|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$8,616.70
|
|
|
Service Code
|
APR-DRG 3241
|
| Hospital Charge Code |
APRDRG3244
|
| Min. Negotiated Rate |
$8,616.70 |
| Max. Negotiated Rate |
$8,616.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,616.70
|
| Rate for Payer: Allwell Medicaid |
$8,616.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,616.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,616.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,616.70
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$23,099.91
|
|
|
Service Code
|
APR-DRG 3244
|
| Hospital Charge Code |
APRDRG3241
|
| Min. Negotiated Rate |
$23,099.91 |
| Max. Negotiated Rate |
$23,099.91 |
| Rate for Payer: AHCCCS Medicaid |
$23,099.91
|
| Rate for Payer: Allwell Medicaid |
$23,099.91
|
| Rate for Payer: AZCH Complete Medicaid |
$23,099.91
|
| Rate for Payer: Banner UC Health Medicaid |
$23,099.91
|
| Rate for Payer: Mercy Care Medicaid |
$23,099.91
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$23,099.91
|
|
|
Service Code
|
APR-DRG 3244
|
| Hospital Charge Code |
APRDRG3242
|
| Min. Negotiated Rate |
$23,099.91 |
| Max. Negotiated Rate |
$23,099.91 |
| Rate for Payer: AHCCCS Medicaid |
$23,099.91
|
| Rate for Payer: Allwell Medicaid |
$23,099.91
|
| Rate for Payer: AZCH Complete Medicaid |
$23,099.91
|
| Rate for Payer: Banner UC Health Medicaid |
$23,099.91
|
| Rate for Payer: Mercy Care Medicaid |
$23,099.91
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$13,788.12
|
|
|
Service Code
|
APR-DRG 3243
|
| Hospital Charge Code |
APRDRG3241
|
| Min. Negotiated Rate |
$13,788.12 |
| Max. Negotiated Rate |
$13,788.12 |
| Rate for Payer: AHCCCS Medicaid |
$13,788.12
|
| Rate for Payer: Allwell Medicaid |
$13,788.12
|
| Rate for Payer: AZCH Complete Medicaid |
$13,788.12
|
| Rate for Payer: Banner UC Health Medicaid |
$13,788.12
|
| Rate for Payer: Mercy Care Medicaid |
$13,788.12
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$23,099.91
|
|
|
Service Code
|
APR-DRG 3244
|
| Hospital Charge Code |
APRDRG3243
|
| Min. Negotiated Rate |
$23,099.91 |
| Max. Negotiated Rate |
$23,099.91 |
| Rate for Payer: AHCCCS Medicaid |
$23,099.91
|
| Rate for Payer: Allwell Medicaid |
$23,099.91
|
| Rate for Payer: AZCH Complete Medicaid |
$23,099.91
|
| Rate for Payer: Banner UC Health Medicaid |
$23,099.91
|
| Rate for Payer: Mercy Care Medicaid |
$23,099.91
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$23,099.91
|
|
|
Service Code
|
APR-DRG 3244
|
| Hospital Charge Code |
APRDRG3244
|
| Min. Negotiated Rate |
$23,099.91 |
| Max. Negotiated Rate |
$23,099.91 |
| Rate for Payer: AHCCCS Medicaid |
$23,099.91
|
| Rate for Payer: Allwell Medicaid |
$23,099.91
|
| Rate for Payer: AZCH Complete Medicaid |
$23,099.91
|
| Rate for Payer: Banner UC Health Medicaid |
$23,099.91
|
| Rate for Payer: Mercy Care Medicaid |
$23,099.91
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$8,616.70
|
|
|
Service Code
|
APR-DRG 3241
|
| Hospital Charge Code |
APRDRG3243
|
| Min. Negotiated Rate |
$8,616.70 |
| Max. Negotiated Rate |
$8,616.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,616.70
|
| Rate for Payer: Allwell Medicaid |
$8,616.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,616.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,616.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,616.70
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$9,593.05
|
|
|
Service Code
|
APR-DRG 3242
|
| Hospital Charge Code |
APRDRG3242
|
| Min. Negotiated Rate |
$9,593.05 |
| Max. Negotiated Rate |
$9,593.05 |
| Rate for Payer: AHCCCS Medicaid |
$9,593.05
|
| Rate for Payer: Allwell Medicaid |
$9,593.05
|
| Rate for Payer: AZCH Complete Medicaid |
$9,593.05
|
| Rate for Payer: Banner UC Health Medicaid |
$9,593.05
|
| Rate for Payer: Mercy Care Medicaid |
$9,593.05
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$8,616.70
|
|
|
Service Code
|
APR-DRG 3241
|
| Hospital Charge Code |
APRDRG3242
|
| Min. Negotiated Rate |
