Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Hiv With Major Hiv Related Condition

Facility

IP

$8,022.61

Service Code	APR-DRG 8923
Hospital Charge Code	APRDRG8924
Min. Negotiated Rate	$8,022.61
Max. Negotiated Rate	$8,022.61
Rate for Payer: AHCCCS Medicaid	$8,022.61
Rate for Payer: Allwell Medicaid	$8,022.61
Rate for Payer: AZCH Complete Medicaid	$8,022.61
Rate for Payer: Banner UC Health Medicaid	$8,022.61
Rate for Payer: Mercy Care Medicaid	$8,022.61

Hiv With Major Hiv Related Condition

Facility

IP

$5,410.60

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG8921
Min. Negotiated Rate	$5,410.60
Max. Negotiated Rate	$5,410.60
Rate for Payer: AHCCCS Medicaid	$5,410.60
Rate for Payer: Allwell Medicaid	$5,410.60
Rate for Payer: AZCH Complete Medicaid	$5,410.60
Rate for Payer: Banner UC Health Medicaid	$5,410.60
Rate for Payer: Mercy Care Medicaid	$5,410.60

Hiv With Major Hiv Related Condition

Facility

IP

$5,410.60

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG8923
Min. Negotiated Rate	$5,410.60
Max. Negotiated Rate	$5,410.60
Rate for Payer: AHCCCS Medicaid	$5,410.60
Rate for Payer: Allwell Medicaid	$5,410.60
Rate for Payer: AZCH Complete Medicaid	$5,410.60
Rate for Payer: Banner UC Health Medicaid	$5,410.60
Rate for Payer: Mercy Care Medicaid	$5,410.60

Hiv With Major Hiv Related Condition

Facility

IP

$13,882.81

Service Code	APR-DRG 8924
Hospital Charge Code	APRDRG8921
Min. Negotiated Rate	$13,882.81
Max. Negotiated Rate	$13,882.81
Rate for Payer: AHCCCS Medicaid	$13,882.81
Rate for Payer: Allwell Medicaid	$13,882.81
Rate for Payer: AZCH Complete Medicaid	$13,882.81
Rate for Payer: Banner UC Health Medicaid	$13,882.81
Rate for Payer: Mercy Care Medicaid	$13,882.81

Hiv With Major Hiv Related Condition

Facility

IP

$8,022.61

Service Code	APR-DRG 8923
Hospital Charge Code	APRDRG8923
Min. Negotiated Rate	$8,022.61
Max. Negotiated Rate	$8,022.61
Rate for Payer: AHCCCS Medicaid	$8,022.61
Rate for Payer: Allwell Medicaid	$8,022.61
Rate for Payer: AZCH Complete Medicaid	$8,022.61
Rate for Payer: Banner UC Health Medicaid	$8,022.61
Rate for Payer: Mercy Care Medicaid	$8,022.61

Hiv With Major Hiv Related Condition

Facility

IP

$4,266.62

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG8923
Min. Negotiated Rate	$4,266.62
Max. Negotiated Rate	$4,266.62
Rate for Payer: AHCCCS Medicaid	$4,266.62
Rate for Payer: Allwell Medicaid	$4,266.62
Rate for Payer: AZCH Complete Medicaid	$4,266.62
Rate for Payer: Banner UC Health Medicaid	$4,266.62
Rate for Payer: Mercy Care Medicaid	$4,266.62

Hiv With Major Hiv Related Condition

Facility

IP

$4,266.62

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG8921
Min. Negotiated Rate	$4,266.62
Max. Negotiated Rate	$4,266.62
Rate for Payer: AHCCCS Medicaid	$4,266.62
Rate for Payer: Allwell Medicaid	$4,266.62
Rate for Payer: AZCH Complete Medicaid	$4,266.62
Rate for Payer: Banner UC Health Medicaid	$4,266.62
Rate for Payer: Mercy Care Medicaid	$4,266.62

Hiv With Major Hiv Related Condition

Facility

IP

$8,022.61

Service Code	APR-DRG 8923
Hospital Charge Code	APRDRG8921
Min. Negotiated Rate	$8,022.61
Max. Negotiated Rate	$8,022.61
Rate for Payer: AHCCCS Medicaid	$8,022.61
Rate for Payer: Allwell Medicaid	$8,022.61
Rate for Payer: AZCH Complete Medicaid	$8,022.61
Rate for Payer: Banner UC Health Medicaid	$8,022.61
Rate for Payer: Mercy Care Medicaid	$8,022.61

