Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Aftercare And Convalescence

Facility

IP

$9,010.89

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG8621
Min. Negotiated Rate	$9,010.89
Max. Negotiated Rate	$9,010.89
Rate for Payer: AHCCCS Medicaid	$9,010.89
Rate for Payer: Allwell Medicaid	$9,010.89
Rate for Payer: AZCH Complete Medicaid	$9,010.89
Rate for Payer: Banner UC Health Medicaid	$9,010.89
Rate for Payer: Mercy Care Medicaid	$9,010.89

Other Aftercare And Convalescence

Facility

IP

$4,463.01

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG8622
Min. Negotiated Rate	$4,463.01
Max. Negotiated Rate	$4,463.01
Rate for Payer: AHCCCS Medicaid	$4,463.01
Rate for Payer: Allwell Medicaid	$4,463.01
Rate for Payer: AZCH Complete Medicaid	$4,463.01
Rate for Payer: Banner UC Health Medicaid	$4,463.01
Rate for Payer: Mercy Care Medicaid	$4,463.01

Other Aftercare And Convalescence

Facility

IP

$9,010.89

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG8623
Min. Negotiated Rate	$9,010.89
Max. Negotiated Rate	$9,010.89
Rate for Payer: AHCCCS Medicaid	$9,010.89
Rate for Payer: Allwell Medicaid	$9,010.89
Rate for Payer: AZCH Complete Medicaid	$9,010.89
Rate for Payer: Banner UC Health Medicaid	$9,010.89
Rate for Payer: Mercy Care Medicaid	$9,010.89

Other Aftercare And Convalescence

Facility

IP

$9,211.49

Service Code	APR-DRG 8624
Hospital Charge Code	APRDRG8623
Min. Negotiated Rate	$9,211.49
Max. Negotiated Rate	$9,211.49
Rate for Payer: AHCCCS Medicaid	$9,211.49
Rate for Payer: Allwell Medicaid	$9,211.49
Rate for Payer: AZCH Complete Medicaid	$9,211.49
Rate for Payer: Banner UC Health Medicaid	$9,211.49
Rate for Payer: Mercy Care Medicaid	$9,211.49

Other Aftercare And Convalescence

Facility

IP

$4,463.01

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG8623
Min. Negotiated Rate	$4,463.01
Max. Negotiated Rate	$4,463.01
Rate for Payer: AHCCCS Medicaid	$4,463.01
Rate for Payer: Allwell Medicaid	$4,463.01
Rate for Payer: AZCH Complete Medicaid	$4,463.01
Rate for Payer: Banner UC Health Medicaid	$4,463.01
Rate for Payer: Mercy Care Medicaid	$4,463.01

Other Aftercare And Convalescence

Facility

IP

$6,584.74

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG8622
Min. Negotiated Rate	$6,584.74
Max. Negotiated Rate	$6,584.74
Rate for Payer: AHCCCS Medicaid	$6,584.74
Rate for Payer: Allwell Medicaid	$6,584.74
Rate for Payer: AZCH Complete Medicaid	$6,584.74
Rate for Payer: Banner UC Health Medicaid	$6,584.74
Rate for Payer: Mercy Care Medicaid	$6,584.74

Other Aftercare And Convalescence

Facility

IP

$9,211.49

Service Code	APR-DRG 8624
Hospital Charge Code	APRDRG8621
Min. Negotiated Rate	$9,211.49
Max. Negotiated Rate	$9,211.49
Rate for Payer: AHCCCS Medicaid	$9,211.49
Rate for Payer: Allwell Medicaid	$9,211.49
Rate for Payer: AZCH Complete Medicaid	$9,211.49
Rate for Payer: Banner UC Health Medicaid	$9,211.49
Rate for Payer: Mercy Care Medicaid	$9,211.49

Other Aftercare And Convalescence

Facility

IP

$4,463.01

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG8624
Min. Negotiated Rate	$4,463.01
Max. Negotiated Rate	$4,463.01
Rate for Payer: AHCCCS Medicaid	$4,463.01
Rate for Payer: Allwell Medicaid	$4,463.01
Rate for Payer: AZCH Complete Medicaid	$4,463.01
Rate for Payer: Banner UC Health Medicaid	$4,463.01
Rate for Payer: Mercy Care Medicaid	$4,463.01

