Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5471
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$9,132.93

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$9,132.93
Max. Negotiated Rate	$9,132.93
Rate for Payer: AHCCCS Medicaid	$9,132.93
Rate for Payer: Allwell Medicaid	$9,132.93
Rate for Payer: AZCH Complete Medicaid	$9,132.93
Rate for Payer: Banner UC Health Medicaid	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum Without O.R. Procedure

Facility

IP

$2,480.15

Service Code	APR-DRG 5662
Hospital Charge Code	APRDRG5663
Min. Negotiated Rate	$2,480.15
Max. Negotiated Rate	$2,480.15
Rate for Payer: AHCCCS Medicaid	$2,480.15
Rate for Payer: Allwell Medicaid	$2,480.15
Rate for Payer: AZCH Complete Medicaid	$2,480.15
Rate for Payer: Banner UC Health Medicaid	$2,480.15
Rate for Payer: Mercy Care Medicaid	$2,480.15

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Antepartum Without O.R. Procedure

Facility

IP

$1,894.48

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG5664
Min. Negotiated Rate	$1,894.48
Max. Negotiated Rate	$1,894.48
Rate for Payer: AHCCCS Medicaid	$1,894.48
Rate for Payer: Allwell Medicaid	$1,894.48
Rate for Payer: AZCH Complete Medicaid	$1,894.48
Rate for Payer: Banner UC Health Medicaid	$1,894.48
Rate for Payer: Mercy Care Medicaid	$1,894.48

Antepartum Without O.R. Procedure

Facility

IP

$2,480.15

Service Code	APR-DRG 5662
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$2,480.15
Max. Negotiated Rate	$2,480.15
Rate for Payer: AHCCCS Medicaid	$2,480.15
Rate for Payer: Allwell Medicaid	$2,480.15
Rate for Payer: AZCH Complete Medicaid	$2,480.15
Rate for Payer: Banner UC Health Medicaid	$2,480.15
Rate for Payer: Mercy Care Medicaid	$2,480.15

Antepartum Without O.R. Procedure

Facility

IP

$2,480.15

Service Code	APR-DRG 5662
Hospital Charge Code	APRDRG5664
Min. Negotiated Rate	$2,480.15
Max. Negotiated Rate	$2,480.15
Rate for Payer: AHCCCS Medicaid	$2,480.15
Rate for Payer: Allwell Medicaid	$2,480.15
Rate for Payer: AZCH Complete Medicaid	$2,480.15
Rate for Payer: Banner UC Health Medicaid	$2,480.15
Rate for Payer: Mercy Care Medicaid	$2,480.15

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5664
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Antepartum Without O.R. Procedure

Facility

IP

$3,676.74

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG5663
Min. Negotiated Rate	$3,676.74
Max. Negotiated Rate	$3,676.74
Rate for Payer: AHCCCS Medicaid	$3,676.74
Rate for Payer: Allwell Medicaid	$3,676.74
Rate for Payer: AZCH Complete Medicaid	$3,676.74
Rate for Payer: Banner UC Health Medicaid	$3,676.74
Rate for Payer: Mercy Care Medicaid	$3,676.74

Antepartum Without O.R. Procedure

Facility

IP

$3,676.74

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG5661
Min. Negotiated Rate	$3,676.74
Max. Negotiated Rate	$3,676.74
Rate for Payer: AHCCCS Medicaid	$3,676.74
Rate for Payer: Allwell Medicaid	$3,676.74
Rate for Payer: AZCH Complete Medicaid	$3,676.74
Rate for Payer: Banner UC Health Medicaid	$3,676.74
Rate for Payer: Mercy Care Medicaid	$3,676.74

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5661
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Antepartum Without O.R. Procedure

Facility

IP

$3,676.74

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$3,676.74
Max. Negotiated Rate	$3,676.74
Rate for Payer: AHCCCS Medicaid	$3,676.74
Rate for Payer: Allwell Medicaid	$3,676.74
Rate for Payer: AZCH Complete Medicaid	$3,676.74
Rate for Payer: Banner UC Health Medicaid	$3,676.74
Rate for Payer: Mercy Care Medicaid	$3,676.74

Antepartum Without O.R. Procedure

Facility

IP

$1,894.48

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG5661
Min. Negotiated Rate	$1,894.48
Max. Negotiated Rate	$1,894.48
Rate for Payer: AHCCCS Medicaid	$1,894.48
Rate for Payer: Allwell Medicaid	$1,894.48
Rate for Payer: AZCH Complete Medicaid	$1,894.48
Rate for Payer: Banner UC Health Medicaid	$1,894.48
Rate for Payer: Mercy Care Medicaid	$1,894.48

