Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$12,364.28

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG3514
Min. Negotiated Rate	$12,364.28
Max. Negotiated Rate	$12,364.28
Rate for Payer: AHCCCS Medicaid	$12,364.28
Rate for Payer: Allwell Medicaid	$12,364.28
Rate for Payer: AZCH Complete Medicaid	$12,364.28
Rate for Payer: Banner UC Health Medicaid	$12,364.28
Rate for Payer: Mercy Care Medicaid	$12,364.28

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$12,364.28

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG3513
Min. Negotiated Rate	$12,364.28
Max. Negotiated Rate	$12,364.28
Rate for Payer: AHCCCS Medicaid	$12,364.28
Rate for Payer: Allwell Medicaid	$12,364.28
Rate for Payer: AZCH Complete Medicaid	$12,364.28
Rate for Payer: Banner UC Health Medicaid	$12,364.28
Rate for Payer: Mercy Care Medicaid	$12,364.28

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$4,171.93

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG3511
Min. Negotiated Rate	$4,171.93
Max. Negotiated Rate	$4,171.93
Rate for Payer: AHCCCS Medicaid	$4,171.93
Rate for Payer: Allwell Medicaid	$4,171.93
Rate for Payer: AZCH Complete Medicaid	$4,171.93
Rate for Payer: Banner UC Health Medicaid	$4,171.93
Rate for Payer: Mercy Care Medicaid	$4,171.93

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$6,504.78

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG3514
Min. Negotiated Rate	$6,504.78
Max. Negotiated Rate	$6,504.78
Rate for Payer: AHCCCS Medicaid	$6,504.78
Rate for Payer: Allwell Medicaid	$6,504.78
Rate for Payer: AZCH Complete Medicaid	$6,504.78
Rate for Payer: Banner UC Health Medicaid	$6,504.78
Rate for Payer: Mercy Care Medicaid	$6,504.78

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$6,504.78

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG3511
Min. Negotiated Rate	$6,504.78
Max. Negotiated Rate	$6,504.78
Rate for Payer: AHCCCS Medicaid	$6,504.78
Rate for Payer: Allwell Medicaid	$6,504.78
Rate for Payer: AZCH Complete Medicaid	$6,504.78
Rate for Payer: Banner UC Health Medicaid	$6,504.78
Rate for Payer: Mercy Care Medicaid	$6,504.78

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$3,575.04

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG3511
Min. Negotiated Rate	$3,575.04
Max. Negotiated Rate	$3,575.04
Rate for Payer: AHCCCS Medicaid	$3,575.04
Rate for Payer: Allwell Medicaid	$3,575.04
Rate for Payer: AZCH Complete Medicaid	$3,575.04
Rate for Payer: Banner UC Health Medicaid	$3,575.04
Rate for Payer: Mercy Care Medicaid	$3,575.04

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$4,171.93

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG3513
Min. Negotiated Rate	$4,171.93
Max. Negotiated Rate	$4,171.93
Rate for Payer: AHCCCS Medicaid	$4,171.93
Rate for Payer: Allwell Medicaid	$4,171.93
Rate for Payer: AZCH Complete Medicaid	$4,171.93
Rate for Payer: Banner UC Health Medicaid	$4,171.93
Rate for Payer: Mercy Care Medicaid	$4,171.93

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$12,364.28

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG3511
Min. Negotiated Rate	$12,364.28
Max. Negotiated Rate	$12,364.28
Rate for Payer: AHCCCS Medicaid	$12,364.28
Rate for Payer: Allwell Medicaid	$12,364.28
Rate for Payer: AZCH Complete Medicaid	$12,364.28
Rate for Payer: Banner UC Health Medicaid	$12,364.28
Rate for Payer: Mercy Care Medicaid	$12,364.28

