|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: AHCCCS Medicaid |
$13,346.94
|
| Rate for Payer: Allwell Medicaid |
$13,346.94
|
| Rate for Payer: AZCH Complete Medicaid |
$13,346.94
|
| Rate for Payer: Banner UC Health Medicaid |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,549.48
|
|
|
Service Code
|
APR-DRG 4612
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$5,549.48 |
| Max. Negotiated Rate |
$5,549.48 |
| Rate for Payer: AHCCCS Medicaid |
$5,549.48
|
| Rate for Payer: Allwell Medicaid |
$5,549.48
|
| Rate for Payer: AZCH Complete Medicaid |
$5,549.48
|
| Rate for Payer: Banner UC Health Medicaid |
$5,549.48
|
| Rate for Payer: Mercy Care Medicaid |
$5,549.48
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: AHCCCS Medicaid |
$5,059.20
|
| Rate for Payer: Allwell Medicaid |
$5,059.20
|
| Rate for Payer: AZCH Complete Medicaid |
$5,059.20
|
| Rate for Payer: Banner UC Health Medicaid |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: AHCCCS Medicaid |
$13,346.94
|
| Rate for Payer: Allwell Medicaid |
$13,346.94
|
| Rate for Payer: AZCH Complete Medicaid |
$13,346.94
|
| Rate for Payer: Banner UC Health Medicaid |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: AHCCCS Medicaid |
$13,346.94
|
| Rate for Payer: Allwell Medicaid |
$13,346.94
|
| Rate for Payer: AZCH Complete Medicaid |
$13,346.94
|
| Rate for Payer: Banner UC Health Medicaid |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: AHCCCS Medicaid |
$5,059.20
|
| Rate for Payer: Allwell Medicaid |
$5,059.20
|
| Rate for Payer: AZCH Complete Medicaid |
$5,059.20
|
| Rate for Payer: Banner UC Health Medicaid |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: AHCCCS Medicaid |
$5,059.20
|
| Rate for Payer: Allwell Medicaid |
$5,059.20
|
| Rate for Payer: AZCH Complete Medicaid |
$5,059.20
|
| Rate for Payer: Banner UC Health Medicaid |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: AHCCCS Medicaid |
$5,059.20
|
| Rate for Payer: Allwell Medicaid |
$5,059.20
|
| Rate for Payer: AZCH Complete Medicaid |
$5,059.20
|
| Rate for Payer: Banner UC Health Medicaid |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: AHCCCS Medicaid |
$8,553.57
|
| Rate for Payer: Allwell Medicaid |
$8,553.57
|
| Rate for Payer: AZCH Complete Medicaid |
$8,553.57
|
| Rate for Payer: Banner UC Health Medicaid |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: AHCCCS Medicaid |
$8,553.57
|
| Rate for Payer: Allwell Medicaid |
$8,553.57
|
| Rate for Payer: AZCH Complete Medicaid |
$8,553.57
|
| Rate for Payer: Banner UC Health Medicaid |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: AHCCCS Medicaid |
$27,622.53
|
| Rate for Payer: Allwell Medicaid |
$27,622.53
|
| Rate for Payer: AZCH Complete Medicaid |
$27,622.53
|
| Rate for Payer: Banner UC Health Medicaid |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: AHCCCS Medicaid |
$10,210.28
|
| Rate for Payer: Allwell Medicaid |
$10,210.28
|
| Rate for Payer: AZCH Complete Medicaid |
$10,210.28
|
| Rate for Payer: Banner UC Health Medicaid |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: AHCCCS Medicaid |
$8,917.60
|
| Rate for Payer: Allwell Medicaid |
$8,917.60
|
| Rate for Payer: AZCH Complete Medicaid |
$8,917.60
|
| Rate for Payer: Banner UC Health Medicaid |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4424
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: AHCCCS Medicaid |
$8,917.60
|
| Rate for Payer: Allwell Medicaid |
$8,917.60
|
| Rate for Payer: AZCH Complete Medicaid |
$8,917.60
|
| Rate for Payer: Banner UC Health Medicaid |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: AHCCCS Medicaid |
$8,917.60
|
| Rate for Payer: Allwell Medicaid |
$8,917.60
|
| Rate for Payer: AZCH Complete Medicaid |
$8,917.60
|
| Rate for Payer: Banner UC Health Medicaid |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: AHCCCS Medicaid |
$27,622.53
|
| Rate for Payer: Allwell Medicaid |
$27,622.53
|
| Rate for Payer: AZCH Complete Medicaid |
$27,622.53
|
| Rate for Payer: Banner UC Health Medicaid |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$15,769.58 |
| Max. Negotiated Rate |
$15,769.58 |
| Rate for Payer: AHCCCS Medicaid |
$15,769.58
|
| Rate for Payer: Allwell Medicaid |
$15,769.58
|
| Rate for Payer: AZCH Complete Medicaid |
$15,769.58
|
| Rate for Payer: Banner UC Health Medicaid |
$15,769.58
|
| Rate for Payer: Mercy Care Medicaid |
$15,769.58
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4424
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: AHCCCS Medicaid |
$27,622.53
|
| Rate for Payer: Allwell Medicaid |
$27,622.53
|
| Rate for Payer: AZCH Complete Medicaid |
$27,622.53
|
| Rate for Payer: Banner UC Health Medicaid |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: AHCCCS Medicaid |
$10,210.28
|
| Rate for Payer: Allwell Medicaid |
$10,210.28
|
| Rate for Payer: AZCH Complete Medicaid |
$10,210.28
|
| Rate for Payer: Banner UC Health Medicaid |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: AHCCCS Medicaid |
$27,622.53
|
| Rate for Payer: Allwell Medicaid |
$27,622.53
|
| Rate for Payer: AZCH Complete Medicaid |
$27,622.53
|
| Rate for Payer: Banner UC Health Medicaid |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: AHCCCS Medicaid |
$10,210.28
|
| Rate for Payer: Allwell Medicaid |
$10,210.28
|
| Rate for Payer: AZCH Complete Medicaid |
$10,210.28
|
| Rate for Payer: Banner UC Health Medicaid |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$15,769.58 |
| Max. Negotiated Rate |
$15,769.58 |
| Rate for Payer: AHCCCS Medicaid |
$15,769.58
|
| Rate for Payer: Allwell Medicaid |
$15,769.58
|
| Rate for Payer: AZCH Complete Medicaid |
$15,769.58
|
| Rate for Payer: Banner UC Health Medicaid |
$15,769.58
|
| Rate for Payer: Mercy Care Medicaid |
$15,769.58
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: AHCCCS Medicaid |
$8,917.60
|
| Rate for Payer: Allwell Medicaid |
$8,917.60
|
| Rate for Payer: AZCH Complete Medicaid |
$8,917.60
|
| Rate for Payer: Banner UC Health Medicaid |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4424
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: AHCCCS Medicaid |
$10,210.28
|
| Rate for Payer: Allwell Medicaid |
$10,210.28
|
| Rate for Payer: AZCH Complete Medicaid |
$10,210.28
|
| Rate for Payer: Banner UC Health Medicaid |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4424
|
| Min. Negotiated Rate |
$15,769.58 |
| Max. Negotiated Rate |
$15,769.58 |
| Rate for Payer: AHCCCS Medicaid |
$15,769.58
|
| Rate for Payer: Allwell Medicaid |
$15,769.58
|
| Rate for Payer: AZCH Complete Medicaid |
$15,769.58
|
| Rate for Payer: Banner UC Health Medicaid |
$15,769.58
|
| Rate for Payer: Mercy Care Medicaid |
$15,769.58
|
|
