Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$15,486.91
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG2843
|
Min. Negotiated Rate |
$15,486.91 |
Max. Negotiated Rate |
$15,486.91 |
Rate for Payer: AHCCCS Medicaid |
$15,486.91
|
Rate for Payer: Allwell Medicaid |
$15,486.91
|
Rate for Payer: AZCH Complete Medicaid |
$15,486.91
|
Rate for Payer: Banner UC Health Medicaid |
$15,486.91
|
Rate for Payer: Mercy Care Medicaid |
$15,486.91
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$15,486.91
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG2842
|
Min. Negotiated Rate |
$15,486.91 |
Max. Negotiated Rate |
$15,486.91 |
Rate for Payer: AHCCCS Medicaid |
$15,486.91
|
Rate for Payer: Allwell Medicaid |
$15,486.91
|
Rate for Payer: AZCH Complete Medicaid |
$15,486.91
|
Rate for Payer: Banner UC Health Medicaid |
$15,486.91
|
Rate for Payer: Mercy Care Medicaid |
$15,486.91
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$15,486.91
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG2844
|
Min. Negotiated Rate |
$15,486.91 |
Max. Negotiated Rate |
$15,486.91 |
Rate for Payer: AHCCCS Medicaid |
$15,486.91
|
Rate for Payer: Allwell Medicaid |
$15,486.91
|
Rate for Payer: AZCH Complete Medicaid |
$15,486.91
|
Rate for Payer: Banner UC Health Medicaid |
$15,486.91
|
Rate for Payer: Mercy Care Medicaid |
$15,486.91
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$15,486.91
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG2841
|
Min. Negotiated Rate |
$15,486.91 |
Max. Negotiated Rate |
$15,486.91 |
Rate for Payer: AHCCCS Medicaid |
$15,486.91
|
Rate for Payer: Allwell Medicaid |
$15,486.91
|
Rate for Payer: AZCH Complete Medicaid |
$15,486.91
|
Rate for Payer: Banner UC Health Medicaid |
$15,486.91
|
Rate for Payer: Mercy Care Medicaid |
$15,486.91
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$5,649.08
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG2843
|
Min. Negotiated Rate |
$5,649.08 |
Max. Negotiated Rate |
$5,649.08 |
Rate for Payer: AHCCCS Medicaid |
$5,649.08
|
Rate for Payer: Allwell Medicaid |
$5,649.08
|
Rate for Payer: AZCH Complete Medicaid |
$5,649.08
|
Rate for Payer: Banner UC Health Medicaid |
$5,649.08
|
Rate for Payer: Mercy Care Medicaid |
$5,649.08
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG2823
|
Min. Negotiated Rate |
$18,963.75 |
Max. Negotiated Rate |
$18,963.75 |
Rate for Payer: AHCCCS Medicaid |
$18,963.75
|
Rate for Payer: Allwell Medicaid |
$18,963.75
|
Rate for Payer: AZCH Complete Medicaid |
$18,963.75
|
Rate for Payer: Banner UC Health Medicaid |
$18,963.75
|
Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG2822
|
Min. Negotiated Rate |
$4,552.79 |
Max. Negotiated Rate |
$4,552.79 |
Rate for Payer: AHCCCS Medicaid |
$4,552.79
|
Rate for Payer: Allwell Medicaid |
$4,552.79
|
Rate for Payer: AZCH Complete Medicaid |
$4,552.79
|
Rate for Payer: Banner UC Health Medicaid |
$4,552.79
|
Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG2822
|
Min. Negotiated Rate |
$18,963.75 |
Max. Negotiated Rate |
$18,963.75 |
Rate for Payer: AHCCCS Medicaid |
$18,963.75
|
Rate for Payer: Allwell Medicaid |
