Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

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: Blue Cross Blue Shield of Arizona Health Choice	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87
Rate for Payer: NaphCare Correctional Healthcare	$6,748.87

Anoxic And Other Severe Brain Damage

Facility

IP

$4,263.11

Service Code	APR-DRG 0591
Hospital Charge Code	APRDRG0594
Min. Negotiated Rate	$4,263.11
Max. Negotiated Rate	$4,263.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,263.11
Rate for Payer: Mercy Care Medicaid	$4,263.11
Rate for Payer: NaphCare Correctional Healthcare	$4,263.11

Anoxic And Other Severe Brain Damage

Facility

IP

$15,379.60

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$15,379.60
Max. Negotiated Rate	$15,379.60
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60
Rate for Payer: NaphCare Correctional Healthcare	$15,379.60

Anoxic And Other Severe Brain Damage

Facility

IP

$9,846.25

Service Code	APR-DRG 0593
Hospital Charge Code	APRDRG0591
Min. Negotiated Rate	$9,846.25
Max. Negotiated Rate	$9,846.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,846.25
Rate for Payer: Mercy Care Medicaid	$9,846.25
Rate for Payer: NaphCare Correctional Healthcare	$9,846.25

Anoxic And Other Severe Brain Damage

Facility

IP

$9,846.25

Service Code	APR-DRG 0593
Hospital Charge Code	APRDRG0592
Min. Negotiated Rate	$9,846.25
Max. Negotiated Rate	$9,846.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,846.25
Rate for Payer: Mercy Care Medicaid	$9,846.25
Rate for Payer: NaphCare Correctional Healthcare	$9,846.25

Anoxic And Other Severe Brain Damage

Facility

IP

$4,263.11

Service Code	APR-DRG 0591
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$4,263.11
Max. Negotiated Rate	$4,263.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,263.11
Rate for Payer: Mercy Care Medicaid	$4,263.11
Rate for Payer: NaphCare Correctional Healthcare	$4,263.11

Anoxic And Other Severe Brain Damage

Facility

IP

$6,748.87

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG0594
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$6,748.87
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87
Rate for Payer: NaphCare Correctional Healthcare	$6,748.87

Anoxic And Other Severe Brain Damage

Facility

IP

$6,748.87

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$6,748.87
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87
Rate for Payer: NaphCare Correctional Healthcare	$6,748.87

Anoxic And Other Severe Brain Damage

Facility

IP

$15,379.60

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG0592
Min. Negotiated Rate	$15,379.60
Max. Negotiated Rate	$15,379.60
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60
Rate for Payer: NaphCare Correctional Healthcare	$15,379.60

Anoxic And Other Severe Brain Damage

Facility

IP

$15,379.60

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG0591
Min. Negotiated Rate	$15,379.60
Max. Negotiated Rate	$15,379.60
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60
Rate for Payer: NaphCare Correctional Healthcare	$15,379.60

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: Blue Cross Blue Shield of Arizona Health Choice	$15,379.60
Rate for Payer: Mercy Care Medicaid	$15,379.60
Rate for Payer: NaphCare Correctional Healthcare	$15,379.60

Anoxic And Other Severe Brain Damage

Facility

IP

$9,846.25

Service Code	APR-DRG 0593
Hospital Charge Code	APRDRG0593
Min. Negotiated Rate	$9,846.25
Max. Negotiated Rate	$9,846.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,846.25
Rate for Payer: Mercy Care Medicaid	$9,846.25
Rate for Payer: NaphCare Correctional Healthcare	$9,846.25

Anoxic And Other Severe Brain Damage

Facility

IP

$4,263.11

Service Code	APR-DRG 0591
Hospital Charge Code	APRDRG0592
Min. Negotiated Rate	$4,263.11
Max. Negotiated Rate	$4,263.11
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$4,263.11
Rate for Payer: Mercy Care Medicaid	$4,263.11
Rate for Payer: NaphCare Correctional Healthcare	$4,263.11

Anoxic And Other Severe Brain Damage

Facility

IP

$9,846.25

Service Code	APR-DRG 0593
Hospital Charge Code	APRDRG0594
Min. Negotiated Rate	$9,846.25
Max. Negotiated Rate	$9,846.25
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$9,846.25
Rate for Payer: Mercy Care Medicaid	$9,846.25
Rate for Payer: NaphCare Correctional Healthcare	$9,846.25

Anoxic And Other Severe Brain Damage

Facility

IP

$6,748.87

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG0591
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$6,748.87
Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice	$6,748.87
Rate for Payer: Mercy Care Medicaid	$6,748.87
Rate for Payer: NaphCare Correctional Healthcare	$6,748.87

ANTENNA

Facility

IP

$437.00

Hospital Charge Code	22354565
Hospital Revenue Code	270
Min. Negotiated Rate	$393.30
Max. Negotiated Rate	$393.30
Rate for Payer: Aetna of AZ Commercial	$393.30
Rate for Payer: Cash Price	$349.60

ANTENNA

Facility

OP

$437.00

Hospital Charge Code	22354565
Hospital Revenue Code	270
Min. Negotiated Rate	$69.22
Max. Negotiated Rate	$393.30
Rate for Payer: Aetna of AZ Commercial	$393.30
Rate for Payer: Arizona Complete Health Allwell	$69.92
Rate for Payer: Banner UC Health Medicare	$69.92
Rate for Payer: Blue Cross Blue Shield of Arizona Commercial	$297.16
Rate for Payer: Blue Cross Blue Shield of Arizona Medicare	$69.92
Rate for Payer: Care1st Health Plan Arizona Medicare	$69.92
Rate for Payer: Cash Price	$349.60
Rate for Payer: Cigna of AZ Commercial	$305.90
Rate for Payer: Devoted Health Medicare	$78.66
Rate for Payer: Humana of AZ Medicare	$69.92
Rate for Payer: Southwest Service Administrators UFCW	$297.16
Rate for Payer: TriWest Medicare	$69.92
Rate for Payer: United Healthcare Commercial	$249.96
Rate for Payer: United Healthcare Medicare	$69.92
Rate for Payer: Veterans Affairs TRICARE	$69.22

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: Blue Cross Blue Shield of Arizona Health Choice	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42
Rate for Payer: NaphCare Correctional Healthcare	$3,966.42

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: Blue Cross Blue Shield of Arizona Health Choice	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93
Rate for Payer: NaphCare Correctional Healthcare	$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: Blue Cross Blue Shield of Arizona Health Choice	$3,966.42
Rate for Payer: Mercy Care Medicaid	$3,966.42
Rate for Payer: NaphCare Correctional Healthcare	$3,966.42

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: Blue Cross Blue Shield of Arizona Health Choice	$5,686.95
Rate for Payer: Mercy Care Medicaid	$5,686.95
Rate for Payer: NaphCare Correctional Healthcare	$5,686.95

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: Blue Cross Blue Shield of Arizona Health Choice	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93
Rate for Payer: NaphCare Correctional Healthcare	$9,132.93

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: Blue Cross Blue Shield of Arizona Health Choice	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93
Rate for Payer: NaphCare Correctional Healthcare	$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: Blue Cross Blue Shield of Arizona Health Choice	$17,058.05
Rate for Payer: Mercy Care Medicaid	$17,058.05
Rate for Payer: NaphCare Correctional Healthcare	$17,058.05

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: Blue Cross Blue Shield of Arizona Health Choice	$9,132.93
Rate for Payer: Mercy Care Medicaid	$9,132.93
Rate for Payer: NaphCare Correctional Healthcare	$9,132.93

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