Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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	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	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 Cardiovascular Procedure

Facility

IP

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6303
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

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6304
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

$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

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6302
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

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6302
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	APRDRG6304
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	APRDRG6301
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

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6303
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

$20,400.92

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG6304
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

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$59,310.38

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG6302
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

$20,400.92

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG6302
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

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$59,310.38

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG6303
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

$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

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6301
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

$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 Other Major Procedure

Facility

IP

$22,038.69

Service Code	APR-DRG 6312
Hospital Charge Code	APRDRG6313
Min. Negotiated Rate	$22,038.69
Max. Negotiated Rate	$22,038.69
Rate for Payer: AHCCCS Medicaid	$22,038.69
Rate for Payer: Allwell Medicaid	$22,038.69
Rate for Payer: AZCH Complete Medicaid	$22,038.69
Rate for Payer: Banner UC Health Medicaid	$22,038.69
Rate for Payer: Mercy Care Medicaid	$22,038.69

Neonate Birth Weight > 2499 Grams With Other Major Procedure

Facility

IP

$123,339.09

Service Code	APR-DRG 6314
Hospital Charge Code	APRDRG6314
Min. Negotiated Rate	$123,339.09
Max. Negotiated Rate	$123,339.09
Rate for Payer: AHCCCS Medicaid	$123,339.09
Rate for Payer: Allwell Medicaid	$123,339.09
Rate for Payer: AZCH Complete Medicaid	$123,339.09
Rate for Payer: Banner UC Health Medicaid	$123,339.09
Rate for Payer: Mercy Care Medicaid	$123,339.09

Neonate Birth Weight > 2499 Grams With Other Major Procedure

Facility

IP

$22,038.69

Service Code	APR-DRG 6312
Hospital Charge Code	APRDRG6311
Min. Negotiated Rate	$22,038.69
Max. Negotiated Rate	$22,038.69
Rate for Payer: AHCCCS Medicaid	$22,038.69
Rate for Payer: Allwell Medicaid	$22,038.69
Rate for Payer: AZCH Complete Medicaid	$22,038.69
Rate for Payer: Banner UC Health Medicaid	$22,038.69
Rate for Payer: Mercy Care Medicaid	$22,038.69

Neonate Birth Weight > 2499 Grams With Other Major Procedure

Facility

IP

$123,339.09

Service Code	APR-DRG 6314
Hospital Charge Code	APRDRG6313
Min. Negotiated Rate	$123,339.09
Max. Negotiated Rate	$123,339.09
Rate for Payer: AHCCCS Medicaid	$123,339.09
Rate for Payer: Allwell Medicaid	$123,339.09
Rate for Payer: AZCH Complete Medicaid	$123,339.09
Rate for Payer: Banner UC Health Medicaid	$123,339.09
Rate for Payer: Mercy Care Medicaid	$123,339.09

Neonate Birth Weight > 2499 Grams With Other Major Procedure

Facility

IP

$41,104.14

Service Code	APR-DRG 6313
Hospital Charge Code	APRDRG6312
Min. Negotiated Rate	$41,104.14
Max. Negotiated Rate	$41,104.14
Rate for Payer: AHCCCS Medicaid	$41,104.14
Rate for Payer: Allwell Medicaid	$41,104.14
Rate for Payer: AZCH Complete Medicaid	$41,104.14
Rate for Payer: Banner UC Health Medicaid	$41,104.14
Rate for Payer: Mercy Care Medicaid	$41,104.14

Neonate Birth Weight > 2499 Grams With Other Major Procedure

Facility

IP

$123,339.09

Service Code	APR-DRG 6314
Hospital Charge Code	APRDRG6312
Min. Negotiated Rate	$123,339.09
Max. Negotiated Rate	$123,339.09
Rate for Payer: AHCCCS Medicaid	$123,339.09
Rate for Payer: Allwell Medicaid	$123,339.09
Rate for Payer: AZCH Complete Medicaid	$123,339.09
Rate for Payer: Banner UC Health Medicaid	$123,339.09
Rate for Payer: Mercy Care Medicaid	$123,339.09

<<
<
311
312
313
314
315
316
317
318
319
320
>
>>