Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Digestive System Diagnoses

Facility

IP

$3,578.54

Service Code	APR-DRG 2541
Hospital Charge Code	APRDRG2542
Min. Negotiated Rate	$3,578.54
Max. Negotiated Rate	$3,578.54
Rate for Payer: AHCCCS Medicaid	$3,578.54
Rate for Payer: Allwell Medicaid	$3,578.54
Rate for Payer: AZCH Complete Medicaid	$3,578.54
Rate for Payer: Banner UC Health Medicaid	$3,578.54
Rate for Payer: Mercy Care Medicaid	$3,578.54

Other Digestive System Diagnoses

Facility

IP

$13,008.16

Service Code	APR-DRG 2544
Hospital Charge Code	APRDRG2543
Min. Negotiated Rate	$13,008.16
Max. Negotiated Rate	$13,008.16
Rate for Payer: AHCCCS Medicaid	$13,008.16
Rate for Payer: Allwell Medicaid	$13,008.16
Rate for Payer: AZCH Complete Medicaid	$13,008.16
Rate for Payer: Banner UC Health Medicaid	$13,008.16
Rate for Payer: Mercy Care Medicaid	$13,008.16

Other Digestive System Diagnoses

Facility

IP

$6,833.74

Service Code	APR-DRG 2543
Hospital Charge Code	APRDRG2543
Min. Negotiated Rate	$6,833.74
Max. Negotiated Rate	$6,833.74
Rate for Payer: AHCCCS Medicaid	$6,833.74
Rate for Payer: Allwell Medicaid	$6,833.74
Rate for Payer: AZCH Complete Medicaid	$6,833.74
Rate for Payer: Banner UC Health Medicaid	$6,833.74
Rate for Payer: Mercy Care Medicaid	$6,833.74

Other Digestive System Diagnoses

Facility

IP

$3,578.54

Service Code	APR-DRG 2541
Hospital Charge Code	APRDRG2544
Min. Negotiated Rate	$3,578.54
Max. Negotiated Rate	$3,578.54
Rate for Payer: AHCCCS Medicaid	$3,578.54
Rate for Payer: Allwell Medicaid	$3,578.54
Rate for Payer: AZCH Complete Medicaid	$3,578.54
Rate for Payer: Banner UC Health Medicaid	$3,578.54
Rate for Payer: Mercy Care Medicaid	$3,578.54

Other Digestive System Diagnoses

Facility

IP

$3,578.54

Service Code	APR-DRG 2541
Hospital Charge Code	APRDRG2543
Min. Negotiated Rate	$3,578.54
Max. Negotiated Rate	$3,578.54
Rate for Payer: AHCCCS Medicaid	$3,578.54
Rate for Payer: Allwell Medicaid	$3,578.54
Rate for Payer: AZCH Complete Medicaid	$3,578.54
Rate for Payer: Banner UC Health Medicaid	$3,578.54
Rate for Payer: Mercy Care Medicaid	$3,578.54

Other Digestive System Diagnoses

Facility

IP

$4,615.21

Service Code	APR-DRG 2542
Hospital Charge Code	APRDRG2542
Min. Negotiated Rate	$4,615.21
Max. Negotiated Rate	$4,615.21
Rate for Payer: AHCCCS Medicaid	$4,615.21
Rate for Payer: Allwell Medicaid	$4,615.21
Rate for Payer: AZCH Complete Medicaid	$4,615.21
Rate for Payer: Banner UC Health Medicaid	$4,615.21
Rate for Payer: Mercy Care Medicaid	$4,615.21

Other Digestive System Diagnoses

Facility

IP

$6,833.74

Service Code	APR-DRG 2543
Hospital Charge Code	APRDRG2542
Min. Negotiated Rate	$6,833.74
Max. Negotiated Rate	$6,833.74
Rate for Payer: AHCCCS Medicaid	$6,833.74
Rate for Payer: Allwell Medicaid	$6,833.74
Rate for Payer: AZCH Complete Medicaid	$6,833.74
Rate for Payer: Banner UC Health Medicaid	$6,833.74
Rate for Payer: Mercy Care Medicaid	$6,833.74

Other Digestive System Diagnoses

Facility

IP

$4,615.21

Service Code	APR-DRG 2542
Hospital Charge Code	APRDRG2544
Min. Negotiated Rate	$4,615.21
Max. Negotiated Rate	$4,615.21
Rate for Payer: AHCCCS Medicaid	$4,615.21
Rate for Payer: Allwell Medicaid	$4,615.21
Rate for Payer: AZCH Complete Medicaid	$4,615.21
Rate for Payer: Banner UC Health Medicaid	$4,615.21
Rate for Payer: Mercy Care Medicaid	$4,615.21