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$3,575.04

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG3513
Min. Negotiated Rate	$3,575.04
Max. Negotiated Rate	$3,575.04
Rate for Payer: AHCCCS Medicaid	$3,575.04
Rate for Payer: Allwell Medicaid	$3,575.04
Rate for Payer: AZCH Complete Medicaid	$3,575.04
Rate for Payer: Banner UC Health Medicaid	$3,575.04
Rate for Payer: Mercy Care Medicaid	$3,575.04

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$6,504.78

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG3512
Min. Negotiated Rate	$6,504.78
Max. Negotiated Rate	$6,504.78
Rate for Payer: AHCCCS Medicaid	$6,504.78
Rate for Payer: Allwell Medicaid	$6,504.78
Rate for Payer: AZCH Complete Medicaid	$6,504.78
Rate for Payer: Banner UC Health Medicaid	$6,504.78
Rate for Payer: Mercy Care Medicaid	$6,504.78

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$6,504.78

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG3513
Min. Negotiated Rate	$6,504.78
Max. Negotiated Rate	$6,504.78
Rate for Payer: AHCCCS Medicaid	$6,504.78
Rate for Payer: Allwell Medicaid	$6,504.78
Rate for Payer: AZCH Complete Medicaid	$6,504.78
Rate for Payer: Banner UC Health Medicaid	$6,504.78
Rate for Payer: Mercy Care Medicaid	$6,504.78

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$4,171.93

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG3514
Min. Negotiated Rate	$4,171.93
Max. Negotiated Rate	$4,171.93
Rate for Payer: AHCCCS Medicaid	$4,171.93
Rate for Payer: Allwell Medicaid	$4,171.93
Rate for Payer: AZCH Complete Medicaid	$4,171.93
Rate for Payer: Banner UC Health Medicaid	$4,171.93
Rate for Payer: Mercy Care Medicaid	$4,171.93

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$12,364.28

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG3512
Min. Negotiated Rate	$12,364.28
Max. Negotiated Rate	$12,364.28
Rate for Payer: AHCCCS Medicaid	$12,364.28
Rate for Payer: Allwell Medicaid	$12,364.28
Rate for Payer: AZCH Complete Medicaid	$12,364.28
Rate for Payer: Banner UC Health Medicaid	$12,364.28
Rate for Payer: Mercy Care Medicaid	$12,364.28

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$3,575.04

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG3512
Min. Negotiated Rate	$3,575.04
Max. Negotiated Rate	$3,575.04
Rate for Payer: AHCCCS Medicaid	$3,575.04
Rate for Payer: Allwell Medicaid	$3,575.04
Rate for Payer: AZCH Complete Medicaid	$3,575.04
Rate for Payer: Banner UC Health Medicaid	$3,575.04
Rate for Payer: Mercy Care Medicaid	$3,575.04

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$3,575.04

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG3514
Min. Negotiated Rate	$3,575.04
Max. Negotiated Rate	$3,575.04
Rate for Payer: AHCCCS Medicaid	$3,575.04
Rate for Payer: Allwell Medicaid	$3,575.04
Rate for Payer: AZCH Complete Medicaid	$3,575.04
Rate for Payer: Banner UC Health Medicaid	$3,575.04
Rate for Payer: Mercy Care Medicaid	$3,575.04

Other Musculoskeletal System And Connective Tissue Diagnoses

Facility

IP

$4,171.93

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG3512
Min. Negotiated Rate	$4,171.93
Max. Negotiated Rate	$4,171.93
Rate for Payer: AHCCCS Medicaid	$4,171.93
Rate for Payer: Allwell Medicaid	$4,171.93
Rate for Payer: AZCH Complete Medicaid	$4,171.93
Rate for Payer: Banner UC Health Medicaid	$4,171.93
Rate for Payer: Mercy Care Medicaid	$4,171.93

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$9,961.28

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG3203
Min. Negotiated Rate	$9,961.28
Max. Negotiated Rate	$9,961.28
Rate for Payer: AHCCCS Medicaid	$9,961.28
Rate for Payer: Allwell Medicaid	$9,961.28
Rate for Payer: AZCH Complete Medicaid	$9,961.28
Rate for Payer: Banner UC Health Medicaid	$9,961.28
Rate for Payer: Mercy Care Medicaid	$9,961.28

