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Hospital Services: Carondelet St. Joseph’s HospitalCarondelet St. Mary’s Hospital Northwest Medical Center Oro Valley Hospital Tucson Medical CenterHospital Inpatient Services: Inpatient Medical/Surgical admission -$500 per day.Inpatient Intensive Care Unit admission - $700 per day. Maximum cost for each inpatient stay - $2,000 unless total bill is over $20,000, daily rates do not apply. Patient is responsible for 10% of full billed charges - This list is not all inclusive. **Emergency Room visits only discounted if admitted to hospital.Hospital Outpatient Services: 20% of full billed charges - This list is not all inclusive. This is only for facility fees.Anesthesia Services:Old Pueblo Anesthesia – 520-324-2030Southern AZ Anesthesia – 520-795-7650Lab Provider: Sonora Quest Labs - 50% Medicare AllowablePrimary Care Visits: Community Health Centers – Sliding Fee Scale (Based on your income)Contracted Independent Community Physicians –100% Medicare AllowableNon-Contracted Physicians – No PCAP discountSpecialty Visits: $30 for office visit35% Medicare allowable for general procedures50% Medicare Allowable Selected Specialist Visits: Cardiology, Surgery, and OrthopedicPharmacy Services:Arizona Copper Card: 1-888-227-8315AstraZeneca Prescription Assistance Program: 1-800-424-3727 or visit visit Fry’s Food & Drug (mailed to PCAP members) Pharmacy Services (continued):NeedyMeds 1-800-503-6897 for Prescription Assistance: 1-888-477-2669; Script Save Card: 1-888-672-5100 to enroll RX Access call: 1-800-444-4106 to enroll Watertree Health Discount Prescription Card - PCAP or call 855-739-3775Radiology – Outpatient:Advanced Open MRI – 520-326-3455Alliance Healthcare Services, Inc. – 520-289-8089AZ Advanced Imaging – 520-624-0263Carondelet Imaging Center – 520-872-7200Northwest Medical Center – 520-742-9000Open MRI Solutions – 520-434-0404Rapid Sound – 520-881-2770SimonMed Imaging North – 520-230-4900SimonMed Imaging East – 520-449-8001Carondelet St. Joseph’s Hospital – 520-873-3000Carondelet St. Mary’s Hospital – 520-872-3000Carondelet St. Mary’s Imaging Center – 520-872-7200Tucson Medical Center – 520-327-5461Urgent Care Services:Concentra Urgent Care–2005 W Ruthrauff #111 – 520-293-7250–7119 E Broadway – 520-881-0050–4600 S Park Ave #5 –520-889-9574NextCare Urgent Care:1-888-381-4858–5369 S Calle Santa Cruz # 145–9525 E Old Spanish Trail #101–4280 N Oracle Rd #100–501 N Park Ave–6238 E Pima StWalgreens Take Care Clinic –3910 E 22nd St – 520-745-2277–10315 E Broadway – 520-886-2108–7800 N Cortaro Rd – 520-572-8699–2180 W Grant Rd – 520-620-1088Urgent Care Services (continued):–4685 E. Grant Rd – 520-326-4341–10405 N La Canada – 520-297-5934–2150 W Orange Grove – 520-544-9480Vision Services:Alvernon Optical–440 N Alvernon Way #101520-327-6211–2820 N Campbell – 520-323-3937–4747 E Sunrise Dr – 520-299-4000–6987 N Oracle Rd – 520-297-2501–230 W Continental #408, Green Valley – 520-625-5657Nationwide Vision – 1-800-279-3115Audiology Services:AZ Hearing Specialists – 520-399-7630El Dorado Audiology, Inc. – 520-885-0234Oro Valley Audiology – 520-825-4770Tanque Verde Audiology – 520-751-3901Exclusions: Ambulance transport servicesAny service that is not medically necessary or is experimentalBehavioral health, substance abuse and detoxificationDental careEmergency Room Physician’s chargesEmergency room visits unless you are admittedHearing aids, eye examinations for prescription lenses, prescription lensesHospitalistsImmunizations/injections Isotopes for nuclear radiology Nursing home careObstetrical services (check with primary care clinics for discounted programs)Oncology PrescriptionsServices outside of Pima County, including emergency or urgent care servicesTransplants ................
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