Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$20,677.97

Service Code	APR-DRG 9503
Hospital Charge Code	APRDRG9504
Min. Negotiated Rate	$20,677.97
Max. Negotiated Rate	$20,677.97
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,677.97
Rate for Payer: Mercy Care Medicaid	$20,677.97
Rate for Payer: NaphCare Correctional Healthcare	$20,677.97

Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,793.03

Service Code	APR-DRG 9502
Hospital Charge Code	APRDRG9503
Min. Negotiated Rate	$13,793.03
Max. Negotiated Rate	$13,793.03
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,793.03
Rate for Payer: Mercy Care Medicaid	$13,793.03
Rate for Payer: NaphCare Correctional Healthcare	$13,793.03

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$9,698.96

Service Code	APR-DRG 8433
Hospital Charge Code	APRDRG8431
Min. Negotiated Rate	$9,698.96
Max. Negotiated Rate	$9,698.96
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,698.96
Rate for Payer: Mercy Care Medicaid	$9,698.96
Rate for Payer: NaphCare Correctional Healthcare	$9,698.96

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$4,065.31

Service Code	APR-DRG 8431
Hospital Charge Code	APRDRG8433
Min. Negotiated Rate	$4,065.31
Max. Negotiated Rate	$4,065.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,065.31
Rate for Payer: Mercy Care Medicaid	$4,065.31
Rate for Payer: NaphCare Correctional Healthcare	$4,065.31

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$6,902.48

Service Code	APR-DRG 8432
Hospital Charge Code	APRDRG8431
Min. Negotiated Rate	$6,902.48
Max. Negotiated Rate	$6,902.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,902.48
Rate for Payer: Mercy Care Medicaid	$6,902.48
Rate for Payer: NaphCare Correctional Healthcare	$6,902.48

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$35,683.02

Service Code	APR-DRG 8434
Hospital Charge Code	APRDRG8433
Min. Negotiated Rate	$35,683.02
Max. Negotiated Rate	$35,683.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,683.02
Rate for Payer: Mercy Care Medicaid	$35,683.02
Rate for Payer: NaphCare Correctional Healthcare	$35,683.02

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$35,683.02

Service Code	APR-DRG 8434
Hospital Charge Code	APRDRG8434
Min. Negotiated Rate	$35,683.02
Max. Negotiated Rate	$35,683.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,683.02
Rate for Payer: Mercy Care Medicaid	$35,683.02
Rate for Payer: NaphCare Correctional Healthcare	$35,683.02

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$9,698.96

Service Code	APR-DRG 8433
Hospital Charge Code	APRDRG8432
Min. Negotiated Rate	$9,698.96
Max. Negotiated Rate	$9,698.96
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,698.96
Rate for Payer: Mercy Care Medicaid	$9,698.96
Rate for Payer: NaphCare Correctional Healthcare	$9,698.96

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$4,065.31

Service Code	APR-DRG 8431
Hospital Charge Code	APRDRG8431
Min. Negotiated Rate	$4,065.31
Max. Negotiated Rate	$4,065.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,065.31
Rate for Payer: Mercy Care Medicaid	$4,065.31
Rate for Payer: NaphCare Correctional Healthcare	$4,065.31

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$6,902.48

Service Code	APR-DRG 8432
Hospital Charge Code	APRDRG8433
Min. Negotiated Rate	$6,902.48
Max. Negotiated Rate	$6,902.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,902.48
Rate for Payer: Mercy Care Medicaid	$6,902.48
Rate for Payer: NaphCare Correctional Healthcare	$6,902.48

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$4,065.31

Service Code	APR-DRG 8431
Hospital Charge Code	APRDRG8432
Min. Negotiated Rate	$4,065.31
Max. Negotiated Rate	$4,065.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,065.31
Rate for Payer: Mercy Care Medicaid	$4,065.31
Rate for Payer: NaphCare Correctional Healthcare	$4,065.31

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$4,065.31

Service Code	APR-DRG 8431
Hospital Charge Code	APRDRG8434
Min. Negotiated Rate	$4,065.31
Max. Negotiated Rate	$4,065.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,065.31
Rate for Payer: Mercy Care Medicaid	$4,065.31
Rate for Payer: NaphCare Correctional Healthcare	$4,065.31

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$35,683.02

Service Code	APR-DRG 8434
Hospital Charge Code	APRDRG8432
Min. Negotiated Rate	$35,683.02
Max. Negotiated Rate	$35,683.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,683.02
Rate for Payer: Mercy Care Medicaid	$35,683.02
Rate for Payer: NaphCare Correctional Healthcare	$35,683.02