$8,616.70 |
| Max. Negotiated Rate |
$8,616.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,616.70
|
| Rate for Payer: Allwell Medicaid |
$8,616.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,616.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,616.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,616.70
|
|
|
Elective Hip Joint Replacement
|
Facility
|
IP
|
$9,593.05
|
|
|
Service Code
|
APR-DRG 3242
|
| Hospital Charge Code |
APRDRG3243
|
| Min. Negotiated Rate |
$9,593.05 |
| Max. Negotiated Rate |
$9,593.05 |
| Rate for Payer: AHCCCS Medicaid |
$9,593.05
|
| Rate for Payer: Allwell Medicaid |
$9,593.05
|
| Rate for Payer: AZCH Complete Medicaid |
$9,593.05
|
| Rate for Payer: Banner UC Health Medicaid |
$9,593.05
|
| Rate for Payer: Mercy Care Medicaid |
$9,593.05
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$9,159.58
|
|
|
Service Code
|
APR-DRG 3262
|
| Hospital Charge Code |
APRDRG3261
|
| Min. Negotiated Rate |
$9,159.58 |
| Max. Negotiated Rate |
$9,159.58 |
| Rate for Payer: AHCCCS Medicaid |
$9,159.58
|
| Rate for Payer: Allwell Medicaid |
$9,159.58
|
| Rate for Payer: AZCH Complete Medicaid |
$9,159.58
|
| Rate for Payer: Banner UC Health Medicaid |
$9,159.58
|
| Rate for Payer: Mercy Care Medicaid |
$9,159.58
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$19,383.19
|
|
|
Service Code
|
APR-DRG 3264
|
| Hospital Charge Code |
APRDRG3262
|
| Min. Negotiated Rate |
$19,383.19 |
| Max. Negotiated Rate |
$19,383.19 |
| Rate for Payer: AHCCCS Medicaid |
$19,383.19
|
| Rate for Payer: Allwell Medicaid |
$19,383.19
|
| Rate for Payer: AZCH Complete Medicaid |
$19,383.19
|
| Rate for Payer: Banner UC Health Medicaid |
$19,383.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,383.19
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$19,383.19
|
|
|
Service Code
|
APR-DRG 3264
|
| Hospital Charge Code |
APRDRG3264
|
| Min. Negotiated Rate |
$19,383.19 |
| Max. Negotiated Rate |
$19,383.19 |
| Rate for Payer: AHCCCS Medicaid |
$19,383.19
|
| Rate for Payer: Allwell Medicaid |
$19,383.19
|
| Rate for Payer: AZCH Complete Medicaid |
$19,383.19
|
| Rate for Payer: Banner UC Health Medicaid |
$19,383.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,383.19
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$9,159.58
|
|
|
Service Code
|
APR-DRG 3262
|
| Hospital Charge Code |
APRDRG3262
|
| Min. Negotiated Rate |
$9,159.58 |
| Max. Negotiated Rate |
$9,159.58 |
| Rate for Payer: AHCCCS Medicaid |
$9,159.58
|
| Rate for Payer: Allwell Medicaid |
$9,159.58
|
| Rate for Payer: AZCH Complete Medicaid |
$9,159.58
|
| Rate for Payer: Banner UC Health Medicaid |
$9,159.58
|
| Rate for Payer: Mercy Care Medicaid |
$9,159.58
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$12,891.73
|
|
|
Service Code
|
APR-DRG 3263
|
| Hospital Charge Code |
APRDRG3262
|
| Min. Negotiated Rate |
$12,891.73 |
| Max. Negotiated Rate |
$12,891.73 |
| Rate for Payer: AHCCCS Medicaid |
$12,891.73
|
| Rate for Payer: Allwell Medicaid |
$12,891.73
|
| Rate for Payer: AZCH Complete Medicaid |
$12,891.73
|
| Rate for Payer: Banner UC Health Medicaid |
$12,891.73
|
| Rate for Payer: Mercy Care Medicaid |
$12,891.73
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$8,367.70
|
|
|
Service Code
|
APR-DRG 3261
|
| Hospital Charge Code |
APRDRG3262
|
| Min. Negotiated Rate |
$8,367.70 |
| Max. Negotiated Rate |
$8,367.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,367.70
|
| Rate for Payer: Allwell Medicaid |
$8,367.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,367.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,367.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,367.70
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$9,159.58
|
|
|
Service Code
|
APR-DRG 3262
|
| Hospital Charge Code |
APRDRG3264
|
| Min. Negotiated Rate |
$9,159.58 |
| Max. Negotiated Rate |
$9,159.58 |
| Rate for Payer: AHCCCS Medicaid |
$9,159.58
|
| Rate for Payer: Allwell Medicaid |
$9,159.58
|
