Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Major Respiratory Infections And Inflammations

Facility

IP

$10,831.72

Service Code	APR-DRG 1374
Hospital Charge Code	APRDRG1373
Min. Negotiated Rate	$10,831.72
Max. Negotiated Rate	$10,831.72
Rate for Payer: AHCCCS Medicaid	$10,831.72
Rate for Payer: Allwell Medicaid	$10,831.72
Rate for Payer: AZCH Complete Medicaid	$10,831.72
Rate for Payer: Banner UC Health Medicaid	$10,831.72
Rate for Payer: Mercy Care Medicaid	$10,831.72

Major Respiratory Infections And Inflammations

Facility

IP

$3,990.97

Service Code	APR-DRG 1371
Hospital Charge Code	APRDRG1371
Min. Negotiated Rate	$3,990.97
Max. Negotiated Rate	$3,990.97
Rate for Payer: AHCCCS Medicaid	$3,990.97
Rate for Payer: Allwell Medicaid	$3,990.97
Rate for Payer: AZCH Complete Medicaid	$3,990.97
Rate for Payer: Banner UC Health Medicaid	$3,990.97
Rate for Payer: Mercy Care Medicaid	$3,990.97

Major Respiratory Infections And Inflammations

Facility

IP

$3,990.97

Service Code	APR-DRG 1371
Hospital Charge Code	APRDRG1372
Min. Negotiated Rate	$3,990.97
Max. Negotiated Rate	$3,990.97
Rate for Payer: AHCCCS Medicaid	$3,990.97
Rate for Payer: Allwell Medicaid	$3,990.97
Rate for Payer: AZCH Complete Medicaid	$3,990.97
Rate for Payer: Banner UC Health Medicaid	$3,990.97
Rate for Payer: Mercy Care Medicaid	$3,990.97

Major Respiratory Infections And Inflammations

Facility

IP

$7,371.01

Service Code	APR-DRG 1373
Hospital Charge Code	APRDRG1372
Min. Negotiated Rate	$7,371.01
Max. Negotiated Rate	$7,371.01
Rate for Payer: AHCCCS Medicaid	$7,371.01
Rate for Payer: Allwell Medicaid	$7,371.01
Rate for Payer: AZCH Complete Medicaid	$7,371.01
Rate for Payer: Banner UC Health Medicaid	$7,371.01
Rate for Payer: Mercy Care Medicaid	$7,371.01

Major Respiratory Infections And Inflammations

Facility

IP

$7,371.01

Service Code	APR-DRG 1373
Hospital Charge Code	APRDRG1371
Min. Negotiated Rate	$7,371.01
Max. Negotiated Rate	$7,371.01
Rate for Payer: AHCCCS Medicaid	$7,371.01
Rate for Payer: Allwell Medicaid	$7,371.01
Rate for Payer: AZCH Complete Medicaid	$7,371.01
Rate for Payer: Banner UC Health Medicaid	$7,371.01
Rate for Payer: Mercy Care Medicaid	$7,371.01

Major Respiratory Infections And Inflammations

Facility

IP

$3,990.97

Service Code	APR-DRG 1371
Hospital Charge Code	APRDRG1374
Min. Negotiated Rate	$3,990.97
Max. Negotiated Rate	$3,990.97
Rate for Payer: AHCCCS Medicaid	$3,990.97
Rate for Payer: Allwell Medicaid	$3,990.97
Rate for Payer: AZCH Complete Medicaid	$3,990.97
Rate for Payer: Banner UC Health Medicaid	$3,990.97
Rate for Payer: Mercy Care Medicaid	$3,990.97

Major Respiratory Infections And Inflammations

Facility

IP

$7,371.01

Service Code	APR-DRG 1373
Hospital Charge Code	APRDRG1373
Min. Negotiated Rate	$7,371.01
Max. Negotiated Rate	$7,371.01
Rate for Payer: AHCCCS Medicaid	$7,371.01
Rate for Payer: Allwell Medicaid	$7,371.01
Rate for Payer: AZCH Complete Medicaid	$7,371.01
Rate for Payer: Banner UC Health Medicaid	$7,371.01
Rate for Payer: Mercy Care Medicaid	$7,371.01

Major Respiratory Infections And Inflammations

Facility

IP

$10,831.72

Service Code	APR-DRG 1374
Hospital Charge Code	APRDRG1371
Min. Negotiated Rate	$10,831.72
Max. Negotiated Rate	$10,831.72
Rate for Payer: AHCCCS Medicaid	$10,831.72
Rate for Payer: Allwell Medicaid	$10,831.72
Rate for Payer: AZCH Complete Medicaid	$10,831.72
Rate for Payer: Banner UC Health Medicaid	$10,831.72
Rate for Payer: Mercy Care Medicaid	$10,831.72

