Charge Charge Type Standard Charge  
Service Code CPT 91034
Hospital Charge Code 23599031
Hospital Revenue Code 750
Min. Negotiated Rate $295.46
Max. Negotiated Rate $1,564.20
Rate for Payer: Aetna POS, PPO, HMO $1,564.20
Rate for Payer: Aetna Medicare $486.64
Rate for Payer: AHCCCS Medicaid $330.50
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $330.50
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $295.46
Rate for Payer: Amerigroup Medicare $295.46
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $649.14
Rate for Payer: Arizona Complete Care Health Medicaid $330.50
Rate for Payer: Arizona Complete Care Health Medicare Advantage $295.46
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $295.46
Rate for Payer: Banner University Family Care Medicaid $330.50
Rate for Payer: City of Bisbee Police Bisbee Police $451.88
Rate for Payer: Cigna All Products $1,216.60
Rate for Payer: Copperpoint $487.51
Rate for Payer: HealthNet Commercial $1,042.80
Rate for Payer: HealthNet Medicare $486.64
Rate for Payer: Humana Medicare $295.46
Rate for Payer: Mercy Care Medicaid $330.50
Rate for Payer: Veterans (Triwest) $295.46
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $1,053.23
Rate for Payer: United Healthcare Medicare $295.46
Service Code CPT 86003
Hospital Charge Code 22481451
Hospital Revenue Code 302
Min. Negotiated Rate $8.16
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481451
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481452
Hospital Revenue Code 302
Min. Negotiated Rate $8.16
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481452
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481453
Hospital Revenue Code 302
Min. Negotiated Rate $8.16
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481453
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481454
Hospital Revenue Code 302
Min. Negotiated Rate $10.03
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $53.10
Rate for Payer: Aetna Medicare $16.52
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $10.03
Rate for Payer: Amerigroup Medicare $10.03
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $22.04
Rate for Payer: Arizona Complete Care Health Medicare Advantage $10.03
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $10.03
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $15.34
Rate for Payer: Cigna All Products $41.30
Rate for Payer: Copperpoint $16.55
Rate for Payer: HealthNet Commercial $35.40
Rate for Payer: HealthNet Medicare $16.52
Rate for Payer: Humana Medicare $10.03
Rate for Payer: Veterans (Triwest) $10.03
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $35.75
Rate for Payer: United Healthcare Medicare $10.03
Service Code CPT 86003
Hospital Charge Code 22481454
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $53.10
Rate for Payer: Aetna Medicare $16.52
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $10.03
Rate for Payer: Amerigroup Medicare $10.03
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $22.04
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $10.03
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $10.03
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $15.34
Rate for Payer: Cigna All Products $41.30
Rate for Payer: Copperpoint $16.55
Rate for Payer: HealthNet Commercial $35.40
Rate for Payer: HealthNet Medicare $16.52
Rate for Payer: Humana Medicare $10.03
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $10.03
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $35.75
Rate for Payer: United Healthcare Medicare $10.03
Service Code CPT 86003
Hospital Charge Code 22481455
Hospital Revenue Code 302
Min. Negotiated Rate $8.16
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481455
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481456
Hospital Revenue Code 302
Min. Negotiated Rate $8.16
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 22481456
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 86003
Hospital Charge Code 23143914
Hospital Revenue Code 301
Min. Negotiated Rate $6.63
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $35.10
Rate for Payer: Aetna Medicare $10.92
