The standard charge for CT scan of abdomen and pelvis with contrast is $4,200.00. 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
$4,200.00Insurance Discount
-$3,024.00Rate Negotiated by your Insurance Plan
$1,176.00Some 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
$618.24Associated service: Revenue Code 250 charges
$30.24Associated service: Revenue Code 258 charges
$13.72Associated service: Revenue Code 270 charges
$45.36Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Lipase Level
$51.52To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$420.00Rate Negotiated by your Insurance Plan
$3,780.00Some 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
$1,987.20Associated service: Revenue Code 250 charges
$97.20Associated service: Revenue Code 258 charges
$44.10Associated service: Revenue Code 270 charges
$145.80Collection of Venous Blood by venipuncture
$35.10Complete Blood Count/Hemogram Standard
$159.30Comprehensive Metabolic Panel Standard
$369.90Lipase Level
$165.60To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,716.36Rate Negotiated by your Insurance Plan
$483.64Some 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
$442.36Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lipase Level
$6.89To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,716.36Rate Negotiated by your Insurance Plan
$483.64Some 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
$442.36Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lipase Level
$6.89To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,716.36Rate Negotiated by your Insurance Plan
$483.64Some 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
$442.36Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lipase Level
$6.89To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$2,631.30Rate Negotiated by your Insurance Plan
$1,568.70Some 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
$824.69Associated service: Revenue Code 250 charges
$40.34Associated service: Revenue Code 258 charges
$18.30Associated service: Revenue Code 270 charges
$60.51Collection of Venous Blood by venipuncture
$14.57Complete Blood Count/Hemogram Standard
$66.11Comprehensive Metabolic Panel Standard
$153.51Lipase Level
$68.72To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,716.36Rate Negotiated by your Insurance Plan
$483.64Some 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
$442.36Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lipase Level
$6.89To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$1,545.28Rate Negotiated by your Insurance Plan
$2,654.72Some 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
$1,703.72Collection of Venous Blood by venipuncture
$4.28Complete Blood Count/Hemogram Standard
$113.62Comprehensive Metabolic Panel Standard
$263.65Lipase Level
$119.21To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$1,470.00Rate Negotiated by your Insurance Plan
$2,730.00Some 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
$1,545.60Associated service: Revenue Code 250 charges
$75.60Associated service: Revenue Code 258 charges
$31.85Associated service: Revenue Code 270 charges
$113.40Collection of Venous Blood by venipuncture
$25.35Complete Blood Count/Hemogram Standard
$115.05Comprehensive Metabolic Panel Standard
$267.15Lipase Level
$119.60To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,108.00Rate Negotiated by your Insurance Plan
$1,092.00Some 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
$574.08Associated service: Revenue Code 250 charges
$28.08Associated service: Revenue Code 258 charges
$12.74Associated service: Revenue Code 270 charges
$42.12Collection of Venous Blood by venipuncture
$10.14Complete Blood Count/Hemogram Standard
$46.02Comprehensive Metabolic Panel Standard
$106.86Lipase Level
$47.84To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,021.90Rate Negotiated by your Insurance Plan
$1,178.10Some 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
$619.34Associated service: Revenue Code 250 charges
$30.29Associated service: Revenue Code 258 charges
$13.74Associated service: Revenue Code 270 charges
$45.44Collection of Venous Blood by venipuncture
$10.94Complete Blood Count/Hemogram Standard
$49.65Comprehensive Metabolic Panel Standard
$115.29Lipase Level
$51.61To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$1,680.00Rate Negotiated by your Insurance Plan
$2,520.00Some 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
$1,324.80Associated service: Revenue Code 250 charges
$64.80Associated service: Revenue Code 258 charges
$29.40Associated service: Revenue Code 270 charges
$97.20Collection of Venous Blood by venipuncture
$23.40Complete Blood Count/Hemogram Standard
$106.20Comprehensive Metabolic Panel Standard
$246.60Lipase Level
$110.40To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,024.00Rate Negotiated by your Insurance Plan
$1,176.00Some 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
$618.24Associated service: Revenue Code 250 charges
$30.24Associated service: Revenue Code 258 charges
$13.72Associated service: Revenue Code 270 charges
$45.36Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Lipase Level
$51.52To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,716.36Rate Negotiated by your Insurance Plan
$483.64Some 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
$442.36Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lipase Level
$6.89To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$840.00Rate Negotiated by your Insurance Plan
$3,360.00Some 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
$1,766.40Associated service: Revenue Code 250 charges
$86.40Associated service: Revenue Code 258 charges
$39.20Associated service: Revenue Code 270 charges
$129.60Collection of Venous Blood by venipuncture
$31.20Complete Blood Count/Hemogram Standard
$141.60Comprehensive Metabolic Panel Standard
$328.80Lipase Level
$147.20To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,444.00Rate Negotiated by your Insurance Plan
$756.00Some 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
$397.44Associated service: Revenue Code 250 charges
$19.44Associated service: Revenue Code 258 charges
$8.82Associated service: Revenue Code 270 charges
$29.16Collection of Venous Blood by venipuncture
$7.02Complete Blood Count/Hemogram Standard
$31.86Comprehensive Metabolic Panel Standard
$73.98Lipase Level
$33.12To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$1,751.40Rate Negotiated by your Insurance Plan
$2,448.60Some 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
$1,287.26Associated service: Revenue Code 250 charges
$62.96Associated service: Revenue Code 258 charges
$28.57Associated service: Revenue Code 270 charges
$94.45Collection of Venous Blood by venipuncture
$22.74Complete Blood Count/Hemogram Standard
$103.19Comprehensive Metabolic Panel Standard
$239.61Lipase Level
$107.27To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$4,200.00Insurance Discount
-$3,486.00Rate Negotiated by your Insurance Plan
$714.00Some 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
$375.36Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$8.33Associated service: Revenue Code 270 charges
$27.54Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lipase Level
$31.28To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.