Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$40,004.35

Service Code	APR-DRG 2204
Hospital Charge Code	APRDRG2203
Min. Negotiated Rate	$40,004.35
Max. Negotiated Rate	$40,004.35
Rate for Payer: AHCCCS Medicaid	$40,004.35
Rate for Payer: Allwell Medicaid	$40,004.35
Rate for Payer: AZCH Complete Medicaid	$40,004.35
Rate for Payer: Banner UC Health Medicaid	$40,004.35
Rate for Payer: Mercy Care Medicaid	$40,004.35

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$8,895.86

Service Code	APR-DRG 2201
Hospital Charge Code	APRDRG2201
Min. Negotiated Rate	$8,895.86
Max. Negotiated Rate	$8,895.86
Rate for Payer: AHCCCS Medicaid	$8,895.86
Rate for Payer: Allwell Medicaid	$8,895.86
Rate for Payer: AZCH Complete Medicaid	$8,895.86
Rate for Payer: Banner UC Health Medicaid	$8,895.86
Rate for Payer: Mercy Care Medicaid	$8,895.86

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$13,548.94

Service Code	APR-DRG 2202
Hospital Charge Code	APRDRG2204
Min. Negotiated Rate	$13,548.94
Max. Negotiated Rate	$13,548.94
Rate for Payer: AHCCCS Medicaid	$13,548.94
Rate for Payer: Allwell Medicaid	$13,548.94
Rate for Payer: AZCH Complete Medicaid	$13,548.94
Rate for Payer: Banner UC Health Medicaid	$13,548.94
Rate for Payer: Mercy Care Medicaid	$13,548.94

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$21,106.53

Service Code	APR-DRG 2203
Hospital Charge Code	APRDRG2203
Min. Negotiated Rate	$21,106.53
Max. Negotiated Rate	$21,106.53
Rate for Payer: AHCCCS Medicaid	$21,106.53
Rate for Payer: Allwell Medicaid	$21,106.53
Rate for Payer: AZCH Complete Medicaid	$21,106.53
Rate for Payer: Banner UC Health Medicaid	$21,106.53
Rate for Payer: Mercy Care Medicaid	$21,106.53

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$21,106.53

Service Code	APR-DRG 2203
Hospital Charge Code	APRDRG2202
Min. Negotiated Rate	$21,106.53
Max. Negotiated Rate	$21,106.53
Rate for Payer: AHCCCS Medicaid	$21,106.53
Rate for Payer: Allwell Medicaid	$21,106.53
Rate for Payer: AZCH Complete Medicaid	$21,106.53
Rate for Payer: Banner UC Health Medicaid	$21,106.53
Rate for Payer: Mercy Care Medicaid	$21,106.53

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$21,106.53

Service Code	APR-DRG 2203
Hospital Charge Code	APRDRG2201
Min. Negotiated Rate	$21,106.53
Max. Negotiated Rate	$21,106.53
Rate for Payer: AHCCCS Medicaid	$21,106.53
Rate for Payer: Allwell Medicaid	$21,106.53
Rate for Payer: AZCH Complete Medicaid	$21,106.53
Rate for Payer: Banner UC Health Medicaid	$21,106.53
Rate for Payer: Mercy Care Medicaid	$21,106.53

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$21,106.53

Service Code	APR-DRG 2203
Hospital Charge Code	APRDRG2204
Min. Negotiated Rate	$21,106.53
Max. Negotiated Rate	$21,106.53
Rate for Payer: AHCCCS Medicaid	$21,106.53
Rate for Payer: Allwell Medicaid	$21,106.53
Rate for Payer: AZCH Complete Medicaid	$21,106.53
Rate for Payer: Banner UC Health Medicaid	$21,106.53
Rate for Payer: Mercy Care Medicaid	$21,106.53

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$13,548.94

Service Code	APR-DRG 2202
Hospital Charge Code	APRDRG2203
Min. Negotiated Rate	$13,548.94
Max. Negotiated Rate	$13,548.94
Rate for Payer: AHCCCS Medicaid	$13,548.94
Rate for Payer: Allwell Medicaid	$13,548.94
Rate for Payer: AZCH Complete Medicaid	$13,548.94
Rate for Payer: Banner UC Health Medicaid	$13,548.94
Rate for Payer: Mercy Care Medicaid	$13,548.94

