Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$16,892.52

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG6261
Min. Negotiated Rate	$16,892.52
Max. Negotiated Rate	$16,892.52
Rate for Payer: AHCCCS Medicaid	$16,892.52
Rate for Payer: Allwell Medicaid	$16,892.52
Rate for Payer: AZCH Complete Medicaid	$16,892.52
Rate for Payer: Banner UC Health Medicaid	$16,892.52
Rate for Payer: Mercy Care Medicaid	$16,892.52

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$16,892.52

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG6264
Min. Negotiated Rate	$16,892.52
Max. Negotiated Rate	$16,892.52
Rate for Payer: AHCCCS Medicaid	$16,892.52
Rate for Payer: Allwell Medicaid	$16,892.52
Rate for Payer: AZCH Complete Medicaid	$16,892.52
Rate for Payer: Banner UC Health Medicaid	$16,892.52
Rate for Payer: Mercy Care Medicaid	$16,892.52

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$4,627.84

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG6261
Min. Negotiated Rate	$4,627.84
Max. Negotiated Rate	$4,627.84
Rate for Payer: AHCCCS Medicaid	$4,627.84
Rate for Payer: Allwell Medicaid	$4,627.84
Rate for Payer: AZCH Complete Medicaid	$4,627.84
Rate for Payer: Banner UC Health Medicaid	$4,627.84
Rate for Payer: Mercy Care Medicaid	$4,627.84

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$4,627.84

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG6263
Min. Negotiated Rate	$4,627.84
Max. Negotiated Rate	$4,627.84
Rate for Payer: AHCCCS Medicaid	$4,627.84
Rate for Payer: Allwell Medicaid	$4,627.84
Rate for Payer: AZCH Complete Medicaid	$4,627.84
Rate for Payer: Banner UC Health Medicaid	$4,627.84
Rate for Payer: Mercy Care Medicaid	$4,627.84

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,226.05

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG6264
Min. Negotiated Rate	$1,226.05
Max. Negotiated Rate	$1,226.05
Rate for Payer: AHCCCS Medicaid	$1,226.05
Rate for Payer: Allwell Medicaid	$1,226.05
Rate for Payer: AZCH Complete Medicaid	$1,226.05
Rate for Payer: Banner UC Health Medicaid	$1,226.05
Rate for Payer: Mercy Care Medicaid	$1,226.05

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,226.05

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG6262
Min. Negotiated Rate	$1,226.05
Max. Negotiated Rate	$1,226.05
Rate for Payer: AHCCCS Medicaid	$1,226.05
Rate for Payer: Allwell Medicaid	$1,226.05
Rate for Payer: AZCH Complete Medicaid	$1,226.05
Rate for Payer: Banner UC Health Medicaid	$1,226.05
Rate for Payer: Mercy Care Medicaid	$1,226.05

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,226.05

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG6261
Min. Negotiated Rate	$1,226.05
Max. Negotiated Rate	$1,226.05
Rate for Payer: AHCCCS Medicaid	$1,226.05
Rate for Payer: Allwell Medicaid	$1,226.05
Rate for Payer: AZCH Complete Medicaid	$1,226.05
Rate for Payer: Banner UC Health Medicaid	$1,226.05
Rate for Payer: Mercy Care Medicaid	$1,226.05

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$16,892.52

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG6262
Min. Negotiated Rate	$16,892.52
Max. Negotiated Rate	$16,892.52
Rate for Payer: AHCCCS Medicaid	$16,892.52
Rate for Payer: Allwell Medicaid	$16,892.52
Rate for Payer: AZCH Complete Medicaid	$16,892.52
Rate for Payer: Banner UC Health Medicaid	$16,892.52
Rate for Payer: Mercy Care Medicaid	$16,892.52

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,761.92

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG6262
Min. Negotiated Rate	$1,761.92
Max. Negotiated Rate	$1,761.92
Rate for Payer: AHCCCS Medicaid	$1,761.92
Rate for Payer: Allwell Medicaid	$1,761.92
Rate for Payer: AZCH Complete Medicaid	$1,761.92
Rate for Payer: Banner UC Health Medicaid	$1,761.92
Rate for Payer: Mercy Care Medicaid	$1,761.92

