Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Cardiac Catheterization For Other Non-Coronary Conditions

Facility

IP

$8,145.36

Service Code	APR-DRG 1922
Hospital Charge Code	APRDRG1922
Min. Negotiated Rate	$8,145.36
Max. Negotiated Rate	$8,145.36
Rate for Payer: AHCCCS Medicaid	$8,145.36
Rate for Payer: Allwell Medicaid	$8,145.36
Rate for Payer: AZCH Complete Medicaid	$8,145.36
Rate for Payer: Banner UC Health Medicaid	$8,145.36
Rate for Payer: Mercy Care Medicaid	$8,145.36

Cardiac Catheterization For Other Non-Coronary Conditions

Facility

IP

$6,492.86

Service Code	APR-DRG 1921
Hospital Charge Code	APRDRG1922
Min. Negotiated Rate	$6,492.86
Max. Negotiated Rate	$6,492.86
Rate for Payer: AHCCCS Medicaid	$6,492.86
Rate for Payer: Allwell Medicaid	$6,492.86
Rate for Payer: AZCH Complete Medicaid	$6,492.86
Rate for Payer: Banner UC Health Medicaid	$6,492.86
Rate for Payer: Mercy Care Medicaid	$6,492.86

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$23,051.51

Service Code	APR-DRG 1774
Hospital Charge Code	APRDRG1771
Min. Negotiated Rate	$23,051.51
Max. Negotiated Rate	$23,051.51
Rate for Payer: AHCCCS Medicaid	$23,051.51
Rate for Payer: Allwell Medicaid	$23,051.51
Rate for Payer: AZCH Complete Medicaid	$23,051.51
Rate for Payer: Banner UC Health Medicaid	$23,051.51
Rate for Payer: Mercy Care Medicaid	$23,051.51

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$16,929.69

Service Code	APR-DRG 1773
Hospital Charge Code	APRDRG1773
Min. Negotiated Rate	$16,929.69
Max. Negotiated Rate	$16,929.69
Rate for Payer: AHCCCS Medicaid	$16,929.69
Rate for Payer: Allwell Medicaid	$16,929.69
Rate for Payer: AZCH Complete Medicaid	$16,929.69
Rate for Payer: Banner UC Health Medicaid	$16,929.69
Rate for Payer: Mercy Care Medicaid	$16,929.69

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$16,929.69

Service Code	APR-DRG 1773
Hospital Charge Code	APRDRG1774
Min. Negotiated Rate	$16,929.69
Max. Negotiated Rate	$16,929.69
Rate for Payer: AHCCCS Medicaid	$16,929.69
Rate for Payer: Allwell Medicaid	$16,929.69
Rate for Payer: AZCH Complete Medicaid	$16,929.69
Rate for Payer: Banner UC Health Medicaid	$16,929.69
Rate for Payer: Mercy Care Medicaid	$16,929.69

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$12,373.40

Service Code	APR-DRG 1772
Hospital Charge Code	APRDRG1774
Min. Negotiated Rate	$12,373.40
Max. Negotiated Rate	$12,373.40
Rate for Payer: AHCCCS Medicaid	$12,373.40
Rate for Payer: Allwell Medicaid	$12,373.40
Rate for Payer: AZCH Complete Medicaid	$12,373.40
Rate for Payer: Banner UC Health Medicaid	$12,373.40
Rate for Payer: Mercy Care Medicaid	$12,373.40

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$8,442.05

Service Code	APR-DRG 1771
Hospital Charge Code	APRDRG1771
Min. Negotiated Rate	$8,442.05
Max. Negotiated Rate	$8,442.05
Rate for Payer: AHCCCS Medicaid	$8,442.05
Rate for Payer: Allwell Medicaid	$8,442.05
Rate for Payer: AZCH Complete Medicaid	$8,442.05
Rate for Payer: Banner UC Health Medicaid	$8,442.05
Rate for Payer: Mercy Care Medicaid	$8,442.05