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$40,004.35

Service Code	APR-DRG 2204
Hospital Charge Code	APRDRG2201
Min. Negotiated Rate	$40,004.35
Max. Negotiated Rate	$40,004.35
Rate for Payer: AHCCCS Medicaid	$40,004.35
Rate for Payer: Allwell Medicaid	$40,004.35
Rate for Payer: AZCH Complete Medicaid	$40,004.35
Rate for Payer: Banner UC Health Medicaid	$40,004.35
Rate for Payer: Mercy Care Medicaid	$40,004.35

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$40,004.35

Service Code	APR-DRG 2204
Hospital Charge Code	APRDRG2204
Min. Negotiated Rate	$40,004.35
Max. Negotiated Rate	$40,004.35
Rate for Payer: AHCCCS Medicaid	$40,004.35
Rate for Payer: Allwell Medicaid	$40,004.35
Rate for Payer: AZCH Complete Medicaid	$40,004.35
Rate for Payer: Banner UC Health Medicaid	$40,004.35
Rate for Payer: Mercy Care Medicaid	$40,004.35

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$8,895.86

Service Code	APR-DRG 2201
Hospital Charge Code	APRDRG2203
Min. Negotiated Rate	$8,895.86
Max. Negotiated Rate	$8,895.86
Rate for Payer: AHCCCS Medicaid	$8,895.86
Rate for Payer: Allwell Medicaid	$8,895.86
Rate for Payer: AZCH Complete Medicaid	$8,895.86
Rate for Payer: Banner UC Health Medicaid	$8,895.86
Rate for Payer: Mercy Care Medicaid	$8,895.86

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$40,004.35

Service Code	APR-DRG 2204
Hospital Charge Code	APRDRG2202
Min. Negotiated Rate	$40,004.35
Max. Negotiated Rate	$40,004.35
Rate for Payer: AHCCCS Medicaid	$40,004.35
Rate for Payer: Allwell Medicaid	$40,004.35
Rate for Payer: AZCH Complete Medicaid	$40,004.35
Rate for Payer: Banner UC Health Medicaid	$40,004.35
Rate for Payer: Mercy Care Medicaid	$40,004.35

Major Stomach, Esophageal And Duodenal Procedures

Facility

IP

$13,548.94

Service Code	APR-DRG 2202
Hospital Charge Code	APRDRG2202
Min. Negotiated Rate	$13,548.94
Max. Negotiated Rate	$13,548.94
Rate for Payer: AHCCCS Medicaid	$13,548.94
Rate for Payer: Allwell Medicaid	$13,548.94
Rate for Payer: AZCH Complete Medicaid	$13,548.94
Rate for Payer: Banner UC Health Medicaid	$13,548.94
Rate for Payer: Mercy Care Medicaid	$13,548.94

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$6,284.54

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG5012
Min. Negotiated Rate	$6,284.54
Max. Negotiated Rate	$6,284.54
Rate for Payer: AHCCCS Medicaid	$6,284.54
Rate for Payer: Allwell Medicaid	$6,284.54
Rate for Payer: AZCH Complete Medicaid	$6,284.54
Rate for Payer: Banner UC Health Medicaid	$6,284.54
Rate for Payer: Mercy Care Medicaid	$6,284.54

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$4,289.76

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG5014
Min. Negotiated Rate	$4,289.76
Max. Negotiated Rate	$4,289.76
Rate for Payer: AHCCCS Medicaid	$4,289.76
Rate for Payer: Allwell Medicaid	$4,289.76
Rate for Payer: AZCH Complete Medicaid	$4,289.76
Rate for Payer: Banner UC Health Medicaid	$4,289.76
Rate for Payer: Mercy Care Medicaid	$4,289.76

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$3,301.49

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG5013
Min. Negotiated Rate	$3,301.49
Max. Negotiated Rate	$3,301.49
Rate for Payer: AHCCCS Medicaid	$3,301.49
Rate for Payer: Allwell Medicaid	$3,301.49
Rate for Payer: AZCH Complete Medicaid	$3,301.49
Rate for Payer: Banner UC Health Medicaid	$3,301.49
Rate for Payer: Mercy Care Medicaid	$3,301.49

