Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Uterine And Adnexa Procedures For Leiomyoma

Facility

IP

$7,312.10

Service Code	APR-DRG 5192
Hospital Charge Code	APRDRG5192
Min. Negotiated Rate	$7,312.10
Max. Negotiated Rate	$7,312.10
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,312.10
Rate for Payer: Mercy Care Medicaid	$7,312.10
Rate for Payer: NaphCare Correctional Healthcare	$7,312.10

Uterine And Adnexa Procedures For Leiomyoma

Facility

IP

$5,874.93

Service Code	APR-DRG 5191
Hospital Charge Code	APRDRG5193
Min. Negotiated Rate	$5,874.93
Max. Negotiated Rate	$5,874.93
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$5,874.93
Rate for Payer: Mercy Care Medicaid	$5,874.93
Rate for Payer: NaphCare Correctional Healthcare	$5,874.93

Uterine And Adnexa Procedures For Leiomyoma

Facility

IP

$12,665.18

Service Code	APR-DRG 5193
Hospital Charge Code	APRDRG5192
Min. Negotiated Rate	$12,665.18
Max. Negotiated Rate	$12,665.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,665.18
Rate for Payer: Mercy Care Medicaid	$12,665.18
Rate for Payer: NaphCare Correctional Healthcare	$12,665.18

Uterine And Adnexa Procedures For Leiomyoma

Facility

IP

$24,321.05

Service Code	APR-DRG 5194
Hospital Charge Code	APRDRG5192
Min. Negotiated Rate	$24,321.05
Max. Negotiated Rate	$24,321.05
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$24,321.05
Rate for Payer: Mercy Care Medicaid	$24,321.05
Rate for Payer: NaphCare Correctional Healthcare	$24,321.05

Uterine And Adnexa Procedures For Leiomyoma

Facility

IP

$12,665.18

Service Code	APR-DRG 5193
Hospital Charge Code	APRDRG5193
Min. Negotiated Rate	$12,665.18
Max. Negotiated Rate	$12,665.18
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,665.18
Rate for Payer: Mercy Care Medicaid	$12,665.18
Rate for Payer: NaphCare Correctional Healthcare	$12,665.18

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$22,557.02

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG5132
Min. Negotiated Rate	$22,557.02
Max. Negotiated Rate	$22,557.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,557.02
Rate for Payer: Mercy Care Medicaid	$22,557.02
Rate for Payer: NaphCare Correctional Healthcare	$22,557.02

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$6,013.80

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG5134
Min. Negotiated Rate	$6,013.80
Max. Negotiated Rate	$6,013.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,013.80
Rate for Payer: Mercy Care Medicaid	$6,013.80
Rate for Payer: NaphCare Correctional Healthcare	$6,013.80

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$12,243.64

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG5131
Min. Negotiated Rate	$12,243.64
Max. Negotiated Rate	$12,243.64
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,243.64
Rate for Payer: Mercy Care Medicaid	$12,243.64
Rate for Payer: NaphCare Correctional Healthcare	$12,243.64

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$22,557.02

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG5134
Min. Negotiated Rate	$22,557.02
Max. Negotiated Rate	$22,557.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,557.02
Rate for Payer: Mercy Care Medicaid	$22,557.02
Rate for Payer: NaphCare Correctional Healthcare	$22,557.02

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$7,156.38

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG5131
Min. Negotiated Rate	$7,156.38
Max. Negotiated Rate	$7,156.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,156.38
Rate for Payer: Mercy Care Medicaid	$7,156.38
Rate for Payer: NaphCare Correctional Healthcare	$7,156.38

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$22,557.02

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG5133
Min. Negotiated Rate	$22,557.02
Max. Negotiated Rate	$22,557.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,557.02
Rate for Payer: Mercy Care Medicaid	$22,557.02
Rate for Payer: NaphCare Correctional Healthcare	$22,557.02

