|
Fracture Of Femur
|
Facility
|
IP
|
$3,143.67
|
|
|
Service Code
|
APR-DRG 3401
|
| Hospital Charge Code |
APRDRG3402
|
| Min. Negotiated Rate |
$3,143.67 |
| Max. Negotiated Rate |
$3,143.67 |
| Rate for Payer: AHCCCS Medicaid |
$3,143.67
|
| Rate for Payer: Allwell Medicaid |
$3,143.67
|
| Rate for Payer: AZCH Complete Medicaid |
$3,143.67
|
| Rate for Payer: Banner UC Health Medicaid |
$3,143.67
|
| Rate for Payer: Mercy Care Medicaid |
$3,143.67
|
|
|
Fracture Of Femur
|
Facility
|
IP
|
$10,305.67
|
|
|
Service Code
|
APR-DRG 3404
|
| Hospital Charge Code |
APRDRG3403
|
| Min. Negotiated Rate |
$10,305.67 |
| Max. Negotiated Rate |
$10,305.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,305.67
|
| Rate for Payer: Allwell Medicaid |
$10,305.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,305.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,305.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,305.67
|
|
|
Fracture Of Femur
|
Facility
|
IP
|
$10,305.67
|
|
|
Service Code
|
APR-DRG 3404
|
| Hospital Charge Code |
APRDRG3401
|
| Min. Negotiated Rate |
$10,305.67 |
| Max. Negotiated Rate |
$10,305.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,305.67
|
| Rate for Payer: Allwell Medicaid |
$10,305.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,305.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,305.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,305.67
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$5,232.44
|
|
|
Service Code
|
APR-DRG 3413
|
| Hospital Charge Code |
APRDRG3412
|
| Min. Negotiated Rate |
$5,232.44 |
| Max. Negotiated Rate |
$5,232.44 |
| Rate for Payer: AHCCCS Medicaid |
$5,232.44
|
| Rate for Payer: Allwell Medicaid |
$5,232.44
|
| Rate for Payer: AZCH Complete Medicaid |
$5,232.44
|
| Rate for Payer: Banner UC Health Medicaid |
$5,232.44
|
| Rate for Payer: Mercy Care Medicaid |
$5,232.44
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,255.90
|
|
|
Service Code
|
APR-DRG 3411
|
| Hospital Charge Code |
APRDRG3414
|
| Min. Negotiated Rate |
$3,255.90 |
| Max. Negotiated Rate |
$3,255.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,255.90
|
| Rate for Payer: Allwell Medicaid |
$3,255.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,255.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,255.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,255.90
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$10,958.67
|
|
|
Service Code
|
APR-DRG 3414
|
| Hospital Charge Code |
APRDRG3411
|
| Min. Negotiated Rate |
$10,958.67 |
| Max. Negotiated Rate |
$10,958.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,958.67
|
| Rate for Payer: Allwell Medicaid |
$10,958.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,958.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,958.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,958.67
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$10,958.67
|
|
|
Service Code
|
APR-DRG 3414
|
| Hospital Charge Code |
APRDRG3414
|
| Min. Negotiated Rate |
$10,958.67 |
| Max. Negotiated Rate |
$10,958.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,958.67
|
| Rate for Payer: Allwell Medicaid |
$10,958.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,958.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,958.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,958.67
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,893.47
|
|
|
Service Code
|
APR-DRG 3412
|
| Hospital Charge Code |
APRDRG3413
|
| Min. Negotiated Rate |
$3,893.47 |
| Max. Negotiated Rate |
$3,893.47 |
| Rate for Payer: AHCCCS Medicaid |
$3,893.47
|
| Rate for Payer: Allwell Medicaid |
$3,893.47
|
| Rate for Payer: AZCH Complete Medicaid |
$3,893.47
|
| Rate for Payer: Banner UC Health Medicaid |
$3,893.47
|
| Rate for Payer: Mercy Care Medicaid |
$3,893.47
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,893.47
|
|
|
Service Code
|
APR-DRG 3412
|
| Hospital Charge Code |
APRDRG3414
|
| Min. Negotiated Rate |
