Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Respiratory And Chest Procedures

Facility

IP

$8,496.06

Service Code	APR-DRG 1211
Hospital Charge Code	APRDRG1214
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

$11,552.06

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG1212
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

$11,552.06

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG1211
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	APRDRG1211
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	APRDRG1213
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 Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,721.60

Service Code	APR-DRG 1434
Hospital Charge Code	APRDRG1434
Min. Negotiated Rate	$10,721.60
Max. Negotiated Rate	$10,721.60
Rate for Payer: AHCCCS Medicaid	$10,721.60
Rate for Payer: Allwell Medicaid	$10,721.60
Rate for Payer: AZCH Complete Medicaid	$10,721.60
Rate for Payer: Banner UC Health Medicaid	$10,721.60
Rate for Payer: Mercy Care Medicaid	$10,721.60

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,897.57

Service Code	APR-DRG 1433
Hospital Charge Code	APRDRG1434
Min. Negotiated Rate	$6,897.57
Max. Negotiated Rate	$6,897.57
Rate for Payer: AHCCCS Medicaid	$6,897.57
Rate for Payer: Allwell Medicaid	$6,897.57
Rate for Payer: AZCH Complete Medicaid	$6,897.57
Rate for Payer: Banner UC Health Medicaid	$6,897.57
Rate for Payer: Mercy Care Medicaid	$6,897.57

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,721.60

Service Code	APR-DRG 1434
Hospital Charge Code	APRDRG1432
Min. Negotiated Rate	$10,721.60
Max. Negotiated Rate	$10,721.60
Rate for Payer: AHCCCS Medicaid	$10,721.60
Rate for Payer: Allwell Medicaid	$10,721.60
Rate for Payer: AZCH Complete Medicaid	$10,721.60
Rate for Payer: Banner UC Health Medicaid	$10,721.60
Rate for Payer: Mercy Care Medicaid	$10,721.60

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,782.85

Service Code	APR-DRG 1432
Hospital Charge Code	APRDRG1433
Min. Negotiated Rate	$4,782.85
Max. Negotiated Rate	$4,782.85
Rate for Payer: AHCCCS Medicaid	$4,782.85
Rate for Payer: Allwell Medicaid	$4,782.85
Rate for Payer: AZCH Complete Medicaid	$4,782.85
Rate for Payer: Banner UC Health Medicaid	$4,782.85
Rate for Payer: Mercy Care Medicaid	$4,782.85

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,897.57

Service Code	APR-DRG 1433
Hospital Charge Code	APRDRG1431
Min. Negotiated Rate	$6,897.57
Max. Negotiated Rate	$6,897.57
Rate for Payer: AHCCCS Medicaid	$6,897.57
Rate for Payer: Allwell Medicaid	$6,897.57
Rate for Payer: AZCH Complete Medicaid	$6,897.57
Rate for Payer: Banner UC Health Medicaid	$6,897.57
Rate for Payer: Mercy Care Medicaid	$6,897.57

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,290.27

Service Code	APR-DRG 1431
Hospital Charge Code	APRDRG1432
Min. Negotiated Rate	$3,290.27
Max. Negotiated Rate	$3,290.27
Rate for Payer: AHCCCS Medicaid	$3,290.27
Rate for Payer: Allwell Medicaid	$3,290.27
Rate for Payer: AZCH Complete Medicaid	$3,290.27
Rate for Payer: Banner UC Health Medicaid	$3,290.27
Rate for Payer: Mercy Care Medicaid	$3,290.27

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,782.85

Service Code	APR-DRG 1432
Hospital Charge Code	APRDRG1434
Min. Negotiated Rate	$4,782.85
Max. Negotiated Rate	$4,782.85
Rate for Payer: AHCCCS Medicaid	$4,782.85
Rate for Payer: Allwell Medicaid	$4,782.85
Rate for Payer: AZCH Complete Medicaid	$4,782.85
Rate for Payer: Banner UC Health Medicaid	$4,782.85
Rate for Payer: Mercy Care Medicaid	$4,782.85

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,721.60

Service Code	APR-DRG 1434
Hospital Charge Code	APRDRG1431
Min. Negotiated Rate	$10,721.60
Max. Negotiated Rate	$10,721.60
Rate for Payer: AHCCCS Medicaid	$10,721.60
Rate for Payer: Allwell Medicaid	$10,721.60
Rate for Payer: AZCH Complete Medicaid	$10,721.60
Rate for Payer: Banner UC Health Medicaid	$10,721.60
Rate for Payer: Mercy Care Medicaid	$10,721.60

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,290.27

Service Code	APR-DRG 1431
Hospital Charge Code	APRDRG1434
Min. Negotiated Rate	$3,290.27
Max. Negotiated Rate	$3,290.27
Rate for Payer: AHCCCS Medicaid	$3,290.27
Rate for Payer: Allwell Medicaid	$3,290.27
Rate for Payer: AZCH Complete Medicaid	$3,290.27
Rate for Payer: Banner UC Health Medicaid	$3,290.27
Rate for Payer: Mercy Care Medicaid	$3,290.27

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,897.57

Service Code	APR-DRG 1433
Hospital Charge Code	APRDRG1433
Min. Negotiated Rate	$6,897.57
Max. Negotiated Rate	$6,897.57
Rate for Payer: AHCCCS Medicaid	$6,897.57
Rate for Payer: Allwell Medicaid	$6,897.57
Rate for Payer: AZCH Complete Medicaid	$6,897.57
Rate for Payer: Banner UC Health Medicaid	$6,897.57
Rate for Payer: Mercy Care Medicaid	$6,897.57

