Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16
Rate for Payer: NaphCare Correctional Healthcare	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36
Rate for Payer: NaphCare Correctional Healthcare	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11
Rate for Payer: NaphCare Correctional Healthcare	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04
Rate for Payer: NaphCare Correctional Healthcare	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16
Rate for Payer: NaphCare Correctional Healthcare	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11
Rate for Payer: NaphCare Correctional Healthcare	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04
Rate for Payer: NaphCare Correctional Healthcare	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16
Rate for Payer: NaphCare Correctional Healthcare	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36
Rate for Payer: NaphCare Correctional Healthcare	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6334
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36
Rate for Payer: NaphCare Correctional Healthcare	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6333
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04
Rate for Payer: NaphCare Correctional Healthcare	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$46,523.16

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$46,523.16
Max. Negotiated Rate	$46,523.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$46,523.16
Rate for Payer: Mercy Care Medicaid	$46,523.16
Rate for Payer: NaphCare Correctional Healthcare	$46,523.16

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$19,568.36

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG6331
Min. Negotiated Rate	$19,568.36
Max. Negotiated Rate	$19,568.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$19,568.36
Rate for Payer: Mercy Care Medicaid	$19,568.36
Rate for Payer: NaphCare Correctional Healthcare	$19,568.36

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$7,082.04

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$7,082.04
Max. Negotiated Rate	$7,082.04
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,082.04
Rate for Payer: Mercy Care Medicaid	$7,082.04
Rate for Payer: NaphCare Correctional Healthcare	$7,082.04

Neonate Birth Weight > 2499 Grams With Major Anomaly

Facility

IP

$1,907.11

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG6332
Min. Negotiated Rate	$1,907.11
Max. Negotiated Rate	$1,907.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,907.11
Rate for Payer: Mercy Care Medicaid	$1,907.11
Rate for Payer: NaphCare Correctional Healthcare	$1,907.11

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6301
Min. Negotiated Rate	$33,012.09
Max. Negotiated Rate	$33,012.09
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$33,012.09
Rate for Payer: Mercy Care Medicaid	$33,012.09
Rate for Payer: NaphCare Correctional Healthcare	$33,012.09

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6304
Min. Negotiated Rate	$33,012.09
Max. Negotiated Rate	$33,012.09
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$33,012.09
Rate for Payer: Mercy Care Medicaid	$33,012.09
Rate for Payer: NaphCare Correctional Healthcare	$33,012.09

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6303
Min. Negotiated Rate	$33,012.09
Max. Negotiated Rate	$33,012.09
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$33,012.09
Rate for Payer: Mercy Care Medicaid	$33,012.09
Rate for Payer: NaphCare Correctional Healthcare	$33,012.09

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6301
Min. Negotiated Rate	$118,789.10
Max. Negotiated Rate	$118,789.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$118,789.10
Rate for Payer: Mercy Care Medicaid	$118,789.10
Rate for Payer: NaphCare Correctional Healthcare	$118,789.10

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$59,310.38

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG6301
Min. Negotiated Rate	$59,310.38
Max. Negotiated Rate	$59,310.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$59,310.38
Rate for Payer: Mercy Care Medicaid	$59,310.38
Rate for Payer: NaphCare Correctional Healthcare	$59,310.38

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$20,400.92

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG6304
Min. Negotiated Rate	$20,400.92
Max. Negotiated Rate	$20,400.92
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,400.92
Rate for Payer: Mercy Care Medicaid	$20,400.92
Rate for Payer: NaphCare Correctional Healthcare	$20,400.92

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$33,012.09

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG6302
Min. Negotiated Rate	$33,012.09
Max. Negotiated Rate	$33,012.09
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$33,012.09
Rate for Payer: Mercy Care Medicaid	$33,012.09
Rate for Payer: NaphCare Correctional Healthcare	$33,012.09

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$20,400.92

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG6303
Min. Negotiated Rate	$20,400.92
Max. Negotiated Rate	$20,400.92
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$20,400.92
Rate for Payer: Mercy Care Medicaid	$20,400.92
Rate for Payer: NaphCare Correctional Healthcare	$20,400.92

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$59,310.38

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG6303
Min. Negotiated Rate	$59,310.38
Max. Negotiated Rate	$59,310.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$59,310.38
Rate for Payer: Mercy Care Medicaid	$59,310.38
Rate for Payer: NaphCare Correctional Healthcare	$59,310.38

Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure

Facility

IP

$118,789.10

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG6304
Min. Negotiated Rate	$118,789.10
Max. Negotiated Rate	$118,789.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$118,789.10
Rate for Payer: Mercy Care Medicaid	$118,789.10
Rate for Payer: NaphCare Correctional Healthcare	$118,789.10

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