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$12,373.40

Service Code	APR-DRG 1772
Hospital Charge Code	APRDRG1773
Min. Negotiated Rate	$12,373.40
Max. Negotiated Rate	$12,373.40
Rate for Payer: AHCCCS Medicaid	$12,373.40
Rate for Payer: Allwell Medicaid	$12,373.40
Rate for Payer: AZCH Complete Medicaid	$12,373.40
Rate for Payer: Banner UC Health Medicaid	$12,373.40
Rate for Payer: Mercy Care Medicaid	$12,373.40

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$23,051.51

Service Code	APR-DRG 1774
Hospital Charge Code	APRDRG1772
Min. Negotiated Rate	$23,051.51
Max. Negotiated Rate	$23,051.51
Rate for Payer: AHCCCS Medicaid	$23,051.51
Rate for Payer: Allwell Medicaid	$23,051.51
Rate for Payer: AZCH Complete Medicaid	$23,051.51
Rate for Payer: Banner UC Health Medicaid	$23,051.51
Rate for Payer: Mercy Care Medicaid	$23,051.51

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$8,442.05

Service Code	APR-DRG 1771
Hospital Charge Code	APRDRG1774
Min. Negotiated Rate	$8,442.05
Max. Negotiated Rate	$8,442.05
Rate for Payer: AHCCCS Medicaid	$8,442.05
Rate for Payer: Allwell Medicaid	$8,442.05
Rate for Payer: AZCH Complete Medicaid	$8,442.05
Rate for Payer: Banner UC Health Medicaid	$8,442.05
Rate for Payer: Mercy Care Medicaid	$8,442.05

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$8,442.05

Service Code	APR-DRG 1771
Hospital Charge Code	APRDRG1773
Min. Negotiated Rate	$8,442.05
Max. Negotiated Rate	$8,442.05
Rate for Payer: AHCCCS Medicaid	$8,442.05
Rate for Payer: Allwell Medicaid	$8,442.05
Rate for Payer: AZCH Complete Medicaid	$8,442.05
Rate for Payer: Banner UC Health Medicaid	$8,442.05
Rate for Payer: Mercy Care Medicaid	$8,442.05

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$12,373.40

Service Code	APR-DRG 1772
Hospital Charge Code	APRDRG1771
Min. Negotiated Rate	$12,373.40
Max. Negotiated Rate	$12,373.40
Rate for Payer: AHCCCS Medicaid	$12,373.40
Rate for Payer: Allwell Medicaid	$12,373.40
Rate for Payer: AZCH Complete Medicaid	$12,373.40
Rate for Payer: Banner UC Health Medicaid	$12,373.40
Rate for Payer: Mercy Care Medicaid	$12,373.40

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$12,373.40

Service Code	APR-DRG 1772
Hospital Charge Code	APRDRG1772
Min. Negotiated Rate	$12,373.40
Max. Negotiated Rate	$12,373.40
Rate for Payer: AHCCCS Medicaid	$12,373.40
Rate for Payer: Allwell Medicaid	$12,373.40
Rate for Payer: AZCH Complete Medicaid	$12,373.40
Rate for Payer: Banner UC Health Medicaid	$12,373.40
Rate for Payer: Mercy Care Medicaid	$12,373.40

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$16,929.69

Service Code	APR-DRG 1773
Hospital Charge Code	APRDRG1771
Min. Negotiated Rate	$16,929.69
Max. Negotiated Rate	$16,929.69
Rate for Payer: AHCCCS Medicaid	$16,929.69
Rate for Payer: Allwell Medicaid	$16,929.69
Rate for Payer: AZCH Complete Medicaid	$16,929.69
Rate for Payer: Banner UC Health Medicaid	$16,929.69
Rate for Payer: Mercy Care Medicaid	$16,929.69

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$23,051.51

Service Code	APR-DRG 1774
Hospital Charge Code	APRDRG1773
Min. Negotiated Rate	$23,051.51
Max. Negotiated Rate	$23,051.51
Rate for Payer: AHCCCS Medicaid	$23,051.51
Rate for Payer: Allwell Medicaid	$23,051.51
Rate for Payer: AZCH Complete Medicaid	$23,051.51
Rate for Payer: Banner UC Health Medicaid	$23,051.51
Rate for Payer: Mercy Care Medicaid	$23,051.51

