Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Major Head And Neck Procedures

Facility

IP

$42,771.37

Service Code	APR-DRG 0914
Hospital Charge Code	APRDRG0912
Min. Negotiated Rate	$42,771.37
Max. Negotiated Rate	$42,771.37
Rate for Payer: AHCCCS Medicaid	$42,771.37
Rate for Payer: Allwell Medicaid	$42,771.37
Rate for Payer: AZCH Complete Medicaid	$42,771.37
Rate for Payer: Banner UC Health Medicaid	$42,771.37
Rate for Payer: Mercy Care Medicaid	$42,771.37

Other Major Head And Neck Procedures

Facility

IP

$14,516.88

Service Code	APR-DRG 0912
Hospital Charge Code	APRDRG0911
Min. Negotiated Rate	$14,516.88
Max. Negotiated Rate	$14,516.88
Rate for Payer: AHCCCS Medicaid	$14,516.88
Rate for Payer: Allwell Medicaid	$14,516.88
Rate for Payer: AZCH Complete Medicaid	$14,516.88
Rate for Payer: Banner UC Health Medicaid	$14,516.88
Rate for Payer: Mercy Care Medicaid	$14,516.88

Other Major Head And Neck Procedures

Facility

IP

$14,516.88

Service Code	APR-DRG 0912
Hospital Charge Code	APRDRG0912
Min. Negotiated Rate	$14,516.88
Max. Negotiated Rate	$14,516.88
Rate for Payer: AHCCCS Medicaid	$14,516.88
Rate for Payer: Allwell Medicaid	$14,516.88
Rate for Payer: AZCH Complete Medicaid	$14,516.88
Rate for Payer: Banner UC Health Medicaid	$14,516.88
Rate for Payer: Mercy Care Medicaid	$14,516.88

Other Major Head And Neck Procedures

Facility

IP

$9,677.92

Service Code	APR-DRG 0911
Hospital Charge Code	APRDRG0911
Min. Negotiated Rate	$9,677.92
Max. Negotiated Rate	$9,677.92
Rate for Payer: AHCCCS Medicaid	$9,677.92
Rate for Payer: Allwell Medicaid	$9,677.92
Rate for Payer: AZCH Complete Medicaid	$9,677.92
Rate for Payer: Banner UC Health Medicaid	$9,677.92
Rate for Payer: Mercy Care Medicaid	$9,677.92

Other Major Head And Neck Procedures

Facility

IP

$25,458.01

Service Code	APR-DRG 0913
Hospital Charge Code	APRDRG0913
Min. Negotiated Rate	$25,458.01
Max. Negotiated Rate	$25,458.01
Rate for Payer: AHCCCS Medicaid	$25,458.01
Rate for Payer: Allwell Medicaid	$25,458.01
Rate for Payer: AZCH Complete Medicaid	$25,458.01
Rate for Payer: Banner UC Health Medicaid	$25,458.01
Rate for Payer: Mercy Care Medicaid	$25,458.01

Other Major Head And Neck Procedures

Facility

IP

$14,516.88

Service Code	APR-DRG 0912
Hospital Charge Code	APRDRG0914
Min. Negotiated Rate	$14,516.88
Max. Negotiated Rate	$14,516.88
Rate for Payer: AHCCCS Medicaid	$14,516.88
Rate for Payer: Allwell Medicaid	$14,516.88
Rate for Payer: AZCH Complete Medicaid	$14,516.88
Rate for Payer: Banner UC Health Medicaid	$14,516.88
Rate for Payer: Mercy Care Medicaid	$14,516.88

Other Male Reproductive System And Related Procedures

Facility

IP

$7,826.92

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG4843
Min. Negotiated Rate	$7,826.92
Max. Negotiated Rate	$7,826.92
Rate for Payer: AHCCCS Medicaid	$7,826.92
Rate for Payer: Allwell Medicaid	$7,826.92
Rate for Payer: AZCH Complete Medicaid	$7,826.92
Rate for Payer: Banner UC Health Medicaid	$7,826.92
Rate for Payer: Mercy Care Medicaid	$7,826.92

Other Male Reproductive System And Related Procedures

Facility

IP

$10,704.77

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG4842
Min. Negotiated Rate	$10,704.77
Max. Negotiated Rate	$10,704.77
Rate for Payer: AHCCCS Medicaid	$10,704.77
Rate for Payer: Allwell Medicaid	$10,704.77
Rate for Payer: AZCH Complete Medicaid	$10,704.77
Rate for Payer: Banner UC Health Medicaid	$10,704.77
Rate for Payer: Mercy Care Medicaid	$10,704.77

