|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$25,119.24
|
|
|
Service Code
|
APR-DRG 1693
|
| Hospital Charge Code |
APRDRG1693
|
| Min. Negotiated Rate |
$25,119.24 |
| Max. Negotiated Rate |
$25,119.24 |
| Rate for Payer: AHCCCS Medicaid |
$25,119.24
|
| Rate for Payer: Allwell Medicaid |
$25,119.24
|
| Rate for Payer: AZCH Complete Medicaid |
$25,119.24
|
| Rate for Payer: Banner UC Health Medicaid |
$25,119.24
|
| Rate for Payer: Mercy Care Medicaid |
$25,119.24
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$17,101.53
|
|
|
Service Code
|
APR-DRG 1691
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$17,101.53 |
| Max. Negotiated Rate |
$17,101.53 |
| Rate for Payer: AHCCCS Medicaid |
$17,101.53
|
| Rate for Payer: Allwell Medicaid |
$17,101.53
|
| Rate for Payer: AZCH Complete Medicaid |
$17,101.53
|
| Rate for Payer: Banner UC Health Medicaid |
$17,101.53
|
| Rate for Payer: Mercy Care Medicaid |
$17,101.53
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$42,746.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$42,746.82 |
| Max. Negotiated Rate |
$42,746.82 |
| Rate for Payer: AHCCCS Medicaid |
$42,746.82
|
| Rate for Payer: Allwell Medicaid |
$42,746.82
|
| Rate for Payer: AZCH Complete Medicaid |
$42,746.82
|
| Rate for Payer: Banner UC Health Medicaid |
$42,746.82
|
| Rate for Payer: Mercy Care Medicaid |
$42,746.82
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$17,101.53
|
|
|
Service Code
|
APR-DRG 1691
|
| Hospital Charge Code |
APRDRG1691
|
| Min. Negotiated Rate |
$17,101.53 |
| Max. Negotiated Rate |
$17,101.53 |
| Rate for Payer: AHCCCS Medicaid |
$17,101.53
|
| Rate for Payer: Allwell Medicaid |
$17,101.53
|
| Rate for Payer: AZCH Complete Medicaid |
$17,101.53
|
| Rate for Payer: Banner UC Health Medicaid |
$17,101.53
|
| Rate for Payer: Mercy Care Medicaid |
$17,101.53
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$25,119.24
|
|
|
Service Code
|
APR-DRG 1693
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$25,119.24 |
| Max. Negotiated Rate |
$25,119.24 |
| Rate for Payer: AHCCCS Medicaid |
$25,119.24
|
| Rate for Payer: Allwell Medicaid |
$25,119.24
|
| Rate for Payer: AZCH Complete Medicaid |
$25,119.24
|
| Rate for Payer: Banner UC Health Medicaid |
$25,119.24
|
| Rate for Payer: Mercy Care Medicaid |
$25,119.24
|
|
|
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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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 |
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 |
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
|
$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 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 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
|
$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
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4414
|
| 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
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4413
|
| 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
|
|