Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$10,210.28

Service Code	APR-DRG 4422
Hospital Charge Code	APRDRG4421
Min. Negotiated Rate	$10,210.28
Max. Negotiated Rate	$10,210.28
Rate for Payer: AHCCCS Medicaid	$10,210.28
Rate for Payer: Allwell Medicaid	$10,210.28
Rate for Payer: AZCH Complete Medicaid	$10,210.28
Rate for Payer: Banner UC Health Medicaid	$10,210.28
Rate for Payer: Mercy Care Medicaid	$10,210.28

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$27,622.53

Service Code	APR-DRG 4424
Hospital Charge Code	APRDRG4424
Min. Negotiated Rate	$27,622.53
Max. Negotiated Rate	$27,622.53
Rate for Payer: AHCCCS Medicaid	$27,622.53
Rate for Payer: Allwell Medicaid	$27,622.53
Rate for Payer: AZCH Complete Medicaid	$27,622.53
Rate for Payer: Banner UC Health Medicaid	$27,622.53
Rate for Payer: Mercy Care Medicaid	$27,622.53

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$15,769.58

Service Code	APR-DRG 4423
Hospital Charge Code	APRDRG4421
Min. Negotiated Rate	$15,769.58
Max. Negotiated Rate	$15,769.58
Rate for Payer: AHCCCS Medicaid	$15,769.58
Rate for Payer: Allwell Medicaid	$15,769.58
Rate for Payer: AZCH Complete Medicaid	$15,769.58
Rate for Payer: Banner UC Health Medicaid	$15,769.58
Rate for Payer: Mercy Care Medicaid	$15,769.58

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$27,622.53

Service Code	APR-DRG 4424
Hospital Charge Code	APRDRG4421
Min. Negotiated Rate	$27,622.53
Max. Negotiated Rate	$27,622.53
Rate for Payer: AHCCCS Medicaid	$27,622.53
Rate for Payer: Allwell Medicaid	$27,622.53
Rate for Payer: AZCH Complete Medicaid	$27,622.53
Rate for Payer: Banner UC Health Medicaid	$27,622.53
Rate for Payer: Mercy Care Medicaid	$27,622.53

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$15,769.58

Service Code	APR-DRG 4423
Hospital Charge Code	APRDRG4423
Min. Negotiated Rate	$15,769.58
Max. Negotiated Rate	$15,769.58
Rate for Payer: AHCCCS Medicaid	$15,769.58
Rate for Payer: Allwell Medicaid	$15,769.58
Rate for Payer: AZCH Complete Medicaid	$15,769.58
Rate for Payer: Banner UC Health Medicaid	$15,769.58
Rate for Payer: Mercy Care Medicaid	$15,769.58

Kidney And Urinary Tract Procedures For Malignancy

Facility

IP

$10,210.28

Service Code	APR-DRG 4422
Hospital Charge Code	APRDRG4422
Min. Negotiated Rate	$10,210.28
Max. Negotiated Rate	$10,210.28
Rate for Payer: AHCCCS Medicaid	$10,210.28
Rate for Payer: Allwell Medicaid	$10,210.28
Rate for Payer: AZCH Complete Medicaid	$10,210.28
Rate for Payer: Banner UC Health Medicaid	$10,210.28
Rate for Payer: Mercy Care Medicaid	$10,210.28

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$7,889.35

Service Code	APR-DRG 4431
Hospital Charge Code	APRDRG4432
Min. Negotiated Rate	$7,889.35
Max. Negotiated Rate	$7,889.35
Rate for Payer: AHCCCS Medicaid	$7,889.35
Rate for Payer: Allwell Medicaid	$7,889.35
Rate for Payer: AZCH Complete Medicaid	$7,889.35
Rate for Payer: Banner UC Health Medicaid	$7,889.35
Rate for Payer: Mercy Care Medicaid	$7,889.35

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$14,370.98

Service Code	APR-DRG 4433
Hospital Charge Code	APRDRG4431
Min. Negotiated Rate	$14,370.98
Max. Negotiated Rate	$14,370.98
Rate for Payer: AHCCCS Medicaid	$14,370.98
Rate for Payer: Allwell Medicaid	$14,370.98
Rate for Payer: AZCH Complete Medicaid	$14,370.98
Rate for Payer: Banner UC Health Medicaid	$14,370.98
Rate for Payer: Mercy Care Medicaid	$14,370.98

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$9,200.26

Service Code	APR-DRG 4432
Hospital Charge Code	APRDRG4431
Min. Negotiated Rate	$9,200.26
Max. Negotiated Rate	$9,200.26
Rate for Payer: AHCCCS Medicaid	$9,200.26
Rate for Payer: Allwell Medicaid	$9,200.26
Rate for Payer: AZCH Complete Medicaid	$9,200.26
Rate for Payer: Banner UC Health Medicaid	$9,200.26
Rate for Payer: Mercy Care Medicaid	$9,200.26

