Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$8,132.03
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG2843
|
Min. Negotiated Rate |
$8,132.03 |
Max. Negotiated Rate |
$8,132.03 |
Rate for Payer: AHCCCS Medicaid |
$8,132.03
|
Rate for Payer: Allwell Medicaid |
$8,132.03
|
Rate for Payer: AZCH Complete Medicaid |
$8,132.03
|
Rate for Payer: Banner UC Health Medicaid |
$8,132.03
|
Rate for Payer: Mercy Care Medicaid |
$8,132.03
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$4,418.12
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG2843
|
Min. Negotiated Rate |
$4,418.12 |
Max. Negotiated Rate |
$4,418.12 |
Rate for Payer: AHCCCS Medicaid |
$4,418.12
|
Rate for Payer: Allwell Medicaid |
$4,418.12
|
Rate for Payer: AZCH Complete Medicaid |
$4,418.12
|
Rate for Payer: Banner UC Health Medicaid |
$4,418.12
|
Rate for Payer: Mercy Care Medicaid |
$4,418.12
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$8,132.03
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG2842
|
Min. Negotiated Rate |
$8,132.03 |
Max. Negotiated Rate |
$8,132.03 |
Rate for Payer: AHCCCS Medicaid |
$8,132.03
|
Rate for Payer: Allwell Medicaid |
$8,132.03
|
Rate for Payer: AZCH Complete Medicaid |
$8,132.03
|
Rate for Payer: Banner UC Health Medicaid |
$8,132.03
|
Rate for Payer: Mercy Care Medicaid |
$8,132.03
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$8,132.03
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG2841
|
Min. Negotiated Rate |
$8,132.03 |
Max. Negotiated Rate |
$8,132.03 |
Rate for Payer: AHCCCS Medicaid |
$8,132.03
|
Rate for Payer: Allwell Medicaid |
$8,132.03
|
Rate for Payer: AZCH Complete Medicaid |
$8,132.03
|
Rate for Payer: Banner UC Health Medicaid |
$8,132.03
|
Rate for Payer: Mercy Care Medicaid |
$8,132.03
|
|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$4,418.12
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG2842
|
Min. Negotiated Rate |
$4,418.12 |
Max. Negotiated Rate |
$4,418.12 |
Rate for Payer: AHCCCS Medicaid |
$4,418.12
|
Rate for Payer: Allwell Medicaid |
$4,418.12
|
Rate for Payer: AZCH Complete Medicaid |
$4,418.12
|
Rate for Payer: Banner UC Health Medicaid |
$4,418.12
|
Rate for Payer: Mercy Care Medicaid |
$4,418.12
|
|
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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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 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 |
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
|
$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 Personality And Impulse Control
|
Facility
|
IP
|
$2,166.62
|
|
Service Code
|
APR-DRG 7521
|
Hospital Charge Code |
APRDRG7524
|
Min. Negotiated Rate |
$2,166.62 |
Max. Negotiated Rate |
$2,166.62 |
Rate for Payer: AHCCCS Medicaid |
$2,166.62
|
Rate for Payer: Allwell Medicaid |
$2,166.62
|
Rate for Payer: AZCH Complete Medicaid |
$2,166.62
|
Rate for Payer: Banner UC Health Medicaid |
$2,166.62
|
Rate for Payer: Mercy Care Medicaid |
$2,166.62
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$6,509.69
|
|
Service Code
|
APR-DRG 7524
|
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
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$6,509.69
|
|
Service Code
|
APR-DRG 7524
|
Hospital Charge Code |
APRDRG7524
|
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
|
$6,509.69
|
|
Service Code
|
APR-DRG 7524
|
Hospital Charge Code |
APRDRG7522
|
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
|
|