Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6114
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: AHCCCS Medicaid	$35,147.15
Rate for Payer: Allwell Medicaid	$35,147.15
Rate for Payer: AZCH Complete Medicaid	$35,147.15
Rate for Payer: Banner UC Health Medicaid	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15

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

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6114
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

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: AHCCCS Medicaid	$35,147.15
Rate for Payer: Allwell Medicaid	$35,147.15
Rate for Payer: AZCH Complete Medicaid	$35,147.15
Rate for Payer: Banner UC Health Medicaid	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$8,510.79

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG6144
Min. Negotiated Rate	$8,510.79
Max. Negotiated Rate	$8,510.79
Rate for Payer: AHCCCS Medicaid	$8,510.79
Rate for Payer: Allwell Medicaid	$8,510.79
Rate for Payer: AZCH Complete Medicaid	$8,510.79
Rate for Payer: Banner UC Health Medicaid	$8,510.79
Rate for Payer: Mercy Care Medicaid	$8,510.79

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$39,212.47

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG6144
Min. Negotiated Rate	$39,212.47
Max. Negotiated Rate	$39,212.47
Rate for Payer: AHCCCS Medicaid	$39,212.47
Rate for Payer: Allwell Medicaid	$39,212.47
Rate for Payer: AZCH Complete Medicaid	$39,212.47
Rate for Payer: Banner UC Health Medicaid	$39,212.47
Rate for Payer: Mercy Care Medicaid	$39,212.47

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$28,286.76

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG6142
Min. Negotiated Rate	$28,286.76
Max. Negotiated Rate	$28,286.76
Rate for Payer: AHCCCS Medicaid	$28,286.76
Rate for Payer: Allwell Medicaid	$28,286.76
Rate for Payer: AZCH Complete Medicaid	$28,286.76
Rate for Payer: Banner UC Health Medicaid	$28,286.76
Rate for Payer: Mercy Care Medicaid	$28,286.76

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$16,566.37

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG6141
Min. Negotiated Rate	$16,566.37
Max. Negotiated Rate	$16,566.37
Rate for Payer: AHCCCS Medicaid	$16,566.37
Rate for Payer: Allwell Medicaid	$16,566.37
Rate for Payer: AZCH Complete Medicaid	$16,566.37
Rate for Payer: Banner UC Health Medicaid	$16,566.37
Rate for Payer: Mercy Care Medicaid	$16,566.37

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$8,510.79

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG6142
Min. Negotiated Rate	$8,510.79
Max. Negotiated Rate	$8,510.79
Rate for Payer: AHCCCS Medicaid	$8,510.79
Rate for Payer: Allwell Medicaid	$8,510.79
Rate for Payer: AZCH Complete Medicaid	$8,510.79
Rate for Payer: Banner UC Health Medicaid	$8,510.79
Rate for Payer: Mercy Care Medicaid	$8,510.79

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$28,286.76

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG6143
Min. Negotiated Rate	$28,286.76
Max. Negotiated Rate	$28,286.76
Rate for Payer: AHCCCS Medicaid	$28,286.76
Rate for Payer: Allwell Medicaid	$28,286.76
Rate for Payer: AZCH Complete Medicaid	$28,286.76
Rate for Payer: Banner UC Health Medicaid	$28,286.76
Rate for Payer: Mercy Care Medicaid	$28,286.76

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$39,212.47

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG6142
Min. Negotiated Rate	$39,212.47
Max. Negotiated Rate	$39,212.47
Rate for Payer: AHCCCS Medicaid	$39,212.47
Rate for Payer: Allwell Medicaid	$39,212.47
Rate for Payer: AZCH Complete Medicaid	$39,212.47
Rate for Payer: Banner UC Health Medicaid	$39,212.47
Rate for Payer: Mercy Care Medicaid	$39,212.47

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$16,566.37

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG6142
Min. Negotiated Rate	$16,566.37
Max. Negotiated Rate	$16,566.37
Rate for Payer: AHCCCS Medicaid	$16,566.37
Rate for Payer: Allwell Medicaid	$16,566.37
Rate for Payer: AZCH Complete Medicaid	$16,566.37
Rate for Payer: Banner UC Health Medicaid	$16,566.37
Rate for Payer: Mercy Care Medicaid	$16,566.37

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$39,212.47

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG6141
Min. Negotiated Rate	$39,212.47
Max. Negotiated Rate	$39,212.47
Rate for Payer: AHCCCS Medicaid	$39,212.47
Rate for Payer: Allwell Medicaid	$39,212.47
Rate for Payer: AZCH Complete Medicaid	$39,212.47
Rate for Payer: Banner UC Health Medicaid	$39,212.47
Rate for Payer: Mercy Care Medicaid	$39,212.47

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$28,286.76

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG6141
Min. Negotiated Rate	$28,286.76
Max. Negotiated Rate	$28,286.76
Rate for Payer: AHCCCS Medicaid	$28,286.76
Rate for Payer: Allwell Medicaid	$28,286.76
Rate for Payer: AZCH Complete Medicaid	$28,286.76
Rate for Payer: Banner UC Health Medicaid	$28,286.76
Rate for Payer: Mercy Care Medicaid	$28,286.76

