|
Female Reproductive System Infections
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5312
|
| Hospital Charge Code |
APRDRG5312
|
| 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
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$3,251.69
|
|
|
Service Code
|
APR-DRG 5311
|
| Hospital Charge Code |
APRDRG5313
|
| Min. Negotiated Rate |
$3,251.69 |
| Max. Negotiated Rate |
$3,251.69 |
| Rate for Payer: AHCCCS Medicaid |
$3,251.69
|
| Rate for Payer: Allwell Medicaid |
$3,251.69
|
| Rate for Payer: AZCH Complete Medicaid |
$3,251.69
|
| Rate for Payer: Banner UC Health Medicaid |
$3,251.69
|
| Rate for Payer: Mercy Care Medicaid |
$3,251.69
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$3,251.69
|
|
|
Service Code
|
APR-DRG 5311
|
| Hospital Charge Code |
APRDRG5312
|
| Min. Negotiated Rate |
$3,251.69 |
| Max. Negotiated Rate |
$3,251.69 |
| Rate for Payer: AHCCCS Medicaid |
$3,251.69
|
| Rate for Payer: Allwell Medicaid |
$3,251.69
|
| Rate for Payer: AZCH Complete Medicaid |
$3,251.69
|
| Rate for Payer: Banner UC Health Medicaid |
$3,251.69
|
| Rate for Payer: Mercy Care Medicaid |
$3,251.69
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$12,709.37
|
|
|
Service Code
|
APR-DRG 5314
|
| Hospital Charge Code |
APRDRG5313
|
| Min. Negotiated Rate |
$12,709.37 |
| Max. Negotiated Rate |
$12,709.37 |
| Rate for Payer: AHCCCS Medicaid |
$12,709.37
|
| Rate for Payer: Allwell Medicaid |
$12,709.37
|
| Rate for Payer: AZCH Complete Medicaid |
$12,709.37
|
| Rate for Payer: Banner UC Health Medicaid |
$12,709.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,709.37
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$6,993.66
|
|
|
Service Code
|
APR-DRG 5313
|
| Hospital Charge Code |
APRDRG5311
|
| Min. Negotiated Rate |
$6,993.66 |
| Max. Negotiated Rate |
$6,993.66 |
| Rate for Payer: AHCCCS Medicaid |
$6,993.66
|
| Rate for Payer: Allwell Medicaid |
$6,993.66
|
| Rate for Payer: AZCH Complete Medicaid |
$6,993.66
|
| Rate for Payer: Banner UC Health Medicaid |
$6,993.66
|
| Rate for Payer: Mercy Care Medicaid |
$6,993.66
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5312
|
| Hospital Charge Code |
APRDRG5311
|
| 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
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$12,709.37
|
|
|
Service Code
|
APR-DRG 5314
|
| Hospital Charge Code |
APRDRG5314
|
| Min. Negotiated Rate |
$12,709.37 |
| Max. Negotiated Rate |
$12,709.37 |
| Rate for Payer: AHCCCS Medicaid |
$12,709.37
|
| Rate for Payer: Allwell Medicaid |
$12,709.37
|
| Rate for Payer: AZCH Complete Medicaid |
$12,709.37
|
| Rate for Payer: Banner UC Health Medicaid |
$12,709.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,709.37
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$6,993.66
|
|
|
Service Code
|
APR-DRG 5313
|
| Hospital Charge Code |
APRDRG5314
|
| Min. Negotiated Rate |
$6,993.66 |
| Max. Negotiated Rate |
$6,993.66 |
| Rate for Payer: AHCCCS Medicaid |
$6,993.66
|
| Rate for Payer: Allwell Medicaid |
$6,993.66
|
| Rate for Payer: AZCH Complete Medicaid |
$6,993.66
|
| Rate for Payer: Banner UC Health Medicaid |
$6,993.66
|
| Rate for Payer: Mercy Care Medicaid |
$6,993.66
|
|
|
Female Reproductive System Infections
|
Facility
|
IP
|
$6,993.66
|
|
|
Service Code
|
APR-DRG 5313
|
| Hospital Charge Code |
APRDRG5312
|
| Min. Negotiated Rate |
$6,993.66 |
| Max. Negotiated Rate |
$6,993.66 |
| Rate for Payer: AHCCCS Medicaid |
$6,993.66
|
| Rate for Payer: Allwell Medicaid |
$6,993.66
|
| Rate for Payer: AZCH Complete Medicaid |
$6,993.66
|
| Rate for Payer: Banner UC Health Medicaid |
$6,993.66
|
| Rate for Payer: Mercy Care Medicaid |
$6,993.66
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$4,030.24
|
|
|
Service Code
|
APR-DRG 5301
|
