Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Peripheral And Other Vascular Disorders

Facility

IP

$6,431.84

Service Code	APR-DRG 1973
Hospital Charge Code	APRDRG1974
Min. Negotiated Rate	$6,431.84
Max. Negotiated Rate	$6,431.84
Rate for Payer: AHCCCS Medicaid	$6,431.84
Rate for Payer: Allwell Medicaid	$6,431.84
Rate for Payer: AZCH Complete Medicaid	$6,431.84
Rate for Payer: Banner UC Health Medicaid	$6,431.84
Rate for Payer: Mercy Care Medicaid	$6,431.84

Peripheral And Other Vascular Disorders

Facility

IP

$13,418.48

Service Code	APR-DRG 1974
Hospital Charge Code	APRDRG1973
Min. Negotiated Rate	$13,418.48
Max. Negotiated Rate	$13,418.48
Rate for Payer: AHCCCS Medicaid	$13,418.48
Rate for Payer: Allwell Medicaid	$13,418.48
Rate for Payer: AZCH Complete Medicaid	$13,418.48
Rate for Payer: Banner UC Health Medicaid	$13,418.48
Rate for Payer: Mercy Care Medicaid	$13,418.48

Peripheral And Other Vascular Disorders

Facility

IP

$6,431.84

Service Code	APR-DRG 1973
Hospital Charge Code	APRDRG1973
Min. Negotiated Rate	$6,431.84
Max. Negotiated Rate	$6,431.84
Rate for Payer: AHCCCS Medicaid	$6,431.84
Rate for Payer: Allwell Medicaid	$6,431.84
Rate for Payer: AZCH Complete Medicaid	$6,431.84
Rate for Payer: Banner UC Health Medicaid	$6,431.84
Rate for Payer: Mercy Care Medicaid	$6,431.84

Peripheral And Other Vascular Disorders

Facility

IP

$6,431.84

Service Code	APR-DRG 1973
Hospital Charge Code	APRDRG1971
Min. Negotiated Rate	$6,431.84
Max. Negotiated Rate	$6,431.84
Rate for Payer: AHCCCS Medicaid	$6,431.84
Rate for Payer: Allwell Medicaid	$6,431.84
Rate for Payer: AZCH Complete Medicaid	$6,431.84
Rate for Payer: Banner UC Health Medicaid	$6,431.84
Rate for Payer: Mercy Care Medicaid	$6,431.84

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$7,108.69

Service Code	APR-DRG 0483
Hospital Charge Code	APRDRG0481
Min. Negotiated Rate	$7,108.69
Max. Negotiated Rate	$7,108.69
Rate for Payer: AHCCCS Medicaid	$7,108.69
Rate for Payer: Allwell Medicaid	$7,108.69
Rate for Payer: AZCH Complete Medicaid	$7,108.69
Rate for Payer: Banner UC Health Medicaid	$7,108.69
Rate for Payer: Mercy Care Medicaid	$7,108.69

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$14,633.31

Service Code	APR-DRG 0484
Hospital Charge Code	APRDRG0482
Min. Negotiated Rate	$14,633.31
Max. Negotiated Rate	$14,633.31
Rate for Payer: AHCCCS Medicaid	$14,633.31
Rate for Payer: Allwell Medicaid	$14,633.31
Rate for Payer: AZCH Complete Medicaid	$14,633.31
Rate for Payer: Banner UC Health Medicaid	$14,633.31
Rate for Payer: Mercy Care Medicaid	$14,633.31

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$7,108.69

Service Code	APR-DRG 0483
Hospital Charge Code	APRDRG0482
Min. Negotiated Rate	$7,108.69
Max. Negotiated Rate	$7,108.69
Rate for Payer: AHCCCS Medicaid	$7,108.69
Rate for Payer: Allwell Medicaid	$7,108.69
Rate for Payer: AZCH Complete Medicaid	$7,108.69
Rate for Payer: Banner UC Health Medicaid	$7,108.69
Rate for Payer: Mercy Care Medicaid	$7,108.69

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,945.57

Service Code	APR-DRG 0482
Hospital Charge Code	APRDRG0484
Min. Negotiated Rate	$4,945.57
Max. Negotiated Rate	$4,945.57
Rate for Payer: AHCCCS Medicaid	$4,945.57
Rate for Payer: Allwell Medicaid	$4,945.57
Rate for Payer: AZCH Complete Medicaid	$4,945.57
Rate for Payer: Banner UC Health Medicaid	$4,945.57
Rate for Payer: Mercy Care Medicaid	$4,945.57