Major Respiratory Infections And Inflammations

Facility

IP

$3,990.97

Service Code	APR-DRG 1371
Hospital Charge Code	APRDRG1373
Min. Negotiated Rate	$3,990.97
Max. Negotiated Rate	$3,990.97
Rate for Payer: AHCCCS Medicaid	$3,990.97
Rate for Payer: Allwell Medicaid	$3,990.97
Rate for Payer: AZCH Complete Medicaid	$3,990.97
Rate for Payer: Banner UC Health Medicaid	$3,990.97
Rate for Payer: Mercy Care Medicaid	$3,990.97

Major Respiratory Infections And Inflammations

Facility

IP

$5,227.53

Service Code	APR-DRG 1372
Hospital Charge Code	APRDRG1371
Min. Negotiated Rate	$5,227.53
Max. Negotiated Rate	$5,227.53
Rate for Payer: AHCCCS Medicaid	$5,227.53
Rate for Payer: Allwell Medicaid	$5,227.53
Rate for Payer: AZCH Complete Medicaid	$5,227.53
Rate for Payer: Banner UC Health Medicaid	$5,227.53
Rate for Payer: Mercy Care Medicaid	$5,227.53

Major Respiratory Infections And Inflammations

Facility

IP

$5,227.53

Service Code	APR-DRG 1372
Hospital Charge Code	APRDRG1374
Min. Negotiated Rate	$5,227.53
Max. Negotiated Rate	$5,227.53
Rate for Payer: AHCCCS Medicaid	$5,227.53
Rate for Payer: Allwell Medicaid	$5,227.53
Rate for Payer: AZCH Complete Medicaid	$5,227.53
Rate for Payer: Banner UC Health Medicaid	$5,227.53
Rate for Payer: Mercy Care Medicaid	$5,227.53

Major Respiratory Infections And Inflammations

Facility

IP

$10,831.72

Service Code	APR-DRG 1374
Hospital Charge Code	APRDRG1372
Min. Negotiated Rate	$10,831.72
Max. Negotiated Rate	$10,831.72
Rate for Payer: AHCCCS Medicaid	$10,831.72
Rate for Payer: Allwell Medicaid	$10,831.72
Rate for Payer: AZCH Complete Medicaid	$10,831.72
Rate for Payer: Banner UC Health Medicaid	$10,831.72
Rate for Payer: Mercy Care Medicaid	$10,831.72

Major Respiratory Infections And Inflammations

Facility

IP

$10,831.72

Service Code	APR-DRG 1374
Hospital Charge Code	APRDRG1374
Min. Negotiated Rate	$10,831.72
Max. Negotiated Rate	$10,831.72
Rate for Payer: AHCCCS Medicaid	$10,831.72
Rate for Payer: Allwell Medicaid	$10,831.72
Rate for Payer: AZCH Complete Medicaid	$10,831.72
Rate for Payer: Banner UC Health Medicaid	$10,831.72
Rate for Payer: Mercy Care Medicaid	$10,831.72

Major Respiratory Infections And Inflammations

Facility

IP

$7,371.01

Service Code	APR-DRG 1373
Hospital Charge Code	APRDRG1374
Min. Negotiated Rate	$7,371.01
Max. Negotiated Rate	$7,371.01
Rate for Payer: AHCCCS Medicaid	$7,371.01
Rate for Payer: Allwell Medicaid	$7,371.01
Rate for Payer: AZCH Complete Medicaid	$7,371.01
Rate for Payer: Banner UC Health Medicaid	$7,371.01
Rate for Payer: Mercy Care Medicaid	$7,371.01

Major Respiratory Infections And Inflammations

Facility

IP

$5,227.53

Service Code	APR-DRG 1372
Hospital Charge Code	APRDRG1372
Min. Negotiated Rate	$5,227.53
Max. Negotiated Rate	$5,227.53
Rate for Payer: AHCCCS Medicaid	$5,227.53
Rate for Payer: Allwell Medicaid	$5,227.53
Rate for Payer: AZCH Complete Medicaid	$5,227.53
Rate for Payer: Banner UC Health Medicaid	$5,227.53
Rate for Payer: Mercy Care Medicaid	$5,227.53

Major Skin Disorders

Facility

IP

$9,989.34

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG3814
Min. Negotiated Rate	$9,989.34
Max. Negotiated Rate	$9,989.34
Rate for Payer: AHCCCS Medicaid	$9,989.34
Rate for Payer: Allwell Medicaid	$9,989.34
Rate for Payer: AZCH Complete Medicaid	$9,989.34
Rate for Payer: Banner UC Health Medicaid	$9,989.34
Rate for Payer: Mercy Care Medicaid	$9,989.34

