Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$7,709.79

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG6392
Min. Negotiated Rate	$7,709.79
Max. Negotiated Rate	$7,709.79
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,709.79
Rate for Payer: Mercy Care Medicaid	$7,709.79
Rate for Payer: NaphCare Correctional Healthcare	$7,709.79

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$3,922.93

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG6393
Min. Negotiated Rate	$3,922.93
Max. Negotiated Rate	$3,922.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,922.93
Rate for Payer: Mercy Care Medicaid	$3,922.93
Rate for Payer: NaphCare Correctional Healthcare	$3,922.93

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$7,709.79

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG6391
Min. Negotiated Rate	$7,709.79
Max. Negotiated Rate	$7,709.79
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,709.79
Rate for Payer: Mercy Care Medicaid	$7,709.79
Rate for Payer: NaphCare Correctional Healthcare	$7,709.79

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$17,697.72

Service Code	APR-DRG 6394
Hospital Charge Code	APRDRG6393
Min. Negotiated Rate	$17,697.72
Max. Negotiated Rate	$17,697.72
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,697.72
Rate for Payer: Mercy Care Medicaid	$17,697.72
Rate for Payer: NaphCare Correctional Healthcare	$17,697.72

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$13,297.84

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG6392
Min. Negotiated Rate	$13,297.84
Max. Negotiated Rate	$13,297.84
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,297.84
Rate for Payer: Mercy Care Medicaid	$13,297.84
Rate for Payer: NaphCare Correctional Healthcare	$13,297.84

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$13,297.84

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG6393
Min. Negotiated Rate	$13,297.84
Max. Negotiated Rate	$13,297.84
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,297.84
Rate for Payer: Mercy Care Medicaid	$13,297.84
Rate for Payer: NaphCare Correctional Healthcare	$13,297.84

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$7,709.79

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG6394
Min. Negotiated Rate	$7,709.79
Max. Negotiated Rate	$7,709.79
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,709.79
Rate for Payer: Mercy Care Medicaid	$7,709.79
Rate for Payer: NaphCare Correctional Healthcare	$7,709.79

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$3,922.93

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG6391
Min. Negotiated Rate	$3,922.93
Max. Negotiated Rate	$3,922.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,922.93
Rate for Payer: Mercy Care Medicaid	$3,922.93
Rate for Payer: NaphCare Correctional Healthcare	$3,922.93

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$7,709.79

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG6393
Min. Negotiated Rate	$7,709.79
Max. Negotiated Rate	$7,709.79
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,709.79
Rate for Payer: Mercy Care Medicaid	$7,709.79
Rate for Payer: NaphCare Correctional Healthcare	$7,709.79

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$13,297.84

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG6391
Min. Negotiated Rate	$13,297.84
Max. Negotiated Rate	$13,297.84
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,297.84
Rate for Payer: Mercy Care Medicaid	$13,297.84
Rate for Payer: NaphCare Correctional Healthcare	$13,297.84

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$17,697.72

Service Code	APR-DRG 6394
Hospital Charge Code	APRDRG6394
Min. Negotiated Rate	$17,697.72
Max. Negotiated Rate	$17,697.72
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,697.72
Rate for Payer: Mercy Care Medicaid	$17,697.72
Rate for Payer: NaphCare Correctional Healthcare	$17,697.72

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$3,922.93

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG6394
Min. Negotiated Rate	$3,922.93
Max. Negotiated Rate	$3,922.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,922.93
Rate for Payer: Mercy Care Medicaid	$3,922.93
Rate for Payer: NaphCare Correctional Healthcare	$3,922.93

Neonate Birth Weight > 2499 Grams With Other Significant Condition

Facility

IP

$3,922.93

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG6392
Min. Negotiated Rate	$3,922.93
Max. Negotiated Rate	$3,922.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$3,922.93
Rate for Payer: Mercy Care Medicaid	$3,922.93
Rate for Payer: NaphCare Correctional Healthcare	$3,922.93