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$14,633.31

Service Code	APR-DRG 0484
Hospital Charge Code	APRDRG0483
Min. Negotiated Rate	$14,633.31
Max. Negotiated Rate	$14,633.31
Rate for Payer: AHCCCS Medicaid	$14,633.31
Rate for Payer: Allwell Medicaid	$14,633.31
Rate for Payer: AZCH Complete Medicaid	$14,633.31
Rate for Payer: Banner UC Health Medicaid	$14,633.31
Rate for Payer: Mercy Care Medicaid	$14,633.31

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,945.57

Service Code	APR-DRG 0482
Hospital Charge Code	APRDRG0483
Min. Negotiated Rate	$4,945.57
Max. Negotiated Rate	$4,945.57
Rate for Payer: AHCCCS Medicaid	$4,945.57
Rate for Payer: Allwell Medicaid	$4,945.57
Rate for Payer: AZCH Complete Medicaid	$4,945.57
Rate for Payer: Banner UC Health Medicaid	$4,945.57
Rate for Payer: Mercy Care Medicaid	$4,945.57

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,326.94

Service Code	APR-DRG 0481
Hospital Charge Code	APRDRG0483
Min. Negotiated Rate	$4,326.94
Max. Negotiated Rate	$4,326.94
Rate for Payer: AHCCCS Medicaid	$4,326.94
Rate for Payer: Allwell Medicaid	$4,326.94
Rate for Payer: AZCH Complete Medicaid	$4,326.94
Rate for Payer: Banner UC Health Medicaid	$4,326.94
Rate for Payer: Mercy Care Medicaid	$4,326.94

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$14,633.31

Service Code	APR-DRG 0484
Hospital Charge Code	APRDRG0484
Min. Negotiated Rate	$14,633.31
Max. Negotiated Rate	$14,633.31
Rate for Payer: AHCCCS Medicaid	$14,633.31
Rate for Payer: Allwell Medicaid	$14,633.31
Rate for Payer: AZCH Complete Medicaid	$14,633.31
Rate for Payer: Banner UC Health Medicaid	$14,633.31
Rate for Payer: Mercy Care Medicaid	$14,633.31

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,945.57

Service Code	APR-DRG 0482
Hospital Charge Code	APRDRG0482
Min. Negotiated Rate	$4,945.57
Max. Negotiated Rate	$4,945.57
Rate for Payer: AHCCCS Medicaid	$4,945.57
Rate for Payer: Allwell Medicaid	$4,945.57
Rate for Payer: AZCH Complete Medicaid	$4,945.57
Rate for Payer: Banner UC Health Medicaid	$4,945.57
Rate for Payer: Mercy Care Medicaid	$4,945.57

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,326.94

Service Code	APR-DRG 0481
Hospital Charge Code	APRDRG0482
Min. Negotiated Rate	$4,326.94
Max. Negotiated Rate	$4,326.94
Rate for Payer: AHCCCS Medicaid	$4,326.94
Rate for Payer: Allwell Medicaid	$4,326.94
Rate for Payer: AZCH Complete Medicaid	$4,326.94
Rate for Payer: Banner UC Health Medicaid	$4,326.94
Rate for Payer: Mercy Care Medicaid	$4,326.94

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,326.94

Service Code	APR-DRG 0481
Hospital Charge Code	APRDRG0481
Min. Negotiated Rate	$4,326.94
Max. Negotiated Rate	$4,326.94
Rate for Payer: AHCCCS Medicaid	$4,326.94
Rate for Payer: Allwell Medicaid	$4,326.94
Rate for Payer: AZCH Complete Medicaid	$4,326.94
Rate for Payer: Banner UC Health Medicaid	$4,326.94
Rate for Payer: Mercy Care Medicaid	$4,326.94

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$14,633.31

Service Code	APR-DRG 0484
Hospital Charge Code	APRDRG0481
Min. Negotiated Rate	$14,633.31
Max. Negotiated Rate	$14,633.31
Rate for Payer: AHCCCS Medicaid	$14,633.31
Rate for Payer: Allwell Medicaid	$14,633.31
Rate for Payer: AZCH Complete Medicaid	$14,633.31
Rate for Payer: Banner UC Health Medicaid	$14,633.31
Rate for Payer: Mercy Care Medicaid	$14,633.31

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$7,108.69

Service Code	APR-DRG 0483
Hospital Charge Code	APRDRG0483
Min. Negotiated Rate	$7,108.69
Max. Negotiated Rate	$7,108.69
Rate for Payer: AHCCCS Medicaid	$7,108.69
Rate for Payer: Allwell Medicaid	$7,108.69
Rate for Payer: AZCH Complete Medicaid	$7,108.69
Rate for Payer: Banner UC Health Medicaid	$7,108.69
Rate for Payer: Mercy Care Medicaid	$7,108.69

