The standard charge for Emergency Critical Care, First 30 Minutes is $3,406.00. 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
$3,406.00Insurance Discount
-$2,452.32Rate Negotiated by your Insurance Plan
$953.68Some 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.
31500 INTUB ET
$305.4896365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$100.8096374 - IV Injection, single/initial
$71.4099285 - ED Level 5
$919.52ADD IV PUSH NEW MED
$71.40Associated service: Revenue Code 250 charges
$1,048.32Associated service: Revenue Code 251 charges
$22.40Associated service: Revenue Code 258 charges
$18.76Associated service: Revenue Code 270 charges
$110.60Associated service: Revenue Code 272 charges
$35.00Blood Culture
$46.48CLIENT EKG (12 LEAD)
$64.40Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Lactate
$71.68Troponin
$87.08XR Chest 1 View Special
$93.80To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$340.60Rate Negotiated by your Insurance Plan
$3,065.40Some 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.
31500 INTUB ET
$981.9096365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$324.0096374 - IV Injection, single/initial
$229.5099285 - ED Level 5
$2,955.60ADD IV PUSH NEW MED
$229.50Associated service: Revenue Code 250 charges
$3,369.60Associated service: Revenue Code 251 charges
$72.00Associated service: Revenue Code 258 charges
$60.30Associated service: Revenue Code 270 charges
$355.50Associated service: Revenue Code 272 charges
$112.50Blood Culture
$149.40CLIENT EKG (12 LEAD)
$207.00Collection of Venous Blood by venipuncture
$35.10Complete Blood Count/Hemogram Standard
$159.30Comprehensive Metabolic Panel Standard
$369.90Lactate
$230.40Troponin
$279.90XR Chest 1 View Special
$301.50To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,401.62Rate Negotiated by your Insurance Plan
$1,004.38Some 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.
31500 INTUB ET
$306.8296365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$295.0896374 - IV Injection, single/initial
$155.5899285 - ED Level 5
$664.80ADD IV PUSH NEW MED
$58.00Blood Culture
$10.32CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lactate
$11.57Troponin
$12.47XR Chest 1 View Special
$117.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,401.62Rate Negotiated by your Insurance Plan
$1,004.38Some 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.
31500 INTUB ET
$306.8296365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$295.0896374 - IV Injection, single/initial
$155.5899285 - ED Level 5
$664.80ADD IV PUSH NEW MED
$58.00Blood Culture
$10.32CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lactate
$11.57Troponin
$12.47XR Chest 1 View Special
$117.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,401.62Rate Negotiated by your Insurance Plan
$1,004.38Some 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.
31500 INTUB ET
$306.8296365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$295.0896374 - IV Injection, single/initial
$155.5899285 - ED Level 5
$664.80ADD IV PUSH NEW MED
$58.00Blood Culture
$10.32CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lactate
$11.57Troponin
$12.47XR Chest 1 View Special
$117.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,133.86Rate Negotiated by your Insurance Plan
$1,272.14Some 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.
31500 INTUB ET
$407.4996365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$134.4696374 - IV Injection, single/initial
$95.2499285 - ED Level 5
$1,226.57ADD IV PUSH NEW MED
$95.24Associated service: Revenue Code 250 charges
$1,398.38Associated service: Revenue Code 251 charges
$29.88Associated service: Revenue Code 258 charges
$25.02Associated service: Revenue Code 270 charges
$147.53Associated service: Revenue Code 272 charges
$46.69Blood Culture
$62.00CLIENT EKG (12 LEAD)
$85.91Collection of Venous Blood by venipuncture
$14.57Complete Blood Count/Hemogram Standard
$66.11Comprehensive Metabolic Panel Standard
$153.51Lactate
$95.62Troponin
$116.16XR Chest 1 View Special
$125.12To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,401.62Rate Negotiated by your Insurance Plan
$1,004.38Some 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.
31500 INTUB ET
$306.8296365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$295.0896374 - IV Injection, single/initial
$155.5899285 - ED Level 5
$664.80ADD IV PUSH NEW MED
$58.00Blood Culture
$10.32CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lactate
$11.57Troponin
$12.47XR Chest 1 View Special
$117.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$1,317.72Rate Negotiated by your Insurance Plan
$2,088.28Some 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.
