Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$17,262.16

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG6513
Min. Negotiated Rate	$17,262.16
Max. Negotiated Rate	$17,262.16
Rate for Payer: AHCCCS Medicaid	$17,262.16
Rate for Payer: Allwell Medicaid	$17,262.16
Rate for Payer: AZCH Complete Medicaid	$17,262.16
Rate for Payer: Banner UC Health Medicaid	$17,262.16
Rate for Payer: Mercy Care Medicaid	$17,262.16

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$6,963.50

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG6511
Min. Negotiated Rate	$6,963.50
Max. Negotiated Rate	$6,963.50
Rate for Payer: AHCCCS Medicaid	$6,963.50
Rate for Payer: Allwell Medicaid	$6,963.50
Rate for Payer: AZCH Complete Medicaid	$6,963.50
Rate for Payer: Banner UC Health Medicaid	$6,963.50
Rate for Payer: Mercy Care Medicaid	$6,963.50

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$6,963.50

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG6514
Min. Negotiated Rate	$6,963.50
Max. Negotiated Rate	$6,963.50
Rate for Payer: AHCCCS Medicaid	$6,963.50
Rate for Payer: Allwell Medicaid	$6,963.50
Rate for Payer: AZCH Complete Medicaid	$6,963.50
Rate for Payer: Banner UC Health Medicaid	$6,963.50
Rate for Payer: Mercy Care Medicaid	$6,963.50

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$9,886.93

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG6514
Min. Negotiated Rate	$9,886.93
Max. Negotiated Rate	$9,886.93
Rate for Payer: AHCCCS Medicaid	$9,886.93
Rate for Payer: Allwell Medicaid	$9,886.93
Rate for Payer: AZCH Complete Medicaid	$9,886.93
Rate for Payer: Banner UC Health Medicaid	$9,886.93
Rate for Payer: Mercy Care Medicaid	$9,886.93

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$9,886.93

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG6513
Min. Negotiated Rate	$9,886.93
Max. Negotiated Rate	$9,886.93
Rate for Payer: AHCCCS Medicaid	$9,886.93
Rate for Payer: Allwell Medicaid	$9,886.93
Rate for Payer: AZCH Complete Medicaid	$9,886.93
Rate for Payer: Banner UC Health Medicaid	$9,886.93
Rate for Payer: Mercy Care Medicaid	$9,886.93

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$46,387.79

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG6513
Min. Negotiated Rate	$46,387.79
Max. Negotiated Rate	$46,387.79
Rate for Payer: AHCCCS Medicaid	$46,387.79
Rate for Payer: Allwell Medicaid	$46,387.79
Rate for Payer: AZCH Complete Medicaid	$46,387.79
Rate for Payer: Banner UC Health Medicaid	$46,387.79
Rate for Payer: Mercy Care Medicaid	$46,387.79

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$9,886.93

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG6512
Min. Negotiated Rate	$9,886.93
Max. Negotiated Rate	$9,886.93
Rate for Payer: AHCCCS Medicaid	$9,886.93
Rate for Payer: Allwell Medicaid	$9,886.93
Rate for Payer: AZCH Complete Medicaid	$9,886.93
Rate for Payer: Banner UC Health Medicaid	$9,886.93
Rate for Payer: Mercy Care Medicaid	$9,886.93

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$46,387.79

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG6512
Min. Negotiated Rate	$46,387.79
Max. Negotiated Rate	$46,387.79
Rate for Payer: AHCCCS Medicaid	$46,387.79
Rate for Payer: Allwell Medicaid	$46,387.79
Rate for Payer: AZCH Complete Medicaid	$46,387.79
Rate for Payer: Banner UC Health Medicaid	$46,387.79
Rate for Payer: Mercy Care Medicaid	$46,387.79

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$46,387.79

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG6514
Min. Negotiated Rate	$46,387.79
Max. Negotiated Rate	$46,387.79
Rate for Payer: AHCCCS Medicaid	$46,387.79
Rate for Payer: Allwell Medicaid	$46,387.79
Rate for Payer: AZCH Complete Medicaid	$46,387.79
Rate for Payer: Banner UC Health Medicaid	$46,387.79
Rate for Payer: Mercy Care Medicaid	$46,387.79

