Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$4,584.35

Service Code	APR-DRG 6361
Hospital Charge Code	APRDRG6363
Min. Negotiated Rate	$4,584.35
Max. Negotiated Rate	$4,584.35
Rate for Payer: AHCCCS Medicaid	$4,584.35
Rate for Payer: Allwell Medicaid	$4,584.35
Rate for Payer: AZCH Complete Medicaid	$4,584.35
Rate for Payer: Banner UC Health Medicaid	$4,584.35
Rate for Payer: Mercy Care Medicaid	$4,584.35

Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$8,089.25

Service Code	APR-DRG 6362
Hospital Charge Code	APRDRG6362
Min. Negotiated Rate	$8,089.25
Max. Negotiated Rate	$8,089.25
Rate for Payer: AHCCCS Medicaid	$8,089.25
Rate for Payer: Allwell Medicaid	$8,089.25
Rate for Payer: AZCH Complete Medicaid	$8,089.25
Rate for Payer: Banner UC Health Medicaid	$8,089.25
Rate for Payer: Mercy Care Medicaid	$8,089.25

Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$4,584.35

Service Code	APR-DRG 6361
Hospital Charge Code	APRDRG6361
Min. Negotiated Rate	$4,584.35
Max. Negotiated Rate	$4,584.35
Rate for Payer: AHCCCS Medicaid	$4,584.35
Rate for Payer: Allwell Medicaid	$4,584.35
Rate for Payer: AZCH Complete Medicaid	$4,584.35
Rate for Payer: Banner UC Health Medicaid	$4,584.35
Rate for Payer: Mercy Care Medicaid	$4,584.35

Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$16,258.45

Service Code	APR-DRG 6363
Hospital Charge Code	APRDRG6364
Min. Negotiated Rate	$16,258.45
Max. Negotiated Rate	$16,258.45
Rate for Payer: AHCCCS Medicaid	$16,258.45
Rate for Payer: Allwell Medicaid	$16,258.45
Rate for Payer: AZCH Complete Medicaid	$16,258.45
Rate for Payer: Banner UC Health Medicaid	$16,258.45
Rate for Payer: Mercy Care Medicaid	$16,258.45

Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection

Facility

IP

$29,347.98

Service Code	APR-DRG 6364
Hospital Charge Code	APRDRG6364
Min. Negotiated Rate	$29,347.98
Max. Negotiated Rate	$29,347.98
Rate for Payer: AHCCCS Medicaid	$29,347.98
Rate for Payer: Allwell Medicaid	$29,347.98
Rate for Payer: AZCH Complete Medicaid	$29,347.98
Rate for Payer: Banner UC Health Medicaid	$29,347.98
Rate for Payer: Mercy Care Medicaid	$29,347.98