Other Male Reproductive System And Related Procedures

Facility

IP

$7,826.92

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG4841
Min. Negotiated Rate	$7,826.92
Max. Negotiated Rate	$7,826.92
Rate for Payer: AHCCCS Medicaid	$7,826.92
Rate for Payer: Allwell Medicaid	$7,826.92
Rate for Payer: AZCH Complete Medicaid	$7,826.92
Rate for Payer: Banner UC Health Medicaid	$7,826.92
Rate for Payer: Mercy Care Medicaid	$7,826.92

Other Male Reproductive System And Related Procedures

Facility

IP

$27,039.67

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG4841
Min. Negotiated Rate	$27,039.67
Max. Negotiated Rate	$27,039.67
Rate for Payer: AHCCCS Medicaid	$27,039.67
Rate for Payer: Allwell Medicaid	$27,039.67
Rate for Payer: AZCH Complete Medicaid	$27,039.67
Rate for Payer: Banner UC Health Medicaid	$27,039.67
Rate for Payer: Mercy Care Medicaid	$27,039.67

Other Male Reproductive System And Related Procedures

Facility

IP

$10,704.77

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG4844
Min. Negotiated Rate	$10,704.77
Max. Negotiated Rate	$10,704.77
Rate for Payer: AHCCCS Medicaid	$10,704.77
Rate for Payer: Allwell Medicaid	$10,704.77
Rate for Payer: AZCH Complete Medicaid	$10,704.77
Rate for Payer: Banner UC Health Medicaid	$10,704.77
Rate for Payer: Mercy Care Medicaid	$10,704.77

Other Male Reproductive System And Related Procedures

Facility

IP

$8,821.51

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG4843
Min. Negotiated Rate	$8,821.51
Max. Negotiated Rate	$8,821.51
Rate for Payer: AHCCCS Medicaid	$8,821.51
Rate for Payer: Allwell Medicaid	$8,821.51
Rate for Payer: AZCH Complete Medicaid	$8,821.51
Rate for Payer: Banner UC Health Medicaid	$8,821.51
Rate for Payer: Mercy Care Medicaid	$8,821.51

Other Male Reproductive System And Related Procedures

Facility

IP

$27,039.67

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG4843
Min. Negotiated Rate	$27,039.67
Max. Negotiated Rate	$27,039.67
Rate for Payer: AHCCCS Medicaid	$27,039.67
Rate for Payer: Allwell Medicaid	$27,039.67
Rate for Payer: AZCH Complete Medicaid	$27,039.67
Rate for Payer: Banner UC Health Medicaid	$27,039.67
Rate for Payer: Mercy Care Medicaid	$27,039.67

Other Male Reproductive System And Related Procedures

Facility

IP

$8,821.51

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG4844
Min. Negotiated Rate	$8,821.51
Max. Negotiated Rate	$8,821.51
Rate for Payer: AHCCCS Medicaid	$8,821.51
Rate for Payer: Allwell Medicaid	$8,821.51
Rate for Payer: AZCH Complete Medicaid	$8,821.51
Rate for Payer: Banner UC Health Medicaid	$8,821.51
Rate for Payer: Mercy Care Medicaid	$8,821.51

Other Male Reproductive System And Related Procedures

Facility

IP

$10,704.77

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG4841
Min. Negotiated Rate	$10,704.77
Max. Negotiated Rate	$10,704.77
Rate for Payer: AHCCCS Medicaid	$10,704.77
Rate for Payer: Allwell Medicaid	$10,704.77
Rate for Payer: AZCH Complete Medicaid	$10,704.77
Rate for Payer: Banner UC Health Medicaid	$10,704.77
Rate for Payer: Mercy Care Medicaid	$10,704.77

Other Male Reproductive System And Related Procedures

Facility

IP

$8,821.51

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG4842
Min. Negotiated Rate	$8,821.51
Max. Negotiated Rate	$8,821.51
Rate for Payer: AHCCCS Medicaid	$8,821.51
Rate for Payer: Allwell Medicaid	$8,821.51
Rate for Payer: AZCH Complete Medicaid	$8,821.51
Rate for Payer: Banner UC Health Medicaid	$8,821.51
Rate for Payer: Mercy Care Medicaid	$8,821.51

Other Male Reproductive System And Related Procedures

Facility

IP

$7,826.92

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG4844
Min. Negotiated Rate	$7,826.92
Max. Negotiated Rate	$7,826.92
Rate for Payer: AHCCCS Medicaid	$7,826.92
Rate for Payer: Allwell Medicaid	$7,826.92
Rate for Payer: AZCH Complete Medicaid	$7,826.92
Rate for Payer: Banner UC Health Medicaid	$7,826.92
Rate for Payer: Mercy Care Medicaid	$7,826.92

