Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7941
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: AHCCCS Medicaid	$17,668.27
Rate for Payer: Allwell Medicaid	$17,668.27
Rate for Payer: AZCH Complete Medicaid	$17,668.27
Rate for Payer: Banner UC Health Medicaid	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$11,025.31

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$11,025.31
Max. Negotiated Rate	$11,025.31
Rate for Payer: AHCCCS Medicaid	$11,025.31
Rate for Payer: Allwell Medicaid	$11,025.31
Rate for Payer: AZCH Complete Medicaid	$11,025.31
Rate for Payer: Banner UC Health Medicaid	$11,025.31
Rate for Payer: Mercy Care Medicaid	$11,025.31

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: AHCCCS Medicaid	$17,668.27
Rate for Payer: Allwell Medicaid	$17,668.27
Rate for Payer: AZCH Complete Medicaid	$17,668.27
Rate for Payer: Banner UC Health Medicaid	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$27,511.01

Service Code	APR-DRG 9524
Hospital Charge Code	APRDRG9523
Min. Negotiated Rate	$27,511.01
Max. Negotiated Rate	$27,511.01
Rate for Payer: AHCCCS Medicaid	$27,511.01
Rate for Payer: Allwell Medicaid	$27,511.01
Rate for Payer: AZCH Complete Medicaid	$27,511.01
Rate for Payer: Banner UC Health Medicaid	$27,511.01
Rate for Payer: Mercy Care Medicaid	$27,511.01

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$8,481.33

Service Code	APR-DRG 9522
Hospital Charge Code	APRDRG9523
Min. Negotiated Rate	$8,481.33
Max. Negotiated Rate	$8,481.33
Rate for Payer: AHCCCS Medicaid	$8,481.33
Rate for Payer: Allwell Medicaid	$8,481.33
Rate for Payer: AZCH Complete Medicaid	$8,481.33
Rate for Payer: Banner UC Health Medicaid	$8,481.33
Rate for Payer: Mercy Care Medicaid	$8,481.33

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: AHCCCS Medicaid	$13,889.82
Rate for Payer: Allwell Medicaid	$13,889.82
Rate for Payer: AZCH Complete Medicaid	$13,889.82
Rate for Payer: Banner UC Health Medicaid	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$6,053.08

Service Code	APR-DRG 9521
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$6,053.08
Max. Negotiated Rate	$6,053.08
Rate for Payer: AHCCCS Medicaid	$6,053.08
Rate for Payer: Allwell Medicaid	$6,053.08
Rate for Payer: AZCH Complete Medicaid	$6,053.08
Rate for Payer: Banner UC Health Medicaid	$6,053.08
Rate for Payer: Mercy Care Medicaid	$6,053.08

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$6,053.08

Service Code	APR-DRG 9521
Hospital Charge Code	APRDRG9523
Min. Negotiated Rate	$6,053.08
Max. Negotiated Rate	$6,053.08
Rate for Payer: AHCCCS Medicaid	$6,053.08
Rate for Payer: Allwell Medicaid	$6,053.08
Rate for Payer: AZCH Complete Medicaid	$6,053.08
Rate for Payer: Banner UC Health Medicaid	$6,053.08
Rate for Payer: Mercy Care Medicaid	$6,053.08

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$6,053.08

Service Code	APR-DRG 9521
Hospital Charge Code	APRDRG9524
Min. Negotiated Rate	$6,053.08
Max. Negotiated Rate	$6,053.08
Rate for Payer: AHCCCS Medicaid	$6,053.08
Rate for Payer: Allwell Medicaid	$6,053.08
Rate for Payer: AZCH Complete Medicaid	$6,053.08
Rate for Payer: Banner UC Health Medicaid	$6,053.08
Rate for Payer: Mercy Care Medicaid	$6,053.08

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9523
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: AHCCCS Medicaid	$13,889.82
Rate for Payer: Allwell Medicaid	$13,889.82
Rate for Payer: AZCH Complete Medicaid	$13,889.82
Rate for Payer: Banner UC Health Medicaid	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$6,053.08

