Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Percutaneous Cardiac Intervention With Ami

Facility

IP

$17,279.69

Service Code	APR-DRG 1743
Hospital Charge Code	APRDRG1742
Min. Negotiated Rate	$17,279.69
Max. Negotiated Rate	$17,279.69
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$17,279.69
Rate for Payer: Mercy Care Medicaid	$17,279.69
Rate for Payer: NaphCare Correctional Healthcare	$17,279.69

Percutaneous Cardiac Intervention With Ami

Facility

IP

$25,371.74

Service Code	APR-DRG 1744
Hospital Charge Code	APRDRG1743
Min. Negotiated Rate	$25,371.74
Max. Negotiated Rate	$25,371.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$25,371.74
Rate for Payer: Mercy Care Medicaid	$25,371.74
Rate for Payer: NaphCare Correctional Healthcare	$25,371.74

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$14,984.71

Service Code	APR-DRG 1752
Hospital Charge Code	APRDRG1754
Min. Negotiated Rate	$14,984.71
Max. Negotiated Rate	$14,984.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,984.71
Rate for Payer: Mercy Care Medicaid	$14,984.71
Rate for Payer: NaphCare Correctional Healthcare	$14,984.71

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$18,408.24

Service Code	APR-DRG 1753
Hospital Charge Code	APRDRG1754
Min. Negotiated Rate	$18,408.24
Max. Negotiated Rate	$18,408.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$18,408.24
Rate for Payer: Mercy Care Medicaid	$18,408.24
Rate for Payer: NaphCare Correctional Healthcare	$18,408.24

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$28,128.95

Service Code	APR-DRG 1754
Hospital Charge Code	APRDRG1754
Min. Negotiated Rate	$28,128.95
Max. Negotiated Rate	$28,128.95
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,128.95
Rate for Payer: Mercy Care Medicaid	$28,128.95
Rate for Payer: NaphCare Correctional Healthcare	$28,128.95

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$14,984.71

Service Code	APR-DRG 1752
Hospital Charge Code	APRDRG1751
Min. Negotiated Rate	$14,984.71
Max. Negotiated Rate	$14,984.71
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$14,984.71
Rate for Payer: Mercy Care Medicaid	$14,984.71
Rate for Payer: NaphCare Correctional Healthcare	$14,984.71

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$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: Blue Cross Blue Shield of Arizona Health Choice	$14,984.71
Rate for Payer: Mercy Care Medicaid	$14,984.71
Rate for Payer: NaphCare Correctional Healthcare	$14,984.71

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$13,243.13

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG1751
Min. Negotiated Rate	$13,243.13
Max. Negotiated Rate	$13,243.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,243.13
Rate for Payer: Mercy Care Medicaid	$13,243.13
Rate for Payer: NaphCare Correctional Healthcare	$13,243.13

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$18,408.24

Service Code	APR-DRG 1753
Hospital Charge Code	APRDRG1752
Min. Negotiated Rate	$18,408.24
Max. Negotiated Rate	$18,408.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$18,408.24
Rate for Payer: Mercy Care Medicaid	$18,408.24
Rate for Payer: NaphCare Correctional Healthcare	$18,408.24

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$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: Blue Cross Blue Shield of Arizona Health Choice	$14,984.71
Rate for Payer: Mercy Care Medicaid	$14,984.71
Rate for Payer: NaphCare Correctional Healthcare	$14,984.71

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$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: Blue Cross Blue Shield of Arizona Health Choice	$28,128.95
Rate for Payer: Mercy Care Medicaid	$28,128.95
Rate for Payer: NaphCare Correctional Healthcare	$28,128.95

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$13,243.13

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG1753
Min. Negotiated Rate	$13,243.13
Max. Negotiated Rate	$13,243.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,243.13
Rate for Payer: Mercy Care Medicaid	$13,243.13
Rate for Payer: NaphCare Correctional Healthcare	$13,243.13

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$28,128.95

Service Code	APR-DRG 1754
Hospital Charge Code	APRDRG1753
Min. Negotiated Rate	$28,128.95
Max. Negotiated Rate	$28,128.95
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$28,128.95
Rate for Payer: Mercy Care Medicaid	$28,128.95
Rate for Payer: NaphCare Correctional Healthcare	$28,128.95

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$13,243.13

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG1754
Min. Negotiated Rate	$13,243.13
Max. Negotiated Rate	$13,243.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,243.13
Rate for Payer: Mercy Care Medicaid	$13,243.13
Rate for Payer: NaphCare Correctional Healthcare	$13,243.13

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$13,243.13

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG1752
Min. Negotiated Rate	$13,243.13
Max. Negotiated Rate	$13,243.13
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$13,243.13
Rate for Payer: Mercy Care Medicaid	$13,243.13
Rate for Payer: NaphCare Correctional Healthcare	$13,243.13

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$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: Blue Cross Blue Shield of Arizona Health Choice	$28,128.95
Rate for Payer: Mercy Care Medicaid	$28,128.95
Rate for Payer: NaphCare Correctional Healthcare	$28,128.95

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$18,408.24

Service Code	APR-DRG 1753
Hospital Charge Code	APRDRG1753
Min. Negotiated Rate	$18,408.24
Max. Negotiated Rate	$18,408.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$18,408.24
Rate for Payer: Mercy Care Medicaid	$18,408.24
Rate for Payer: NaphCare Correctional Healthcare	$18,408.24

Percutaneous Cardiac Intervention Without Ami

Facility

IP

$18,408.24

Service Code	APR-DRG 1753
Hospital Charge Code	APRDRG1751
Min. Negotiated Rate	$18,408.24
Max. Negotiated Rate	$18,408.24
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$18,408.24
Rate for Payer: Mercy Care Medicaid	$18,408.24
Rate for Payer: NaphCare Correctional Healthcare	$18,408.24

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

Facility

IP

$35,163.99

Service Code	MSDRG 321
Min. Negotiated Rate	$35,163.99
Max. Negotiated Rate	$35,163.99
Rate for Payer: Seven Corners Travel Insurance	$35,163.99

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

IP

$22,785.26

Service Code	MSDRG 322
Min. Negotiated Rate	$22,785.26
Max. Negotiated Rate	$22,785.26
Rate for Payer: Seven Corners Travel Insurance	$22,785.26

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC

Facility

IP

$28,206.94

Service Code	MSDRG 250
Min. Negotiated Rate	$28,206.94
Max. Negotiated Rate	$28,206.94
Rate for Payer: Seven Corners Travel Insurance	$28,206.94

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC

Facility

IP

$19,315.12

Service Code	MSDRG 251
Min. Negotiated Rate	$19,315.12
Max. Negotiated Rate	$19,315.12
Rate for Payer: Seven Corners Travel Insurance	$19,315.12

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC

Facility

IP

$44,440.96

Service Code	MSDRG 359
Min. Negotiated Rate	$44,440.96
Max. Negotiated Rate	$44,440.96
Rate for Payer: Seven Corners Travel Insurance	$44,440.96

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC

Facility

IP

$31,202.77

Service Code	MSDRG 360
Min. Negotiated Rate	$31,202.77
Max. Negotiated Rate	$31,202.77
Rate for Payer: Seven Corners Travel Insurance	$31,202.77

PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE

Facility

IP

$31,304.85

Service Code	MSDRG 318
Min. Negotiated Rate	$31,304.85
Max. Negotiated Rate	$31,304.85
Rate for Payer: Seven Corners Travel Insurance	$31,304.85

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