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,761.92

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG6264
Min. Negotiated Rate	$1,761.92
Max. Negotiated Rate	$1,761.92
Rate for Payer: AHCCCS Medicaid	$1,761.92
Rate for Payer: Allwell Medicaid	$1,761.92
Rate for Payer: AZCH Complete Medicaid	$1,761.92
Rate for Payer: Banner UC Health Medicaid	$1,761.92
Rate for Payer: Mercy Care Medicaid	$1,761.92

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$4,627.84

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG6262
Min. Negotiated Rate	$4,627.84
Max. Negotiated Rate	$4,627.84
Rate for Payer: AHCCCS Medicaid	$4,627.84
Rate for Payer: Allwell Medicaid	$4,627.84
Rate for Payer: AZCH Complete Medicaid	$4,627.84
Rate for Payer: Banner UC Health Medicaid	$4,627.84
Rate for Payer: Mercy Care Medicaid	$4,627.84

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$16,892.52

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG6263
Min. Negotiated Rate	$16,892.52
Max. Negotiated Rate	$16,892.52
Rate for Payer: AHCCCS Medicaid	$16,892.52
Rate for Payer: Allwell Medicaid	$16,892.52
Rate for Payer: AZCH Complete Medicaid	$16,892.52
Rate for Payer: Banner UC Health Medicaid	$16,892.52
Rate for Payer: Mercy Care Medicaid	$16,892.52

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,761.92

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG6261
Min. Negotiated Rate	$1,761.92
Max. Negotiated Rate	$1,761.92
Rate for Payer: AHCCCS Medicaid	$1,761.92
Rate for Payer: Allwell Medicaid	$1,761.92
Rate for Payer: AZCH Complete Medicaid	$1,761.92
Rate for Payer: Banner UC Health Medicaid	$1,761.92
Rate for Payer: Mercy Care Medicaid	$1,761.92

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,226.05

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG6263
Min. Negotiated Rate	$1,226.05
Max. Negotiated Rate	$1,226.05
Rate for Payer: AHCCCS Medicaid	$1,226.05
Rate for Payer: Allwell Medicaid	$1,226.05
Rate for Payer: AZCH Complete Medicaid	$1,226.05
Rate for Payer: Banner UC Health Medicaid	$1,226.05
Rate for Payer: Mercy Care Medicaid	$1,226.05

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$4,627.84

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG6264
Min. Negotiated Rate	$4,627.84
Max. Negotiated Rate	$4,627.84
Rate for Payer: AHCCCS Medicaid	$4,627.84
Rate for Payer: Allwell Medicaid	$4,627.84
Rate for Payer: AZCH Complete Medicaid	$4,627.84
Rate for Payer: Banner UC Health Medicaid	$4,627.84
Rate for Payer: Mercy Care Medicaid	$4,627.84

Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,761.92

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG6263
Min. Negotiated Rate	$1,761.92
Max. Negotiated Rate	$1,761.92
Rate for Payer: AHCCCS Medicaid	$1,761.92
Rate for Payer: Allwell Medicaid	$1,761.92
Rate for Payer: AZCH Complete Medicaid	$1,761.92
Rate for Payer: Banner UC Health Medicaid	$1,761.92
Rate for Payer: Mercy Care Medicaid	$1,761.92

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$42,547.63

Service Code	APR-DRG 6234
Hospital Charge Code	APRDRG6233
Min. Negotiated Rate	$42,547.63
Max. Negotiated Rate	$42,547.63
Rate for Payer: AHCCCS Medicaid	$42,547.63
Rate for Payer: Allwell Medicaid	$42,547.63
Rate for Payer: AZCH Complete Medicaid	$42,547.63
Rate for Payer: Banner UC Health Medicaid	$42,547.63
Rate for Payer: Mercy Care Medicaid	$42,547.63

