Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$30,500.38

Service Code	APR-DRG 1673
Hospital Charge Code	APRDRG1672
Min. Negotiated Rate	$30,500.38
Max. Negotiated Rate	$30,500.38
Rate for Payer: AHCCCS Medicaid	$30,500.38
Rate for Payer: Allwell Medicaid	$30,500.38
Rate for Payer: AZCH Complete Medicaid	$30,500.38
Rate for Payer: Banner UC Health Medicaid	$30,500.38
Rate for Payer: Mercy Care Medicaid	$30,500.38

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$53,164.02

Service Code	APR-DRG 1674
Hospital Charge Code	APRDRG1671
Min. Negotiated Rate	$53,164.02
Max. Negotiated Rate	$53,164.02
Rate for Payer: AHCCCS Medicaid	$53,164.02
Rate for Payer: Allwell Medicaid	$53,164.02
Rate for Payer: AZCH Complete Medicaid	$53,164.02
Rate for Payer: Banner UC Health Medicaid	$53,164.02
Rate for Payer: Mercy Care Medicaid	$53,164.02

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$19,593.61

Service Code	APR-DRG 1672
Hospital Charge Code	APRDRG1674
Min. Negotiated Rate	$19,593.61
Max. Negotiated Rate	$19,593.61
Rate for Payer: AHCCCS Medicaid	$19,593.61
Rate for Payer: Allwell Medicaid	$19,593.61
Rate for Payer: AZCH Complete Medicaid	$19,593.61
Rate for Payer: Banner UC Health Medicaid	$19,593.61
Rate for Payer: Mercy Care Medicaid	$19,593.61

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$30,500.38

Service Code	APR-DRG 1673
Hospital Charge Code	APRDRG1671
Min. Negotiated Rate	$30,500.38
Max. Negotiated Rate	$30,500.38
Rate for Payer: AHCCCS Medicaid	$30,500.38
Rate for Payer: Allwell Medicaid	$30,500.38
Rate for Payer: AZCH Complete Medicaid	$30,500.38
Rate for Payer: Banner UC Health Medicaid	$30,500.38
Rate for Payer: Mercy Care Medicaid	$30,500.38

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$19,593.61

Service Code	APR-DRG 1672
Hospital Charge Code	APRDRG1673
Min. Negotiated Rate	$19,593.61
Max. Negotiated Rate	$19,593.61
Rate for Payer: AHCCCS Medicaid	$19,593.61
Rate for Payer: Allwell Medicaid	$19,593.61
Rate for Payer: AZCH Complete Medicaid	$19,593.61
Rate for Payer: Banner UC Health Medicaid	$19,593.61
Rate for Payer: Mercy Care Medicaid	$19,593.61

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$53,164.02

Service Code	APR-DRG 1674
Hospital Charge Code	APRDRG1673
Min. Negotiated Rate	$53,164.02
Max. Negotiated Rate	$53,164.02
Rate for Payer: AHCCCS Medicaid	$53,164.02
Rate for Payer: Allwell Medicaid	$53,164.02
Rate for Payer: AZCH Complete Medicaid	$53,164.02
Rate for Payer: Banner UC Health Medicaid	$53,164.02
Rate for Payer: Mercy Care Medicaid	$53,164.02

Other Cardiothoracic And Thoracic Vascular Procedures

Facility

IP

$19,593.61

Service Code	APR-DRG 1671
Hospital Charge Code	APRDRG1671
Min. Negotiated Rate	$19,593.61
Max. Negotiated Rate	$19,593.61
Rate for Payer: AHCCCS Medicaid	$19,593.61
Rate for Payer: Allwell Medicaid	$19,593.61
Rate for Payer: AZCH Complete Medicaid	$19,593.61
Rate for Payer: Banner UC Health Medicaid	$19,593.61
Rate for Payer: Mercy Care Medicaid	$19,593.61

Other Chemotherapy

Facility

IP

$11,081.42

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG6962
Min. Negotiated Rate	$11,081.42
Max. Negotiated Rate	$11,081.42
Rate for Payer: AHCCCS Medicaid	$11,081.42
Rate for Payer: Allwell Medicaid	$11,081.42
Rate for Payer: AZCH Complete Medicaid	$11,081.42
Rate for Payer: Banner UC Health Medicaid	$11,081.42
Rate for Payer: Mercy Care Medicaid	$11,081.42

