Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$3,677.44

Service Code	APR-DRG 4252
Hospital Charge Code	APRDRG4251
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

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

$10,942.54

Service Code	APR-DRG 4254
Hospital Charge Code	APRDRG4252
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

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$2,896.78

Service Code	APR-DRG 4251
Hospital Charge Code	APRDRG4253
Min. Negotiated Rate	$2,896.78
Max. Negotiated Rate	$2,896.78
Rate for Payer: AHCCCS Medicaid	$2,896.78
Rate for Payer: Allwell Medicaid	$2,896.78
Rate for Payer: AZCH Complete Medicaid	$2,896.78
Rate for Payer: Banner UC Health Medicaid	$2,896.78
Rate for Payer: Mercy Care Medicaid	$2,896.78

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$3,677.44

Service Code	APR-DRG 4252
Hospital Charge Code	APRDRG4254
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

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$2,896.78

Service Code	APR-DRG 4251
Hospital Charge Code	APRDRG4251
Min. Negotiated Rate	$2,896.78
Max. Negotiated Rate	$2,896.78
Rate for Payer: AHCCCS Medicaid	$2,896.78
Rate for Payer: Allwell Medicaid	$2,896.78
Rate for Payer: AZCH Complete Medicaid	$2,896.78
Rate for Payer: Banner UC Health Medicaid	$2,896.78
Rate for Payer: Mercy Care Medicaid	$2,896.78

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$5,180.54

Service Code	APR-DRG 4253
Hospital Charge Code	APRDRG4254
Min. Negotiated Rate	$5,180.54
Max. Negotiated Rate	$5,180.54
Rate for Payer: AHCCCS Medicaid	$5,180.54
Rate for Payer: Allwell Medicaid	$5,180.54
Rate for Payer: AZCH Complete Medicaid	$5,180.54
Rate for Payer: Banner UC Health Medicaid	$5,180.54
Rate for Payer: Mercy Care Medicaid	$5,180.54

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$5,180.54

Service Code	APR-DRG 4253
Hospital Charge Code	APRDRG4251
Min. Negotiated Rate	$5,180.54
Max. Negotiated Rate	$5,180.54
Rate for Payer: AHCCCS Medicaid	$5,180.54
Rate for Payer: Allwell Medicaid	$5,180.54
Rate for Payer: AZCH Complete Medicaid	$5,180.54
Rate for Payer: Banner UC Health Medicaid	$5,180.54
Rate for Payer: Mercy Care Medicaid	$5,180.54

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$5,180.54

Service Code	APR-DRG 4253
Hospital Charge Code	APRDRG4252
Min. Negotiated Rate	$5,180.54
Max. Negotiated Rate	$5,180.54
Rate for Payer: AHCCCS Medicaid	$5,180.54
Rate for Payer: Allwell Medicaid	$5,180.54
Rate for Payer: AZCH Complete Medicaid	$5,180.54
Rate for Payer: Banner UC Health Medicaid	$5,180.54
Rate for Payer: Mercy Care Medicaid	$5,180.54

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$2,896.78

Service Code	APR-DRG 4251
Hospital Charge Code	APRDRG4252
Min. Negotiated Rate	$2,896.78
Max. Negotiated Rate	$2,896.78
Rate for Payer: AHCCCS Medicaid	$2,896.78
Rate for Payer: Allwell Medicaid	$2,896.78
Rate for Payer: AZCH Complete Medicaid	$2,896.78
Rate for Payer: Banner UC Health Medicaid	$2,896.78
Rate for Payer: Mercy Care Medicaid	$2,896.78

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$5,180.54

Service Code	APR-DRG 4253
Hospital Charge Code	APRDRG4253
Min. Negotiated Rate	$5,180.54
Max. Negotiated Rate	$5,180.54
Rate for Payer: AHCCCS Medicaid	$5,180.54
Rate for Payer: Allwell Medicaid	$5,180.54
Rate for Payer: AZCH Complete Medicaid	$5,180.54
Rate for Payer: Banner UC Health Medicaid	$5,180.54
Rate for Payer: Mercy Care Medicaid	$5,180.54

Other Non-Hypovolemic Electrolyte Disorders

Facility

IP

$10,942.54

Service Code	APR-DRG 4254
Hospital Charge Code	APRDRG4253
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	APRDRG4252
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

Other Open Craniotomy

Facility

IP

$13,933.31

Service Code	APR-DRG 0272
Hospital Charge Code	APRDRG0273
Min. Negotiated Rate	$13,933.31
Max. Negotiated Rate	$13,933.31
Rate for Payer: AHCCCS Medicaid	$13,933.31
Rate for Payer: Allwell Medicaid	$13,933.31
Rate for Payer: AZCH Complete Medicaid	$13,933.31
Rate for Payer: Banner UC Health Medicaid	$13,933.31
Rate for Payer: Mercy Care Medicaid	$13,933.31

Other Open Craniotomy

Facility

IP

$11,264.48

Service Code	APR-DRG 0271
Hospital Charge Code	APRDRG0272
Min. Negotiated Rate	$11,264.48
Max. Negotiated Rate	$11,264.48
Rate for Payer: AHCCCS Medicaid	$11,264.48
Rate for Payer: Allwell Medicaid	$11,264.48
Rate for Payer: AZCH Complete Medicaid	$11,264.48
Rate for Payer: Banner UC Health Medicaid	$11,264.48
Rate for Payer: Mercy Care Medicaid	$11,264.48

