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Charge Type Setting Price  
Service Code APR-DRG 3101
Hospital Charge Code APRDRG3104
Min. Negotiated Rate $7,417.31
Max. Negotiated Rate $7,417.31
Rate for Payer: AHCCCS Medicaid $7,417.31
Rate for Payer: Allwell Medicaid $7,417.31
Rate for Payer: AZCH Complete Medicaid $7,417.31
Rate for Payer: Banner UC Health Medicaid $7,417.31
Rate for Payer: Mercy Care Medicaid $7,417.31
Service Code APR-DRG 3102
Hospital Charge Code APRDRG3101
Min. Negotiated Rate $9,515.89
Max. Negotiated Rate $9,515.89
Rate for Payer: AHCCCS Medicaid $9,515.89
Rate for Payer: Allwell Medicaid $9,515.89
Rate for Payer: AZCH Complete Medicaid $9,515.89
Rate for Payer: Banner UC Health Medicaid $9,515.89
Rate for Payer: Mercy Care Medicaid $9,515.89
Service Code APR-DRG 3101
Hospital Charge Code APRDRG3102
Min. Negotiated Rate $7,417.31
Max. Negotiated Rate $7,417.31
Rate for Payer: AHCCCS Medicaid $7,417.31
Rate for Payer: Allwell Medicaid $7,417.31
Rate for Payer: AZCH Complete Medicaid $7,417.31
Rate for Payer: Banner UC Health Medicaid $7,417.31
Rate for Payer: Mercy Care Medicaid $7,417.31
Service Code APR-DRG 3103
Hospital Charge Code APRDRG3103
Min. Negotiated Rate $13,581.91
Max. Negotiated Rate $13,581.91
Rate for Payer: AHCCCS Medicaid $13,581.91
Rate for Payer: Allwell Medicaid $13,581.91
Rate for Payer: AZCH Complete Medicaid $13,581.91
Rate for Payer: Banner UC Health Medicaid $13,581.91
Rate for Payer: Mercy Care Medicaid $13,581.91
Service Code APR-DRG 3101
Hospital Charge Code APRDRG3103
Min. Negotiated Rate $7,417.31
Max. Negotiated Rate $7,417.31
Rate for Payer: AHCCCS Medicaid $7,417.31
Rate for Payer: Allwell Medicaid $7,417.31
Rate for Payer: AZCH Complete Medicaid $7,417.31
Rate for Payer: Banner UC Health Medicaid $7,417.31
Rate for Payer: Mercy Care Medicaid $7,417.31
Service Code APR-DRG 3102
Hospital Charge Code APRDRG3103
Min. Negotiated Rate $9,515.89
Max. Negotiated Rate $9,515.89
Rate for Payer: AHCCCS Medicaid $9,515.89
Rate for Payer: Allwell Medicaid $9,515.89
Rate for Payer: AZCH Complete Medicaid $9,515.89
Rate for Payer: Banner UC Health Medicaid $9,515.89
Rate for Payer: Mercy Care Medicaid $9,515.89
Service Code APR-DRG 3102
Hospital Charge Code APRDRG3104
Min. Negotiated Rate $9,515.89
Max. Negotiated Rate $9,515.89
Rate for Payer: AHCCCS Medicaid $9,515.89
Rate for Payer: Allwell Medicaid $9,515.89
Rate for Payer: AZCH Complete Medicaid $9,515.89
Rate for Payer: Banner UC Health Medicaid $9,515.89
Rate for Payer: Mercy Care Medicaid $9,515.89
Service Code APR-DRG 3104
Hospital Charge Code APRDRG3104
Min. Negotiated Rate $26,829.25
Max. Negotiated Rate $26,829.25
Rate for Payer: AHCCCS Medicaid $26,829.25
Rate for Payer: Allwell Medicaid $26,829.25
Rate for Payer: AZCH Complete Medicaid $26,829.25
Rate for Payer: Banner UC Health Medicaid $26,829.25
Rate for Payer: Mercy Care Medicaid $26,829.25
Service Code APR-DRG 3103
Hospital Charge Code APRDRG3101
