Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Drug Abuse And Dependence

Facility

IP

$5,362.90

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG7761
Min. Negotiated Rate	$5,362.90
Max. Negotiated Rate	$5,362.90
Rate for Payer: AHCCCS Medicaid	$5,362.90
Rate for Payer: Allwell Medicaid	$5,362.90
Rate for Payer: AZCH Complete Medicaid	$5,362.90
Rate for Payer: Banner UC Health Medicaid	$5,362.90
Rate for Payer: Mercy Care Medicaid	$5,362.90

Other Drug Abuse And Dependence

Facility

IP

$2,825.24

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG7764
Min. Negotiated Rate	$2,825.24
Max. Negotiated Rate	$2,825.24
Rate for Payer: AHCCCS Medicaid	$2,825.24
Rate for Payer: Allwell Medicaid	$2,825.24
Rate for Payer: AZCH Complete Medicaid	$2,825.24
Rate for Payer: Banner UC Health Medicaid	$2,825.24
Rate for Payer: Mercy Care Medicaid	$2,825.24

Other Drug Abuse And Dependence

Facility

IP

$10,656.37

Service Code	APR-DRG 7764
Hospital Charge Code	APRDRG7763
Min. Negotiated Rate	$10,656.37
Max. Negotiated Rate	$10,656.37
Rate for Payer: AHCCCS Medicaid	$10,656.37
Rate for Payer: Allwell Medicaid	$10,656.37
Rate for Payer: AZCH Complete Medicaid	$10,656.37
Rate for Payer: Banner UC Health Medicaid	$10,656.37
Rate for Payer: Mercy Care Medicaid	$10,656.37

Other Drug Abuse And Dependence

Facility

IP

$2,378.45

Service Code	APR-DRG 7761
Hospital Charge Code	APRDRG7761
Min. Negotiated Rate	$2,378.45
Max. Negotiated Rate	$2,378.45
Rate for Payer: AHCCCS Medicaid	$2,378.45
Rate for Payer: Allwell Medicaid	$2,378.45
Rate for Payer: AZCH Complete Medicaid	$2,378.45
Rate for Payer: Banner UC Health Medicaid	$2,378.45
Rate for Payer: Mercy Care Medicaid	$2,378.45

Other Drug Abuse And Dependence

Facility

IP

$5,362.90

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG7764
Min. Negotiated Rate	$5,362.90
Max. Negotiated Rate	$5,362.90
Rate for Payer: AHCCCS Medicaid	$5,362.90
Rate for Payer: Allwell Medicaid	$5,362.90
Rate for Payer: AZCH Complete Medicaid	$5,362.90
Rate for Payer: Banner UC Health Medicaid	$5,362.90
Rate for Payer: Mercy Care Medicaid	$5,362.90

Other Drug Abuse And Dependence

Facility

IP

$10,656.37

Service Code	APR-DRG 7764
Hospital Charge Code	APRDRG7762
Min. Negotiated Rate	$10,656.37
Max. Negotiated Rate	$10,656.37
Rate for Payer: AHCCCS Medicaid	$10,656.37
Rate for Payer: Allwell Medicaid	$10,656.37
Rate for Payer: AZCH Complete Medicaid	$10,656.37
Rate for Payer: Banner UC Health Medicaid	$10,656.37
Rate for Payer: Mercy Care Medicaid	$10,656.37

Other Drug Abuse And Dependence

Facility

IP

$5,362.90

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG7763
Min. Negotiated Rate	$5,362.90
Max. Negotiated Rate	$5,362.90
Rate for Payer: AHCCCS Medicaid	$5,362.90
Rate for Payer: Allwell Medicaid	$5,362.90
Rate for Payer: AZCH Complete Medicaid	$5,362.90
Rate for Payer: Banner UC Health Medicaid	$5,362.90
Rate for Payer: Mercy Care Medicaid	$5,362.90

Other Drug Abuse And Dependence

Facility

IP

$10,656.37

Service Code	APR-DRG 7764
Hospital Charge Code	APRDRG7761
Min. Negotiated Rate	$10,656.37
Max. Negotiated Rate	$10,656.37
Rate for Payer: AHCCCS Medicaid	$10,656.37
Rate for Payer: Allwell Medicaid	$10,656.37
Rate for Payer: AZCH Complete Medicaid	$10,656.37
Rate for Payer: Banner UC Health Medicaid	$10,656.37
Rate for Payer: Mercy Care Medicaid	$10,656.37

