Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$55,438.66

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG6022
Min. Negotiated Rate	$55,438.66
Max. Negotiated Rate	$55,438.66
Rate for Payer: AHCCCS Medicaid	$55,438.66
Rate for Payer: Allwell Medicaid	$55,438.66
Rate for Payer: AZCH Complete Medicaid	$55,438.66
Rate for Payer: Banner UC Health Medicaid	$55,438.66
Rate for Payer: Mercy Care Medicaid	$55,438.66

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$90,728.90

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG6022
Min. Negotiated Rate	$90,728.90
Max. Negotiated Rate	$90,728.90
Rate for Payer: AHCCCS Medicaid	$90,728.90
Rate for Payer: Allwell Medicaid	$90,728.90
Rate for Payer: AZCH Complete Medicaid	$90,728.90
Rate for Payer: Banner UC Health Medicaid	$90,728.90
Rate for Payer: Mercy Care Medicaid	$90,728.90

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$19,312.35

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG6022
Min. Negotiated Rate	$19,312.35
Max. Negotiated Rate	$19,312.35
Rate for Payer: AHCCCS Medicaid	$19,312.35
Rate for Payer: Allwell Medicaid	$19,312.35
Rate for Payer: AZCH Complete Medicaid	$19,312.35
Rate for Payer: Banner UC Health Medicaid	$19,312.35
Rate for Payer: Mercy Care Medicaid	$19,312.35

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$61,856.47

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG6023
Min. Negotiated Rate	$61,856.47
Max. Negotiated Rate	$61,856.47
Rate for Payer: AHCCCS Medicaid	$61,856.47
Rate for Payer: Allwell Medicaid	$61,856.47
Rate for Payer: AZCH Complete Medicaid	$61,856.47
Rate for Payer: Banner UC Health Medicaid	$61,856.47
Rate for Payer: Mercy Care Medicaid	$61,856.47

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$61,856.47

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG6022
Min. Negotiated Rate	$61,856.47
Max. Negotiated Rate	$61,856.47
Rate for Payer: AHCCCS Medicaid	$61,856.47
Rate for Payer: Allwell Medicaid	$61,856.47
Rate for Payer: AZCH Complete Medicaid	$61,856.47
Rate for Payer: Banner UC Health Medicaid	$61,856.47
Rate for Payer: Mercy Care Medicaid	$61,856.47

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$55,438.66

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG6024
Min. Negotiated Rate	$55,438.66
Max. Negotiated Rate	$55,438.66
Rate for Payer: AHCCCS Medicaid	$55,438.66
Rate for Payer: Allwell Medicaid	$55,438.66
Rate for Payer: AZCH Complete Medicaid	$55,438.66
Rate for Payer: Banner UC Health Medicaid	$55,438.66
Rate for Payer: Mercy Care Medicaid	$55,438.66

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$19,312.35

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG6023
Min. Negotiated Rate	$19,312.35
Max. Negotiated Rate	$19,312.35
Rate for Payer: AHCCCS Medicaid	$19,312.35
Rate for Payer: Allwell Medicaid	$19,312.35
Rate for Payer: AZCH Complete Medicaid	$19,312.35
Rate for Payer: Banner UC Health Medicaid	$19,312.35
Rate for Payer: Mercy Care Medicaid	$19,312.35

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$19,312.35

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG6021
Min. Negotiated Rate	$19,312.35
Max. Negotiated Rate	$19,312.35
Rate for Payer: AHCCCS Medicaid	$19,312.35
Rate for Payer: Allwell Medicaid	$19,312.35
Rate for Payer: AZCH Complete Medicaid	$19,312.35
Rate for Payer: Banner UC Health Medicaid	$19,312.35
Rate for Payer: Mercy Care Medicaid	$19,312.35

