Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

ANESTHESIA SET

Facility

OP

$19.00

Hospital Charge Code	22355691
Hospital Revenue Code	270
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$17.10
Rate for Payer: Aetna of AZ Commercial	$17.10
Rate for Payer: Aetna of AZ Medicare	$5.32
Rate for Payer: Allwell Medicare	$2.85
Rate for Payer: Amerigroup Medicare	$2.85
Rate for Payer: APIPA Medicare/Medicaid	$7.10
Rate for Payer: AZCH Complete Medicare	$2.85
Rate for Payer: Banner UC Health Medicare	$2.85
Rate for Payer: Bisbee Police All Plans	$4.94
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$12.92
Rate for Payer: Cash Price	$15.20
Rate for Payer: Cigna of AZ Commercial	$13.30
Rate for Payer: Copperpoint Commercial	$4.70
Rate for Payer: Health Net of AZ Commercial	$11.40
Rate for Payer: Health Net of AZ Medicare	$5.32
Rate for Payer: Humana of AZ Medicare	$2.85
Rate for Payer: Self Pay Self Pay	$15.20
Rate for Payer: TriWest Medicare	$2.85
Rate for Payer: UnitedHealth Group of AZ Commercial	$11.08
Rate for Payer: UnitedHealth Group of AZ Medicare	$3.42

ANES TUBAL LIGATION TRANSECTION BASE

Facility

OP

$591.00

Service Code	CPT 00851
Hospital Charge Code	3015527
Hospital Revenue Code	370
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$531.90
Rate for Payer: Aetna of AZ Commercial	$531.90
Rate for Payer: Aetna of AZ Medicare	$165.48
Rate for Payer: AHCCCS Medicaid	$0.13
Rate for Payer: Allwell Medicaid	$0.13
Rate for Payer: Allwell Medicare	$88.65
Rate for Payer: Amerigroup Medicare	$88.65
Rate for Payer: APIPA Medicare/Medicaid	$220.74
Rate for Payer: AZCH Complete Medicaid	$0.13
Rate for Payer: AZCH Complete Medicare	$88.65
Rate for Payer: Banner UC Health Medicaid	$0.13
Rate for Payer: Banner UC Health Medicare	$88.65
Rate for Payer: Bisbee Police All Plans	$153.66
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$401.88
Rate for Payer: Cash Price	$472.80
Rate for Payer: Cash Price	$472.80
Rate for Payer: Cigna of AZ Commercial	$384.15
Rate for Payer: Copperpoint Commercial	$146.27
Rate for Payer: Health Net of AZ Commercial	$354.60
Rate for Payer: Health Net of AZ Medicare	$165.48
Rate for Payer: Humana of AZ Medicare	$88.65
Rate for Payer: Mercy Care Medicaid	$0.13
Rate for Payer: Self Pay Self Pay	$472.80
Rate for Payer: TriWest Medicare	$88.65
Rate for Payer: UnitedHealth Group of AZ Commercial	$344.55
Rate for Payer: UnitedHealth Group of AZ Medicare	$106.38

ANES TUBAL LIGATION TRANSECTION BASE

Facility

IP

$591.00

Service Code	CPT 00851
Hospital Charge Code	3015527
Hospital Revenue Code	370
Min. Negotiated Rate	$153.66
Max. Negotiated Rate	$531.90
Rate for Payer: Aetna of AZ Commercial	$531.90
Rate for Payer: Bisbee Police All Plans	$153.66
Rate for Payer: Cash Price	$472.80
Rate for Payer: Self Pay Self Pay	$472.80

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$5,420.42

Service Code	APR-DRG 1983
Hospital Charge Code	APRDRG1984
Min. Negotiated Rate	$5,420.42
Max. Negotiated Rate	$5,420.42
Rate for Payer: AHCCCS Medicaid	$5,420.42
Rate for Payer: Allwell Medicaid	$5,420.42
Rate for Payer: AZCH Complete Medicaid	$5,420.42
Rate for Payer: Banner UC Health Medicaid	$5,420.42
Rate for Payer: Mercy Care Medicaid	$5,420.42