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$9,200.26

Service Code	APR-DRG 4432
Hospital Charge Code	APRDRG4432
Min. Negotiated Rate	$9,200.26
Max. Negotiated Rate	$9,200.26
Rate for Payer: AHCCCS Medicaid	$9,200.26
Rate for Payer: Allwell Medicaid	$9,200.26
Rate for Payer: AZCH Complete Medicaid	$9,200.26
Rate for Payer: Banner UC Health Medicaid	$9,200.26
Rate for Payer: Mercy Care Medicaid	$9,200.26

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$14,370.98

Service Code	APR-DRG 4433
Hospital Charge Code	APRDRG4434
Min. Negotiated Rate	$14,370.98
Max. Negotiated Rate	$14,370.98
Rate for Payer: AHCCCS Medicaid	$14,370.98
Rate for Payer: Allwell Medicaid	$14,370.98
Rate for Payer: AZCH Complete Medicaid	$14,370.98
Rate for Payer: Banner UC Health Medicaid	$14,370.98
Rate for Payer: Mercy Care Medicaid	$14,370.98

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$14,370.98

Service Code	APR-DRG 4433
Hospital Charge Code	APRDRG4433
Min. Negotiated Rate	$14,370.98
Max. Negotiated Rate	$14,370.98
Rate for Payer: AHCCCS Medicaid	$14,370.98
Rate for Payer: Allwell Medicaid	$14,370.98
Rate for Payer: AZCH Complete Medicaid	$14,370.98
Rate for Payer: Banner UC Health Medicaid	$14,370.98
Rate for Payer: Mercy Care Medicaid	$14,370.98

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$9,200.26

Service Code	APR-DRG 4432
Hospital Charge Code	APRDRG4434
Min. Negotiated Rate	$9,200.26
Max. Negotiated Rate	$9,200.26
Rate for Payer: AHCCCS Medicaid	$9,200.26
Rate for Payer: Allwell Medicaid	$9,200.26
Rate for Payer: AZCH Complete Medicaid	$9,200.26
Rate for Payer: Banner UC Health Medicaid	$9,200.26
Rate for Payer: Mercy Care Medicaid	$9,200.26

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$7,889.35

Service Code	APR-DRG 4431
Hospital Charge Code	APRDRG4433
Min. Negotiated Rate	$7,889.35
Max. Negotiated Rate	$7,889.35
Rate for Payer: AHCCCS Medicaid	$7,889.35
Rate for Payer: Allwell Medicaid	$7,889.35
Rate for Payer: AZCH Complete Medicaid	$7,889.35
Rate for Payer: Banner UC Health Medicaid	$7,889.35
Rate for Payer: Mercy Care Medicaid	$7,889.35

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$7,889.35

Service Code	APR-DRG 4431
Hospital Charge Code	APRDRG4431
Min. Negotiated Rate	$7,889.35
Max. Negotiated Rate	$7,889.35
Rate for Payer: AHCCCS Medicaid	$7,889.35
Rate for Payer: Allwell Medicaid	$7,889.35
Rate for Payer: AZCH Complete Medicaid	$7,889.35
Rate for Payer: Banner UC Health Medicaid	$7,889.35
Rate for Payer: Mercy Care Medicaid	$7,889.35

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$7,889.35

Service Code	APR-DRG 4431
Hospital Charge Code	APRDRG4434
Min. Negotiated Rate	$7,889.35
Max. Negotiated Rate	$7,889.35
Rate for Payer: AHCCCS Medicaid	$7,889.35
Rate for Payer: Allwell Medicaid	$7,889.35
Rate for Payer: AZCH Complete Medicaid	$7,889.35
Rate for Payer: Banner UC Health Medicaid	$7,889.35
Rate for Payer: Mercy Care Medicaid	$7,889.35

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$26,944.28

Service Code	APR-DRG 4434
Hospital Charge Code	APRDRG4433
Min. Negotiated Rate	$26,944.28
Max. Negotiated Rate	$26,944.28
Rate for Payer: AHCCCS Medicaid	$26,944.28
Rate for Payer: Allwell Medicaid	$26,944.28
Rate for Payer: AZCH Complete Medicaid	$26,944.28
Rate for Payer: Banner UC Health Medicaid	$26,944.28
Rate for Payer: Mercy Care Medicaid	$26,944.28

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$26,944.28

Service Code	APR-DRG 4434
Hospital Charge Code	APRDRG4432
Min. Negotiated Rate	$26,944.28
Max. Negotiated Rate	$26,944.28
Rate for Payer: AHCCCS Medicaid	$26,944.28
Rate for Payer: Allwell Medicaid	$26,944.28
Rate for Payer: AZCH Complete Medicaid	$26,944.28
Rate for Payer: Banner UC Health Medicaid	$26,944.28
Rate for Payer: Mercy Care Medicaid	$26,944.28

