Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$13,174.40

Service Code	APR-DRG 3854
Hospital Charge Code	APRDRG3851
Min. Negotiated Rate	$13,174.40
Max. Negotiated Rate	$13,174.40
Rate for Payer: AHCCCS Medicaid	$13,174.40
Rate for Payer: Allwell Medicaid	$13,174.40
Rate for Payer: AZCH Complete Medicaid	$13,174.40
Rate for Payer: Banner UC Health Medicaid	$13,174.40
Rate for Payer: Mercy Care Medicaid	$13,174.40

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$13,174.40

Service Code	APR-DRG 3854
Hospital Charge Code	APRDRG3854
Min. Negotiated Rate	$13,174.40
Max. Negotiated Rate	$13,174.40
Rate for Payer: AHCCCS Medicaid	$13,174.40
Rate for Payer: Allwell Medicaid	$13,174.40
Rate for Payer: AZCH Complete Medicaid	$13,174.40
Rate for Payer: Banner UC Health Medicaid	$13,174.40
Rate for Payer: Mercy Care Medicaid	$13,174.40

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$6,215.11

Service Code	APR-DRG 3853
Hospital Charge Code	APRDRG3853
Min. Negotiated Rate	$6,215.11
Max. Negotiated Rate	$6,215.11
Rate for Payer: AHCCCS Medicaid	$6,215.11
Rate for Payer: Allwell Medicaid	$6,215.11
Rate for Payer: AZCH Complete Medicaid	$6,215.11
Rate for Payer: Banner UC Health Medicaid	$6,215.11
Rate for Payer: Mercy Care Medicaid	$6,215.11

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$13,174.40

Service Code	APR-DRG 3854
Hospital Charge Code	APRDRG3852
Min. Negotiated Rate	$13,174.40
Max. Negotiated Rate	$13,174.40
Rate for Payer: AHCCCS Medicaid	$13,174.40
Rate for Payer: Allwell Medicaid	$13,174.40
Rate for Payer: AZCH Complete Medicaid	$13,174.40
Rate for Payer: Banner UC Health Medicaid	$13,174.40
Rate for Payer: Mercy Care Medicaid	$13,174.40

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$4,016.22

Service Code	APR-DRG 3852
Hospital Charge Code	APRDRG3852
Min. Negotiated Rate	$4,016.22
Max. Negotiated Rate	$4,016.22
Rate for Payer: AHCCCS Medicaid	$4,016.22
Rate for Payer: Allwell Medicaid	$4,016.22
Rate for Payer: AZCH Complete Medicaid	$4,016.22
Rate for Payer: Banner UC Health Medicaid	$4,016.22
Rate for Payer: Mercy Care Medicaid	$4,016.22

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$3,161.91

Service Code	APR-DRG 3851
Hospital Charge Code	APRDRG3852
Min. Negotiated Rate	$3,161.91
Max. Negotiated Rate	$3,161.91
Rate for Payer: AHCCCS Medicaid	$3,161.91
Rate for Payer: Allwell Medicaid	$3,161.91
Rate for Payer: AZCH Complete Medicaid	$3,161.91
Rate for Payer: Banner UC Health Medicaid	$3,161.91
Rate for Payer: Mercy Care Medicaid	$3,161.91

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$3,161.91

Service Code	APR-DRG 3851
Hospital Charge Code	APRDRG3853
Min. Negotiated Rate	$3,161.91
Max. Negotiated Rate	$3,161.91
Rate for Payer: AHCCCS Medicaid	$3,161.91
Rate for Payer: Allwell Medicaid	$3,161.91
Rate for Payer: AZCH Complete Medicaid	$3,161.91
Rate for Payer: Banner UC Health Medicaid	$3,161.91
Rate for Payer: Mercy Care Medicaid	$3,161.91

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$4,016.22

Service Code	APR-DRG 3852
Hospital Charge Code	APRDRG3854
Min. Negotiated Rate	$4,016.22
Max. Negotiated Rate	$4,016.22
Rate for Payer: AHCCCS Medicaid	$4,016.22
Rate for Payer: Allwell Medicaid	$4,016.22
Rate for Payer: AZCH Complete Medicaid	$4,016.22
Rate for Payer: Banner UC Health Medicaid	$4,016.22
Rate for Payer: Mercy Care Medicaid	$4,016.22

