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Charge Type Setting Price  
Service Code APR-DRG 4042
Hospital Charge Code APRDRG4042
Min. Negotiated Rate $9,064.19
Max. Negotiated Rate $9,064.19
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice $9,064.19
Rate for Payer: Mercy Care Medicaid $9,064.19
Rate for Payer: NaphCare Correctional Healthcare $9,064.19
Service Code APR-DRG 4043
Hospital Charge Code APRDRG4041
Min. Negotiated Rate $16,795.72
Max. Negotiated Rate $16,795.72
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice $16,795.72
Rate for Payer: Mercy Care Medicaid $16,795.72
Rate for Payer: NaphCare Correctional Healthcare $16,795.72
Service Code APR-DRG 4044
Hospital Charge Code APRDRG4041
Min. Negotiated Rate $31,813.40
Max. Negotiated Rate $31,813.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice $31,813.40
Rate for Payer: Mercy Care Medicaid $31,813.40
Rate for Payer: NaphCare Correctional Healthcare $31,813.40
Service Code APR-DRG 4042
Hospital Charge Code APRDRG4041
Min. Negotiated Rate $9,064.19
Max. Negotiated Rate $9,064.19
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice $9,064.19
Rate for Payer: Mercy Care Medicaid $9,064.19
Rate for Payer: NaphCare Correctional Healthcare $9,064.19
Service Code APR-DRG 4044
Hospital Charge Code APRDRG4043
Min. Negotiated Rate $31,813.40
Max. Negotiated Rate $31,813.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice $31,813.40
Rate for Payer: Mercy Care Medicaid $31,813.40
Rate for Payer: NaphCare Correctional Healthcare $31,813.40
Service Code MSDRG 626
Min. Negotiated Rate $19,378.45
Max. Negotiated Rate $19,378.45
Rate for Payer: Seven Corners Travel Insurance $19,378.45
Service Code MSDRG 625
Min. Negotiated Rate $39,032.17
Max. Negotiated Rate $39,032.17
Rate for Payer: Seven Corners Travel Insurance $39,032.17
Service Code MSDRG 627
Min. Negotiated Rate $17,186.57
Max. Negotiated Rate $17,186.57
Rate for Payer: Seven Corners Travel Insurance $17,186.57
Service Code CPT 86376
Hospital Charge Code 22481507
Hospital Revenue Code 302
Min. Negotiated Rate $219.60
Max. Negotiated Rate $219.60
Rate for Payer: Aetna of AZ Commercial $219.60
Rate for Payer: Cash Price $195.20
Service Code CPT 86376
Hospital Charge Code 22481507
Hospital Revenue Code 302
Min. Negotiated Rate $21.10
Max. Negotiated Rate $219.60
Rate for Payer: Aetna of AZ Commercial $219.60
Rate for Payer: Arizona Complete Health Allwell $39.04
Rate for Payer: Banner UC Health Medicare $39.04
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $165.92
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $39.04
Rate for Payer: Care1st Health Plan Arizona Medicare $39.04
Rate for Payer: Cash Price $195.20
Rate for Payer: Cash Price $195.20
Rate for Payer: Cigna of AZ Commercial $158.60
Rate for Payer: Devoted Health Medicare $43.92
Rate for Payer: Humana of AZ Medicare $39.04
Rate for Payer: Seven Corners Travel Insurance $21.10
Rate for Payer: Southwest Service Administrators UFCW $165.92
Rate for Payer: TriWest Medicare $39.04
Rate for Payer: United Healthcare Commercial $139.57
Rate for Payer: United Healthcare Medicare $39.04
Rate for Payer: Veterans Affairs TRICARE $38.65
Service Code CPT 86376
Hospital Charge Code 22531070
Hospital Revenue Code 301
Min. Negotiated Rate $219.60
Max. Negotiated Rate $219.60
Rate for Payer: Aetna of AZ Commercial $219.60
Rate for Payer: Cash Price $195.20
Service Code CPT 86376
Hospital Charge Code 22531070
Hospital Revenue Code 301
Min. Negotiated Rate $21.10
Max. Negotiated Rate $219.60
Rate for Payer: Aetna of AZ Commercial $219.60
