Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

SENSOR STRAIGHT TIP NITINOL WIRE 035X0150CM

Facility

IP

$418.50

Hospital Charge Code	27975466
Hospital Revenue Code	270
Min. Negotiated Rate	$376.65
Max. Negotiated Rate	$376.65
Rate for Payer: Aetna of AZ Commercial	$376.65
Rate for Payer: Cash Price	$334.80

SENSOR STRAIGHT TIP NITINOL WIRE 035X0150CM

Facility

OP

$418.50

Hospital Charge Code	27975466
Hospital Revenue Code	270
Min. Negotiated Rate	$66.29
Max. Negotiated Rate	$376.65
Rate for Payer: Aetna of AZ Commercial	$376.65
Rate for Payer: Arizona Complete Health Allwell	$66.96
Rate for Payer: Banner UC Health Medicare	$66.96
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$284.58
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$66.96
Rate for Payer: Care1st Health Plan Arizona Medicare	$66.96
Rate for Payer: Cash Price	$334.80
Rate for Payer: Cigna of AZ Commercial	$292.95
Rate for Payer: Devoted Health Medicare	$75.33
Rate for Payer: Humana of AZ Medicare	$66.96
Rate for Payer: Southwest Service Administrators UFCW	$284.58
Rate for Payer: TriWest Medicare	$66.96
Rate for Payer: United Healthcare Commercial	$239.38
Rate for Payer: United Healthcare Medicare	$66.96
Rate for Payer: Veterans Affairs TRICARE	$66.29

SEPTIC ARTHRITIS WITH CC

Facility

IP

$15,652.11

Service Code	MSDRG 549
Min. Negotiated Rate	$15,652.11
Max. Negotiated Rate	$15,652.11
Rate for Payer: Seven Corners Travel Insurance	$15,652.11

SEPTIC ARTHRITIS WITH MCC

Facility

IP

$24,955.22

Service Code	MSDRG 548
Min. Negotiated Rate	$24,955.22
Max. Negotiated Rate	$24,955.22
Rate for Payer: Seven Corners Travel Insurance	$24,955.22

SEPTIC ARTHRITIS WITHOUT CC/MCC

Facility

IP

$11,431.32

Service Code	MSDRG 550
Min. Negotiated Rate	$11,431.32
Max. Negotiated Rate	$11,431.32
Rate for Payer: Seven Corners Travel Insurance	$11,431.32

Septicemia And Disseminated Infections

Facility

IP

$4,966.61

Service Code	APR-DRG 7202
Hospital Charge Code	APRDRG7201
Min. Negotiated Rate	$4,966.61
Max. Negotiated Rate	$4,966.61
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,966.61
Rate for Payer: Mercy Care Medicaid	$4,966.61
Rate for Payer: NaphCare Correctional Healthcare	$4,966.61

Septicemia And Disseminated Infections

Facility

IP

$3,873.13

Service Code	APR-DRG 7201
Hospital Charge Code	APRDRG7204
Min. Negotiated Rate	$3,873.13
Max. Negotiated Rate	$3,873.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,873.13
Rate for Payer: Mercy Care Medicaid	$3,873.13
Rate for Payer: NaphCare Correctional Healthcare	$3,873.13

Septicemia And Disseminated Infections

Facility

IP

$14,811.46

Service Code	APR-DRG 7204
Hospital Charge Code	APRDRG7204
Min. Negotiated Rate	$14,811.46
Max. Negotiated Rate	$14,811.46
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,811.46
Rate for Payer: Mercy Care Medicaid	$14,811.46
Rate for Payer: NaphCare Correctional Healthcare	$14,811.46

Septicemia And Disseminated Infections

Facility

IP

$4,966.61

Service Code	APR-DRG 7202
Hospital Charge Code	APRDRG7203
Min. Negotiated Rate	$4,966.61
Max. Negotiated Rate	$4,966.61
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,966.61
Rate for Payer: Mercy Care Medicaid	$4,966.61
Rate for Payer: NaphCare Correctional Healthcare	$4,966.61

Septicemia And Disseminated Infections

Facility

IP

$3,873.13

Service Code	APR-DRG 7201
Hospital Charge Code	APRDRG7202
Min. Negotiated Rate	$3,873.13
Max. Negotiated Rate	$3,873.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,873.13
Rate for Payer: Mercy Care Medicaid	$3,873.13
Rate for Payer: NaphCare Correctional Healthcare	$3,873.13

Septicemia And Disseminated Infections

Facility

IP

$7,570.91

Service Code	APR-DRG 7203
Hospital Charge Code	APRDRG7202
Min. Negotiated Rate	$7,570.91
Max. Negotiated Rate	$7,570.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,570.91
Rate for Payer: Mercy Care Medicaid	$7,570.91
Rate for Payer: NaphCare Correctional Healthcare	$7,570.91

