Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other And Unspecified Gastrointestinal Hemorrhage

Facility

IP

$12,736.02

Service Code	APR-DRG 2534
Hospital Charge Code	APRDRG2532
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	APRDRG2534
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	APRDRG2534
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

$4,812.31

Service Code	APR-DRG 2532
Hospital Charge Code	APRDRG2531
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	APRDRG2531
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

$7,147.27

Service Code	APR-DRG 2533
Hospital Charge Code	APRDRG2534
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 Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$11,114.38

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG6631
Min. Negotiated Rate	$11,114.38
Max. Negotiated Rate	$11,114.38
Rate for Payer: AHCCCS Medicaid	$11,114.38
Rate for Payer: Allwell Medicaid	$11,114.38
Rate for Payer: AZCH Complete Medicaid	$11,114.38
Rate for Payer: Banner UC Health Medicaid	$11,114.38
Rate for Payer: Mercy Care Medicaid	$11,114.38

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$4,459.50

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG6631
Min. Negotiated Rate	$4,459.50
Max. Negotiated Rate	$4,459.50
Rate for Payer: AHCCCS Medicaid	$4,459.50
Rate for Payer: Allwell Medicaid	$4,459.50
Rate for Payer: AZCH Complete Medicaid	$4,459.50
Rate for Payer: Banner UC Health Medicaid	$4,459.50
Rate for Payer: Mercy Care Medicaid	$4,459.50

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$4,459.50

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG6632
Min. Negotiated Rate	$4,459.50
Max. Negotiated Rate	$4,459.50
Rate for Payer: AHCCCS Medicaid	$4,459.50
Rate for Payer: Allwell Medicaid	$4,459.50
Rate for Payer: AZCH Complete Medicaid	$4,459.50
Rate for Payer: Banner UC Health Medicaid	$4,459.50
Rate for Payer: Mercy Care Medicaid	$4,459.50

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$6,320.32

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG6632
Min. Negotiated Rate	$6,320.32
Max. Negotiated Rate	$6,320.32
Rate for Payer: AHCCCS Medicaid	$6,320.32
Rate for Payer: Allwell Medicaid	$6,320.32
Rate for Payer: AZCH Complete Medicaid	$6,320.32
Rate for Payer: Banner UC Health Medicaid	$6,320.32
Rate for Payer: Mercy Care Medicaid	$6,320.32

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$11,114.38

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG6634
Min. Negotiated Rate	$11,114.38
Max. Negotiated Rate	$11,114.38
Rate for Payer: AHCCCS Medicaid	$11,114.38
Rate for Payer: Allwell Medicaid	$11,114.38
Rate for Payer: AZCH Complete Medicaid	$11,114.38
Rate for Payer: Banner UC Health Medicaid	$11,114.38
Rate for Payer: Mercy Care Medicaid	$11,114.38

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$6,320.32

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG6634
Min. Negotiated Rate	$6,320.32
Max. Negotiated Rate	$6,320.32
Rate for Payer: AHCCCS Medicaid	$6,320.32
Rate for Payer: Allwell Medicaid	$6,320.32
Rate for Payer: AZCH Complete Medicaid	$6,320.32
Rate for Payer: Banner UC Health Medicaid	$6,320.32
Rate for Payer: Mercy Care Medicaid	$6,320.32

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$3,436.86

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG6633
Min. Negotiated Rate	$3,436.86
Max. Negotiated Rate	$3,436.86
Rate for Payer: AHCCCS Medicaid	$3,436.86
Rate for Payer: Allwell Medicaid	$3,436.86
Rate for Payer: AZCH Complete Medicaid	$3,436.86
Rate for Payer: Banner UC Health Medicaid	$3,436.86
Rate for Payer: Mercy Care Medicaid	$3,436.86

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$4,459.50

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG6633
Min. Negotiated Rate	$4,459.50
Max. Negotiated Rate	$4,459.50
Rate for Payer: AHCCCS Medicaid	$4,459.50
Rate for Payer: Allwell Medicaid	$4,459.50
Rate for Payer: AZCH Complete Medicaid	$4,459.50
Rate for Payer: Banner UC Health Medicaid	$4,459.50
Rate for Payer: Mercy Care Medicaid	$4,459.50

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$3,436.86

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG6631
Min. Negotiated Rate	$3,436.86
Max. Negotiated Rate	$3,436.86
Rate for Payer: AHCCCS Medicaid	$3,436.86
Rate for Payer: Allwell Medicaid	$3,436.86
Rate for Payer: AZCH Complete Medicaid	$3,436.86
Rate for Payer: Banner UC Health Medicaid	$3,436.86
Rate for Payer: Mercy Care Medicaid	$3,436.86

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$11,114.38

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG6633
Min. Negotiated Rate	$11,114.38
Max. Negotiated Rate	$11,114.38
Rate for Payer: AHCCCS Medicaid	$11,114.38
Rate for Payer: Allwell Medicaid	$11,114.38
Rate for Payer: AZCH Complete Medicaid	$11,114.38
Rate for Payer: Banner UC Health Medicaid	$11,114.38
Rate for Payer: Mercy Care Medicaid	$11,114.38

