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Charge Type Setting Price  
Service Code APR-DRG 0892
Hospital Charge Code APRDRG0891
Min. Negotiated Rate $14,373.09
Max. Negotiated Rate $14,373.09
Rate for Payer: AHCCCS Medicaid $14,373.09
Rate for Payer: Allwell Medicaid $14,373.09
Rate for Payer: AZCH Complete Medicaid $14,373.09
Rate for Payer: Banner UC Health Medicaid $14,373.09
Rate for Payer: Mercy Care Medicaid $14,373.09
Service Code APR-DRG 0893
Hospital Charge Code APRDRG0893
Min. Negotiated Rate $25,246.89
Max. Negotiated Rate $25,246.89
Rate for Payer: AHCCCS Medicaid $25,246.89
Rate for Payer: Allwell Medicaid $25,246.89
Rate for Payer: AZCH Complete Medicaid $25,246.89
Rate for Payer: Banner UC Health Medicaid $25,246.89
Rate for Payer: Mercy Care Medicaid $25,246.89
Service Code APR-DRG 0894
Hospital Charge Code APRDRG0891
Min. Negotiated Rate $42,543.42
Max. Negotiated Rate $42,543.42
Rate for Payer: AHCCCS Medicaid $42,543.42
Rate for Payer: Allwell Medicaid $42,543.42
Rate for Payer: AZCH Complete Medicaid $42,543.42
Rate for Payer: Banner UC Health Medicaid $42,543.42
Rate for Payer: Mercy Care Medicaid $42,543.42
Service Code APR-DRG 0892
Hospital Charge Code APRDRG0894
Min. Negotiated Rate $14,373.09
Max. Negotiated Rate $14,373.09
Rate for Payer: AHCCCS Medicaid $14,373.09
Rate for Payer: Allwell Medicaid $14,373.09
Rate for Payer: AZCH Complete Medicaid $14,373.09
Rate for Payer: Banner UC Health Medicaid $14,373.09
Rate for Payer: Mercy Care Medicaid $14,373.09
Service Code APR-DRG 0891
Hospital Charge Code APRDRG0893
Min. Negotiated Rate $10,993.74
Max. Negotiated Rate $10,993.74
Rate for Payer: AHCCCS Medicaid $10,993.74
Rate for Payer: Allwell Medicaid $10,993.74
Rate for Payer: AZCH Complete Medicaid $10,993.74
Rate for Payer: Banner UC Health Medicaid $10,993.74
Rate for Payer: Mercy Care Medicaid $10,993.74
Service Code APR-DRG 7514
Hospital Charge Code APRDRG7514
Min. Negotiated Rate $12,135.62
Max. Negotiated Rate $12,135.62
Rate for Payer: AHCCCS Medicaid $12,135.62
Rate for Payer: Allwell Medicaid $12,135.62
Rate for Payer: AZCH Complete Medicaid $12,135.62
Rate for Payer: Banner UC Health Medicaid $12,135.62
Rate for Payer: Mercy Care Medicaid $12,135.62
Service Code APR-DRG 7511
Hospital Charge Code APRDRG7514
Min. Negotiated Rate $2,408.61
Max. Negotiated Rate $2,408.61
Rate for Payer: AHCCCS Medicaid $2,408.61
Rate for Payer: Allwell Medicaid $2,408.61
Rate for Payer: AZCH Complete Medicaid $2,408.61
Rate for Payer: Banner UC Health Medicaid $2,408.61
Rate for Payer: Mercy Care Medicaid $2,408.61
Service Code APR-DRG 7511
Hospital Charge Code APRDRG7512
Min. Negotiated Rate $2,408.61
Max. Negotiated Rate $2,408.61
Rate for Payer: AHCCCS Medicaid $2,408.61
Rate for Payer: Allwell Medicaid $2,408.61
Rate for Payer: AZCH Complete Medicaid $2,408.61
Rate for Payer: Banner UC Health Medicaid $2,408.61
Rate for Payer: Mercy Care Medicaid $2,408.61
Service Code APR-DRG 7512
Hospital Charge Code APRDRG7514