31500 INTUB ET
$297.1696365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$530.4596374 - IV Injection, single/initial
$166.6099285 - ED Level 5
$1,952.92ADD IV PUSH NEW MED
$166.60Blood Culture
$108.12CLIENT EKG (12 LEAD)
$150.01Collection of Venous Blood by venipuncture
$4.28Complete Blood Count/Hemogram Standard
$113.62Comprehensive Metabolic Panel Standard
$263.65Lactate
$166.61Troponin
$203.32XR Chest 1 View Special
$218.96To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$1,021.80Rate Negotiated by your Insurance Plan
$2,384.20Some 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.
31500 INTUB ET
$763.7096365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$252.0096374 - IV Injection, single/initial
$178.5099285 - ED Level 5
$2,298.80ADD IV PUSH NEW MED
$178.50Associated service: Revenue Code 250 charges
$2,620.80Associated service: Revenue Code 251 charges
$52.00Associated service: Revenue Code 258 charges
$43.55Associated service: Revenue Code 270 charges
$276.50Associated service: Revenue Code 272 charges
$87.50Blood Culture
$107.90CLIENT EKG (12 LEAD)
$161.00Collection of Venous Blood by venipuncture
$25.35Complete Blood Count/Hemogram Standard
$115.05Comprehensive Metabolic Panel Standard
$267.15Lactate
$166.40Troponin
$202.15XR Chest 1 View Special
$217.75To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,520.44Rate Negotiated by your Insurance Plan
$885.56Some 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.
31500 INTUB ET
$283.6696365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$93.6096374 - IV Injection, single/initial
$66.3099285 - ED Level 5
$853.84ADD IV PUSH NEW MED
$66.30Associated service: Revenue Code 250 charges
$973.44Associated service: Revenue Code 251 charges
$20.80Associated service: Revenue Code 258 charges
$17.42Associated service: Revenue Code 270 charges
$102.70Associated service: Revenue Code 272 charges
$32.50Blood Culture
$43.16CLIENT EKG (12 LEAD)
$59.80Collection of Venous Blood by venipuncture
$10.14Complete Blood Count/Hemogram Standard
$46.02Comprehensive Metabolic Panel Standard
$106.86Lactate
$66.56Troponin
$80.86XR Chest 1 View Special
$87.10To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,450.62Rate Negotiated by your Insurance Plan
$955.38Some 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.
31500 INTUB ET
$306.0396365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$100.9896374 - IV Injection, single/initial
$71.5399285 - ED Level 5
$921.16ADD IV PUSH NEW MED
$71.53Associated service: Revenue Code 250 charges
$1,050.19Associated service: Revenue Code 251 charges
$22.44Associated service: Revenue Code 258 charges
$18.79Associated service: Revenue Code 270 charges
$110.80Associated service: Revenue Code 272 charges
$35.06Blood Culture
$46.56CLIENT EKG (12 LEAD)
$64.52Collection of Venous Blood by venipuncture
$10.94Complete Blood Count/Hemogram Standard
$49.65Comprehensive Metabolic Panel Standard
$115.29Lactate
$71.81Troponin
$87.24XR Chest 1 View Special
$93.97To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$1,362.40Rate Negotiated by your Insurance Plan
$2,043.60Some 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.
31500 INTUB ET
$654.6096365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$216.0096374 - IV Injection, single/initial
$153.0099285 - ED Level 5
$1,970.40ADD IV PUSH NEW MED
$153.00Associated service: Revenue Code 250 charges
$2,246.40Associated service: Revenue Code 251 charges
$48.00Associated service: Revenue Code 258 charges
$40.20Associated service: Revenue Code 270 charges
$237.00Associated service: Revenue Code 272 charges
$75.00Blood Culture
$99.60CLIENT EKG (12 LEAD)
$138.00Collection of Venous Blood by venipuncture
$23.40Complete Blood Count/Hemogram Standard
$106.20Comprehensive Metabolic Panel Standard
$246.60Lactate
$153.60Troponin
$186.60XR Chest 1 View Special
$201.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,452.32Rate Negotiated by your Insurance Plan
$953.68Some 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.
31500 INTUB ET
$305.4896365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$100.8096374 - IV Injection, single/initial
$71.4099285 - ED Level 5
$919.52ADD IV PUSH NEW MED
$71.40Associated service: Revenue Code 250 charges
$1,048.32Associated service: Revenue Code 251 charges
$22.40Associated service: Revenue Code 258 charges
$18.76Associated service: Revenue Code 270 charges
$110.60Associated service: Revenue Code 272 charges
$35.00Blood Culture
$46.48CLIENT EKG (12 LEAD)
$64.40Collection of Venous Blood by venipuncture
$10.92Complete Blood Count/Hemogram Standard
$49.56Comprehensive Metabolic Panel Standard
$115.08Lactate
$71.68Troponin
$87.08XR Chest 1 View Special
$93.80To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,401.62Rate Negotiated by your Insurance Plan
$1,004.38Some 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.