Rate for Payer: Arizona Complete Health Allwell $39.04
Rate for Payer: Banner UC Health Medicare $39.04
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $165.92
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $39.04
Rate for Payer: Care1st Health Plan Arizona Medicare $39.04
Rate for Payer: Cash Price $195.20
Rate for Payer: Cash Price $195.20
Rate for Payer: Cigna of AZ Commercial $158.60
Rate for Payer: Devoted Health Medicare $43.92
Rate for Payer: Humana of AZ Medicare $39.04
Rate for Payer: Seven Corners Travel Insurance $21.10
Rate for Payer: Southwest Service Administrators UFCW $165.92
Rate for Payer: TriWest Medicare $39.04
Rate for Payer: United Healthcare Commercial $139.57
Rate for Payer: United Healthcare Medicare $39.04
Rate for Payer: Veterans Affairs TRICARE $38.65
Service Code CPT 86376
Hospital Charge Code 1285786
Hospital Revenue Code 302
Min. Negotiated Rate $21.10
Max. Negotiated Rate $208.80
Rate for Payer: Aetna of AZ Commercial $208.80
Rate for Payer: Aetna of AZ Commercial $280.80
Rate for Payer: Arizona Complete Health Allwell $49.92
Rate for Payer: Arizona Complete Health Allwell $37.12
Rate for Payer: Banner UC Health Medicare $49.92
Rate for Payer: Banner UC Health Medicare $37.12
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $157.76
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $212.16
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $37.12
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $49.92
Rate for Payer: Care1st Health Plan Arizona Medicare $37.12
Rate for Payer: Care1st Health Plan Arizona Medicare $49.92
Rate for Payer: Cash Price $185.60
Rate for Payer: Cash Price $249.60
Rate for Payer: Cash Price $185.60
Rate for Payer: Cash Price $249.60
Rate for Payer: Cigna of AZ Commercial $202.80
Rate for Payer: Cigna of AZ Commercial $150.80
Rate for Payer: Devoted Health Medicare $56.16
Rate for Payer: Devoted Health Medicare $41.76
Rate for Payer: Humana of AZ Medicare $37.12
Rate for Payer: Humana of AZ Medicare $49.92
Rate for Payer: Seven Corners Travel Insurance $21.10
Rate for Payer: Seven Corners Travel Insurance $21.10
Rate for Payer: Southwest Service Administrators UFCW $212.16
Rate for Payer: Southwest Service Administrators UFCW $157.76
Rate for Payer: TriWest Medicare $37.12
Rate for Payer: TriWest Medicare $49.92
Rate for Payer: United Healthcare Commercial $132.70
Rate for Payer: United Healthcare Commercial $178.46
Rate for Payer: United Healthcare Medicare $37.12
Rate for Payer: United Healthcare Medicare $49.92
Rate for Payer: Veterans Affairs TRICARE $49.42
Rate for Payer: Veterans Affairs TRICARE $36.75
Service Code CPT 86376
Hospital Charge Code 1285786
Hospital Revenue Code 302
Min. Negotiated Rate $280.80
Max. Negotiated Rate $280.80
Rate for Payer: Aetna of AZ Commercial $280.80
Rate for Payer: Aetna of AZ Commercial $208.80
Rate for Payer: Cash Price $249.60
Rate for Payer: Cash Price $185.60
Service Code CPT 84445
Hospital Charge Code 6780901
Hospital Revenue Code 301
Min. Negotiated Rate $73.75
Max. Negotiated Rate $540.00
Rate for Payer: Aetna of AZ Commercial $540.00
Rate for Payer: Arizona Complete Health Allwell $96.00
Rate for Payer: Banner UC Health Medicare $96.00
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $408.00
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $96.00
Rate for Payer: Care1st Health Plan Arizona Medicare $96.00
Rate for Payer: Cash Price $480.00
Rate for Payer: Cash Price $480.00
Rate for Payer: Cigna of AZ Commercial $390.00
Rate for Payer: Devoted Health Medicare $108.00
Rate for Payer: Humana of AZ Medicare $96.00
