|
Hypertension
|
Facility
|
IP
|
$3,474.03
|
|
|
Service Code
|
APR-DRG 1991
|
| Hospital Charge Code |
APRDRG1991
|
| Min. Negotiated Rate |
$3,474.03 |
| Max. Negotiated Rate |
$3,474.03 |
| Rate for Payer: AHCCCS Medicaid |
$3,474.03
|
| Rate for Payer: Allwell Medicaid |
$3,474.03
|
| Rate for Payer: AZCH Complete Medicaid |
$3,474.03
|
| Rate for Payer: Banner UC Health Medicaid |
$3,474.03
|
| Rate for Payer: Mercy Care Medicaid |
$3,474.03
|
|
|
Hypertension
|
Facility
|
IP
|
$5,703.08
|
|
|
Service Code
|
APR-DRG 1993
|
| Hospital Charge Code |
APRDRG1992
|
| Min. Negotiated Rate |
$5,703.08 |
| Max. Negotiated Rate |
$5,703.08 |
| Rate for Payer: AHCCCS Medicaid |
$5,703.08
|
| Rate for Payer: Allwell Medicaid |
$5,703.08
|
| Rate for Payer: AZCH Complete Medicaid |
$5,703.08
|
| Rate for Payer: Banner UC Health Medicaid |
$5,703.08
|
| Rate for Payer: Mercy Care Medicaid |
$5,703.08
|
|
|
Hypertension
|
Facility
|
IP
|
$3,474.03
|
|
|
Service Code
|
APR-DRG 1991
|
| Hospital Charge Code |
APRDRG1993
|
| Min. Negotiated Rate |
$3,474.03 |
| Max. Negotiated Rate |
$3,474.03 |
| Rate for Payer: AHCCCS Medicaid |
$3,474.03
|
| Rate for Payer: Allwell Medicaid |
$3,474.03
|
| Rate for Payer: AZCH Complete Medicaid |
$3,474.03
|
| Rate for Payer: Banner UC Health Medicaid |
$3,474.03
|
| Rate for Payer: Mercy Care Medicaid |
$3,474.03
|
|
|
Hypertension
|
Facility
|
IP
|
$5,703.08
|
|
|
Service Code
|
APR-DRG 1993
|
| Hospital Charge Code |
APRDRG1991
|
| Min. Negotiated Rate |
$5,703.08 |
| Max. Negotiated Rate |
$5,703.08 |
| Rate for Payer: AHCCCS Medicaid |
$5,703.08
|
| Rate for Payer: Allwell Medicaid |
$5,703.08
|
| Rate for Payer: AZCH Complete Medicaid |
$5,703.08
|
| Rate for Payer: Banner UC Health Medicaid |
$5,703.08
|
| Rate for Payer: Mercy Care Medicaid |
$5,703.08
|
|
|
Hypertension
|
Facility
|
IP
|
$5,703.08
|
|
|
Service Code
|
APR-DRG 1993
|
| Hospital Charge Code |
APRDRG1994
|
| Min. Negotiated Rate |
$5,703.08 |
| Max. Negotiated Rate |
$5,703.08 |
| Rate for Payer: AHCCCS Medicaid |
$5,703.08
|
| Rate for Payer: Allwell Medicaid |
$5,703.08
|
| Rate for Payer: AZCH Complete Medicaid |
$5,703.08
|
| Rate for Payer: Banner UC Health Medicaid |
$5,703.08
|
| Rate for Payer: Mercy Care Medicaid |
$5,703.08
|
|
|
Hypertension
|
Facility
|
IP
|
$9,200.97
|
|
|
Service Code
|
APR-DRG 1994
|
| Hospital Charge Code |
APRDRG1992
|
| Min. Negotiated Rate |
$9,200.97 |
| Max. Negotiated Rate |
$9,200.97 |
| Rate for Payer: AHCCCS Medicaid |
$9,200.97
|
| Rate for Payer: Allwell Medicaid |
$9,200.97
|
| Rate for Payer: AZCH Complete Medicaid |
$9,200.97
|
| Rate for Payer: Banner UC Health Medicaid |
$9,200.97
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.97
|
|
|
Hypertension
|
Facility
|
IP
|
$4,081.45
|
|
|
Service Code
|
APR-DRG 1992
|
| Hospital Charge Code |
APRDRG1993
|
| Min. Negotiated Rate |
$4,081.45 |