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$4,016.22

Service Code	APR-DRG 3852
Hospital Charge Code	APRDRG3851
Min. Negotiated Rate	$4,016.22
Max. Negotiated Rate	$4,016.22
Rate for Payer: AHCCCS Medicaid	$4,016.22
Rate for Payer: Allwell Medicaid	$4,016.22
Rate for Payer: AZCH Complete Medicaid	$4,016.22
Rate for Payer: Banner UC Health Medicaid	$4,016.22
Rate for Payer: Mercy Care Medicaid	$4,016.22

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$6,215.11

Service Code	APR-DRG 3853
Hospital Charge Code	APRDRG3854
Min. Negotiated Rate	$6,215.11
Max. Negotiated Rate	$6,215.11
Rate for Payer: AHCCCS Medicaid	$6,215.11
Rate for Payer: Allwell Medicaid	$6,215.11
Rate for Payer: AZCH Complete Medicaid	$6,215.11
Rate for Payer: Banner UC Health Medicaid	$6,215.11
Rate for Payer: Mercy Care Medicaid	$6,215.11

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$6,215.11

Service Code	APR-DRG 3853
Hospital Charge Code	APRDRG3852
Min. Negotiated Rate	$6,215.11
Max. Negotiated Rate	$6,215.11
Rate for Payer: AHCCCS Medicaid	$6,215.11
Rate for Payer: Allwell Medicaid	$6,215.11
Rate for Payer: AZCH Complete Medicaid	$6,215.11
Rate for Payer: Banner UC Health Medicaid	$6,215.11
Rate for Payer: Mercy Care Medicaid	$6,215.11

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$4,016.22

Service Code	APR-DRG 3852
Hospital Charge Code	APRDRG3853
Min. Negotiated Rate	$4,016.22
Max. Negotiated Rate	$4,016.22
Rate for Payer: AHCCCS Medicaid	$4,016.22
Rate for Payer: Allwell Medicaid	$4,016.22
Rate for Payer: AZCH Complete Medicaid	$4,016.22
Rate for Payer: Banner UC Health Medicaid	$4,016.22
Rate for Payer: Mercy Care Medicaid	$4,016.22

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$6,215.11

Service Code	APR-DRG 3853
Hospital Charge Code	APRDRG3851
Min. Negotiated Rate	$6,215.11
Max. Negotiated Rate	$6,215.11
Rate for Payer: AHCCCS Medicaid	$6,215.11
Rate for Payer: Allwell Medicaid	$6,215.11
Rate for Payer: AZCH Complete Medicaid	$6,215.11
Rate for Payer: Banner UC Health Medicaid	$6,215.11
Rate for Payer: Mercy Care Medicaid	$6,215.11

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$3,161.91

Service Code	APR-DRG 3851
Hospital Charge Code	APRDRG3851
Min. Negotiated Rate	$3,161.91
Max. Negotiated Rate	$3,161.91
Rate for Payer: AHCCCS Medicaid	$3,161.91
Rate for Payer: Allwell Medicaid	$3,161.91
Rate for Payer: AZCH Complete Medicaid	$3,161.91
Rate for Payer: Banner UC Health Medicaid	$3,161.91
Rate for Payer: Mercy Care Medicaid	$3,161.91

Other Skin, Subcutaneous Tissue And Breast Disorders

Facility

IP

$3,161.91

Service Code	APR-DRG 3851
Hospital Charge Code	APRDRG3854
Min. Negotiated Rate	$3,161.91
Max. Negotiated Rate	$3,161.91
Rate for Payer: AHCCCS Medicaid	$3,161.91
Rate for Payer: Allwell Medicaid	$3,161.91
Rate for Payer: AZCH Complete Medicaid	$3,161.91
Rate for Payer: Banner UC Health Medicaid	$3,161.91
Rate for Payer: Mercy Care Medicaid	$3,161.91

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$23,238.08

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG3642
Min. Negotiated Rate	$23,238.08
Max. Negotiated Rate	$23,238.08
Rate for Payer: AHCCCS Medicaid	$23,238.08
Rate for Payer: Allwell Medicaid	$23,238.08
Rate for Payer: AZCH Complete Medicaid	$23,238.08
Rate for Payer: Banner UC Health Medicaid	$23,238.08
Rate for Payer: Mercy Care Medicaid	$23,238.08

