Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Major Chest And Respiratory Trauma

Facility

IP

$4,835.45

Service Code	APR-DRG 1351
Hospital Charge Code	APRDRG1352
Min. Negotiated Rate	$4,835.45
Max. Negotiated Rate	$4,835.45
Rate for Payer: AHCCCS Medicaid	$4,835.45
Rate for Payer: Allwell Medicaid	$4,835.45
Rate for Payer: AZCH Complete Medicaid	$4,835.45
Rate for Payer: Banner UC Health Medicaid	$4,835.45
Rate for Payer: Mercy Care Medicaid	$4,835.45

Major Chest And Respiratory Trauma

Facility

IP

$8,026.82

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG1351
Min. Negotiated Rate	$8,026.82
Max. Negotiated Rate	$8,026.82
Rate for Payer: AHCCCS Medicaid	$8,026.82
Rate for Payer: Allwell Medicaid	$8,026.82
Rate for Payer: AZCH Complete Medicaid	$8,026.82
Rate for Payer: Banner UC Health Medicaid	$8,026.82
Rate for Payer: Mercy Care Medicaid	$8,026.82

Major Chest And Respiratory Trauma

Facility

IP

$4,835.45

Service Code	APR-DRG 1351
Hospital Charge Code	APRDRG1353
Min. Negotiated Rate	$4,835.45
Max. Negotiated Rate	$4,835.45
Rate for Payer: AHCCCS Medicaid	$4,835.45
Rate for Payer: Allwell Medicaid	$4,835.45
Rate for Payer: AZCH Complete Medicaid	$4,835.45
Rate for Payer: Banner UC Health Medicaid	$4,835.45
Rate for Payer: Mercy Care Medicaid	$4,835.45

Major Chest And Respiratory Trauma

Facility

IP

$13,916.48

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG1354
Min. Negotiated Rate	$13,916.48
Max. Negotiated Rate	$13,916.48
Rate for Payer: AHCCCS Medicaid	$13,916.48
Rate for Payer: Allwell Medicaid	$13,916.48
Rate for Payer: AZCH Complete Medicaid	$13,916.48
Rate for Payer: Banner UC Health Medicaid	$13,916.48
Rate for Payer: Mercy Care Medicaid	$13,916.48

Major Chest And Respiratory Trauma

Facility

IP

$5,655.39

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG1352
Min. Negotiated Rate	$5,655.39
Max. Negotiated Rate	$5,655.39
Rate for Payer: AHCCCS Medicaid	$5,655.39
Rate for Payer: Allwell Medicaid	$5,655.39
Rate for Payer: AZCH Complete Medicaid	$5,655.39
Rate for Payer: Banner UC Health Medicaid	$5,655.39
Rate for Payer: Mercy Care Medicaid	$5,655.39

Major Chest And Respiratory Trauma

Facility

IP

$8,026.82

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG1354
Min. Negotiated Rate	$8,026.82
Max. Negotiated Rate	$8,026.82
Rate for Payer: AHCCCS Medicaid	$8,026.82
Rate for Payer: Allwell Medicaid	$8,026.82
Rate for Payer: AZCH Complete Medicaid	$8,026.82
Rate for Payer: Banner UC Health Medicaid	$8,026.82
Rate for Payer: Mercy Care Medicaid	$8,026.82

Major Chest And Respiratory Trauma

Facility

IP

$13,916.48

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG1352
Min. Negotiated Rate	$13,916.48
Max. Negotiated Rate	$13,916.48
Rate for Payer: AHCCCS Medicaid	$13,916.48
Rate for Payer: Allwell Medicaid	$13,916.48
Rate for Payer: AZCH Complete Medicaid	$13,916.48
Rate for Payer: Banner UC Health Medicaid	$13,916.48
Rate for Payer: Mercy Care Medicaid	$13,916.48

Major Chest And Respiratory Trauma

Facility

IP

$5,655.39

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG1354
Min. Negotiated Rate	$5,655.39
Max. Negotiated Rate	$5,655.39
Rate for Payer: AHCCCS Medicaid	$5,655.39
Rate for Payer: Allwell Medicaid	$5,655.39
Rate for Payer: AZCH Complete Medicaid	$5,655.39
Rate for Payer: Banner UC Health Medicaid	$5,655.39
Rate for Payer: Mercy Care Medicaid	$5,655.39

Major Chest And Respiratory Trauma

Facility

IP

$5,655.39

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG1353
Min. Negotiated Rate	$5,655.39
Max. Negotiated Rate	$5,655.39
Rate for Payer: AHCCCS Medicaid	$5,655.39
Rate for Payer: Allwell Medicaid	$5,655.39
Rate for Payer: AZCH Complete Medicaid	$5,655.39
Rate for Payer: Banner UC Health Medicaid	$5,655.39
Rate for Payer: Mercy Care Medicaid	$5,655.39