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

Facility

IP

$4,420.22

Service Code	APR-DRG 6341
Hospital Charge Code	APRDRG6343
Min. Negotiated Rate	$4,420.22
Max. Negotiated Rate	$4,420.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,420.22
Rate for Payer: Mercy Care Medicaid	$4,420.22
Rate for Payer: NaphCare Correctional Healthcare	$4,420.22

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

Facility

IP

$8,599.16

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG6342
Min. Negotiated Rate	$8,599.16
Max. Negotiated Rate	$8,599.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,599.16
Rate for Payer: Mercy Care Medicaid	$8,599.16
Rate for Payer: NaphCare Correctional Healthcare	$8,599.16

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

Facility

IP

$31,339.25

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG6342
Min. Negotiated Rate	$31,339.25
Max. Negotiated Rate	$31,339.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$31,339.25
Rate for Payer: Mercy Care Medicaid	$31,339.25
Rate for Payer: NaphCare Correctional Healthcare	$31,339.25

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

Facility

IP

$12,446.34

Service Code	APR-DRG 6343
Hospital Charge Code	APRDRG6342
Min. Negotiated Rate	$12,446.34
Max. Negotiated Rate	$12,446.34
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,446.34
Rate for Payer: Mercy Care Medicaid	$12,446.34
Rate for Payer: NaphCare Correctional Healthcare	$12,446.34

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

Facility

IP

$4,420.22

Service Code	APR-DRG 6341
Hospital Charge Code	APRDRG6341
Min. Negotiated Rate	$4,420.22
Max. Negotiated Rate	$4,420.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,420.22
Rate for Payer: Mercy Care Medicaid	$4,420.22
Rate for Payer: NaphCare Correctional Healthcare	$4,420.22

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

Facility

IP

$31,339.25

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG6343
Min. Negotiated Rate	$31,339.25
Max. Negotiated Rate	$31,339.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$31,339.25
Rate for Payer: Mercy Care Medicaid	$31,339.25
Rate for Payer: NaphCare Correctional Healthcare	$31,339.25

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

Facility

IP

$8,599.16

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG6344
Min. Negotiated Rate	$8,599.16
Max. Negotiated Rate	$8,599.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,599.16
Rate for Payer: Mercy Care Medicaid	$8,599.16
Rate for Payer: NaphCare Correctional Healthcare	$8,599.16

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

Facility

IP

$31,339.25

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG6344
Min. Negotiated Rate	$31,339.25
Max. Negotiated Rate	$31,339.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$31,339.25
Rate for Payer: Mercy Care Medicaid	$31,339.25
Rate for Payer: NaphCare Correctional Healthcare	$31,339.25

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

Facility

IP

$8,599.16

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG6343
Min. Negotiated Rate	$8,599.16
Max. Negotiated Rate	$8,599.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,599.16
Rate for Payer: Mercy Care Medicaid	$8,599.16
Rate for Payer: NaphCare Correctional Healthcare	$8,599.16

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

Facility

IP

$8,599.16

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG6341
Min. Negotiated Rate	$8,599.16
Max. Negotiated Rate	$8,599.16
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,599.16
Rate for Payer: Mercy Care Medicaid	$8,599.16
Rate for Payer: NaphCare Correctional Healthcare	$8,599.16

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

Facility

IP

$12,446.34

Service Code	APR-DRG 6343
Hospital Charge Code	APRDRG6343
Min. Negotiated Rate	$12,446.34
Max. Negotiated Rate	$12,446.34
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,446.34
Rate for Payer: Mercy Care Medicaid	$12,446.34
Rate for Payer: NaphCare Correctional Healthcare	$12,446.34

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

Facility

IP

$4,420.22

Service Code	APR-DRG 6341
Hospital Charge Code	APRDRG6342
Min. Negotiated Rate	$4,420.22
Max. Negotiated Rate	$4,420.22
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,420.22
Rate for Payer: Mercy Care Medicaid	$4,420.22
Rate for Payer: NaphCare Correctional Healthcare	$4,420.22

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