Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Other Skin, Subcutaneous Tissue And Related Procedures

Facility

IP

$7,336.64

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG3644
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

$5,287.85

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG3644
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	APRDRG3643
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

$7,336.64

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG3642
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

$5,287.85

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG3641
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

$23,238.08

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG3643
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 Small And Large Bowel Procedures

Facility

IP

$9,722.81

Service Code	APR-DRG 2232
Hospital Charge Code	APRDRG2233
Min. Negotiated Rate	$9,722.81
Max. Negotiated Rate	$9,722.81
Rate for Payer: AHCCCS Medicaid	$9,722.81
Rate for Payer: Allwell Medicaid	$9,722.81
Rate for Payer: AZCH Complete Medicaid	$9,722.81
Rate for Payer: Banner UC Health Medicaid	$9,722.81
Rate for Payer: Mercy Care Medicaid	$9,722.81

Other Small And Large Bowel Procedures

Facility

IP

$6,718.71

Service Code	APR-DRG 2231
Hospital Charge Code	APRDRG2234
Min. Negotiated Rate	$6,718.71
Max. Negotiated Rate	$6,718.71
Rate for Payer: AHCCCS Medicaid	$6,718.71
Rate for Payer: Allwell Medicaid	$6,718.71
Rate for Payer: AZCH Complete Medicaid	$6,718.71
Rate for Payer: Banner UC Health Medicaid	$6,718.71
Rate for Payer: Mercy Care Medicaid	$6,718.71

Other Small And Large Bowel Procedures

Facility

IP

$9,722.81

Service Code	APR-DRG 2232
Hospital Charge Code	APRDRG2231
Min. Negotiated Rate	$9,722.81
Max. Negotiated Rate	$9,722.81
Rate for Payer: AHCCCS Medicaid	$9,722.81
Rate for Payer: Allwell Medicaid	$9,722.81
Rate for Payer: AZCH Complete Medicaid	$9,722.81
Rate for Payer: Banner UC Health Medicaid	$9,722.81
Rate for Payer: Mercy Care Medicaid	$9,722.81

Other Small And Large Bowel Procedures

Facility

IP

$6,718.71

Service Code	APR-DRG 2231
Hospital Charge Code	APRDRG2232
Min. Negotiated Rate	$6,718.71
Max. Negotiated Rate	$6,718.71
Rate for Payer: AHCCCS Medicaid	$6,718.71
Rate for Payer: Allwell Medicaid	$6,718.71
Rate for Payer: AZCH Complete Medicaid	$6,718.71
Rate for Payer: Banner UC Health Medicaid	$6,718.71
Rate for Payer: Mercy Care Medicaid	$6,718.71

Other Small And Large Bowel Procedures

Facility

IP

$14,578.60

Service Code	APR-DRG 2233
Hospital Charge Code	APRDRG2232
Min. Negotiated Rate	$14,578.60
Max. Negotiated Rate	$14,578.60
Rate for Payer: AHCCCS Medicaid	$14,578.60
Rate for Payer: Allwell Medicaid	$14,578.60
Rate for Payer: AZCH Complete Medicaid	$14,578.60
Rate for Payer: Banner UC Health Medicaid	$14,578.60
Rate for Payer: Mercy Care Medicaid	$14,578.60

Other Small And Large Bowel Procedures

Facility

IP

$9,722.81

Service Code	APR-DRG 2232
Hospital Charge Code	APRDRG2234
Min. Negotiated Rate	$9,722.81
Max. Negotiated Rate	$9,722.81
Rate for Payer: AHCCCS Medicaid	$9,722.81
Rate for Payer: Allwell Medicaid	$9,722.81
Rate for Payer: AZCH Complete Medicaid	$9,722.81
Rate for Payer: Banner UC Health Medicaid	$9,722.81
Rate for Payer: Mercy Care Medicaid	$9,722.81

