Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$6,873.72

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG3203
Min. Negotiated Rate	$6,873.72
Max. Negotiated Rate	$6,873.72
Rate for Payer: AHCCCS Medicaid	$6,873.72
Rate for Payer: Allwell Medicaid	$6,873.72
Rate for Payer: AZCH Complete Medicaid	$6,873.72
Rate for Payer: Banner UC Health Medicaid	$6,873.72
Rate for Payer: Mercy Care Medicaid	$6,873.72

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$9,961.28

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG3202
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

$6,873.72

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG3204
Min. Negotiated Rate	$6,873.72
Max. Negotiated Rate	$6,873.72
Rate for Payer: AHCCCS Medicaid	$6,873.72
Rate for Payer: Allwell Medicaid	$6,873.72
Rate for Payer: AZCH Complete Medicaid	$6,873.72
Rate for Payer: Banner UC Health Medicaid	$6,873.72
Rate for Payer: Mercy Care Medicaid	$6,873.72

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$6,873.72

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG3202
Min. Negotiated Rate	$6,873.72
Max. Negotiated Rate	$6,873.72
Rate for Payer: AHCCCS Medicaid	$6,873.72
Rate for Payer: Allwell Medicaid	$6,873.72
Rate for Payer: AZCH Complete Medicaid	$6,873.72
Rate for Payer: Banner UC Health Medicaid	$6,873.72
Rate for Payer: Mercy Care Medicaid	$6,873.72

Other Musculoskeletal System And Connective Tissue Procedures

Facility

IP

$25,580.76

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG3203
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	APRDRG3201
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

$6,873.72

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG3201
Min. Negotiated Rate	$6,873.72
Max. Negotiated Rate	$6,873.72
Rate for Payer: AHCCCS Medicaid	$6,873.72
Rate for Payer: Allwell Medicaid	$6,873.72
Rate for Payer: AZCH Complete Medicaid	$6,873.72
Rate for Payer: Banner UC Health Medicaid	$6,873.72
Rate for Payer: Mercy Care Medicaid	$6,873.72

Other Nervous System And Related Procedures

Facility

IP

$8,983.53

Service Code	APR-DRG 0261
Hospital Charge Code	APRDRG0263
Min. Negotiated Rate	$8,983.53
Max. Negotiated Rate	$8,983.53
Rate for Payer: AHCCCS Medicaid	$8,983.53
Rate for Payer: Allwell Medicaid	$8,983.53
Rate for Payer: AZCH Complete Medicaid	$8,983.53
Rate for Payer: Banner UC Health Medicaid	$8,983.53
Rate for Payer: Mercy Care Medicaid	$8,983.53

Other Nervous System And Related Procedures

Facility

IP

$11,330.42

Service Code	APR-DRG 0262
Hospital Charge Code	APRDRG0261
Min. Negotiated Rate	$11,330.42
Max. Negotiated Rate	$11,330.42
Rate for Payer: AHCCCS Medicaid	$11,330.42
Rate for Payer: Allwell Medicaid	$11,330.42
Rate for Payer: AZCH Complete Medicaid	$11,330.42
Rate for Payer: Banner UC Health Medicaid	$11,330.42
Rate for Payer: Mercy Care Medicaid	$11,330.42

Other Nervous System And Related Procedures

Facility

IP

$11,330.42

Service Code	APR-DRG 0262
Hospital Charge Code	APRDRG0264
Min. Negotiated Rate	$11,330.42
Max. Negotiated Rate	$11,330.42
Rate for Payer: AHCCCS Medicaid	$11,330.42
Rate for Payer: Allwell Medicaid	$11,330.42
Rate for Payer: AZCH Complete Medicaid	$11,330.42
Rate for Payer: Banner UC Health Medicaid	$11,330.42
Rate for Payer: Mercy Care Medicaid	$11,330.42

Other Nervous System And Related Procedures

Facility

IP

$11,330.42

Service Code	APR-DRG 0262
Hospital Charge Code	APRDRG0263
Min. Negotiated Rate	$11,330.42
Max. Negotiated Rate	$11,330.42
Rate for Payer: AHCCCS Medicaid	$11,330.42
Rate for Payer: Allwell Medicaid	$11,330.42
Rate for Payer: AZCH Complete Medicaid	$11,330.42
Rate for Payer: Banner UC Health Medicaid	$11,330.42
Rate for Payer: Mercy Care Medicaid	$11,330.42

