Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$21,234.18
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG3212
|
Min. Negotiated Rate |
$21,234.18 |
Max. Negotiated Rate |
$21,234.18 |
Rate for Payer: AHCCCS Medicaid |
$21,234.18
|
Rate for Payer: Allwell Medicaid |
$21,234.18
|
Rate for Payer: AZCH Complete Medicaid |
$21,234.18
|
Rate for Payer: Banner UC Health Medicaid |
$21,234.18
|
Rate for Payer: Mercy Care Medicaid |
$21,234.18
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$35,817.69
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG3214
|
Min. Negotiated Rate |
$35,817.69 |
Max. Negotiated Rate |
$35,817.69 |
Rate for Payer: AHCCCS Medicaid |
$35,817.69
|
Rate for Payer: Allwell Medicaid |
$35,817.69
|
Rate for Payer: AZCH Complete Medicaid |
$35,817.69
|
Rate for Payer: Banner UC Health Medicaid |
$35,817.69
|
Rate for Payer: Mercy Care Medicaid |
$35,817.69
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$21,234.18
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG3214
|
Min. Negotiated Rate |
$21,234.18 |
Max. Negotiated Rate |
$21,234.18 |
Rate for Payer: AHCCCS Medicaid |
$21,234.18
|
Rate for Payer: Allwell Medicaid |
$21,234.18
|
Rate for Payer: AZCH Complete Medicaid |
$21,234.18
|
Rate for Payer: Banner UC Health Medicaid |
$21,234.18
|
Rate for Payer: Mercy Care Medicaid |
$21,234.18
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$10,860.48
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG3213
|
Min. Negotiated Rate |
$10,860.48 |
Max. Negotiated Rate |
$10,860.48 |
Rate for Payer: AHCCCS Medicaid |
$10,860.48
|
Rate for Payer: Allwell Medicaid |
$10,860.48
|
Rate for Payer: AZCH Complete Medicaid |
$10,860.48
|
Rate for Payer: Banner UC Health Medicaid |
$10,860.48
|
Rate for Payer: Mercy Care Medicaid |
$10,860.48
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$13,705.36
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG3212
|
Min. Negotiated Rate |
$13,705.36 |
Max. Negotiated Rate |
$13,705.36 |
Rate for Payer: AHCCCS Medicaid |
$13,705.36
|
Rate for Payer: Allwell Medicaid |
$13,705.36
|
Rate for Payer: AZCH Complete Medicaid |
$13,705.36
|
Rate for Payer: Banner UC Health Medicaid |
$13,705.36
|
Rate for Payer: Mercy Care Medicaid |
$13,705.36
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$35,817.69
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG3211
|
Min. Negotiated Rate |
$35,817.69 |
Max. Negotiated Rate |
$35,817.69 |
Rate for Payer: AHCCCS Medicaid |
$35,817.69
|
Rate for Payer: Allwell Medicaid |
$35,817.69
|
Rate for Payer: AZCH Complete Medicaid |
$35,817.69
|
Rate for Payer: Banner UC Health Medicaid |
$35,817.69
|
Rate for Payer: Mercy Care Medicaid |
$35,817.69
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$13,705.36
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG3213
|
Min. Negotiated Rate |
$13,705.36 |
Max. Negotiated Rate |
$13,705.36 |
Rate for Payer: AHCCCS Medicaid |
$13,705.36
|
Rate for Payer: Allwell Medicaid |
$13,705.36
|
Rate for Payer: AZCH Complete Medicaid |
$13,705.36
|
Rate for Payer: Banner UC Health Medicaid |
$13,705.36
|
Rate for Payer: Mercy Care Medicaid |
$13,705.36
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$13,705.36
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG3214
|
Min. Negotiated Rate |
$13,705.36 |
Max. Negotiated Rate |
$13,705.36 |
