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

$8,917.60

Service Code	APR-DRG 4421
Hospital Charge Code	APRDRG4423
Min. Negotiated Rate	$8,917.60
Max. Negotiated Rate	$8,917.60
Rate for Payer: AHCCCS Medicaid	$8,917.60
Rate for Payer: Allwell Medicaid	$8,917.60
Rate for Payer: AZCH Complete Medicaid	$8,917.60
Rate for Payer: Banner UC Health Medicaid	$8,917.60
Rate for Payer: Mercy Care Medicaid	$8,917.60

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 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

$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

$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

$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

$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

$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

$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

$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

$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

$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

$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	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 Stone Urine/Saturation LC

Facility

OP

$58.00

Service Code	CPT 81003
Hospital Charge Code	22052206
Hospital Revenue Code	301
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$52.20
Rate for Payer: Aetna of AZ Commercial	$52.20
Rate for Payer: Aetna of AZ Medicare	$16.24
Rate for Payer: AHCCCS Medicaid	$2.25
Rate for Payer: Allwell Medicaid	$2.25
Rate for Payer: Allwell Medicare	$8.70
Rate for Payer: Amerigroup Medicare	$8.70
Rate for Payer: APIPA Medicare/Medicaid	$21.66
Rate for Payer: AZCH Complete Medicaid	$2.25
Rate for Payer: AZCH Complete Medicare	$8.70
Rate for Payer: Banner UC Health Medicaid	$2.25
Rate for Payer: Banner UC Health Medicare	$8.70
Rate for Payer: Bisbee Police All Plans	$15.08
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$39.44
Rate for Payer: Cash Price	$46.40
Rate for Payer: Cash Price	$46.40
Rate for Payer: Cigna of AZ Commercial	$37.70
Rate for Payer: Copperpoint Commercial	$14.36
Rate for Payer: Health Net of AZ Commercial	$34.80
Rate for Payer: Health Net of AZ Medicare	$16.24
Rate for Payer: Humana of AZ Medicare	$8.70
Rate for Payer: Mercy Care Medicaid	$2.25
Rate for Payer: Self Pay Self Pay	$46.40
Rate for Payer: TriWest Medicare	$8.70
Rate for Payer: UnitedHealth Group of AZ Commercial	$33.81
Rate for Payer: UnitedHealth Group of AZ Medicare	$10.44

Kidney Stone Urine/Saturation LC

Facility

IP

$58.00

Service Code	CPT 81003
Hospital Charge Code	22052206
Hospital Revenue Code	301
Min. Negotiated Rate	$15.08
Max. Negotiated Rate	$52.20
Rate for Payer: Aetna of AZ Commercial	$52.20
Rate for Payer: Bisbee Police All Plans	$15.08
Rate for Payer: Cash Price	$46.40
Rate for Payer: Self Pay Self Pay	$46.40

Kidney Transplant

Facility

IP

$30,772.52

Service Code	APR-DRG 4401
Hospital Charge Code	APRDRG4404
Min. Negotiated Rate	$30,772.52
Max. Negotiated Rate	$30,772.52
Rate for Payer: AHCCCS Medicaid	$30,772.52
Rate for Payer: Allwell Medicaid	$30,772.52
Rate for Payer: AZCH Complete Medicaid	$30,772.52
Rate for Payer: Banner UC Health Medicaid	$30,772.52
Rate for Payer: Mercy Care Medicaid	$30,772.52

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

Kidney Transplant

Facility

IP

$32,709.79

Service Code	APR-DRG 4402
Hospital Charge Code	APRDRG4401
Min. Negotiated Rate	$32,709.79
Max. Negotiated Rate	$32,709.79
Rate for Payer: AHCCCS Medicaid	$32,709.79
Rate for Payer: Allwell Medicaid	$32,709.79
Rate for Payer: AZCH Complete Medicaid	$32,709.79
Rate for Payer: Banner UC Health Medicaid	$32,709.79
Rate for Payer: Mercy Care Medicaid	$32,709.79

Kidney Transplant

Facility

IP

$30,772.52

Service Code	APR-DRG 4401
Hospital Charge Code	APRDRG4402
Min. Negotiated Rate	$30,772.52
Max. Negotiated Rate	$30,772.52
Rate for Payer: AHCCCS Medicaid	$30,772.52
Rate for Payer: Allwell Medicaid	$30,772.52
Rate for Payer: AZCH Complete Medicaid	$30,772.52
Rate for Payer: Banner UC Health Medicaid	$30,772.52
Rate for Payer: Mercy Care Medicaid	$30,772.52

Kidney Transplant

Facility

IP

$58,385.24

Service Code	APR-DRG 4404
Hospital Charge Code	APRDRG4403
Min. Negotiated Rate	$58,385.24
Max. Negotiated Rate	$58,385.24
Rate for Payer: AHCCCS Medicaid	$58,385.24
Rate for Payer: Allwell Medicaid	$58,385.24
Rate for Payer: AZCH Complete Medicaid	$58,385.24
Rate for Payer: Banner UC Health Medicaid	$58,385.24
Rate for Payer: Mercy Care Medicaid	$58,385.24

Kidney Transplant

Facility

IP

$58,385.24

Service Code	APR-DRG 4404
Hospital Charge Code	APRDRG4402
Min. Negotiated Rate	$58,385.24
Max. Negotiated Rate	$58,385.24
Rate for Payer: AHCCCS Medicaid	$58,385.24
Rate for Payer: Allwell Medicaid	$58,385.24
Rate for Payer: AZCH Complete Medicaid	$58,385.24
Rate for Payer: Banner UC Health Medicaid	$58,385.24
Rate for Payer: Mercy Care Medicaid	$58,385.24

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