Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG2613
|
Min. Negotiated Rate |
$9,297.06 |
Max. Negotiated Rate |
$9,297.06 |
Rate for Payer: AHCCCS Medicaid |
$9,297.06
|
Rate for Payer: Allwell Medicaid |
$9,297.06
|
Rate for Payer: AZCH Complete Medicaid |
$9,297.06
|
Rate for Payer: Banner UC Health Medicaid |
$9,297.06
|
Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG2612
|
Min. Negotiated Rate |
$37,024.10 |
Max. Negotiated Rate |
$37,024.10 |
Rate for Payer: AHCCCS Medicaid |
$37,024.10
|
Rate for Payer: Allwell Medicaid |
$37,024.10
|
Rate for Payer: AZCH Complete Medicaid |
$37,024.10
|
Rate for Payer: Banner UC Health Medicaid |
$37,024.10
|
Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG2611
|
Min. Negotiated Rate |
$37,024.10 |
Max. Negotiated Rate |
$37,024.10 |
Rate for Payer: AHCCCS Medicaid |
$37,024.10
|
Rate for Payer: Allwell Medicaid |
$37,024.10
|
Rate for Payer: AZCH Complete Medicaid |
$37,024.10
|
Rate for Payer: Banner UC Health Medicaid |
$37,024.10
|
Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG2612
|
Min. Negotiated Rate |
$12,884.72 |
Max. Negotiated Rate |
$12,884.72 |
Rate for Payer: AHCCCS Medicaid |
$12,884.72
|
Rate for Payer: Allwell Medicaid |
$12,884.72
|
Rate for Payer: AZCH Complete Medicaid |
$12,884.72
|
Rate for Payer: Banner UC Health Medicaid |
$12,884.72
|
Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG2613
|
Min. Negotiated Rate |
$19,266.76 |
Max. Negotiated Rate |
$19,266.76 |
Rate for Payer: AHCCCS Medicaid |
$19,266.76
|
Rate for Payer: Allwell Medicaid |
$19,266.76
|
Rate for Payer: AZCH Complete Medicaid |
$19,266.76
|
Rate for Payer: Banner UC Health Medicaid |
$19,266.76
|
Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG2613
|
Min. Negotiated Rate |
$12,884.72 |
Max. Negotiated Rate |
$12,884.72 |
Rate for Payer: AHCCCS Medicaid |
$12,884.72
|
Rate for Payer: Allwell Medicaid |
$12,884.72
|
Rate for Payer: AZCH Complete Medicaid |
$12,884.72
|
Rate for Payer: Banner UC Health Medicaid |
$12,884.72
|
Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG2611
|
Min. Negotiated Rate |
$9,297.06 |
Max. Negotiated Rate |
$9,297.06 |
Rate for Payer: AHCCCS Medicaid |
$9,297.06
|
Rate for Payer: Allwell Medicaid |
$9,297.06
|
Rate for Payer: AZCH Complete Medicaid |
$9,297.06
|
Rate for Payer: Banner UC Health Medicaid |
$9,297.06
|
Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG2613
|
Min. Negotiated Rate |
$37,024.10 |
Max. Negotiated Rate |
$37,024.10 |
Rate for Payer: AHCCCS Medicaid |
$37,024.10
|
Rate for Payer: Allwell Medicaid |
$37,024.10
|
Rate for Payer: AZCH Complete Medicaid |
$37,024.10
|
Rate for Payer: Banner UC Health Medicaid |
$37,024.10
|
Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG2614
|
Min. Negotiated Rate |
$12,884.72 |
Max. Negotiated Rate |
$12,884.72 |
Rate for Payer: AHCCCS Medicaid |
$12,884.72
|
Rate for Payer: Allwell Medicaid |
$12,884.72
|
Rate for Payer: AZCH Complete Medicaid |
$12,884.72
|
Rate for Payer: Banner UC Health Medicaid |
$12,884.72
|
Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG2614
|
Min. Negotiated Rate |
$9,297.06 |
Max. Negotiated Rate |
$9,297.06 |
Rate for Payer: AHCCCS Medicaid |
$9,297.06
|
Rate for Payer: Allwell Medicaid |
$9,297.06
|
Rate for Payer: AZCH Complete Medicaid |
$9,297.06
|
Rate for Payer: Banner UC Health Medicaid |
$9,297.06
|
Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG2614
|
Min. Negotiated Rate |
$37,024.10 |
Max. Negotiated Rate |
$37,024.10 |
Rate for Payer: AHCCCS Medicaid |
$37,024.10
|
Rate for Payer: Allwell Medicaid |
$37,024.10
|
Rate for Payer: AZCH Complete Medicaid |
$37,024.10
|
Rate for Payer: Banner UC Health Medicaid |
$37,024.10
|
Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG2611
|
Min. Negotiated Rate |
$19,266.76 |
Max. Negotiated Rate |
$19,266.76 |
Rate for Payer: AHCCCS Medicaid |
$19,266.76
|
Rate for Payer: Allwell Medicaid |
$19,266.76
|
Rate for Payer: AZCH Complete Medicaid |
$19,266.76
|
Rate for Payer: Banner UC Health Medicaid |
$19,266.76
|
Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG2611
|
Min. Negotiated Rate |
$12,884.72 |
Max. Negotiated Rate |
$12,884.72 |
Rate for Payer: AHCCCS Medicaid |
$12,884.72
|
Rate for Payer: Allwell Medicaid |
$12,884.72