Other Chemotherapy

Facility

IP

$25,898.49

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG6964
Min. Negotiated Rate	$25,898.49
Max. Negotiated Rate	$25,898.49
Rate for Payer: AHCCCS Medicaid	$25,898.49
Rate for Payer: Allwell Medicaid	$25,898.49
Rate for Payer: AZCH Complete Medicaid	$25,898.49
Rate for Payer: Banner UC Health Medicaid	$25,898.49
Rate for Payer: Mercy Care Medicaid	$25,898.49

Other Chemotherapy

Facility

IP

$25,898.49

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG6962
Min. Negotiated Rate	$25,898.49
Max. Negotiated Rate	$25,898.49
Rate for Payer: AHCCCS Medicaid	$25,898.49
Rate for Payer: Allwell Medicaid	$25,898.49
Rate for Payer: AZCH Complete Medicaid	$25,898.49
Rate for Payer: Banner UC Health Medicaid	$25,898.49
Rate for Payer: Mercy Care Medicaid	$25,898.49

Other Chemotherapy

Facility

IP

$5,112.50

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG6962
Min. Negotiated Rate	$5,112.50
Max. Negotiated Rate	$5,112.50
Rate for Payer: AHCCCS Medicaid	$5,112.50
Rate for Payer: Allwell Medicaid	$5,112.50
Rate for Payer: AZCH Complete Medicaid	$5,112.50
Rate for Payer: Banner UC Health Medicaid	$5,112.50
Rate for Payer: Mercy Care Medicaid	$5,112.50

Other Chemotherapy

Facility

IP

$25,898.49

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG6963
Min. Negotiated Rate	$25,898.49
Max. Negotiated Rate	$25,898.49
Rate for Payer: AHCCCS Medicaid	$25,898.49
Rate for Payer: Allwell Medicaid	$25,898.49
Rate for Payer: AZCH Complete Medicaid	$25,898.49
Rate for Payer: Banner UC Health Medicaid	$25,898.49
Rate for Payer: Mercy Care Medicaid	$25,898.49

Other Chemotherapy

Facility

IP

$6,492.16

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG6964
Min. Negotiated Rate	$6,492.16
Max. Negotiated Rate	$6,492.16
Rate for Payer: AHCCCS Medicaid	$6,492.16
Rate for Payer: Allwell Medicaid	$6,492.16
Rate for Payer: AZCH Complete Medicaid	$6,492.16
Rate for Payer: Banner UC Health Medicaid	$6,492.16
Rate for Payer: Mercy Care Medicaid	$6,492.16

Other Chemotherapy

Facility

IP

$11,081.42

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG6963
Min. Negotiated Rate	$11,081.42
Max. Negotiated Rate	$11,081.42
Rate for Payer: AHCCCS Medicaid	$11,081.42
Rate for Payer: Allwell Medicaid	$11,081.42
Rate for Payer: AZCH Complete Medicaid	$11,081.42
Rate for Payer: Banner UC Health Medicaid	$11,081.42
Rate for Payer: Mercy Care Medicaid	$11,081.42

Other Chemotherapy

Facility

IP

$5,112.50

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG6964
Min. Negotiated Rate	$5,112.50
Max. Negotiated Rate	$5,112.50
Rate for Payer: AHCCCS Medicaid	$5,112.50
Rate for Payer: Allwell Medicaid	$5,112.50
Rate for Payer: AZCH Complete Medicaid	$5,112.50
Rate for Payer: Banner UC Health Medicaid	$5,112.50
Rate for Payer: Mercy Care Medicaid	$5,112.50

Other Chemotherapy

Facility

IP

$25,898.49

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG6961
Min. Negotiated Rate	$25,898.49
Max. Negotiated Rate	$25,898.49
Rate for Payer: AHCCCS Medicaid	$25,898.49
Rate for Payer: Allwell Medicaid	$25,898.49
Rate for Payer: AZCH Complete Medicaid	$25,898.49
Rate for Payer: Banner UC Health Medicaid	$25,898.49
Rate for Payer: Mercy Care Medicaid	$25,898.49

Other Chemotherapy

Facility

IP

$5,112.50

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG6963
Min. Negotiated Rate	$5,112.50
Max. Negotiated Rate	$5,112.50
Rate for Payer: AHCCCS Medicaid	$5,112.50
Rate for Payer: Allwell Medicaid	$5,112.50
Rate for Payer: AZCH Complete Medicaid	$5,112.50
Rate for Payer: Banner UC Health Medicaid	$5,112.50
Rate for Payer: Mercy Care Medicaid	$5,112.50

