CPT P9016
The standard charge for Red Blood Cells, Leukocytes Reduced, Each Unit is $755.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
101 Cole Avenue, Bisbee, AZ, 85603CONTACT
(520) 432-6401 Visit WebsiteCopper Queen Community Hospital (CQCH) is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, CQCH provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-CQCH physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our Patient Advocate at (520) 432-6458.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$755.00Insurance Discount
-$75.50Price Negotiated by Insurer
$679.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$2,947.50AFC GENERIC ADD-ON
$89.10AFC GENERIC ADD-ON
$76.50BB ANTIBODY SCREEN
$97.20Collection of Venous Blood by venipuncture
$35.10Complete Blood Count/Hemogram Standard
$153.00Comprehensive Metabolic Panel Standard
$351.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$15.84AFC GENERIC ADD-ON
$13.60BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$27.20Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$332.40AFC GENERIC ADD-ON
$15.84AFC GENERIC ADD-ON
$13.60BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$27.20Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$241.60Price Negotiated by Insurer
$513.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$2,227.00AFC GENERIC ADD-ON
$67.32AFC GENERIC ADD-ON
$57.80BB ANTIBODY SCREEN
$73.44Collection of Venous Blood by venipuncture
$26.52Complete Blood Count/Hemogram Standard
$161.84Comprehensive Metabolic Panel Standard
$265.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$15.84AFC GENERIC ADD-ON
$13.60BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$38.08Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$15.84AFC GENERIC ADD-ON
$13.60BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$38.08Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$151.00Price Negotiated by Insurer
$604.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$2,620.00AFC GENERIC ADD-ON
$79.20AFC GENERIC ADD-ON
$68.00BB ANTIBODY SCREEN
$86.40Collection of Venous Blood by venipuncture
$31.20Complete Blood Count/Hemogram Standard
$190.40Comprehensive Metabolic Panel Standard
$312.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$264.25Price Negotiated by Insurer
$490.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$2,292.50AFC GENERIC ADD-ON
$64.35AFC GENERIC ADD-ON
$55.25BB ANTIBODY SCREEN
$70.20Collection of Venous Blood by venipuncture
$25.35Complete Blood Count/Hemogram Standard
$154.70Comprehensive Metabolic Panel Standard
$253.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$619.10Price Negotiated by Insurer
$135.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$589.50AFC GENERIC ADD-ON
$17.82AFC GENERIC ADD-ON
$15.30BB ANTIBODY SCREEN
$19.44Collection of Venous Blood by venipuncture
$7.02Complete Blood Count/Hemogram Standard
$30.60Comprehensive Metabolic Panel Standard
$70.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$15.84AFC GENERIC ADD-ON
$13.60BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$38.08Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$474.96Price Negotiated by Insurer
$280.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$921.45AFC GENERIC ADD-ON
$4.34AFC GENERIC ADD-ON
$4.34BB ANTIBODY SCREEN
$14.17Collection of Venous Blood by venipuncture
$13.54Complete Blood Count/Hemogram Standard
$11.27Comprehensive Metabolic Panel Standard
$15.31This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$241.60Price Negotiated by Insurer
$513.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$2,227.00AFC GENERIC ADD-ON
$67.32AFC GENERIC ADD-ON
$57.80BB ANTIBODY SCREEN
$73.44Collection of Venous Blood by venipuncture
$26.52Complete Blood Count/Hemogram Standard
$161.84Comprehensive Metabolic Panel Standard
$265.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$13.60AFC GENERIC ADD-ON
$15.84BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$27.20Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$323.14Price Negotiated by Insurer
$431.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$1,909.00AFC GENERIC ADD-ON
$48.62AFC GENERIC ADD-ON
$56.63BB ANTIBODY SCREEN
$61.78Collection of Venous Blood by venipuncture
$22.31Complete Blood Count/Hemogram Standard
$136.14Comprehensive Metabolic Panel Standard
$223.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$634.20Price Negotiated by Insurer
$120.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$524.00AFC GENERIC ADD-ON
$13.60AFC GENERIC ADD-ON
$15.84BB ANTIBODY SCREEN
$17.28Collection of Venous Blood by venipuncture
$6.24Complete Blood Count/Hemogram Standard
$27.20Comprehensive Metabolic Panel Standard
$62.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Total estimated charges
$755.00Insurance Discount
-$635.41Price Negotiated by Insurer
$119.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
99285 - ED Level 5
$518.76AFC GENERIC ADD-ON
$15.68AFC GENERIC ADD-ON
$13.46BB ANTIBODY SCREEN
$17.11Collection of Venous Blood by venipuncture
$6.18Complete Blood Count/Hemogram Standard
$37.70Comprehensive Metabolic Panel Standard
$61.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Copper Queen Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.