Hiv With Major Hiv Related Condition

Facility

IP

$13,882.81

Service Code	APR-DRG 8924
Hospital Charge Code	APRDRG8923
Min. Negotiated Rate	$13,882.81
Max. Negotiated Rate	$13,882.81
Rate for Payer: AHCCCS Medicaid	$13,882.81
Rate for Payer: Allwell Medicaid	$13,882.81
Rate for Payer: AZCH Complete Medicaid	$13,882.81
Rate for Payer: Banner UC Health Medicaid	$13,882.81
Rate for Payer: Mercy Care Medicaid	$13,882.81

Hiv With Major Hiv Related Condition

Facility

IP

$5,410.60

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG8922
Min. Negotiated Rate	$5,410.60
Max. Negotiated Rate	$5,410.60
Rate for Payer: AHCCCS Medicaid	$5,410.60
Rate for Payer: Allwell Medicaid	$5,410.60
Rate for Payer: AZCH Complete Medicaid	$5,410.60
Rate for Payer: Banner UC Health Medicaid	$5,410.60
Rate for Payer: Mercy Care Medicaid	$5,410.60

Hiv With Major Hiv Related Condition

Facility

IP

$13,882.81

Service Code	APR-DRG 8924
Hospital Charge Code	APRDRG8922
Min. Negotiated Rate	$13,882.81
Max. Negotiated Rate	$13,882.81
Rate for Payer: AHCCCS Medicaid	$13,882.81
Rate for Payer: Allwell Medicaid	$13,882.81
Rate for Payer: AZCH Complete Medicaid	$13,882.81
Rate for Payer: Banner UC Health Medicaid	$13,882.81
Rate for Payer: Mercy Care Medicaid	$13,882.81

Hiv With Major Hiv Related Condition

Facility

IP

$8,022.61

Service Code	APR-DRG 8923
Hospital Charge Code	APRDRG8922
Min. Negotiated Rate	$8,022.61
Max. Negotiated Rate	$8,022.61
Rate for Payer: AHCCCS Medicaid	$8,022.61
Rate for Payer: Allwell Medicaid	$8,022.61
Rate for Payer: AZCH Complete Medicaid	$8,022.61
Rate for Payer: Banner UC Health Medicaid	$8,022.61
Rate for Payer: Mercy Care Medicaid	$8,022.61

Hiv With Major Hiv Related Condition

Facility

IP

$4,266.62

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG8922
Min. Negotiated Rate	$4,266.62
Max. Negotiated Rate	$4,266.62
Rate for Payer: AHCCCS Medicaid	$4,266.62
Rate for Payer: Allwell Medicaid	$4,266.62
Rate for Payer: AZCH Complete Medicaid	$4,266.62
Rate for Payer: Banner UC Health Medicaid	$4,266.62
Rate for Payer: Mercy Care Medicaid	$4,266.62

Hiv With Major Hiv Related Condition

Facility

IP

$5,410.60

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG8924
Min. Negotiated Rate	$5,410.60
Max. Negotiated Rate	$5,410.60
Rate for Payer: AHCCCS Medicaid	$5,410.60
Rate for Payer: Allwell Medicaid	$5,410.60
Rate for Payer: AZCH Complete Medicaid	$5,410.60
Rate for Payer: Banner UC Health Medicaid	$5,410.60
Rate for Payer: Mercy Care Medicaid	$5,410.60

Hiv With Major Hiv Related Condition

Facility

IP

$4,266.62

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG8924
Min. Negotiated Rate	$4,266.62
Max. Negotiated Rate	$4,266.62
Rate for Payer: AHCCCS Medicaid	$4,266.62
Rate for Payer: Allwell Medicaid	$4,266.62
Rate for Payer: AZCH Complete Medicaid	$4,266.62
Rate for Payer: Banner UC Health Medicaid	$4,266.62
Rate for Payer: Mercy Care Medicaid	$4,266.62

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$10,661.28

Service Code	APR-DRG 8903
Hospital Charge Code	APRDRG8901
Min. Negotiated Rate	$10,661.28
Max. Negotiated Rate	$10,661.28
Rate for Payer: AHCCCS Medicaid	$10,661.28
Rate for Payer: Allwell Medicaid	$10,661.28
Rate for Payer: AZCH Complete Medicaid	$10,661.28
Rate for Payer: Banner UC Health Medicaid	$10,661.28
Rate for Payer: Mercy Care Medicaid	$10,661.28