Septicemia And Disseminated Infections

Facility

IP

$4,966.61

Service Code	APR-DRG 7202
Hospital Charge Code	APRDRG7202
Min. Negotiated Rate	$4,966.61
Max. Negotiated Rate	$4,966.61
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,966.61
Rate for Payer: Mercy Care Medicaid	$4,966.61
Rate for Payer: NaphCare Correctional Healthcare	$4,966.61

Septicemia And Disseminated Infections

Facility

IP

$14,811.46

Service Code	APR-DRG 7204
Hospital Charge Code	APRDRG7202
Min. Negotiated Rate	$14,811.46
Max. Negotiated Rate	$14,811.46
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,811.46
Rate for Payer: Mercy Care Medicaid	$14,811.46
Rate for Payer: NaphCare Correctional Healthcare	$14,811.46

Septicemia And Disseminated Infections

Facility

IP

$3,873.13

Service Code	APR-DRG 7201
Hospital Charge Code	APRDRG7201
Min. Negotiated Rate	$3,873.13
Max. Negotiated Rate	$3,873.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,873.13
Rate for Payer: Mercy Care Medicaid	$3,873.13
Rate for Payer: NaphCare Correctional Healthcare	$3,873.13

Septicemia And Disseminated Infections

Facility

IP

$3,873.13

Service Code	APR-DRG 7201
Hospital Charge Code	APRDRG7203
Min. Negotiated Rate	$3,873.13
Max. Negotiated Rate	$3,873.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,873.13
Rate for Payer: Mercy Care Medicaid	$3,873.13
Rate for Payer: NaphCare Correctional Healthcare	$3,873.13

Septicemia And Disseminated Infections

Facility

IP

$7,570.91

Service Code	APR-DRG 7203
Hospital Charge Code	APRDRG7203
Min. Negotiated Rate	$7,570.91
Max. Negotiated Rate	$7,570.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,570.91
Rate for Payer: Mercy Care Medicaid	$7,570.91
Rate for Payer: NaphCare Correctional Healthcare	$7,570.91

Septicemia And Disseminated Infections

Facility

IP

$14,811.46

Service Code	APR-DRG 7204
Hospital Charge Code	APRDRG7201
Min. Negotiated Rate	$14,811.46
Max. Negotiated Rate	$14,811.46
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,811.46
Rate for Payer: Mercy Care Medicaid	$14,811.46
Rate for Payer: NaphCare Correctional Healthcare	$14,811.46

Septicemia And Disseminated Infections

Facility

IP

$7,570.91

Service Code	APR-DRG 7203
Hospital Charge Code	APRDRG7204
Min. Negotiated Rate	$7,570.91
Max. Negotiated Rate	$7,570.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,570.91
Rate for Payer: Mercy Care Medicaid	$7,570.91
Rate for Payer: NaphCare Correctional Healthcare	$7,570.91

Septicemia And Disseminated Infections

Facility

IP

$7,570.91

Service Code	APR-DRG 7203
Hospital Charge Code	APRDRG7201
Min. Negotiated Rate	$7,570.91
Max. Negotiated Rate	$7,570.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,570.91
Rate for Payer: Mercy Care Medicaid	$7,570.91
Rate for Payer: NaphCare Correctional Healthcare	$7,570.91

Septicemia And Disseminated Infections

Facility

IP

$14,811.46

Service Code	APR-DRG 7204
Hospital Charge Code	APRDRG7203
Min. Negotiated Rate	$14,811.46
Max. Negotiated Rate	$14,811.46
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,811.46
Rate for Payer: Mercy Care Medicaid	$14,811.46
Rate for Payer: NaphCare Correctional Healthcare	$14,811.46

Septicemia And Disseminated Infections

Facility

IP

$4,966.61

Service Code	APR-DRG 7202
Hospital Charge Code	APRDRG7204
Min. Negotiated Rate	$4,966.61
Max. Negotiated Rate	$4,966.61
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,966.61
Rate for Payer: Mercy Care Medicaid	$4,966.61
Rate for Payer: NaphCare Correctional Healthcare	$4,966.61

SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS

Facility

IP

$89,329.06

Service Code	MSDRG 870
Min. Negotiated Rate	$89,329.06
Max. Negotiated Rate	$89,329.06
Rate for Payer: Seven Corners Travel Insurance	$89,329.06

SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC

Facility

IP

$25,105.14

Service Code	MSDRG 871
Min. Negotiated Rate	$25,105.14
Max. Negotiated Rate	$25,105.14
Rate for Payer: Seven Corners Travel Insurance	$25,105.14

SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

Facility

IP

$13,321.85

Service Code	MSDRG 872
Min. Negotiated Rate	$13,321.85
Max. Negotiated Rate	$13,321.85
Rate for Payer: Seven Corners Travel Insurance	$13,321.85

SEROTONIN

Facility

IP

$124.00

Service Code	CPT 84260
Hospital Charge Code	28010054
Hospital Revenue Code	302
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$111.60
Rate for Payer: Aetna of AZ Commercial	$111.60
Rate for Payer: Cash Price	$99.20

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