| Max. Negotiated Rate |
$4,081.45 |
| Rate for Payer: AHCCCS Medicaid |
$4,081.45
|
| Rate for Payer: Allwell Medicaid |
$4,081.45
|
| Rate for Payer: AZCH Complete Medicaid |
$4,081.45
|
| Rate for Payer: Banner UC Health Medicaid |
$4,081.45
|
| Rate for Payer: Mercy Care Medicaid |
$4,081.45
|
|
|
Hypertension
|
Facility
|
IP
|
$5,703.08
|
|
|
Service Code
|
APR-DRG 1993
|
| Hospital Charge Code |
APRDRG1993
|
| Min. Negotiated Rate |
$5,703.08 |
| Max. Negotiated Rate |
$5,703.08 |
| Rate for Payer: AHCCCS Medicaid |
$5,703.08
|
| Rate for Payer: Allwell Medicaid |
$5,703.08
|
| Rate for Payer: AZCH Complete Medicaid |
$5,703.08
|
| Rate for Payer: Banner UC Health Medicaid |
$5,703.08
|
| Rate for Payer: Mercy Care Medicaid |
$5,703.08
|
|
|
Hypertension
|
Facility
|
IP
|
$4,081.45
|
|
|
Service Code
|
APR-DRG 1992
|
| Hospital Charge Code |
APRDRG1991
|
| Min. Negotiated Rate |
$4,081.45 |
| Max. Negotiated Rate |
$4,081.45 |
| Rate for Payer: AHCCCS Medicaid |
$4,081.45
|
| Rate for Payer: Allwell Medicaid |
$4,081.45
|
| Rate for Payer: AZCH Complete Medicaid |
$4,081.45
|
| Rate for Payer: Banner UC Health Medicaid |
$4,081.45
|
| Rate for Payer: Mercy Care Medicaid |
$4,081.45
|
|
|
Hypertension
|
Facility
|
IP
|
$3,474.03
|
|
|
Service Code
|
APR-DRG 1991
|
| Hospital Charge Code |
APRDRG1992
|
| Min. Negotiated Rate |
$3,474.03 |
| Max. Negotiated Rate |
$3,474.03 |
| Rate for Payer: AHCCCS Medicaid |
$3,474.03
|
| Rate for Payer: Allwell Medicaid |
$3,474.03
|
| Rate for Payer: AZCH Complete Medicaid |
$3,474.03
|
| Rate for Payer: Banner UC Health Medicaid |
$3,474.03
|
| Rate for Payer: Mercy Care Medicaid |
$3,474.03
|
|
|
Hypertension
|
Facility
|
IP
|
$4,081.45
|
|
|
Service Code
|
APR-DRG 1992
|
| Hospital Charge Code |
APRDRG1992
|
| Min. Negotiated Rate |
$4,081.45 |
| Max. Negotiated Rate |
$4,081.45 |
| Rate for Payer: AHCCCS Medicaid |
$4,081.45
|
| Rate for Payer: Allwell Medicaid |
$4,081.45
|
| Rate for Payer: AZCH Complete Medicaid |
$4,081.45
|
| Rate for Payer: Banner UC Health Medicaid |
$4,081.45
|
| Rate for Payer: Mercy Care Medicaid |
$4,081.45
|
|
|
Hypertension
|
Facility
|
IP
|
$9,200.97
|
|
|
Service Code
|
APR-DRG 1994
|
| Hospital Charge Code |
APRDRG1994
|
| Min. Negotiated Rate |
$9,200.97 |
| Max. Negotiated Rate |
$9,200.97 |
| Rate for Payer: AHCCCS Medicaid |
$9,200.97
|
| Rate for Payer: Allwell Medicaid |
$9,200.97
|
| Rate for Payer: AZCH Complete Medicaid |
$9,200.97
|
| Rate for Payer: Banner UC Health Medicaid |
$9,200.97
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.97
|
|
|
Hypertension
|
Facility
|
IP
|
$3,474.03
|
|
|
Service Code
|
APR-DRG 1991
|
| Hospital Charge Code |
APRDRG1994
|
| Min. Negotiated Rate |
$3,474.03 |
| Max. Negotiated Rate |
$3,474.03 |
| Rate for Payer: AHCCCS Medicaid |
$3,474.03
|
| Rate for Payer: Allwell Medicaid |
$3,474.03
|
| Rate for Payer: AZCH Complete Medicaid |