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$25,929.36

Service Code	APR-DRG 6233
Hospital Charge Code	APRDRG6233
Min. Negotiated Rate	$25,929.36
Max. Negotiated Rate	$25,929.36
Rate for Payer: AHCCCS Medicaid	$25,929.36
Rate for Payer: Allwell Medicaid	$25,929.36
Rate for Payer: AZCH Complete Medicaid	$25,929.36
Rate for Payer: Banner UC Health Medicaid	$25,929.36
Rate for Payer: Mercy Care Medicaid	$25,929.36

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$7,804.48

Service Code	APR-DRG 6231
Hospital Charge Code	APRDRG6233
Min. Negotiated Rate	$7,804.48
Max. Negotiated Rate	$7,804.48
Rate for Payer: AHCCCS Medicaid	$7,804.48
Rate for Payer: Allwell Medicaid	$7,804.48
Rate for Payer: AZCH Complete Medicaid	$7,804.48
Rate for Payer: Banner UC Health Medicaid	$7,804.48
Rate for Payer: Mercy Care Medicaid	$7,804.48

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$42,547.63

Service Code	APR-DRG 6234
Hospital Charge Code	APRDRG6232
Min. Negotiated Rate	$42,547.63
Max. Negotiated Rate	$42,547.63
Rate for Payer: AHCCCS Medicaid	$42,547.63
Rate for Payer: Allwell Medicaid	$42,547.63
Rate for Payer: AZCH Complete Medicaid	$42,547.63
Rate for Payer: Banner UC Health Medicaid	$42,547.63
Rate for Payer: Mercy Care Medicaid	$42,547.63

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$7,804.48

Service Code	APR-DRG 6231
Hospital Charge Code	APRDRG6232
Min. Negotiated Rate	$7,804.48
Max. Negotiated Rate	$7,804.48
Rate for Payer: AHCCCS Medicaid	$7,804.48
Rate for Payer: Allwell Medicaid	$7,804.48
Rate for Payer: AZCH Complete Medicaid	$7,804.48
Rate for Payer: Banner UC Health Medicaid	$7,804.48
Rate for Payer: Mercy Care Medicaid	$7,804.48

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,704.65

Service Code	APR-DRG 6232
Hospital Charge Code	APRDRG6231
Min. Negotiated Rate	$13,704.65
Max. Negotiated Rate	$13,704.65
Rate for Payer: AHCCCS Medicaid	$13,704.65
Rate for Payer: Allwell Medicaid	$13,704.65
Rate for Payer: AZCH Complete Medicaid	$13,704.65
Rate for Payer: Banner UC Health Medicaid	$13,704.65
Rate for Payer: Mercy Care Medicaid	$13,704.65

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$42,547.63

Service Code	APR-DRG 6234
Hospital Charge Code	APRDRG6234
Min. Negotiated Rate	$42,547.63
Max. Negotiated Rate	$42,547.63
Rate for Payer: AHCCCS Medicaid	$42,547.63
Rate for Payer: Allwell Medicaid	$42,547.63
Rate for Payer: AZCH Complete Medicaid	$42,547.63
Rate for Payer: Banner UC Health Medicaid	$42,547.63
Rate for Payer: Mercy Care Medicaid	$42,547.63

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$25,929.36

Service Code	APR-DRG 6233
Hospital Charge Code	APRDRG6232
Min. Negotiated Rate	$25,929.36
Max. Negotiated Rate	$25,929.36
Rate for Payer: AHCCCS Medicaid	$25,929.36
Rate for Payer: Allwell Medicaid	$25,929.36
Rate for Payer: AZCH Complete Medicaid	$25,929.36
Rate for Payer: Banner UC Health Medicaid	$25,929.36
Rate for Payer: Mercy Care Medicaid	$25,929.36

Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$7,804.48

Service Code	APR-DRG 6231
Hospital Charge Code	APRDRG6231
Min. Negotiated Rate	$7,804.48
Max. Negotiated Rate	$7,804.48
Rate for Payer: AHCCCS Medicaid	$7,804.48
Rate for Payer: Allwell Medicaid	$7,804.48
Rate for Payer: AZCH Complete Medicaid	$7,804.48
Rate for Payer: Banner UC Health Medicaid	$7,804.48
Rate for Payer: Mercy Care Medicaid	$7,804.48

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