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $6.63
Rate for Payer: Amerigroup Medicare $6.63
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $14.57
Rate for Payer: Arizona Complete Care Health Medicare Advantage $6.63
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $6.63
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $10.14
Rate for Payer: Cigna All Products $27.30
Rate for Payer: Copperpoint $10.94
Rate for Payer: HealthNet Commercial $23.40
Rate for Payer: HealthNet Medicare $10.92
Rate for Payer: Humana Medicare $6.63
Rate for Payer: Veterans (Triwest) $6.63
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $23.63
Rate for Payer: United Healthcare Medicare $6.63
Service Code CPT 86003
Hospital Charge Code 23143914
Hospital Revenue Code 301
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $35.10
Rate for Payer: Aetna Medicare $10.92
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $6.63
Rate for Payer: Amerigroup Medicare $6.63
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $14.57
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $6.63
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $6.63
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $10.14
Rate for Payer: Cigna All Products $27.30
Rate for Payer: Copperpoint $10.94
Rate for Payer: HealthNet Commercial $23.40
Rate for Payer: HealthNet Medicare $10.92
Rate for Payer: Humana Medicare $6.63
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $6.63
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $23.63
Rate for Payer: United Healthcare Medicare $6.63
Service Code CPT 86003
Hospital Charge Code 22481457
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $771.12
Rate for Payer: Aetna POS, PPO, HMO $43.20
Rate for Payer: Aetna Medicare $13.44
Rate for Payer: AHCCCS Medicaid $5.22
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $5.22
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $8.16
Rate for Payer: Amerigroup Medicare $8.16
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $17.93
Rate for Payer: Arizona Complete Care Health Medicaid $5.22
Rate for Payer: Arizona Complete Care Health Medicare Advantage $8.16
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $8.16
Rate for Payer: Banner University Family Care Medicaid $5.22
Rate for Payer: Blue Cross Blue Shield AZ PPO $771.12
Rate for Payer: City of Bisbee Police Bisbee Police $12.48
Rate for Payer: Cigna All Products $33.60
Rate for Payer: Copperpoint $13.46
Rate for Payer: HealthNet Commercial $28.80
Rate for Payer: HealthNet Medicare $13.44
Rate for Payer: Humana Medicare $8.16
Rate for Payer: Mercy Care Medicaid $5.22
Rate for Payer: Veterans (Triwest) $8.16
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $29.09
Rate for Payer: United Healthcare Medicare $8.16
Service Code CPT 82140
Hospital Charge Code 22481458
Hospital Revenue Code 301
Min. Negotiated Rate $21.25
Max. Negotiated Rate $112.50
Rate for Payer: Aetna POS, PPO, HMO $112.50
Rate for Payer: Aetna Medicare $35.00
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $21.25
Rate for Payer: Amerigroup Medicare $21.25
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $46.69
Rate for Payer: Arizona Complete Care Health Medicare Advantage $21.25
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $21.25
Rate for Payer: Blue Cross Blue Shield AZ PPO $82.96
Rate for Payer: City of Bisbee Police Bisbee Police $32.50
Rate for Payer: Cigna All Products $87.50
Rate for Payer: Copperpoint $35.06
Rate for Payer: HealthNet Commercial $75.00
Rate for Payer: HealthNet Medicare $35.00
Rate for Payer: Humana Medicare $21.25
Rate for Payer: Veterans (Triwest) $21.25
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $75.75
Rate for Payer: United Healthcare Medicare $21.25
Service Code CPT 82140
Hospital Charge Code 22481458
Hospital Revenue Code 301
Min. Negotiated Rate $14.57
Max. Negotiated Rate $112.50
Rate for Payer: Aetna POS, PPO, HMO $112.50
Rate for Payer: Aetna Medicare $35.00
Rate for Payer: AHCCCS Medicaid $14.57
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $14.57
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $21.25
Rate for Payer: Amerigroup Medicare $21.25
