Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 500-749 Grams Without Major Procedure

Facility

IP

$75,926.55

Service Code	APR-DRG 5912
Hospital Charge Code	APRDRG5913
Min. Negotiated Rate	$75,926.55
Max. Negotiated Rate	$75,926.55
Rate for Payer: AHCCCS Medicaid	$75,926.55
Rate for Payer: Allwell Medicaid	$75,926.55
Rate for Payer: AZCH Complete Medicaid	$75,926.55
Rate for Payer: Banner UC Health Medicaid	$75,926.55
Rate for Payer: Mercy Care Medicaid	$75,926.55

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$76,487.67

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG5891
Min. Negotiated Rate	$76,487.67
Max. Negotiated Rate	$76,487.67
Rate for Payer: AHCCCS Medicaid	$76,487.67
Rate for Payer: Allwell Medicaid	$76,487.67
Rate for Payer: AZCH Complete Medicaid	$76,487.67
Rate for Payer: Banner UC Health Medicaid	$76,487.67
Rate for Payer: Mercy Care Medicaid	$76,487.67

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$87,221.90

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG5891
Min. Negotiated Rate	$87,221.90
Max. Negotiated Rate	$87,221.90
Rate for Payer: AHCCCS Medicaid	$87,221.90
Rate for Payer: Allwell Medicaid	$87,221.90
Rate for Payer: AZCH Complete Medicaid	$87,221.90
Rate for Payer: Banner UC Health Medicaid	$87,221.90
Rate for Payer: Mercy Care Medicaid	$87,221.90

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$14,492.33

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG5892
Min. Negotiated Rate	$14,492.33
Max. Negotiated Rate	$14,492.33
Rate for Payer: AHCCCS Medicaid	$14,492.33
Rate for Payer: Allwell Medicaid	$14,492.33
Rate for Payer: AZCH Complete Medicaid	$14,492.33
Rate for Payer: Banner UC Health Medicaid	$14,492.33
Rate for Payer: Mercy Care Medicaid	$14,492.33

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$84,136.44

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG5893
Min. Negotiated Rate	$84,136.44
Max. Negotiated Rate	$84,136.44
Rate for Payer: AHCCCS Medicaid	$84,136.44
Rate for Payer: Allwell Medicaid	$84,136.44
Rate for Payer: AZCH Complete Medicaid	$84,136.44
Rate for Payer: Banner UC Health Medicaid	$84,136.44
Rate for Payer: Mercy Care Medicaid	$84,136.44

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$87,221.90

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG5892
Min. Negotiated Rate	$87,221.90
Max. Negotiated Rate	$87,221.90
Rate for Payer: AHCCCS Medicaid	$87,221.90
Rate for Payer: Allwell Medicaid	$87,221.90
Rate for Payer: AZCH Complete Medicaid	$87,221.90
Rate for Payer: Banner UC Health Medicaid	$87,221.90
Rate for Payer: Mercy Care Medicaid	$87,221.90

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$76,487.67

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG5894
Min. Negotiated Rate	$76,487.67
Max. Negotiated Rate	$76,487.67
Rate for Payer: AHCCCS Medicaid	$76,487.67
Rate for Payer: Allwell Medicaid	$76,487.67
Rate for Payer: AZCH Complete Medicaid	$76,487.67
Rate for Payer: Banner UC Health Medicaid	$76,487.67
Rate for Payer: Mercy Care Medicaid	$76,487.67

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$14,492.33

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG5891
Min. Negotiated Rate	$14,492.33
Max. Negotiated Rate	$14,492.33
Rate for Payer: AHCCCS Medicaid	$14,492.33
Rate for Payer: Allwell Medicaid	$14,492.33
Rate for Payer: AZCH Complete Medicaid	$14,492.33
Rate for Payer: Banner UC Health Medicaid	$14,492.33
Rate for Payer: Mercy Care Medicaid	$14,492.33