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$5,891.76

Service Code	APR-DRG 8901
Hospital Charge Code	APRDRG8901
Min. Negotiated Rate	$5,891.76
Max. Negotiated Rate	$5,891.76
Rate for Payer: AHCCCS Medicaid	$5,891.76
Rate for Payer: Allwell Medicaid	$5,891.76
Rate for Payer: AZCH Complete Medicaid	$5,891.76
Rate for Payer: Banner UC Health Medicaid	$5,891.76
Rate for Payer: Mercy Care Medicaid	$5,891.76

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$10,661.28

Service Code	APR-DRG 8903
Hospital Charge Code	APRDRG8904
Min. Negotiated Rate	$10,661.28
Max. Negotiated Rate	$10,661.28
Rate for Payer: AHCCCS Medicaid	$10,661.28
Rate for Payer: Allwell Medicaid	$10,661.28
Rate for Payer: AZCH Complete Medicaid	$10,661.28
Rate for Payer: Banner UC Health Medicaid	$10,661.28
Rate for Payer: Mercy Care Medicaid	$10,661.28

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$6,368.71

Service Code	APR-DRG 8902
Hospital Charge Code	APRDRG8901
Min. Negotiated Rate	$6,368.71
Max. Negotiated Rate	$6,368.71
Rate for Payer: AHCCCS Medicaid	$6,368.71
Rate for Payer: Allwell Medicaid	$6,368.71
Rate for Payer: AZCH Complete Medicaid	$6,368.71
Rate for Payer: Banner UC Health Medicaid	$6,368.71
Rate for Payer: Mercy Care Medicaid	$6,368.71

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$21,881.58

Service Code	APR-DRG 8904
Hospital Charge Code	APRDRG8904
Min. Negotiated Rate	$21,881.58
Max. Negotiated Rate	$21,881.58
Rate for Payer: AHCCCS Medicaid	$21,881.58
Rate for Payer: Allwell Medicaid	$21,881.58
Rate for Payer: AZCH Complete Medicaid	$21,881.58
Rate for Payer: Banner UC Health Medicaid	$21,881.58
Rate for Payer: Mercy Care Medicaid	$21,881.58

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$21,881.58

Service Code	APR-DRG 8904
Hospital Charge Code	APRDRG8901
Min. Negotiated Rate	$21,881.58
Max. Negotiated Rate	$21,881.58
Rate for Payer: AHCCCS Medicaid	$21,881.58
Rate for Payer: Allwell Medicaid	$21,881.58
Rate for Payer: AZCH Complete Medicaid	$21,881.58
Rate for Payer: Banner UC Health Medicaid	$21,881.58
Rate for Payer: Mercy Care Medicaid	$21,881.58

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$6,368.71

Service Code	APR-DRG 8902
Hospital Charge Code	APRDRG8904
Min. Negotiated Rate	$6,368.71
Max. Negotiated Rate	$6,368.71
Rate for Payer: AHCCCS Medicaid	$6,368.71
Rate for Payer: Allwell Medicaid	$6,368.71
Rate for Payer: AZCH Complete Medicaid	$6,368.71
Rate for Payer: Banner UC Health Medicaid	$6,368.71
Rate for Payer: Mercy Care Medicaid	$6,368.71

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$5,891.76

Service Code	APR-DRG 8901
Hospital Charge Code	APRDRG8903
Min. Negotiated Rate	$5,891.76
Max. Negotiated Rate	$5,891.76
Rate for Payer: AHCCCS Medicaid	$5,891.76
Rate for Payer: Allwell Medicaid	$5,891.76
Rate for Payer: AZCH Complete Medicaid	$5,891.76
Rate for Payer: Banner UC Health Medicaid	$5,891.76
Rate for Payer: Mercy Care Medicaid	$5,891.76

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$5,891.76

Service Code	APR-DRG 8901
Hospital Charge Code	APRDRG8904
Min. Negotiated Rate	$5,891.76
Max. Negotiated Rate	$5,891.76
Rate for Payer: AHCCCS Medicaid	$5,891.76
Rate for Payer: Allwell Medicaid	$5,891.76
Rate for Payer: AZCH Complete Medicaid	$5,891.76
Rate for Payer: Banner UC Health Medicaid	$5,891.76
Rate for Payer: Mercy Care Medicaid	$5,891.76

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$21,881.58

Service Code	APR-DRG 8904
Hospital Charge Code	APRDRG8903
Min. Negotiated Rate	$21,881.58
Max. Negotiated Rate	$21,881.58
Rate for Payer: AHCCCS Medicaid	$21,881.58
Rate for Payer: Allwell Medicaid	$21,881.58
Rate for Payer: AZCH Complete Medicaid	$21,881.58
Rate for Payer: Banner UC Health Medicaid	$21,881.58
Rate for Payer: Mercy Care Medicaid	$21,881.58

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