Other Small And Large Bowel Procedures

Facility

IP

$14,578.60

Service Code	APR-DRG 2233
Hospital Charge Code	APRDRG2231
Min. Negotiated Rate	$14,578.60
Max. Negotiated Rate	$14,578.60
Rate for Payer: AHCCCS Medicaid	$14,578.60
Rate for Payer: Allwell Medicaid	$14,578.60
Rate for Payer: AZCH Complete Medicaid	$14,578.60
Rate for Payer: Banner UC Health Medicaid	$14,578.60
Rate for Payer: Mercy Care Medicaid	$14,578.60

Other Small And Large Bowel Procedures

Facility

IP

$27,320.93

Service Code	APR-DRG 2234
Hospital Charge Code	APRDRG2231
Min. Negotiated Rate	$27,320.93
Max. Negotiated Rate	$27,320.93
Rate for Payer: AHCCCS Medicaid	$27,320.93
Rate for Payer: Allwell Medicaid	$27,320.93
Rate for Payer: AZCH Complete Medicaid	$27,320.93
Rate for Payer: Banner UC Health Medicaid	$27,320.93
Rate for Payer: Mercy Care Medicaid	$27,320.93

Other Small And Large Bowel Procedures

Facility

IP

$6,718.71

Service Code	APR-DRG 2231
Hospital Charge Code	APRDRG2231
Min. Negotiated Rate	$6,718.71
Max. Negotiated Rate	$6,718.71
Rate for Payer: AHCCCS Medicaid	$6,718.71
Rate for Payer: Allwell Medicaid	$6,718.71
Rate for Payer: AZCH Complete Medicaid	$6,718.71
Rate for Payer: Banner UC Health Medicaid	$6,718.71
Rate for Payer: Mercy Care Medicaid	$6,718.71

Other Small And Large Bowel Procedures

Facility

IP

$14,578.60

Service Code	APR-DRG 2233
Hospital Charge Code	APRDRG2234
Min. Negotiated Rate	$14,578.60
Max. Negotiated Rate	$14,578.60
Rate for Payer: AHCCCS Medicaid	$14,578.60
Rate for Payer: Allwell Medicaid	$14,578.60
Rate for Payer: AZCH Complete Medicaid	$14,578.60
Rate for Payer: Banner UC Health Medicaid	$14,578.60
Rate for Payer: Mercy Care Medicaid	$14,578.60

Other Small And Large Bowel Procedures

Facility

IP

$27,320.93

Service Code	APR-DRG 2234
Hospital Charge Code	APRDRG2232
Min. Negotiated Rate	$27,320.93
Max. Negotiated Rate	$27,320.93
Rate for Payer: AHCCCS Medicaid	$27,320.93
Rate for Payer: Allwell Medicaid	$27,320.93
Rate for Payer: AZCH Complete Medicaid	$27,320.93
Rate for Payer: Banner UC Health Medicaid	$27,320.93
Rate for Payer: Mercy Care Medicaid	$27,320.93

Other Small And Large Bowel Procedures

Facility

IP

$9,722.81

Service Code	APR-DRG 2232
Hospital Charge Code	APRDRG2232
Min. Negotiated Rate	$9,722.81
Max. Negotiated Rate	$9,722.81
Rate for Payer: AHCCCS Medicaid	$9,722.81
Rate for Payer: Allwell Medicaid	$9,722.81
Rate for Payer: AZCH Complete Medicaid	$9,722.81
Rate for Payer: Banner UC Health Medicaid	$9,722.81
Rate for Payer: Mercy Care Medicaid	$9,722.81

Other Small And Large Bowel Procedures

Facility

IP

$27,320.93

Service Code	APR-DRG 2234
Hospital Charge Code	APRDRG2234
Min. Negotiated Rate	$27,320.93
Max. Negotiated Rate	$27,320.93
Rate for Payer: AHCCCS Medicaid	$27,320.93
Rate for Payer: Allwell Medicaid	$27,320.93
Rate for Payer: AZCH Complete Medicaid	$27,320.93
Rate for Payer: Banner UC Health Medicaid	$27,320.93
Rate for Payer: Mercy Care Medicaid	$27,320.93

