Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Interstitial And Alveolar Lung Diseases

Facility

IP

$5,221.22

Service Code	APR-DRG 1422
Hospital Charge Code	APRDRG1423
Min. Negotiated Rate	$5,221.22
Max. Negotiated Rate	$5,221.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,221.22
Rate for Payer: Mercy Care Medicaid	$5,221.22
Rate for Payer: NaphCare Correctional Healthcare	$5,221.22

Interstitial And Alveolar Lung Diseases

Facility

IP

$11,037.93

Service Code	APR-DRG 1424
Hospital Charge Code	APRDRG1422
Min. Negotiated Rate	$11,037.93
Max. Negotiated Rate	$11,037.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,037.93
Rate for Payer: Mercy Care Medicaid	$11,037.93
Rate for Payer: NaphCare Correctional Healthcare	$11,037.93

Interstitial And Alveolar Lung Diseases

Facility

IP

$11,037.93

Service Code	APR-DRG 1424
Hospital Charge Code	APRDRG1424
Min. Negotiated Rate	$11,037.93
Max. Negotiated Rate	$11,037.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,037.93
Rate for Payer: Mercy Care Medicaid	$11,037.93
Rate for Payer: NaphCare Correctional Healthcare	$11,037.93

Interstitial And Alveolar Lung Diseases

Facility

IP

$4,035.15

Service Code	APR-DRG 1421
Hospital Charge Code	APRDRG1424
Min. Negotiated Rate	$4,035.15
Max. Negotiated Rate	$4,035.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,035.15
Rate for Payer: Mercy Care Medicaid	$4,035.15
Rate for Payer: NaphCare Correctional Healthcare	$4,035.15

Interstitial And Alveolar Lung Diseases

Facility

IP

$7,159.89

Service Code	APR-DRG 1423
Hospital Charge Code	APRDRG1423
Min. Negotiated Rate	$7,159.89
Max. Negotiated Rate	$7,159.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,159.89
Rate for Payer: Mercy Care Medicaid	$7,159.89
Rate for Payer: NaphCare Correctional Healthcare	$7,159.89

Interstitial And Alveolar Lung Diseases

Facility

IP

$5,221.22

Service Code	APR-DRG 1422
Hospital Charge Code	APRDRG1424
Min. Negotiated Rate	$5,221.22
Max. Negotiated Rate	$5,221.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,221.22
Rate for Payer: Mercy Care Medicaid	$5,221.22
Rate for Payer: NaphCare Correctional Healthcare	$5,221.22

Interstitial And Alveolar Lung Diseases

Facility

IP

$11,037.93

Service Code	APR-DRG 1424
Hospital Charge Code	APRDRG1423
Min. Negotiated Rate	$11,037.93
Max. Negotiated Rate	$11,037.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,037.93
Rate for Payer: Mercy Care Medicaid	$11,037.93
Rate for Payer: NaphCare Correctional Healthcare	$11,037.93

Interstitial And Alveolar Lung Diseases

Facility

IP

$7,159.89

Service Code	APR-DRG 1423
Hospital Charge Code	APRDRG1424
Min. Negotiated Rate	$7,159.89
Max. Negotiated Rate	$7,159.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,159.89
Rate for Payer: Mercy Care Medicaid	$7,159.89
Rate for Payer: NaphCare Correctional Healthcare	$7,159.89

Interstitial And Alveolar Lung Diseases

Facility

IP

$5,221.22

Service Code	APR-DRG 1422
Hospital Charge Code	APRDRG1422
Min. Negotiated Rate	$5,221.22
Max. Negotiated Rate	$5,221.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,221.22
Rate for Payer: Mercy Care Medicaid	$5,221.22
Rate for Payer: NaphCare Correctional Healthcare	$5,221.22

Interstitial And Alveolar Lung Diseases

Facility

IP

$4,035.15

Service Code	APR-DRG 1421
Hospital Charge Code	APRDRG1423
Min. Negotiated Rate	$4,035.15
Max. Negotiated Rate	$4,035.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,035.15
Rate for Payer: Mercy Care Medicaid	$4,035.15
Rate for Payer: NaphCare Correctional Healthcare	$4,035.15

Interstitial And Alveolar Lung Diseases

Facility

IP

$5,221.22

Service Code	APR-DRG 1422
Hospital Charge Code	APRDRG1421
Min. Negotiated Rate	$5,221.22
Max. Negotiated Rate	$5,221.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,221.22
Rate for Payer: Mercy Care Medicaid	$5,221.22
Rate for Payer: NaphCare Correctional Healthcare	$5,221.22

Interstitial And Alveolar Lung Diseases

Facility

IP

$4,035.15

Service Code	APR-DRG 1421
Hospital Charge Code	APRDRG1421
Min. Negotiated Rate	$4,035.15
Max. Negotiated Rate	$4,035.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,035.15
Rate for Payer: Mercy Care Medicaid	$4,035.15
Rate for Payer: NaphCare Correctional Healthcare	$4,035.15