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$10,514.69

Service Code	APR-DRG 1984
Hospital Charge Code	APRDRG1984
Min. Negotiated Rate	$10,514.69
Max. Negotiated Rate	$10,514.69
Rate for Payer: AHCCCS Medicaid	$10,514.69
Rate for Payer: Allwell Medicaid	$10,514.69
Rate for Payer: AZCH Complete Medicaid	$10,514.69
Rate for Payer: Banner UC Health Medicaid	$10,514.69
Rate for Payer: Mercy Care Medicaid	$10,514.69

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$5,420.42

Service Code	APR-DRG 1983
Hospital Charge Code	APRDRG1982
Min. Negotiated Rate	$5,420.42
Max. Negotiated Rate	$5,420.42
Rate for Payer: AHCCCS Medicaid	$5,420.42
Rate for Payer: Allwell Medicaid	$5,420.42
Rate for Payer: AZCH Complete Medicaid	$5,420.42
Rate for Payer: Banner UC Health Medicaid	$5,420.42
Rate for Payer: Mercy Care Medicaid	$5,420.42

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$4,059.70

Service Code	APR-DRG 1982
Hospital Charge Code	APRDRG1981
Min. Negotiated Rate	$4,059.70
Max. Negotiated Rate	$4,059.70
Rate for Payer: AHCCCS Medicaid	$4,059.70
Rate for Payer: Allwell Medicaid	$4,059.70
Rate for Payer: AZCH Complete Medicaid	$4,059.70
Rate for Payer: Banner UC Health Medicaid	$4,059.70
Rate for Payer: Mercy Care Medicaid	$4,059.70

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$3,483.85

Service Code	APR-DRG 1981
Hospital Charge Code	APRDRG1981
Min. Negotiated Rate	$3,483.85
Max. Negotiated Rate	$3,483.85
Rate for Payer: AHCCCS Medicaid	$3,483.85
Rate for Payer: Allwell Medicaid	$3,483.85
Rate for Payer: AZCH Complete Medicaid	$3,483.85
Rate for Payer: Banner UC Health Medicaid	$3,483.85
Rate for Payer: Mercy Care Medicaid	$3,483.85

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$5,420.42

Service Code	APR-DRG 1983
Hospital Charge Code	APRDRG1983
Min. Negotiated Rate	$5,420.42
Max. Negotiated Rate	$5,420.42
Rate for Payer: AHCCCS Medicaid	$5,420.42
Rate for Payer: Allwell Medicaid	$5,420.42
Rate for Payer: AZCH Complete Medicaid	$5,420.42
Rate for Payer: Banner UC Health Medicaid	$5,420.42
Rate for Payer: Mercy Care Medicaid	$5,420.42

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$3,483.85

Service Code	APR-DRG 1981
Hospital Charge Code	APRDRG1982
Min. Negotiated Rate	$3,483.85
Max. Negotiated Rate	$3,483.85
Rate for Payer: AHCCCS Medicaid	$3,483.85
Rate for Payer: Allwell Medicaid	$3,483.85
Rate for Payer: AZCH Complete Medicaid	$3,483.85
Rate for Payer: Banner UC Health Medicaid	$3,483.85
Rate for Payer: Mercy Care Medicaid	$3,483.85

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$4,059.70

Service Code	APR-DRG 1982
Hospital Charge Code	APRDRG1982
Min. Negotiated Rate	$4,059.70
Max. Negotiated Rate	$4,059.70
Rate for Payer: AHCCCS Medicaid	$4,059.70
Rate for Payer: Allwell Medicaid	$4,059.70
Rate for Payer: AZCH Complete Medicaid	$4,059.70
Rate for Payer: Banner UC Health Medicaid	$4,059.70
Rate for Payer: Mercy Care Medicaid	$4,059.70

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$10,514.69

Service Code	APR-DRG 1984
Hospital Charge Code	APRDRG1982
Min. Negotiated Rate	$10,514.69
Max. Negotiated Rate	$10,514.69
Rate for Payer: AHCCCS Medicaid	$10,514.69
Rate for Payer: Allwell Medicaid	$10,514.69
Rate for Payer: AZCH Complete Medicaid	$10,514.69
Rate for Payer: Banner UC Health Medicaid	$10,514.69
Rate for Payer: Mercy Care Medicaid	$10,514.69