$3,893.47 |
| Max. Negotiated Rate |
$3,893.47 |
| Rate for Payer: AHCCCS Medicaid |
$3,893.47
|
| Rate for Payer: Allwell Medicaid |
$3,893.47
|
| Rate for Payer: AZCH Complete Medicaid |
$3,893.47
|
| Rate for Payer: Banner UC Health Medicaid |
$3,893.47
|
| Rate for Payer: Mercy Care Medicaid |
$3,893.47
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,893.47
|
|
|
Service Code
|
APR-DRG 3412
|
| Hospital Charge Code |
APRDRG3411
|
| Min. Negotiated Rate |
$3,893.47 |
| Max. Negotiated Rate |
$3,893.47 |
| Rate for Payer: AHCCCS Medicaid |
$3,893.47
|
| Rate for Payer: Allwell Medicaid |
$3,893.47
|
| Rate for Payer: AZCH Complete Medicaid |
$3,893.47
|
| Rate for Payer: Banner UC Health Medicaid |
$3,893.47
|
| Rate for Payer: Mercy Care Medicaid |
$3,893.47
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,255.90
|
|
|
Service Code
|
APR-DRG 3411
|
| Hospital Charge Code |
APRDRG3413
|
| Min. Negotiated Rate |
$3,255.90 |
| Max. Negotiated Rate |
$3,255.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,255.90
|
| Rate for Payer: Allwell Medicaid |
$3,255.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,255.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,255.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,255.90
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,255.90
|
|
|
Service Code
|
APR-DRG 3411
|
| Hospital Charge Code |
APRDRG3411
|
| Min. Negotiated Rate |
$3,255.90 |
| Max. Negotiated Rate |
$3,255.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,255.90
|
| Rate for Payer: Allwell Medicaid |
$3,255.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,255.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,255.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,255.90
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,893.47
|
|
|
Service Code
|
APR-DRG 3412
|
| Hospital Charge Code |
APRDRG3412
|
| Min. Negotiated Rate |
$3,893.47 |
| Max. Negotiated Rate |
$3,893.47 |
| Rate for Payer: AHCCCS Medicaid |
$3,893.47
|
| Rate for Payer: Allwell Medicaid |
$3,893.47
|
| Rate for Payer: AZCH Complete Medicaid |
$3,893.47
|
| Rate for Payer: Banner UC Health Medicaid |
$3,893.47
|
| Rate for Payer: Mercy Care Medicaid |
$3,893.47
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$10,958.67
|
|
|
Service Code
|
APR-DRG 3414
|
| Hospital Charge Code |
APRDRG3413
|
| Min. Negotiated Rate |
$10,958.67 |
| Max. Negotiated Rate |
$10,958.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,958.67
|
| Rate for Payer: Allwell Medicaid |
$10,958.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,958.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,958.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,958.67
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$5,232.44
|
|
|
Service Code
|
APR-DRG 3413
|
| Hospital Charge Code |
APRDRG3411
|
| Min. Negotiated Rate |
$5,232.44 |
| Max. Negotiated Rate |
$5,232.44 |
| Rate for Payer: AHCCCS Medicaid |
$5,232.44
|
| Rate for Payer: Allwell Medicaid |
$5,232.44
|
| Rate for Payer: AZCH Complete Medicaid |
$5,232.44
|
| Rate for Payer: Banner UC Health Medicaid |
$5,232.44
|
| Rate for Payer: Mercy Care Medicaid |
$5,232.44
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$10,958.67
|
|
|
Service Code
|
APR-DRG 3414
|
| Hospital Charge Code |
APRDRG3412
|
| Min. Negotiated Rate |
$10,958.67 |
| Max. Negotiated Rate |
$10,958.67 |
| Rate for Payer: AHCCCS Medicaid |
$10,958.67
|
| Rate for Payer: Allwell Medicaid |
$10,958.67
|
| Rate for Payer: AZCH Complete Medicaid |
$10,958.67
|
| Rate for Payer: Banner UC Health Medicaid |
$10,958.67
|
| Rate for Payer: Mercy Care Medicaid |
$10,958.67
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$5,232.44
|
|
|
Service Code
|
APR-DRG 3413
|
| Hospital Charge Code |
APRDRG3413
|
| Min. Negotiated Rate |
$5,232.44 |
| Max. Negotiated Rate |
$5,232.44 |
| Rate for Payer: AHCCCS Medicaid |
$5,232.44
|
| Rate for Payer: Allwell Medicaid |
$5,232.44
|
| Rate for Payer: AZCH Complete Medicaid |
