Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Vertigo And Other Labyrinth Disorders

Facility

IP

$3,838.06

Service Code	APR-DRG 1111
Hospital Charge Code	APRDRG1111
Min. Negotiated Rate	$3,838.06
Max. Negotiated Rate	$3,838.06
Rate for Payer: AHCCCS Medicaid	$3,838.06
Rate for Payer: Allwell Medicaid	$3,838.06
Rate for Payer: AZCH Complete Medicaid	$3,838.06
Rate for Payer: Banner UC Health Medicaid	$3,838.06
Rate for Payer: Mercy Care Medicaid	$3,838.06

Vertigo And Other Labyrinth Disorders

Facility

IP

$4,238.56

Service Code	APR-DRG 1112
Hospital Charge Code	APRDRG1111
Min. Negotiated Rate	$4,238.56
Max. Negotiated Rate	$4,238.56
Rate for Payer: AHCCCS Medicaid	$4,238.56
Rate for Payer: Allwell Medicaid	$4,238.56
Rate for Payer: AZCH Complete Medicaid	$4,238.56
Rate for Payer: Banner UC Health Medicaid	$4,238.56
Rate for Payer: Mercy Care Medicaid	$4,238.56

Vertigo And Other Labyrinth Disorders

Facility

IP

$5,340.46

Service Code	APR-DRG 1113
Hospital Charge Code	APRDRG1111
Min. Negotiated Rate	$5,340.46
Max. Negotiated Rate	$5,340.46
Rate for Payer: AHCCCS Medicaid	$5,340.46
Rate for Payer: Allwell Medicaid	$5,340.46
Rate for Payer: AZCH Complete Medicaid	$5,340.46
Rate for Payer: Banner UC Health Medicaid	$5,340.46
Rate for Payer: Mercy Care Medicaid	$5,340.46

Vertigo And Other Labyrinth Disorders

Facility

IP

$3,838.06

Service Code	APR-DRG 1111
Hospital Charge Code	APRDRG1114
Min. Negotiated Rate	$3,838.06
Max. Negotiated Rate	$3,838.06
Rate for Payer: AHCCCS Medicaid	$3,838.06
Rate for Payer: Allwell Medicaid	$3,838.06
Rate for Payer: AZCH Complete Medicaid	$3,838.06
Rate for Payer: Banner UC Health Medicaid	$3,838.06
Rate for Payer: Mercy Care Medicaid	$3,838.06

Vertigo And Other Labyrinth Disorders

Facility

IP

$5,340.46

Service Code	APR-DRG 1113
Hospital Charge Code	APRDRG1114
Min. Negotiated Rate	$5,340.46
Max. Negotiated Rate	$5,340.46
Rate for Payer: AHCCCS Medicaid	$5,340.46
Rate for Payer: Allwell Medicaid	$5,340.46
Rate for Payer: AZCH Complete Medicaid	$5,340.46
Rate for Payer: Banner UC Health Medicaid	$5,340.46
Rate for Payer: Mercy Care Medicaid	$5,340.46

Vesicovaginal Fistual abdominal

Facility

IP

$4,452.00

Service Code	CPT 51900
Hospital Charge Code	27267834
Hospital Revenue Code	360
Min. Negotiated Rate	$1,157.52
Max. Negotiated Rate	$4,006.80
Rate for Payer: Aetna of AZ Commercial	$4,006.80
Rate for Payer: Bisbee Police All Plans	$1,157.52
Rate for Payer: Cash Price	$3,561.60
Rate for Payer: Self Pay Self Pay	$3,561.60