Other Open Craniotomy

Facility

IP

$21,839.49

Service Code	APR-DRG 0273
Hospital Charge Code	APRDRG0272
Min. Negotiated Rate	$21,839.49
Max. Negotiated Rate	$21,839.49
Rate for Payer: AHCCCS Medicaid	$21,839.49
Rate for Payer: Allwell Medicaid	$21,839.49
Rate for Payer: AZCH Complete Medicaid	$21,839.49
Rate for Payer: Banner UC Health Medicaid	$21,839.49
Rate for Payer: Mercy Care Medicaid	$21,839.49

Other Open Craniotomy

Facility

IP

$21,839.49

Service Code	APR-DRG 0273
Hospital Charge Code	APRDRG0271
Min. Negotiated Rate	$21,839.49
Max. Negotiated Rate	$21,839.49
Rate for Payer: AHCCCS Medicaid	$21,839.49
Rate for Payer: Allwell Medicaid	$21,839.49
Rate for Payer: AZCH Complete Medicaid	$21,839.49
Rate for Payer: Banner UC Health Medicaid	$21,839.49
Rate for Payer: Mercy Care Medicaid	$21,839.49

Other Open Craniotomy

Facility

IP

$41,005.25

Service Code	APR-DRG 0274
Hospital Charge Code	APRDRG0272
Min. Negotiated Rate	$41,005.25
Max. Negotiated Rate	$41,005.25
Rate for Payer: AHCCCS Medicaid	$41,005.25
Rate for Payer: Allwell Medicaid	$41,005.25
Rate for Payer: AZCH Complete Medicaid	$41,005.25
Rate for Payer: Banner UC Health Medicaid	$41,005.25
Rate for Payer: Mercy Care Medicaid	$41,005.25

Other Open Craniotomy

Facility

IP

$41,005.25

Service Code	APR-DRG 0274
Hospital Charge Code	APRDRG0271
Min. Negotiated Rate	$41,005.25
Max. Negotiated Rate	$41,005.25
Rate for Payer: AHCCCS Medicaid	$41,005.25
Rate for Payer: Allwell Medicaid	$41,005.25
Rate for Payer: AZCH Complete Medicaid	$41,005.25
Rate for Payer: Banner UC Health Medicaid	$41,005.25
Rate for Payer: Mercy Care Medicaid	$41,005.25

Other Open Craniotomy

Facility

IP

$11,264.48

Service Code	APR-DRG 0271
Hospital Charge Code	APRDRG0273
Min. Negotiated Rate	$11,264.48
Max. Negotiated Rate	$11,264.48
Rate for Payer: AHCCCS Medicaid	$11,264.48
Rate for Payer: Allwell Medicaid	$11,264.48
Rate for Payer: AZCH Complete Medicaid	$11,264.48
Rate for Payer: Banner UC Health Medicaid	$11,264.48
Rate for Payer: Mercy Care Medicaid	$11,264.48

Other Open Craniotomy

Facility

IP

$41,005.25

Service Code	APR-DRG 0274
Hospital Charge Code	APRDRG0273
Min. Negotiated Rate	$41,005.25
Max. Negotiated Rate	$41,005.25
Rate for Payer: AHCCCS Medicaid	$41,005.25
Rate for Payer: Allwell Medicaid	$41,005.25
Rate for Payer: AZCH Complete Medicaid	$41,005.25
Rate for Payer: Banner UC Health Medicaid	$41,005.25
Rate for Payer: Mercy Care Medicaid	$41,005.25

Other Open Craniotomy

Facility

IP

$13,933.31

Service Code	APR-DRG 0272
Hospital Charge Code	APRDRG0274
Min. Negotiated Rate	$13,933.31
Max. Negotiated Rate	$13,933.31
Rate for Payer: AHCCCS Medicaid	$13,933.31
Rate for Payer: Allwell Medicaid	$13,933.31
Rate for Payer: AZCH Complete Medicaid	$13,933.31
Rate for Payer: Banner UC Health Medicaid	$13,933.31
Rate for Payer: Mercy Care Medicaid	$13,933.31

Other Open Craniotomy

Facility

IP

$13,933.31

Service Code	APR-DRG 0272
Hospital Charge Code	APRDRG0272
Min. Negotiated Rate	$13,933.31
Max. Negotiated Rate	$13,933.31
Rate for Payer: AHCCCS Medicaid	$13,933.31
Rate for Payer: Allwell Medicaid	$13,933.31
Rate for Payer: AZCH Complete Medicaid	$13,933.31
Rate for Payer: Banner UC Health Medicaid	$13,933.31
Rate for Payer: Mercy Care Medicaid	$13,933.31

Other Open Craniotomy

Facility

IP

$21,839.49

Service Code	APR-DRG 0273
Hospital Charge Code	APRDRG0274
Min. Negotiated Rate	$21,839.49
Max. Negotiated Rate	$21,839.49
Rate for Payer: AHCCCS Medicaid	$21,839.49
Rate for Payer: Allwell Medicaid	$21,839.49
Rate for Payer: AZCH Complete Medicaid	$21,839.49
Rate for Payer: Banner UC Health Medicaid	$21,839.49
Rate for Payer: Mercy Care Medicaid	$21,839.49

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