$5,232.44
|
| Rate for Payer: Banner UC Health Medicaid |
$5,232.44
|
| Rate for Payer: Mercy Care Medicaid |
$5,232.44
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$3,255.90
|
|
|
Service Code
|
APR-DRG 3411
|
| Hospital Charge Code |
APRDRG3412
|
| Min. Negotiated Rate |
$3,255.90 |
| Max. Negotiated Rate |
$3,255.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,255.90
|
| Rate for Payer: Allwell Medicaid |
$3,255.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,255.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,255.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,255.90
|
|
|
Fracture Of Pelvis Or Dislocation Of Hip
|
Facility
|
IP
|
$5,232.44
|
|
|
Service Code
|
APR-DRG 3413
|
| Hospital Charge Code |
APRDRG3414
|
| Min. Negotiated Rate |
$5,232.44 |
| Max. Negotiated Rate |
$5,232.44 |
| Rate for Payer: AHCCCS Medicaid |
$5,232.44
|
| Rate for Payer: Allwell Medicaid |
$5,232.44
|
| Rate for Payer: AZCH Complete Medicaid |
$5,232.44
|
| Rate for Payer: Banner UC Health Medicaid |
$5,232.44
|
| Rate for Payer: Mercy Care Medicaid |
$5,232.44
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$12,648.35
|
|
|
Service Code
|
APR-DRG 3424
|
| Hospital Charge Code |
APRDRG3423
|
| Min. Negotiated Rate |
$12,648.35 |
| Max. Negotiated Rate |
$12,648.35 |
| Rate for Payer: AHCCCS Medicaid |
$12,648.35
|
| Rate for Payer: Allwell Medicaid |
$12,648.35
|
| Rate for Payer: AZCH Complete Medicaid |
$12,648.35
|
| Rate for Payer: Banner UC Health Medicaid |
$12,648.35
|
| Rate for Payer: Mercy Care Medicaid |
$12,648.35
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$3,642.37
|
|
|
Service Code
|
APR-DRG 3421
|
| Hospital Charge Code |
APRDRG3424
|
| Min. Negotiated Rate |
$3,642.37 |
| Max. Negotiated Rate |
$3,642.37 |
| Rate for Payer: AHCCCS Medicaid |
$3,642.37
|
| Rate for Payer: Allwell Medicaid |
$3,642.37
|
| Rate for Payer: AZCH Complete Medicaid |
$3,642.37
|
| Rate for Payer: Banner UC Health Medicaid |
$3,642.37
|
| Rate for Payer: Mercy Care Medicaid |
$3,642.37
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$4,588.56
|
|
|
Service Code
|
APR-DRG 3422
|
| Hospital Charge Code |
APRDRG3423
|
| Min. Negotiated Rate |
$4,588.56 |
| Max. Negotiated Rate |
$4,588.56 |
| Rate for Payer: AHCCCS Medicaid |
$4,588.56
|
| Rate for Payer: Allwell Medicaid |
$4,588.56
|
| Rate for Payer: AZCH Complete Medicaid |
$4,588.56
|
| Rate for Payer: Banner UC Health Medicaid |
$4,588.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,588.56
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$4,588.56
|
|
|
Service Code
|
APR-DRG 3422
|
| Hospital Charge Code |
APRDRG3424
|
| Min. Negotiated Rate |
$4,588.56 |
| Max. Negotiated Rate |
$4,588.56 |
| Rate for Payer: AHCCCS Medicaid |
$4,588.56
|
| Rate for Payer: Allwell Medicaid |
$4,588.56
|
| Rate for Payer: AZCH Complete Medicaid |
$4,588.56
|
| Rate for Payer: Banner UC Health Medicaid |
$4,588.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,588.56
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$12,648.35
|
|
|
Service Code
|
APR-DRG 3424
|
| Hospital Charge Code |
APRDRG3424
|
| Min. Negotiated Rate |
$12,648.35 |
| Max. Negotiated Rate |
$12,648.35 |
| Rate for Payer: AHCCCS Medicaid |
$12,648.35
|
| Rate for Payer: Allwell Medicaid |
$12,648.35
|
| Rate for Payer: AZCH Complete Medicaid |
$12,648.35
|
| Rate for Payer: Banner UC Health Medicaid |
$12,648.35
|
| Rate for Payer: Mercy Care Medicaid |
$12,648.35
|
|
|
Fractures And Dislocations Except Femur, Pelvis And Back
|
Facility
|
IP
|
$12,648.35
|
|
|
Service Code
|
APR-DRG 3424
|
| Hospital Charge Code |
APRDRG3421
|
| Min. Negotiated Rate |
$12,648.35 |
| Max. Negotiated Rate |
$12,648.35 |
| Rate for Payer: AHCCCS Medicaid |
$12,648.35
|
| Rate for Payer: Allwell Medicaid |
$12,648.35
|
| Rate for Payer: AZCH Complete Medicaid |
$12,648.35
|
| Rate for Payer: Banner UC Health Medicaid |
$12,648.35
|
| Rate for Payer: Mercy Care Medicaid |
$12,648.35
|
|