Other Digestive System Diagnoses

Facility

IP

$6,833.74

Service Code	APR-DRG 2543
Hospital Charge Code	APRDRG2544
Min. Negotiated Rate	$6,833.74
Max. Negotiated Rate	$6,833.74
Rate for Payer: AHCCCS Medicaid	$6,833.74
Rate for Payer: Allwell Medicaid	$6,833.74
Rate for Payer: AZCH Complete Medicaid	$6,833.74
Rate for Payer: Banner UC Health Medicaid	$6,833.74
Rate for Payer: Mercy Care Medicaid	$6,833.74

Other Digestive System Diagnoses

Facility

IP

$4,615.21

Service Code	APR-DRG 2542
Hospital Charge Code	APRDRG2541
Min. Negotiated Rate	$4,615.21
Max. Negotiated Rate	$4,615.21
Rate for Payer: AHCCCS Medicaid	$4,615.21
Rate for Payer: Allwell Medicaid	$4,615.21
Rate for Payer: AZCH Complete Medicaid	$4,615.21
Rate for Payer: Banner UC Health Medicaid	$4,615.21
Rate for Payer: Mercy Care Medicaid	$4,615.21

Other Digestive System Diagnoses

Facility

IP

$3,578.54

Service Code	APR-DRG 2541
Hospital Charge Code	APRDRG2541
Min. Negotiated Rate	$3,578.54
Max. Negotiated Rate	$3,578.54
Rate for Payer: AHCCCS Medicaid	$3,578.54
Rate for Payer: Allwell Medicaid	$3,578.54
Rate for Payer: AZCH Complete Medicaid	$3,578.54
Rate for Payer: Banner UC Health Medicaid	$3,578.54
Rate for Payer: Mercy Care Medicaid	$3,578.54

Other Digestive System Diagnoses

Facility

IP

$4,615.21

Service Code	APR-DRG 2542
Hospital Charge Code	APRDRG2543
Min. Negotiated Rate	$4,615.21
Max. Negotiated Rate	$4,615.21
Rate for Payer: AHCCCS Medicaid	$4,615.21
Rate for Payer: Allwell Medicaid	$4,615.21
Rate for Payer: AZCH Complete Medicaid	$4,615.21
Rate for Payer: Banner UC Health Medicaid	$4,615.21
Rate for Payer: Mercy Care Medicaid	$4,615.21

Other Digestive System Diagnoses

Facility

IP

$13,008.16

Service Code	APR-DRG 2544
Hospital Charge Code	APRDRG2544
Min. Negotiated Rate	$13,008.16
Max. Negotiated Rate	$13,008.16
Rate for Payer: AHCCCS Medicaid	$13,008.16
Rate for Payer: Allwell Medicaid	$13,008.16
Rate for Payer: AZCH Complete Medicaid	$13,008.16
Rate for Payer: Banner UC Health Medicaid	$13,008.16
Rate for Payer: Mercy Care Medicaid	$13,008.16

Other Digestive System Diagnoses

Facility

IP

$13,008.16

Service Code	APR-DRG 2544
Hospital Charge Code	APRDRG2542
Min. Negotiated Rate	$13,008.16
Max. Negotiated Rate	$13,008.16
Rate for Payer: AHCCCS Medicaid	$13,008.16
Rate for Payer: Allwell Medicaid	$13,008.16
Rate for Payer: AZCH Complete Medicaid	$13,008.16
Rate for Payer: Banner UC Health Medicaid	$13,008.16
Rate for Payer: Mercy Care Medicaid	$13,008.16

Other Digestive System Diagnoses

Facility

IP

$6,833.74

Service Code	APR-DRG 2543
Hospital Charge Code	APRDRG2541
Min. Negotiated Rate	$6,833.74
Max. Negotiated Rate	$6,833.74
Rate for Payer: AHCCCS Medicaid	$6,833.74
Rate for Payer: Allwell Medicaid	$6,833.74
Rate for Payer: AZCH Complete Medicaid	$6,833.74
Rate for Payer: Banner UC Health Medicaid	$6,833.74
Rate for Payer: Mercy Care Medicaid	$6,833.74

Other Digestive System Diagnoses

Facility

IP

$13,008.16

Service Code	APR-DRG 2544
Hospital Charge Code	APRDRG2541
Min. Negotiated Rate	$13,008.16
Max. Negotiated Rate	$13,008.16
Rate for Payer: AHCCCS Medicaid	$13,008.16
Rate for Payer: Allwell Medicaid	$13,008.16
Rate for Payer: AZCH Complete Medicaid	$13,008.16
Rate for Payer: Banner UC Health Medicaid	$13,008.16
Rate for Payer: Mercy Care Medicaid	$13,008.16

Other Disorders Of Nervous System

Facility

IP

$9,690.54

Service Code	APR-DRG 0583
Hospital Charge Code	APRDRG0581
Min. Negotiated Rate	$9,690.54
Max. Negotiated Rate	$9,690.54
Rate for Payer: AHCCCS Medicaid	$9,690.54
Rate for Payer: Allwell Medicaid	$9,690.54
Rate for Payer: AZCH Complete Medicaid	$9,690.54
Rate for Payer: Banner UC Health Medicaid	$9,690.54
Rate for Payer: Mercy Care Medicaid	$9,690.54