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $46.69
Rate for Payer: Arizona Complete Care Health Medicaid $14.57
Rate for Payer: Arizona Complete Care Health Medicare Advantage $21.25
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $21.25
Rate for Payer: Banner University Family Care Medicaid $14.57
Rate for Payer: Blue Cross Blue Shield AZ PPO $82.96
Rate for Payer: City of Bisbee Police Bisbee Police $32.50
Rate for Payer: Cigna All Products $87.50
Rate for Payer: Copperpoint $35.06
Rate for Payer: HealthNet Commercial $75.00
Rate for Payer: HealthNet Medicare $35.00
Rate for Payer: Humana Medicare $21.25
Rate for Payer: Mercy Care Medicaid $14.57
Rate for Payer: Veterans (Triwest) $21.25
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $75.75
Rate for Payer: United Healthcare Medicare $21.25
Service Code CPT 83516
Hospital Charge Code 22481459
Hospital Revenue Code 301
Min. Negotiated Rate $33.49
Max. Negotiated Rate $177.30
Rate for Payer: Aetna POS, PPO, HMO $177.30
Rate for Payer: Aetna Medicare $55.16
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $33.49
Rate for Payer: Amerigroup Medicare $33.49
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $73.58
Rate for Payer: Arizona Complete Care Health Medicare Advantage $33.49
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $33.49
Rate for Payer: Blue Cross Blue Shield AZ PPO $139.15
Rate for Payer: City of Bisbee Police Bisbee Police $51.22
Rate for Payer: Cigna All Products $137.90
Rate for Payer: Copperpoint $55.26
Rate for Payer: HealthNet Commercial $118.20
Rate for Payer: HealthNet Medicare $55.16
Rate for Payer: Humana Medicare $33.49
Rate for Payer: Veterans (Triwest) $33.49
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $119.38
Rate for Payer: United Healthcare Medicare $33.49
Service Code CPT 83516
Hospital Charge Code 22481459
Hospital Revenue Code 301
Min. Negotiated Rate $11.53
Max. Negotiated Rate $177.30
Rate for Payer: Aetna POS, PPO, HMO $177.30
Rate for Payer: Aetna Medicare $55.16
Rate for Payer: AHCCCS Medicaid $11.53
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $11.53
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $33.49
Rate for Payer: Amerigroup Medicare $33.49
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $73.58
Rate for Payer: Arizona Complete Care Health Medicaid $11.53
Rate for Payer: Arizona Complete Care Health Medicare Advantage $33.49
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $33.49
Rate for Payer: Banner University Family Care Medicaid $11.53
Rate for Payer: Blue Cross Blue Shield AZ PPO $139.15
Rate for Payer: City of Bisbee Police Bisbee Police $51.22
Rate for Payer: Cigna All Products $137.90
Rate for Payer: Copperpoint $55.26
Rate for Payer: HealthNet Commercial $118.20
Rate for Payer: HealthNet Medicare $55.16
Rate for Payer: Humana Medicare $33.49
Rate for Payer: Mercy Care Medicaid $11.53
Rate for Payer: Veterans (Triwest) $33.49
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $119.38
Rate for Payer: United Healthcare Medicare $33.49
Service Code CPT 86147
Hospital Charge Code 22481460
Hospital Revenue Code 302
Min. Negotiated Rate $68.17
Max. Negotiated Rate $360.90
Rate for Payer: Aetna POS, PPO, HMO $360.90
Rate for Payer: Aetna Medicare $112.28
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $68.17
Rate for Payer: Amerigroup Medicare $68.17
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $149.77
Rate for Payer: Arizona Complete Care Health Medicare Advantage $68.17
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $68.17
Rate for Payer: City of Bisbee Police Bisbee Police $104.26
Rate for Payer: Cigna All Products $280.70
Rate for Payer: Copperpoint $112.48
Rate for Payer: HealthNet Commercial $240.60
Rate for Payer: HealthNet Medicare $112.28
Rate for Payer: Humana Medicare $68.17
Rate for Payer: Veterans (Triwest) $68.17
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $243.01
Rate for Payer: United Healthcare Medicare $68.17
Service Code CPT 86147
Hospital Charge Code 22481460
Hospital Revenue Code 302
Min. Negotiated Rate $25.45
Max. Negotiated Rate $360.90
Rate for Payer: Aetna POS, PPO, HMO $360.90