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$15,453.95

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG3202
Min. Negotiated Rate	$15,453.95
Max. Negotiated Rate	$15,453.95
Rate for Payer: AHCCCS Medicaid	$15,453.95
Rate for Payer: Allwell Medicaid	$15,453.95
Rate for Payer: AZCH Complete Medicaid	$15,453.95
Rate for Payer: Banner UC Health Medicaid	$15,453.95
Rate for Payer: Mercy Care Medicaid	$15,453.95

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$25,580.76

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG3201
Min. Negotiated Rate	$25,580.76
Max. Negotiated Rate	$25,580.76
Rate for Payer: AHCCCS Medicaid	$25,580.76
Rate for Payer: Allwell Medicaid	$25,580.76
Rate for Payer: AZCH Complete Medicaid	$25,580.76
Rate for Payer: Banner UC Health Medicaid	$25,580.76
Rate for Payer: Mercy Care Medicaid	$25,580.76

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$25,580.76

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG3204
Min. Negotiated Rate	$25,580.76
Max. Negotiated Rate	$25,580.76
Rate for Payer: AHCCCS Medicaid	$25,580.76
Rate for Payer: Allwell Medicaid	$25,580.76
Rate for Payer: AZCH Complete Medicaid	$25,580.76
Rate for Payer: Banner UC Health Medicaid	$25,580.76
Rate for Payer: Mercy Care Medicaid	$25,580.76

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$15,453.95

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG3204
Min. Negotiated Rate	$15,453.95
Max. Negotiated Rate	$15,453.95
Rate for Payer: AHCCCS Medicaid	$15,453.95
Rate for Payer: Allwell Medicaid	$15,453.95
Rate for Payer: AZCH Complete Medicaid	$15,453.95
Rate for Payer: Banner UC Health Medicaid	$15,453.95
Rate for Payer: Mercy Care Medicaid	$15,453.95

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$15,453.95

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG3203
Min. Negotiated Rate	$15,453.95
Max. Negotiated Rate	$15,453.95
Rate for Payer: AHCCCS Medicaid	$15,453.95
Rate for Payer: Allwell Medicaid	$15,453.95
Rate for Payer: AZCH Complete Medicaid	$15,453.95
Rate for Payer: Banner UC Health Medicaid	$15,453.95
Rate for Payer: Mercy Care Medicaid	$15,453.95

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$25,580.76

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG3202
Min. Negotiated Rate	$25,580.76
Max. Negotiated Rate	$25,580.76
Rate for Payer: AHCCCS Medicaid	$25,580.76
Rate for Payer: Allwell Medicaid	$25,580.76
Rate for Payer: AZCH Complete Medicaid	$25,580.76
Rate for Payer: Banner UC Health Medicaid	$25,580.76
Rate for Payer: Mercy Care Medicaid	$25,580.76

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$9,961.28

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG3201
Min. Negotiated Rate	$9,961.28
Max. Negotiated Rate	$9,961.28
Rate for Payer: AHCCCS Medicaid	$9,961.28
Rate for Payer: Allwell Medicaid	$9,961.28
Rate for Payer: AZCH Complete Medicaid	$9,961.28
Rate for Payer: Banner UC Health Medicaid	$9,961.28
Rate for Payer: Mercy Care Medicaid	$9,961.28

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$9,961.28

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG3204
Min. Negotiated Rate	$9,961.28
Max. Negotiated Rate	$9,961.28
Rate for Payer: AHCCCS Medicaid	$9,961.28
Rate for Payer: Allwell Medicaid	$9,961.28
Rate for Payer: AZCH Complete Medicaid	$9,961.28
Rate for Payer: Banner UC Health Medicaid	$9,961.28
Rate for Payer: Mercy Care Medicaid	$9,961.28

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