Other Nervous System And Related Procedures

Facility

IP

$8,983.53

Service Code	APR-DRG 0261
Hospital Charge Code	APRDRG0264
Min. Negotiated Rate	$8,983.53
Max. Negotiated Rate	$8,983.53
Rate for Payer: AHCCCS Medicaid	$8,983.53
Rate for Payer: Allwell Medicaid	$8,983.53
Rate for Payer: AZCH Complete Medicaid	$8,983.53
Rate for Payer: Banner UC Health Medicaid	$8,983.53
Rate for Payer: Mercy Care Medicaid	$8,983.53

Other Nervous System And Related Procedures

Facility

IP

$8,983.53

Service Code	APR-DRG 0261
Hospital Charge Code	APRDRG0262
Min. Negotiated Rate	$8,983.53
Max. Negotiated Rate	$8,983.53
Rate for Payer: AHCCCS Medicaid	$8,983.53
Rate for Payer: Allwell Medicaid	$8,983.53
Rate for Payer: AZCH Complete Medicaid	$8,983.53
Rate for Payer: Banner UC Health Medicaid	$8,983.53
Rate for Payer: Mercy Care Medicaid	$8,983.53

Other Nervous System And Related Procedures

Facility

IP

$17,015.96

Service Code	APR-DRG 0263
Hospital Charge Code	APRDRG0264
Min. Negotiated Rate	$17,015.96
Max. Negotiated Rate	$17,015.96
Rate for Payer: AHCCCS Medicaid	$17,015.96
Rate for Payer: Allwell Medicaid	$17,015.96
Rate for Payer: AZCH Complete Medicaid	$17,015.96
Rate for Payer: Banner UC Health Medicaid	$17,015.96
Rate for Payer: Mercy Care Medicaid	$17,015.96

Other Nervous System And Related Procedures

Facility

IP

$34,264.79

Service Code	APR-DRG 0264
Hospital Charge Code	APRDRG0261
Min. Negotiated Rate	$34,264.79
Max. Negotiated Rate	$34,264.79
Rate for Payer: AHCCCS Medicaid	$34,264.79
Rate for Payer: Allwell Medicaid	$34,264.79
Rate for Payer: AZCH Complete Medicaid	$34,264.79
Rate for Payer: Banner UC Health Medicaid	$34,264.79
Rate for Payer: Mercy Care Medicaid	$34,264.79

Other Nervous System And Related Procedures

Facility

IP

$17,015.96

Service Code	APR-DRG 0263
Hospital Charge Code	APRDRG0261
Min. Negotiated Rate	$17,015.96
Max. Negotiated Rate	$17,015.96
Rate for Payer: AHCCCS Medicaid	$17,015.96
Rate for Payer: Allwell Medicaid	$17,015.96
Rate for Payer: AZCH Complete Medicaid	$17,015.96
Rate for Payer: Banner UC Health Medicaid	$17,015.96
Rate for Payer: Mercy Care Medicaid	$17,015.96

Other Nervous System And Related Procedures

Facility

IP

$17,015.96

Service Code	APR-DRG 0263
Hospital Charge Code	APRDRG0263
Min. Negotiated Rate	$17,015.96
Max. Negotiated Rate	$17,015.96
Rate for Payer: AHCCCS Medicaid	$17,015.96
Rate for Payer: Allwell Medicaid	$17,015.96
Rate for Payer: AZCH Complete Medicaid	$17,015.96
Rate for Payer: Banner UC Health Medicaid	$17,015.96
Rate for Payer: Mercy Care Medicaid	$17,015.96

Other Nervous System And Related Procedures

Facility

IP

$11,330.42

Service Code	APR-DRG 0262
Hospital Charge Code	APRDRG0262
Min. Negotiated Rate	$11,330.42
Max. Negotiated Rate	$11,330.42
Rate for Payer: AHCCCS Medicaid	$11,330.42
Rate for Payer: Allwell Medicaid	$11,330.42
Rate for Payer: AZCH Complete Medicaid	$11,330.42
Rate for Payer: Banner UC Health Medicaid	$11,330.42
Rate for Payer: Mercy Care Medicaid	$11,330.42