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$16,566.37

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG6144
Min. Negotiated Rate	$16,566.37
Max. Negotiated Rate	$16,566.37
Rate for Payer: AHCCCS Medicaid	$16,566.37
Rate for Payer: Allwell Medicaid	$16,566.37
Rate for Payer: AZCH Complete Medicaid	$16,566.37
Rate for Payer: Banner UC Health Medicaid	$16,566.37
Rate for Payer: Mercy Care Medicaid	$16,566.37

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$28,286.76

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG6144
Min. Negotiated Rate	$28,286.76
Max. Negotiated Rate	$28,286.76
Rate for Payer: AHCCCS Medicaid	$28,286.76
Rate for Payer: Allwell Medicaid	$28,286.76
Rate for Payer: AZCH Complete Medicaid	$28,286.76
Rate for Payer: Banner UC Health Medicaid	$28,286.76
Rate for Payer: Mercy Care Medicaid	$28,286.76

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$8,510.79

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG6143
Min. Negotiated Rate	$8,510.79
Max. Negotiated Rate	$8,510.79
Rate for Payer: AHCCCS Medicaid	$8,510.79
Rate for Payer: Allwell Medicaid	$8,510.79
Rate for Payer: AZCH Complete Medicaid	$8,510.79
Rate for Payer: Banner UC Health Medicaid	$8,510.79
Rate for Payer: Mercy Care Medicaid	$8,510.79

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$39,212.47

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG6143
Min. Negotiated Rate	$39,212.47
Max. Negotiated Rate	$39,212.47
Rate for Payer: AHCCCS Medicaid	$39,212.47
Rate for Payer: Allwell Medicaid	$39,212.47
Rate for Payer: AZCH Complete Medicaid	$39,212.47
Rate for Payer: Banner UC Health Medicaid	$39,212.47
Rate for Payer: Mercy Care Medicaid	$39,212.47

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$8,510.79

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG6141
Min. Negotiated Rate	$8,510.79
Max. Negotiated Rate	$8,510.79
Rate for Payer: AHCCCS Medicaid	$8,510.79
Rate for Payer: Allwell Medicaid	$8,510.79
Rate for Payer: AZCH Complete Medicaid	$8,510.79
Rate for Payer: Banner UC Health Medicaid	$8,510.79
Rate for Payer: Mercy Care Medicaid	$8,510.79

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$16,566.37

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG6143
Min. Negotiated Rate	$16,566.37
Max. Negotiated Rate	$16,566.37
Rate for Payer: AHCCCS Medicaid	$16,566.37
Rate for Payer: Allwell Medicaid	$16,566.37
Rate for Payer: AZCH Complete Medicaid	$16,566.37
Rate for Payer: Banner UC Health Medicaid	$16,566.37
Rate for Payer: Mercy Care Medicaid	$16,566.37

Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$50,039.98

Service Code	APR-DRG 6124
Hospital Charge Code	APRDRG6122
Min. Negotiated Rate	$50,039.98
Max. Negotiated Rate	$50,039.98
Rate for Payer: AHCCCS Medicaid	$50,039.98
Rate for Payer: Allwell Medicaid	$50,039.98
Rate for Payer: AZCH Complete Medicaid	$50,039.98
Rate for Payer: Banner UC Health Medicaid	$50,039.98
Rate for Payer: Mercy Care Medicaid	$50,039.98

Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$50,039.98

Service Code	APR-DRG 6124
Hospital Charge Code	APRDRG6124
Min. Negotiated Rate	$50,039.98
Max. Negotiated Rate	$50,039.98
Rate for Payer: AHCCCS Medicaid	$50,039.98
Rate for Payer: Allwell Medicaid	$50,039.98
Rate for Payer: AZCH Complete Medicaid	$50,039.98
Rate for Payer: Banner UC Health Medicaid	$50,039.98
Rate for Payer: Mercy Care Medicaid	$50,039.98

Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$24,091.69

Service Code	APR-DRG 6122
Hospital Charge Code	APRDRG6122
Min. Negotiated Rate	$24,091.69
Max. Negotiated Rate	$24,091.69
Rate for Payer: AHCCCS Medicaid	$24,091.69
Rate for Payer: Allwell Medicaid	$24,091.69
Rate for Payer: AZCH Complete Medicaid	$24,091.69
Rate for Payer: Banner UC Health Medicaid	$24,091.69
Rate for Payer: Mercy Care Medicaid	$24,091.69

Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$15,807.45

Service Code	APR-DRG 6121
Hospital Charge Code	APRDRG6122
Min. Negotiated Rate	$15,807.45
Max. Negotiated Rate	$15,807.45
Rate for Payer: AHCCCS Medicaid	$15,807.45
Rate for Payer: Allwell Medicaid	$15,807.45
Rate for Payer: AZCH Complete Medicaid	$15,807.45
Rate for Payer: Banner UC Health Medicaid	$15,807.45
Rate for Payer: Mercy Care Medicaid	$15,807.45

Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$15,807.45

Service Code	APR-DRG 6121
Hospital Charge Code	APRDRG6124
Min. Negotiated Rate	$15,807.45
Max. Negotiated Rate	$15,807.45
Rate for Payer: AHCCCS Medicaid	$15,807.45
Rate for Payer: Allwell Medicaid	$15,807.45
Rate for Payer: AZCH Complete Medicaid	$15,807.45
Rate for Payer: Banner UC Health Medicaid	$15,807.45
Rate for Payer: Mercy Care Medicaid	$15,807.45

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