Other Disorders Of Nervous System

Facility

IP

$9,690.54

Service Code	APR-DRG 0583
Hospital Charge Code	APRDRG0584
Min. Negotiated Rate	$9,690.54
Max. Negotiated Rate	$9,690.54
Rate for Payer: AHCCCS Medicaid	$9,690.54
Rate for Payer: Allwell Medicaid	$9,690.54
Rate for Payer: AZCH Complete Medicaid	$9,690.54
Rate for Payer: Banner UC Health Medicaid	$9,690.54
Rate for Payer: Mercy Care Medicaid	$9,690.54

Other Disorders Of Nervous System

Facility

IP

$5,577.53

Service Code	APR-DRG 0581
Hospital Charge Code	APRDRG0584
Min. Negotiated Rate	$5,577.53
Max. Negotiated Rate	$5,577.53
Rate for Payer: AHCCCS Medicaid	$5,577.53
Rate for Payer: Allwell Medicaid	$5,577.53
Rate for Payer: AZCH Complete Medicaid	$5,577.53
Rate for Payer: Banner UC Health Medicaid	$5,577.53
Rate for Payer: Mercy Care Medicaid	$5,577.53

Other Disorders Of Nervous System

Facility

IP

$5,577.53

Service Code	APR-DRG 0581
Hospital Charge Code	APRDRG0582
Min. Negotiated Rate	$5,577.53
Max. Negotiated Rate	$5,577.53
Rate for Payer: AHCCCS Medicaid	$5,577.53
Rate for Payer: Allwell Medicaid	$5,577.53
Rate for Payer: AZCH Complete Medicaid	$5,577.53
Rate for Payer: Banner UC Health Medicaid	$5,577.53
Rate for Payer: Mercy Care Medicaid	$5,577.53

Other Disorders Of Nervous System

Facility

IP

$9,690.54

Service Code	APR-DRG 0583
Hospital Charge Code	APRDRG0582
Min. Negotiated Rate	$9,690.54
Max. Negotiated Rate	$9,690.54
Rate for Payer: AHCCCS Medicaid	$9,690.54
Rate for Payer: Allwell Medicaid	$9,690.54
Rate for Payer: AZCH Complete Medicaid	$9,690.54
Rate for Payer: Banner UC Health Medicaid	$9,690.54
Rate for Payer: Mercy Care Medicaid	$9,690.54

Other Disorders Of Nervous System

Facility

IP

$7,469.91

Service Code	APR-DRG 0582
Hospital Charge Code	APRDRG0583
Min. Negotiated Rate	$7,469.91
Max. Negotiated Rate	$7,469.91
Rate for Payer: AHCCCS Medicaid	$7,469.91
Rate for Payer: Allwell Medicaid	$7,469.91
Rate for Payer: AZCH Complete Medicaid	$7,469.91
Rate for Payer: Banner UC Health Medicaid	$7,469.91
Rate for Payer: Mercy Care Medicaid	$7,469.91

Other Disorders Of Nervous System

Facility

IP

$14,395.53

Service Code	APR-DRG 0584
Hospital Charge Code	APRDRG0583
Min. Negotiated Rate	$14,395.53
Max. Negotiated Rate	$14,395.53
Rate for Payer: AHCCCS Medicaid	$14,395.53
Rate for Payer: Allwell Medicaid	$14,395.53
Rate for Payer: AZCH Complete Medicaid	$14,395.53
Rate for Payer: Banner UC Health Medicaid	$14,395.53
Rate for Payer: Mercy Care Medicaid	$14,395.53

Other Disorders Of Nervous System

Facility

IP

$9,690.54

Service Code	APR-DRG 0583
Hospital Charge Code	APRDRG0583
Min. Negotiated Rate	$9,690.54
Max. Negotiated Rate	$9,690.54
Rate for Payer: AHCCCS Medicaid	$9,690.54
Rate for Payer: Allwell Medicaid	$9,690.54
Rate for Payer: AZCH Complete Medicaid	$9,690.54
Rate for Payer: Banner UC Health Medicaid	$9,690.54
Rate for Payer: Mercy Care Medicaid	$9,690.54

Other Disorders Of Nervous System

Facility

IP

$7,469.91

Service Code	APR-DRG 0582
Hospital Charge Code	APRDRG0581
Min. Negotiated Rate	$7,469.91
Max. Negotiated Rate	$7,469.91
Rate for Payer: AHCCCS Medicaid	$7,469.91
Rate for Payer: Allwell Medicaid	$7,469.91
Rate for Payer: AZCH Complete Medicaid	$7,469.91
Rate for Payer: Banner UC Health Medicaid	$7,469.91
Rate for Payer: Mercy Care Medicaid	$7,469.91

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