Other Aftercare And Convalescence

Facility

IP

$9,010.89

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG8622
Min. Negotiated Rate	$9,010.89
Max. Negotiated Rate	$9,010.89
Rate for Payer: AHCCCS Medicaid	$9,010.89
Rate for Payer: Allwell Medicaid	$9,010.89
Rate for Payer: AZCH Complete Medicaid	$9,010.89
Rate for Payer: Banner UC Health Medicaid	$9,010.89
Rate for Payer: Mercy Care Medicaid	$9,010.89

Other Aftercare And Convalescence

Facility

IP

$6,584.74

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG8623
Min. Negotiated Rate	$6,584.74
Max. Negotiated Rate	$6,584.74
Rate for Payer: AHCCCS Medicaid	$6,584.74
Rate for Payer: Allwell Medicaid	$6,584.74
Rate for Payer: AZCH Complete Medicaid	$6,584.74
Rate for Payer: Banner UC Health Medicaid	$6,584.74
Rate for Payer: Mercy Care Medicaid	$6,584.74

Other Aftercare And Convalescence

Facility

IP

$4,463.01

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG8621
Min. Negotiated Rate	$4,463.01
Max. Negotiated Rate	$4,463.01
Rate for Payer: AHCCCS Medicaid	$4,463.01
Rate for Payer: Allwell Medicaid	$4,463.01
Rate for Payer: AZCH Complete Medicaid	$4,463.01
Rate for Payer: Banner UC Health Medicaid	$4,463.01
Rate for Payer: Mercy Care Medicaid	$4,463.01

Other Aftercare And Convalescence

Facility

IP

$9,211.49

Service Code	APR-DRG 8624
Hospital Charge Code	APRDRG8622
Min. Negotiated Rate	$9,211.49
Max. Negotiated Rate	$9,211.49
Rate for Payer: AHCCCS Medicaid	$9,211.49
Rate for Payer: Allwell Medicaid	$9,211.49
Rate for Payer: AZCH Complete Medicaid	$9,211.49
Rate for Payer: Banner UC Health Medicaid	$9,211.49
Rate for Payer: Mercy Care Medicaid	$9,211.49

Other Aftercare And Convalescence

Facility

IP

$9,010.89

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG8624
Min. Negotiated Rate	$9,010.89
Max. Negotiated Rate	$9,010.89
Rate for Payer: AHCCCS Medicaid	$9,010.89
Rate for Payer: Allwell Medicaid	$9,010.89
Rate for Payer: AZCH Complete Medicaid	$9,010.89
Rate for Payer: Banner UC Health Medicaid	$9,010.89
Rate for Payer: Mercy Care Medicaid	$9,010.89

Other Aftercare And Convalescence

Facility

IP

$6,584.74

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG8624
Min. Negotiated Rate	$6,584.74
Max. Negotiated Rate	$6,584.74
Rate for Payer: AHCCCS Medicaid	$6,584.74
Rate for Payer: Allwell Medicaid	$6,584.74
Rate for Payer: AZCH Complete Medicaid	$6,584.74
Rate for Payer: Banner UC Health Medicaid	$6,584.74
Rate for Payer: Mercy Care Medicaid	$6,584.74

Other Aftercare And Convalescence

Facility

IP

$6,584.74

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG8621
Min. Negotiated Rate	$6,584.74
Max. Negotiated Rate	$6,584.74
Rate for Payer: AHCCCS Medicaid	$6,584.74
Rate for Payer: Allwell Medicaid	$6,584.74
Rate for Payer: AZCH Complete Medicaid	$6,584.74
Rate for Payer: Banner UC Health Medicaid	$6,584.74
Rate for Payer: Mercy Care Medicaid	$6,584.74

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$3,811.41

Service Code	APR-DRG 2531
Hospital Charge Code	APRDRG2531
Min. Negotiated Rate	$3,811.41
Max. Negotiated Rate	$3,811.41
Rate for Payer: AHCCCS Medicaid	$3,811.41
Rate for Payer: Allwell Medicaid	$3,811.41
Rate for Payer: AZCH Complete Medicaid	$3,811.41
Rate for Payer: Banner UC Health Medicaid	$3,811.41
Rate for Payer: Mercy Care Medicaid	$3,811.41

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$4,812.31

Service Code	APR-DRG 2532
Hospital Charge Code	APRDRG2532
Min. Negotiated Rate	$4,812.31
Max. Negotiated Rate	$4,812.31
Rate for Payer: AHCCCS Medicaid	$4,812.31
Rate for Payer: Allwell Medicaid	$4,812.31
Rate for Payer: AZCH Complete Medicaid	$4,812.31
Rate for Payer: Banner UC Health Medicaid	$4,812.31
Rate for Payer: Mercy Care Medicaid	$4,812.31