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$6,897.57

Service Code	APR-DRG 1433
Hospital Charge Code	APRDRG1432
Min. Negotiated Rate	$6,897.57
Max. Negotiated Rate	$6,897.57
Rate for Payer: AHCCCS Medicaid	$6,897.57
Rate for Payer: Allwell Medicaid	$6,897.57
Rate for Payer: AZCH Complete Medicaid	$6,897.57
Rate for Payer: Banner UC Health Medicaid	$6,897.57
Rate for Payer: Mercy Care Medicaid	$6,897.57

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,782.85

Service Code	APR-DRG 1432
Hospital Charge Code	APRDRG1432
Min. Negotiated Rate	$4,782.85
Max. Negotiated Rate	$4,782.85
Rate for Payer: AHCCCS Medicaid	$4,782.85
Rate for Payer: Allwell Medicaid	$4,782.85
Rate for Payer: AZCH Complete Medicaid	$4,782.85
Rate for Payer: Banner UC Health Medicaid	$4,782.85
Rate for Payer: Mercy Care Medicaid	$4,782.85

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$4,782.85

Service Code	APR-DRG 1432
Hospital Charge Code	APRDRG1431
Min. Negotiated Rate	$4,782.85
Max. Negotiated Rate	$4,782.85
Rate for Payer: AHCCCS Medicaid	$4,782.85
Rate for Payer: Allwell Medicaid	$4,782.85
Rate for Payer: AZCH Complete Medicaid	$4,782.85
Rate for Payer: Banner UC Health Medicaid	$4,782.85
Rate for Payer: Mercy Care Medicaid	$4,782.85

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$10,721.60

Service Code	APR-DRG 1434
Hospital Charge Code	APRDRG1433
Min. Negotiated Rate	$10,721.60
Max. Negotiated Rate	$10,721.60
Rate for Payer: AHCCCS Medicaid	$10,721.60
Rate for Payer: Allwell Medicaid	$10,721.60
Rate for Payer: AZCH Complete Medicaid	$10,721.60
Rate for Payer: Banner UC Health Medicaid	$10,721.60
Rate for Payer: Mercy Care Medicaid	$10,721.60

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,290.27

Service Code	APR-DRG 1431
Hospital Charge Code	APRDRG1433
Min. Negotiated Rate	$3,290.27
Max. Negotiated Rate	$3,290.27
Rate for Payer: AHCCCS Medicaid	$3,290.27
Rate for Payer: Allwell Medicaid	$3,290.27
Rate for Payer: AZCH Complete Medicaid	$3,290.27
Rate for Payer: Banner UC Health Medicaid	$3,290.27
Rate for Payer: Mercy Care Medicaid	$3,290.27

Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses

Facility

IP

$3,290.27

Service Code	APR-DRG 1431
Hospital Charge Code	APRDRG1431
Min. Negotiated Rate	$3,290.27
Max. Negotiated Rate	$3,290.27
Rate for Payer: AHCCCS Medicaid	$3,290.27
Rate for Payer: Allwell Medicaid	$3,290.27
Rate for Payer: AZCH Complete Medicaid	$3,290.27
Rate for Payer: Banner UC Health Medicaid	$3,290.27
Rate for Payer: Mercy Care Medicaid	$3,290.27

Other Significant Hip And Femur Surgery

Facility

IP

$9,220.60

Service Code	APR-DRG 3091
Hospital Charge Code	APRDRG3093
Min. Negotiated Rate	$9,220.60
Max. Negotiated Rate	$9,220.60
Rate for Payer: AHCCCS Medicaid	$9,220.60
Rate for Payer: Allwell Medicaid	$9,220.60
Rate for Payer: AZCH Complete Medicaid	$9,220.60
Rate for Payer: Banner UC Health Medicaid	$9,220.60
Rate for Payer: Mercy Care Medicaid	$9,220.60

Other Significant Hip And Femur Surgery

Facility

IP

$12,185.42

Service Code	APR-DRG 3092
Hospital Charge Code	APRDRG3093
Min. Negotiated Rate	$12,185.42
Max. Negotiated Rate	$12,185.42
Rate for Payer: AHCCCS Medicaid	$12,185.42
Rate for Payer: Allwell Medicaid	$12,185.42
Rate for Payer: AZCH Complete Medicaid	$12,185.42
Rate for Payer: Banner UC Health Medicaid	$12,185.42
Rate for Payer: Mercy Care Medicaid	$12,185.42

Other Significant Hip And Femur Surgery

Facility

IP

$17,915.86

Service Code	APR-DRG 3093
Hospital Charge Code	APRDRG3093
Min. Negotiated Rate	$17,915.86
Max. Negotiated Rate	$17,915.86
Rate for Payer: AHCCCS Medicaid	$17,915.86
Rate for Payer: Allwell Medicaid	$17,915.86
Rate for Payer: AZCH Complete Medicaid	$17,915.86
Rate for Payer: Banner UC Health Medicaid	$17,915.86
Rate for Payer: Mercy Care Medicaid	$17,915.86

Other Significant Hip And Femur Surgery

Facility

IP

$29,232.95

Service Code	APR-DRG 3094
Hospital Charge Code	APRDRG3091
Min. Negotiated Rate	$29,232.95
Max. Negotiated Rate	$29,232.95
Rate for Payer: AHCCCS Medicaid	$29,232.95
Rate for Payer: Allwell Medicaid	$29,232.95
Rate for Payer: AZCH Complete Medicaid	$29,232.95
Rate for Payer: Banner UC Health Medicaid	$29,232.95
Rate for Payer: Mercy Care Medicaid	$29,232.95

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