Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Urethral And Transurethral Procedures

Facility

IP

$11,218.19

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG4461
Min. Negotiated Rate	$11,218.19
Max. Negotiated Rate	$11,218.19
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,218.19
Rate for Payer: Mercy Care Medicaid	$11,218.19
Rate for Payer: NaphCare Correctional Healthcare	$11,218.19

Urethral And Transurethral Procedures

Facility

IP

$20,260.64

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$20,260.64
Max. Negotiated Rate	$20,260.64
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,260.64
Rate for Payer: Mercy Care Medicaid	$20,260.64
Rate for Payer: NaphCare Correctional Healthcare	$20,260.64

Urethral And Transurethral Procedures

Facility

IP

$5,397.97

Service Code	APR-DRG 4461
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$5,397.97
Max. Negotiated Rate	$5,397.97
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,397.97
Rate for Payer: Mercy Care Medicaid	$5,397.97
Rate for Payer: NaphCare Correctional Healthcare	$5,397.97

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21
Rate for Payer: NaphCare Correctional Healthcare	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$6,668.21

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG4463
Min. Negotiated Rate	$6,668.21
Max. Negotiated Rate	$6,668.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,668.21
Rate for Payer: Mercy Care Medicaid	$6,668.21
Rate for Payer: NaphCare Correctional Healthcare	$6,668.21

Urethral And Transurethral Procedures

Facility

IP

$11,218.19

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG4464
Min. Negotiated Rate	$11,218.19
Max. Negotiated Rate	$11,218.19
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,218.19
Rate for Payer: Mercy Care Medicaid	$11,218.19
Rate for Payer: NaphCare Correctional Healthcare	$11,218.19

Urethral caruncle excision

Facility

IP

$1,019.00

Service Code	CPT 53265
Hospital Charge Code	27291801
Hospital Revenue Code	360
Min. Negotiated Rate	$917.10
Max. Negotiated Rate	$917.10
Rate for Payer: Aetna of AZ Commercial	$917.10
Rate for Payer: Cash Price	$815.20

Urethral caruncle excision

Facility

OP

$1,019.00

Service Code	CPT 53265
Hospital Charge Code	27291801
Hospital Revenue Code	360
Min. Negotiated Rate	$41.15
Max. Negotiated Rate	$4,169.00
Rate for Payer: Aetna of AZ Commercial	$917.10
Rate for Payer: Arizona Complete Health Allwell	$163.04
Rate for Payer: Banner UC Health Medicare	$690.65
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$692.92
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$41.15
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$163.04
Rate for Payer: Care1st Health Plan Arizona Medicare	$163.04
Rate for Payer: Cash Price	$815.20
Rate for Payer: Cash Price	$815.20
Rate for Payer: Cash Price	$815.20
Rate for Payer: Cigna of AZ Commercial	$509.50
Rate for Payer: Devoted Health Medicare	$183.42
Rate for Payer: Humana of AZ Medicare	$163.04
Rate for Payer: Mercy Care Medicaid	$41.15
Rate for Payer: NaphCare Correctional Healthcare	$690.65
Rate for Payer: Seven Corners Travel Insurance	$3,234.38
Rate for Payer: Southwest Service Administrators UFCW	$692.92
Rate for Payer: TriWest Medicare	$163.04
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$163.04
Rate for Payer: Veterans Affairs TRICARE	$161.41

Urethral diverticulum excision

Facility

IP

$3,302.00

Service Code	CPT 53230
Hospital Charge Code	27332470
Hospital Revenue Code	360
Min. Negotiated Rate	$2,971.80
Max. Negotiated Rate	$2,971.80
Rate for Payer: Aetna of AZ Commercial	$2,971.80
Rate for Payer: Cash Price	$2,641.60