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$5,287.85

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG3643
Min. Negotiated Rate	$5,287.85
Max. Negotiated Rate	$5,287.85
Rate for Payer: AHCCCS Medicaid	$5,287.85
Rate for Payer: Allwell Medicaid	$5,287.85
Rate for Payer: AZCH Complete Medicaid	$5,287.85
Rate for Payer: Banner UC Health Medicaid	$5,287.85
Rate for Payer: Mercy Care Medicaid	$5,287.85

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$12,167.19

Service Code	APR-DRG 3643
Hospital Charge Code	APRDRG3644
Min. Negotiated Rate	$12,167.19
Max. Negotiated Rate	$12,167.19
Rate for Payer: AHCCCS Medicaid	$12,167.19
Rate for Payer: Allwell Medicaid	$12,167.19
Rate for Payer: AZCH Complete Medicaid	$12,167.19
Rate for Payer: Banner UC Health Medicaid	$12,167.19
Rate for Payer: Mercy Care Medicaid	$12,167.19

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$23,238.08

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG3644
Min. Negotiated Rate	$23,238.08
Max. Negotiated Rate	$23,238.08
Rate for Payer: AHCCCS Medicaid	$23,238.08
Rate for Payer: Allwell Medicaid	$23,238.08
Rate for Payer: AZCH Complete Medicaid	$23,238.08
Rate for Payer: Banner UC Health Medicaid	$23,238.08
Rate for Payer: Mercy Care Medicaid	$23,238.08

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$12,167.19

Service Code	APR-DRG 3643
Hospital Charge Code	APRDRG3641
Min. Negotiated Rate	$12,167.19
Max. Negotiated Rate	$12,167.19
Rate for Payer: AHCCCS Medicaid	$12,167.19
Rate for Payer: Allwell Medicaid	$12,167.19
Rate for Payer: AZCH Complete Medicaid	$12,167.19
Rate for Payer: Banner UC Health Medicaid	$12,167.19
Rate for Payer: Mercy Care Medicaid	$12,167.19

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$23,238.08

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG3641
Min. Negotiated Rate	$23,238.08
Max. Negotiated Rate	$23,238.08
Rate for Payer: AHCCCS Medicaid	$23,238.08
Rate for Payer: Allwell Medicaid	$23,238.08
Rate for Payer: AZCH Complete Medicaid	$23,238.08
Rate for Payer: Banner UC Health Medicaid	$23,238.08
Rate for Payer: Mercy Care Medicaid	$23,238.08

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$7,336.64

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG3643
Min. Negotiated Rate	$7,336.64
Max. Negotiated Rate	$7,336.64
Rate for Payer: AHCCCS Medicaid	$7,336.64
Rate for Payer: Allwell Medicaid	$7,336.64
Rate for Payer: AZCH Complete Medicaid	$7,336.64
Rate for Payer: Banner UC Health Medicaid	$7,336.64
Rate for Payer: Mercy Care Medicaid	$7,336.64

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$12,167.19

Service Code	APR-DRG 3643
Hospital Charge Code	APRDRG3642
Min. Negotiated Rate	$12,167.19
Max. Negotiated Rate	$12,167.19
Rate for Payer: AHCCCS Medicaid	$12,167.19
Rate for Payer: Allwell Medicaid	$12,167.19
Rate for Payer: AZCH Complete Medicaid	$12,167.19
Rate for Payer: Banner UC Health Medicaid	$12,167.19
Rate for Payer: Mercy Care Medicaid	$12,167.19

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$5,287.85

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG3642
Min. Negotiated Rate	$5,287.85
Max. Negotiated Rate	$5,287.85
Rate for Payer: AHCCCS Medicaid	$5,287.85
Rate for Payer: Allwell Medicaid	$5,287.85
Rate for Payer: AZCH Complete Medicaid	$5,287.85
Rate for Payer: Banner UC Health Medicaid	$5,287.85
Rate for Payer: Mercy Care Medicaid	$5,287.85

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$7,336.64

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG3641
Min. Negotiated Rate	$7,336.64
Max. Negotiated Rate	$7,336.64
Rate for Payer: AHCCCS Medicaid	$7,336.64
Rate for Payer: Allwell Medicaid	$7,336.64
Rate for Payer: AZCH Complete Medicaid	$7,336.64
Rate for Payer: Banner UC Health Medicaid	$7,336.64
Rate for Payer: Mercy Care Medicaid	$7,336.64

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