|
Rate for Payer: AZCH Complete Medicaid |
$12,884.72
|
Rate for Payer: Banner UC Health Medicaid |
$12,884.72
|
Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG2612
|
Min. Negotiated Rate |
$9,297.06 |
Max. Negotiated Rate |
$9,297.06 |
Rate for Payer: AHCCCS Medicaid |
$9,297.06
|
Rate for Payer: Allwell Medicaid |
$9,297.06
|
Rate for Payer: AZCH Complete Medicaid |
$9,297.06
|
Rate for Payer: Banner UC Health Medicaid |
$9,297.06
|
Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG2612
|
Min. Negotiated Rate |
$19,266.76 |
Max. Negotiated Rate |
$19,266.76 |
Rate for Payer: AHCCCS Medicaid |
$19,266.76
|
Rate for Payer: Allwell Medicaid |
$19,266.76
|
Rate for Payer: AZCH Complete Medicaid |
$19,266.76
|
Rate for Payer: Banner UC Health Medicaid |
$19,266.76
|
Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG2614
|
Min. Negotiated Rate |
$19,266.76 |
Max. Negotiated Rate |
$19,266.76 |
Rate for Payer: AHCCCS Medicaid |
$19,266.76
|
Rate for Payer: Allwell Medicaid |
$19,266.76
|
Rate for Payer: AZCH Complete Medicaid |
$19,266.76
|
Rate for Payer: Banner UC Health Medicaid |
$19,266.76
|
Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG4411
|
Min. Negotiated Rate |
$18,918.16 |
Max. Negotiated Rate |
$18,918.16 |
Rate for Payer: AHCCCS Medicaid |
$18,918.16
|
Rate for Payer: Allwell Medicaid |
$18,918.16
|
Rate for Payer: AZCH Complete Medicaid |
$18,918.16
|
Rate for Payer: Banner UC Health Medicaid |
$18,918.16
|
Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG4414
|
Min. Negotiated Rate |
$9,977.42 |
Max. Negotiated Rate |
$9,977.42 |
Rate for Payer: AHCCCS Medicaid |
$9,977.42
|
Rate for Payer: Allwell Medicaid |
$9,977.42
|
Rate for Payer: AZCH Complete Medicaid |
$9,977.42
|
Rate for Payer: Banner UC Health Medicaid |
$9,977.42
|
Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG4414
|
Min. Negotiated Rate |
$39,319.78 |
Max. Negotiated Rate |
$39,319.78 |
Rate for Payer: AHCCCS Medicaid |
$39,319.78
|
Rate for Payer: Allwell Medicaid |
$39,319.78
|
Rate for Payer: AZCH Complete Medicaid |
$39,319.78
|
Rate for Payer: Banner UC Health Medicaid |
$39,319.78
|
Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG4414
|
Min. Negotiated Rate |
$18,918.16 |
Max. Negotiated Rate |
$18,918.16 |
Rate for Payer: AHCCCS Medicaid |
$18,918.16
|
Rate for Payer: Allwell Medicaid |
$18,918.16
|
Rate for Payer: AZCH Complete Medicaid |
$18,918.16
|
Rate for Payer: Banner UC Health Medicaid |
$18,918.16
|
Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG4412
|
Min. Negotiated Rate |
$9,977.42 |
Max. Negotiated Rate |
$9,977.42 |
Rate for Payer: AHCCCS Medicaid |
$9,977.42
|
Rate for Payer: Allwell Medicaid |
$9,977.42
|
Rate for Payer: AZCH Complete Medicaid |
$9,977.42
|
Rate for Payer: Banner UC Health Medicaid |
$9,977.42
|
Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG4412
|
Min. Negotiated Rate |
$39,319.78 |
Max. Negotiated Rate |
$39,319.78 |
Rate for Payer: AHCCCS Medicaid |
$39,319.78
|
Rate for Payer: Allwell Medicaid |
$39,319.78
|
Rate for Payer: AZCH Complete Medicaid |
$39,319.78
|
Rate for Payer: Banner UC Health Medicaid |
$39,319.78
|
Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG4411
|
Min. Negotiated Rate |
$39,319.78 |
Max. Negotiated Rate |
$39,319.78 |
Rate for Payer: AHCCCS Medicaid |
$39,319.78
|
Rate for Payer: Allwell Medicaid |
$39,319.78
|
Rate for Payer: AZCH Complete Medicaid |
$39,319.78
|
Rate for Payer: Banner UC Health Medicaid |
$39,319.78
|
Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG4412
|
Min. Negotiated Rate |
$18,918.16 |
Max. Negotiated Rate |
$18,918.16 |
Rate for Payer: AHCCCS Medicaid |
$18,918.16
|
Rate for Payer: Allwell Medicaid |
$18,918.16
|
Rate for Payer: AZCH Complete Medicaid |
$18,918.16
|
Rate for Payer: Banner UC Health Medicaid |
$18,918.16
|
Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
Service Code
|
APR-DRG 4412
|
Hospital Charge Code |
APRDRG4411
|
Min. Negotiated Rate |
$14,750.44 |
Max. Negotiated Rate |
$14,750.44 |
Rate for Payer: AHCCCS Medicaid |
$14,750.44
|
Rate for Payer: Allwell Medicaid |
$14,750.44
|
Rate for Payer: AZCH Complete Medicaid |
$14,750.44
|
Rate for Payer: Banner UC Health Medicaid |
$14,750.44
|
Rate for Payer: Mercy Care Medicaid |
$14,750.44
|
|