Rate for Payer: AHCCCS Medicaid |
$13,705.36
|
Rate for Payer: Allwell Medicaid |
$13,705.36
|
Rate for Payer: AZCH Complete Medicaid |
$13,705.36
|
Rate for Payer: Banner UC Health Medicaid |
$13,705.36
|
Rate for Payer: Mercy Care Medicaid |
$13,705.36
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$35,817.69
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG3213
|
Min. Negotiated Rate |
$35,817.69 |
Max. Negotiated Rate |
$35,817.69 |
Rate for Payer: AHCCCS Medicaid |
$35,817.69
|
Rate for Payer: Allwell Medicaid |
$35,817.69
|
Rate for Payer: AZCH Complete Medicaid |
$35,817.69
|
Rate for Payer: Banner UC Health Medicaid |
$35,817.69
|
Rate for Payer: Mercy Care Medicaid |
$35,817.69
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$10,860.48
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG3214
|
Min. Negotiated Rate |
$10,860.48 |
Max. Negotiated Rate |
$10,860.48 |
Rate for Payer: AHCCCS Medicaid |
$10,860.48
|
Rate for Payer: Allwell Medicaid |
$10,860.48
|
Rate for Payer: AZCH Complete Medicaid |
$10,860.48
|
Rate for Payer: Banner UC Health Medicaid |
$10,860.48
|
Rate for Payer: Mercy Care Medicaid |
$10,860.48
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$13,705.36
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG3211
|
Min. Negotiated Rate |
$13,705.36 |
Max. Negotiated Rate |
$13,705.36 |
Rate for Payer: AHCCCS Medicaid |
$13,705.36
|
Rate for Payer: Allwell Medicaid |
$13,705.36
|
Rate for Payer: AZCH Complete Medicaid |
$13,705.36
|
Rate for Payer: Banner UC Health Medicaid |
$13,705.36
|
Rate for Payer: Mercy Care Medicaid |
$13,705.36
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$21,234.18
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG3211
|
Min. Negotiated Rate |
$21,234.18 |
Max. Negotiated Rate |
$21,234.18 |
Rate for Payer: AHCCCS Medicaid |
$21,234.18
|
Rate for Payer: Allwell Medicaid |
$21,234.18
|
Rate for Payer: AZCH Complete Medicaid |
$21,234.18
|
Rate for Payer: Banner UC Health Medicaid |
$21,234.18
|
Rate for Payer: Mercy Care Medicaid |
$21,234.18
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$10,860.48
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG3211
|
Min. Negotiated Rate |
$10,860.48 |
Max. Negotiated Rate |
$10,860.48 |
Rate for Payer: AHCCCS Medicaid |
$10,860.48
|
Rate for Payer: Allwell Medicaid |
$10,860.48
|
Rate for Payer: AZCH Complete Medicaid |
$10,860.48
|
Rate for Payer: Banner UC Health Medicaid |
$10,860.48
|
Rate for Payer: Mercy Care Medicaid |
$10,860.48
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$21,234.18
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG3213
|
Min. Negotiated Rate |
$21,234.18 |
Max. Negotiated Rate |
$21,234.18 |
Rate for Payer: AHCCCS Medicaid |
$21,234.18
|
Rate for Payer: Allwell Medicaid |
$21,234.18
|
Rate for Payer: AZCH Complete Medicaid |
$21,234.18
|
Rate for Payer: Banner UC Health Medicaid |
$21,234.18
|
Rate for Payer: Mercy Care Medicaid |
$21,234.18
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG5402
|
Min. Negotiated Rate |
$11,774.40 |
Max. Negotiated Rate |
$11,774.40 |
Rate for Payer: AHCCCS Medicaid |
$11,774.40
|
Rate for Payer: Allwell Medicaid |
$11,774.40
|
Rate for Payer: AZCH Complete Medicaid |
$11,774.40
|
Rate for Payer: Banner UC Health Medicaid |
$11,774.40
|
Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG5402