Other Small And Large Bowel Procedures

Facility

IP

$27,320.93

Service Code	APR-DRG 2234
Hospital Charge Code	APRDRG2233
Min. Negotiated Rate	$27,320.93
Max. Negotiated Rate	$27,320.93
Rate for Payer: AHCCCS Medicaid	$27,320.93
Rate for Payer: Allwell Medicaid	$27,320.93
Rate for Payer: AZCH Complete Medicaid	$27,320.93
Rate for Payer: Banner UC Health Medicaid	$27,320.93
Rate for Payer: Mercy Care Medicaid	$27,320.93

Other Small And Large Bowel Procedures

Facility

IP

$14,578.60

Service Code	APR-DRG 2233
Hospital Charge Code	APRDRG2233
Min. Negotiated Rate	$14,578.60
Max. Negotiated Rate	$14,578.60
Rate for Payer: AHCCCS Medicaid	$14,578.60
Rate for Payer: Allwell Medicaid	$14,578.60
Rate for Payer: AZCH Complete Medicaid	$14,578.60
Rate for Payer: Banner UC Health Medicaid	$14,578.60
Rate for Payer: Mercy Care Medicaid	$14,578.60

Other Small And Large Bowel Procedures

Facility

IP

$6,718.71

Service Code	APR-DRG 2231
Hospital Charge Code	APRDRG2233
Min. Negotiated Rate	$6,718.71
Max. Negotiated Rate	$6,718.71
Rate for Payer: AHCCCS Medicaid	$6,718.71
Rate for Payer: Allwell Medicaid	$6,718.71
Rate for Payer: AZCH Complete Medicaid	$6,718.71
Rate for Payer: Banner UC Health Medicaid	$6,718.71
Rate for Payer: Mercy Care Medicaid	$6,718.71

Other Stomach, Esophageal And Duodenal Procedures

Facility

IP

$8,136.94

Service Code	APR-DRG 2222
Hospital Charge Code	APRDRG2221
Min. Negotiated Rate	$8,136.94
Max. Negotiated Rate	$8,136.94
Rate for Payer: AHCCCS Medicaid	$8,136.94
Rate for Payer: Allwell Medicaid	$8,136.94
Rate for Payer: AZCH Complete Medicaid	$8,136.94
Rate for Payer: Banner UC Health Medicaid	$8,136.94
Rate for Payer: Mercy Care Medicaid	$8,136.94

Other Stomach, Esophageal And Duodenal Procedures

Facility

IP

$5,064.81

Service Code	APR-DRG 2221
Hospital Charge Code	APRDRG2224
Min. Negotiated Rate	$5,064.81
Max. Negotiated Rate	$5,064.81
Rate for Payer: AHCCCS Medicaid	$5,064.81
Rate for Payer: Allwell Medicaid	$5,064.81
Rate for Payer: AZCH Complete Medicaid	$5,064.81
Rate for Payer: Banner UC Health Medicaid	$5,064.81
Rate for Payer: Mercy Care Medicaid	$5,064.81

Other Stomach, Esophageal And Duodenal Procedures

Facility

IP

$5,064.81

Service Code	APR-DRG 2221
Hospital Charge Code	APRDRG2221
Min. Negotiated Rate	$5,064.81
Max. Negotiated Rate	$5,064.81
Rate for Payer: AHCCCS Medicaid	$5,064.81
Rate for Payer: Allwell Medicaid	$5,064.81
Rate for Payer: AZCH Complete Medicaid	$5,064.81
Rate for Payer: Banner UC Health Medicaid	$5,064.81
Rate for Payer: Mercy Care Medicaid	$5,064.81

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