$3,474.03
|
| Rate for Payer: Banner UC Health Medicaid |
$3,474.03
|
| Rate for Payer: Mercy Care Medicaid |
$3,474.03
|
|
|
Hypertension
|
Facility
|
IP
|
$4,081.45
|
|
|
Service Code
|
APR-DRG 1992
|
| Hospital Charge Code |
APRDRG1994
|
| Min. Negotiated Rate |
$4,081.45 |
| Max. Negotiated Rate |
$4,081.45 |
| Rate for Payer: AHCCCS Medicaid |
$4,081.45
|
| Rate for Payer: Allwell Medicaid |
$4,081.45
|
| Rate for Payer: AZCH Complete Medicaid |
$4,081.45
|
| Rate for Payer: Banner UC Health Medicaid |
$4,081.45
|
| Rate for Payer: Mercy Care Medicaid |
$4,081.45
|
|
|
Hypertension
|
Facility
|
IP
|
$9,200.97
|
|
|
Service Code
|
APR-DRG 1994
|
| Hospital Charge Code |
APRDRG1991
|
| Min. Negotiated Rate |
$9,200.97 |
| Max. Negotiated Rate |
$9,200.97 |
| Rate for Payer: AHCCCS Medicaid |
$9,200.97
|
| Rate for Payer: Allwell Medicaid |
$9,200.97
|
| Rate for Payer: AZCH Complete Medicaid |
$9,200.97
|
| Rate for Payer: Banner UC Health Medicaid |
$9,200.97
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.97
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$10,095.25
|
|
|
Service Code
|
APR-DRG 4224
|
| Hospital Charge Code |
APRDRG4222
|
| Min. Negotiated Rate |
$10,095.25 |
| Max. Negotiated Rate |
$10,095.25 |
| Rate for Payer: AHCCCS Medicaid |
$10,095.25
|
| Rate for Payer: Allwell Medicaid |
$10,095.25
|
| Rate for Payer: AZCH Complete Medicaid |
$10,095.25
|
| Rate for Payer: Banner UC Health Medicaid |
$10,095.25
|
| Rate for Payer: Mercy Care Medicaid |
$10,095.25
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$3,302.19
|
|
|
Service Code
|
APR-DRG 4222
|
| Hospital Charge Code |
APRDRG4222
|
| Min. Negotiated Rate |
$3,302.19 |
| Max. Negotiated Rate |
$3,302.19 |
| Rate for Payer: AHCCCS Medicaid |
$3,302.19
|
| Rate for Payer: Allwell Medicaid |
$3,302.19
|
| Rate for Payer: AZCH Complete Medicaid |
$3,302.19
|
| Rate for Payer: Banner UC Health Medicaid |
$3,302.19
|
| Rate for Payer: Mercy Care Medicaid |
$3,302.19
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$5,028.34
|
|
|
Service Code
|
APR-DRG 4223
|
| Hospital Charge Code |
APRDRG4221
|
| Min. Negotiated Rate |
$5,028.34 |
| Max. Negotiated Rate |
$5,028.34 |
| Rate for Payer: AHCCCS Medicaid |
$5,028.34
|
| Rate for Payer: Allwell Medicaid |
$5,028.34
|
| Rate for Payer: AZCH Complete Medicaid |
$5,028.34
|
| Rate for Payer: Banner UC Health Medicaid |
$5,028.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,028.34
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$2,471.73
|
|
|
Service Code
|
APR-DRG 4221
|
| Hospital Charge Code |
APRDRG4223
|
| Min. Negotiated Rate |
$2,471.73 |
| Max. Negotiated Rate |
$2,471.73 |
| Rate for Payer: AHCCCS Medicaid |
$2,471.73
|
| Rate for Payer: Allwell Medicaid |
$2,471.73
|
| Rate for Payer: AZCH Complete Medicaid |
$2,471.73
|
| Rate for Payer: Banner UC Health Medicaid |
$2,471.73
|