Min. Negotiated Rate $3,351.29
Max. Negotiated Rate $3,351.29
Rate for Payer: AHCCCS Medicaid $3,351.29
Rate for Payer: Allwell Medicaid $3,351.29
Rate for Payer: AZCH Complete Medicaid $3,351.29
Rate for Payer: Banner UC Health Medicaid $3,351.29
Rate for Payer: Mercy Care Medicaid $3,351.29
Service Code APR-DRG 7511
Hospital Charge Code APRDRG7511
Min. Negotiated Rate $2,408.61
Max. Negotiated Rate $2,408.61
Rate for Payer: AHCCCS Medicaid $2,408.61
Rate for Payer: Allwell Medicaid $2,408.61
Rate for Payer: AZCH Complete Medicaid $2,408.61
Rate for Payer: Banner UC Health Medicaid $2,408.61
Rate for Payer: Mercy Care Medicaid $2,408.61
Service Code APR-DRG 7513
Hospital Charge Code APRDRG7513
Min. Negotiated Rate $6,587.55
Max. Negotiated Rate $6,587.55
Rate for Payer: AHCCCS Medicaid $6,587.55
Rate for Payer: Allwell Medicaid $6,587.55
Rate for Payer: AZCH Complete Medicaid $6,587.55
Rate for Payer: Banner UC Health Medicaid $6,587.55
Rate for Payer: Mercy Care Medicaid $6,587.55
Service Code APR-DRG 7513
Hospital Charge Code APRDRG7512
Min. Negotiated Rate $6,587.55
Max. Negotiated Rate $6,587.55
Rate for Payer: AHCCCS Medicaid $6,587.55
Rate for Payer: Allwell Medicaid $6,587.55
Rate for Payer: AZCH Complete Medicaid $6,587.55
Rate for Payer: Banner UC Health Medicaid $6,587.55
Rate for Payer: Mercy Care Medicaid $6,587.55
Service Code APR-DRG 7512
Hospital Charge Code APRDRG7511
Min. Negotiated Rate $3,351.29
Max. Negotiated Rate $3,351.29
Rate for Payer: AHCCCS Medicaid $3,351.29
Rate for Payer: Allwell Medicaid $3,351.29
Rate for Payer: AZCH Complete Medicaid $3,351.29
Rate for Payer: Banner UC Health Medicaid $3,351.29
Rate for Payer: Mercy Care Medicaid $3,351.29
Service Code APR-DRG 7512
Hospital Charge Code APRDRG7512
Min. Negotiated Rate $3,351.29
Max. Negotiated Rate $3,351.29
Rate for Payer: AHCCCS Medicaid $3,351.29
Rate for Payer: Allwell Medicaid $3,351.29
Rate for Payer: AZCH Complete Medicaid $3,351.29
Rate for Payer: Banner UC Health Medicaid $3,351.29
Rate for Payer: Mercy Care Medicaid $3,351.29
Service Code APR-DRG 7511
Hospital Charge Code APRDRG7513
Min. Negotiated Rate $2,408.61
Max. Negotiated Rate $2,408.61
Rate for Payer: AHCCCS Medicaid $2,408.61
Rate for Payer: Allwell Medicaid $2,408.61
Rate for Payer: AZCH Complete Medicaid $2,408.61
Rate for Payer: Banner UC Health Medicaid $2,408.61
Rate for Payer: Mercy Care Medicaid $2,408.61
Service Code APR-DRG 7513
Hospital Charge Code APRDRG7511
Min. Negotiated Rate $6,587.55
Max. Negotiated Rate $6,587.55
Rate for Payer: AHCCCS Medicaid $6,587.55
Rate for Payer: Allwell Medicaid $6,587.55
Rate for Payer: AZCH Complete Medicaid $6,587.55
Rate for Payer: Banner UC Health Medicaid $6,587.55
Rate for Payer: Mercy Care Medicaid $6,587.55
Service Code APR-DRG 7514
Hospital Charge Code APRDRG7511
Min. Negotiated Rate $12,135.62
Max. Negotiated Rate $12,135.62
Rate for Payer: AHCCCS Medicaid $12,135.62
Rate for Payer: Allwell Medicaid $12,135.62