INTERSTITIAL LUNG DISEASE WITH CC

Facility

IP

$12,381.67

Service Code	MSDRG 197
Min. Negotiated Rate	$12,381.67
Max. Negotiated Rate	$12,381.67
Rate for Payer: Seven Corners Travel Insurance	$12,381.67

INTERSTITIAL LUNG DISEASE WITH MCC

Facility

IP

$24,390.44

Service Code	MSDRG 196
Min. Negotiated Rate	$24,390.44
Max. Negotiated Rate	$24,390.44
Rate for Payer: Seven Corners Travel Insurance	$24,390.44

INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility

IP

$9,430.54

Service Code	MSDRG 198
Min. Negotiated Rate	$9,430.54
Max. Negotiated Rate	$9,430.54
Rate for Payer: Seven Corners Travel Insurance	$9,430.54

Intervertebral Disc Excision And Decompression

Facility

IP

$13,581.91

Service Code	APR-DRG 3103
Hospital Charge Code	APRDRG3104
Min. Negotiated Rate	$13,581.91
Max. Negotiated Rate	$13,581.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,581.91
Rate for Payer: Mercy Care Medicaid	$13,581.91
Rate for Payer: NaphCare Correctional Healthcare	$13,581.91

Intervertebral Disc Excision And Decompression

Facility

IP

$26,829.25

Service Code	APR-DRG 3104
Hospital Charge Code	APRDRG3102
Min. Negotiated Rate	$26,829.25
Max. Negotiated Rate	$26,829.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$26,829.25
Rate for Payer: Mercy Care Medicaid	$26,829.25
Rate for Payer: NaphCare Correctional Healthcare	$26,829.25

Intervertebral Disc Excision And Decompression

Facility

IP

$9,515.89

Service Code	APR-DRG 3102
Hospital Charge Code	APRDRG3101
Min. Negotiated Rate	$9,515.89
Max. Negotiated Rate	$9,515.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,515.89
Rate for Payer: Mercy Care Medicaid	$9,515.89
Rate for Payer: NaphCare Correctional Healthcare	$9,515.89

Intervertebral Disc Excision And Decompression

Facility

IP

$7,417.31

Service Code	APR-DRG 3101
Hospital Charge Code	APRDRG3103
Min. Negotiated Rate	$7,417.31
Max. Negotiated Rate	$7,417.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,417.31
Rate for Payer: Mercy Care Medicaid	$7,417.31
Rate for Payer: NaphCare Correctional Healthcare	$7,417.31

Intervertebral Disc Excision And Decompression

Facility

IP

$7,417.31

Service Code	APR-DRG 3101
Hospital Charge Code	APRDRG3102
Min. Negotiated Rate	$7,417.31
Max. Negotiated Rate	$7,417.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,417.31
Rate for Payer: Mercy Care Medicaid	$7,417.31
Rate for Payer: NaphCare Correctional Healthcare	$7,417.31

Intervertebral Disc Excision And Decompression

Facility

IP

$7,417.31

Service Code	APR-DRG 3101
Hospital Charge Code	APRDRG3101
Min. Negotiated Rate	$7,417.31
Max. Negotiated Rate	$7,417.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,417.31
Rate for Payer: Mercy Care Medicaid	$7,417.31
Rate for Payer: NaphCare Correctional Healthcare	$7,417.31

Intervertebral Disc Excision And Decompression

Facility

IP

$9,515.89

Service Code	APR-DRG 3102
Hospital Charge Code	APRDRG3103
Min. Negotiated Rate	$9,515.89
Max. Negotiated Rate	$9,515.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,515.89
Rate for Payer: Mercy Care Medicaid	$9,515.89
Rate for Payer: NaphCare Correctional Healthcare	$9,515.89

Intervertebral Disc Excision And Decompression

Facility

IP

$9,515.89

Service Code	APR-DRG 3102
Hospital Charge Code	APRDRG3104
Min. Negotiated Rate	$9,515.89
Max. Negotiated Rate	$9,515.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,515.89
Rate for Payer: Mercy Care Medicaid	$9,515.89
Rate for Payer: NaphCare Correctional Healthcare	$9,515.89

Intervertebral Disc Excision And Decompression

Facility

IP

$7,417.31

Service Code	APR-DRG 3101
Hospital Charge Code	APRDRG3104
Min. Negotiated Rate	$7,417.31
Max. Negotiated Rate	$7,417.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,417.31
Rate for Payer: Mercy Care Medicaid	$7,417.31
Rate for Payer: NaphCare Correctional Healthcare	$7,417.31

Intervertebral Disc Excision And Decompression

Facility

IP

$13,581.91

Service Code	APR-DRG 3103
Hospital Charge Code	APRDRG3103
Min. Negotiated Rate	$13,581.91
Max. Negotiated Rate	$13,581.91
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,581.91
Rate for Payer: Mercy Care Medicaid	$13,581.91
Rate for Payer: NaphCare Correctional Healthcare	$13,581.91

<<
<
280
281
282
283
284
285
286
287
288
289
>
>>