Major Skin Disorders

Facility

IP

$2,962.71

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG3812
Min. Negotiated Rate	$2,962.71
Max. Negotiated Rate	$2,962.71
Rate for Payer: AHCCCS Medicaid	$2,962.71
Rate for Payer: Allwell Medicaid	$2,962.71
Rate for Payer: AZCH Complete Medicaid	$2,962.71
Rate for Payer: Banner UC Health Medicaid	$2,962.71
Rate for Payer: Mercy Care Medicaid	$2,962.71

Major Skin Disorders

Facility

IP

$2,962.71

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG3814
Min. Negotiated Rate	$2,962.71
Max. Negotiated Rate	$2,962.71
Rate for Payer: AHCCCS Medicaid	$2,962.71
Rate for Payer: Allwell Medicaid	$2,962.71
Rate for Payer: AZCH Complete Medicaid	$2,962.71
Rate for Payer: Banner UC Health Medicaid	$2,962.71
Rate for Payer: Mercy Care Medicaid	$2,962.71

Major Skin Disorders

Facility

IP

$9,989.34

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG3813
Min. Negotiated Rate	$9,989.34
Max. Negotiated Rate	$9,989.34
Rate for Payer: AHCCCS Medicaid	$9,989.34
Rate for Payer: Allwell Medicaid	$9,989.34
Rate for Payer: AZCH Complete Medicaid	$9,989.34
Rate for Payer: Banner UC Health Medicaid	$9,989.34
Rate for Payer: Mercy Care Medicaid	$9,989.34

Major Skin Disorders

Facility

IP

$5,306.79

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG3811
Min. Negotiated Rate	$5,306.79
Max. Negotiated Rate	$5,306.79
Rate for Payer: AHCCCS Medicaid	$5,306.79
Rate for Payer: Allwell Medicaid	$5,306.79
Rate for Payer: AZCH Complete Medicaid	$5,306.79
Rate for Payer: Banner UC Health Medicaid	$5,306.79
Rate for Payer: Mercy Care Medicaid	$5,306.79

Major Skin Disorders

Facility

IP

$2,962.71

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG3811
Min. Negotiated Rate	$2,962.71
Max. Negotiated Rate	$2,962.71
Rate for Payer: AHCCCS Medicaid	$2,962.71
Rate for Payer: Allwell Medicaid	$2,962.71
Rate for Payer: AZCH Complete Medicaid	$2,962.71
Rate for Payer: Banner UC Health Medicaid	$2,962.71
Rate for Payer: Mercy Care Medicaid	$2,962.71

Major Skin Disorders

Facility

IP

$9,989.34

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG3812
Min. Negotiated Rate	$9,989.34
Max. Negotiated Rate	$9,989.34
Rate for Payer: AHCCCS Medicaid	$9,989.34
Rate for Payer: Allwell Medicaid	$9,989.34
Rate for Payer: AZCH Complete Medicaid	$9,989.34
Rate for Payer: Banner UC Health Medicaid	$9,989.34
Rate for Payer: Mercy Care Medicaid	$9,989.34

Major Skin Disorders

Facility

IP

$9,989.34

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG3811
Min. Negotiated Rate	$9,989.34
Max. Negotiated Rate	$9,989.34
Rate for Payer: AHCCCS Medicaid	$9,989.34
Rate for Payer: Allwell Medicaid	$9,989.34
Rate for Payer: AZCH Complete Medicaid	$9,989.34
Rate for Payer: Banner UC Health Medicaid	$9,989.34
Rate for Payer: Mercy Care Medicaid	$9,989.34

Major Skin Disorders

Facility

IP

$5,306.79

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG3814
Min. Negotiated Rate	$5,306.79
Max. Negotiated Rate	$5,306.79
Rate for Payer: AHCCCS Medicaid	$5,306.79
Rate for Payer: Allwell Medicaid	$5,306.79
Rate for Payer: AZCH Complete Medicaid	$5,306.79
Rate for Payer: Banner UC Health Medicaid	$5,306.79
Rate for Payer: Mercy Care Medicaid	$5,306.79

Major Skin Disorders

Facility

IP

$2,962.71

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG3813
Min. Negotiated Rate	$2,962.71
Max. Negotiated Rate	$2,962.71
Rate for Payer: AHCCCS Medicaid	$2,962.71
Rate for Payer: Allwell Medicaid	$2,962.71
Rate for Payer: AZCH Complete Medicaid	$2,962.71
Rate for Payer: Banner UC Health Medicaid	$2,962.71
Rate for Payer: Mercy Care Medicaid	$2,962.71

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