Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Hiv With Multiple Major Hiv Related Conditions

Facility

IP

$10,661.28

Service Code	APR-DRG 8903
Hospital Charge Code	APRDRG8902
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

$6,368.71

Service Code	APR-DRG 8902
Hospital Charge Code	APRDRG8903
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	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	APRDRG8902
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	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

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$8,735.94

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG8932
Min. Negotiated Rate	$8,735.94
Max. Negotiated Rate	$8,735.94
Rate for Payer: AHCCCS Medicaid	$8,735.94
Rate for Payer: Allwell Medicaid	$8,735.94
Rate for Payer: AZCH Complete Medicaid	$8,735.94
Rate for Payer: Banner UC Health Medicaid	$8,735.94
Rate for Payer: Mercy Care Medicaid	$8,735.94

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$5,884.04

Service Code	APR-DRG 8932
Hospital Charge Code	APRDRG8934
Min. Negotiated Rate	$5,884.04
Max. Negotiated Rate	$5,884.04
Rate for Payer: AHCCCS Medicaid	$5,884.04
Rate for Payer: Allwell Medicaid	$5,884.04
Rate for Payer: AZCH Complete Medicaid	$5,884.04
Rate for Payer: Banner UC Health Medicaid	$5,884.04
Rate for Payer: Mercy Care Medicaid	$5,884.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$5,884.04

Service Code	APR-DRG 8932
Hospital Charge Code	APRDRG8931
Min. Negotiated Rate	$5,884.04
Max. Negotiated Rate	$5,884.04
Rate for Payer: AHCCCS Medicaid	$5,884.04
Rate for Payer: Allwell Medicaid	$5,884.04
Rate for Payer: AZCH Complete Medicaid	$5,884.04
Rate for Payer: Banner UC Health Medicaid	$5,884.04
Rate for Payer: Mercy Care Medicaid	$5,884.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$12,978.71

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG8932
Min. Negotiated Rate	$12,978.71
Max. Negotiated Rate	$12,978.71
Rate for Payer: AHCCCS Medicaid	$12,978.71
Rate for Payer: Allwell Medicaid	$12,978.71
Rate for Payer: AZCH Complete Medicaid	$12,978.71
Rate for Payer: Banner UC Health Medicaid	$12,978.71
Rate for Payer: Mercy Care Medicaid	$12,978.71

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$8,735.94

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG8934
Min. Negotiated Rate	$8,735.94
Max. Negotiated Rate	$8,735.94
Rate for Payer: AHCCCS Medicaid	$8,735.94
Rate for Payer: Allwell Medicaid	$8,735.94
Rate for Payer: AZCH Complete Medicaid	$8,735.94
Rate for Payer: Banner UC Health Medicaid	$8,735.94
Rate for Payer: Mercy Care Medicaid	$8,735.94

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$4,080.04

Service Code	APR-DRG 8931
Hospital Charge Code	APRDRG8934
Min. Negotiated Rate	$4,080.04
Max. Negotiated Rate	$4,080.04
Rate for Payer: AHCCCS Medicaid	$4,080.04
Rate for Payer: Allwell Medicaid	$4,080.04
Rate for Payer: AZCH Complete Medicaid	$4,080.04
Rate for Payer: Banner UC Health Medicaid	$4,080.04
Rate for Payer: Mercy Care Medicaid	$4,080.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$12,978.71

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG8933
Min. Negotiated Rate	$12,978.71
Max. Negotiated Rate	$12,978.71
Rate for Payer: AHCCCS Medicaid	$12,978.71
Rate for Payer: Allwell Medicaid	$12,978.71
Rate for Payer: AZCH Complete Medicaid	$12,978.71
Rate for Payer: Banner UC Health Medicaid	$12,978.71
Rate for Payer: Mercy Care Medicaid	$12,978.71

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$4,080.04

Service Code	APR-DRG 8931
Hospital Charge Code	APRDRG8933
Min. Negotiated Rate	$4,080.04
Max. Negotiated Rate	$4,080.04
Rate for Payer: AHCCCS Medicaid	$4,080.04
Rate for Payer: Allwell Medicaid	$4,080.04
Rate for Payer: AZCH Complete Medicaid	$4,080.04
Rate for Payer: Banner UC Health Medicaid	$4,080.04
Rate for Payer: Mercy Care Medicaid	$4,080.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$12,978.71

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG8934
Min. Negotiated Rate	$12,978.71
Max. Negotiated Rate	$12,978.71
Rate for Payer: AHCCCS Medicaid	$12,978.71
Rate for Payer: Allwell Medicaid	$12,978.71
Rate for Payer: AZCH Complete Medicaid	$12,978.71
Rate for Payer: Banner UC Health Medicaid	$12,978.71
Rate for Payer: Mercy Care Medicaid	$12,978.71

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$5,884.04

Service Code	APR-DRG 8932
Hospital Charge Code	APRDRG8932
Min. Negotiated Rate	$5,884.04
Max. Negotiated Rate	$5,884.04
Rate for Payer: AHCCCS Medicaid	$5,884.04
Rate for Payer: Allwell Medicaid	$5,884.04
Rate for Payer: AZCH Complete Medicaid	$5,884.04
Rate for Payer: Banner UC Health Medicaid	$5,884.04
Rate for Payer: Mercy Care Medicaid	$5,884.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$12,978.71