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$6,902.48

Service Code	APR-DRG 8432
Hospital Charge Code	APRDRG8434
Min. Negotiated Rate	$6,902.48
Max. Negotiated Rate	$6,902.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,902.48
Rate for Payer: Mercy Care Medicaid	$6,902.48
Rate for Payer: NaphCare Correctional Healthcare	$6,902.48

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$6,902.48

Service Code	APR-DRG 8432
Hospital Charge Code	APRDRG8432
Min. Negotiated Rate	$6,902.48
Max. Negotiated Rate	$6,902.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,902.48
Rate for Payer: Mercy Care Medicaid	$6,902.48
Rate for Payer: NaphCare Correctional Healthcare	$6,902.48

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$35,683.02

Service Code	APR-DRG 8434
Hospital Charge Code	APRDRG8431
Min. Negotiated Rate	$35,683.02
Max. Negotiated Rate	$35,683.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,683.02
Rate for Payer: Mercy Care Medicaid	$35,683.02
Rate for Payer: NaphCare Correctional Healthcare	$35,683.02

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$9,698.96

Service Code	APR-DRG 8433
Hospital Charge Code	APRDRG8433
Min. Negotiated Rate	$9,698.96
Max. Negotiated Rate	$9,698.96
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,698.96
Rate for Payer: Mercy Care Medicaid	$9,698.96
Rate for Payer: NaphCare Correctional Healthcare	$9,698.96

Extensive Third Degree Burns Without Skin Graft

Facility

IP

$9,698.96

Service Code	APR-DRG 8433
Hospital Charge Code	APRDRG8434
Min. Negotiated Rate	$9,698.96
Max. Negotiated Rate	$9,698.96
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,698.96
Rate for Payer: Mercy Care Medicaid	$9,698.96
Rate for Payer: NaphCare Correctional Healthcare	$9,698.96

Extensive Third Degree Burns With Skin Graft

Facility

IP

$37,216.28

Service Code	APR-DRG 8411
Hospital Charge Code	APRDRG8411
Min. Negotiated Rate	$37,216.28
Max. Negotiated Rate	$37,216.28
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$37,216.28
Rate for Payer: Mercy Care Medicaid	$37,216.28
Rate for Payer: NaphCare Correctional Healthcare	$37,216.28

Extensive Third Degree Burns With Skin Graft

Facility

IP

$57,269.31

Service Code	APR-DRG 8413
Hospital Charge Code	APRDRG8411
Min. Negotiated Rate	$57,269.31
Max. Negotiated Rate	$57,269.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$57,269.31
Rate for Payer: Mercy Care Medicaid	$57,269.31
Rate for Payer: NaphCare Correctional Healthcare	$57,269.31

Extensive Third Degree Burns With Skin Graft

Facility

IP

$37,216.28

Service Code	APR-DRG 8412
Hospital Charge Code	APRDRG8411
Min. Negotiated Rate	$37,216.28
Max. Negotiated Rate	$37,216.28
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$37,216.28
Rate for Payer: Mercy Care Medicaid	$37,216.28
Rate for Payer: NaphCare Correctional Healthcare	$37,216.28

Extensive Third Degree Burns With Skin Graft

Facility

IP

$37,216.28

Service Code	APR-DRG 8412
Hospital Charge Code	APRDRG8413
Min. Negotiated Rate	$37,216.28
Max. Negotiated Rate	$37,216.28
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$37,216.28
Rate for Payer: Mercy Care Medicaid	$37,216.28
Rate for Payer: NaphCare Correctional Healthcare	$37,216.28

Extensive Third Degree Burns With Skin Graft

Facility

IP

$57,269.31

Service Code	APR-DRG 8413
Hospital Charge Code	APRDRG8414
Min. Negotiated Rate	$57,269.31
Max. Negotiated Rate	$57,269.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$57,269.31
Rate for Payer: Mercy Care Medicaid	$57,269.31
Rate for Payer: NaphCare Correctional Healthcare	$57,269.31

Extensive Third Degree Burns With Skin Graft

Facility

IP

$144,168.56

Service Code	APR-DRG 8414
Hospital Charge Code	APRDRG8413
Min. Negotiated Rate	$144,168.56
Max. Negotiated Rate	$144,168.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$144,168.56
Rate for Payer: Mercy Care Medicaid	$144,168.56
Rate for Payer: NaphCare Correctional Healthcare	$144,168.56

Extensive Third Degree Burns With Skin Graft

Facility

IP

$144,168.56

Service Code	APR-DRG 8414
Hospital Charge Code	APRDRG8412
Min. Negotiated Rate	$144,168.56
Max. Negotiated Rate	$144,168.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$144,168.56
Rate for Payer: Mercy Care Medicaid	$144,168.56
Rate for Payer: NaphCare Correctional Healthcare	$144,168.56

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