Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Anoxic And Other Severe Brain Damage

Facility

IP

$15,379.60

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG0594
Min. Negotiated Rate	$15,379.60
Max. Negotiated Rate	$15,379.60
Rate for Payer: AHCCCS Medicaid	$15,379.60
Rate for Payer: Allwell Medicaid	$15,379.60
Rate for Payer: AZCH Complete Medicaid	$15,379.60
Rate for Payer: Banner UC Health Medicaid	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60

Anoxic And Other Severe Brain Damage

Facility

IP

$4,263.11

Service Code	APR-DRG 0591
Hospital Charge Code	APRDRG0591
Min. Negotiated Rate	$4,263.11
Max. Negotiated Rate	$4,263.11
Rate for Payer: AHCCCS Medicaid	$4,263.11
Rate for Payer: Allwell Medicaid	$4,263.11
Rate for Payer: AZCH Complete Medicaid	$4,263.11
Rate for Payer: Banner UC Health Medicaid	$4,263.11
Rate for Payer: Mercy Care Medicaid	$4,263.11

Anoxic And Other Severe Brain Damage

Facility

IP

$6,748.87

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG0592
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$6,748.87
Rate for Payer: AHCCCS Medicaid	$6,748.87
Rate for Payer: Allwell Medicaid	$6,748.87
Rate for Payer: AZCH Complete Medicaid	$6,748.87
Rate for Payer: Banner UC Health Medicaid	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87

ANTENNA

Facility

OP

$437.00

Hospital Charge Code	22354565
Hospital Revenue Code	270
Min. Negotiated Rate	$69.92
Max. Negotiated Rate	$393.30
Rate for Payer: Aetna of AZ Commercial	$393.30
Rate for Payer: Aetna of AZ Medicare	$122.36
Rate for Payer: Allwell Medicare	$69.92
Rate for Payer: Amerigroup Medicare	$69.92
Rate for Payer: APIPA Medicare/Medicaid	$163.22
Rate for Payer: AZCH Complete Medicare	$69.92
Rate for Payer: Banner UC Health Medicare	$69.92
Rate for Payer: Bisbee Police All Plans	$113.62
Rate for Payer: Blue Cross Blue Shield of Arizona All Commercial	$297.16
Rate for Payer: Cash Price	$349.60
Rate for Payer: Cigna of AZ Commercial	$305.90
Rate for Payer: Copperpoint Commercial	$108.16
Rate for Payer: Health Net of AZ Commercial	$262.20
Rate for Payer: Health Net of AZ Medicare	$122.36
Rate for Payer: Humana of AZ Medicare	$69.92
Rate for Payer: Self Pay Self Pay	$349.60
Rate for Payer: TriWest Medicare	$69.92
Rate for Payer: UnitedHealth Group of AZ Commercial	$254.77
Rate for Payer: UnitedHealth Group of AZ Medicare	$78.66

ANTENNA

Facility

IP

$437.00

Hospital Charge Code	22354565
Hospital Revenue Code	270
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$393.30
Rate for Payer: Aetna of AZ Commercial	$393.30
Rate for Payer: Bisbee Police All Plans	$113.62
Rate for Payer: Cash Price	$349.60
Rate for Payer: Self Pay Self Pay	$349.60

Antepartum With O.R. Procedure

Facility

IP

$9,132.93

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$9,132.93
Max. Negotiated Rate	$9,132.93
Rate for Payer: AHCCCS Medicaid	$9,132.93
Rate for Payer: Allwell Medicaid	$9,132.93
Rate for Payer: AZCH Complete Medicaid	$9,132.93
Rate for Payer: Banner UC Health Medicaid	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum With O.R. Procedure

Facility

IP

$9,132.93

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG5471
Min. Negotiated Rate	$9,132.93
Max. Negotiated Rate	$9,132.93
Rate for Payer: AHCCCS Medicaid	$9,132.93
Rate for Payer: Allwell Medicaid	$9,132.93
Rate for Payer: AZCH Complete Medicaid	$9,132.93
Rate for Payer: Banner UC Health Medicaid	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5473
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$9,132.93

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$9,132.93
Max. Negotiated Rate	$9,132.93
Rate for Payer: AHCCCS Medicaid	$9,132.93
Rate for Payer: Allwell Medicaid	$9,132.93
Rate for Payer: AZCH Complete Medicaid	$9,132.93
Rate for Payer: Banner UC Health Medicaid	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5473
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5471
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$17,058.05

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$17,058.05
Max. Negotiated Rate	$17,058.05
Rate for Payer: AHCCCS Medicaid	$17,058.05
Rate for Payer: Allwell Medicaid	$17,058.05
Rate for Payer: AZCH Complete Medicaid	$17,058.05
Rate for Payer: Banner UC Health Medicaid	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5474
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5471
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum With O.R. Procedure

Facility

IP

$5,686.95

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG5473
Min. Negotiated Rate	$5,686.95
Max. Negotiated Rate	$5,686.95
Rate for Payer: AHCCCS Medicaid	$5,686.95
Rate for Payer: Allwell Medicaid	$5,686.95
Rate for Payer: AZCH Complete Medicaid	$5,686.95
Rate for Payer: Banner UC Health Medicaid	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5471
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$3,966.42

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG5472
Min. Negotiated Rate	$3,966.42
Max. Negotiated Rate	$3,966.42
Rate for Payer: AHCCCS Medicaid	$3,966.42
Rate for Payer: Allwell Medicaid	$3,966.42
Rate for Payer: AZCH Complete Medicaid	$3,966.42
Rate for Payer: Banner UC Health Medicaid	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42

Antepartum With O.R. Procedure

Facility

IP

$9,132.93

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG5473
Min. Negotiated Rate	$9,132.93
Max. Negotiated Rate	$9,132.93
Rate for Payer: AHCCCS Medicaid	$9,132.93
Rate for Payer: Allwell Medicaid	$9,132.93
Rate for Payer: AZCH Complete Medicaid	$9,132.93
Rate for Payer: Banner UC Health Medicaid	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5663
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Antepartum Without O.R. Procedure

Facility

IP

$3,676.74

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$3,676.74
Max. Negotiated Rate	$3,676.74
Rate for Payer: AHCCCS Medicaid	$3,676.74
Rate for Payer: Allwell Medicaid	$3,676.74
Rate for Payer: AZCH Complete Medicaid	$3,676.74
Rate for Payer: Banner UC Health Medicaid	$3,676.74
Rate for Payer: Mercy Care Medicaid	$3,676.74

Antepartum Without O.R. Procedure

Facility

IP

$8,013.50

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$8,013.50
Max. Negotiated Rate	$8,013.50
Rate for Payer: AHCCCS Medicaid	$8,013.50
Rate for Payer: Allwell Medicaid	$8,013.50
Rate for Payer: AZCH Complete Medicaid	$8,013.50
Rate for Payer: Banner UC Health Medicaid	$8,013.50
Rate for Payer: Mercy Care Medicaid	$8,013.50

Antepartum Without O.R. Procedure

Facility

IP

$1,894.48

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG5662
Min. Negotiated Rate	$1,894.48
Max. Negotiated Rate	$1,894.48
Rate for Payer: AHCCCS Medicaid	$1,894.48
Rate for Payer: Allwell Medicaid	$1,894.48
Rate for Payer: AZCH Complete Medicaid	$1,894.48
Rate for Payer: Banner UC Health Medicaid	$1,894.48
Rate for Payer: Mercy Care Medicaid	$1,894.48

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