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$87,221.90

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG5893
Min. Negotiated Rate	$87,221.90
Max. Negotiated Rate	$87,221.90
Rate for Payer: AHCCCS Medicaid	$87,221.90
Rate for Payer: Allwell Medicaid	$87,221.90
Rate for Payer: AZCH Complete Medicaid	$87,221.90
Rate for Payer: Banner UC Health Medicaid	$87,221.90
Rate for Payer: Mercy Care Medicaid	$87,221.90

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$87,221.90

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG5894
Min. Negotiated Rate	$87,221.90
Max. Negotiated Rate	$87,221.90
Rate for Payer: AHCCCS Medicaid	$87,221.90
Rate for Payer: Allwell Medicaid	$87,221.90
Rate for Payer: AZCH Complete Medicaid	$87,221.90
Rate for Payer: Banner UC Health Medicaid	$87,221.90
Rate for Payer: Mercy Care Medicaid	$87,221.90

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$84,136.44

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG5892
Min. Negotiated Rate	$84,136.44
Max. Negotiated Rate	$84,136.44
Rate for Payer: AHCCCS Medicaid	$84,136.44
Rate for Payer: Allwell Medicaid	$84,136.44
Rate for Payer: AZCH Complete Medicaid	$84,136.44
Rate for Payer: Banner UC Health Medicaid	$84,136.44
Rate for Payer: Mercy Care Medicaid	$84,136.44

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$14,492.33

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG5893
Min. Negotiated Rate	$14,492.33
Max. Negotiated Rate	$14,492.33
Rate for Payer: AHCCCS Medicaid	$14,492.33
Rate for Payer: Allwell Medicaid	$14,492.33
Rate for Payer: AZCH Complete Medicaid	$14,492.33
Rate for Payer: Banner UC Health Medicaid	$14,492.33
Rate for Payer: Mercy Care Medicaid	$14,492.33

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$84,136.44

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG5894
Min. Negotiated Rate	$84,136.44
Max. Negotiated Rate	$84,136.44
Rate for Payer: AHCCCS Medicaid	$84,136.44
Rate for Payer: Allwell Medicaid	$84,136.44
Rate for Payer: AZCH Complete Medicaid	$84,136.44
Rate for Payer: Banner UC Health Medicaid	$84,136.44
Rate for Payer: Mercy Care Medicaid	$84,136.44

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$14,492.33

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG5894
Min. Negotiated Rate	$14,492.33
Max. Negotiated Rate	$14,492.33
Rate for Payer: AHCCCS Medicaid	$14,492.33
Rate for Payer: Allwell Medicaid	$14,492.33
Rate for Payer: AZCH Complete Medicaid	$14,492.33
Rate for Payer: Banner UC Health Medicaid	$14,492.33
Rate for Payer: Mercy Care Medicaid	$14,492.33

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$76,487.67

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG5892
Min. Negotiated Rate	$76,487.67
Max. Negotiated Rate	$76,487.67
Rate for Payer: AHCCCS Medicaid	$76,487.67
Rate for Payer: Allwell Medicaid	$76,487.67
Rate for Payer: AZCH Complete Medicaid	$76,487.67
Rate for Payer: Banner UC Health Medicaid	$76,487.67
Rate for Payer: Mercy Care Medicaid	$76,487.67

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$84,136.44

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG5891
Min. Negotiated Rate	$84,136.44
Max. Negotiated Rate	$84,136.44
Rate for Payer: AHCCCS Medicaid	$84,136.44
Rate for Payer: Allwell Medicaid	$84,136.44
Rate for Payer: AZCH Complete Medicaid	$84,136.44
Rate for Payer: Banner UC Health Medicaid	$84,136.44
Rate for Payer: Mercy Care Medicaid	$84,136.44

Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention

Facility

IP

$76,487.67

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG5893
Min. Negotiated Rate	$76,487.67
Max. Negotiated Rate	$76,487.67
Rate for Payer: AHCCCS Medicaid	$76,487.67
Rate for Payer: Allwell Medicaid	$76,487.67
Rate for Payer: AZCH Complete Medicaid	$76,487.67
Rate for Payer: Banner UC Health Medicaid	$76,487.67
Rate for Payer: Mercy Care Medicaid	$76,487.67