Urethral diverticulum excision

Facility

OP

$3,302.00

Service Code	CPT 53230
Hospital Charge Code	27332470
Hospital Revenue Code	360
Min. Negotiated Rate	$523.04
Max. Negotiated Rate	$8,296.15
Rate for Payer: Aetna of AZ Commercial	$2,971.80
Rate for Payer: Arizona Complete Health Allwell	$528.32
Rate for Payer: Banner UC Health Medicare	$1,977.90
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$2,245.36
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$528.32
Rate for Payer: Care1st Health Plan Arizona Medicare	$528.32
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Cash Price	$2,641.60
Rate for Payer: Cigna of AZ Commercial	$1,651.00
Rate for Payer: Devoted Health Medicare	$594.36
Rate for Payer: Humana of AZ Medicare	$528.32
Rate for Payer: NaphCare Correctional Healthcare	$1,977.90
Rate for Payer: Seven Corners Travel Insurance	$8,296.15
Rate for Payer: Southwest Service Administrators UFCW	$2,245.36
Rate for Payer: TriWest Medicare	$528.32
Rate for Payer: United Healthcare Commercial	$4,838.00
Rate for Payer: United Healthcare Medicare	$528.32
Rate for Payer: Veterans Affairs TRICARE	$523.04

Urethral Polyp excision

Facility

IP

$982.00

Service Code	CPT 53260
Hospital Charge Code	27267825
Hospital Revenue Code	360
Min. Negotiated Rate	$883.80
Max. Negotiated Rate	$883.80
Rate for Payer: Aetna of AZ Commercial	$883.80
Rate for Payer: Cash Price	$785.60

Urethral Polyp excision

Facility

OP

$982.00

Service Code	CPT 53260
Hospital Charge Code	27267825
Hospital Revenue Code	360
Min. Negotiated Rate	$27.20
Max. Negotiated Rate	$5,454.10
Rate for Payer: Aetna of AZ Commercial	$883.80
Rate for Payer: Arizona Complete Health Allwell	$157.12
Rate for Payer: Banner UC Health Medicare	$1,171.31
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$667.76
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$27.20
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$157.12
Rate for Payer: Care1st Health Plan Arizona Medicare	$157.12
Rate for Payer: Cash Price	$785.60
Rate for Payer: Cash Price	$785.60
Rate for Payer: Cash Price	$785.60
Rate for Payer: Cigna of AZ Commercial	$491.00
Rate for Payer: Devoted Health Medicare	$176.76
Rate for Payer: Humana of AZ Medicare	$157.12
Rate for Payer: Mercy Care Medicaid	$27.20
Rate for Payer: NaphCare Correctional Healthcare	$1,171.31
Rate for Payer: Seven Corners Travel Insurance	$5,454.10
Rate for Payer: Southwest Service Administrators UFCW	$667.76
Rate for Payer: TriWest Medicare	$157.12
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$157.12
Rate for Payer: Veterans Affairs TRICARE	$155.55

Urethral Presasure Profile (UPP)

Facility

IP

$1,979.00

Service Code	CPT 51727
Hospital Charge Code	27281883
Hospital Revenue Code	360
Min. Negotiated Rate	$1,781.10
Max. Negotiated Rate	$1,781.10
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Cash Price	$1,583.20

Urethral Presasure Profile (UPP)

Facility

OP

$1,979.00

Service Code	CPT 51727
Hospital Charge Code	27281883
Hospital Revenue Code	360
Min. Negotiated Rate	$123.42
Max. Negotiated Rate	$3,098.00
Rate for Payer: Aetna of AZ Commercial	$1,781.10
Rate for Payer: Arizona Complete Health Allwell	$316.64
Rate for Payer: Banner UC Health Medicare	$123.42
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$1,345.72
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$316.64
Rate for Payer: Care1st Health Plan Arizona Medicare	$316.64
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cigna of AZ Commercial	$989.50
Rate for Payer: Devoted Health Medicare	$356.22
Rate for Payer: Humana of AZ Medicare	$316.64
Rate for Payer: NaphCare Correctional Healthcare	$123.42
Rate for Payer: Seven Corners Travel Insurance	$1,078.90
Rate for Payer: Southwest Service Administrators UFCW	$1,345.72
Rate for Payer: TriWest Medicare	$316.64
Rate for Payer: United Healthcare Commercial	$3,098.00
Rate for Payer: United Healthcare Medicare	$316.64
Rate for Payer: Veterans Affairs TRICARE	$313.47