Rate for Payer: Seven Corners Travel Insurance $73.75
Rate for Payer: Southwest Service Administrators UFCW $408.00
Rate for Payer: TriWest Medicare $96.00
Rate for Payer: United Healthcare Commercial $343.20
Rate for Payer: United Healthcare Medicare $96.00
Rate for Payer: Veterans Affairs TRICARE $95.04
Service Code CPT 84445
Hospital Charge Code 6780901
Hospital Revenue Code 301
Min. Negotiated Rate $540.00
Max. Negotiated Rate $540.00
Rate for Payer: Aetna of AZ Commercial $540.00
Rate for Payer: Cash Price $480.00
Service Code CPT 84443
Hospital Charge Code 633844
Hospital Revenue Code 301
Min. Negotiated Rate $24.36
Max. Negotiated Rate $290.70
Rate for Payer: Aetna of AZ Commercial $290.70
Rate for Payer: Aetna of AZ Commercial $207.90
Rate for Payer: Arizona Complete Health Allwell $36.96
Rate for Payer: Arizona Complete Health Allwell $51.68
Rate for Payer: Banner UC Health Medicare $36.96
Rate for Payer: Banner UC Health Medicare $51.68
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $219.64
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $157.08
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $36.96
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $51.68
Rate for Payer: Care1st Health Plan Arizona Medicare $36.96
Rate for Payer: Care1st Health Plan Arizona Medicare $51.68
Rate for Payer: Cash Price $258.40
Rate for Payer: Cash Price $184.80
Rate for Payer: Cash Price $258.40
Rate for Payer: Cash Price $184.80
Rate for Payer: Cigna of AZ Commercial $209.95
Rate for Payer: Cigna of AZ Commercial $150.15
Rate for Payer: Devoted Health Medicare $58.14
Rate for Payer: Devoted Health Medicare $41.58
Rate for Payer: Humana of AZ Medicare $36.96
Rate for Payer: Humana of AZ Medicare $51.68
Rate for Payer: Seven Corners Travel Insurance $24.36
Rate for Payer: Seven Corners Travel Insurance $24.36
Rate for Payer: Southwest Service Administrators UFCW $157.08
Rate for Payer: Southwest Service Administrators UFCW $219.64
Rate for Payer: TriWest Medicare $36.96
Rate for Payer: TriWest Medicare $51.68
Rate for Payer: United Healthcare Commercial $184.76
Rate for Payer: United Healthcare Commercial $132.13
Rate for Payer: United Healthcare Medicare $36.96
Rate for Payer: United Healthcare Medicare $51.68
Rate for Payer: Veterans Affairs TRICARE $51.16
Rate for Payer: Veterans Affairs TRICARE $36.59
Service Code CPT 84443
Hospital Charge Code 633844
Hospital Revenue Code 301
Min. Negotiated Rate $207.90
Max. Negotiated Rate $207.90
Rate for Payer: Aetna of AZ Commercial $207.90
Rate for Payer: Aetna of AZ Commercial $290.70
Rate for Payer: Cash Price $184.80
Rate for Payer: Cash Price $258.40
Service Code CPT 84445
Hospital Charge Code 22491211
Hospital Revenue Code 301
Min. Negotiated Rate $578.70
Max. Negotiated Rate $578.70
Rate for Payer: Aetna of AZ Commercial $578.70
Rate for Payer: Cash Price $514.40
Service Code CPT 84445
Hospital Charge Code 22491211
Hospital Revenue Code 301
Min. Negotiated Rate $73.75
Max. Negotiated Rate $578.70
Rate for Payer: Aetna of AZ Commercial $578.70
Rate for Payer: Arizona Complete Health Allwell $102.88
Rate for Payer: Banner UC Health Medicare $102.88
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $437.24
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $102.88
Rate for Payer: Care1st Health Plan Arizona Medicare $102.88
Rate for Payer: Cash Price $514.40
Rate for Payer: Cash Price $514.40
Rate for Payer: Cigna of AZ Commercial $417.95
Rate for Payer: Devoted Health Medicare $115.74
Rate for Payer: Humana of AZ Medicare $102.88
Rate for Payer: Seven Corners Travel Insurance $73.75
