Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42
Rate for Payer: NaphCare Correctional Healthcare	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71
Rate for Payer: NaphCare Correctional Healthcare	$22,200.71

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75
Rate for Payer: NaphCare Correctional Healthcare	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57
Rate for Payer: NaphCare Correctional Healthcare	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42
Rate for Payer: NaphCare Correctional Healthcare	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71
Rate for Payer: NaphCare Correctional Healthcare	$22,200.71

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42
Rate for Payer: NaphCare Correctional Healthcare	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75
Rate for Payer: NaphCare Correctional Healthcare	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57
Rate for Payer: NaphCare Correctional Healthcare	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57
Rate for Payer: NaphCare Correctional Healthcare	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71
Rate for Payer: NaphCare Correctional Healthcare	$22,200.71

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6072
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75
Rate for Payer: NaphCare Correctional Healthcare	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$75,637.57

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$75,637.57
Max. Negotiated Rate	$75,637.57
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$75,637.57
Rate for Payer: Mercy Care Medicaid	$75,637.57
Rate for Payer: NaphCare Correctional Healthcare	$75,637.57

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$38,935.42

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG6074
Min. Negotiated Rate	$38,935.42
Max. Negotiated Rate	$38,935.42
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$38,935.42
Rate for Payer: Mercy Care Medicaid	$38,935.42
Rate for Payer: NaphCare Correctional Healthcare	$38,935.42

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$48,520.75

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG6071
Min. Negotiated Rate	$48,520.75
Max. Negotiated Rate	$48,520.75
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$48,520.75
Rate for Payer: Mercy Care Medicaid	$48,520.75
Rate for Payer: NaphCare Correctional Healthcare	$48,520.75

Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

Facility

IP

$22,200.71

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG6073
Min. Negotiated Rate	$22,200.71
Max. Negotiated Rate	$22,200.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,200.71
Rate for Payer: Mercy Care Medicaid	$22,200.71
Rate for Payer: NaphCare Correctional Healthcare	$22,200.71

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6134
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89
Rate for Payer: NaphCare Correctional Healthcare	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14
Rate for Payer: NaphCare Correctional Healthcare	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89
Rate for Payer: NaphCare Correctional Healthcare	$22,789.89

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6132
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20
Rate for Payer: NaphCare Correctional Healthcare	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$50,289.68
Max. Negotiated Rate	$50,289.68
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$50,289.68
Rate for Payer: Mercy Care Medicaid	$50,289.68
Rate for Payer: NaphCare Correctional Healthcare	$50,289.68

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20
Rate for Payer: NaphCare Correctional Healthcare	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6131
Min. Negotiated Rate	$31,431.14
Max. Negotiated Rate	$31,431.14
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$31,431.14
Rate for Payer: Mercy Care Medicaid	$31,431.14
Rate for Payer: NaphCare Correctional Healthcare	$31,431.14

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$13,628.20

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$13,628.20
Max. Negotiated Rate	$13,628.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,628.20
Rate for Payer: Mercy Care Medicaid	$13,628.20
Rate for Payer: NaphCare Correctional Healthcare	$13,628.20

Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection

Facility

IP

$22,789.89

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG6133
Min. Negotiated Rate	$22,789.89
Max. Negotiated Rate	$22,789.89
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,789.89
Rate for Payer: Mercy Care Medicaid	$22,789.89
Rate for Payer: NaphCare Correctional Healthcare	$22,789.89

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