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All Charges

Charge Type Setting Price  
Service Code APR-DRG 1744
Hospital Charge Code APRDRG1742
Min. Negotiated Rate $25,371.74
Max. Negotiated Rate $25,371.74
Rate for Payer: AHCCCS Medicaid $25,371.74
Rate for Payer: Allwell Medicaid $25,371.74
Rate for Payer: AZCH Complete Medicaid $25,371.74
Rate for Payer: Banner UC Health Medicaid $25,371.74
Rate for Payer: Mercy Care Medicaid $25,371.74
Service Code APR-DRG 1741
Hospital Charge Code APRDRG1744
Min. Negotiated Rate $12,050.75
Max. Negotiated Rate $12,050.75
Rate for Payer: AHCCCS Medicaid $12,050.75
Rate for Payer: Allwell Medicaid $12,050.75
Rate for Payer: AZCH Complete Medicaid $12,050.75
Rate for Payer: Banner UC Health Medicaid $12,050.75
Rate for Payer: Mercy Care Medicaid $12,050.75
Service Code APR-DRG 1743
Hospital Charge Code APRDRG1743
Min. Negotiated Rate $17,279.69
Max. Negotiated Rate $17,279.69
Rate for Payer: AHCCCS Medicaid $17,279.69
Rate for Payer: Allwell Medicaid $17,279.69
Rate for Payer: AZCH Complete Medicaid $17,279.69
Rate for Payer: Banner UC Health Medicaid $17,279.69
Rate for Payer: Mercy Care Medicaid $17,279.69
Service Code APR-DRG 1741
Hospital Charge Code APRDRG1743
Min. Negotiated Rate $12,050.75
Max. Negotiated Rate $12,050.75
Rate for Payer: AHCCCS Medicaid $12,050.75
Rate for Payer: Allwell Medicaid $12,050.75
Rate for Payer: AZCH Complete Medicaid $12,050.75
Rate for Payer: Banner UC Health Medicaid $12,050.75
Rate for Payer: Mercy Care Medicaid $12,050.75
Service Code APR-DRG 1744
Hospital Charge Code APRDRG1743
Min. Negotiated Rate $25,371.74
Max. Negotiated Rate $25,371.74
Rate for Payer: AHCCCS Medicaid $25,371.74
Rate for Payer: Allwell Medicaid $25,371.74
Rate for Payer: AZCH Complete Medicaid $25,371.74
Rate for Payer: Banner UC Health Medicaid $25,371.74
Rate for Payer: Mercy Care Medicaid $25,371.74
Service Code APR-DRG 1744
Hospital Charge Code APRDRG1744
Min. Negotiated Rate $25,371.74
Max. Negotiated Rate $25,371.74
Rate for Payer: AHCCCS Medicaid $25,371.74
Rate for Payer: Allwell Medicaid $25,371.74
Rate for Payer: AZCH Complete Medicaid $25,371.74
Rate for Payer: Banner UC Health Medicaid $25,371.74
Rate for Payer: Mercy Care Medicaid $25,371.74
Service Code APR-DRG 1742
Hospital Charge Code APRDRG1744
Min. Negotiated Rate $13,351.15
Max. Negotiated Rate $13,351.15
Rate for Payer: AHCCCS Medicaid $13,351.15
Rate for Payer: Allwell Medicaid $13,351.15
Rate for Payer: AZCH Complete Medicaid $13,351.15
Rate for Payer: Banner UC Health Medicaid $13,351.15
Rate for Payer: Mercy Care Medicaid $13,351.15
Service Code APR-DRG 1742
Hospital Charge Code APRDRG1741
Min. Negotiated Rate $13,351.15
Max. Negotiated Rate $13,351.15
Rate for Payer: AHCCCS Medicaid $13,351.15
Rate for Payer: Allwell Medicaid $13,351.15
Rate for Payer: AZCH Complete Medicaid $13,351.15
Rate for Payer: Banner UC Health Medicaid $13,351.15
Rate for Payer: Mercy Care Medicaid $13,351.15
Service Code APR-DRG 1741
Hospital Charge Code APRDRG1741
