Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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

Facility

IP

$10,373.00

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG6082
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	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

$41,263.36

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG6082
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	APRDRG6081
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

$67,001.94

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG6081
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

$41,263.36

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG6081
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

$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

$41,263.36

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG6083
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

$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	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

$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

$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 Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: AHCCCS Medicaid	$48,520.75
Rate for Payer: Allwell Medicaid	$48,520.75
Rate for Payer: AZCH Complete Medicaid	$48,520.75
Rate for Payer: Banner UC Health Medicaid	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: AHCCCS Medicaid	$38,935.42
Rate for Payer: Allwell Medicaid	$38,935.42
Rate for Payer: AZCH Complete Medicaid	$38,935.42
Rate for Payer: Banner UC Health Medicaid	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: AHCCCS Medicaid	$75,637.57
Rate for Payer: Allwell Medicaid	$75,637.57
Rate for Payer: AZCH Complete Medicaid	$75,637.57
Rate for Payer: Banner UC Health Medicaid	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: AHCCCS Medicaid	$48,520.75
Rate for Payer: Allwell Medicaid	$48,520.75
Rate for Payer: AZCH Complete Medicaid	$48,520.75
Rate for Payer: Banner UC Health Medicaid	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: AHCCCS Medicaid	$22,200.71
Rate for Payer: Allwell Medicaid	$22,200.71
Rate for Payer: AZCH Complete Medicaid	$22,200.71
Rate for Payer: Banner UC Health Medicaid	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: AHCCCS Medicaid	$75,637.57
Rate for Payer: Allwell Medicaid	$75,637.57
Rate for Payer: AZCH Complete Medicaid	$75,637.57
Rate for Payer: Banner UC Health Medicaid	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: AHCCCS Medicaid	$38,935.42
Rate for Payer: Allwell Medicaid	$38,935.42
Rate for Payer: AZCH Complete Medicaid	$38,935.42
Rate for Payer: Banner UC Health Medicaid	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: AHCCCS Medicaid	$75,637.57
Rate for Payer: Allwell Medicaid	$75,637.57
Rate for Payer: AZCH Complete Medicaid	$75,637.57
Rate for Payer: Banner UC Health Medicaid	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: AHCCCS Medicaid	$22,200.71
Rate for Payer: Allwell Medicaid	$22,200.71
Rate for Payer: AZCH Complete Medicaid	$22,200.71
Rate for Payer: Banner UC Health Medicaid	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: AHCCCS Medicaid	$48,520.75
Rate for Payer: Allwell Medicaid	$48,520.75
Rate for Payer: AZCH Complete Medicaid	$48,520.75
Rate for Payer: Banner UC Health Medicaid	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: AHCCCS Medicaid	$48,520.75
Rate for Payer: Allwell Medicaid	$48,520.75
Rate for Payer: AZCH Complete Medicaid	$48,520.75
Rate for Payer: Banner UC Health Medicaid	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: AHCCCS Medicaid	$22,200.71
Rate for Payer: Allwell Medicaid	$22,200.71
Rate for Payer: AZCH Complete Medicaid	$22,200.71
Rate for Payer: Banner UC Health Medicaid	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71

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