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$10,514.69

Service Code	APR-DRG 1984
Hospital Charge Code	APRDRG1983
Min. Negotiated Rate	$10,514.69
Max. Negotiated Rate	$10,514.69
Rate for Payer: AHCCCS Medicaid	$10,514.69
Rate for Payer: Allwell Medicaid	$10,514.69
Rate for Payer: AZCH Complete Medicaid	$10,514.69
Rate for Payer: Banner UC Health Medicaid	$10,514.69
Rate for Payer: Mercy Care Medicaid	$10,514.69

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$5,420.42

Service Code	APR-DRG 1983
Hospital Charge Code	APRDRG1981
Min. Negotiated Rate	$5,420.42
Max. Negotiated Rate	$5,420.42
Rate for Payer: AHCCCS Medicaid	$5,420.42
Rate for Payer: Allwell Medicaid	$5,420.42
Rate for Payer: AZCH Complete Medicaid	$5,420.42
Rate for Payer: Banner UC Health Medicaid	$5,420.42
Rate for Payer: Mercy Care Medicaid	$5,420.42

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$3,483.85

Service Code	APR-DRG 1981
Hospital Charge Code	APRDRG1984
Min. Negotiated Rate	$3,483.85
Max. Negotiated Rate	$3,483.85
Rate for Payer: AHCCCS Medicaid	$3,483.85
Rate for Payer: Allwell Medicaid	$3,483.85
Rate for Payer: AZCH Complete Medicaid	$3,483.85
Rate for Payer: Banner UC Health Medicaid	$3,483.85
Rate for Payer: Mercy Care Medicaid	$3,483.85

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$3,483.85

Service Code	APR-DRG 1981
Hospital Charge Code	APRDRG1983
Min. Negotiated Rate	$3,483.85
Max. Negotiated Rate	$3,483.85
Rate for Payer: AHCCCS Medicaid	$3,483.85
Rate for Payer: Allwell Medicaid	$3,483.85
Rate for Payer: AZCH Complete Medicaid	$3,483.85
Rate for Payer: Banner UC Health Medicaid	$3,483.85
Rate for Payer: Mercy Care Medicaid	$3,483.85

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$10,514.69

Service Code	APR-DRG 1984
Hospital Charge Code	APRDRG1981
Min. Negotiated Rate	$10,514.69
Max. Negotiated Rate	$10,514.69
Rate for Payer: AHCCCS Medicaid	$10,514.69
Rate for Payer: Allwell Medicaid	$10,514.69
Rate for Payer: AZCH Complete Medicaid	$10,514.69
Rate for Payer: Banner UC Health Medicaid	$10,514.69
Rate for Payer: Mercy Care Medicaid	$10,514.69

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$4,059.70

Service Code	APR-DRG 1982
Hospital Charge Code	APRDRG1983
Min. Negotiated Rate	$4,059.70
Max. Negotiated Rate	$4,059.70
Rate for Payer: AHCCCS Medicaid	$4,059.70
Rate for Payer: Allwell Medicaid	$4,059.70
Rate for Payer: AZCH Complete Medicaid	$4,059.70
Rate for Payer: Banner UC Health Medicaid	$4,059.70
Rate for Payer: Mercy Care Medicaid	$4,059.70

Angina Pectoris And Coronary Atherosclerosis

Facility

IP

$4,059.70

Service Code	APR-DRG 1982
Hospital Charge Code	APRDRG1984
Min. Negotiated Rate	$4,059.70
Max. Negotiated Rate	$4,059.70
Rate for Payer: AHCCCS Medicaid	$4,059.70
Rate for Payer: Allwell Medicaid	$4,059.70
Rate for Payer: AZCH Complete Medicaid	$4,059.70
Rate for Payer: Banner UC Health Medicaid	$4,059.70
Rate for Payer: Mercy Care Medicaid	$4,059.70

Angiotensin-Converting Enzyme LC

Facility

IP

$284.00

Service Code	CPT 82164
Hospital Charge Code	1905918
Hospital Revenue Code	301
Min. Negotiated Rate	$73.84
Max. Negotiated Rate	$255.60
Rate for Payer: Aetna of AZ Commercial	$255.60
Rate for Payer: Bisbee Police All Plans	$73.84
Rate for Payer: Cash Price	$227.20
Rate for Payer: Self Pay Self Pay	$227.20

