Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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

$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

$4,289.76

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG5012
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

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$3,976.24

Service Code	APR-DRG 2521
Hospital Charge Code	APRDRG2524
Min. Negotiated Rate	$3,976.24
Max. Negotiated Rate	$3,976.24
Rate for Payer: AHCCCS Medicaid	$3,976.24
Rate for Payer: Allwell Medicaid	$3,976.24
Rate for Payer: AZCH Complete Medicaid	$3,976.24
Rate for Payer: Banner UC Health Medicaid	$3,976.24
Rate for Payer: Mercy Care Medicaid	$3,976.24

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$16,206.55

Service Code	APR-DRG 2524
Hospital Charge Code	APRDRG2524
Min. Negotiated Rate	$16,206.55
Max. Negotiated Rate	$16,206.55
Rate for Payer: AHCCCS Medicaid	$16,206.55
Rate for Payer: Allwell Medicaid	$16,206.55
Rate for Payer: AZCH Complete Medicaid	$16,206.55
Rate for Payer: Banner UC Health Medicaid	$16,206.55
Rate for Payer: Mercy Care Medicaid	$16,206.55

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$3,976.24

Service Code	APR-DRG 2521
Hospital Charge Code	APRDRG2522
Min. Negotiated Rate	$3,976.24
Max. Negotiated Rate	$3,976.24
Rate for Payer: AHCCCS Medicaid	$3,976.24
Rate for Payer: Allwell Medicaid	$3,976.24
Rate for Payer: AZCH Complete Medicaid	$3,976.24
Rate for Payer: Banner UC Health Medicaid	$3,976.24
Rate for Payer: Mercy Care Medicaid	$3,976.24

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$3,976.24

Service Code	APR-DRG 2521
Hospital Charge Code	APRDRG2521
Min. Negotiated Rate	$3,976.24
Max. Negotiated Rate	$3,976.24
Rate for Payer: AHCCCS Medicaid	$3,976.24
Rate for Payer: Allwell Medicaid	$3,976.24
Rate for Payer: AZCH Complete Medicaid	$3,976.24
Rate for Payer: Banner UC Health Medicaid	$3,976.24
Rate for Payer: Mercy Care Medicaid	$3,976.24

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$5,019.92

Service Code	APR-DRG 2522
Hospital Charge Code	APRDRG2522
Min. Negotiated Rate	$5,019.92
Max. Negotiated Rate	$5,019.92
Rate for Payer: AHCCCS Medicaid	$5,019.92
Rate for Payer: Allwell Medicaid	$5,019.92
Rate for Payer: AZCH Complete Medicaid	$5,019.92
Rate for Payer: Banner UC Health Medicaid	$5,019.92
Rate for Payer: Mercy Care Medicaid	$5,019.92

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$3,976.24

Service Code	APR-DRG 2521
Hospital Charge Code	APRDRG2523
Min. Negotiated Rate	$3,976.24
Max. Negotiated Rate	$3,976.24
Rate for Payer: AHCCCS Medicaid	$3,976.24
Rate for Payer: Allwell Medicaid	$3,976.24
Rate for Payer: AZCH Complete Medicaid	$3,976.24
Rate for Payer: Banner UC Health Medicaid	$3,976.24
Rate for Payer: Mercy Care Medicaid	$3,976.24

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$16,206.55

Service Code	APR-DRG 2524
Hospital Charge Code	APRDRG2521
Min. Negotiated Rate	$16,206.55
Max. Negotiated Rate	$16,206.55
Rate for Payer: AHCCCS Medicaid	$16,206.55
Rate for Payer: Allwell Medicaid	$16,206.55
Rate for Payer: AZCH Complete Medicaid	$16,206.55
Rate for Payer: Banner UC Health Medicaid	$16,206.55
Rate for Payer: Mercy Care Medicaid	$16,206.55

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$5,019.92

Service Code	APR-DRG 2522
Hospital Charge Code	APRDRG2521
Min. Negotiated Rate	$5,019.92
Max. Negotiated Rate	$5,019.92
Rate for Payer: AHCCCS Medicaid	$5,019.92
Rate for Payer: Allwell Medicaid	$5,019.92
Rate for Payer: AZCH Complete Medicaid	$5,019.92
Rate for Payer: Banner UC Health Medicaid	$5,019.92
Rate for Payer: Mercy Care Medicaid	$5,019.92

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$7,653.68

Service Code	APR-DRG 2523
Hospital Charge Code	APRDRG2524
Min. Negotiated Rate	$7,653.68
Max. Negotiated Rate	$7,653.68
Rate for Payer: AHCCCS Medicaid	$7,653.68
Rate for Payer: Allwell Medicaid	$7,653.68
Rate for Payer: AZCH Complete Medicaid	$7,653.68
Rate for Payer: Banner UC Health Medicaid	$7,653.68
Rate for Payer: Mercy Care Medicaid	$7,653.68

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$16,206.55

Service Code	APR-DRG 2524
Hospital Charge Code	APRDRG2522
Min. Negotiated Rate	$16,206.55
Max. Negotiated Rate	$16,206.55
Rate for Payer: AHCCCS Medicaid	$16,206.55
Rate for Payer: Allwell Medicaid	$16,206.55
Rate for Payer: AZCH Complete Medicaid	$16,206.55
Rate for Payer: Banner UC Health Medicaid	$16,206.55
Rate for Payer: Mercy Care Medicaid	$16,206.55

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$7,653.68

Service Code	APR-DRG 2523
Hospital Charge Code	APRDRG2523
Min. Negotiated Rate	$7,653.68
Max. Negotiated Rate	$7,653.68
Rate for Payer: AHCCCS Medicaid	$7,653.68
Rate for Payer: Allwell Medicaid	$7,653.68
Rate for Payer: AZCH Complete Medicaid	$7,653.68
Rate for Payer: Banner UC Health Medicaid	$7,653.68
Rate for Payer: Mercy Care Medicaid	$7,653.68