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG8931
Min. Negotiated Rate	$12,978.71
Max. Negotiated Rate	$12,978.71
Rate for Payer: AHCCCS Medicaid	$12,978.71
Rate for Payer: Allwell Medicaid	$12,978.71
Rate for Payer: AZCH Complete Medicaid	$12,978.71
Rate for Payer: Banner UC Health Medicaid	$12,978.71
Rate for Payer: Mercy Care Medicaid	$12,978.71

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$4,080.04

Service Code	APR-DRG 8931
Hospital Charge Code	APRDRG8932
Min. Negotiated Rate	$4,080.04
Max. Negotiated Rate	$4,080.04
Rate for Payer: AHCCCS Medicaid	$4,080.04
Rate for Payer: Allwell Medicaid	$4,080.04
Rate for Payer: AZCH Complete Medicaid	$4,080.04
Rate for Payer: Banner UC Health Medicaid	$4,080.04
Rate for Payer: Mercy Care Medicaid	$4,080.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$4,080.04

Service Code	APR-DRG 8931
Hospital Charge Code	APRDRG8931
Min. Negotiated Rate	$4,080.04
Max. Negotiated Rate	$4,080.04
Rate for Payer: AHCCCS Medicaid	$4,080.04
Rate for Payer: Allwell Medicaid	$4,080.04
Rate for Payer: AZCH Complete Medicaid	$4,080.04
Rate for Payer: Banner UC Health Medicaid	$4,080.04
Rate for Payer: Mercy Care Medicaid	$4,080.04

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$8,735.94

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG8933
Min. Negotiated Rate	$8,735.94
Max. Negotiated Rate	$8,735.94
Rate for Payer: AHCCCS Medicaid	$8,735.94
Rate for Payer: Allwell Medicaid	$8,735.94
Rate for Payer: AZCH Complete Medicaid	$8,735.94
Rate for Payer: Banner UC Health Medicaid	$8,735.94
Rate for Payer: Mercy Care Medicaid	$8,735.94

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$8,735.94

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG8931
Min. Negotiated Rate	$8,735.94
Max. Negotiated Rate	$8,735.94
Rate for Payer: AHCCCS Medicaid	$8,735.94
Rate for Payer: Allwell Medicaid	$8,735.94
Rate for Payer: AZCH Complete Medicaid	$8,735.94
Rate for Payer: Banner UC Health Medicaid	$8,735.94
Rate for Payer: Mercy Care Medicaid	$8,735.94

Hiv With Multiple Significant Hiv Related Conditions

Facility

IP

$5,884.04

Service Code	APR-DRG 8932
Hospital Charge Code	APRDRG8933
Min. Negotiated Rate	$5,884.04
Max. Negotiated Rate	$5,884.04
Rate for Payer: AHCCCS Medicaid	$5,884.04
Rate for Payer: Allwell Medicaid	$5,884.04
Rate for Payer: AZCH Complete Medicaid	$5,884.04
Rate for Payer: Banner UC Health Medicaid	$5,884.04
Rate for Payer: Mercy Care Medicaid	$5,884.04

Hiv With One Significant Hiv Condition Or Without Significant Related Conditions

Facility

IP

$10,390.54

Service Code	APR-DRG 8944
Hospital Charge Code	APRDRG8942
Min. Negotiated Rate	$10,390.54
Max. Negotiated Rate	$10,390.54
Rate for Payer: AHCCCS Medicaid	$10,390.54
Rate for Payer: Allwell Medicaid	$10,390.54
Rate for Payer: AZCH Complete Medicaid	$10,390.54
Rate for Payer: Banner UC Health Medicaid	$10,390.54
Rate for Payer: Mercy Care Medicaid	$10,390.54

Hiv With One Significant Hiv Condition Or Without Significant Related Conditions

Facility

IP

$6,836.55

Service Code	APR-DRG 8943
Hospital Charge Code	APRDRG8943
Min. Negotiated Rate	$6,836.55
Max. Negotiated Rate	$6,836.55
Rate for Payer: AHCCCS Medicaid	$6,836.55
Rate for Payer: Allwell Medicaid	$6,836.55
Rate for Payer: AZCH Complete Medicaid	$6,836.55
Rate for Payer: Banner UC Health Medicaid	$6,836.55
Rate for Payer: Mercy Care Medicaid	$6,836.55

Hiv With One Significant Hiv Condition Or Without Significant Related Conditions

Facility

IP

$6,836.55

Service Code	APR-DRG 8943
Hospital Charge Code	APRDRG8944
Min. Negotiated Rate	$6,836.55
Max. Negotiated Rate	$6,836.55
Rate for Payer: AHCCCS Medicaid	$6,836.55
Rate for Payer: Allwell Medicaid	$6,836.55
Rate for Payer: AZCH Complete Medicaid	$6,836.55
Rate for Payer: Banner UC Health Medicaid	$6,836.55
Rate for Payer: Mercy Care Medicaid	$6,836.55

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