Copper Queen Community Hospital

All Charges

Charge

Type

Setting

Price

Spinal Disorders And Injuries

Facility

$6,868.11

Service Code	APR-DRG 0401
Hospital Charge Code	APRDRG0401
Min. Negotiated Rate	$6,868.11
Max. Negotiated Rate	$6,868.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,868.11
Rate for Payer: Mercy Care Medicaid	$6,868.11
Rate for Payer: NaphCare Correctional Healthcare	$6,868.11

Spinal Disorders And Injuries

Facility

$6,868.11

Service Code	APR-DRG 0401
Hospital Charge Code	APRDRG0404
Min. Negotiated Rate	$6,868.11
Max. Negotiated Rate	$6,868.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,868.11
Rate for Payer: Mercy Care Medicaid	$6,868.11
Rate for Payer: NaphCare Correctional Healthcare	$6,868.11

Spinal Disorders And Injuries

Facility

$9,300.56

Service Code	APR-DRG 0402
Hospital Charge Code	APRDRG0404
Min. Negotiated Rate	$9,300.56
Max. Negotiated Rate	$9,300.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,300.56
Rate for Payer: Mercy Care Medicaid	$9,300.56
Rate for Payer: NaphCare Correctional Healthcare	$9,300.56

Spinal Disorders And Injuries

Facility

$13,968.38

Service Code	APR-DRG 0403
Hospital Charge Code	APRDRG0401
Min. Negotiated Rate	$13,968.38
Max. Negotiated Rate	$13,968.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,968.38
Rate for Payer: Mercy Care Medicaid	$13,968.38
Rate for Payer: NaphCare Correctional Healthcare	$13,968.38

Spinal Disorders And Injuries

Facility

$13,968.38

Service Code	APR-DRG 0403
Hospital Charge Code	APRDRG0403
Min. Negotiated Rate	$13,968.38
Max. Negotiated Rate	$13,968.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,968.38
Rate for Payer: Mercy Care Medicaid	$13,968.38
Rate for Payer: NaphCare Correctional Healthcare	$13,968.38

Spinal Disorders And Injuries

Facility

$13,968.38

Service Code	APR-DRG 0403
Hospital Charge Code	APRDRG0402
Min. Negotiated Rate	$13,968.38
Max. Negotiated Rate	$13,968.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,968.38
Rate for Payer: Mercy Care Medicaid	$13,968.38
Rate for Payer: NaphCare Correctional Healthcare	$13,968.38

Spinal Disorders And Injuries

Facility

$23,362.23

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG0404
Min. Negotiated Rate	$23,362.23
Max. Negotiated Rate	$23,362.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$23,362.23
Rate for Payer: Mercy Care Medicaid	$23,362.23
Rate for Payer: NaphCare Correctional Healthcare	$23,362.23

Spinal Disorders And Injuries

Facility

$23,362.23

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG0403
Min. Negotiated Rate	$23,362.23
Max. Negotiated Rate	$23,362.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$23,362.23
Rate for Payer: Mercy Care Medicaid	$23,362.23
Rate for Payer: NaphCare Correctional Healthcare	$23,362.23

Spinal Disorders And Injuries

Facility

$6,868.11

Service Code	APR-DRG 0401
Hospital Charge Code	APRDRG0402
Min. Negotiated Rate	$6,868.11
Max. Negotiated Rate	$6,868.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,868.11
Rate for Payer: Mercy Care Medicaid	$6,868.11
Rate for Payer: NaphCare Correctional Healthcare	$6,868.11

Spinal Disorders And Injuries

Facility

$23,362.23

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG0402
Min. Negotiated Rate	$23,362.23
Max. Negotiated Rate	$23,362.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$23,362.23
Rate for Payer: Mercy Care Medicaid	$23,362.23
Rate for Payer: NaphCare Correctional Healthcare	$23,362.23

Spinal Disorders And Injuries

Facility

$23,362.23

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG0401
Min. Negotiated Rate	$23,362.23
Max. Negotiated Rate	$23,362.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$23,362.23
Rate for Payer: Mercy Care Medicaid	$23,362.23
Rate for Payer: NaphCare Correctional Healthcare	$23,362.23

Spinal Disorders And Injuries

Facility

$9,300.56

Service Code	APR-DRG 0402
Hospital Charge Code	APRDRG0401
Min. Negotiated Rate	$9,300.56
Max. Negotiated Rate	$9,300.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,300.56
Rate for Payer: Mercy Care Medicaid	$9,300.56
Rate for Payer: NaphCare Correctional Healthcare	$9,300.56