URETHRAL PROCEDURES WITH CC/MCC

Facility

IP

$23,198.83

Service Code	MSDRG 671
Min. Negotiated Rate	$23,198.83
Max. Negotiated Rate	$23,198.83
Rate for Payer: Seven Corners Travel Insurance	$23,198.83

URETHRAL PROCEDURES WITHOUT CC/MCC

Facility

IP

$14,033.98

Service Code	MSDRG 672
Min. Negotiated Rate	$14,033.98
Max. Negotiated Rate	$14,033.98
Rate for Payer: Seven Corners Travel Insurance	$14,033.98

Urethral Prolapse excision

Facility

OP

$1,423.00

Service Code	CPT 53275
Hospital Charge Code	27267826
Hospital Revenue Code	360
Min. Negotiated Rate	$225.40
Max. Negotiated Rate	$5,454.10
Rate for Payer: Aetna of AZ Commercial	$1,280.70
Rate for Payer: Arizona Complete Health Allwell	$227.68
Rate for Payer: Banner UC Health Medicare	$1,171.31
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$967.64
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$227.68
Rate for Payer: Care1st Health Plan Arizona Medicare	$227.68
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Cash Price	$1,138.40
Rate for Payer: Cigna of AZ Commercial	$711.50
Rate for Payer: Devoted Health Medicare	$256.14
Rate for Payer: Humana of AZ Medicare	$227.68
Rate for Payer: NaphCare Correctional Healthcare	$1,171.31
Rate for Payer: Seven Corners Travel Insurance	$5,454.10
Rate for Payer: Southwest Service Administrators UFCW	$967.64
Rate for Payer: TriWest Medicare	$227.68
Rate for Payer: United Healthcare Commercial	$4,169.00
Rate for Payer: United Healthcare Medicare	$227.68
Rate for Payer: Veterans Affairs TRICARE	$225.40

Urethral Prolapse excision

Facility

IP

$1,423.00

Service Code	CPT 53275
Hospital Charge Code	27267826
Hospital Revenue Code	360
Min. Negotiated Rate	$1,280.70
Max. Negotiated Rate	$1,280.70
Rate for Payer: Aetna of AZ Commercial	$1,280.70
Rate for Payer: Cash Price	$1,138.40

URETHRAL STRICTURE

Facility

IP

$14,012.44

Service Code	MSDRG 697
Min. Negotiated Rate	$14,012.44
Max. Negotiated Rate	$14,012.44
Rate for Payer: Seven Corners Travel Insurance	$14,012.44

Urethrovaginal Fistual closure

Facility

OP

$885.00

Service Code	CPT 57310
Hospital Charge Code	27267835
Hospital Revenue Code	360
Min. Negotiated Rate	$140.18
Max. Negotiated Rate	$11,473.68
Rate for Payer: Aetna of AZ Commercial	$796.50
Rate for Payer: Arizona Complete Health Allwell	$141.60
Rate for Payer: Banner UC Health Medicare	$2,542.43
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$601.80
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$141.60
Rate for Payer: Care1st Health Plan Arizona Medicare	$141.60
Rate for Payer: Cash Price	$708.00
Rate for Payer: Cash Price	$708.00
Rate for Payer: Cash Price	$708.00
Rate for Payer: Cigna of AZ Commercial	$442.50
Rate for Payer: Devoted Health Medicare	$159.30
Rate for Payer: Humana of AZ Medicare	$141.60
Rate for Payer: NaphCare Correctional Healthcare	$2,542.43
Rate for Payer: Seven Corners Travel Insurance	$11,473.68
Rate for Payer: Southwest Service Administrators UFCW	$601.80
Rate for Payer: TriWest Medicare	$141.60
Rate for Payer: United Healthcare Commercial	$5,611.00
Rate for Payer: United Healthcare Medicare	$141.60
Rate for Payer: Veterans Affairs TRICARE	$140.18

Urethrovaginal Fistual closure

Facility

IP

$885.00

Service Code	CPT 57310
Hospital Charge Code	27267835
Hospital Revenue Code	360
Min. Negotiated Rate	$796.50
Max. Negotiated Rate	$796.50
Rate for Payer: Aetna of AZ Commercial	$796.50
Rate for Payer: Cash Price	$708.00