Major Chest And Respiratory Trauma

Facility

IP

$5,655.39

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG1351
Min. Negotiated Rate	$5,655.39
Max. Negotiated Rate	$5,655.39
Rate for Payer: AHCCCS Medicaid	$5,655.39
Rate for Payer: Allwell Medicaid	$5,655.39
Rate for Payer: AZCH Complete Medicaid	$5,655.39
Rate for Payer: Banner UC Health Medicaid	$5,655.39
Rate for Payer: Mercy Care Medicaid	$5,655.39

Major Chest And Respiratory Trauma

Facility

IP

$8,026.82

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG1352
Min. Negotiated Rate	$8,026.82
Max. Negotiated Rate	$8,026.82
Rate for Payer: AHCCCS Medicaid	$8,026.82
Rate for Payer: Allwell Medicaid	$8,026.82
Rate for Payer: AZCH Complete Medicaid	$8,026.82
Rate for Payer: Banner UC Health Medicaid	$8,026.82
Rate for Payer: Mercy Care Medicaid	$8,026.82

Major Chest And Respiratory Trauma

Facility

IP

$13,916.48

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG1351
Min. Negotiated Rate	$13,916.48
Max. Negotiated Rate	$13,916.48
Rate for Payer: AHCCCS Medicaid	$13,916.48
Rate for Payer: Allwell Medicaid	$13,916.48
Rate for Payer: AZCH Complete Medicaid	$13,916.48
Rate for Payer: Banner UC Health Medicaid	$13,916.48
Rate for Payer: Mercy Care Medicaid	$13,916.48

Major Chest And Respiratory Trauma

Facility

IP

$8,026.82

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG1353
Min. Negotiated Rate	$8,026.82
Max. Negotiated Rate	$8,026.82
Rate for Payer: AHCCCS Medicaid	$8,026.82
Rate for Payer: Allwell Medicaid	$8,026.82
Rate for Payer: AZCH Complete Medicaid	$8,026.82
Rate for Payer: Banner UC Health Medicaid	$8,026.82
Rate for Payer: Mercy Care Medicaid	$8,026.82

Major Chest And Respiratory Trauma

Facility

IP

$13,916.48

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG1353
Min. Negotiated Rate	$13,916.48
Max. Negotiated Rate	$13,916.48
Rate for Payer: AHCCCS Medicaid	$13,916.48
Rate for Payer: Allwell Medicaid	$13,916.48
Rate for Payer: AZCH Complete Medicaid	$13,916.48
Rate for Payer: Banner UC Health Medicaid	$13,916.48
Rate for Payer: Mercy Care Medicaid	$13,916.48

Major Cranial Or Facial Bone Procedures

Facility

IP

$14,373.09

Service Code	APR-DRG 0892
Hospital Charge Code	APRDRG0893
Min. Negotiated Rate	$14,373.09
Max. Negotiated Rate	$14,373.09
Rate for Payer: AHCCCS Medicaid	$14,373.09
Rate for Payer: Allwell Medicaid	$14,373.09
Rate for Payer: AZCH Complete Medicaid	$14,373.09
Rate for Payer: Banner UC Health Medicaid	$14,373.09
Rate for Payer: Mercy Care Medicaid	$14,373.09

Major Cranial Or Facial Bone Procedures

Facility

IP

$42,543.42

Service Code	APR-DRG 0894
Hospital Charge Code	APRDRG0894
Min. Negotiated Rate	$42,543.42
Max. Negotiated Rate	$42,543.42
Rate for Payer: AHCCCS Medicaid	$42,543.42
Rate for Payer: Allwell Medicaid	$42,543.42
Rate for Payer: AZCH Complete Medicaid	$42,543.42
Rate for Payer: Banner UC Health Medicaid	$42,543.42
Rate for Payer: Mercy Care Medicaid	$42,543.42

Major Cranial Or Facial Bone Procedures

Facility

IP

$25,246.89

Service Code	APR-DRG 0893
Hospital Charge Code	APRDRG0894
Min. Negotiated Rate	$25,246.89
Max. Negotiated Rate	$25,246.89
Rate for Payer: AHCCCS Medicaid	$25,246.89
Rate for Payer: Allwell Medicaid	$25,246.89
Rate for Payer: AZCH Complete Medicaid	$25,246.89
Rate for Payer: Banner UC Health Medicaid	$25,246.89
Rate for Payer: Mercy Care Medicaid	$25,246.89