| Hospital Charge Code |
APRDRG5304
|
| Min. Negotiated Rate |
$4,030.24 |
| Max. Negotiated Rate |
$4,030.24 |
| Rate for Payer: AHCCCS Medicaid |
$4,030.24
|
| Rate for Payer: Allwell Medicaid |
$4,030.24
|
| Rate for Payer: AZCH Complete Medicaid |
$4,030.24
|
| Rate for Payer: Banner UC Health Medicaid |
$4,030.24
|
| Rate for Payer: Mercy Care Medicaid |
$4,030.24
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$14,532.31
|
|
|
Service Code
|
APR-DRG 5304
|
| Hospital Charge Code |
APRDRG5302
|
| Min. Negotiated Rate |
$14,532.31 |
| Max. Negotiated Rate |
$14,532.31 |
| Rate for Payer: AHCCCS Medicaid |
$14,532.31
|
| Rate for Payer: Allwell Medicaid |
$14,532.31
|
| Rate for Payer: AZCH Complete Medicaid |
$14,532.31
|
| Rate for Payer: Banner UC Health Medicaid |
$14,532.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,532.31
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$7,909.69
|
|
|
Service Code
|
APR-DRG 5303
|
| Hospital Charge Code |
APRDRG5304
|
| Min. Negotiated Rate |
$7,909.69 |
| Max. Negotiated Rate |
$7,909.69 |
| Rate for Payer: AHCCCS Medicaid |
$7,909.69
|
| Rate for Payer: Allwell Medicaid |
$7,909.69
|
| Rate for Payer: AZCH Complete Medicaid |
$7,909.69
|
| Rate for Payer: Banner UC Health Medicaid |
$7,909.69
|
| Rate for Payer: Mercy Care Medicaid |
$7,909.69
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$14,532.31
|
|
|
Service Code
|
APR-DRG 5304
|
| Hospital Charge Code |
APRDRG5304
|
| Min. Negotiated Rate |
$14,532.31 |
| Max. Negotiated Rate |
$14,532.31 |
| Rate for Payer: AHCCCS Medicaid |
$14,532.31
|
| Rate for Payer: Allwell Medicaid |
$14,532.31
|
| Rate for Payer: AZCH Complete Medicaid |
$14,532.31
|
| Rate for Payer: Banner UC Health Medicaid |
$14,532.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,532.31
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$4,030.24
|
|
|
Service Code
|
APR-DRG 5301
|
| Hospital Charge Code |
APRDRG5303
|
| Min. Negotiated Rate |
$4,030.24 |
| Max. Negotiated Rate |
$4,030.24 |
| Rate for Payer: AHCCCS Medicaid |
$4,030.24
|
| Rate for Payer: Allwell Medicaid |
$4,030.24
|
| Rate for Payer: AZCH Complete Medicaid |
$4,030.24
|
| Rate for Payer: Banner UC Health Medicaid |
$4,030.24
|
| Rate for Payer: Mercy Care Medicaid |
$4,030.24
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$7,909.69
|
|
|
Service Code
|
APR-DRG 5303
|
| Hospital Charge Code |
APRDRG5302
|
| Min. Negotiated Rate |
$7,909.69 |
| Max. Negotiated Rate |
$7,909.69 |
| Rate for Payer: AHCCCS Medicaid |
$7,909.69
|
| Rate for Payer: Allwell Medicaid |
$7,909.69
|
| Rate for Payer: AZCH Complete Medicaid |
$7,909.69
|
| Rate for Payer: Banner UC Health Medicaid |
$7,909.69
|
| Rate for Payer: Mercy Care Medicaid |
$7,909.69
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$14,532.31
|
|
|
Service Code
|
APR-DRG 5304
|
| Hospital Charge Code |
APRDRG5301
|
| Min. Negotiated Rate |
$14,532.31 |
| Max. Negotiated Rate |
$14,532.31 |
| Rate for Payer: AHCCCS Medicaid |
$14,532.31
|
| Rate for Payer: Allwell Medicaid |
$14,532.31
|
| Rate for Payer: AZCH Complete Medicaid |
$14,532.31
|
| Rate for Payer: Banner UC Health Medicaid |
$14,532.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,532.31
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$5,259.10
|
|
|
Service Code
|
APR-DRG 5302
|
| Hospital Charge Code |
APRDRG5302
|
| Min. Negotiated Rate |
$5,259.10 |
| Max. Negotiated Rate |
$5,259.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,259.10
|
| Rate for Payer: Allwell Medicaid |
$5,259.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,259.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,259.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,259.10
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$5,259.10
|