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$9,200.26

Service Code	APR-DRG 4432
Hospital Charge Code	APRDRG4433
Min. Negotiated Rate	$9,200.26
Max. Negotiated Rate	$9,200.26
Rate for Payer: AHCCCS Medicaid	$9,200.26
Rate for Payer: Allwell Medicaid	$9,200.26
Rate for Payer: AZCH Complete Medicaid	$9,200.26
Rate for Payer: Banner UC Health Medicaid	$9,200.26
Rate for Payer: Mercy Care Medicaid	$9,200.26

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$26,944.28

Service Code	APR-DRG 4434
Hospital Charge Code	APRDRG4431
Min. Negotiated Rate	$26,944.28
Max. Negotiated Rate	$26,944.28
Rate for Payer: AHCCCS Medicaid	$26,944.28
Rate for Payer: Allwell Medicaid	$26,944.28
Rate for Payer: AZCH Complete Medicaid	$26,944.28
Rate for Payer: Banner UC Health Medicaid	$26,944.28
Rate for Payer: Mercy Care Medicaid	$26,944.28

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$26,944.28

Service Code	APR-DRG 4434
Hospital Charge Code	APRDRG4434
Min. Negotiated Rate	$26,944.28
Max. Negotiated Rate	$26,944.28
Rate for Payer: AHCCCS Medicaid	$26,944.28
Rate for Payer: Allwell Medicaid	$26,944.28
Rate for Payer: AZCH Complete Medicaid	$26,944.28
Rate for Payer: Banner UC Health Medicaid	$26,944.28
Rate for Payer: Mercy Care Medicaid	$26,944.28

Kidney And Urinary Tract Procedures For Non-Malignancy

Facility

IP

$14,370.98

Service Code	APR-DRG 4433
Hospital Charge Code	APRDRG4432
Min. Negotiated Rate	$14,370.98
Max. Negotiated Rate	$14,370.98
Rate for Payer: AHCCCS Medicaid	$14,370.98
Rate for Payer: Allwell Medicaid	$14,370.98
Rate for Payer: AZCH Complete Medicaid	$14,370.98
Rate for Payer: Banner UC Health Medicaid	$14,370.98
Rate for Payer: Mercy Care Medicaid	$14,370.98

Kidney Stone Urine/Saturation LC

Facility

IP

$55.00

Service Code	CPT 81003
Hospital Charge Code	22052206
Hospital Revenue Code	301
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna of AZ Commercial	$49.50
Rate for Payer: Bisbee Police All Plans	$14.30
Rate for Payer: Cash Price	$44.00
Rate for Payer: Self Pay Self Pay	$44.00

Kidney Stone Urine/Saturation LC

Facility

OP

$55.00

Service Code	CPT 81003
Hospital Charge Code	22052206
Hospital Revenue Code	301
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna of AZ Commercial	$49.50
Rate for Payer: Aetna of AZ Medicare	$15.40
Rate for Payer: Allwell Medicare	$8.80
Rate for Payer: Amerigroup Medicare	$8.80
Rate for Payer: APIPA Medicare/Medicaid	$20.54
Rate for Payer: AZCH Complete Medicare	$8.80
Rate for Payer: Banner UC Health Medicare	$8.80
Rate for Payer: Bisbee Police All Plans	$14.30
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$37.40
Rate for Payer: Cash Price	$44.00
Rate for Payer: Cigna of AZ Commercial	$35.75
Rate for Payer: Copperpoint Commercial	$13.61
Rate for Payer: Health Net of AZ Commercial	$33.00
Rate for Payer: Health Net of AZ Medicare	$15.40
Rate for Payer: Humana of AZ Medicare	$8.80
Rate for Payer: Self Pay Self Pay	$44.00
Rate for Payer: TriWest Medicare	$8.80
Rate for Payer: UnitedHealth Group of AZ Commercial	$32.06
Rate for Payer: UnitedHealth Group of AZ Medicare	$9.90

Kidney Transplant

Facility

IP

$37,932.41

Service Code	APR-DRG 4403
Hospital Charge Code	APRDRG4403
Min. Negotiated Rate	$37,932.41
Max. Negotiated Rate	$37,932.41
Rate for Payer: AHCCCS Medicaid	$37,932.41
Rate for Payer: Allwell Medicaid	$37,932.41
Rate for Payer: AZCH Complete Medicaid	$37,932.41
Rate for Payer: Banner UC Health Medicaid	$37,932.41
Rate for Payer: Mercy Care Medicaid	$37,932.41

<<
<
239
240
241
242
243
244
245
246
247
248
>
>>