Major Cranial Or Facial Bone Procedures

Facility

IP

$10,993.74

Service Code	APR-DRG 0891
Hospital Charge Code	APRDRG0894
Min. Negotiated Rate	$10,993.74
Max. Negotiated Rate	$10,993.74
Rate for Payer: AHCCCS Medicaid	$10,993.74
Rate for Payer: Allwell Medicaid	$10,993.74
Rate for Payer: AZCH Complete Medicaid	$10,993.74
Rate for Payer: Banner UC Health Medicaid	$10,993.74
Rate for Payer: Mercy Care Medicaid	$10,993.74

Major Cranial Or Facial Bone Procedures

Facility

IP

$42,543.42

Service Code	APR-DRG 0894
Hospital Charge Code	APRDRG0893
Min. Negotiated Rate	$42,543.42
Max. Negotiated Rate	$42,543.42
Rate for Payer: AHCCCS Medicaid	$42,543.42
Rate for Payer: Allwell Medicaid	$42,543.42
Rate for Payer: AZCH Complete Medicaid	$42,543.42
Rate for Payer: Banner UC Health Medicaid	$42,543.42
Rate for Payer: Mercy Care Medicaid	$42,543.42

Major Cranial Or Facial Bone Procedures

Facility

IP

$25,246.89

Service Code	APR-DRG 0893
Hospital Charge Code	APRDRG0892
Min. Negotiated Rate	$25,246.89
Max. Negotiated Rate	$25,246.89
Rate for Payer: AHCCCS Medicaid	$25,246.89
Rate for Payer: Allwell Medicaid	$25,246.89
Rate for Payer: AZCH Complete Medicaid	$25,246.89
Rate for Payer: Banner UC Health Medicaid	$25,246.89
Rate for Payer: Mercy Care Medicaid	$25,246.89

Major Cranial Or Facial Bone Procedures

Facility

IP

$10,993.74

Service Code	APR-DRG 0891
Hospital Charge Code	APRDRG0892
Min. Negotiated Rate	$10,993.74
Max. Negotiated Rate	$10,993.74
Rate for Payer: AHCCCS Medicaid	$10,993.74
Rate for Payer: Allwell Medicaid	$10,993.74
Rate for Payer: AZCH Complete Medicaid	$10,993.74
Rate for Payer: Banner UC Health Medicaid	$10,993.74
Rate for Payer: Mercy Care Medicaid	$10,993.74

Major Cranial Or Facial Bone Procedures

Facility

IP

$25,246.89

Service Code	APR-DRG 0893
Hospital Charge Code	APRDRG0891
Min. Negotiated Rate	$25,246.89
Max. Negotiated Rate	$25,246.89
Rate for Payer: AHCCCS Medicaid	$25,246.89
Rate for Payer: Allwell Medicaid	$25,246.89
Rate for Payer: AZCH Complete Medicaid	$25,246.89
Rate for Payer: Banner UC Health Medicaid	$25,246.89
Rate for Payer: Mercy Care Medicaid	$25,246.89

Major Cranial Or Facial Bone Procedures

Facility

IP

$42,543.42

Service Code	APR-DRG 0894
Hospital Charge Code	APRDRG0892
Min. Negotiated Rate	$42,543.42
Max. Negotiated Rate	$42,543.42
Rate for Payer: AHCCCS Medicaid	$42,543.42
Rate for Payer: Allwell Medicaid	$42,543.42
Rate for Payer: AZCH Complete Medicaid	$42,543.42
Rate for Payer: Banner UC Health Medicaid	$42,543.42
Rate for Payer: Mercy Care Medicaid	$42,543.42

Major Cranial Or Facial Bone Procedures

Facility

IP

$14,373.09

Service Code	APR-DRG 0892
Hospital Charge Code	APRDRG0892
Min. Negotiated Rate	$14,373.09
Max. Negotiated Rate	$14,373.09
Rate for Payer: AHCCCS Medicaid	$14,373.09
Rate for Payer: Allwell Medicaid	$14,373.09
Rate for Payer: AZCH Complete Medicaid	$14,373.09
Rate for Payer: Banner UC Health Medicaid	$14,373.09
Rate for Payer: Mercy Care Medicaid	$14,373.09

Major Cranial Or Facial Bone Procedures

Facility

IP

$10,993.74

Service Code	APR-DRG 0891
Hospital Charge Code	APRDRG0891
Min. Negotiated Rate	$10,993.74
Max. Negotiated Rate	$10,993.74
Rate for Payer: AHCCCS Medicaid	$10,993.74
Rate for Payer: Allwell Medicaid	$10,993.74
Rate for Payer: AZCH Complete Medicaid	$10,993.74
Rate for Payer: Banner UC Health Medicaid	$10,993.74
Rate for Payer: Mercy Care Medicaid	$10,993.74

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