Service Code	APR-DRG 9521
Hospital Charge Code	APRDRG9522
Min. Negotiated Rate	$6,053.08
Max. Negotiated Rate	$6,053.08
Rate for Payer: AHCCCS Medicaid	$6,053.08
Rate for Payer: Allwell Medicaid	$6,053.08
Rate for Payer: AZCH Complete Medicaid	$6,053.08
Rate for Payer: Banner UC Health Medicaid	$6,053.08
Rate for Payer: Mercy Care Medicaid	$6,053.08

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9522
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: AHCCCS Medicaid	$13,889.82
Rate for Payer: Allwell Medicaid	$13,889.82
Rate for Payer: AZCH Complete Medicaid	$13,889.82
Rate for Payer: Banner UC Health Medicaid	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$27,511.01

Service Code	APR-DRG 9524
Hospital Charge Code	APRDRG9524
Min. Negotiated Rate	$27,511.01
Max. Negotiated Rate	$27,511.01
Rate for Payer: AHCCCS Medicaid	$27,511.01
Rate for Payer: Allwell Medicaid	$27,511.01
Rate for Payer: AZCH Complete Medicaid	$27,511.01
Rate for Payer: Banner UC Health Medicaid	$27,511.01
Rate for Payer: Mercy Care Medicaid	$27,511.01

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$27,511.01

Service Code	APR-DRG 9524
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$27,511.01
Max. Negotiated Rate	$27,511.01
Rate for Payer: AHCCCS Medicaid	$27,511.01
Rate for Payer: Allwell Medicaid	$27,511.01
Rate for Payer: AZCH Complete Medicaid	$27,511.01
Rate for Payer: Banner UC Health Medicaid	$27,511.01
Rate for Payer: Mercy Care Medicaid	$27,511.01

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$27,511.01

Service Code	APR-DRG 9524
Hospital Charge Code	APRDRG9522
Min. Negotiated Rate	$27,511.01
Max. Negotiated Rate	$27,511.01
Rate for Payer: AHCCCS Medicaid	$27,511.01
Rate for Payer: Allwell Medicaid	$27,511.01
Rate for Payer: AZCH Complete Medicaid	$27,511.01
Rate for Payer: Banner UC Health Medicaid	$27,511.01
Rate for Payer: Mercy Care Medicaid	$27,511.01

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$8,481.33

Service Code	APR-DRG 9522
Hospital Charge Code	APRDRG9524
Min. Negotiated Rate	$8,481.33
Max. Negotiated Rate	$8,481.33
Rate for Payer: AHCCCS Medicaid	$8,481.33
Rate for Payer: Allwell Medicaid	$8,481.33
Rate for Payer: AZCH Complete Medicaid	$8,481.33
Rate for Payer: Banner UC Health Medicaid	$8,481.33
Rate for Payer: Mercy Care Medicaid	$8,481.33

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$8,481.33

Service Code	APR-DRG 9522
Hospital Charge Code	APRDRG9522
Min. Negotiated Rate	$8,481.33
Max. Negotiated Rate	$8,481.33
Rate for Payer: AHCCCS Medicaid	$8,481.33
Rate for Payer: Allwell Medicaid	$8,481.33
Rate for Payer: AZCH Complete Medicaid	$8,481.33
Rate for Payer: Banner UC Health Medicaid	$8,481.33
Rate for Payer: Mercy Care Medicaid	$8,481.33

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$8,481.33

Service Code	APR-DRG 9522
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$8,481.33
Max. Negotiated Rate	$8,481.33
Rate for Payer: AHCCCS Medicaid	$8,481.33
Rate for Payer: Allwell Medicaid	$8,481.33
Rate for Payer: AZCH Complete Medicaid	$8,481.33
Rate for Payer: Banner UC Health Medicaid	$8,481.33
Rate for Payer: Mercy Care Medicaid	$8,481.33