Spinal Disorders And Injuries

Facility

$9,300.56

Service Code	APR-DRG 0402
Hospital Charge Code	APRDRG0402
Min. Negotiated Rate	$9,300.56
Max. Negotiated Rate	$9,300.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,300.56
Rate for Payer: Mercy Care Medicaid	$9,300.56
Rate for Payer: NaphCare Correctional Healthcare	$9,300.56

SPINAL DISORDERS AND INJURIES WITH CC/MCC

Facility

$23,409.51

Service Code	MSDRG 052
Min. Negotiated Rate	$23,409.51
Max. Negotiated Rate	$23,409.51
Rate for Payer: Seven Corners Travel Insurance	$23,409.51

SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

Facility

$12,763.06

Service Code	MSDRG 053
Min. Negotiated Rate	$12,763.06
Max. Negotiated Rate	$12,763.06
Rate for Payer: Seven Corners Travel Insurance	$12,763.06

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility

$77,067.95

Service Code	MSDRG 457
Min. Negotiated Rate	$77,067.95
Max. Negotiated Rate	$77,067.95
Rate for Payer: Seven Corners Travel Insurance	$77,067.95

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility

$108,606.74

Service Code	MSDRG 456
Min. Negotiated Rate	$108,606.74
Max. Negotiated Rate	$108,606.74
Rate for Payer: Seven Corners Travel Insurance	$108,606.74

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility

$53,927.27

Service Code	MSDRG 458
Min. Negotiated Rate	$53,927.27
Max. Negotiated Rate	$53,927.27
Rate for Payer: Seven Corners Travel Insurance	$53,927.27

Spinal Procedures

Facility

$40,597.73

Service Code	APR-DRG 0234
Hospital Charge Code	APRDRG0233
Min. Negotiated Rate	$40,597.73
Max. Negotiated Rate	$40,597.73
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$40,597.73
Rate for Payer: Mercy Care Medicaid	$40,597.73
Rate for Payer: NaphCare Correctional Healthcare	$40,597.73

Spinal Procedures

Facility

$25,776.45

Service Code	APR-DRG 0233
Hospital Charge Code	APRDRG0233
Min. Negotiated Rate	$25,776.45
Max. Negotiated Rate	$25,776.45
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$25,776.45
Rate for Payer: Mercy Care Medicaid	$25,776.45
Rate for Payer: NaphCare Correctional Healthcare	$25,776.45

Spinal Procedures

Facility

$14,480.40

Service Code	APR-DRG 0232
Hospital Charge Code	APRDRG0233
Min. Negotiated Rate	$14,480.40
Max. Negotiated Rate	$14,480.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,480.40
Rate for Payer: Mercy Care Medicaid	$14,480.40
Rate for Payer: NaphCare Correctional Healthcare	$14,480.40

Spinal Procedures

Facility

$10,554.67

Service Code	APR-DRG 0231
Hospital Charge Code	APRDRG0233
Min. Negotiated Rate	$10,554.67
Max. Negotiated Rate	$10,554.67
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,554.67
Rate for Payer: Mercy Care Medicaid	$10,554.67
Rate for Payer: NaphCare Correctional Healthcare	$10,554.67

Spinal Procedures

Facility

$40,597.73

Service Code	APR-DRG 0234
Hospital Charge Code	APRDRG0232
Min. Negotiated Rate	$40,597.73
Max. Negotiated Rate	$40,597.73
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$40,597.73
Rate for Payer: Mercy Care Medicaid	$40,597.73
Rate for Payer: NaphCare Correctional Healthcare	$40,597.73

Spinal Procedures

Facility

$25,776.45

Service Code	APR-DRG 0233
Hospital Charge Code	APRDRG0234
Min. Negotiated Rate	$25,776.45
Max. Negotiated Rate	$25,776.45
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$25,776.45
Rate for Payer: Mercy Care Medicaid	$25,776.45
Rate for Payer: NaphCare Correctional Healthcare	$25,776.45

Spinal Procedures

Facility

$10,554.67

Service Code	APR-DRG 0231
Hospital Charge Code	APRDRG0232
Min. Negotiated Rate	$10,554.67
Max. Negotiated Rate	$10,554.67
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,554.67
Rate for Payer: Mercy Care Medicaid	$10,554.67
Rate for Payer: NaphCare Correctional Healthcare	$10,554.67

Know your out-of-pocket cost for care.

All Charges