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$7,156.38

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG5132
Min. Negotiated Rate	$7,156.38
Max. Negotiated Rate	$7,156.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,156.38
Rate for Payer: Mercy Care Medicaid	$7,156.38
Rate for Payer: NaphCare Correctional Healthcare	$7,156.38

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$12,243.64

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG5132
Min. Negotiated Rate	$12,243.64
Max. Negotiated Rate	$12,243.64
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,243.64
Rate for Payer: Mercy Care Medicaid	$12,243.64
Rate for Payer: NaphCare Correctional Healthcare	$12,243.64

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$7,156.38

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG5133
Min. Negotiated Rate	$7,156.38
Max. Negotiated Rate	$7,156.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,156.38
Rate for Payer: Mercy Care Medicaid	$7,156.38
Rate for Payer: NaphCare Correctional Healthcare	$7,156.38

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$6,013.80

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG5132
Min. Negotiated Rate	$6,013.80
Max. Negotiated Rate	$6,013.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,013.80
Rate for Payer: Mercy Care Medicaid	$6,013.80
Rate for Payer: NaphCare Correctional Healthcare	$6,013.80

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$7,156.38

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG5134
Min. Negotiated Rate	$7,156.38
Max. Negotiated Rate	$7,156.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$7,156.38
Rate for Payer: Mercy Care Medicaid	$7,156.38
Rate for Payer: NaphCare Correctional Healthcare	$7,156.38

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$22,557.02

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG5131
Min. Negotiated Rate	$22,557.02
Max. Negotiated Rate	$22,557.02
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,557.02
Rate for Payer: Mercy Care Medicaid	$22,557.02
Rate for Payer: NaphCare Correctional Healthcare	$22,557.02

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$12,243.64

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG5134
Min. Negotiated Rate	$12,243.64
Max. Negotiated Rate	$12,243.64
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,243.64
Rate for Payer: Mercy Care Medicaid	$12,243.64
Rate for Payer: NaphCare Correctional Healthcare	$12,243.64

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$12,243.64

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG5133
Min. Negotiated Rate	$12,243.64
Max. Negotiated Rate	$12,243.64
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,243.64
Rate for Payer: Mercy Care Medicaid	$12,243.64
Rate for Payer: NaphCare Correctional Healthcare	$12,243.64

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$6,013.80

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG5131
Min. Negotiated Rate	$6,013.80
Max. Negotiated Rate	$6,013.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,013.80
Rate for Payer: Mercy Care Medicaid	$6,013.80
Rate for Payer: NaphCare Correctional Healthcare	$6,013.80

Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma

Facility

IP

$6,013.80

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG5133
Min. Negotiated Rate	$6,013.80
Max. Negotiated Rate	$6,013.80
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,013.80
Rate for Payer: Mercy Care Medicaid	$6,013.80
Rate for Payer: NaphCare Correctional Healthcare	$6,013.80

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

Facility

IP

$23,713.20

Service Code	MSDRG 742
Min. Negotiated Rate	$23,713.20
Max. Negotiated Rate	$23,713.20
Rate for Payer: Seven Corners Travel Insurance	$23,713.20

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Facility

IP

$16,076.60

Service Code	MSDRG 743
Min. Negotiated Rate	$16,076.60
Max. Negotiated Rate	$16,076.60
Rate for Payer: Seven Corners Travel Insurance	$16,076.60

Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy

Facility

IP

$9,472.41

Service Code	APR-DRG 5122
Hospital Charge Code	APRDRG5124
Min. Negotiated Rate	$9,472.41
Max. Negotiated Rate	$9,472.41
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,472.41
Rate for Payer: Mercy Care Medicaid	$9,472.41
Rate for Payer: NaphCare Correctional Healthcare	$9,472.41

Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy

Facility

IP

$9,472.41

Service Code	APR-DRG 5122
Hospital Charge Code	APRDRG5123
Min. Negotiated Rate	$9,472.41
Max. Negotiated Rate	$9,472.41
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,472.41
Rate for Payer: Mercy Care Medicaid	$9,472.41
Rate for Payer: NaphCare Correctional Healthcare	$9,472.41

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