31500 INTUB ET
$306.8296365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$295.0896374 - IV Injection, single/initial
$155.5899285 - ED Level 5
$664.80ADD IV PUSH NEW MED
$58.00Blood Culture
$10.32CLIENT EKG (12 LEAD)
$51.98Collection of Venous Blood by venipuncture
$6.00Complete Blood Count/Hemogram Standard
$7.77Comprehensive Metabolic Panel Standard
$10.56Lactate
$11.57Troponin
$12.47XR Chest 1 View Special
$117.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$681.20Rate Negotiated by your Insurance Plan
$2,724.80Some 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.
31500 INTUB ET
$872.8096365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$288.0096374 - IV Injection, single/initial
$204.0099285 - ED Level 5
$2,627.20ADD IV PUSH NEW MED
$204.00Associated service: Revenue Code 250 charges
$2,995.20Associated service: Revenue Code 251 charges
$64.00Associated service: Revenue Code 258 charges
$53.60Associated service: Revenue Code 270 charges
$316.00Associated service: Revenue Code 272 charges
$100.00Blood Culture
$132.80CLIENT EKG (12 LEAD)
$184.00Collection of Venous Blood by venipuncture
$31.20Complete Blood Count/Hemogram Standard
$141.60Comprehensive Metabolic Panel Standard
$328.80Lactate
$204.80Troponin
$248.80XR Chest 1 View Special
$268.00To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,792.92Rate Negotiated by your Insurance Plan
$613.08Some 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.
31500 INTUB ET
$196.3896365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$64.8096374 - IV Injection, single/initial
$45.9099285 - ED Level 5
$591.12ADD IV PUSH NEW MED
$45.90Associated service: Revenue Code 250 charges
$673.92Associated service: Revenue Code 251 charges
$14.40Associated service: Revenue Code 258 charges
$12.06Associated service: Revenue Code 270 charges
$71.10Associated service: Revenue Code 272 charges
$22.50Blood Culture
$29.88CLIENT EKG (12 LEAD)
$41.40Collection of Venous Blood by venipuncture
$7.02Complete Blood Count/Hemogram Standard
$31.86Comprehensive Metabolic Panel Standard
$73.98Lactate
$46.08Troponin
$55.98XR Chest 1 View Special
$60.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$1,420.30Rate Negotiated by your Insurance Plan
$1,985.70Some 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.
31500 INTUB ET
$636.0596365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$209.8896374 - IV Injection, single/initial
$148.6699285 - ED Level 5
$1,914.57ADD IV PUSH NEW MED
$148.66Associated service: Revenue Code 250 charges
$2,182.75Associated service: Revenue Code 251 charges
$46.64Associated service: Revenue Code 258 charges
$39.06Associated service: Revenue Code 270 charges
$230.28Associated service: Revenue Code 272 charges
$72.88Blood Culture
$96.78CLIENT EKG (12 LEAD)
$134.09Collection of Venous Blood by venipuncture
$22.74Complete Blood Count/Hemogram Standard
$103.19Comprehensive Metabolic Panel Standard
$239.61Lactate
$149.25Troponin
$181.31XR Chest 1 View Special
$195.30To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.
Standard Charge
$3,406.00Insurance Discount
-$2,826.98Rate Negotiated by your Insurance Plan
$579.02Some 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.
31500 INTUB ET
$185.4796365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGN
$61.2096374 - IV Injection, single/initial
$43.3599285 - ED Level 5
$558.28ADD IV PUSH NEW MED
$43.35Associated service: Revenue Code 250 charges
$636.48Associated service: Revenue Code 251 charges
$13.60Associated service: Revenue Code 258 charges
$11.39Associated service: Revenue Code 270 charges
$67.15Associated service: Revenue Code 272 charges
$21.25Blood Culture
$28.22CLIENT EKG (12 LEAD)
$39.10Collection of Venous Blood by venipuncture
$6.63Complete Blood Count/Hemogram Standard
$30.09Comprehensive Metabolic Panel Standard
$69.87Lactate
$43.52Troponin
$52.87XR Chest 1 View Special
$56.95To verify this rate and discuss any other associated charges to expect, please contact Copper Queen Community Hospital directly.