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$90,728.90

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG6021
Min. Negotiated Rate	$90,728.90
Max. Negotiated Rate	$90,728.90
Rate for Payer: AHCCCS Medicaid	$90,728.90
Rate for Payer: Allwell Medicaid	$90,728.90
Rate for Payer: AZCH Complete Medicaid	$90,728.90
Rate for Payer: Banner UC Health Medicaid	$90,728.90
Rate for Payer: Mercy Care Medicaid	$90,728.90

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$90,728.90

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG6024
Min. Negotiated Rate	$90,728.90
Max. Negotiated Rate	$90,728.90
Rate for Payer: AHCCCS Medicaid	$90,728.90
Rate for Payer: Allwell Medicaid	$90,728.90
Rate for Payer: AZCH Complete Medicaid	$90,728.90
Rate for Payer: Banner UC Health Medicaid	$90,728.90
Rate for Payer: Mercy Care Medicaid	$90,728.90

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$19,312.35

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG6024
Min. Negotiated Rate	$19,312.35
Max. Negotiated Rate	$19,312.35
Rate for Payer: AHCCCS Medicaid	$19,312.35
Rate for Payer: Allwell Medicaid	$19,312.35
Rate for Payer: AZCH Complete Medicaid	$19,312.35
Rate for Payer: Banner UC Health Medicaid	$19,312.35
Rate for Payer: Mercy Care Medicaid	$19,312.35

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$61,856.47

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG6021
Min. Negotiated Rate	$61,856.47
Max. Negotiated Rate	$61,856.47
Rate for Payer: AHCCCS Medicaid	$61,856.47
Rate for Payer: Allwell Medicaid	$61,856.47
Rate for Payer: AZCH Complete Medicaid	$61,856.47
Rate for Payer: Banner UC Health Medicaid	$61,856.47
Rate for Payer: Mercy Care Medicaid	$61,856.47

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$90,728.90

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG6023
Min. Negotiated Rate	$90,728.90
Max. Negotiated Rate	$90,728.90
Rate for Payer: AHCCCS Medicaid	$90,728.90
Rate for Payer: Allwell Medicaid	$90,728.90
Rate for Payer: AZCH Complete Medicaid	$90,728.90
Rate for Payer: Banner UC Health Medicaid	$90,728.90
Rate for Payer: Mercy Care Medicaid	$90,728.90

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$55,438.66

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG6023
Min. Negotiated Rate	$55,438.66
Max. Negotiated Rate	$55,438.66
Rate for Payer: AHCCCS Medicaid	$55,438.66
Rate for Payer: Allwell Medicaid	$55,438.66
Rate for Payer: AZCH Complete Medicaid	$55,438.66
Rate for Payer: Banner UC Health Medicaid	$55,438.66
Rate for Payer: Mercy Care Medicaid	$55,438.66

Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$61,856.47

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG6024
Min. Negotiated Rate	$61,856.47
Max. Negotiated Rate	$61,856.47
Rate for Payer: AHCCCS Medicaid	$61,856.47
Rate for Payer: Allwell Medicaid	$61,856.47
Rate for Payer: AZCH Complete Medicaid	$61,856.47
Rate for Payer: Banner UC Health Medicaid	$61,856.47
Rate for Payer: Mercy Care Medicaid	$61,856.47

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$67,001.94

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG6084
Min. Negotiated Rate	$67,001.94
Max. Negotiated Rate	$67,001.94
Rate for Payer: AHCCCS Medicaid	$67,001.94
Rate for Payer: Allwell Medicaid	$67,001.94
Rate for Payer: AZCH Complete Medicaid	$67,001.94
Rate for Payer: Banner UC Health Medicaid	$67,001.94
Rate for Payer: Mercy Care Medicaid	$67,001.94

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$10,373.00

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG6081
Min. Negotiated Rate	$10,373.00
Max. Negotiated Rate	$10,373.00
Rate for Payer: AHCCCS Medicaid	$10,373.00
Rate for Payer: Allwell Medicaid	$10,373.00
Rate for Payer: AZCH Complete Medicaid	$10,373.00
Rate for Payer: Banner UC Health Medicaid	$10,373.00
Rate for Payer: Mercy Care Medicaid	$10,373.00