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$7,147.27

Service Code	APR-DRG 2533
Hospital Charge Code	APRDRG2532
Min. Negotiated Rate	$7,147.27
Max. Negotiated Rate	$7,147.27
Rate for Payer: AHCCCS Medicaid	$7,147.27
Rate for Payer: Allwell Medicaid	$7,147.27
Rate for Payer: AZCH Complete Medicaid	$7,147.27
Rate for Payer: Banner UC Health Medicaid	$7,147.27
Rate for Payer: Mercy Care Medicaid	$7,147.27

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$12,736.02

Service Code	APR-DRG 2534
Hospital Charge Code	APRDRG2534
Min. Negotiated Rate	$12,736.02
Max. Negotiated Rate	$12,736.02
Rate for Payer: AHCCCS Medicaid	$12,736.02
Rate for Payer: Allwell Medicaid	$12,736.02
Rate for Payer: AZCH Complete Medicaid	$12,736.02
Rate for Payer: Banner UC Health Medicaid	$12,736.02
Rate for Payer: Mercy Care Medicaid	$12,736.02

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$3,811.41

Service Code	APR-DRG 2531
Hospital Charge Code	APRDRG2532
Min. Negotiated Rate	$3,811.41
Max. Negotiated Rate	$3,811.41
Rate for Payer: AHCCCS Medicaid	$3,811.41
Rate for Payer: Allwell Medicaid	$3,811.41
Rate for Payer: AZCH Complete Medicaid	$3,811.41
Rate for Payer: Banner UC Health Medicaid	$3,811.41
Rate for Payer: Mercy Care Medicaid	$3,811.41

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$12,736.02

Service Code	APR-DRG 2534
Hospital Charge Code	APRDRG2533
Min. Negotiated Rate	$12,736.02
Max. Negotiated Rate	$12,736.02
Rate for Payer: AHCCCS Medicaid	$12,736.02
Rate for Payer: Allwell Medicaid	$12,736.02
Rate for Payer: AZCH Complete Medicaid	$12,736.02
Rate for Payer: Banner UC Health Medicaid	$12,736.02
Rate for Payer: Mercy Care Medicaid	$12,736.02

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$4,812.31

Service Code	APR-DRG 2532
Hospital Charge Code	APRDRG2533
Min. Negotiated Rate	$4,812.31
Max. Negotiated Rate	$4,812.31
Rate for Payer: AHCCCS Medicaid	$4,812.31
Rate for Payer: Allwell Medicaid	$4,812.31
Rate for Payer: AZCH Complete Medicaid	$4,812.31
Rate for Payer: Banner UC Health Medicaid	$4,812.31
Rate for Payer: Mercy Care Medicaid	$4,812.31

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$12,736.02

Service Code	APR-DRG 2534
Hospital Charge Code	APRDRG2531
Min. Negotiated Rate	$12,736.02
Max. Negotiated Rate	$12,736.02
Rate for Payer: AHCCCS Medicaid	$12,736.02
Rate for Payer: Allwell Medicaid	$12,736.02
Rate for Payer: AZCH Complete Medicaid	$12,736.02
Rate for Payer: Banner UC Health Medicaid	$12,736.02
Rate for Payer: Mercy Care Medicaid	$12,736.02

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$7,147.27

Service Code	APR-DRG 2533
Hospital Charge Code	APRDRG2533
Min. Negotiated Rate	$7,147.27
Max. Negotiated Rate	$7,147.27
Rate for Payer: AHCCCS Medicaid	$7,147.27
Rate for Payer: Allwell Medicaid	$7,147.27
Rate for Payer: AZCH Complete Medicaid	$7,147.27
Rate for Payer: Banner UC Health Medicaid	$7,147.27
Rate for Payer: Mercy Care Medicaid	$7,147.27

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$3,811.41

Service Code	APR-DRG 2531
Hospital Charge Code	APRDRG2533
Min. Negotiated Rate	$3,811.41
Max. Negotiated Rate	$3,811.41
Rate for Payer: AHCCCS Medicaid	$3,811.41
Rate for Payer: Allwell Medicaid	$3,811.41
Rate for Payer: AZCH Complete Medicaid	$3,811.41
Rate for Payer: Banner UC Health Medicaid	$3,811.41
Rate for Payer: Mercy Care Medicaid	$3,811.41

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