Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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

Facility

IP

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6132
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

$31,431.14

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG6134
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	APRDRG6134
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	APRDRG6131
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

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6133
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

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6134
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

$50,289.68

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG6132
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 Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6114
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48
Rate for Payer: NaphCare Correctional Healthcare	$12,664.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$60,961.48

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG6112
Min. Negotiated Rate	$60,961.48
Max. Negotiated Rate	$60,961.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$60,961.48
Rate for Payer: Mercy Care Medicaid	$60,961.48
Rate for Payer: NaphCare Correctional Healthcare	$60,961.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$60,961.48

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG6114
Min. Negotiated Rate	$60,961.48
Max. Negotiated Rate	$60,961.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$60,961.48
Rate for Payer: Mercy Care Medicaid	$60,961.48
Rate for Payer: NaphCare Correctional Healthcare	$60,961.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$60,961.48

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$60,961.48
Max. Negotiated Rate	$60,961.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$60,961.48
Rate for Payer: Mercy Care Medicaid	$60,961.48
Rate for Payer: NaphCare Correctional Healthcare	$60,961.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6112
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15
Rate for Payer: NaphCare Correctional Healthcare	$35,147.15

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20
Rate for Payer: NaphCare Correctional Healthcare	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15
Rate for Payer: NaphCare Correctional Healthcare	$35,147.15

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6114
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20
Rate for Payer: NaphCare Correctional Healthcare	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15
Rate for Payer: NaphCare Correctional Healthcare	$35,147.15

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20
Rate for Payer: NaphCare Correctional Healthcare	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48
Rate for Payer: NaphCare Correctional Healthcare	$12,664.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$35,147.15

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG6114
Min. Negotiated Rate	$35,147.15
Max. Negotiated Rate	$35,147.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$35,147.15
Rate for Payer: Mercy Care Medicaid	$35,147.15
Rate for Payer: NaphCare Correctional Healthcare	$35,147.15

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$60,961.48

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG6113
Min. Negotiated Rate	$60,961.48
Max. Negotiated Rate	$60,961.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$60,961.48
Rate for Payer: Mercy Care Medicaid	$60,961.48
Rate for Payer: NaphCare Correctional Healthcare	$60,961.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6112
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48
Rate for Payer: NaphCare Correctional Healthcare	$12,664.48

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$20,541.20

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG6112
Min. Negotiated Rate	$20,541.20
Max. Negotiated Rate	$20,541.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,541.20
Rate for Payer: Mercy Care Medicaid	$20,541.20
Rate for Payer: NaphCare Correctional Healthcare	$20,541.20

Neonate Birth Weight 1500-1999 Grams With Major Anomaly

Facility

IP

$12,664.48

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG6111
Min. Negotiated Rate	$12,664.48
Max. Negotiated Rate	$12,664.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,664.48
Rate for Payer: Mercy Care Medicaid	$12,664.48
Rate for Payer: NaphCare Correctional Healthcare	$12,664.48

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$28,286.76

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG6144
Min. Negotiated Rate	$28,286.76
Max. Negotiated Rate	$28,286.76
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,286.76
Rate for Payer: Mercy Care Medicaid	$28,286.76
Rate for Payer: NaphCare Correctional Healthcare	$28,286.76

Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition

Facility

IP

$8,510.79

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG6143
Min. Negotiated Rate	$8,510.79
Max. Negotiated Rate	$8,510.79
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,510.79
Rate for Payer: Mercy Care Medicaid	$8,510.79
Rate for Payer: NaphCare Correctional Healthcare	$8,510.79

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