Other Drug Abuse And Dependence

Facility

IP

$2,378.45

Service Code	APR-DRG 7761
Hospital Charge Code	APRDRG7763
Min. Negotiated Rate	$2,378.45
Max. Negotiated Rate	$2,378.45
Rate for Payer: AHCCCS Medicaid	$2,378.45
Rate for Payer: Allwell Medicaid	$2,378.45
Rate for Payer: AZCH Complete Medicaid	$2,378.45
Rate for Payer: Banner UC Health Medicaid	$2,378.45
Rate for Payer: Mercy Care Medicaid	$2,378.45

Other Drug Abuse And Dependence

Facility

IP

$2,825.24

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG7763
Min. Negotiated Rate	$2,825.24
Max. Negotiated Rate	$2,825.24
Rate for Payer: AHCCCS Medicaid	$2,825.24
Rate for Payer: Allwell Medicaid	$2,825.24
Rate for Payer: AZCH Complete Medicaid	$2,825.24
Rate for Payer: Banner UC Health Medicaid	$2,825.24
Rate for Payer: Mercy Care Medicaid	$2,825.24

Other Drug Abuse And Dependence

Facility

IP

$2,825.24

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG7761
Min. Negotiated Rate	$2,825.24
Max. Negotiated Rate	$2,825.24
Rate for Payer: AHCCCS Medicaid	$2,825.24
Rate for Payer: Allwell Medicaid	$2,825.24
Rate for Payer: AZCH Complete Medicaid	$2,825.24
Rate for Payer: Banner UC Health Medicaid	$2,825.24
Rate for Payer: Mercy Care Medicaid	$2,825.24

Other Drug Abuse And Dependence

Facility

IP

$2,825.24

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG7762
Min. Negotiated Rate	$2,825.24
Max. Negotiated Rate	$2,825.24
Rate for Payer: AHCCCS Medicaid	$2,825.24
Rate for Payer: Allwell Medicaid	$2,825.24
Rate for Payer: AZCH Complete Medicaid	$2,825.24
Rate for Payer: Banner UC Health Medicaid	$2,825.24
Rate for Payer: Mercy Care Medicaid	$2,825.24

Other Drug Abuse And Dependence

Facility

IP

$5,362.90

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG7762
Min. Negotiated Rate	$5,362.90
Max. Negotiated Rate	$5,362.90
Rate for Payer: AHCCCS Medicaid	$5,362.90
Rate for Payer: Allwell Medicaid	$5,362.90
Rate for Payer: AZCH Complete Medicaid	$5,362.90
Rate for Payer: Banner UC Health Medicaid	$5,362.90
Rate for Payer: Mercy Care Medicaid	$5,362.90

Other Drug Abuse And Dependence

Facility

IP

$2,378.45

Service Code	APR-DRG 7761
Hospital Charge Code	APRDRG7762
Min. Negotiated Rate	$2,378.45
Max. Negotiated Rate	$2,378.45
Rate for Payer: AHCCCS Medicaid	$2,378.45
Rate for Payer: Allwell Medicaid	$2,378.45
Rate for Payer: AZCH Complete Medicaid	$2,378.45
Rate for Payer: Banner UC Health Medicaid	$2,378.45
Rate for Payer: Mercy Care Medicaid	$2,378.45

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$8,771.01

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG0981
Min. Negotiated Rate	$8,771.01
Max. Negotiated Rate	$8,771.01
Rate for Payer: AHCCCS Medicaid	$8,771.01
Rate for Payer: Allwell Medicaid	$8,771.01
Rate for Payer: AZCH Complete Medicaid	$8,771.01
Rate for Payer: Banner UC Health Medicaid	$8,771.01
Rate for Payer: Mercy Care Medicaid	$8,771.01

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$27,722.13

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG0982
Min. Negotiated Rate	$27,722.13
Max. Negotiated Rate	$27,722.13
Rate for Payer: AHCCCS Medicaid	$27,722.13
Rate for Payer: Allwell Medicaid	$27,722.13
Rate for Payer: AZCH Complete Medicaid	$27,722.13
Rate for Payer: Banner UC Health Medicaid	$27,722.13
Rate for Payer: Mercy Care Medicaid	$27,722.13