Rate for Payer: AZCH Complete Medicaid $12,135.62
Rate for Payer: Banner UC Health Medicaid $12,135.62
Rate for Payer: Mercy Care Medicaid $12,135.62
Service Code APR-DRG 7514
Hospital Charge Code APRDRG7513
Min. Negotiated Rate $12,135.62
Max. Negotiated Rate $12,135.62
Rate for Payer: AHCCCS Medicaid $12,135.62
Rate for Payer: Allwell Medicaid $12,135.62
Rate for Payer: AZCH Complete Medicaid $12,135.62
Rate for Payer: Banner UC Health Medicaid $12,135.62
Rate for Payer: Mercy Care Medicaid $12,135.62
Service Code APR-DRG 7513
Hospital Charge Code APRDRG7514
Min. Negotiated Rate $6,587.55
Max. Negotiated Rate $6,587.55
Rate for Payer: AHCCCS Medicaid $6,587.55
Rate for Payer: Allwell Medicaid $6,587.55
Rate for Payer: AZCH Complete Medicaid $6,587.55
Rate for Payer: Banner UC Health Medicaid $6,587.55
Rate for Payer: Mercy Care Medicaid $6,587.55
Service Code APR-DRG 7514
Hospital Charge Code APRDRG7512
Min. Negotiated Rate $12,135.62
Max. Negotiated Rate $12,135.62
Rate for Payer: AHCCCS Medicaid $12,135.62
Rate for Payer: Allwell Medicaid $12,135.62
Rate for Payer: AZCH Complete Medicaid $12,135.62
Rate for Payer: Banner UC Health Medicaid $12,135.62
Rate for Payer: Mercy Care Medicaid $12,135.62
Service Code APR-DRG 7512
Hospital Charge Code APRDRG7513
Min. Negotiated Rate $3,351.29
Max. Negotiated Rate $3,351.29
Rate for Payer: AHCCCS Medicaid $3,351.29
Rate for Payer: Allwell Medicaid $3,351.29
Rate for Payer: AZCH Complete Medicaid $3,351.29
Rate for Payer: Banner UC Health Medicaid $3,351.29
Rate for Payer: Mercy Care Medicaid $3,351.29
Service Code APR-DRG 2424
Hospital Charge Code APRDRG2422
Min. Negotiated Rate $16,215.67
Max. Negotiated Rate $16,215.67
Rate for Payer: AHCCCS Medicaid $16,215.67
Rate for Payer: Allwell Medicaid $16,215.67
Rate for Payer: AZCH Complete Medicaid $16,215.67
Rate for Payer: Banner UC Health Medicaid $16,215.67
Rate for Payer: Mercy Care Medicaid $16,215.67
Service Code APR-DRG 2423
Hospital Charge Code APRDRG2424
Min. Negotiated Rate $6,946.67
Max. Negotiated Rate $6,946.67
Rate for Payer: AHCCCS Medicaid $6,946.67
Rate for Payer: Allwell Medicaid $6,946.67
Rate for Payer: AZCH Complete Medicaid $6,946.67
Rate for Payer: Banner UC Health Medicaid $6,946.67
Rate for Payer: Mercy Care Medicaid $6,946.67
Service Code APR-DRG 2424
Hospital Charge Code APRDRG2423
Min. Negotiated Rate $16,215.67
Max. Negotiated Rate $16,215.67
Rate for Payer: AHCCCS Medicaid $16,215.67
Rate for Payer: Allwell Medicaid $16,215.67
Rate for Payer: AZCH Complete Medicaid $16,215.67
Rate for Payer: Banner UC Health Medicaid $16,215.67
Rate for Payer: Mercy Care Medicaid $16,215.67
Service Code APR-DRG 2422
Hospital Charge Code APRDRG2421
Min. Negotiated Rate $4,775.13
Max. Negotiated Rate $4,775.13
Rate for Payer: AHCCCS Medicaid $4,775.13
Rate for Payer: Allwell Medicaid $4,775.13
Rate for Payer: AZCH Complete Medicaid $4,775.13
Rate for Payer: Banner UC Health Medicaid $4,775.13
Rate for Payer: Mercy Care Medicaid $4,775.13