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$17,262.16

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG6514
Min. Negotiated Rate	$17,262.16
Max. Negotiated Rate	$17,262.16
Rate for Payer: AHCCCS Medicaid	$17,262.16
Rate for Payer: Allwell Medicaid	$17,262.16
Rate for Payer: AZCH Complete Medicaid	$17,262.16
Rate for Payer: Banner UC Health Medicaid	$17,262.16
Rate for Payer: Mercy Care Medicaid	$17,262.16

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$46,387.79

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG6511
Min. Negotiated Rate	$46,387.79
Max. Negotiated Rate	$46,387.79
Rate for Payer: AHCCCS Medicaid	$46,387.79
Rate for Payer: Allwell Medicaid	$46,387.79
Rate for Payer: AZCH Complete Medicaid	$46,387.79
Rate for Payer: Banner UC Health Medicaid	$46,387.79
Rate for Payer: Mercy Care Medicaid	$46,387.79

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$17,262.16

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG6512
Min. Negotiated Rate	$17,262.16
Max. Negotiated Rate	$17,262.16
Rate for Payer: AHCCCS Medicaid	$17,262.16
Rate for Payer: Allwell Medicaid	$17,262.16
Rate for Payer: AZCH Complete Medicaid	$17,262.16
Rate for Payer: Banner UC Health Medicaid	$17,262.16
Rate for Payer: Mercy Care Medicaid	$17,262.16

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$6,963.50

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG6513
Min. Negotiated Rate	$6,963.50
Max. Negotiated Rate	$6,963.50
Rate for Payer: AHCCCS Medicaid	$6,963.50
Rate for Payer: Allwell Medicaid	$6,963.50
Rate for Payer: AZCH Complete Medicaid	$6,963.50
Rate for Payer: Banner UC Health Medicaid	$6,963.50
Rate for Payer: Mercy Care Medicaid	$6,963.50

Other Procedures Of Blood And Blood-Forming Organs

Facility

IP

$9,886.93

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG6511
Min. Negotiated Rate	$9,886.93
Max. Negotiated Rate	$9,886.93
Rate for Payer: AHCCCS Medicaid	$9,886.93
Rate for Payer: Allwell Medicaid	$9,886.93
Rate for Payer: AZCH Complete Medicaid	$9,886.93
Rate for Payer: Banner UC Health Medicaid	$9,886.93
Rate for Payer: Mercy Care Medicaid	$9,886.93

Other Respiratory And Chest Procedures

Facility

IP

$11,552.06

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG1213
Min. Negotiated Rate	$11,552.06
Max. Negotiated Rate	$11,552.06
Rate for Payer: AHCCCS Medicaid	$11,552.06
Rate for Payer: Allwell Medicaid	$11,552.06
Rate for Payer: AZCH Complete Medicaid	$11,552.06
Rate for Payer: Banner UC Health Medicaid	$11,552.06
Rate for Payer: Mercy Care Medicaid	$11,552.06

Other Respiratory And Chest Procedures

Facility

IP

$8,496.06

Service Code	APR-DRG 1211
Hospital Charge Code	APRDRG1212
Min. Negotiated Rate	$8,496.06
Max. Negotiated Rate	$8,496.06
Rate for Payer: AHCCCS Medicaid	$8,496.06
Rate for Payer: Allwell Medicaid	$8,496.06
Rate for Payer: AZCH Complete Medicaid	$8,496.06
Rate for Payer: Banner UC Health Medicaid	$8,496.06
Rate for Payer: Mercy Care Medicaid	$8,496.06

Other Respiratory And Chest Procedures

Facility

IP

$31,089.56

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG1211
Min. Negotiated Rate	$31,089.56
Max. Negotiated Rate	$31,089.56
Rate for Payer: AHCCCS Medicaid	$31,089.56
Rate for Payer: Allwell Medicaid	$31,089.56
Rate for Payer: AZCH Complete Medicaid	$31,089.56
Rate for Payer: Banner UC Health Medicaid	$31,089.56
Rate for Payer: Mercy Care Medicaid	$31,089.56

