The standard charge for CT Scan of the face and jaw without dye is $1,968.00. 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
$1,968.00Insurance Discount
-$1,416.96Rate Negotiated by your Insurance Plan
$551.04Some 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
$38.08Collection of Venous Blood by venipuncture
$10.92CT Head or Brain w/o Contrast
$465.92To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$196.80Rate Negotiated by your Insurance Plan
$1,771.20Some 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
$1,987.20Associated service: Revenue Code 250 charges
$122.40Collection of Venous Blood by venipuncture
$35.10CT Head or Brain w/o Contrast
$1,497.60To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,810.00Rate 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
$442.36Collection of Venous Blood by venipuncture
$6.00CT Head or Brain w/o Contrast
$158.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,810.00Rate 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
$442.36Collection of Venous Blood by venipuncture
$6.00CT Head or Brain w/o Contrast
$158.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,810.00Rate 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
$442.36Collection of Venous Blood by venipuncture
$6.00CT Head or Brain w/o Contrast
$158.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,232.95Rate Negotiated by your Insurance Plan
$735.05Some 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
$50.80Collection of Venous Blood by venipuncture
$14.57CT Head or Brain w/o Contrast
$621.50To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,810.00Rate 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
$442.36Collection of Venous Blood by venipuncture
$6.00CT Head or Brain w/o Contrast
$158.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,324.72Rate Negotiated by your Insurance Plan
$643.28Some 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
$4.28CT Head or Brain w/o Contrast
$960.51To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$688.80Rate Negotiated by your Insurance Plan
$1,279.20Some 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
$1,545.60Associated service: Revenue Code 250 charges
$95.20Collection of Venous Blood by venipuncture
$25.35CT Head or Brain w/o Contrast
$1,081.60To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,456.32Rate Negotiated by your Insurance Plan
$511.68Some 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
$35.36Collection of Venous Blood by venipuncture
$10.14CT Head or Brain w/o Contrast
$432.64To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,415.98Rate Negotiated by your Insurance Plan
$552.02Some 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
$38.15Collection of Venous Blood by venipuncture
$10.94CT Head or Brain w/o Contrast
$466.75To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$787.20Rate Negotiated by your Insurance Plan
$1,180.80Some 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
$81.60Collection of Venous Blood by venipuncture
$23.40CT Head or Brain w/o Contrast
$998.40To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,416.96Rate Negotiated by your Insurance Plan
$551.04Some 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
$38.08Collection of Venous Blood by venipuncture
$10.92CT Head or Brain w/o Contrast
$465.92To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,810.00Rate 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
$442.36Collection of Venous Blood by venipuncture
$6.00CT Head or Brain w/o Contrast
$158.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$393.60Rate Negotiated by your Insurance Plan
$1,574.40Some 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
$1,766.40Associated service: Revenue Code 250 charges
$108.80Collection of Venous Blood by venipuncture
$31.20CT Head or Brain w/o Contrast
$1,331.20To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,613.76Rate Negotiated by your Insurance Plan
$354.24Some 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
$24.48Collection of Venous Blood by venipuncture
$7.02CT Head or Brain w/o Contrast
$299.52To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$820.66Rate Negotiated by your Insurance Plan
$1,147.34Some 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
$79.29Collection of Venous Blood by venipuncture
$22.74CT Head or Brain w/o Contrast
$970.11To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$1,968.00Insurance Discount
-$1,633.44Rate Negotiated by your Insurance Plan
$334.56Some 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
$23.12Collection of Venous Blood by venipuncture
$6.63CT Head or Brain w/o Contrast
$282.88To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.