|
Min. Negotiated Rate |
$5,938.05 |
Max. Negotiated Rate |
$5,938.05 |
Rate for Payer: AHCCCS Medicaid |
$5,938.05
|
Rate for Payer: Allwell Medicaid |
$5,938.05
|
Rate for Payer: AZCH Complete Medicaid |
$5,938.05
|
Rate for Payer: Banner UC Health Medicaid |
$5,938.05
|
Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG5401
|
Min. Negotiated Rate |
$11,774.40 |
Max. Negotiated Rate |
$11,774.40 |
Rate for Payer: AHCCCS Medicaid |
$11,774.40
|
Rate for Payer: Allwell Medicaid |
$11,774.40
|
Rate for Payer: AZCH Complete Medicaid |
$11,774.40
|
Rate for Payer: Banner UC Health Medicaid |
$11,774.40
|
Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG5404
|
Min. Negotiated Rate |
$4,371.83 |
Max. Negotiated Rate |
$4,371.83 |
Rate for Payer: AHCCCS Medicaid |
$4,371.83
|
Rate for Payer: Allwell Medicaid |
$4,371.83
|
Rate for Payer: AZCH Complete Medicaid |
$4,371.83
|
Rate for Payer: Banner UC Health Medicaid |
$4,371.83
|
Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG5404
|
Min. Negotiated Rate |
$11,774.40 |
Max. Negotiated Rate |
$11,774.40 |
Rate for Payer: AHCCCS Medicaid |
$11,774.40
|
Rate for Payer: Allwell Medicaid |
$11,774.40
|
Rate for Payer: AZCH Complete Medicaid |
$11,774.40
|
Rate for Payer: Banner UC Health Medicaid |
$11,774.40
|
Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG5403
|
Min. Negotiated Rate |
$5,938.05 |
Max. Negotiated Rate |
$5,938.05 |
Rate for Payer: AHCCCS Medicaid |
$5,938.05
|
Rate for Payer: Allwell Medicaid |
$5,938.05
|
Rate for Payer: AZCH Complete Medicaid |
$5,938.05
|
Rate for Payer: Banner UC Health Medicaid |
$5,938.05
|
Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG5404
|
Min. Negotiated Rate |
$3,586.96 |
Max. Negotiated Rate |
$3,586.96 |
Rate for Payer: AHCCCS Medicaid |
$3,586.96
|
Rate for Payer: Allwell Medicaid |
$3,586.96
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.96
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.96
|
Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG5403
|
Min. Negotiated Rate |
$3,586.96 |
Max. Negotiated Rate |
$3,586.96 |
Rate for Payer: AHCCCS Medicaid |
$3,586.96
|
Rate for Payer: Allwell Medicaid |
$3,586.96
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.96
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.96
|
Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG5404
|
Min. Negotiated Rate |
$5,938.05 |
Max. Negotiated Rate |
$5,938.05 |
Rate for Payer: AHCCCS Medicaid |
$5,938.05
|
Rate for Payer: Allwell Medicaid |
$5,938.05
|
Rate for Payer: AZCH Complete Medicaid |
$5,938.05
|
Rate for Payer: Banner UC Health Medicaid |
$5,938.05
|
Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG5402
|
Min. Negotiated Rate |
$4,371.83 |
Max. Negotiated Rate |
$4,371.83 |
Rate for Payer: AHCCCS Medicaid |
$4,371.83
|
Rate for Payer: Allwell Medicaid |
$4,371.83
|
Rate for Payer: AZCH Complete Medicaid |
$4,371.83
|
Rate for Payer: Banner UC Health Medicaid |
$4,371.83
|
Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG5401
|
Min. Negotiated Rate |
$5,938.05 |
Max. Negotiated Rate |
$5,938.05 |
Rate for Payer: AHCCCS Medicaid |
$5,938.05
|
Rate for Payer: Allwell Medicaid |
$5,938.05
|
Rate for Payer: AZCH Complete Medicaid |
$5,938.05
|
Rate for Payer: Banner UC Health Medicaid |
$5,938.05
|
Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
|