Min. Negotiated Rate $12,050.75
Max. Negotiated Rate $12,050.75
Rate for Payer: AHCCCS Medicaid $12,050.75
Rate for Payer: Allwell Medicaid $12,050.75
Rate for Payer: AZCH Complete Medicaid $12,050.75
Rate for Payer: Banner UC Health Medicaid $12,050.75
Rate for Payer: Mercy Care Medicaid $12,050.75
Service Code APR-DRG 1744
Hospital Charge Code APRDRG1741
Min. Negotiated Rate $25,371.74
Max. Negotiated Rate $25,371.74
Rate for Payer: AHCCCS Medicaid $25,371.74
Rate for Payer: Allwell Medicaid $25,371.74
Rate for Payer: AZCH Complete Medicaid $25,371.74
Rate for Payer: Banner UC Health Medicaid $25,371.74
Rate for Payer: Mercy Care Medicaid $25,371.74
Service Code APR-DRG 1742
Hospital Charge Code APRDRG1743
Min. Negotiated Rate $13,351.15
Max. Negotiated Rate $13,351.15
Rate for Payer: AHCCCS Medicaid $13,351.15
Rate for Payer: Allwell Medicaid $13,351.15
Rate for Payer: AZCH Complete Medicaid $13,351.15
Rate for Payer: Banner UC Health Medicaid $13,351.15
Rate for Payer: Mercy Care Medicaid $13,351.15
Service Code APR-DRG 1751
Hospital Charge Code APRDRG1753
Min. Negotiated Rate $13,243.13
Max. Negotiated Rate $13,243.13
Rate for Payer: AHCCCS Medicaid $13,243.13
Rate for Payer: Allwell Medicaid $13,243.13
Rate for Payer: AZCH Complete Medicaid $13,243.13
Rate for Payer: Banner UC Health Medicaid $13,243.13
Rate for Payer: Mercy Care Medicaid $13,243.13
Service Code APR-DRG 1753
Hospital Charge Code APRDRG1754
Min. Negotiated Rate $18,408.24
Max. Negotiated Rate $18,408.24
Rate for Payer: AHCCCS Medicaid $18,408.24
Rate for Payer: Allwell Medicaid $18,408.24
Rate for Payer: AZCH Complete Medicaid $18,408.24
Rate for Payer: Banner UC Health Medicaid $18,408.24
Rate for Payer: Mercy Care Medicaid $18,408.24
Service Code APR-DRG 1752
Hospital Charge Code APRDRG1751
Min. Negotiated Rate $14,984.71
Max. Negotiated Rate $14,984.71
Rate for Payer: AHCCCS Medicaid $14,984.71
Rate for Payer: Allwell Medicaid $14,984.71
Rate for Payer: AZCH Complete Medicaid $14,984.71
Rate for Payer: Banner UC Health Medicaid $14,984.71
Rate for Payer: Mercy Care Medicaid $14,984.71
Service Code APR-DRG 1752
Hospital Charge Code APRDRG1753
Min. Negotiated Rate $14,984.71
Max. Negotiated Rate $14,984.71
Rate for Payer: AHCCCS Medicaid $14,984.71
Rate for Payer: Allwell Medicaid $14,984.71
Rate for Payer: AZCH Complete Medicaid $14,984.71
Rate for Payer: Banner UC Health Medicaid $14,984.71
Rate for Payer: Mercy Care Medicaid $14,984.71
Service Code APR-DRG 1754
Hospital Charge Code APRDRG1753
Min. Negotiated Rate $28,128.95
Max. Negotiated Rate $28,128.95
Rate for Payer: AHCCCS Medicaid $28,128.95
Rate for Payer: Allwell Medicaid $28,128.95
Rate for Payer: AZCH Complete Medicaid $28,128.95
Rate for Payer: Banner UC Health Medicaid $28,128.95
Rate for Payer: Mercy Care Medicaid $28,128.95
Service Code APR-DRG 1751
Hospital Charge Code APRDRG1751
Min. Negotiated Rate $13,243.13
Max. Negotiated Rate $13,243.13
Rate for Payer: AHCCCS Medicaid $13,243.13
Rate for Payer: Allwell Medicaid $13,243.13
