Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Non-Elective Or Complex Knee Joint Replacement

Facility

IP

$15,514.97

Service Code	APR-DRG 3252
Hospital Charge Code	APRDRG3251
Min. Negotiated Rate	$15,514.97
Max. Negotiated Rate	$15,514.97
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,514.97
Rate for Payer: Mercy Care Medicaid	$15,514.97
Rate for Payer: NaphCare Correctional Healthcare	$15,514.97

Non-Elective Or Complex Knee Joint Replacement

Facility

IP

$19,821.56

Service Code	APR-DRG 3253
Hospital Charge Code	APRDRG3252
Min. Negotiated Rate	$19,821.56
Max. Negotiated Rate	$19,821.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$19,821.56
Rate for Payer: Mercy Care Medicaid	$19,821.56
Rate for Payer: NaphCare Correctional Healthcare	$19,821.56

NON-EXTENSIVE BURNS

Facility

IP

$26,623.74

Service Code	MSDRG 935
Min. Negotiated Rate	$26,623.74
Max. Negotiated Rate	$26,623.74
Rate for Payer: Seven Corners Travel Insurance	$26,623.74

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$5,590.86

Service Code	APR-DRG 7941
Hospital Charge Code	APRDRG7943
Min. Negotiated Rate	$5,590.86
Max. Negotiated Rate	$5,590.86
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,590.86
Rate for Payer: Mercy Care Medicaid	$5,590.86
Rate for Payer: NaphCare Correctional Healthcare	$5,590.86

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$11,025.31

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$11,025.31
Max. Negotiated Rate	$11,025.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,025.31
Rate for Payer: Mercy Care Medicaid	$11,025.31
Rate for Payer: NaphCare Correctional Healthcare	$11,025.31

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27
Rate for Payer: NaphCare Correctional Healthcare	$17,668.27

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$6,721.52

Service Code	APR-DRG 7942
Hospital Charge Code	APRDRG7941
Min. Negotiated Rate	$6,721.52
Max. Negotiated Rate	$6,721.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,721.52
Rate for Payer: Mercy Care Medicaid	$6,721.52
Rate for Payer: NaphCare Correctional Healthcare	$6,721.52

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$5,590.86

Service Code	APR-DRG 7941
Hospital Charge Code	APRDRG7941
Min. Negotiated Rate	$5,590.86
Max. Negotiated Rate	$5,590.86
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,590.86
Rate for Payer: Mercy Care Medicaid	$5,590.86
Rate for Payer: NaphCare Correctional Healthcare	$5,590.86

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$5,590.86

Service Code	APR-DRG 7941
Hospital Charge Code	APRDRG7944
Min. Negotiated Rate	$5,590.86
Max. Negotiated Rate	$5,590.86
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,590.86
Rate for Payer: Mercy Care Medicaid	$5,590.86
Rate for Payer: NaphCare Correctional Healthcare	$5,590.86

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$11,025.31

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG7943
Min. Negotiated Rate	$11,025.31
Max. Negotiated Rate	$11,025.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,025.31
Rate for Payer: Mercy Care Medicaid	$11,025.31
Rate for Payer: NaphCare Correctional Healthcare	$11,025.31

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7941
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27
Rate for Payer: NaphCare Correctional Healthcare	$17,668.27

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$6,721.52

Service Code	APR-DRG 7942
Hospital Charge Code	APRDRG7943
Min. Negotiated Rate	$6,721.52
Max. Negotiated Rate	$6,721.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,721.52
Rate for Payer: Mercy Care Medicaid	$6,721.52
Rate for Payer: NaphCare Correctional Healthcare	$6,721.52

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$11,025.31

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG7944
Min. Negotiated Rate	$11,025.31
Max. Negotiated Rate	$11,025.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,025.31
Rate for Payer: Mercy Care Medicaid	$11,025.31
Rate for Payer: NaphCare Correctional Healthcare	$11,025.31

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$11,025.31

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG7941
Min. Negotiated Rate	$11,025.31
Max. Negotiated Rate	$11,025.31
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$11,025.31
Rate for Payer: Mercy Care Medicaid	$11,025.31
Rate for Payer: NaphCare Correctional Healthcare	$11,025.31

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$6,721.52

Service Code	APR-DRG 7942
Hospital Charge Code	APRDRG7944
Min. Negotiated Rate	$6,721.52
Max. Negotiated Rate	$6,721.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,721.52
Rate for Payer: Mercy Care Medicaid	$6,721.52
Rate for Payer: NaphCare Correctional Healthcare	$6,721.52

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7944
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27
Rate for Payer: NaphCare Correctional Healthcare	$17,668.27

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$6,721.52

Service Code	APR-DRG 7942
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$6,721.52
Max. Negotiated Rate	$6,721.52
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,721.52
Rate for Payer: Mercy Care Medicaid	$6,721.52
Rate for Payer: NaphCare Correctional Healthcare	$6,721.52

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$5,590.86

Service Code	APR-DRG 7941
Hospital Charge Code	APRDRG7942
Min. Negotiated Rate	$5,590.86
Max. Negotiated Rate	$5,590.86
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,590.86
Rate for Payer: Mercy Care Medicaid	$5,590.86
Rate for Payer: NaphCare Correctional Healthcare	$5,590.86

Non-Extensive O.R. Procedures For Other Complications Of Treatment

Facility

IP

$17,668.27

Service Code	APR-DRG 7944
Hospital Charge Code	APRDRG7943
Min. Negotiated Rate	$17,668.27
Max. Negotiated Rate	$17,668.27
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,668.27
Rate for Payer: Mercy Care Medicaid	$17,668.27
Rate for Payer: NaphCare Correctional Healthcare	$17,668.27

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

IP

$21,242.14

Service Code	MSDRG 988
Min. Negotiated Rate	$21,242.14
Max. Negotiated Rate	$21,242.14
Rate for Payer: Seven Corners Travel Insurance	$21,242.14

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

IP

$44,309.11

Service Code	MSDRG 987
Min. Negotiated Rate	$44,309.11
Max. Negotiated Rate	$44,309.11
Rate for Payer: Seven Corners Travel Insurance	$44,309.11

NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

IP

$15,550.71

Service Code	MSDRG 989
Min. Negotiated Rate	$15,550.71
Max. Negotiated Rate	$15,550.71
Rate for Payer: Seven Corners Travel Insurance	$15,550.71

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82
Rate for Payer: NaphCare Correctional Healthcare	$13,889.82

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$13,889.82

Service Code	APR-DRG 9523
Hospital Charge Code	APRDRG9522
Min. Negotiated Rate	$13,889.82
Max. Negotiated Rate	$13,889.82
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,889.82
Rate for Payer: Mercy Care Medicaid	$13,889.82
Rate for Payer: NaphCare Correctional Healthcare	$13,889.82

Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis

Facility

IP

$8,481.33

Service Code	APR-DRG 9522
Hospital Charge Code	APRDRG9521
Min. Negotiated Rate	$8,481.33
Max. Negotiated Rate	$8,481.33
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,481.33
Rate for Payer: Mercy Care Medicaid	$8,481.33
Rate for Payer: NaphCare Correctional Healthcare	$8,481.33

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