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: AHCCCS Medicaid	$46,523.16
Rate for Payer: Allwell Medicaid	$46,523.16
Rate for Payer: AZCH Complete Medicaid	$46,523.16
Rate for Payer: Banner UC Health Medicaid	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: AHCCCS Medicaid	$1,907.11
Rate for Payer: Allwell Medicaid	$1,907.11
Rate for Payer: AZCH Complete Medicaid	$1,907.11
Rate for Payer: Banner UC Health Medicaid	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: AHCCCS Medicaid	$46,523.16
Rate for Payer: Allwell Medicaid	$46,523.16
Rate for Payer: AZCH Complete Medicaid	$46,523.16
Rate for Payer: Banner UC Health Medicaid	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: AHCCCS Medicaid	$19,568.36
Rate for Payer: Allwell Medicaid	$19,568.36
Rate for Payer: AZCH Complete Medicaid	$19,568.36
Rate for Payer: Banner UC Health Medicaid	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: AHCCCS Medicaid	$19,568.36
Rate for Payer: Allwell Medicaid	$19,568.36
Rate for Payer: AZCH Complete Medicaid	$19,568.36
Rate for Payer: Banner UC Health Medicaid	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: AHCCCS Medicaid	$46,523.16
Rate for Payer: Allwell Medicaid	$46,523.16
Rate for Payer: AZCH Complete Medicaid	$46,523.16
Rate for Payer: Banner UC Health Medicaid	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: AHCCCS Medicaid	$1,907.11
Rate for Payer: Allwell Medicaid	$1,907.11
Rate for Payer: AZCH Complete Medicaid	$1,907.11
Rate for Payer: Banner UC Health Medicaid	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: AHCCCS Medicaid	$46,523.16
Rate for Payer: Allwell Medicaid	$46,523.16
Rate for Payer: AZCH Complete Medicaid	$46,523.16
Rate for Payer: Banner UC Health Medicaid	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: AHCCCS Medicaid	$1,907.11
Rate for Payer: Allwell Medicaid	$1,907.11
Rate for Payer: AZCH Complete Medicaid	$1,907.11
Rate for Payer: Banner UC Health Medicaid	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: AHCCCS Medicaid	$19,568.36
Rate for Payer: Allwell Medicaid	$19,568.36
Rate for Payer: AZCH Complete Medicaid	$19,568.36
Rate for Payer: Banner UC Health Medicaid	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: AHCCCS Medicaid	$19,568.36
Rate for Payer: Allwell Medicaid	$19,568.36
Rate for Payer: AZCH Complete Medicaid	$19,568.36
Rate for Payer: Banner UC Health Medicaid	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: AHCCCS Medicaid	$1,907.11
Rate for Payer: Allwell Medicaid	$1,907.11
Rate for Payer: AZCH Complete Medicaid	$1,907.11
Rate for Payer: Banner UC Health Medicaid	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: AHCCCS Medicaid	$7,082.04
Rate for Payer: Allwell Medicaid	$7,082.04
Rate for Payer: AZCH Complete Medicaid	$7,082.04
Rate for Payer: Banner UC Health Medicaid	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6301
Min. Negotiated Rate	$33,012.09
Max. Negotiated Rate	$33,012.09
Rate for Payer: AHCCCS Medicaid	$33,012.09
Rate for Payer: Allwell Medicaid	$33,012.09
Rate for Payer: AZCH Complete Medicaid	$33,012.09
Rate for Payer: Banner UC Health Medicaid	$33,012.09
Rate for Payer: Mercy Care Medicaid	$33,012.09

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$59,310.38

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG6301
Min. Negotiated Rate	$59,310.38
Max. Negotiated Rate	$59,310.38
Rate for Payer: AHCCCS Medicaid	$59,310.38
Rate for Payer: Allwell Medicaid	$59,310.38
Rate for Payer: AZCH Complete Medicaid	$59,310.38
Rate for Payer: Banner UC Health Medicaid	$59,310.38
Rate for Payer: Mercy Care Medicaid	$59,310.38

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6304
Min. Negotiated Rate	$118,789.10
Max. Negotiated Rate	$118,789.10
Rate for Payer: AHCCCS Medicaid	$118,789.10
Rate for Payer: Allwell Medicaid	$118,789.10
Rate for Payer: AZCH Complete Medicaid	$118,789.10
Rate for Payer: Banner UC Health Medicaid	$118,789.10
Rate for Payer: Mercy Care Medicaid	$118,789.10

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$20,400.92

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG6303
Min. Negotiated Rate	$20,400.92
Max. Negotiated Rate	$20,400.92
Rate for Payer: AHCCCS Medicaid	$20,400.92
Rate for Payer: Allwell Medicaid	$20,400.92
Rate for Payer: AZCH Complete Medicaid	$20,400.92
Rate for Payer: Banner UC Health Medicaid	$20,400.92
Rate for Payer: Mercy Care Medicaid	$20,400.92

<<
<
310
311
312
313
314
315
316
317
318
319
>
>>