Other Respiratory And Chest Procedures

Facility

IP

$31,089.56

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG1214
Min. Negotiated Rate	$31,089.56
Max. Negotiated Rate	$31,089.56
Rate for Payer: AHCCCS Medicaid	$31,089.56
Rate for Payer: Allwell Medicaid	$31,089.56
Rate for Payer: AZCH Complete Medicaid	$31,089.56
Rate for Payer: Banner UC Health Medicaid	$31,089.56
Rate for Payer: Mercy Care Medicaid	$31,089.56

Other Respiratory And Chest Procedures

Facility

IP

$17,983.90

Service Code	APR-DRG 1213
Hospital Charge Code	APRDRG1211
Min. Negotiated Rate	$17,983.90
Max. Negotiated Rate	$17,983.90
Rate for Payer: AHCCCS Medicaid	$17,983.90
Rate for Payer: Allwell Medicaid	$17,983.90
Rate for Payer: AZCH Complete Medicaid	$17,983.90
Rate for Payer: Banner UC Health Medicaid	$17,983.90
Rate for Payer: Mercy Care Medicaid	$17,983.90

Other Respiratory And Chest Procedures

Facility

IP

$31,089.56

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG1212
Min. Negotiated Rate	$31,089.56
Max. Negotiated Rate	$31,089.56
Rate for Payer: AHCCCS Medicaid	$31,089.56
Rate for Payer: Allwell Medicaid	$31,089.56
Rate for Payer: AZCH Complete Medicaid	$31,089.56
Rate for Payer: Banner UC Health Medicaid	$31,089.56
Rate for Payer: Mercy Care Medicaid	$31,089.56

Other Respiratory And Chest Procedures

Facility

IP

$11,552.06

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG1214
Min. Negotiated Rate	$11,552.06
Max. Negotiated Rate	$11,552.06
Rate for Payer: AHCCCS Medicaid	$11,552.06
Rate for Payer: Allwell Medicaid	$11,552.06
Rate for Payer: AZCH Complete Medicaid	$11,552.06
Rate for Payer: Banner UC Health Medicaid	$11,552.06
Rate for Payer: Mercy Care Medicaid	$11,552.06

Other Respiratory And Chest Procedures

Facility

IP

$17,983.90

Service Code	APR-DRG 1213
Hospital Charge Code	APRDRG1214
Min. Negotiated Rate	$17,983.90
Max. Negotiated Rate	$17,983.90
Rate for Payer: AHCCCS Medicaid	$17,983.90
Rate for Payer: Allwell Medicaid	$17,983.90
Rate for Payer: AZCH Complete Medicaid	$17,983.90
Rate for Payer: Banner UC Health Medicaid	$17,983.90
Rate for Payer: Mercy Care Medicaid	$17,983.90

Other Respiratory And Chest Procedures

Facility

IP

$8,496.06

Service Code	APR-DRG 1211
Hospital Charge Code	APRDRG1213
Min. Negotiated Rate	$8,496.06
Max. Negotiated Rate	$8,496.06
Rate for Payer: AHCCCS Medicaid	$8,496.06
Rate for Payer: Allwell Medicaid	$8,496.06
Rate for Payer: AZCH Complete Medicaid	$8,496.06
Rate for Payer: Banner UC Health Medicaid	$8,496.06
Rate for Payer: Mercy Care Medicaid	$8,496.06

Other Respiratory And Chest Procedures

Facility

IP

$17,983.90

Service Code	APR-DRG 1213
Hospital Charge Code	APRDRG1212
Min. Negotiated Rate	$17,983.90
Max. Negotiated Rate	$17,983.90
Rate for Payer: AHCCCS Medicaid	$17,983.90
Rate for Payer: Allwell Medicaid	$17,983.90
Rate for Payer: AZCH Complete Medicaid	$17,983.90
Rate for Payer: Banner UC Health Medicaid	$17,983.90
Rate for Payer: Mercy Care Medicaid	$17,983.90

Other Respiratory And Chest Procedures

Facility

IP

$31,089.56

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG1213
Min. Negotiated Rate	$31,089.56
Max. Negotiated Rate	$31,089.56
Rate for Payer: AHCCCS Medicaid	$31,089.56
Rate for Payer: Allwell Medicaid	$31,089.56
Rate for Payer: AZCH Complete Medicaid	$31,089.56
Rate for Payer: Banner UC Health Medicaid	$31,089.56
Rate for Payer: Mercy Care Medicaid	$31,089.56

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