Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$2,871.53

Service Code	APR-DRG 7552
Hospital Charge Code	APRDRG7554
Min. Negotiated Rate	$2,871.53
Max. Negotiated Rate	$2,871.53
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,871.53
Rate for Payer: Mercy Care Medicaid	$2,871.53
Rate for Payer: NaphCare Correctional Healthcare	$2,871.53

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$1,892.38

Service Code	APR-DRG 7551
Hospital Charge Code	APRDRG7551
Min. Negotiated Rate	$1,892.38
Max. Negotiated Rate	$1,892.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,892.38
Rate for Payer: Mercy Care Medicaid	$1,892.38
Rate for Payer: NaphCare Correctional Healthcare	$1,892.38

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$2,871.53

Service Code	APR-DRG 7552
Hospital Charge Code	APRDRG7551
Min. Negotiated Rate	$2,871.53
Max. Negotiated Rate	$2,871.53
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,871.53
Rate for Payer: Mercy Care Medicaid	$2,871.53
Rate for Payer: NaphCare Correctional Healthcare	$2,871.53

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$4,436.36

Service Code	APR-DRG 7553
Hospital Charge Code	APRDRG7554
Min. Negotiated Rate	$4,436.36
Max. Negotiated Rate	$4,436.36
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,436.36
Rate for Payer: Mercy Care Medicaid	$4,436.36
Rate for Payer: NaphCare Correctional Healthcare	$4,436.36

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$12,163.68

Service Code	APR-DRG 7554
Hospital Charge Code	APRDRG7551
Min. Negotiated Rate	$12,163.68
Max. Negotiated Rate	$12,163.68
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,163.68
Rate for Payer: Mercy Care Medicaid	$12,163.68
Rate for Payer: NaphCare Correctional Healthcare	$12,163.68

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$1,892.38

Service Code	APR-DRG 7551
Hospital Charge Code	APRDRG7552
Min. Negotiated Rate	$1,892.38
Max. Negotiated Rate	$1,892.38
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$1,892.38
Rate for Payer: Mercy Care Medicaid	$1,892.38
Rate for Payer: NaphCare Correctional Healthcare	$1,892.38

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$12,163.68

Service Code	APR-DRG 7554
Hospital Charge Code	APRDRG7554
Min. Negotiated Rate	$12,163.68
Max. Negotiated Rate	$12,163.68
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$12,163.68
Rate for Payer: Mercy Care Medicaid	$12,163.68
Rate for Payer: NaphCare Correctional Healthcare	$12,163.68

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$2,871.53

Service Code	APR-DRG 7552
Hospital Charge Code	APRDRG7553
Min. Negotiated Rate	$2,871.53
Max. Negotiated Rate	$2,871.53
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,871.53
Rate for Payer: Mercy Care Medicaid	$2,871.53
Rate for Payer: NaphCare Correctional Healthcare	$2,871.53

Adjustment Disorders And Neuroses Except Depressive Diagnoses

Facility

IP

$2,871.53

Service Code	APR-DRG 7552
Hospital Charge Code	APRDRG7552
Min. Negotiated Rate	$2,871.53
Max. Negotiated Rate	$2,871.53
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$2,871.53
Rate for Payer: Mercy Care Medicaid	$2,871.53
Rate for Payer: NaphCare Correctional Healthcare	$2,871.53

Admin Hepatitis B Vaccine Medicare POC

Facility

OP

$22.00

Service Code	HCPCS G0010
Hospital Charge Code	667752
Hospital Revenue Code	521
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$72.46
Rate for Payer: Aetna of AZ Commercial	$19.80
Rate for Payer: Arizona Complete Health Allwell	$3.52
Rate for Payer: Banner UC Health Medicare	$3.52
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$14.96
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$3.52
Rate for Payer: Care1st Health Plan Arizona Medicare	$3.52
Rate for Payer: Cash Price	$17.60
Rate for Payer: Cash Price	$17.60
Rate for Payer: Cigna of AZ Commercial	$15.40
Rate for Payer: Devoted Health Medicare	$3.96
Rate for Payer: Humana of AZ Medicare	$3.52
Rate for Payer: Seven Corners Travel Insurance	$72.46
Rate for Payer: Southwest Service Administrators UFCW	$14.96
Rate for Payer: TriWest Medicare	$3.52
Rate for Payer: United Healthcare Commercial	$12.58
Rate for Payer: United Healthcare Medicare	$3.52
Rate for Payer: Veterans Affairs TRICARE	$3.48

Admin Hepatitis B Vaccine Medicare POC

Facility

IP

$22.00

Service Code	HCPCS G0010
Hospital Charge Code	667752
Hospital Revenue Code	521
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Aetna of AZ Commercial	$19.80
Rate for Payer: Cash Price	$17.60

Admin Pneumococcal Vaccine Medicare POC

Facility

OP

$57.00

Service Code	HCPCS G0009
Hospital Charge Code	667750
Hospital Revenue Code	521
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$72.46
Rate for Payer: Aetna of AZ Commercial	$51.30
Rate for Payer: Arizona Complete Health Allwell	$9.12
Rate for Payer: Banner UC Health Medicare	$9.12
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$38.76
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$9.12
Rate for Payer: Care1st Health Plan Arizona Medicare	$9.12
Rate for Payer: Cash Price	$45.60
Rate for Payer: Cash Price	$45.60
Rate for Payer: Cigna of AZ Commercial	$39.90
Rate for Payer: Devoted Health Medicare	$10.26
Rate for Payer: Humana of AZ Medicare	$9.12
Rate for Payer: Seven Corners Travel Insurance	$72.46
Rate for Payer: Southwest Service Administrators UFCW	$38.76
Rate for Payer: TriWest Medicare	$9.12
Rate for Payer: United Healthcare Commercial	$32.60
Rate for Payer: United Healthcare Medicare	$9.12
Rate for Payer: Veterans Affairs TRICARE	$9.03

