Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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	APRDRG6073
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

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6073
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

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6071
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	APRDRG6074
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 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: AHCCCS Medicaid	$13,628.20
Rate for Payer: Allwell Medicaid	$13,628.20
Rate for Payer: AZCH Complete Medicaid	$13,628.20
Rate for Payer: Banner UC Health Medicaid	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6134
Min. Negotiated Rate	$50,289.68
Max. Negotiated Rate	$50,289.68
Rate for Payer: AHCCCS Medicaid	$50,289.68
Rate for Payer: Allwell Medicaid	$50,289.68
Rate for Payer: AZCH Complete Medicaid	$50,289.68
Rate for Payer: Banner UC Health Medicaid	$50,289.68
Rate for Payer: Mercy Care Medicaid	$50,289.68

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: AHCCCS Medicaid	$31,431.14
Rate for Payer: Allwell Medicaid	$31,431.14
Rate for Payer: AZCH Complete Medicaid	$31,431.14
Rate for Payer: Banner UC Health Medicaid	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: AHCCCS Medicaid	$13,628.20
Rate for Payer: Allwell Medicaid	$13,628.20
Rate for Payer: AZCH Complete Medicaid	$13,628.20
Rate for Payer: Banner UC Health Medicaid	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$50,289.68
Max. Negotiated Rate	$50,289.68
Rate for Payer: AHCCCS Medicaid	$50,289.68
Rate for Payer: Allwell Medicaid	$50,289.68
Rate for Payer: AZCH Complete Medicaid	$50,289.68
Rate for Payer: Banner UC Health Medicaid	$50,289.68
Rate for Payer: Mercy Care Medicaid	$50,289.68

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: AHCCCS Medicaid	$22,789.89
Rate for Payer: Allwell Medicaid	$22,789.89
Rate for Payer: AZCH Complete Medicaid	$22,789.89
Rate for Payer: Banner UC Health Medicaid	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: AHCCCS Medicaid	$31,431.14
Rate for Payer: Allwell Medicaid	$31,431.14
Rate for Payer: AZCH Complete Medicaid	$31,431.14
Rate for Payer: Banner UC Health Medicaid	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$50,289.68
Max. Negotiated Rate	$50,289.68
Rate for Payer: AHCCCS Medicaid	$50,289.68
Rate for Payer: Allwell Medicaid	$50,289.68
Rate for Payer: AZCH Complete Medicaid	$50,289.68
Rate for Payer: Banner UC Health Medicaid	$50,289.68
Rate for Payer: Mercy Care Medicaid	$50,289.68

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: AHCCCS Medicaid	$22,789.89
Rate for Payer: Allwell Medicaid	$22,789.89
Rate for Payer: AZCH Complete Medicaid	$22,789.89
Rate for Payer: Banner UC Health Medicaid	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: AHCCCS Medicaid	$13,628.20
Rate for Payer: Allwell Medicaid	$13,628.20
Rate for Payer: AZCH Complete Medicaid	$13,628.20
Rate for Payer: Banner UC Health Medicaid	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$50,289.68
Max. Negotiated Rate	$50,289.68
Rate for Payer: AHCCCS Medicaid	$50,289.68
Rate for Payer: Allwell Medicaid	$50,289.68
Rate for Payer: AZCH Complete Medicaid	$50,289.68
Rate for Payer: Banner UC Health Medicaid	$50,289.68
Rate for Payer: Mercy Care Medicaid	$50,289.68

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6134
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: AHCCCS Medicaid	$31,431.14
Rate for Payer: Allwell Medicaid	$31,431.14
Rate for Payer: AZCH Complete Medicaid	$31,431.14
Rate for Payer: Banner UC Health Medicaid	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6134
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: AHCCCS Medicaid	$13,628.20
Rate for Payer: Allwell Medicaid	$13,628.20
Rate for Payer: AZCH Complete Medicaid	$13,628.20
Rate for Payer: Banner UC Health Medicaid	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6134
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: AHCCCS Medicaid	$22,789.89
Rate for Payer: Allwell Medicaid	$22,789.89
Rate for Payer: AZCH Complete Medicaid	$22,789.89
Rate for Payer: Banner UC Health Medicaid	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: AHCCCS Medicaid	$31,431.14
Rate for Payer: Allwell Medicaid	$31,431.14
Rate for Payer: AZCH Complete Medicaid	$31,431.14
Rate for Payer: Banner UC Health Medicaid	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: AHCCCS Medicaid	$22,789.89
Rate for Payer: Allwell Medicaid	$22,789.89
Rate for Payer: AZCH Complete Medicaid	$22,789.89
Rate for Payer: Banner UC Health Medicaid	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6112
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: AHCCCS Medicaid	$12,664.48
Rate for Payer: Allwell Medicaid	$12,664.48
Rate for Payer: AZCH Complete Medicaid	$12,664.48
Rate for Payer: Banner UC Health Medicaid	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: AHCCCS Medicaid	$20,541.20
Rate for Payer: Allwell Medicaid	$20,541.20
Rate for Payer: AZCH Complete Medicaid	$20,541.20
Rate for Payer: Banner UC Health Medicaid	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$60,961.48

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$60,961.48
Max. Negotiated Rate	$60,961.48
Rate for Payer: AHCCCS Medicaid	$60,961.48
Rate for Payer: Allwell Medicaid	$60,961.48
Rate for Payer: AZCH Complete Medicaid	$60,961.48
Rate for Payer: Banner UC Health Medicaid	$60,961.48
Rate for Payer: Mercy Care Medicaid	$60,961.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: AHCCCS Medicaid	$20,541.20
Rate for Payer: Allwell Medicaid	$20,541.20
Rate for Payer: AZCH Complete Medicaid	$20,541.20
Rate for Payer: Banner UC Health Medicaid	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: AHCCCS Medicaid	$12,664.48
Rate for Payer: Allwell Medicaid	$12,664.48
Rate for Payer: AZCH Complete Medicaid	$12,664.48
Rate for Payer: Banner UC Health Medicaid	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48

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