Min. Negotiated Rate $13,581.91
Max. Negotiated Rate $13,581.91
Rate for Payer: AHCCCS Medicaid $13,581.91
Rate for Payer: Allwell Medicaid $13,581.91
Rate for Payer: AZCH Complete Medicaid $13,581.91
Rate for Payer: Banner UC Health Medicaid $13,581.91
Rate for Payer: Mercy Care Medicaid $13,581.91
Service Code APR-DRG 3104
Hospital Charge Code APRDRG3101
Min. Negotiated Rate $26,829.25
Max. Negotiated Rate $26,829.25
Rate for Payer: AHCCCS Medicaid $26,829.25
Rate for Payer: Allwell Medicaid $26,829.25
Rate for Payer: AZCH Complete Medicaid $26,829.25
Rate for Payer: Banner UC Health Medicaid $26,829.25
Rate for Payer: Mercy Care Medicaid $26,829.25
Service Code APR-DRG 2474
Hospital Charge Code APRDRG2471
Min. Negotiated Rate $12,767.58
Max. Negotiated Rate $12,767.58
Rate for Payer: AHCCCS Medicaid $12,767.58
Rate for Payer: Allwell Medicaid $12,767.58
Rate for Payer: AZCH Complete Medicaid $12,767.58
Rate for Payer: Banner UC Health Medicaid $12,767.58
Rate for Payer: Mercy Care Medicaid $12,767.58
Service Code APR-DRG 2474
Hospital Charge Code APRDRG2472
Min. Negotiated Rate $12,767.58
Max. Negotiated Rate $12,767.58
Rate for Payer: AHCCCS Medicaid $12,767.58
Rate for Payer: Allwell Medicaid $12,767.58
Rate for Payer: AZCH Complete Medicaid $12,767.58
Rate for Payer: Banner UC Health Medicaid $12,767.58
Rate for Payer: Mercy Care Medicaid $12,767.58
Service Code APR-DRG 2471
Hospital Charge Code APRDRG2473
Min. Negotiated Rate $3,100.19
Max. Negotiated Rate $3,100.19
Rate for Payer: AHCCCS Medicaid $3,100.19
Rate for Payer: Allwell Medicaid $3,100.19
Rate for Payer: AZCH Complete Medicaid $3,100.19
Rate for Payer: Banner UC Health Medicaid $3,100.19
Rate for Payer: Mercy Care Medicaid $3,100.19
Service Code APR-DRG 2474
Hospital Charge Code APRDRG2474
Min. Negotiated Rate $12,767.58
Max. Negotiated Rate $12,767.58
Rate for Payer: AHCCCS Medicaid $12,767.58
Rate for Payer: Allwell Medicaid $12,767.58
Rate for Payer: AZCH Complete Medicaid $12,767.58
Rate for Payer: Banner UC Health Medicaid $12,767.58
Rate for Payer: Mercy Care Medicaid $12,767.58
Service Code APR-DRG 2471
Hospital Charge Code APRDRG2471
Min. Negotiated Rate $3,100.19
Max. Negotiated Rate $3,100.19
Rate for Payer: AHCCCS Medicaid $3,100.19
Rate for Payer: Allwell Medicaid $3,100.19
Rate for Payer: AZCH Complete Medicaid $3,100.19
Rate for Payer: Banner UC Health Medicaid $3,100.19
Rate for Payer: Mercy Care Medicaid $3,100.19
Service Code APR-DRG 2473
Hospital Charge Code APRDRG2473
Min. Negotiated Rate $6,678.73
Max. Negotiated Rate $6,678.73
Rate for Payer: AHCCCS Medicaid $6,678.73
Rate for Payer: Allwell Medicaid $6,678.73
Rate for Payer: AZCH Complete Medicaid $6,678.73
Rate for Payer: Banner UC Health Medicaid $6,678.73
Rate for Payer: Mercy Care Medicaid $6,678.73
Service Code APR-DRG 2473
Hospital Charge Code APRDRG2474
Min. Negotiated Rate $6,678.73
Max. Negotiated Rate $6,678.73
Rate for Payer: AHCCCS Medicaid $6,678.73
Rate for Payer: Allwell Medicaid $6,678.73