$18,963.75
|
Rate for Payer: AZCH Complete Medicaid |
$18,963.75
|
Rate for Payer: Banner UC Health Medicaid |
$18,963.75
|
Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG2821
|
Min. Negotiated Rate |
$3,455.80 |
Max. Negotiated Rate |
$3,455.80 |
Rate for Payer: AHCCCS Medicaid |
$3,455.80
|
Rate for Payer: Allwell Medicaid |
$3,455.80
|
Rate for Payer: AZCH Complete Medicaid |
$3,455.80
|
Rate for Payer: Banner UC Health Medicaid |
$3,455.80
|
Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG2823
|
Min. Negotiated Rate |
$3,455.80 |
Max. Negotiated Rate |
$3,455.80 |
Rate for Payer: AHCCCS Medicaid |
$3,455.80
|
Rate for Payer: Allwell Medicaid |
$3,455.80
|
Rate for Payer: AZCH Complete Medicaid |
$3,455.80
|
Rate for Payer: Banner UC Health Medicaid |
$3,455.80
|
Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG2824
|
Min. Negotiated Rate |
$7,508.49 |
Max. Negotiated Rate |
$7,508.49 |
Rate for Payer: AHCCCS Medicaid |
$7,508.49
|
Rate for Payer: Allwell Medicaid |
$7,508.49
|
Rate for Payer: AZCH Complete Medicaid |
$7,508.49
|
Rate for Payer: Banner UC Health Medicaid |
$7,508.49
|
Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG2823
|
Min. Negotiated Rate |
$4,552.79 |
Max. Negotiated Rate |
$4,552.79 |
Rate for Payer: AHCCCS Medicaid |
$4,552.79
|
Rate for Payer: Allwell Medicaid |
$4,552.79
|
Rate for Payer: AZCH Complete Medicaid |
$4,552.79
|
Rate for Payer: Banner UC Health Medicaid |
$4,552.79
|
Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG2823
|
Min. Negotiated Rate |
$7,508.49 |
Max. Negotiated Rate |
$7,508.49 |
Rate for Payer: AHCCCS Medicaid |
$7,508.49
|
Rate for Payer: Allwell Medicaid |
$7,508.49
|
Rate for Payer: AZCH Complete Medicaid |
$7,508.49
|
Rate for Payer: Banner UC Health Medicaid |
$7,508.49
|
Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG2824
|
Min. Negotiated Rate |
$4,552.79 |
Max. Negotiated Rate |
$4,552.79 |
Rate for Payer: AHCCCS Medicaid |
$4,552.79
|
Rate for Payer: Allwell Medicaid |
$4,552.79
|
Rate for Payer: AZCH Complete Medicaid |
$4,552.79
|
Rate for Payer: Banner UC Health Medicaid |
$4,552.79
|
Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG2822
|
Min. Negotiated Rate |
$3,455.80 |
Max. Negotiated Rate |
$3,455.80 |
Rate for Payer: AHCCCS Medicaid |
$3,455.80
|
Rate for Payer: Allwell Medicaid |
$3,455.80
|
Rate for Payer: AZCH Complete Medicaid |
$3,455.80
|
Rate for Payer: Banner UC Health Medicaid |
$3,455.80
|
Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG2824
|
Min. Negotiated Rate |
$18,963.75 |
Max. Negotiated Rate |
$18,963.75 |
Rate for Payer: AHCCCS Medicaid |
$18,963.75
|
Rate for Payer: Allwell Medicaid |
$18,963.75
|
Rate for Payer: AZCH Complete Medicaid |
$18,963.75
|
Rate for Payer: Banner UC Health Medicaid |
$18,963.75
|
Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG2821
|
Min. Negotiated Rate |
$4,552.79 |
Max. Negotiated Rate |
$4,552.79 |
Rate for Payer: AHCCCS Medicaid |
$4,552.79
|
Rate for Payer: Allwell Medicaid |
$4,552.79
|
Rate for Payer: AZCH Complete Medicaid |
$4,552.79
|
Rate for Payer: Banner UC Health Medicaid |
$4,552.79
|
Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG2821
|
Min. Negotiated Rate |
$18,963.75 |
Max. Negotiated Rate |
$18,963.75 |
Rate for Payer: AHCCCS Medicaid |
$18,963.75
|
Rate for Payer: Allwell Medicaid |
$18,963.75
|
Rate for Payer: AZCH Complete Medicaid |
$18,963.75
|
Rate for Payer: Banner UC Health Medicaid |
$18,963.75
|
Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG2821
|
Min. Negotiated Rate |
$7,508.49 |
Max. Negotiated Rate |
$7,508.49 |
Rate for Payer: AHCCCS Medicaid |
$7,508.49
|
Rate for Payer: Allwell Medicaid |
$7,508.49
|
Rate for Payer: AZCH Complete Medicaid |
$7,508.49
|
Rate for Payer: Banner UC Health Medicaid |
$7,508.49
|
Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG2822
|
Min. Negotiated Rate |
$7,508.49 |
Max. Negotiated Rate |
$7,508.49 |
Rate for Payer: AHCCCS Medicaid |
$7,508.49
|
Rate for Payer: Allwell Medicaid |
$7,508.49
|
Rate for Payer: AZCH Complete Medicaid |
$7,508.49
|
Rate for Payer: Banner UC Health Medicaid |
$7,508.49
|
Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG2824
|
Min. Negotiated Rate |
$3,455.80 |
Max. Negotiated Rate |
$3,455.80 |
Rate for Payer: AHCCCS Medicaid |
$3,455.80
|
Rate for Payer: Allwell Medicaid |
$3,455.80
|
Rate for Payer: AZCH Complete Medicaid |
$3,455.80
|
Rate for Payer: Banner UC Health Medicaid |
$3,455.80
|
Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$6,509.69
|
|
Service Code
|
APR-DRG 7523
|
Hospital Charge Code |
APRDRG7521
|
Min. Negotiated Rate |
$6,509.69 |
Max. Negotiated Rate |
$6,509.69 |
Rate for Payer: AHCCCS Medicaid |
$6,509.69
|
Rate for Payer: Allwell Medicaid |
$6,509.69
|
Rate for Payer: AZCH Complete Medicaid |
$6,509.69
|
Rate for Payer: Banner UC Health Medicaid |
$6,509.69
|
Rate for Payer: Mercy Care Medicaid |
$6,509.69
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$2,814.02
|
|
Service Code
|
APR-DRG 7522
|
Hospital Charge Code |
APRDRG7523
|
Min. Negotiated Rate |
$2,814.02 |
Max. Negotiated Rate |
$2,814.02 |
Rate for Payer: AHCCCS Medicaid |
$2,814.02
|
Rate for Payer: Allwell Medicaid |
$2,814.02
|
Rate for Payer: AZCH Complete Medicaid |
$2,814.02
|
Rate for Payer: Banner UC Health Medicaid |
$2,814.02
|
Rate for Payer: Mercy Care Medicaid |
$2,814.02
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$2,814.02
|
|
Service Code
|
APR-DRG 7522
|
Hospital Charge Code |
APRDRG7524
|
Min. Negotiated Rate |
$2,814.02 |
Max. Negotiated Rate |
$2,814.02 |
Rate for Payer: AHCCCS Medicaid |
$2,814.02
|
Rate for Payer: Allwell Medicaid |
$2,814.02
|
Rate for Payer: AZCH Complete Medicaid |
$2,814.02
|
Rate for Payer: Banner UC Health Medicaid |
$2,814.02
|
Rate for Payer: Mercy Care Medicaid |
$2,814.02
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$6,509.69
|
|
Service Code
|
APR-DRG 7523
|
Hospital Charge Code |
APRDRG7523
|
Min. Negotiated Rate |
$6,509.69 |
Max. Negotiated Rate |
$6,509.69 |
Rate for Payer: AHCCCS Medicaid |
$6,509.69
|
Rate for Payer: Allwell Medicaid |
$6,509.69
|
Rate for Payer: AZCH Complete Medicaid |
$6,509.69
|
Rate for Payer: Banner UC Health Medicaid |
$6,509.69
|
Rate for Payer: Mercy Care Medicaid |
$6,509.69
|
|