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$81,194.06

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG5933
Min. Negotiated Rate	$81,194.06
Max. Negotiated Rate	$81,194.06
Rate for Payer: AHCCCS Medicaid	$81,194.06
Rate for Payer: Allwell Medicaid	$81,194.06
Rate for Payer: AZCH Complete Medicaid	$81,194.06
Rate for Payer: Banner UC Health Medicaid	$81,194.06
Rate for Payer: Mercy Care Medicaid	$81,194.06

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$81,194.06

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG5931
Min. Negotiated Rate	$81,194.06
Max. Negotiated Rate	$81,194.06
Rate for Payer: AHCCCS Medicaid	$81,194.06
Rate for Payer: Allwell Medicaid	$81,194.06
Rate for Payer: AZCH Complete Medicaid	$81,194.06
Rate for Payer: Banner UC Health Medicaid	$81,194.06
Rate for Payer: Mercy Care Medicaid	$81,194.06

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$70,334.29

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG5931
Min. Negotiated Rate	$70,334.29
Max. Negotiated Rate	$70,334.29
Rate for Payer: AHCCCS Medicaid	$70,334.29
Rate for Payer: Allwell Medicaid	$70,334.29
Rate for Payer: AZCH Complete Medicaid	$70,334.29
Rate for Payer: Banner UC Health Medicaid	$70,334.29
Rate for Payer: Mercy Care Medicaid	$70,334.29

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$117,243.92

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG5932
Min. Negotiated Rate	$117,243.92
Max. Negotiated Rate	$117,243.92
Rate for Payer: AHCCCS Medicaid	$117,243.92
Rate for Payer: Allwell Medicaid	$117,243.92
Rate for Payer: AZCH Complete Medicaid	$117,243.92
Rate for Payer: Banner UC Health Medicaid	$117,243.92
Rate for Payer: Mercy Care Medicaid	$117,243.92

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$18,365.46

Service Code	APR-DRG 5931
Hospital Charge Code	APRDRG5931
Min. Negotiated Rate	$18,365.46
Max. Negotiated Rate	$18,365.46
Rate for Payer: AHCCCS Medicaid	$18,365.46
Rate for Payer: Allwell Medicaid	$18,365.46
Rate for Payer: AZCH Complete Medicaid	$18,365.46
Rate for Payer: Banner UC Health Medicaid	$18,365.46
Rate for Payer: Mercy Care Medicaid	$18,365.46

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$117,243.92

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG5934
Min. Negotiated Rate	$117,243.92
Max. Negotiated Rate	$117,243.92
Rate for Payer: AHCCCS Medicaid	$117,243.92
Rate for Payer: Allwell Medicaid	$117,243.92
Rate for Payer: AZCH Complete Medicaid	$117,243.92
Rate for Payer: Banner UC Health Medicaid	$117,243.92
Rate for Payer: Mercy Care Medicaid	$117,243.92

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$18,365.46

Service Code	APR-DRG 5931
Hospital Charge Code	APRDRG5934
Min. Negotiated Rate	$18,365.46
Max. Negotiated Rate	$18,365.46
Rate for Payer: AHCCCS Medicaid	$18,365.46
Rate for Payer: Allwell Medicaid	$18,365.46
Rate for Payer: AZCH Complete Medicaid	$18,365.46
Rate for Payer: Banner UC Health Medicaid	$18,365.46
Rate for Payer: Mercy Care Medicaid	$18,365.46

Neonate Birth Weight 750-999 Grams Without Major Procedure

Facility

IP

$18,365.46

Service Code	APR-DRG 5931
Hospital Charge Code	APRDRG5932
Min. Negotiated Rate	$18,365.46
Max. Negotiated Rate	$18,365.46
Rate for Payer: AHCCCS Medicaid	$18,365.46
Rate for Payer: Allwell Medicaid	$18,365.46
Rate for Payer: AZCH Complete Medicaid	$18,365.46
Rate for Payer: Banner UC Health Medicaid	$18,365.46
Rate for Payer: Mercy Care Medicaid	$18,365.46

<<
<
314
315
316
317
318
319
320
321
322
323
>
>>