| Rate for Payer: Mercy Care Medicaid |
$2,471.73
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$3,302.19
|
|
|
Service Code
|
APR-DRG 4222
|
| Hospital Charge Code |
APRDRG4221
|
| Min. Negotiated Rate |
$3,302.19 |
| Max. Negotiated Rate |
$3,302.19 |
| Rate for Payer: AHCCCS Medicaid |
$3,302.19
|
| Rate for Payer: Allwell Medicaid |
$3,302.19
|
| Rate for Payer: AZCH Complete Medicaid |
$3,302.19
|
| Rate for Payer: Banner UC Health Medicaid |
$3,302.19
|
| Rate for Payer: Mercy Care Medicaid |
$3,302.19
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$2,471.73
|
|
|
Service Code
|
APR-DRG 4221
|
| Hospital Charge Code |
APRDRG4224
|
| Min. Negotiated Rate |
$2,471.73 |
| Max. Negotiated Rate |
$2,471.73 |
| Rate for Payer: AHCCCS Medicaid |
$2,471.73
|
| Rate for Payer: Allwell Medicaid |
$2,471.73
|
| Rate for Payer: AZCH Complete Medicaid |
$2,471.73
|
| Rate for Payer: Banner UC Health Medicaid |
$2,471.73
|
| Rate for Payer: Mercy Care Medicaid |
$2,471.73
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$2,471.73
|
|
|
Service Code
|
APR-DRG 4221
|
| Hospital Charge Code |
APRDRG4222
|
| Min. Negotiated Rate |
$2,471.73 |
| Max. Negotiated Rate |
$2,471.73 |
| Rate for Payer: AHCCCS Medicaid |
$2,471.73
|
| Rate for Payer: Allwell Medicaid |
$2,471.73
|
| Rate for Payer: AZCH Complete Medicaid |
$2,471.73
|
| Rate for Payer: Banner UC Health Medicaid |
$2,471.73
|
| Rate for Payer: Mercy Care Medicaid |
$2,471.73
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$5,028.34
|
|
|
Service Code
|
APR-DRG 4223
|
| Hospital Charge Code |
APRDRG4223
|
| Min. Negotiated Rate |
$5,028.34 |
| Max. Negotiated Rate |
$5,028.34 |
| Rate for Payer: AHCCCS Medicaid |
$5,028.34
|
| Rate for Payer: Allwell Medicaid |
$5,028.34
|
| Rate for Payer: AZCH Complete Medicaid |
$5,028.34
|
| Rate for Payer: Banner UC Health Medicaid |
$5,028.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,028.34
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$3,302.19
|
|
|
Service Code
|
APR-DRG 4222
|
| Hospital Charge Code |
APRDRG4223
|
| Min. Negotiated Rate |
$3,302.19 |
| Max. Negotiated Rate |
$3,302.19 |
| Rate for Payer: AHCCCS Medicaid |
$3,302.19
|
| Rate for Payer: Allwell Medicaid |
$3,302.19
|
| Rate for Payer: AZCH Complete Medicaid |
$3,302.19
|
| Rate for Payer: Banner UC Health Medicaid |
$3,302.19
|
| Rate for Payer: Mercy Care Medicaid |
$3,302.19
|
|
|
Hypovolemia And Related Electrolyte Disorders
|
Facility
|
IP
|
$3,302.19
|
|
|
Service Code
|
APR-DRG 4222
|
| Hospital Charge Code |
APRDRG4224
|
| Min. Negotiated Rate |
$3,302.19 |
| Max. Negotiated Rate |
$3,302.19 |
| Rate for Payer: AHCCCS Medicaid |
$3,302.19
|
| Rate for Payer: Allwell Medicaid |
$3,302.19
|
| Rate for Payer: AZCH Complete Medicaid |
$3,302.19
|
| Rate for Payer: Banner UC Health Medicaid |
$3,302.19
|
| Rate for Payer: Mercy Care Medicaid |
$3,302.19
|
|