| Rate for Payer: AZCH Complete Medicaid |
$9,159.58
|
| Rate for Payer: Banner UC Health Medicaid |
$9,159.58
|
| Rate for Payer: Mercy Care Medicaid |
$9,159.58
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$12,891.73
|
|
|
Service Code
|
APR-DRG 3263
|
| Hospital Charge Code |
APRDRG3263
|
| Min. Negotiated Rate |
$12,891.73 |
| Max. Negotiated Rate |
$12,891.73 |
| Rate for Payer: AHCCCS Medicaid |
$12,891.73
|
| Rate for Payer: Allwell Medicaid |
$12,891.73
|
| Rate for Payer: AZCH Complete Medicaid |
$12,891.73
|
| Rate for Payer: Banner UC Health Medicaid |
$12,891.73
|
| Rate for Payer: Mercy Care Medicaid |
$12,891.73
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$8,367.70
|
|
|
Service Code
|
APR-DRG 3261
|
| Hospital Charge Code |
APRDRG3263
|
| Min. Negotiated Rate |
$8,367.70 |
| Max. Negotiated Rate |
$8,367.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,367.70
|
| Rate for Payer: Allwell Medicaid |
$8,367.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,367.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,367.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,367.70
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$9,159.58
|
|
|
Service Code
|
APR-DRG 3262
|
| Hospital Charge Code |
APRDRG3263
|
| Min. Negotiated Rate |
$9,159.58 |
| Max. Negotiated Rate |
$9,159.58 |
| Rate for Payer: AHCCCS Medicaid |
$9,159.58
|
| Rate for Payer: Allwell Medicaid |
$9,159.58
|
| Rate for Payer: AZCH Complete Medicaid |
$9,159.58
|
| Rate for Payer: Banner UC Health Medicaid |
$9,159.58
|
| Rate for Payer: Mercy Care Medicaid |
$9,159.58
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$19,383.19
|
|
|
Service Code
|
APR-DRG 3264
|
| Hospital Charge Code |
APRDRG3261
|
| Min. Negotiated Rate |
$19,383.19 |
| Max. Negotiated Rate |
$19,383.19 |
| Rate for Payer: AHCCCS Medicaid |
$19,383.19
|
| Rate for Payer: Allwell Medicaid |
$19,383.19
|
| Rate for Payer: AZCH Complete Medicaid |
$19,383.19
|
| Rate for Payer: Banner UC Health Medicaid |
$19,383.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,383.19
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$8,367.70
|
|
|
Service Code
|
APR-DRG 3261
|
| Hospital Charge Code |
APRDRG3264
|
| Min. Negotiated Rate |
$8,367.70 |
| Max. Negotiated Rate |
$8,367.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,367.70
|
| Rate for Payer: Allwell Medicaid |
$8,367.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,367.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,367.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,367.70
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$12,891.73
|
|
|
Service Code
|
APR-DRG 3263
|
| Hospital Charge Code |
APRDRG3264
|
| Min. Negotiated Rate |
$12,891.73 |
| Max. Negotiated Rate |
$12,891.73 |
| Rate for Payer: AHCCCS Medicaid |
$12,891.73
|
| Rate for Payer: Allwell Medicaid |
$12,891.73
|
| Rate for Payer: AZCH Complete Medicaid |
$12,891.73
|
| Rate for Payer: Banner UC Health Medicaid |
$12,891.73
|
| Rate for Payer: Mercy Care Medicaid |
$12,891.73
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$19,383.19
|
|
|
Service Code
|
APR-DRG 3264
|
| Hospital Charge Code |
APRDRG3263
|
| Min. Negotiated Rate |
$19,383.19 |
| Max. Negotiated Rate |
$19,383.19 |
| Rate for Payer: AHCCCS Medicaid |
$19,383.19
|
| Rate for Payer: Allwell Medicaid |
$19,383.19
|
| Rate for Payer: AZCH Complete Medicaid |
$19,383.19
|
| Rate for Payer: Banner UC Health Medicaid |
$19,383.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,383.19
|
|
|
Elective Knee Joint Replacement
|
Facility
|
IP
|
$8,367.70
|
|
|
Service Code
|
APR-DRG 3261
|
| Hospital Charge Code |
APRDRG3261
|
| Min. Negotiated Rate |
$8,367.70 |
| Max. Negotiated Rate |
$8,367.70 |
| Rate for Payer: AHCCCS Medicaid |
$8,367.70
|
| Rate for Payer: Allwell Medicaid |
$8,367.70
|
| Rate for Payer: AZCH Complete Medicaid |
$8,367.70
|
| Rate for Payer: Banner UC Health Medicaid |
$8,367.70
|
| Rate for Payer: Mercy Care Medicaid |
$8,367.70
|
|
