The standard charge for CT of abdomen and pelvis without dye is $4,547.00. 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
$4,547.00Insurance Discount
-$3,273.84Rate Negotiated by your Insurance Plan
$1,273.16Some 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
$45.64Associated service: Revenue Code 258 charges
$12.60Bill Observed Chain of Custody
$13.16Collection 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
$4,547.00Insurance Discount
-$454.70Rate Negotiated by your Insurance Plan
$4,092.30Some 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
$146.70Associated service: Revenue Code 258 charges
$40.50Bill Observed Chain of Custody
$42.30Collection 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
$4,547.00Insurance Discount
-$4,213.32Rate Negotiated by your Insurance Plan
$333.68Some 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
$442.36Bill Observed Chain of Custody
$3.17Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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
$4,547.00Insurance Discount
-$4,213.32Rate Negotiated by your Insurance Plan
$333.68Some 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
$442.36Bill Observed Chain of Custody
$3.17Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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
$4,547.00Insurance Discount
-$4,213.32Rate Negotiated by your Insurance Plan
$333.68Some 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
$442.36Bill Observed Chain of Custody
$3.17Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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
$4,547.00Insurance Discount
-$2,848.70Rate Negotiated by your Insurance Plan
$1,698.30Some 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
$60.88Associated service: Revenue Code 258 charges
$16.81Bill Observed Chain of Custody
$17.55Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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
$4,547.00Insurance Discount
-$4,213.32Rate Negotiated by your Insurance Plan
$333.68Some 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
$442.36Bill Observed Chain of Custody
$3.17Collection 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
$4,547.00Insurance Discount
-$2,145.01Rate Negotiated by your Insurance Plan
$2,401.99Some 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
$1,703.72Bill Observed Chain of Custody
$51.37Collection 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
$4,547.00Insurance Discount
-$1,591.45Rate Negotiated by your Insurance Plan
$2,955.55Some 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
$114.10Associated service: Revenue Code 258 charges
$29.25Bill Observed Chain of Custody
$30.55Collection 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
$4,547.00Insurance Discount
-$3,364.78Rate Negotiated by your Insurance Plan
$1,182.22Some 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
$42.38Associated service: Revenue Code 258 charges
$11.70Bill Observed Chain of Custody
$12.22Collection 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
$4,547.00Insurance Discount
-$3,271.57Rate Negotiated by your Insurance Plan
$1,275.43Some 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
$45.72Associated service: Revenue Code 258 charges
$12.62Bill Observed Chain of Custody
$13.18Collection 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
$4,547.00Insurance Discount
-$1,818.80Rate Negotiated by your Insurance Plan
$2,728.20Some 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
$1,324.80Associated service: Revenue Code 250 charges
$97.80Associated service: Revenue Code 258 charges
$27.00Bill Observed Chain of Custody
$28.20Collection 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
$4,547.00Insurance Discount
-$3,273.84Rate Negotiated by your Insurance Plan
$1,273.16Some 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
$45.64Associated service: Revenue Code 258 charges
$12.60Bill Observed Chain of Custody
$13.16Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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
$4,547.00Insurance Discount
-$4,213.32Rate Negotiated by your Insurance Plan
$333.68Some 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
$442.36Bill Observed Chain of Custody
$3.17Collection 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
$4,547.00Insurance Discount
-$909.40Rate Negotiated by your Insurance Plan
$3,637.60Some 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
$1,766.40Associated service: Revenue Code 250 charges
$130.40Associated service: Revenue Code 258 charges
$36.00Bill Observed Chain of Custody
$37.60Collection 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
$4,547.00Insurance Discount
-$3,728.54Rate Negotiated by your Insurance Plan
$818.46Some 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
$29.34Associated service: Revenue Code 258 charges
$8.10Bill Observed Chain of Custody
$8.46Collection 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
$4,547.00Insurance Discount
-$1,896.10Rate Negotiated by your Insurance Plan
$2,650.90Some 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
$95.03Associated service: Revenue Code 258 charges
$26.23Bill Observed Chain of Custody
$27.40Collection 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
$4,547.00Insurance Discount
-$3,774.01Rate Negotiated by your Insurance Plan
$772.99Some 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
$27.71Associated service: Revenue Code 258 charges
$7.65Bill Observed Chain of Custody
$7.99Collection 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.