Admin Pneumococcal Vaccine Medicare POC

Facility

IP

$57.00

Service Code	HCPCS G0009
Hospital Charge Code	667750
Hospital Revenue Code	521
Min. Negotiated Rate	$51.30
Max. Negotiated Rate	$51.30
Rate for Payer: Aetna of AZ Commercial	$51.30
Rate for Payer: Cash Price	$45.60

ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC

Facility

IP

$28,327.14

Service Code	MSDRG 614
Min. Negotiated Rate	$28,327.14
Max. Negotiated Rate	$28,327.14
Rate for Payer: Seven Corners Travel Insurance	$28,327.14

ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC

Facility

IP

$18,086.23

Service Code	MSDRG 615
Min. Negotiated Rate	$18,086.23
Max. Negotiated Rate	$18,086.23
Rate for Payer: Seven Corners Travel Insurance	$18,086.23

Adrenal Procedures

Facility

IP

$27,535.56

Service Code	APR-DRG 4014
Hospital Charge Code	APRDRG4013
Min. Negotiated Rate	$27,535.56
Max. Negotiated Rate	$27,535.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$27,535.56
Rate for Payer: Mercy Care Medicaid	$27,535.56
Rate for Payer: NaphCare Correctional Healthcare	$27,535.56

Adrenal Procedures

Facility

IP

$22,228.77

Service Code	APR-DRG 4013
Hospital Charge Code	APRDRG4014
Min. Negotiated Rate	$22,228.77
Max. Negotiated Rate	$22,228.77
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,228.77
Rate for Payer: Mercy Care Medicaid	$22,228.77
Rate for Payer: NaphCare Correctional Healthcare	$22,228.77

Adrenal Procedures

Facility

IP

$22,228.77

Service Code	APR-DRG 4013
Hospital Charge Code	APRDRG4013
Min. Negotiated Rate	$22,228.77
Max. Negotiated Rate	$22,228.77
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,228.77
Rate for Payer: Mercy Care Medicaid	$22,228.77
Rate for Payer: NaphCare Correctional Healthcare	$22,228.77

Adrenal Procedures

Facility

IP

$22,228.77

Service Code	APR-DRG 4013
Hospital Charge Code	APRDRG4011
Min. Negotiated Rate	$22,228.77
Max. Negotiated Rate	$22,228.77
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,228.77
Rate for Payer: Mercy Care Medicaid	$22,228.77
Rate for Payer: NaphCare Correctional Healthcare	$22,228.77

Adrenal Procedures

Facility

IP

$16,455.55

Service Code	APR-DRG 4012
Hospital Charge Code	APRDRG4013
Min. Negotiated Rate	$16,455.55
Max. Negotiated Rate	$16,455.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$16,455.55
Rate for Payer: Mercy Care Medicaid	$16,455.55
Rate for Payer: NaphCare Correctional Healthcare	$16,455.55

Adrenal Procedures

Facility

IP

$27,535.56

Service Code	APR-DRG 4014
Hospital Charge Code	APRDRG4012
Min. Negotiated Rate	$27,535.56
Max. Negotiated Rate	$27,535.56
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$27,535.56
Rate for Payer: Mercy Care Medicaid	$27,535.56
Rate for Payer: NaphCare Correctional Healthcare	$27,535.56

Adrenal Procedures

Facility

IP

$16,455.55

Service Code	APR-DRG 4012
Hospital Charge Code	APRDRG4014
Min. Negotiated Rate	$16,455.55
Max. Negotiated Rate	$16,455.55
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$16,455.55
Rate for Payer: Mercy Care Medicaid	$16,455.55
Rate for Payer: NaphCare Correctional Healthcare	$16,455.55

Adrenal Procedures

Facility

IP

$8,435.74

Service Code	APR-DRG 4011
Hospital Charge Code	APRDRG4014
Min. Negotiated Rate	$8,435.74
Max. Negotiated Rate	$8,435.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,435.74
Rate for Payer: Mercy Care Medicaid	$8,435.74
Rate for Payer: NaphCare Correctional Healthcare	$8,435.74

Adrenal Procedures

Facility

IP

$22,228.77

Service Code	APR-DRG 4013
Hospital Charge Code	APRDRG4012
Min. Negotiated Rate	$22,228.77
Max. Negotiated Rate	$22,228.77
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$22,228.77
Rate for Payer: Mercy Care Medicaid	$22,228.77
Rate for Payer: NaphCare Correctional Healthcare	$22,228.77

Adrenal Procedures

Facility

IP

$8,435.74

Service Code	APR-DRG 4011
Hospital Charge Code	APRDRG4013
Min. Negotiated Rate	$8,435.74
Max. Negotiated Rate	$8,435.74
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$8,435.74
Rate for Payer: Mercy Care Medicaid	$8,435.74
Rate for Payer: NaphCare Correctional Healthcare	$8,435.74

<<
<
56
57
58
59
60
61
62
63
64
65
>
>>