Antepartum Without O.R. Procedure

Facility

IP

$1,894.48

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$1,894.48
Max. Negotiated Rate	$1,894.48
Rate for Payer: AHCCCS Medicaid	$1,894.48
Rate for Payer: Allwell Medicaid	$1,894.48
Rate for Payer: AZCH Complete Medicaid	$1,894.48
Rate for Payer: Banner UC Health Medicaid	$1,894.48
Rate for Payer: Mercy Care Medicaid	$1,894.48

Antepartum Without O.R. Procedure

Facility

IP

$2,480.15

Service Code	APR-DRG 5662
Hospital Charge Code	APRDRG5661
Min. Negotiated Rate	$2,480.15
Max. Negotiated Rate	$2,480.15
Rate for Payer: AHCCCS Medicaid	$2,480.15
Rate for Payer: Allwell Medicaid	$2,480.15
Rate for Payer: AZCH Complete Medicaid	$2,480.15
Rate for Payer: Banner UC Health Medicaid	$2,480.15
Rate for Payer: Mercy Care Medicaid	$2,480.15

Antepartum Without O.R. Procedure

Facility

IP

$3,676.74

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG5664
Min. Negotiated Rate	$3,676.74
Max. Negotiated Rate	$3,676.74
Rate for Payer: AHCCCS Medicaid	$3,676.74
Rate for Payer: Allwell Medicaid	$3,676.74
Rate for Payer: AZCH Complete Medicaid	$3,676.74
Rate for Payer: Banner UC Health Medicaid	$3,676.74
Rate for Payer: Mercy Care Medicaid	$3,676.74

Antepartum Without O.R. Procedure

Facility

IP

$1,894.48

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG5663
Min. Negotiated Rate	$1,894.48
Max. Negotiated Rate	$1,894.48
Rate for Payer: AHCCCS Medicaid	$1,894.48
Rate for Payer: Allwell Medicaid	$1,894.48
Rate for Payer: AZCH Complete Medicaid	$1,894.48
Rate for Payer: Banner UC Health Medicaid	$1,894.48
Rate for Payer: Mercy Care Medicaid	$1,894.48

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5663
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Anterior Repair with graft

Facility

IP

$1,305.00

Service Code	CPT 57267
Hospital Charge Code	27267805
Hospital Revenue Code	360
Min. Negotiated Rate	$339.30
Max. Negotiated Rate	$1,174.50
Rate for Payer: Aetna of AZ Commercial	$1,174.50
Rate for Payer: Bisbee Police All Plans	$339.30
Rate for Payer: Cash Price	$1,044.00
Rate for Payer: Self Pay Self Pay	$1,044.00

Anterior Repair with graft

Facility

OP

$1,305.00

Service Code	CPT 57267
Hospital Charge Code	27267805
Hospital Revenue Code	360
Min. Negotiated Rate	$195.75
Max. Negotiated Rate	$5,090.42
Rate for Payer: Aetna of AZ Commercial	$1,174.50
Rate for Payer: Aetna of AZ Medicare	$365.40
Rate for Payer: AHCCCS Medicaid	$5,090.42
Rate for Payer: Allwell Medicaid	$5,090.42
Rate for Payer: Allwell Medicare	$195.75
Rate for Payer: Amerigroup Medicare	$195.75
Rate for Payer: APIPA Medicare/Medicaid	$487.42
Rate for Payer: AZCH Complete Medicaid	$5,090.42
Rate for Payer: AZCH Complete Medicare	$195.75
Rate for Payer: Banner UC Health Medicaid	$5,090.42
Rate for Payer: Banner UC Health Medicare	$195.75
Rate for Payer: Bisbee Police All Plans	$339.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$887.40
Rate for Payer: Cash Price	$1,044.00
Rate for Payer: Cash Price	$1,044.00
Rate for Payer: Cigna of AZ Commercial	$652.50
Rate for Payer: Copperpoint Commercial	$322.99
Rate for Payer: Health Net of AZ Commercial	$783.00
Rate for Payer: Health Net of AZ Medicare	$365.40
Rate for Payer: Humana of AZ Medicare	$195.75
Rate for Payer: Mercy Care Medicaid	$5,090.42
Rate for Payer: Self Pay Self Pay	$1,044.00
Rate for Payer: TriWest Medicare	$195.75
Rate for Payer: UnitedHealth Group of AZ Commercial	$2,161.00
Rate for Payer: UnitedHealth Group of AZ Medicare	$234.90

<<
<
54
55
56
57
58
59
60
61
62
63
>
>>