Rate for Payer: Southwest Service Administrators UFCW $437.24
Rate for Payer: TriWest Medicare $102.88
Rate for Payer: United Healthcare Commercial $367.80
Rate for Payer: United Healthcare Medicare $102.88
Rate for Payer: Veterans Affairs TRICARE $101.85
Service Code CPT 83519
Hospital Charge Code 2087655
Hospital Revenue Code 301
Min. Negotiated Rate $334.80
Max. Negotiated Rate $334.80
Rate for Payer: Aetna of AZ Commercial $334.80
Rate for Payer: Cash Price $297.60
Service Code CPT 83519
Hospital Charge Code 2087655
Hospital Revenue Code 301
Min. Negotiated Rate $26.68
Max. Negotiated Rate $334.80
Rate for Payer: Aetna of AZ Commercial $334.80
Rate for Payer: Arizona Complete Health Allwell $59.52
Rate for Payer: Banner UC Health Medicare $59.52
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $252.96
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $59.52
Rate for Payer: Care1st Health Plan Arizona Medicare $59.52
Rate for Payer: Cash Price $297.60
Rate for Payer: Cash Price $297.60
Rate for Payer: Cigna of AZ Commercial $241.80
Rate for Payer: Devoted Health Medicare $66.96
Rate for Payer: Humana of AZ Medicare $59.52
Rate for Payer: Seven Corners Travel Insurance $26.68
Rate for Payer: Southwest Service Administrators UFCW $252.96
Rate for Payer: TriWest Medicare $59.52
Rate for Payer: United Healthcare Commercial $212.78
Rate for Payer: United Healthcare Medicare $59.52
Rate for Payer: Veterans Affairs TRICARE $58.92
Service Code CPT 84442
Hospital Charge Code 6738642
Hospital Revenue Code 301
Min. Negotiated Rate $90.00
Max. Negotiated Rate $90.00
Rate for Payer: Aetna of AZ Commercial $90.00
Rate for Payer: Cash Price $80.00
Service Code CPT 84442
Hospital Charge Code 6738642
Hospital Revenue Code 301
Min. Negotiated Rate $15.84
Max. Negotiated Rate $90.00
Rate for Payer: Aetna of AZ Commercial $90.00
Rate for Payer: Arizona Complete Health Allwell $16.00
Rate for Payer: Banner UC Health Medicare $16.00
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $68.00
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $16.00
Rate for Payer: Care1st Health Plan Arizona Medicare $16.00
Rate for Payer: Cash Price $80.00
Rate for Payer: Cash Price $80.00
Rate for Payer: Cigna of AZ Commercial $65.00
Rate for Payer: Devoted Health Medicare $18.00
Rate for Payer: Humana of AZ Medicare $16.00
Rate for Payer: Seven Corners Travel Insurance $21.43
Rate for Payer: Southwest Service Administrators UFCW $68.00
Rate for Payer: TriWest Medicare $16.00
Rate for Payer: United Healthcare Commercial $57.20
Rate for Payer: United Healthcare Medicare $16.00
Rate for Payer: Veterans Affairs TRICARE $15.84
Service Code CPT 84442
Hospital Charge Code 22949892
Hospital Revenue Code 301
Min. Negotiated Rate $15.84
Max. Negotiated Rate $90.00
Rate for Payer: Aetna of AZ Commercial $90.00
Rate for Payer: Arizona Complete Health Allwell $16.00
Rate for Payer: Banner UC Health Medicare $16.00
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial $68.00
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare $16.00
Rate for Payer: Care1st Health Plan Arizona Medicare $16.00
Rate for Payer: Cash Price $80.00
Rate for Payer: Cash Price $80.00
Rate for Payer: Cigna of AZ Commercial $65.00
Rate for Payer: Devoted Health Medicare $18.00
Rate for Payer: Humana of AZ Medicare $16.00
Rate for Payer: Seven Corners Travel Insurance $21.43
Rate for Payer: Southwest Service Administrators UFCW $68.00
Rate for Payer: TriWest Medicare $16.00
Rate for Payer: United Healthcare Commercial $57.20
Rate for Payer: United Healthcare Medicare $16.00
Rate for Payer: Veterans Affairs TRICARE $15.84