Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure

Facility

IP

$6,481.64

Service Code	APR-DRG 4663
Hospital Charge Code	APRDRG4663
Min. Negotiated Rate	$6,481.64
Max. Negotiated Rate	$6,481.64
Rate for Payer: AHCCCS Medicaid	$6,481.64
Rate for Payer: Allwell Medicaid	$6,481.64
Rate for Payer: AZCH Complete Medicaid	$6,481.64
Rate for Payer: Banner UC Health Medicaid	$6,481.64
Rate for Payer: Mercy Care Medicaid	$6,481.64

Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure

Facility

IP

$11,058.97

Service Code	APR-DRG 4664
Hospital Charge Code	APRDRG4661
Min. Negotiated Rate	$11,058.97
Max. Negotiated Rate	$11,058.97
Rate for Payer: AHCCCS Medicaid	$11,058.97
Rate for Payer: Allwell Medicaid	$11,058.97
Rate for Payer: AZCH Complete Medicaid	$11,058.97
Rate for Payer: Banner UC Health Medicaid	$11,058.97
Rate for Payer: Mercy Care Medicaid	$11,058.97

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$5,432.34

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG3493
Min. Negotiated Rate	$5,432.34
Max. Negotiated Rate	$5,432.34
Rate for Payer: AHCCCS Medicaid	$5,432.34
Rate for Payer: Allwell Medicaid	$5,432.34
Rate for Payer: AZCH Complete Medicaid	$5,432.34
Rate for Payer: Banner UC Health Medicaid	$5,432.34
Rate for Payer: Mercy Care Medicaid	$5,432.34

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$14,955.25

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG3493
Min. Negotiated Rate	$14,955.25
Max. Negotiated Rate	$14,955.25
Rate for Payer: AHCCCS Medicaid	$14,955.25
Rate for Payer: Allwell Medicaid	$14,955.25
Rate for Payer: AZCH Complete Medicaid	$14,955.25
Rate for Payer: Banner UC Health Medicaid	$14,955.25
Rate for Payer: Mercy Care Medicaid	$14,955.25

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$8,119.41

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG3494
Min. Negotiated Rate	$8,119.41
Max. Negotiated Rate	$8,119.41
Rate for Payer: AHCCCS Medicaid	$8,119.41
Rate for Payer: Allwell Medicaid	$8,119.41
Rate for Payer: AZCH Complete Medicaid	$8,119.41
Rate for Payer: Banner UC Health Medicaid	$8,119.41
Rate for Payer: Mercy Care Medicaid	$8,119.41

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$8,119.41

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG3491
Min. Negotiated Rate	$8,119.41
Max. Negotiated Rate	$8,119.41
Rate for Payer: AHCCCS Medicaid	$8,119.41
Rate for Payer: Allwell Medicaid	$8,119.41
Rate for Payer: AZCH Complete Medicaid	$8,119.41
Rate for Payer: Banner UC Health Medicaid	$8,119.41
Rate for Payer: Mercy Care Medicaid	$8,119.41

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$5,432.34

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG3491
Min. Negotiated Rate	$5,432.34
Max. Negotiated Rate	$5,432.34
Rate for Payer: AHCCCS Medicaid	$5,432.34
Rate for Payer: Allwell Medicaid	$5,432.34
Rate for Payer: AZCH Complete Medicaid	$5,432.34
Rate for Payer: Banner UC Health Medicaid	$5,432.34
Rate for Payer: Mercy Care Medicaid	$5,432.34

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$3,643.07

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG3492
Min. Negotiated Rate	$3,643.07
Max. Negotiated Rate	$3,643.07
Rate for Payer: AHCCCS Medicaid	$3,643.07
Rate for Payer: Allwell Medicaid	$3,643.07
Rate for Payer: AZCH Complete Medicaid	$3,643.07
Rate for Payer: Banner UC Health Medicaid	$3,643.07
Rate for Payer: Mercy Care Medicaid	$3,643.07