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$6,284.54

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG5011
Min. Negotiated Rate	$6,284.54
Max. Negotiated Rate	$6,284.54
Rate for Payer: AHCCCS Medicaid	$6,284.54
Rate for Payer: Allwell Medicaid	$6,284.54
Rate for Payer: AZCH Complete Medicaid	$6,284.54
Rate for Payer: Banner UC Health Medicaid	$6,284.54
Rate for Payer: Mercy Care Medicaid	$6,284.54

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$12,380.41

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG5012
Min. Negotiated Rate	$12,380.41
Max. Negotiated Rate	$12,380.41
Rate for Payer: AHCCCS Medicaid	$12,380.41
Rate for Payer: Allwell Medicaid	$12,380.41
Rate for Payer: AZCH Complete Medicaid	$12,380.41
Rate for Payer: Banner UC Health Medicaid	$12,380.41
Rate for Payer: Mercy Care Medicaid	$12,380.41

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$6,284.54

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG5014
Min. Negotiated Rate	$6,284.54
Max. Negotiated Rate	$6,284.54
Rate for Payer: AHCCCS Medicaid	$6,284.54
Rate for Payer: Allwell Medicaid	$6,284.54
Rate for Payer: AZCH Complete Medicaid	$6,284.54
Rate for Payer: Banner UC Health Medicaid	$6,284.54
Rate for Payer: Mercy Care Medicaid	$6,284.54

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$3,301.49

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG5014
Min. Negotiated Rate	$3,301.49
Max. Negotiated Rate	$3,301.49
Rate for Payer: AHCCCS Medicaid	$3,301.49
Rate for Payer: Allwell Medicaid	$3,301.49
Rate for Payer: AZCH Complete Medicaid	$3,301.49
Rate for Payer: Banner UC Health Medicaid	$3,301.49
Rate for Payer: Mercy Care Medicaid	$3,301.49

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$3,301.49

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG5012
Min. Negotiated Rate	$3,301.49
Max. Negotiated Rate	$3,301.49
Rate for Payer: AHCCCS Medicaid	$3,301.49
Rate for Payer: Allwell Medicaid	$3,301.49
Rate for Payer: AZCH Complete Medicaid	$3,301.49
Rate for Payer: Banner UC Health Medicaid	$3,301.49
Rate for Payer: Mercy Care Medicaid	$3,301.49

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$4,289.76

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG5011
Min. Negotiated Rate	$4,289.76
Max. Negotiated Rate	$4,289.76
Rate for Payer: AHCCCS Medicaid	$4,289.76
Rate for Payer: Allwell Medicaid	$4,289.76
Rate for Payer: AZCH Complete Medicaid	$4,289.76
Rate for Payer: Banner UC Health Medicaid	$4,289.76
Rate for Payer: Mercy Care Medicaid	$4,289.76

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$6,284.54

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG5013
Min. Negotiated Rate	$6,284.54
Max. Negotiated Rate	$6,284.54
Rate for Payer: AHCCCS Medicaid	$6,284.54
Rate for Payer: Allwell Medicaid	$6,284.54
Rate for Payer: AZCH Complete Medicaid	$6,284.54
Rate for Payer: Banner UC Health Medicaid	$6,284.54
Rate for Payer: Mercy Care Medicaid	$6,284.54

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$12,380.41

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG5013
Min. Negotiated Rate	$12,380.41
Max. Negotiated Rate	$12,380.41
Rate for Payer: AHCCCS Medicaid	$12,380.41
Rate for Payer: Allwell Medicaid	$12,380.41
Rate for Payer: AZCH Complete Medicaid	$12,380.41
Rate for Payer: Banner UC Health Medicaid	$12,380.41
Rate for Payer: Mercy Care Medicaid	$12,380.41

Male Reproductive System Diagnoses Except Malignancy

Facility

IP

$4,289.76

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG5013
Min. Negotiated Rate	$4,289.76
Max. Negotiated Rate	$4,289.76
Rate for Payer: AHCCCS Medicaid	$4,289.76
Rate for Payer: Allwell Medicaid	$4,289.76
Rate for Payer: AZCH Complete Medicaid	$4,289.76
Rate for Payer: Banner UC Health Medicaid	$4,289.76
Rate for Payer: Mercy Care Medicaid	$4,289.76

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