Other Nervous System And Related Procedures

Facility

IP

$17,015.96

Service Code	APR-DRG 0263
Hospital Charge Code	APRDRG0262
Min. Negotiated Rate	$17,015.96
Max. Negotiated Rate	$17,015.96
Rate for Payer: AHCCCS Medicaid	$17,015.96
Rate for Payer: Allwell Medicaid	$17,015.96
Rate for Payer: AZCH Complete Medicaid	$17,015.96
Rate for Payer: Banner UC Health Medicaid	$17,015.96
Rate for Payer: Mercy Care Medicaid	$17,015.96

Other Nervous System And Related Procedures

Facility

IP

$8,983.53

Service Code	APR-DRG 0261
Hospital Charge Code	APRDRG0261
Min. Negotiated Rate	$8,983.53
Max. Negotiated Rate	$8,983.53
Rate for Payer: AHCCCS Medicaid	$8,983.53
Rate for Payer: Allwell Medicaid	$8,983.53
Rate for Payer: AZCH Complete Medicaid	$8,983.53
Rate for Payer: Banner UC Health Medicaid	$8,983.53
Rate for Payer: Mercy Care Medicaid	$8,983.53

Other Nervous System And Related Procedures

Facility

IP

$34,264.79

Service Code	APR-DRG 0264
Hospital Charge Code	APRDRG0263
Min. Negotiated Rate	$34,264.79
Max. Negotiated Rate	$34,264.79
Rate for Payer: AHCCCS Medicaid	$34,264.79
Rate for Payer: Allwell Medicaid	$34,264.79
Rate for Payer: AZCH Complete Medicaid	$34,264.79
Rate for Payer: Banner UC Health Medicaid	$34,264.79
Rate for Payer: Mercy Care Medicaid	$34,264.79

Other Nervous System And Related Procedures

Facility

IP

$34,264.79

Service Code	APR-DRG 0264
Hospital Charge Code	APRDRG0264
Min. Negotiated Rate	$34,264.79
Max. Negotiated Rate	$34,264.79
Rate for Payer: AHCCCS Medicaid	$34,264.79
Rate for Payer: Allwell Medicaid	$34,264.79
Rate for Payer: AZCH Complete Medicaid	$34,264.79
Rate for Payer: Banner UC Health Medicaid	$34,264.79
Rate for Payer: Mercy Care Medicaid	$34,264.79

Other Nervous System And Related Procedures

Facility

IP

$34,264.79

Service Code	APR-DRG 0264
Hospital Charge Code	APRDRG0262
Min. Negotiated Rate	$34,264.79
Max. Negotiated Rate	$34,264.79
Rate for Payer: AHCCCS Medicaid	$34,264.79
Rate for Payer: Allwell Medicaid	$34,264.79
Rate for Payer: AZCH Complete Medicaid	$34,264.79
Rate for Payer: Banner UC Health Medicaid	$34,264.79
Rate for Payer: Mercy Care Medicaid	$34,264.79

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$10,942.54

Service Code	APR-DRG 4254
Hospital Charge Code	APRDRG4254
Min. Negotiated Rate	$10,942.54
Max. Negotiated Rate	$10,942.54
Rate for Payer: AHCCCS Medicaid	$10,942.54
Rate for Payer: Allwell Medicaid	$10,942.54
Rate for Payer: AZCH Complete Medicaid	$10,942.54
Rate for Payer: Banner UC Health Medicaid	$10,942.54
Rate for Payer: Mercy Care Medicaid	$10,942.54

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$3,677.44

Service Code	APR-DRG 4252
Hospital Charge Code	APRDRG4253
Min. Negotiated Rate	$3,677.44
Max. Negotiated Rate	$3,677.44
Rate for Payer: AHCCCS Medicaid	$3,677.44
Rate for Payer: Allwell Medicaid	$3,677.44
Rate for Payer: AZCH Complete Medicaid	$3,677.44
Rate for Payer: Banner UC Health Medicaid	$3,677.44
Rate for Payer: Mercy Care Medicaid	$3,677.44

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