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$23,051.51

Service Code	APR-DRG 1774
Hospital Charge Code	APRDRG1774
Min. Negotiated Rate	$23,051.51
Max. Negotiated Rate	$23,051.51
Rate for Payer: AHCCCS Medicaid	$23,051.51
Rate for Payer: Allwell Medicaid	$23,051.51
Rate for Payer: AZCH Complete Medicaid	$23,051.51
Rate for Payer: Banner UC Health Medicaid	$23,051.51
Rate for Payer: Mercy Care Medicaid	$23,051.51

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$8,442.05

Service Code	APR-DRG 1771
Hospital Charge Code	APRDRG1772
Min. Negotiated Rate	$8,442.05
Max. Negotiated Rate	$8,442.05
Rate for Payer: AHCCCS Medicaid	$8,442.05
Rate for Payer: Allwell Medicaid	$8,442.05
Rate for Payer: AZCH Complete Medicaid	$8,442.05
Rate for Payer: Banner UC Health Medicaid	$8,442.05
Rate for Payer: Mercy Care Medicaid	$8,442.05

Cardiac Pacemaker And Defibrillator Revision Except Device Replacement

Facility

IP

$16,929.69

Service Code	APR-DRG 1773
Hospital Charge Code	APRDRG1772
Min. Negotiated Rate	$16,929.69
Max. Negotiated Rate	$16,929.69
Rate for Payer: AHCCCS Medicaid	$16,929.69
Rate for Payer: Allwell Medicaid	$16,929.69
Rate for Payer: AZCH Complete Medicaid	$16,929.69
Rate for Payer: Banner UC Health Medicaid	$16,929.69
Rate for Payer: Mercy Care Medicaid	$16,929.69

Cardiac Panel 2

Facility

OP

$311.00

Service Code	CPT 84484
Hospital Charge Code	2483894
Hospital Revenue Code	305
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$279.90
Rate for Payer: Aetna of AZ Commercial	$279.90
Rate for Payer: Aetna of AZ Medicare	$87.08
Rate for Payer: AHCCCS Medicaid	$12.47
Rate for Payer: Allwell Medicaid	$12.47
Rate for Payer: Allwell Medicare	$46.65
Rate for Payer: Amerigroup Medicare	$46.65
Rate for Payer: APIPA Medicare/Medicaid	$116.16
Rate for Payer: AZCH Complete Medicaid	$12.47
Rate for Payer: AZCH Complete Medicare	$46.65
Rate for Payer: Banner UC Health Medicaid	$12.47
Rate for Payer: Banner UC Health Medicare	$46.65
Rate for Payer: Bisbee Police All Plans	$80.86
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$211.48
Rate for Payer: Cash Price	$248.80
Rate for Payer: Cash Price	$248.80
Rate for Payer: Cigna of AZ Commercial	$202.15
Rate for Payer: Copperpoint Commercial	$76.97
Rate for Payer: Health Net of AZ Commercial	$186.60
Rate for Payer: Health Net of AZ Medicare	$87.08
Rate for Payer: Humana of AZ Medicare	$46.65
Rate for Payer: Mercy Care Medicaid	$12.47
Rate for Payer: Self Pay Self Pay	$248.80
Rate for Payer: TriWest Medicare	$46.65
Rate for Payer: UnitedHealth Group of AZ Commercial	$181.31
Rate for Payer: UnitedHealth Group of AZ Medicare	$55.98

Cardiac Panel 2

Facility

IP

$311.00

Service Code	CPT 84484
Hospital Charge Code	2483894
Hospital Revenue Code	305
Min. Negotiated Rate	$80.86
Max. Negotiated Rate	$279.90
Rate for Payer: Aetna of AZ Commercial	$279.90
Rate for Payer: Bisbee Police All Plans	$80.86
Rate for Payer: Cash Price	$248.80
Rate for Payer: Self Pay Self Pay	$248.80