Vesicovaginal Fistual abdominal

Facility

OP

$4,452.00

Service Code	CPT 51900
Hospital Charge Code	27267834
Hospital Revenue Code	360
Min. Negotiated Rate	$712.32
Max. Negotiated Rate	$4,006.80
Rate for Payer: Aetna of AZ Commercial	$4,006.80
Rate for Payer: Aetna of AZ Medicare	$1,246.56
Rate for Payer: Allwell Medicare	$712.32
Rate for Payer: Amerigroup Medicare	$712.32
Rate for Payer: APIPA Medicare/Medicaid	$1,662.82
Rate for Payer: AZCH Complete Medicare	$712.32
Rate for Payer: Banner UC Health Medicare	$712.32
Rate for Payer: Bisbee Police All Plans	$1,157.52
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$3,027.36
Rate for Payer: Cash Price	$3,561.60
Rate for Payer: Cash Price	$3,561.60
Rate for Payer: Cigna of AZ Commercial	$2,226.00
Rate for Payer: Copperpoint Commercial	$1,101.87
Rate for Payer: Health Net of AZ Commercial	$2,671.20
Rate for Payer: Health Net of AZ Medicare	$1,246.56
Rate for Payer: Humana of AZ Medicare	$712.32
Rate for Payer: Self Pay Self Pay	$3,561.60
Rate for Payer: TriWest Medicare	$712.32
Rate for Payer: UnitedHealth Group of AZ Commercial	$3,914.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$801.36

Vesicovaginal Fistual vaginal

Facility

IP

$2,890.00

Service Code	CPT 57320
Hospital Charge Code	27291798
Hospital Revenue Code	360
Min. Negotiated Rate	$751.40
Max. Negotiated Rate	$2,601.00
Rate for Payer: Aetna of AZ Commercial	$2,601.00
Rate for Payer: Bisbee Police All Plans	$751.40
Rate for Payer: Cash Price	$2,312.00
Rate for Payer: Self Pay Self Pay	$2,312.00

Vesicovaginal Fistual vaginal

Facility

OP

$2,890.00

Service Code	CPT 57320
Hospital Charge Code	27291798
Hospital Revenue Code	360
Min. Negotiated Rate	$462.40
Max. Negotiated Rate	$3,196.92
Rate for Payer: Aetna of AZ Commercial	$2,601.00
Rate for Payer: Aetna of AZ Medicare	$809.20
Rate for Payer: AHCCCS Medicaid	$3,196.92
Rate for Payer: Allwell Medicaid	$3,196.92
Rate for Payer: Allwell Medicare	$462.40
Rate for Payer: Amerigroup Medicare	$462.40
Rate for Payer: APIPA Medicare/Medicaid	$1,079.41
Rate for Payer: AZCH Complete Medicaid	$3,196.92
Rate for Payer: AZCH Complete Medicare	$462.40
Rate for Payer: Banner UC Health Medicaid	$3,196.92
Rate for Payer: Banner UC Health Medicare	$462.40
Rate for Payer: Bisbee Police All Plans	$751.40
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$1,965.20
Rate for Payer: Cash Price	$2,312.00
Rate for Payer: Cash Price	$2,312.00
Rate for Payer: Cigna of AZ Commercial	$1,445.00
Rate for Payer: Copperpoint Commercial	$715.27
Rate for Payer: Health Net of AZ Commercial	$1,734.00
Rate for Payer: Health Net of AZ Medicare	$809.20
Rate for Payer: Humana of AZ Medicare	$462.40
Rate for Payer: Mercy Care Medicaid	$3,196.92
Rate for Payer: Self Pay Self Pay	$2,312.00
Rate for Payer: TriWest Medicare	$462.40
Rate for Payer: UnitedHealth Group of AZ Commercial	$1,684.87
Rate for Payer: UnitedHealth Group of AZ Medicare	$520.20

Viral Culture, General LC

Facility

OP

$447.00

Service Code	CPT 87252
Hospital Charge Code	2029221
Hospital Revenue Code	306
Min. Negotiated Rate	$71.52
Max. Negotiated Rate	$402.30
Rate for Payer: Aetna of AZ Commercial	$402.30
Rate for Payer: Aetna of AZ Medicare	$125.16
Rate for Payer: Allwell Medicare	$71.52
Rate for Payer: Amerigroup Medicare	$71.52
Rate for Payer: APIPA Medicare/Medicaid	$166.95
Rate for Payer: AZCH Complete Medicare	$71.52
Rate for Payer: Banner UC Health Medicare	$71.52
Rate for Payer: Bisbee Police All Plans	$116.22
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$303.96
Rate for Payer: Cash Price	$357.60
Rate for Payer: Cigna of AZ Commercial	$290.55
Rate for Payer: Copperpoint Commercial	$110.63
Rate for Payer: Health Net of AZ Commercial	$268.20
Rate for Payer: Health Net of AZ Medicare	$125.16
Rate for Payer: Humana of AZ Medicare	$71.52
Rate for Payer: Self Pay Self Pay	$357.60
Rate for Payer: TriWest Medicare	$71.52
Rate for Payer: UnitedHealth Group of AZ Commercial	$260.60
Rate for Payer: UnitedHealth Group of AZ Medicare	$80.46