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$67,001.94

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG6083
Min. Negotiated Rate	$67,001.94
Max. Negotiated Rate	$67,001.94
Rate for Payer: AHCCCS Medicaid	$67,001.94
Rate for Payer: Allwell Medicaid	$67,001.94
Rate for Payer: AZCH Complete Medicaid	$67,001.94
Rate for Payer: Banner UC Health Medicaid	$67,001.94
Rate for Payer: Mercy Care Medicaid	$67,001.94

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$67,001.94

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG6082
Min. Negotiated Rate	$67,001.94
Max. Negotiated Rate	$67,001.94
Rate for Payer: AHCCCS Medicaid	$67,001.94
Rate for Payer: Allwell Medicaid	$67,001.94
Rate for Payer: AZCH Complete Medicaid	$67,001.94
Rate for Payer: Banner UC Health Medicaid	$67,001.94
Rate for Payer: Mercy Care Medicaid	$67,001.94

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$28,194.88

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG6084
Min. Negotiated Rate	$28,194.88
Max. Negotiated Rate	$28,194.88
Rate for Payer: AHCCCS Medicaid	$28,194.88
Rate for Payer: Allwell Medicaid	$28,194.88
Rate for Payer: AZCH Complete Medicaid	$28,194.88
Rate for Payer: Banner UC Health Medicaid	$28,194.88
Rate for Payer: Mercy Care Medicaid	$28,194.88

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$10,373.00

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG6084
Min. Negotiated Rate	$10,373.00
Max. Negotiated Rate	$10,373.00
Rate for Payer: AHCCCS Medicaid	$10,373.00
Rate for Payer: Allwell Medicaid	$10,373.00
Rate for Payer: AZCH Complete Medicaid	$10,373.00
Rate for Payer: Banner UC Health Medicaid	$10,373.00
Rate for Payer: Mercy Care Medicaid	$10,373.00

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$10,373.00

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG6083
Min. Negotiated Rate	$10,373.00
Max. Negotiated Rate	$10,373.00
Rate for Payer: AHCCCS Medicaid	$10,373.00
Rate for Payer: Allwell Medicaid	$10,373.00
Rate for Payer: AZCH Complete Medicaid	$10,373.00
Rate for Payer: Banner UC Health Medicaid	$10,373.00
Rate for Payer: Mercy Care Medicaid	$10,373.00

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$28,194.88

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG6082
Min. Negotiated Rate	$28,194.88
Max. Negotiated Rate	$28,194.88
Rate for Payer: AHCCCS Medicaid	$28,194.88
Rate for Payer: Allwell Medicaid	$28,194.88
Rate for Payer: AZCH Complete Medicaid	$28,194.88
Rate for Payer: Banner UC Health Medicaid	$28,194.88
Rate for Payer: Mercy Care Medicaid	$28,194.88

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$41,263.36

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG6084
Min. Negotiated Rate	$41,263.36
Max. Negotiated Rate	$41,263.36
Rate for Payer: AHCCCS Medicaid	$41,263.36
Rate for Payer: Allwell Medicaid	$41,263.36
Rate for Payer: AZCH Complete Medicaid	$41,263.36
Rate for Payer: Banner UC Health Medicaid	$41,263.36
Rate for Payer: Mercy Care Medicaid	$41,263.36

Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition

Facility

IP

$28,194.88

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG6083
Min. Negotiated Rate	$28,194.88
Max. Negotiated Rate	$28,194.88
Rate for Payer: AHCCCS Medicaid	$28,194.88
Rate for Payer: Allwell Medicaid	$28,194.88
Rate for Payer: AZCH Complete Medicaid	$28,194.88
Rate for Payer: Banner UC Health Medicaid	$28,194.88
Rate for Payer: Mercy Care Medicaid	$28,194.88

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