Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight 2000-2499 Grams With Other Significant Condition

Facility

IP

$51,634.96

Service Code	APR-DRG 6254
Hospital Charge Code	APRDRG6252
Min. Negotiated Rate	$51,634.96
Max. Negotiated Rate	$51,634.96
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$51,634.96
Rate for Payer: Mercy Care Medicaid	$51,634.96
Rate for Payer: NaphCare Correctional Healthcare	$51,634.96

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$14,906.15

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG6223
Min. Negotiated Rate	$14,906.15
Max. Negotiated Rate	$14,906.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,906.15
Rate for Payer: Mercy Care Medicaid	$14,906.15
Rate for Payer: NaphCare Correctional Healthcare	$14,906.15

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$20,407.23

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG6224
Min. Negotiated Rate	$20,407.23
Max. Negotiated Rate	$20,407.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,407.23
Rate for Payer: Mercy Care Medicaid	$20,407.23
Rate for Payer: NaphCare Correctional Healthcare	$20,407.23

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$36,513.48

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG6222
Min. Negotiated Rate	$36,513.48
Max. Negotiated Rate	$36,513.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$36,513.48
Rate for Payer: Mercy Care Medicaid	$36,513.48
Rate for Payer: NaphCare Correctional Healthcare	$36,513.48

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$10,227.11

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG6224
Min. Negotiated Rate	$10,227.11
Max. Negotiated Rate	$10,227.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,227.11
Rate for Payer: Mercy Care Medicaid	$10,227.11
Rate for Payer: NaphCare Correctional Healthcare	$10,227.11

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$14,906.15

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG6221
Min. Negotiated Rate	$14,906.15
Max. Negotiated Rate	$14,906.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,906.15
Rate for Payer: Mercy Care Medicaid	$14,906.15
Rate for Payer: NaphCare Correctional Healthcare	$14,906.15

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$36,513.48

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG6221
Min. Negotiated Rate	$36,513.48
Max. Negotiated Rate	$36,513.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$36,513.48
Rate for Payer: Mercy Care Medicaid	$36,513.48
Rate for Payer: NaphCare Correctional Healthcare	$36,513.48

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$10,227.11

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG6223
Min. Negotiated Rate	$10,227.11
Max. Negotiated Rate	$10,227.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,227.11
Rate for Payer: Mercy Care Medicaid	$10,227.11
Rate for Payer: NaphCare Correctional Healthcare	$10,227.11

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$10,227.11

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG6222
Min. Negotiated Rate	$10,227.11
Max. Negotiated Rate	$10,227.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,227.11
Rate for Payer: Mercy Care Medicaid	$10,227.11
Rate for Payer: NaphCare Correctional Healthcare	$10,227.11

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$20,407.23

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG6222
Min. Negotiated Rate	$20,407.23
Max. Negotiated Rate	$20,407.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,407.23
Rate for Payer: Mercy Care Medicaid	$20,407.23
Rate for Payer: NaphCare Correctional Healthcare	$20,407.23

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$20,407.23

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG6223
Min. Negotiated Rate	$20,407.23
Max. Negotiated Rate	$20,407.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,407.23
Rate for Payer: Mercy Care Medicaid	$20,407.23
Rate for Payer: NaphCare Correctional Healthcare	$20,407.23

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$14,906.15

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG6224
Min. Negotiated Rate	$14,906.15
Max. Negotiated Rate	$14,906.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,906.15
Rate for Payer: Mercy Care Medicaid	$14,906.15
Rate for Payer: NaphCare Correctional Healthcare	$14,906.15

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$36,513.48

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG6224
Min. Negotiated Rate	$36,513.48
Max. Negotiated Rate	$36,513.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$36,513.48
Rate for Payer: Mercy Care Medicaid	$36,513.48
Rate for Payer: NaphCare Correctional Healthcare	$36,513.48

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$14,906.15

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG6222
Min. Negotiated Rate	$14,906.15
Max. Negotiated Rate	$14,906.15
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,906.15
Rate for Payer: Mercy Care Medicaid	$14,906.15
Rate for Payer: NaphCare Correctional Healthcare	$14,906.15

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$20,407.23

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG6221
Min. Negotiated Rate	$20,407.23
Max. Negotiated Rate	$20,407.23
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,407.23
Rate for Payer: Mercy Care Medicaid	$20,407.23
Rate for Payer: NaphCare Correctional Healthcare	$20,407.23

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$10,227.11

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG6221
Min. Negotiated Rate	$10,227.11
Max. Negotiated Rate	$10,227.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$10,227.11
Rate for Payer: Mercy Care Medicaid	$10,227.11
Rate for Payer: NaphCare Correctional Healthcare	$10,227.11

Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition

Facility

IP

$36,513.48

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG6223
Min. Negotiated Rate	$36,513.48
Max. Negotiated Rate	$36,513.48
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$36,513.48
Rate for Payer: Mercy Care Medicaid	$36,513.48
Rate for Payer: NaphCare Correctional Healthcare	$36,513.48

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$17,536.40

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG6404
Min. Negotiated Rate	$17,536.40
Max. Negotiated Rate	$17,536.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,536.40
Rate for Payer: Mercy Care Medicaid	$17,536.40
Rate for Payer: NaphCare Correctional Healthcare	$17,536.40

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$2,353.20

Service Code	APR-DRG 6403
Hospital Charge Code	APRDRG6404
Min. Negotiated Rate	$2,353.20
Max. Negotiated Rate	$2,353.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,353.20
Rate for Payer: Mercy Care Medicaid	$2,353.20
Rate for Payer: NaphCare Correctional Healthcare	$2,353.20

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$692.28

Service Code	APR-DRG 6401
Hospital Charge Code	APRDRG6404
Min. Negotiated Rate	$692.28
Max. Negotiated Rate	$692.28
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$692.28
Rate for Payer: Mercy Care Medicaid	$692.28
Rate for Payer: NaphCare Correctional Healthcare	$692.28

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$17,536.40

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG6403
Min. Negotiated Rate	$17,536.40
Max. Negotiated Rate	$17,536.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,536.40
Rate for Payer: Mercy Care Medicaid	$17,536.40
Rate for Payer: NaphCare Correctional Healthcare	$17,536.40

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$2,353.20

Service Code	APR-DRG 6403
Hospital Charge Code	APRDRG6403
Min. Negotiated Rate	$2,353.20
Max. Negotiated Rate	$2,353.20
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,353.20
Rate for Payer: Mercy Care Medicaid	$2,353.20
Rate for Payer: NaphCare Correctional Healthcare	$2,353.20

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$1,007.21

Service Code	APR-DRG 6402
Hospital Charge Code	APRDRG6404
Min. Negotiated Rate	$1,007.21
Max. Negotiated Rate	$1,007.21
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,007.21
Rate for Payer: Mercy Care Medicaid	$1,007.21
Rate for Payer: NaphCare Correctional Healthcare	$1,007.21

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$692.28

Service Code	APR-DRG 6401
Hospital Charge Code	APRDRG6402
Min. Negotiated Rate	$692.28
Max. Negotiated Rate	$692.28
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$692.28
Rate for Payer: Mercy Care Medicaid	$692.28
Rate for Payer: NaphCare Correctional Healthcare	$692.28

Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem

Facility

IP

$17,536.40

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG6402
Min. Negotiated Rate	$17,536.40
Max. Negotiated Rate	$17,536.40
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,536.40
Rate for Payer: Mercy Care Medicaid	$17,536.40
Rate for Payer: NaphCare Correctional Healthcare	$17,536.40

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