|
|
Service Code
|
APR-DRG 5302
|
| Hospital Charge Code |
APRDRG5301
|
| Min. Negotiated Rate |
$5,259.10 |
| Max. Negotiated Rate |
$5,259.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,259.10
|
| Rate for Payer: Allwell Medicaid |
$5,259.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,259.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,259.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,259.10
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$7,909.69
|
|
|
Service Code
|
APR-DRG 5303
|
| Hospital Charge Code |
APRDRG5301
|
| Min. Negotiated Rate |
$7,909.69 |
| Max. Negotiated Rate |
$7,909.69 |
| Rate for Payer: AHCCCS Medicaid |
$7,909.69
|
| Rate for Payer: Allwell Medicaid |
$7,909.69
|
| Rate for Payer: AZCH Complete Medicaid |
$7,909.69
|
| Rate for Payer: Banner UC Health Medicaid |
$7,909.69
|
| Rate for Payer: Mercy Care Medicaid |
$7,909.69
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$14,532.31
|
|
|
Service Code
|
APR-DRG 5304
|
| Hospital Charge Code |
APRDRG5303
|
| Min. Negotiated Rate |
$14,532.31 |
| Max. Negotiated Rate |
$14,532.31 |
| Rate for Payer: AHCCCS Medicaid |
$14,532.31
|
| Rate for Payer: Allwell Medicaid |
$14,532.31
|
| Rate for Payer: AZCH Complete Medicaid |
$14,532.31
|
| Rate for Payer: Banner UC Health Medicaid |
$14,532.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,532.31
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$4,030.24
|
|
|
Service Code
|
APR-DRG 5301
|
| Hospital Charge Code |
APRDRG5301
|
| Min. Negotiated Rate |
$4,030.24 |
| Max. Negotiated Rate |
$4,030.24 |
| Rate for Payer: AHCCCS Medicaid |
$4,030.24
|
| Rate for Payer: Allwell Medicaid |
$4,030.24
|
| Rate for Payer: AZCH Complete Medicaid |
$4,030.24
|
| Rate for Payer: Banner UC Health Medicaid |
$4,030.24
|
| Rate for Payer: Mercy Care Medicaid |
$4,030.24
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$5,259.10
|
|
|
Service Code
|
APR-DRG 5302
|
| Hospital Charge Code |
APRDRG5304
|
| Min. Negotiated Rate |
$5,259.10 |
| Max. Negotiated Rate |
$5,259.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,259.10
|
| Rate for Payer: Allwell Medicaid |
$5,259.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,259.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,259.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,259.10
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$5,259.10
|
|
|
Service Code
|
APR-DRG 5302
|
| Hospital Charge Code |
APRDRG5303
|
| Min. Negotiated Rate |
$5,259.10 |
| Max. Negotiated Rate |
$5,259.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,259.10
|
| Rate for Payer: Allwell Medicaid |
$5,259.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,259.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,259.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,259.10
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$7,909.69
|
|
|
Service Code
|
APR-DRG 5303
|
| Hospital Charge Code |
APRDRG5303
|
| Min. Negotiated Rate |
$7,909.69 |
| Max. Negotiated Rate |
$7,909.69 |
| Rate for Payer: AHCCCS Medicaid |
$7,909.69
|
| Rate for Payer: Allwell Medicaid |
$7,909.69
|
| Rate for Payer: AZCH Complete Medicaid |
$7,909.69
|
| Rate for Payer: Banner UC Health Medicaid |
$7,909.69
|
| Rate for Payer: Mercy Care Medicaid |
$7,909.69
|
|
|
Female Reproductive System Malignancy
|
Facility
|
IP
|
$4,030.24
|
|
|
Service Code
|
APR-DRG 5301
|
| Hospital Charge Code |
APRDRG5302
|
| Min. Negotiated Rate |
$4,030.24 |
| Max. Negotiated Rate |
$4,030.24 |
| Rate for Payer: AHCCCS Medicaid |
$4,030.24
|
| Rate for Payer: Allwell Medicaid |
$4,030.24
|
| Rate for Payer: AZCH Complete Medicaid |
$4,030.24
|
| Rate for Payer: Banner UC Health Medicaid |
$4,030.24
|
| Rate for Payer: Mercy Care Medicaid |
$4,030.24
|
|