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$7,108.69

Service Code	APR-DRG 0483
Hospital Charge Code	APRDRG0484
Min. Negotiated Rate	$7,108.69
Max. Negotiated Rate	$7,108.69
Rate for Payer: AHCCCS Medicaid	$7,108.69
Rate for Payer: Allwell Medicaid	$7,108.69
Rate for Payer: AZCH Complete Medicaid	$7,108.69
Rate for Payer: Banner UC Health Medicaid	$7,108.69
Rate for Payer: Mercy Care Medicaid	$7,108.69

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,945.57

Service Code	APR-DRG 0482
Hospital Charge Code	APRDRG0481
Min. Negotiated Rate	$4,945.57
Max. Negotiated Rate	$4,945.57
Rate for Payer: AHCCCS Medicaid	$4,945.57
Rate for Payer: Allwell Medicaid	$4,945.57
Rate for Payer: AZCH Complete Medicaid	$4,945.57
Rate for Payer: Banner UC Health Medicaid	$4,945.57
Rate for Payer: Mercy Care Medicaid	$4,945.57

Peripheral, Cranial And Autonomic Nerve Disorders

Facility

IP

$4,326.94

Service Code	APR-DRG 0481
Hospital Charge Code	APRDRG0484
Min. Negotiated Rate	$4,326.94
Max. Negotiated Rate	$4,326.94
Rate for Payer: AHCCCS Medicaid	$4,326.94
Rate for Payer: Allwell Medicaid	$4,326.94
Rate for Payer: AZCH Complete Medicaid	$4,326.94
Rate for Payer: Banner UC Health Medicaid	$4,326.94
Rate for Payer: Mercy Care Medicaid	$4,326.94

Peritoneal Adhesiolysis

Facility

IP

$7,725.92

Service Code	APR-DRG 2241
Hospital Charge Code	APRDRG2244
Min. Negotiated Rate	$7,725.92
Max. Negotiated Rate	$7,725.92
Rate for Payer: AHCCCS Medicaid	$7,725.92
Rate for Payer: Allwell Medicaid	$7,725.92
Rate for Payer: AZCH Complete Medicaid	$7,725.92
Rate for Payer: Banner UC Health Medicaid	$7,725.92
Rate for Payer: Mercy Care Medicaid	$7,725.92

Peritoneal Adhesiolysis

Facility

IP

$26,638.47

Service Code	APR-DRG 2244
Hospital Charge Code	APRDRG2244
Min. Negotiated Rate	$26,638.47
Max. Negotiated Rate	$26,638.47
Rate for Payer: AHCCCS Medicaid	$26,638.47
Rate for Payer: Allwell Medicaid	$26,638.47
Rate for Payer: AZCH Complete Medicaid	$26,638.47
Rate for Payer: Banner UC Health Medicaid	$26,638.47
Rate for Payer: Mercy Care Medicaid	$26,638.47

Peritoneal Adhesiolysis

Facility

IP

$7,725.92

Service Code	APR-DRG 2241
Hospital Charge Code	APRDRG2241
Min. Negotiated Rate	$7,725.92
Max. Negotiated Rate	$7,725.92
Rate for Payer: AHCCCS Medicaid	$7,725.92
Rate for Payer: Allwell Medicaid	$7,725.92
Rate for Payer: AZCH Complete Medicaid	$7,725.92
Rate for Payer: Banner UC Health Medicaid	$7,725.92
Rate for Payer: Mercy Care Medicaid	$7,725.92

Peritoneal Adhesiolysis

Facility

IP

$10,072.81

Service Code	APR-DRG 2242
Hospital Charge Code	APRDRG2244
Min. Negotiated Rate	$10,072.81
Max. Negotiated Rate	$10,072.81
Rate for Payer: AHCCCS Medicaid	$10,072.81
Rate for Payer: Allwell Medicaid	$10,072.81
Rate for Payer: AZCH Complete Medicaid	$10,072.81
Rate for Payer: Banner UC Health Medicaid	$10,072.81
Rate for Payer: Mercy Care Medicaid	$10,072.81

Peritoneal Adhesiolysis

Facility

IP

$14,502.85

Service Code	APR-DRG 2243
Hospital Charge Code	APRDRG2244
Min. Negotiated Rate	$14,502.85
Max. Negotiated Rate	$14,502.85
Rate for Payer: AHCCCS Medicaid	$14,502.85
Rate for Payer: Allwell Medicaid	$14,502.85
Rate for Payer: AZCH Complete Medicaid	$14,502.85
Rate for Payer: Banner UC Health Medicaid	$14,502.85
Rate for Payer: Mercy Care Medicaid	$14,502.85

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