The standard charge for CT scan head or brain without dye is $1,664.00. 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.
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.
Choose a plan to view the insurance rate estimate.
Standard Charge
$1,664.00Insurance Discount
-$1,198.08Rate Negotiated by your Insurance Plan
$465.92Some 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.
99284 - ED Level 4
$618.2499285 - ED Level 5
$919.52Associated service: Revenue Code 250 charges
$95.76CLIENT EKG (12 LEAD)
$64.40Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Troponin
$87.08To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$166.40Rate Negotiated by your Insurance Plan
$1,497.60Some 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.
99284 - ED Level 4
$1,987.2099285 - ED Level 5
$2,955.60Associated service: Revenue Code 250 charges
$307.80CLIENT EKG (12 LEAD)
$207.00Collection of Venous Blood by venipuncture
$35.10Complete Blood Count/Hemogram Standard
$159.30Comprehensive Metabolic Panel Standard
$369.90Troponin
$279.90To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,506.00Rate Negotiated by your Insurance Plan
$158.00Some 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.
99284 - ED Level 4
$442.3699285 - ED Level 5
$664.80CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Troponin
$12.47To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,506.00Rate Negotiated by your Insurance Plan
$158.00Some 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.
99284 - ED Level 4
$442.3699285 - ED Level 5
$664.80CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Troponin
$12.47To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,506.00Rate Negotiated by your Insurance Plan
$158.00Some 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.
99284 - ED Level 4
$442.3699285 - ED Level 5
$664.80CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Troponin
$12.47To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,042.50Rate Negotiated by your Insurance Plan
$621.50Some 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.
99284 - ED Level 4
$824.6999285 - ED Level 5
$1,226.57Associated service: Revenue Code 250 charges
$127.74CLIENT EKG (12 LEAD)
$85.91Collection of Venous Blood by venipuncture
$14.57Complete Blood Count/Hemogram Standard
$66.11Comprehensive Metabolic Panel Standard
$153.51Troponin
$116.16To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,506.00Rate Negotiated by your Insurance Plan
$158.00Some 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.
99284 - ED Level 4
$442.3699285 - ED Level 5
$664.80CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Troponin
$12.47To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$703.49Rate Negotiated by your Insurance Plan
$960.51Some 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.
99284 - ED Level 4
$1,703.7299285 - ED Level 5
$1,952.92CLIENT EKG (12 LEAD)
$150.01Collection of Venous Blood by venipuncture
$4.28Complete Blood Count/Hemogram Standard
$113.62Comprehensive Metabolic Panel Standard
$263.65Troponin
$203.32To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$582.40Rate Negotiated by your Insurance Plan
$1,081.60Some 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.
99284 - ED Level 4
$1,545.6099285 - ED Level 5
$2,298.80Associated service: Revenue Code 250 charges
$239.40CLIENT EKG (12 LEAD)
$161.00Collection of Venous Blood by venipuncture
$25.35Complete Blood Count/Hemogram Standard
$115.05Comprehensive Metabolic Panel Standard
$267.15Troponin
$202.15To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,231.36Rate Negotiated by your Insurance Plan
$432.64Some 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.
99284 - ED Level 4
$574.0899285 - ED Level 5
$853.84Associated service: Revenue Code 250 charges
$88.92CLIENT EKG (12 LEAD)
$59.80Collection of Venous Blood by venipuncture
$10.14Complete Blood Count/Hemogram Standard
$46.02Comprehensive Metabolic Panel Standard
$106.86Troponin
$80.86To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,197.25Rate Negotiated by your Insurance Plan
$466.75Some 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.
99284 - ED Level 4
$619.3499285 - ED Level 5
$921.16Associated service: Revenue Code 250 charges
$95.93CLIENT EKG (12 LEAD)
$64.52Collection of Venous Blood by venipuncture
$10.94Complete Blood Count/Hemogram Standard
$49.65Comprehensive Metabolic Panel Standard
$115.29Troponin
$87.24To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$665.60Rate Negotiated by your Insurance Plan
$998.40Some 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.
99284 - ED Level 4
$1,324.8099285 - ED Level 5
$1,970.40Associated service: Revenue Code 250 charges
$205.20CLIENT EKG (12 LEAD)
$138.00Collection of Venous Blood by venipuncture
$23.40Complete Blood Count/Hemogram Standard
$106.20Comprehensive Metabolic Panel Standard
$246.60Troponin
$186.60To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,198.08Rate Negotiated by your Insurance Plan
$465.92Some 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.
99284 - ED Level 4
$618.2499285 - ED Level 5
$919.52Associated service: Revenue Code 250 charges
$95.76CLIENT EKG (12 LEAD)
$64.40Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Troponin
$87.08To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,506.00Rate Negotiated by your Insurance Plan
$158.00Some 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.
99284 - ED Level 4
$442.3699285 - ED Level 5
$664.80CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Troponin
$12.47To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$332.80Rate Negotiated by your Insurance Plan
$1,331.20Some 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.
99284 - ED Level 4
$1,766.4099285 - ED Level 5
$2,627.20Associated service: Revenue Code 250 charges
$273.60CLIENT EKG (12 LEAD)
$184.00Collection of Venous Blood by venipuncture
$31.20Complete Blood Count/Hemogram Standard
$141.60Comprehensive Metabolic Panel Standard
$328.80Troponin
$248.80To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,364.48Rate Negotiated by your Insurance Plan
$299.52Some 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.
99284 - ED Level 4
$397.4499285 - ED Level 5
$591.12Associated service: Revenue Code 250 charges
$61.56CLIENT EKG (12 LEAD)
$41.40Collection of Venous Blood by venipuncture
$7.02Complete Blood Count/Hemogram Standard
$31.86Comprehensive Metabolic Panel Standard
$73.98Troponin
$55.98To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$693.89Rate Negotiated by your Insurance Plan
$970.11Some 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.
99284 - ED Level 4
$1,287.2699285 - ED Level 5
$1,914.57Associated service: Revenue Code 250 charges
$199.39CLIENT EKG (12 LEAD)
$134.09Collection of Venous Blood by venipuncture
$22.74Complete Blood Count/Hemogram Standard
$103.19Comprehensive Metabolic Panel Standard
$239.61Troponin
$181.31To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,664.00Insurance Discount
-$1,381.12Rate Negotiated by your Insurance Plan
$282.88Some 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.
99284 - ED Level 4
$375.3699285 - ED Level 5
$558.28Associated service: Revenue Code 250 charges
$58.14CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Troponin
$52.87To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.