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$6,205.29

Service Code	APR-DRG 0981
Hospital Charge Code	APRDRG0984
Min. Negotiated Rate	$6,205.29
Max. Negotiated Rate	$6,205.29
Rate for Payer: AHCCCS Medicaid	$6,205.29
Rate for Payer: Allwell Medicaid	$6,205.29
Rate for Payer: AZCH Complete Medicaid	$6,205.29
Rate for Payer: Banner UC Health Medicaid	$6,205.29
Rate for Payer: Mercy Care Medicaid	$6,205.29

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$27,722.13

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG0983
Min. Negotiated Rate	$27,722.13
Max. Negotiated Rate	$27,722.13
Rate for Payer: AHCCCS Medicaid	$27,722.13
Rate for Payer: Allwell Medicaid	$27,722.13
Rate for Payer: AZCH Complete Medicaid	$27,722.13
Rate for Payer: Banner UC Health Medicaid	$27,722.13
Rate for Payer: Mercy Care Medicaid	$27,722.13

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$15,063.97

Service Code	APR-DRG 0983
Hospital Charge Code	APRDRG0982
Min. Negotiated Rate	$15,063.97
Max. Negotiated Rate	$15,063.97
Rate for Payer: AHCCCS Medicaid	$15,063.97
Rate for Payer: Allwell Medicaid	$15,063.97
Rate for Payer: AZCH Complete Medicaid	$15,063.97
Rate for Payer: Banner UC Health Medicaid	$15,063.97
Rate for Payer: Mercy Care Medicaid	$15,063.97

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$8,771.01

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG0982
Min. Negotiated Rate	$8,771.01
Max. Negotiated Rate	$8,771.01
Rate for Payer: AHCCCS Medicaid	$8,771.01
Rate for Payer: Allwell Medicaid	$8,771.01
Rate for Payer: AZCH Complete Medicaid	$8,771.01
Rate for Payer: Banner UC Health Medicaid	$8,771.01
Rate for Payer: Mercy Care Medicaid	$8,771.01

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$8,771.01

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG0984
Min. Negotiated Rate	$8,771.01
Max. Negotiated Rate	$8,771.01
Rate for Payer: AHCCCS Medicaid	$8,771.01
Rate for Payer: Allwell Medicaid	$8,771.01
Rate for Payer: AZCH Complete Medicaid	$8,771.01
Rate for Payer: Banner UC Health Medicaid	$8,771.01
Rate for Payer: Mercy Care Medicaid	$8,771.01

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$27,722.13

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG0984
Min. Negotiated Rate	$27,722.13
Max. Negotiated Rate	$27,722.13
Rate for Payer: AHCCCS Medicaid	$27,722.13
Rate for Payer: Allwell Medicaid	$27,722.13
Rate for Payer: AZCH Complete Medicaid	$27,722.13
Rate for Payer: Banner UC Health Medicaid	$27,722.13
Rate for Payer: Mercy Care Medicaid	$27,722.13

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$8,771.01

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG0983
Min. Negotiated Rate	$8,771.01
Max. Negotiated Rate	$8,771.01
Rate for Payer: AHCCCS Medicaid	$8,771.01
Rate for Payer: Allwell Medicaid	$8,771.01
Rate for Payer: AZCH Complete Medicaid	$8,771.01
Rate for Payer: Banner UC Health Medicaid	$8,771.01
Rate for Payer: Mercy Care Medicaid	$8,771.01

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$27,722.13

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG0981
Min. Negotiated Rate	$27,722.13
Max. Negotiated Rate	$27,722.13
Rate for Payer: AHCCCS Medicaid	$27,722.13
Rate for Payer: Allwell Medicaid	$27,722.13
Rate for Payer: AZCH Complete Medicaid	$27,722.13
Rate for Payer: Banner UC Health Medicaid	$27,722.13
Rate for Payer: Mercy Care Medicaid	$27,722.13

Other Ear, Nose, Mouth And Throat Procedures

Facility

IP

$6,205.29

Service Code	APR-DRG 0981
Hospital Charge Code	APRDRG0981
Min. Negotiated Rate	$6,205.29
Max. Negotiated Rate	$6,205.29
Rate for Payer: AHCCCS Medicaid	$6,205.29
Rate for Payer: Allwell Medicaid	$6,205.29
Rate for Payer: AZCH Complete Medicaid	$6,205.29
Rate for Payer: Banner UC Health Medicaid	$6,205.29
Rate for Payer: Mercy Care Medicaid	$6,205.29

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