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$3,436.86

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG6632
Min. Negotiated Rate	$3,436.86
Max. Negotiated Rate	$3,436.86
Rate for Payer: AHCCCS Medicaid	$3,436.86
Rate for Payer: Allwell Medicaid	$3,436.86
Rate for Payer: AZCH Complete Medicaid	$3,436.86
Rate for Payer: Banner UC Health Medicaid	$3,436.86
Rate for Payer: Mercy Care Medicaid	$3,436.86

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$6,320.32

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG6631
Min. Negotiated Rate	$6,320.32
Max. Negotiated Rate	$6,320.32
Rate for Payer: AHCCCS Medicaid	$6,320.32
Rate for Payer: Allwell Medicaid	$6,320.32
Rate for Payer: AZCH Complete Medicaid	$6,320.32
Rate for Payer: Banner UC Health Medicaid	$6,320.32
Rate for Payer: Mercy Care Medicaid	$6,320.32

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$4,459.50

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG6634
Min. Negotiated Rate	$4,459.50
Max. Negotiated Rate	$4,459.50
Rate for Payer: AHCCCS Medicaid	$4,459.50
Rate for Payer: Allwell Medicaid	$4,459.50
Rate for Payer: AZCH Complete Medicaid	$4,459.50
Rate for Payer: Banner UC Health Medicaid	$4,459.50
Rate for Payer: Mercy Care Medicaid	$4,459.50

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$6,320.32

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG6633
Min. Negotiated Rate	$6,320.32
Max. Negotiated Rate	$6,320.32
Rate for Payer: AHCCCS Medicaid	$6,320.32
Rate for Payer: Allwell Medicaid	$6,320.32
Rate for Payer: AZCH Complete Medicaid	$6,320.32
Rate for Payer: Banner UC Health Medicaid	$6,320.32
Rate for Payer: Mercy Care Medicaid	$6,320.32

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$11,114.38

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG6632
Min. Negotiated Rate	$11,114.38
Max. Negotiated Rate	$11,114.38
Rate for Payer: AHCCCS Medicaid	$11,114.38
Rate for Payer: Allwell Medicaid	$11,114.38
Rate for Payer: AZCH Complete Medicaid	$11,114.38
Rate for Payer: Banner UC Health Medicaid	$11,114.38
Rate for Payer: Mercy Care Medicaid	$11,114.38

Other Anemia And Disorders Of Blood And Blood-Forming Organs

Facility

IP

$3,436.86

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG6634
Min. Negotiated Rate	$3,436.86
Max. Negotiated Rate	$3,436.86
Rate for Payer: AHCCCS Medicaid	$3,436.86
Rate for Payer: Allwell Medicaid	$3,436.86
Rate for Payer: AZCH Complete Medicaid	$3,436.86
Rate for Payer: Banner UC Health Medicaid	$3,436.86
Rate for Payer: Mercy Care Medicaid	$3,436.86

Other Back And Neck Disorders, Fractures And Injuries

Facility

IP

$4,319.92

Service Code	APR-DRG 3471
Hospital Charge Code	APRDRG3471
Min. Negotiated Rate	$4,319.92
Max. Negotiated Rate	$4,319.92
Rate for Payer: AHCCCS Medicaid	$4,319.92
Rate for Payer: Allwell Medicaid	$4,319.92
Rate for Payer: AZCH Complete Medicaid	$4,319.92
Rate for Payer: Banner UC Health Medicaid	$4,319.92
Rate for Payer: Mercy Care Medicaid	$4,319.92

Other Back And Neck Disorders, Fractures And Injuries

Facility

IP

$5,293.47

Service Code	APR-DRG 3472
Hospital Charge Code	APRDRG3472
Min. Negotiated Rate	$5,293.47
Max. Negotiated Rate	$5,293.47
Rate for Payer: AHCCCS Medicaid	$5,293.47
Rate for Payer: Allwell Medicaid	$5,293.47
Rate for Payer: AZCH Complete Medicaid	$5,293.47
Rate for Payer: Banner UC Health Medicaid	$5,293.47
Rate for Payer: Mercy Care Medicaid	$5,293.47

Other Back And Neck Disorders, Fractures And Injuries

Facility

IP

$4,319.92

Service Code	APR-DRG 3471
Hospital Charge Code	APRDRG3474
Min. Negotiated Rate	$4,319.92
Max. Negotiated Rate	$4,319.92
Rate for Payer: AHCCCS Medicaid	$4,319.92
Rate for Payer: Allwell Medicaid	$4,319.92
Rate for Payer: AZCH Complete Medicaid	$4,319.92
Rate for Payer: Banner UC Health Medicaid	$4,319.92
Rate for Payer: Mercy Care Medicaid	$4,319.92

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