Viral Culture, General LC

Facility

IP

$447.00

Service Code	CPT 87252
Hospital Charge Code	2029221
Hospital Revenue Code	306
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$402.30
Rate for Payer: Aetna of AZ Commercial	$402.30
Rate for Payer: Bisbee Police All Plans	$116.22
Rate for Payer: Cash Price	$357.60
Rate for Payer: Self Pay Self Pay	$357.60

Viral Illness

Facility

IP

$5,933.14

Service Code	APR-DRG 7233
Hospital Charge Code	APRDRG7234
Min. Negotiated Rate	$5,933.14
Max. Negotiated Rate	$5,933.14
Rate for Payer: AHCCCS Medicaid	$5,933.14
Rate for Payer: Allwell Medicaid	$5,933.14
Rate for Payer: AZCH Complete Medicaid	$5,933.14
Rate for Payer: Banner UC Health Medicaid	$5,933.14
Rate for Payer: Mercy Care Medicaid	$5,933.14

Viral Illness

Facility

IP

$3,679.54

Service Code	APR-DRG 7232
Hospital Charge Code	APRDRG7233
Min. Negotiated Rate	$3,679.54
Max. Negotiated Rate	$3,679.54
Rate for Payer: AHCCCS Medicaid	$3,679.54
Rate for Payer: Allwell Medicaid	$3,679.54
Rate for Payer: AZCH Complete Medicaid	$3,679.54
Rate for Payer: Banner UC Health Medicaid	$3,679.54
Rate for Payer: Mercy Care Medicaid	$3,679.54

Viral Illness

Facility

IP

$2,594.48

Service Code	APR-DRG 7231
Hospital Charge Code	APRDRG7233
Min. Negotiated Rate	$2,594.48
Max. Negotiated Rate	$2,594.48
Rate for Payer: AHCCCS Medicaid	$2,594.48
Rate for Payer: Allwell Medicaid	$2,594.48
Rate for Payer: AZCH Complete Medicaid	$2,594.48
Rate for Payer: Banner UC Health Medicaid	$2,594.48
Rate for Payer: Mercy Care Medicaid	$2,594.48

Viral Illness

Facility

IP

$5,933.14

Service Code	APR-DRG 7233
Hospital Charge Code	APRDRG7233
Min. Negotiated Rate	$5,933.14
Max. Negotiated Rate	$5,933.14
Rate for Payer: AHCCCS Medicaid	$5,933.14
Rate for Payer: Allwell Medicaid	$5,933.14
Rate for Payer: AZCH Complete Medicaid	$5,933.14
Rate for Payer: Banner UC Health Medicaid	$5,933.14
Rate for Payer: Mercy Care Medicaid	$5,933.14

Viral Illness

Facility

IP

$13,657.66

Service Code	APR-DRG 7234
Hospital Charge Code	APRDRG7233
Min. Negotiated Rate	$13,657.66
Max. Negotiated Rate	$13,657.66
Rate for Payer: AHCCCS Medicaid	$13,657.66
Rate for Payer: Allwell Medicaid	$13,657.66
Rate for Payer: AZCH Complete Medicaid	$13,657.66
Rate for Payer: Banner UC Health Medicaid	$13,657.66
Rate for Payer: Mercy Care Medicaid	$13,657.66

Viral Illness

Facility

IP

$2,594.48

Service Code	APR-DRG 7231
Hospital Charge Code	APRDRG7232
Min. Negotiated Rate	$2,594.48
Max. Negotiated Rate	$2,594.48
Rate for Payer: AHCCCS Medicaid	$2,594.48
Rate for Payer: Allwell Medicaid	$2,594.48
Rate for Payer: AZCH Complete Medicaid	$2,594.48
Rate for Payer: Banner UC Health Medicaid	$2,594.48
Rate for Payer: Mercy Care Medicaid	$2,594.48