Other Chemotherapy

Facility

IP

$11,081.42

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG6961
Min. Negotiated Rate	$11,081.42
Max. Negotiated Rate	$11,081.42
Rate for Payer: AHCCCS Medicaid	$11,081.42
Rate for Payer: Allwell Medicaid	$11,081.42
Rate for Payer: AZCH Complete Medicaid	$11,081.42
Rate for Payer: Banner UC Health Medicaid	$11,081.42
Rate for Payer: Mercy Care Medicaid	$11,081.42

Other Chemotherapy

Facility

IP

$5,112.50

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG6961
Min. Negotiated Rate	$5,112.50
Max. Negotiated Rate	$5,112.50
Rate for Payer: AHCCCS Medicaid	$5,112.50
Rate for Payer: Allwell Medicaid	$5,112.50
Rate for Payer: AZCH Complete Medicaid	$5,112.50
Rate for Payer: Banner UC Health Medicaid	$5,112.50
Rate for Payer: Mercy Care Medicaid	$5,112.50

Other Chemotherapy

Facility

IP

$6,492.16

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG6963
Min. Negotiated Rate	$6,492.16
Max. Negotiated Rate	$6,492.16
Rate for Payer: AHCCCS Medicaid	$6,492.16
Rate for Payer: Allwell Medicaid	$6,492.16
Rate for Payer: AZCH Complete Medicaid	$6,492.16
Rate for Payer: Banner UC Health Medicaid	$6,492.16
Rate for Payer: Mercy Care Medicaid	$6,492.16

Other Chemotherapy

Facility

IP

$6,492.16

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG6961
Min. Negotiated Rate	$6,492.16
Max. Negotiated Rate	$6,492.16
Rate for Payer: AHCCCS Medicaid	$6,492.16
Rate for Payer: Allwell Medicaid	$6,492.16
Rate for Payer: AZCH Complete Medicaid	$6,492.16
Rate for Payer: Banner UC Health Medicaid	$6,492.16
Rate for Payer: Mercy Care Medicaid	$6,492.16

Other Chemotherapy

Facility

IP

$11,081.42

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG6964
Min. Negotiated Rate	$11,081.42
Max. Negotiated Rate	$11,081.42
Rate for Payer: AHCCCS Medicaid	$11,081.42
Rate for Payer: Allwell Medicaid	$11,081.42
Rate for Payer: AZCH Complete Medicaid	$11,081.42
Rate for Payer: Banner UC Health Medicaid	$11,081.42
Rate for Payer: Mercy Care Medicaid	$11,081.42

Other Chemotherapy

Facility

IP

$6,492.16

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG6962
Min. Negotiated Rate	$6,492.16
Max. Negotiated Rate	$6,492.16
Rate for Payer: AHCCCS Medicaid	$6,492.16
Rate for Payer: Allwell Medicaid	$6,492.16
Rate for Payer: AZCH Complete Medicaid	$6,492.16
Rate for Payer: Banner UC Health Medicaid	$6,492.16
Rate for Payer: Mercy Care Medicaid	$6,492.16

Other Circulatory System Diagnoses

Facility

IP

$6,596.67

Service Code	APR-DRG 2073
Hospital Charge Code	APRDRG2071
Min. Negotiated Rate	$6,596.67
Max. Negotiated Rate	$6,596.67
Rate for Payer: AHCCCS Medicaid	$6,596.67
Rate for Payer: Allwell Medicaid	$6,596.67
Rate for Payer: AZCH Complete Medicaid	$6,596.67
Rate for Payer: Banner UC Health Medicaid	$6,596.67
Rate for Payer: Mercy Care Medicaid	$6,596.67

Other Circulatory System Diagnoses

Facility

IP

$11,589.93

Service Code	APR-DRG 2074
Hospital Charge Code	APRDRG2073
Min. Negotiated Rate	$11,589.93
Max. Negotiated Rate	$11,589.93
Rate for Payer: AHCCCS Medicaid	$11,589.93
Rate for Payer: Allwell Medicaid	$11,589.93
Rate for Payer: AZCH Complete Medicaid	$11,589.93
Rate for Payer: Banner UC Health Medicaid	$11,589.93
Rate for Payer: Mercy Care Medicaid	$11,589.93

<<
<
339
340
341
342
343
344
345
346
347
348
>
>>