Uric Acid

Facility

OP

$110.00

Service Code	CPT 84550
Hospital Charge Code	633858
Hospital Revenue Code	301
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna of AZ Commercial	$99.00
Rate for Payer: Aetna of AZ Commercial	$68.40
Rate for Payer: Arizona Complete Health Allwell	$12.16
Rate for Payer: Arizona Complete Health Allwell	$17.60
Rate for Payer: Banner UC Health Medicare	$12.16
Rate for Payer: Banner UC Health Medicare	$17.60
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$74.80
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$51.68
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$17.60
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$12.16
Rate for Payer: Care1st Health Plan Arizona Medicare	$17.60
Rate for Payer: Care1st Health Plan Arizona Medicare	$12.16
Rate for Payer: Cash Price	$88.00
Rate for Payer: Cash Price	$60.80
Rate for Payer: Cash Price	$88.00
Rate for Payer: Cash Price	$60.80
Rate for Payer: Cigna of AZ Commercial	$49.40
Rate for Payer: Cigna of AZ Commercial	$71.50
Rate for Payer: Devoted Health Medicare	$13.68
Rate for Payer: Devoted Health Medicare	$19.80
Rate for Payer: Humana of AZ Medicare	$17.60
Rate for Payer: Humana of AZ Medicare	$12.16
Rate for Payer: Seven Corners Travel Insurance	$6.55
Rate for Payer: Seven Corners Travel Insurance	$6.55
Rate for Payer: Southwest Service Administrators UFCW	$51.68
Rate for Payer: Southwest Service Administrators UFCW	$74.80
Rate for Payer: TriWest Medicare	$17.60
Rate for Payer: TriWest Medicare	$12.16
Rate for Payer: United Healthcare Commercial	$62.92
Rate for Payer: United Healthcare Commercial	$43.47
Rate for Payer: United Healthcare Medicare	$17.60
Rate for Payer: United Healthcare Medicare	$12.16
Rate for Payer: Veterans Affairs TRICARE	$12.04
Rate for Payer: Veterans Affairs TRICARE	$17.42

Uric Acid

Facility

IP

$76.00

Service Code	CPT 84550
Hospital Charge Code	633858
Hospital Revenue Code	301
Min. Negotiated Rate	$68.40
Max. Negotiated Rate	$68.40
Rate for Payer: Aetna of AZ Commercial	$68.40
Rate for Payer: Aetna of AZ Commercial	$99.00
Rate for Payer: Cash Price	$60.80
Rate for Payer: Cash Price	$88.00

Uric Acid, 24 hr Urine LC

Facility

IP

$61.00

Service Code	CPT 84560
Hospital Charge Code	1905864
Hospital Revenue Code	301
Min. Negotiated Rate	$54.90
Max. Negotiated Rate	$54.90
Rate for Payer: Aetna of AZ Commercial	$54.90
Rate for Payer: Cash Price	$48.80

Uric Acid, 24 hr Urine LC

Facility

OP

$61.00

Service Code	CPT 84560
Hospital Charge Code	1905864
Hospital Revenue Code	301
Min. Negotiated Rate	$7.37
Max. Negotiated Rate	$54.90
Rate for Payer: Aetna of AZ Commercial	$54.90
Rate for Payer: Arizona Complete Health Allwell	$9.76
Rate for Payer: Banner UC Health Medicare	$9.76
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$41.48
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$9.76
Rate for Payer: Care1st Health Plan Arizona Medicare	$9.76
Rate for Payer: Cash Price	$48.80
Rate for Payer: Cash Price	$48.80
Rate for Payer: Cigna of AZ Commercial	$39.65
Rate for Payer: Devoted Health Medicare	$10.98
Rate for Payer: Humana of AZ Medicare	$9.76
Rate for Payer: Seven Corners Travel Insurance	$7.37
Rate for Payer: Southwest Service Administrators UFCW	$41.48
Rate for Payer: TriWest Medicare	$9.76
Rate for Payer: United Healthcare Commercial	$34.89
Rate for Payer: United Healthcare Medicare	$9.76
Rate for Payer: Veterans Affairs TRICARE	$9.66

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