Rate for Payer: Aetna Medicare $112.28
Rate for Payer: AHCCCS Medicaid $25.45
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $25.45
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $68.17
Rate for Payer: Amerigroup Medicare $68.17
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $149.77
Rate for Payer: Arizona Complete Care Health Medicaid $25.45
Rate for Payer: Arizona Complete Care Health Medicare Advantage $68.17
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $68.17
Rate for Payer: Banner University Family Care Medicaid $25.45
Rate for Payer: City of Bisbee Police Bisbee Police $104.26
Rate for Payer: Cigna All Products $280.70
Rate for Payer: Copperpoint $112.48
Rate for Payer: HealthNet Commercial $240.60
Rate for Payer: HealthNet Medicare $112.28
Rate for Payer: Humana Medicare $68.17
Rate for Payer: Mercy Care Medicaid $25.45
Rate for Payer: Veterans (Triwest) $68.17
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $243.01
Rate for Payer: United Healthcare Medicare $68.17
Service Code CPT 86147
Hospital Charge Code 22481461
Hospital Revenue Code 302
Min. Negotiated Rate $68.17
Max. Negotiated Rate $360.90
Rate for Payer: Aetna POS, PPO, HMO $360.90
Rate for Payer: Aetna Medicare $112.28
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $68.17
Rate for Payer: Amerigroup Medicare $68.17
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $149.77
Rate for Payer: Arizona Complete Care Health Medicare Advantage $68.17
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $68.17
Rate for Payer: City of Bisbee Police Bisbee Police $104.26
Rate for Payer: Cigna All Products $280.70
Rate for Payer: Copperpoint $112.48
Rate for Payer: HealthNet Commercial $240.60
Rate for Payer: HealthNet Medicare $112.28
Rate for Payer: Humana Medicare $68.17
Rate for Payer: Veterans (Triwest) $68.17
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $243.01
Rate for Payer: United Healthcare Medicare $68.17
Service Code CPT 86147
Hospital Charge Code 22481461
Hospital Revenue Code 302
Min. Negotiated Rate $25.45
Max. Negotiated Rate $360.90
Rate for Payer: Aetna POS, PPO, HMO $360.90
Rate for Payer: Aetna Medicare $112.28
Rate for Payer: AHCCCS Medicaid $25.45
Rate for Payer: Allwell from Arizona Medicaid by Arizona Complete Health Medicaid $25.45
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $68.17
Rate for Payer: Amerigroup Medicare $68.17
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $149.77
Rate for Payer: Arizona Complete Care Health Medicaid $25.45
Rate for Payer: Arizona Complete Care Health Medicare Advantage $68.17
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $68.17
Rate for Payer: Banner University Family Care Medicaid $25.45
Rate for Payer: City of Bisbee Police Bisbee Police $104.26
Rate for Payer: Cigna All Products $280.70
Rate for Payer: Copperpoint $112.48
Rate for Payer: HealthNet Commercial $240.60
Rate for Payer: HealthNet Medicare $112.28
Rate for Payer: Humana Medicare $68.17
Rate for Payer: Mercy Care Medicaid $25.45
Rate for Payer: Veterans (Triwest) $68.17
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $243.01
Rate for Payer: United Healthcare Medicare $68.17
Service Code CPT 86147
Hospital Charge Code 22481462
Hospital Revenue Code 302
Min. Negotiated Rate $68.17
Max. Negotiated Rate $360.90
Rate for Payer: Aetna POS, PPO, HMO $360.90
Rate for Payer: Aetna Medicare $112.28
Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage $68.17
Rate for Payer: Amerigroup Medicare $68.17
Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid $149.77
Rate for Payer: Arizona Complete Care Health Medicare Advantage $68.17
Rate for Payer: Banner University Care Advantage Health Maintenance Organization $68.17
Rate for Payer: City of Bisbee Police Bisbee Police $104.26
Rate for Payer: Cigna All Products $280.70
Rate for Payer: Copperpoint $112.48
Rate for Payer: HealthNet Commercial $240.60
Rate for Payer: HealthNet Medicare $112.28
Rate for Payer: Humana Medicare $68.17
Rate for Payer: Veterans (Triwest) $68.17
Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) $243.01
Rate for Payer: United Healthcare Medicare $68.17