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9524
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: AHCCCS Medicaid	$13,889.82
Rate for Payer: Allwell Medicaid	$13,889.82
Rate for Payer: AZCH Complete Medicaid	$13,889.82
Rate for Payer: Banner UC Health Medicaid	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82

Non-Hypovolemic Sodium Disorders

Facility

IP

$3,996.58

Service Code	APR-DRG 4262
Hospital Charge Code	APRDRG4264
Min. Negotiated Rate	$3,996.58
Max. Negotiated Rate	$3,996.58
Rate for Payer: AHCCCS Medicaid	$3,996.58
Rate for Payer: Allwell Medicaid	$3,996.58
Rate for Payer: AZCH Complete Medicaid	$3,996.58
Rate for Payer: Banner UC Health Medicaid	$3,996.58
Rate for Payer: Mercy Care Medicaid	$3,996.58

Non-Hypovolemic Sodium Disorders

Facility

IP

$3,011.81

Service Code	APR-DRG 4261
Hospital Charge Code	APRDRG4263
Min. Negotiated Rate	$3,011.81
Max. Negotiated Rate	$3,011.81
Rate for Payer: AHCCCS Medicaid	$3,011.81
Rate for Payer: Allwell Medicaid	$3,011.81
Rate for Payer: AZCH Complete Medicaid	$3,011.81
Rate for Payer: Banner UC Health Medicaid	$3,011.81
Rate for Payer: Mercy Care Medicaid	$3,011.81

Non-Hypovolemic Sodium Disorders

Facility

IP

$12,041.64

Service Code	APR-DRG 4264
Hospital Charge Code	APRDRG4262
Min. Negotiated Rate	$12,041.64
Max. Negotiated Rate	$12,041.64
Rate for Payer: AHCCCS Medicaid	$12,041.64
Rate for Payer: Allwell Medicaid	$12,041.64
Rate for Payer: AZCH Complete Medicaid	$12,041.64
Rate for Payer: Banner UC Health Medicaid	$12,041.64
Rate for Payer: Mercy Care Medicaid	$12,041.64

Non-Hypovolemic Sodium Disorders

Facility

IP

$3,011.81

Service Code	APR-DRG 4261
Hospital Charge Code	APRDRG4261
Min. Negotiated Rate	$3,011.81
Max. Negotiated Rate	$3,011.81
Rate for Payer: AHCCCS Medicaid	$3,011.81
Rate for Payer: Allwell Medicaid	$3,011.81
Rate for Payer: AZCH Complete Medicaid	$3,011.81
Rate for Payer: Banner UC Health Medicaid	$3,011.81
Rate for Payer: Mercy Care Medicaid	$3,011.81

Non-Hypovolemic Sodium Disorders

Facility

IP

$3,996.58

Service Code	APR-DRG 4262
Hospital Charge Code	APRDRG4262
Min. Negotiated Rate	$3,996.58
Max. Negotiated Rate	$3,996.58
Rate for Payer: AHCCCS Medicaid	$3,996.58
Rate for Payer: Allwell Medicaid	$3,996.58
Rate for Payer: AZCH Complete Medicaid	$3,996.58
Rate for Payer: Banner UC Health Medicaid	$3,996.58
Rate for Payer: Mercy Care Medicaid	$3,996.58

Non-Hypovolemic Sodium Disorders

Facility

IP

$3,996.58

Service Code	APR-DRG 4262
Hospital Charge Code	APRDRG4261
Min. Negotiated Rate	$3,996.58
Max. Negotiated Rate	$3,996.58
Rate for Payer: AHCCCS Medicaid	$3,996.58
Rate for Payer: Allwell Medicaid	$3,996.58
Rate for Payer: AZCH Complete Medicaid	$3,996.58
Rate for Payer: Banner UC Health Medicaid	$3,996.58
Rate for Payer: Mercy Care Medicaid	$3,996.58

<<
<
323
324
325
326
327
328
329
330
331
332
>
>>