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$16,206.55

Service Code	APR-DRG 2524
Hospital Charge Code	APRDRG2523
Min. Negotiated Rate	$16,206.55
Max. Negotiated Rate	$16,206.55
Rate for Payer: AHCCCS Medicaid	$16,206.55
Rate for Payer: Allwell Medicaid	$16,206.55
Rate for Payer: AZCH Complete Medicaid	$16,206.55
Rate for Payer: Banner UC Health Medicaid	$16,206.55
Rate for Payer: Mercy Care Medicaid	$16,206.55

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$5,019.92

Service Code	APR-DRG 2522
Hospital Charge Code	APRDRG2523
Min. Negotiated Rate	$5,019.92
Max. Negotiated Rate	$5,019.92
Rate for Payer: AHCCCS Medicaid	$5,019.92
Rate for Payer: Allwell Medicaid	$5,019.92
Rate for Payer: AZCH Complete Medicaid	$5,019.92
Rate for Payer: Banner UC Health Medicaid	$5,019.92
Rate for Payer: Mercy Care Medicaid	$5,019.92

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$7,653.68

Service Code	APR-DRG 2523
Hospital Charge Code	APRDRG2522
Min. Negotiated Rate	$7,653.68
Max. Negotiated Rate	$7,653.68
Rate for Payer: AHCCCS Medicaid	$7,653.68
Rate for Payer: Allwell Medicaid	$7,653.68
Rate for Payer: AZCH Complete Medicaid	$7,653.68
Rate for Payer: Banner UC Health Medicaid	$7,653.68
Rate for Payer: Mercy Care Medicaid	$7,653.68

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$7,653.68

Service Code	APR-DRG 2523
Hospital Charge Code	APRDRG2521
Min. Negotiated Rate	$7,653.68
Max. Negotiated Rate	$7,653.68
Rate for Payer: AHCCCS Medicaid	$7,653.68
Rate for Payer: Allwell Medicaid	$7,653.68
Rate for Payer: AZCH Complete Medicaid	$7,653.68
Rate for Payer: Banner UC Health Medicaid	$7,653.68
Rate for Payer: Mercy Care Medicaid	$7,653.68

Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure

Facility

IP

$5,019.92

Service Code	APR-DRG 2522
Hospital Charge Code	APRDRG2524
Min. Negotiated Rate	$5,019.92
Max. Negotiated Rate	$5,019.92
Rate for Payer: AHCCCS Medicaid	$5,019.92
Rate for Payer: Allwell Medicaid	$5,019.92
Rate for Payer: AZCH Complete Medicaid	$5,019.92
Rate for Payer: Banner UC Health Medicaid	$5,019.92
Rate for Payer: Mercy Care Medicaid	$5,019.92

Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure

Facility

IP

$5,014.31

Service Code	APR-DRG 2061
Hospital Charge Code	APRDRG2061
Min. Negotiated Rate	$5,014.31
Max. Negotiated Rate	$5,014.31
Rate for Payer: AHCCCS Medicaid	$5,014.31
Rate for Payer: Allwell Medicaid	$5,014.31
Rate for Payer: AZCH Complete Medicaid	$5,014.31
Rate for Payer: Banner UC Health Medicaid	$5,014.31
Rate for Payer: Mercy Care Medicaid	$5,014.31

Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure

Facility

IP

$5,165.81

Service Code	APR-DRG 2062
Hospital Charge Code	APRDRG2062
Min. Negotiated Rate	$5,165.81
Max. Negotiated Rate	$5,165.81
Rate for Payer: AHCCCS Medicaid	$5,165.81
Rate for Payer: Allwell Medicaid	$5,165.81
Rate for Payer: AZCH Complete Medicaid	$5,165.81
Rate for Payer: Banner UC Health Medicaid	$5,165.81
Rate for Payer: Mercy Care Medicaid	$5,165.81

Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure

Facility

IP

$5,014.31

Service Code	APR-DRG 2061
Hospital Charge Code	APRDRG2063
Min. Negotiated Rate	$5,014.31
Max. Negotiated Rate	$5,014.31
Rate for Payer: AHCCCS Medicaid	$5,014.31
Rate for Payer: Allwell Medicaid	$5,014.31
Rate for Payer: AZCH Complete Medicaid	$5,014.31
Rate for Payer: Banner UC Health Medicaid	$5,014.31
Rate for Payer: Mercy Care Medicaid	$5,014.31

Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure

Facility

IP

$5,165.81

Service Code	APR-DRG 2062
Hospital Charge Code	APRDRG2063
Min. Negotiated Rate	$5,165.81
Max. Negotiated Rate	$5,165.81
Rate for Payer: AHCCCS Medicaid	$5,165.81
Rate for Payer: Allwell Medicaid	$5,165.81
Rate for Payer: AZCH Complete Medicaid	$5,165.81
Rate for Payer: Banner UC Health Medicaid	$5,165.81
Rate for Payer: Mercy Care Medicaid	$5,165.81

Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure

Facility

IP

$7,528.13

Service Code	APR-DRG 2063
Hospital Charge Code	APRDRG2063
Min. Negotiated Rate	$7,528.13
Max. Negotiated Rate	$7,528.13
Rate for Payer: AHCCCS Medicaid	$7,528.13
Rate for Payer: Allwell Medicaid	$7,528.13
Rate for Payer: AZCH Complete Medicaid	$7,528.13
Rate for Payer: Banner UC Health Medicaid	$7,528.13
Rate for Payer: Mercy Care Medicaid	$7,528.13

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