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$3,643.07

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG3493
Min. Negotiated Rate	$3,643.07
Max. Negotiated Rate	$3,643.07
Rate for Payer: AHCCCS Medicaid	$3,643.07
Rate for Payer: Allwell Medicaid	$3,643.07
Rate for Payer: AZCH Complete Medicaid	$3,643.07
Rate for Payer: Banner UC Health Medicaid	$3,643.07
Rate for Payer: Mercy Care Medicaid	$3,643.07

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$5,432.34

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG3494
Min. Negotiated Rate	$5,432.34
Max. Negotiated Rate	$5,432.34
Rate for Payer: AHCCCS Medicaid	$5,432.34
Rate for Payer: Allwell Medicaid	$5,432.34
Rate for Payer: AZCH Complete Medicaid	$5,432.34
Rate for Payer: Banner UC Health Medicaid	$5,432.34
Rate for Payer: Mercy Care Medicaid	$5,432.34

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$14,955.25

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG3491
Min. Negotiated Rate	$14,955.25
Max. Negotiated Rate	$14,955.25
Rate for Payer: AHCCCS Medicaid	$14,955.25
Rate for Payer: Allwell Medicaid	$14,955.25
Rate for Payer: AZCH Complete Medicaid	$14,955.25
Rate for Payer: Banner UC Health Medicaid	$14,955.25
Rate for Payer: Mercy Care Medicaid	$14,955.25

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$8,119.41

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG3493
Min. Negotiated Rate	$8,119.41
Max. Negotiated Rate	$8,119.41
Rate for Payer: AHCCCS Medicaid	$8,119.41
Rate for Payer: Allwell Medicaid	$8,119.41
Rate for Payer: AZCH Complete Medicaid	$8,119.41
Rate for Payer: Banner UC Health Medicaid	$8,119.41
Rate for Payer: Mercy Care Medicaid	$8,119.41

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$8,119.41

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG3492
Min. Negotiated Rate	$8,119.41
Max. Negotiated Rate	$8,119.41
Rate for Payer: AHCCCS Medicaid	$8,119.41
Rate for Payer: Allwell Medicaid	$8,119.41
Rate for Payer: AZCH Complete Medicaid	$8,119.41
Rate for Payer: Banner UC Health Medicaid	$8,119.41
Rate for Payer: Mercy Care Medicaid	$8,119.41

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$5,432.34

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG3492
Min. Negotiated Rate	$5,432.34
Max. Negotiated Rate	$5,432.34
Rate for Payer: AHCCCS Medicaid	$5,432.34
Rate for Payer: Allwell Medicaid	$5,432.34
Rate for Payer: AZCH Complete Medicaid	$5,432.34
Rate for Payer: Banner UC Health Medicaid	$5,432.34
Rate for Payer: Mercy Care Medicaid	$5,432.34

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$3,643.07

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG3491
Min. Negotiated Rate	$3,643.07
Max. Negotiated Rate	$3,643.07
Rate for Payer: AHCCCS Medicaid	$3,643.07
Rate for Payer: Allwell Medicaid	$3,643.07
Rate for Payer: AZCH Complete Medicaid	$3,643.07
Rate for Payer: Banner UC Health Medicaid	$3,643.07
Rate for Payer: Mercy Care Medicaid	$3,643.07

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$3,643.07

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG3494
Min. Negotiated Rate	$3,643.07
Max. Negotiated Rate	$3,643.07
Rate for Payer: AHCCCS Medicaid	$3,643.07
Rate for Payer: Allwell Medicaid	$3,643.07
Rate for Payer: AZCH Complete Medicaid	$3,643.07
Rate for Payer: Banner UC Health Medicaid	$3,643.07
Rate for Payer: Mercy Care Medicaid	$3,643.07

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$14,955.25

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG3492
Min. Negotiated Rate	$14,955.25
Max. Negotiated Rate	$14,955.25
Rate for Payer: AHCCCS Medicaid	$14,955.25
Rate for Payer: Allwell Medicaid	$14,955.25
Rate for Payer: AZCH Complete Medicaid	$14,955.25
Rate for Payer: Banner UC Health Medicaid	$14,955.25
Rate for Payer: Mercy Care Medicaid	$14,955.25

Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure

Facility

IP

$14,955.25

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG3494
Min. Negotiated Rate	$14,955.25
Max. Negotiated Rate	$14,955.25
Rate for Payer: AHCCCS Medicaid	$14,955.25
Rate for Payer: Allwell Medicaid	$14,955.25
Rate for Payer: AZCH Complete Medicaid	$14,955.25
Rate for Payer: Banner UC Health Medicaid	$14,955.25
Rate for Payer: Mercy Care Medicaid	$14,955.25

Malignancy, Male Reproductive System

Facility

IP

$5,268.22

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG5002
Min. Negotiated Rate	$5,268.22
Max. Negotiated Rate	$5,268.22
Rate for Payer: AHCCCS Medicaid	$5,268.22
Rate for Payer: Allwell Medicaid	$5,268.22
Rate for Payer: AZCH Complete Medicaid	$5,268.22
Rate for Payer: Banner UC Health Medicaid	$5,268.22
Rate for Payer: Mercy Care Medicaid	$5,268.22

Malignancy, Male Reproductive System

Facility

IP

$4,259.60

Service Code	APR-DRG 5001
Hospital Charge Code	APRDRG5003
Min. Negotiated Rate	$4,259.60
Max. Negotiated Rate	$4,259.60
Rate for Payer: AHCCCS Medicaid	$4,259.60
Rate for Payer: Allwell Medicaid	$4,259.60
Rate for Payer: AZCH Complete Medicaid	$4,259.60
Rate for Payer: Banner UC Health Medicaid	$4,259.60
Rate for Payer: Mercy Care Medicaid	$4,259.60

Malignancy, Male Reproductive System

Facility

IP

$7,583.54

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG5004
Min. Negotiated Rate	$7,583.54
Max. Negotiated Rate	$7,583.54
Rate for Payer: AHCCCS Medicaid	$7,583.54
Rate for Payer: Allwell Medicaid	$7,583.54
Rate for Payer: AZCH Complete Medicaid	$7,583.54
Rate for Payer: Banner UC Health Medicaid	$7,583.54
Rate for Payer: Mercy Care Medicaid	$7,583.54

Malignancy, Male Reproductive System

Facility

IP

$13,371.49

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG5001
Min. Negotiated Rate	$13,371.49
Max. Negotiated Rate	$13,371.49
Rate for Payer: AHCCCS Medicaid	$13,371.49
Rate for Payer: Allwell Medicaid	$13,371.49
Rate for Payer: AZCH Complete Medicaid	$13,371.49
Rate for Payer: Banner UC Health Medicaid	$13,371.49
Rate for Payer: Mercy Care Medicaid	$13,371.49

Malignancy, Male Reproductive System

Facility

IP

$13,371.49

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG5002
Min. Negotiated Rate	$13,371.49
Max. Negotiated Rate	$13,371.49
Rate for Payer: AHCCCS Medicaid	$13,371.49
Rate for Payer: Allwell Medicaid	$13,371.49
Rate for Payer: AZCH Complete Medicaid	$13,371.49
Rate for Payer: Banner UC Health Medicaid	$13,371.49
Rate for Payer: Mercy Care Medicaid	$13,371.49

Malignancy, Male Reproductive System

Facility

IP

$5,268.22

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG5003
Min. Negotiated Rate	$5,268.22
Max. Negotiated Rate	$5,268.22
Rate for Payer: AHCCCS Medicaid	$5,268.22
Rate for Payer: Allwell Medicaid	$5,268.22
Rate for Payer: AZCH Complete Medicaid	$5,268.22
Rate for Payer: Banner UC Health Medicaid	$5,268.22
Rate for Payer: Mercy Care Medicaid	$5,268.22

Malignancy, Male Reproductive System

Facility

IP

$7,583.54

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG5003
Min. Negotiated Rate	$7,583.54
Max. Negotiated Rate	$7,583.54
Rate for Payer: AHCCCS Medicaid	$7,583.54
Rate for Payer: Allwell Medicaid	$7,583.54
Rate for Payer: AZCH Complete Medicaid	$7,583.54
Rate for Payer: Banner UC Health Medicaid	$7,583.54
Rate for Payer: Mercy Care Medicaid	$7,583.54

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