Viral Illness

Facility

IP

$13,657.66

Service Code	APR-DRG 7234
Hospital Charge Code	APRDRG7232
Min. Negotiated Rate	$13,657.66
Max. Negotiated Rate	$13,657.66
Rate for Payer: AHCCCS Medicaid	$13,657.66
Rate for Payer: Allwell Medicaid	$13,657.66
Rate for Payer: AZCH Complete Medicaid	$13,657.66
Rate for Payer: Banner UC Health Medicaid	$13,657.66
Rate for Payer: Mercy Care Medicaid	$13,657.66

Viral Illness

Facility

IP

$5,933.14

Service Code	APR-DRG 7233
Hospital Charge Code	APRDRG7231
Min. Negotiated Rate	$5,933.14
Max. Negotiated Rate	$5,933.14
Rate for Payer: AHCCCS Medicaid	$5,933.14
Rate for Payer: Allwell Medicaid	$5,933.14
Rate for Payer: AZCH Complete Medicaid	$5,933.14
Rate for Payer: Banner UC Health Medicaid	$5,933.14
Rate for Payer: Mercy Care Medicaid	$5,933.14

Viral Illness

Facility

IP

$3,679.54

Service Code	APR-DRG 7232
Hospital Charge Code	APRDRG7232
Min. Negotiated Rate	$3,679.54
Max. Negotiated Rate	$3,679.54
Rate for Payer: AHCCCS Medicaid	$3,679.54
Rate for Payer: Allwell Medicaid	$3,679.54
Rate for Payer: AZCH Complete Medicaid	$3,679.54
Rate for Payer: Banner UC Health Medicaid	$3,679.54
Rate for Payer: Mercy Care Medicaid	$3,679.54

Viral Illness

Facility

IP

$3,679.54

Service Code	APR-DRG 7232
Hospital Charge Code	APRDRG7234
Min. Negotiated Rate	$3,679.54
Max. Negotiated Rate	$3,679.54
Rate for Payer: AHCCCS Medicaid	$3,679.54
Rate for Payer: Allwell Medicaid	$3,679.54
Rate for Payer: AZCH Complete Medicaid	$3,679.54
Rate for Payer: Banner UC Health Medicaid	$3,679.54
Rate for Payer: Mercy Care Medicaid	$3,679.54

Viral Illness

Facility

IP

$13,657.66

Service Code	APR-DRG 7234
Hospital Charge Code	APRDRG7234
Min. Negotiated Rate	$13,657.66
Max. Negotiated Rate	$13,657.66
Rate for Payer: AHCCCS Medicaid	$13,657.66
Rate for Payer: Allwell Medicaid	$13,657.66
Rate for Payer: AZCH Complete Medicaid	$13,657.66
Rate for Payer: Banner UC Health Medicaid	$13,657.66
Rate for Payer: Mercy Care Medicaid	$13,657.66

Viral Illness

Facility

IP

$2,594.48

Service Code	APR-DRG 7231
Hospital Charge Code	APRDRG7231
Min. Negotiated Rate	$2,594.48
Max. Negotiated Rate	$2,594.48
Rate for Payer: AHCCCS Medicaid	$2,594.48
Rate for Payer: Allwell Medicaid	$2,594.48
Rate for Payer: AZCH Complete Medicaid	$2,594.48
Rate for Payer: Banner UC Health Medicaid	$2,594.48
Rate for Payer: Mercy Care Medicaid	$2,594.48

Viral Illness

Facility

IP

$13,657.66

Service Code	APR-DRG 7234
Hospital Charge Code	APRDRG7231
Min. Negotiated Rate	$13,657.66
Max. Negotiated Rate	$13,657.66
Rate for Payer: AHCCCS Medicaid	$13,657.66
Rate for Payer: Allwell Medicaid	$13,657.66
Rate for Payer: AZCH Complete Medicaid	$13,657.66
Rate for Payer: Banner UC Health Medicaid	$13,657.66
Rate for Payer: Mercy Care Medicaid	$13,657.66

Viral Illness

Facility

IP

$2,594.48

Service Code	APR-DRG 7231
Hospital Charge Code	APRDRG7234
Min. Negotiated Rate	$2,594.48
Max. Negotiated Rate	$2,594.48
Rate for Payer: AHCCCS Medicaid	$2,594.48
Rate for Payer: Allwell Medicaid	$2,594.48
Rate for Payer: AZCH Complete Medicaid	$2,594.48
Rate for Payer: Banner UC Health Medicaid	$2,594.48
Rate for Payer: Mercy Care Medicaid	$2,594.48

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