Rate for Payer: AZCH Complete Medicaid $13,243.13
Rate for Payer: Banner UC Health Medicaid $13,243.13
Rate for Payer: Mercy Care Medicaid $13,243.13
Service Code APR-DRG 1754
Hospital Charge Code APRDRG1754
Min. Negotiated Rate $28,128.95
Max. Negotiated Rate $28,128.95
Rate for Payer: AHCCCS Medicaid $28,128.95
Rate for Payer: Allwell Medicaid $28,128.95
Rate for Payer: AZCH Complete Medicaid $28,128.95
Rate for Payer: Banner UC Health Medicaid $28,128.95
Rate for Payer: Mercy Care Medicaid $28,128.95
Service Code APR-DRG 1754
Hospital Charge Code APRDRG1752
Min. Negotiated Rate $28,128.95
Max. Negotiated Rate $28,128.95
Rate for Payer: AHCCCS Medicaid $28,128.95
Rate for Payer: Allwell Medicaid $28,128.95
Rate for Payer: AZCH Complete Medicaid $28,128.95
Rate for Payer: Banner UC Health Medicaid $28,128.95
Rate for Payer: Mercy Care Medicaid $28,128.95
Service Code APR-DRG 1754
Hospital Charge Code APRDRG1751
Min. Negotiated Rate $28,128.95
Max. Negotiated Rate $28,128.95
Rate for Payer: AHCCCS Medicaid $28,128.95
Rate for Payer: Allwell Medicaid $28,128.95
Rate for Payer: AZCH Complete Medicaid $28,128.95
Rate for Payer: Banner UC Health Medicaid $28,128.95
Rate for Payer: Mercy Care Medicaid $28,128.95
Service Code APR-DRG 1753
Hospital Charge Code APRDRG1753
Min. Negotiated Rate $18,408.24
Max. Negotiated Rate $18,408.24
Rate for Payer: AHCCCS Medicaid $18,408.24
Rate for Payer: Allwell Medicaid $18,408.24
Rate for Payer: AZCH Complete Medicaid $18,408.24
Rate for Payer: Banner UC Health Medicaid $18,408.24
Rate for Payer: Mercy Care Medicaid $18,408.24
Service Code APR-DRG 1751
Hospital Charge Code APRDRG1752
Min. Negotiated Rate $13,243.13
Max. Negotiated Rate $13,243.13
Rate for Payer: AHCCCS Medicaid $13,243.13
Rate for Payer: Allwell Medicaid $13,243.13
Rate for Payer: AZCH Complete Medicaid $13,243.13
Rate for Payer: Banner UC Health Medicaid $13,243.13
Rate for Payer: Mercy Care Medicaid $13,243.13
Service Code APR-DRG 1753
Hospital Charge Code APRDRG1752
Min. Negotiated Rate $18,408.24
Max. Negotiated Rate $18,408.24
Rate for Payer: AHCCCS Medicaid $18,408.24
Rate for Payer: Allwell Medicaid $18,408.24
Rate for Payer: AZCH Complete Medicaid $18,408.24
Rate for Payer: Banner UC Health Medicaid $18,408.24
Rate for Payer: Mercy Care Medicaid $18,408.24
Service Code APR-DRG 1752
Hospital Charge Code APRDRG1754
Min. Negotiated Rate $14,984.71
Max. Negotiated Rate $14,984.71
Rate for Payer: AHCCCS Medicaid $14,984.71
Rate for Payer: Allwell Medicaid $14,984.71
Rate for Payer: AZCH Complete Medicaid $14,984.71
Rate for Payer: Banner UC Health Medicaid $14,984.71
Rate for Payer: Mercy Care Medicaid $14,984.71
Service Code APR-DRG 1752
Hospital Charge Code APRDRG1752
Min. Negotiated Rate $14,984.71
Max. Negotiated Rate $14,984.71
Rate for Payer: AHCCCS Medicaid $14,984.71
Rate for Payer: Allwell Medicaid $14,984.71
Rate for Payer: AZCH Complete Medicaid $14,984.71
Rate for Payer: Banner UC Health Medicaid $14,984.71
Rate for Payer: Mercy Care Medicaid $14,984.71