Cardiac Panel Standard

Facility

IP

$311.00

Service Code	CPT 84484
Hospital Charge Code	22141052
Hospital Revenue Code	301
Min. Negotiated Rate	$80.86
Max. Negotiated Rate	$279.90
Rate for Payer: Aetna of AZ Commercial	$279.90
Rate for Payer: Bisbee Police All Plans	$80.86
Rate for Payer: Cash Price	$248.80
Rate for Payer: Self Pay Self Pay	$248.80

Cardiac Panel Standard

Facility

OP

$311.00

Service Code	CPT 84484
Hospital Charge Code	22141052
Hospital Revenue Code	301
Min. Negotiated Rate	$12.47
Max. Negotiated Rate	$279.90
Rate for Payer: Aetna of AZ Commercial	$279.90
Rate for Payer: Aetna of AZ Medicare	$87.08
Rate for Payer: AHCCCS Medicaid	$12.47
Rate for Payer: Allwell Medicaid	$12.47
Rate for Payer: Allwell Medicare	$46.65
Rate for Payer: Amerigroup Medicare	$46.65
Rate for Payer: APIPA Medicare/Medicaid	$116.16
Rate for Payer: AZCH Complete Medicaid	$12.47
Rate for Payer: AZCH Complete Medicare	$46.65
Rate for Payer: Banner UC Health Medicaid	$12.47
Rate for Payer: Banner UC Health Medicare	$46.65
Rate for Payer: Bisbee Police All Plans	$80.86
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$211.48
Rate for Payer: Cash Price	$248.80
Rate for Payer: Cash Price	$248.80
Rate for Payer: Cigna of AZ Commercial	$202.15
Rate for Payer: Copperpoint Commercial	$76.97
Rate for Payer: Health Net of AZ Commercial	$186.60
Rate for Payer: Health Net of AZ Medicare	$87.08
Rate for Payer: Humana of AZ Medicare	$46.65
Rate for Payer: Mercy Care Medicaid	$12.47
Rate for Payer: Self Pay Self Pay	$248.80
Rate for Payer: TriWest Medicare	$46.65
Rate for Payer: UnitedHealth Group of AZ Commercial	$181.31
Rate for Payer: UnitedHealth Group of AZ Medicare	$55.98

Cardiac Structural And Valvular Disorders

Facility

IP

$6,734.14

Service Code	APR-DRG 2003
Hospital Charge Code	APRDRG2001
Min. Negotiated Rate	$6,734.14
Max. Negotiated Rate	$6,734.14
Rate for Payer: AHCCCS Medicaid	$6,734.14
Rate for Payer: Allwell Medicaid	$6,734.14
Rate for Payer: AZCH Complete Medicaid	$6,734.14
Rate for Payer: Banner UC Health Medicaid	$6,734.14
Rate for Payer: Mercy Care Medicaid	$6,734.14

Cardiac Structural And Valvular Disorders

Facility

IP

$12,416.88

Service Code	APR-DRG 2004
Hospital Charge Code	APRDRG2003
Min. Negotiated Rate	$12,416.88
Max. Negotiated Rate	$12,416.88
Rate for Payer: AHCCCS Medicaid	$12,416.88
Rate for Payer: Allwell Medicaid	$12,416.88
Rate for Payer: AZCH Complete Medicaid	$12,416.88
Rate for Payer: Banner UC Health Medicaid	$12,416.88
Rate for Payer: Mercy Care Medicaid	$12,416.88

Cardiac Structural And Valvular Disorders

Facility

IP

$3,734.25

Service Code	APR-DRG 2001
Hospital Charge Code	APRDRG2001
Min. Negotiated Rate	$3,734.25
Max. Negotiated Rate	$3,734.25
Rate for Payer: AHCCCS Medicaid	$3,734.25
Rate for Payer: Allwell Medicaid	$3,734.25
Rate for Payer: AZCH Complete Medicaid	$3,734.25
Rate for Payer: Banner UC Health Medicaid	$3,734.25
Rate for Payer: Mercy Care Medicaid	$3,734.25

<<
<
89
90
91
92
93
94
95
96
97
98
>
>>