Rate for Payer: AZCH Complete Medicaid $6,678.73
Rate for Payer: Banner UC Health Medicaid $6,678.73
Rate for Payer: Mercy Care Medicaid $6,678.73
Service Code APR-DRG 2471
Hospital Charge Code APRDRG2474
Min. Negotiated Rate $3,100.19
Max. Negotiated Rate $3,100.19
Rate for Payer: AHCCCS Medicaid $3,100.19
Rate for Payer: Allwell Medicaid $3,100.19
Rate for Payer: AZCH Complete Medicaid $3,100.19
Rate for Payer: Banner UC Health Medicaid $3,100.19
Rate for Payer: Mercy Care Medicaid $3,100.19
Service Code APR-DRG 2472
Hospital Charge Code APRDRG2474
Min. Negotiated Rate $4,125.63
Max. Negotiated Rate $4,125.63
Rate for Payer: AHCCCS Medicaid $4,125.63
Rate for Payer: Allwell Medicaid $4,125.63
Rate for Payer: AZCH Complete Medicaid $4,125.63
Rate for Payer: Banner UC Health Medicaid $4,125.63
Rate for Payer: Mercy Care Medicaid $4,125.63
Service Code APR-DRG 2473
Hospital Charge Code APRDRG2472
Min. Negotiated Rate $6,678.73
Max. Negotiated Rate $6,678.73
Rate for Payer: AHCCCS Medicaid $6,678.73
Rate for Payer: Allwell Medicaid $6,678.73
Rate for Payer: AZCH Complete Medicaid $6,678.73
Rate for Payer: Banner UC Health Medicaid $6,678.73
Rate for Payer: Mercy Care Medicaid $6,678.73
Service Code APR-DRG 2473
Hospital Charge Code APRDRG2471
Min. Negotiated Rate $6,678.73
Max. Negotiated Rate $6,678.73
Rate for Payer: AHCCCS Medicaid $6,678.73
Rate for Payer: Allwell Medicaid $6,678.73
Rate for Payer: AZCH Complete Medicaid $6,678.73
Rate for Payer: Banner UC Health Medicaid $6,678.73
Rate for Payer: Mercy Care Medicaid $6,678.73
Service Code APR-DRG 2472
Hospital Charge Code APRDRG2473
Min. Negotiated Rate $4,125.63
Max. Negotiated Rate $4,125.63
Rate for Payer: AHCCCS Medicaid $4,125.63
Rate for Payer: Allwell Medicaid $4,125.63
Rate for Payer: AZCH Complete Medicaid $4,125.63
Rate for Payer: Banner UC Health Medicaid $4,125.63
Rate for Payer: Mercy Care Medicaid $4,125.63
Service Code APR-DRG 2472
Hospital Charge Code APRDRG2472
Min. Negotiated Rate $4,125.63
Max. Negotiated Rate $4,125.63
Rate for Payer: AHCCCS Medicaid $4,125.63
Rate for Payer: Allwell Medicaid $4,125.63
Rate for Payer: AZCH Complete Medicaid $4,125.63
Rate for Payer: Banner UC Health Medicaid $4,125.63
Rate for Payer: Mercy Care Medicaid $4,125.63
Service Code APR-DRG 2472
Hospital Charge Code APRDRG2471
Min. Negotiated Rate $4,125.63
Max. Negotiated Rate $4,125.63
Rate for Payer: AHCCCS Medicaid $4,125.63
Rate for Payer: Allwell Medicaid $4,125.63
Rate for Payer: AZCH Complete Medicaid $4,125.63
Rate for Payer: Banner UC Health Medicaid $4,125.63
Rate for Payer: Mercy Care Medicaid $4,125.63
Service Code APR-DRG 2471
Hospital Charge Code APRDRG2472
Min. Negotiated Rate $3,100.19
Max. Negotiated Rate $3,100.19
Rate for Payer: AHCCCS Medicaid $3,100.19
Rate for Payer: Allwell Medicaid $3,100.19
Rate for Payer: AZCH Complete Medicaid $3,100.19
Rate for Payer: Banner UC Health Medicaid $3,100.19
Rate for Payer: Mercy Care Medicaid $3,100.19