Angiotensin-Converting Enzyme LC

Facility

OP

$284.00

Service Code	CPT 82164
Hospital Charge Code	1905918
Hospital Revenue Code	301
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$255.60
Rate for Payer: Aetna of AZ Commercial	$255.60
Rate for Payer: Aetna of AZ Medicare	$79.52
Rate for Payer: AHCCCS Medicaid	$14.60
Rate for Payer: Allwell Medicaid	$14.60
Rate for Payer: Allwell Medicare	$42.60
Rate for Payer: Amerigroup Medicare	$42.60
Rate for Payer: APIPA Medicare/Medicaid	$106.07
Rate for Payer: AZCH Complete Medicaid	$14.60
Rate for Payer: AZCH Complete Medicare	$42.60
Rate for Payer: Banner UC Health Medicaid	$14.60
Rate for Payer: Banner UC Health Medicare	$42.60
Rate for Payer: Bisbee Police All Plans	$73.84
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$193.12
Rate for Payer: Cash Price	$227.20
Rate for Payer: Cash Price	$227.20
Rate for Payer: Cigna of AZ Commercial	$184.60
Rate for Payer: Copperpoint Commercial	$70.29
Rate for Payer: Health Net of AZ Commercial	$170.40
Rate for Payer: Health Net of AZ Medicare	$79.52
Rate for Payer: Humana of AZ Medicare	$42.60
Rate for Payer: Mercy Care Medicaid	$14.60
Rate for Payer: Self Pay Self Pay	$227.20
Rate for Payer: TriWest Medicare	$42.60
Rate for Payer: UnitedHealth Group of AZ Commercial	$165.57
Rate for Payer: UnitedHealth Group of AZ Medicare	$51.12

ANOSCOPY

Facility

IP

$243.00

Hospital Charge Code	2263852
Hospital Revenue Code	750
Min. Negotiated Rate	$63.18
Max. Negotiated Rate	$218.70
Rate for Payer: Aetna of AZ Commercial	$218.70
Rate for Payer: Bisbee Police All Plans	$63.18
Rate for Payer: Cash Price	$194.40
Rate for Payer: Self Pay Self Pay	$194.40

ANOSCOPY

Facility

OP

$243.00

Hospital Charge Code	2263852
Hospital Revenue Code	750
Min. Negotiated Rate	$36.45
Max. Negotiated Rate	$218.70
Rate for Payer: Aetna of AZ Commercial	$218.70
Rate for Payer: Aetna of AZ Medicare	$68.04
Rate for Payer: Allwell Medicare	$36.45
Rate for Payer: Amerigroup Medicare	$36.45
Rate for Payer: APIPA Medicare/Medicaid	$90.76
Rate for Payer: AZCH Complete Medicare	$36.45
Rate for Payer: Banner UC Health Medicare	$36.45
Rate for Payer: Bisbee Police All Plans	$63.18
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$165.24
Rate for Payer: Cash Price	$194.40
Rate for Payer: Cigna of AZ Commercial	$170.10
Rate for Payer: Copperpoint Commercial	$60.14
Rate for Payer: Health Net of AZ Commercial	$145.80
Rate for Payer: Health Net of AZ Medicare	$68.04
Rate for Payer: Humana of AZ Medicare	$36.45
Rate for Payer: Self Pay Self Pay	$194.40
Rate for Payer: TriWest Medicare	$36.45
Rate for Payer: UnitedHealth Group of AZ Commercial	$141.67
Rate for Payer: UnitedHealth Group of AZ Medicare	$43.74

Anoxic And Other Severe Brain Damage

Facility

IP

$15,379.60

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$15,379.60
Max. Negotiated Rate	$15,379.60
Rate for Payer: AHCCCS Medicaid	$15,379.60
Rate for Payer: Allwell Medicaid	$15,379.60
Rate for Payer: AZCH Complete Medicaid	$15,379.60
Rate for Payer: Banner UC Health Medicaid	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60

Anoxic And Other Severe Brain Damage

Facility

IP

$6,748.87

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$6,748.87
Rate for Payer: AHCCCS Medicaid	$6,748.87
Rate for Payer: Allwell Medicaid	$6,748.87
Rate for Payer: AZCH Complete Medicaid	$6,748.87
Rate for Payer: Banner UC Health Medicaid	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87

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