Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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

$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	APRDRG5931
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

$70,334.29

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG5934
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

$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

$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

$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	APRDRG5933
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

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

$70,334.29

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG5933
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

$81,194.06

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG5932
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

$117,243.92

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG5933
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

$81,194.06

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG5934
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, Transferred < 5 Days Old, Born Here

Facility

IP

$677.55

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG5812
Min. Negotiated Rate	$677.55
Max. Negotiated Rate	$677.55
Rate for Payer: AHCCCS Medicaid	$677.55
Rate for Payer: Allwell Medicaid	$677.55
Rate for Payer: AZCH Complete Medicaid	$677.55
Rate for Payer: Banner UC Health Medicaid	$677.55
Rate for Payer: Mercy Care Medicaid	$677.55

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$1,031.06

Service Code	APR-DRG 5812
Hospital Charge Code	APRDRG5813
Min. Negotiated Rate	$1,031.06
Max. Negotiated Rate	$1,031.06
Rate for Payer: AHCCCS Medicaid	$1,031.06
Rate for Payer: Allwell Medicaid	$1,031.06
Rate for Payer: AZCH Complete Medicaid	$1,031.06
Rate for Payer: Banner UC Health Medicaid	$1,031.06
Rate for Payer: Mercy Care Medicaid	$1,031.06

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$1,778.75

Service Code	APR-DRG 5813
Hospital Charge Code	APRDRG5814
Min. Negotiated Rate	$1,778.75
Max. Negotiated Rate	$1,778.75
Rate for Payer: AHCCCS Medicaid	$1,778.75
Rate for Payer: Allwell Medicaid	$1,778.75
Rate for Payer: AZCH Complete Medicaid	$1,778.75
Rate for Payer: Banner UC Health Medicaid	$1,778.75
Rate for Payer: Mercy Care Medicaid	$1,778.75

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$1,778.75

Service Code	APR-DRG 5813
Hospital Charge Code	APRDRG5813
Min. Negotiated Rate	$1,778.75
Max. Negotiated Rate	$1,778.75
Rate for Payer: AHCCCS Medicaid	$1,778.75
Rate for Payer: Allwell Medicaid	$1,778.75
Rate for Payer: AZCH Complete Medicaid	$1,778.75
Rate for Payer: Banner UC Health Medicaid	$1,778.75
Rate for Payer: Mercy Care Medicaid	$1,778.75

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$3,284.66

Service Code	APR-DRG 5814
Hospital Charge Code	APRDRG5811
Min. Negotiated Rate	$3,284.66
Max. Negotiated Rate	$3,284.66
Rate for Payer: AHCCCS Medicaid	$3,284.66
Rate for Payer: Allwell Medicaid	$3,284.66
Rate for Payer: AZCH Complete Medicaid	$3,284.66
Rate for Payer: Banner UC Health Medicaid	$3,284.66
Rate for Payer: Mercy Care Medicaid	$3,284.66

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$677.55

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG5813
Min. Negotiated Rate	$677.55
Max. Negotiated Rate	$677.55
Rate for Payer: AHCCCS Medicaid	$677.55
Rate for Payer: Allwell Medicaid	$677.55
Rate for Payer: AZCH Complete Medicaid	$677.55
Rate for Payer: Banner UC Health Medicaid	$677.55
Rate for Payer: Mercy Care Medicaid	$677.55

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$677.55

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG5811
Min. Negotiated Rate	$677.55
Max. Negotiated Rate	$677.55
Rate for Payer: AHCCCS Medicaid	$677.55
Rate for Payer: Allwell Medicaid	$677.55
Rate for Payer: AZCH Complete Medicaid	$677.55
Rate for Payer: Banner UC Health Medicaid	$677.55
Rate for Payer: Mercy Care Medicaid	$677.55

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$1,778.75

Service Code	APR-DRG 5813
Hospital Charge Code	APRDRG5812
Min. Negotiated Rate	$1,778.75
Max. Negotiated Rate	$1,778.75
Rate for Payer: AHCCCS Medicaid	$1,778.75
Rate for Payer: Allwell Medicaid	$1,778.75
Rate for Payer: AZCH Complete Medicaid	$1,778.75
Rate for Payer: Banner UC Health Medicaid	$1,778.75
Rate for Payer: Mercy Care Medicaid	$1,778.75

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$677.55

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG5814
Min. Negotiated Rate	$677.55
Max. Negotiated Rate	$677.55
Rate for Payer: AHCCCS Medicaid	$677.55
Rate for Payer: Allwell Medicaid	$677.55
Rate for Payer: AZCH Complete Medicaid	$677.55
Rate for Payer: Banner UC Health Medicaid	$677.55
Rate for Payer: Mercy Care Medicaid	$677.55

Neonate, Transferred < 5 Days Old, Born Here

Facility

IP

$3,284.66

Service Code	APR-DRG 5814
Hospital Charge Code	APRDRG5812
Min. Negotiated Rate	$3,284.66
Max. Negotiated Rate	$3,284.66
Rate for Payer: AHCCCS Medicaid	$3,284.66
Rate for Payer: Allwell Medicaid	$3,284.66
Rate for Payer: AZCH Complete Medicaid	$3,284.66
Rate for Payer: Banner UC Health Medicaid	$3,284.66
Rate for Payer: Mercy Care Medicaid	$3,284.66

<<
<
315
316
317
318
319
320
321
322
323
324
>
>>