Other Male Reproductive System And Related Procedures

Facility

IP

$10,704.77

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG4843
Min. Negotiated Rate	$10,704.77
Max. Negotiated Rate	$10,704.77
Rate for Payer: AHCCCS Medicaid	$10,704.77
Rate for Payer: Allwell Medicaid	$10,704.77
Rate for Payer: AZCH Complete Medicaid	$10,704.77
Rate for Payer: Banner UC Health Medicaid	$10,704.77
Rate for Payer: Mercy Care Medicaid	$10,704.77

Other Male Reproductive System And Related Procedures

Facility

IP

$7,826.92

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG4842
Min. Negotiated Rate	$7,826.92
Max. Negotiated Rate	$7,826.92
Rate for Payer: AHCCCS Medicaid	$7,826.92
Rate for Payer: Allwell Medicaid	$7,826.92
Rate for Payer: AZCH Complete Medicaid	$7,826.92
Rate for Payer: Banner UC Health Medicaid	$7,826.92
Rate for Payer: Mercy Care Medicaid	$7,826.92

Other Male Reproductive System And Related Procedures

Facility

IP

$8,821.51

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG4841
Min. Negotiated Rate	$8,821.51
Max. Negotiated Rate	$8,821.51
Rate for Payer: AHCCCS Medicaid	$8,821.51
Rate for Payer: Allwell Medicaid	$8,821.51
Rate for Payer: AZCH Complete Medicaid	$8,821.51
Rate for Payer: Banner UC Health Medicaid	$8,821.51
Rate for Payer: Mercy Care Medicaid	$8,821.51

Other Male Reproductive System And Related Procedures

Facility

IP

$27,039.67

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG4844
Min. Negotiated Rate	$27,039.67
Max. Negotiated Rate	$27,039.67
Rate for Payer: AHCCCS Medicaid	$27,039.67
Rate for Payer: Allwell Medicaid	$27,039.67
Rate for Payer: AZCH Complete Medicaid	$27,039.67
Rate for Payer: Banner UC Health Medicaid	$27,039.67
Rate for Payer: Mercy Care Medicaid	$27,039.67

Other Male Reproductive System And Related Procedures

Facility

IP

$27,039.67

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG4842
Min. Negotiated Rate	$27,039.67
Max. Negotiated Rate	$27,039.67
Rate for Payer: AHCCCS Medicaid	$27,039.67
Rate for Payer: Allwell Medicaid	$27,039.67
Rate for Payer: AZCH Complete Medicaid	$27,039.67
Rate for Payer: Banner UC Health Medicaid	$27,039.67
Rate for Payer: Mercy Care Medicaid	$27,039.67

Other Mental Health Disorders

Facility

IP

$6,403.08

Service Code	APR-DRG 7603
Hospital Charge Code	APRDRG7604
Min. Negotiated Rate	$6,403.08
Max. Negotiated Rate	$6,403.08
Rate for Payer: AHCCCS Medicaid	$6,403.08
Rate for Payer: Allwell Medicaid	$6,403.08
Rate for Payer: AZCH Complete Medicaid	$6,403.08
Rate for Payer: Banner UC Health Medicaid	$6,403.08
Rate for Payer: Mercy Care Medicaid	$6,403.08

Other Mental Health Disorders

Facility

IP

$8,107.48

Service Code	APR-DRG 7604
Hospital Charge Code	APRDRG7601
Min. Negotiated Rate	$8,107.48
Max. Negotiated Rate	$8,107.48
Rate for Payer: AHCCCS Medicaid	$8,107.48
Rate for Payer: Allwell Medicaid	$8,107.48
Rate for Payer: AZCH Complete Medicaid	$8,107.48
Rate for Payer: Banner UC Health Medicaid	$8,107.48
Rate for Payer: Mercy Care Medicaid	$8,107.48

Other Mental Health Disorders

Facility

IP

$3,814.91

Service Code	APR-DRG 7601
Hospital Charge Code	APRDRG7603
Min. Negotiated Rate	$3,814.91
Max. Negotiated Rate	$3,814.91
Rate for Payer: AHCCCS Medicaid	$3,814.91
Rate for Payer: Allwell Medicaid	$3,814.91
Rate for Payer: AZCH Complete Medicaid	$3,814.91
Rate for Payer: Banner UC Health Medicaid	$3,814.91
Rate for Payer: Mercy Care Medicaid	$3,814.91

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