|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$7,124.12
|
|
|
Service Code
|
APR-DRG 2483
|
| Hospital Charge Code |
APRDRG2484
|
| Min. Negotiated Rate |
$7,124.12 |
| Max. Negotiated Rate |
$7,124.12 |
| Rate for Payer: AHCCCS Medicaid |
$7,124.12
|
| Rate for Payer: Allwell Medicaid |
$7,124.12
|
| Rate for Payer: AZCH Complete Medicaid |
$7,124.12
|
| Rate for Payer: Banner UC Health Medicaid |
$7,124.12
|
| Rate for Payer: Mercy Care Medicaid |
$7,124.12
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$4,683.95
|
|
|
Service Code
|
APR-DRG 2482
|
| Hospital Charge Code |
APRDRG2482
|
| Min. Negotiated Rate |
$4,683.95 |
| Max. Negotiated Rate |
$4,683.95 |
| Rate for Payer: AHCCCS Medicaid |
$4,683.95
|
| Rate for Payer: Allwell Medicaid |
$4,683.95
|
| Rate for Payer: AZCH Complete Medicaid |
$4,683.95
|
| Rate for Payer: Banner UC Health Medicaid |
$4,683.95
|
| Rate for Payer: Mercy Care Medicaid |
$4,683.95
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$3,445.98
|
|
|
Service Code
|
APR-DRG 2481
|
| Hospital Charge Code |
APRDRG2482
|
| Min. Negotiated Rate |
$3,445.98 |
| Max. Negotiated Rate |
$3,445.98 |
| Rate for Payer: AHCCCS Medicaid |
$3,445.98
|
| Rate for Payer: Allwell Medicaid |
$3,445.98
|
| Rate for Payer: AZCH Complete Medicaid |
$3,445.98
|
| Rate for Payer: Banner UC Health Medicaid |
$3,445.98
|
| Rate for Payer: Mercy Care Medicaid |
$3,445.98
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$3,445.98
|
|
|
Service Code
|
APR-DRG 2481
|
| Hospital Charge Code |
APRDRG2483
|
| Min. Negotiated Rate |
$3,445.98 |
| Max. Negotiated Rate |
$3,445.98 |
| Rate for Payer: AHCCCS Medicaid |
$3,445.98
|
| Rate for Payer: Allwell Medicaid |
$3,445.98
|
| Rate for Payer: AZCH Complete Medicaid |
$3,445.98
|
| Rate for Payer: Banner UC Health Medicaid |
$3,445.98
|
| Rate for Payer: Mercy Care Medicaid |
$3,445.98
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$3,445.98
|
|
|
Service Code
|
APR-DRG 2481
|
| Hospital Charge Code |
APRDRG2481
|
| Min. Negotiated Rate |
$3,445.98 |
| Max. Negotiated Rate |
$3,445.98 |
| Rate for Payer: AHCCCS Medicaid |
$3,445.98
|
| Rate for Payer: Allwell Medicaid |
$3,445.98
|
| Rate for Payer: AZCH Complete Medicaid |
$3,445.98
|
| Rate for Payer: Banner UC Health Medicaid |
$3,445.98
|
| Rate for Payer: Mercy Care Medicaid |
$3,445.98
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$4,683.95
|
|
|
Service Code
|
APR-DRG 2482
|
| Hospital Charge Code |
APRDRG2481
|
| Min. Negotiated Rate |
$4,683.95 |
| Max. Negotiated Rate |
$4,683.95 |
| Rate for Payer: AHCCCS Medicaid |
$4,683.95
|
| Rate for Payer: Allwell Medicaid |
$4,683.95
|
| Rate for Payer: AZCH Complete Medicaid |
$4,683.95
|
| Rate for Payer: Banner UC Health Medicaid |
$4,683.95
|
| Rate for Payer: Mercy Care Medicaid |
$4,683.95
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$7,124.12
|
|
|
Service Code
|
APR-DRG 2483
|
| Hospital Charge Code |
APRDRG2481
|
| Min. Negotiated Rate |
$7,124.12 |
| Max. Negotiated Rate |
$7,124.12 |
| Rate for Payer: AHCCCS Medicaid |
$7,124.12
|
| Rate for Payer: Allwell Medicaid |
$7,124.12
|
| Rate for Payer: AZCH Complete Medicaid |
$7,124.12
|
| Rate for Payer: Banner UC Health Medicaid |
$7,124.12
|
| Rate for Payer: Mercy Care Medicaid |
$7,124.12
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$13,927.00
|
|
|
Service Code
|
APR-DRG 2484
|
| Hospital Charge Code |
APRDRG2483
|
| Min. Negotiated Rate |
$13,927.00 |
| Max. Negotiated Rate |
$13,927.00 |
| Rate for Payer: AHCCCS Medicaid |
$13,927.00
|
| Rate for Payer: Allwell Medicaid |
$13,927.00
|
| Rate for Payer: AZCH Complete Medicaid |
$13,927.00
|
| Rate for Payer: Banner UC Health Medicaid |
$13,927.00
|
| Rate for Payer: Mercy Care Medicaid |
$13,927.00
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: AHCCCS Medicaid |
$9,175.71
|
| Rate for Payer: Allwell Medicaid |
$9,175.71
|
| Rate for Payer: AZCH Complete Medicaid |
$9,175.71
|
| Rate for Payer: Banner UC Health Medicaid |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: AHCCCS Medicaid |
$5,365.71
|
| Rate for Payer: Allwell Medicaid |
$5,365.71
|
| Rate for Payer: AZCH Complete Medicaid |
$5,365.71
|
| Rate for Payer: Banner UC Health Medicaid |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: AHCCCS Medicaid |
$24,310.52
|
| Rate for Payer: Allwell Medicaid |
$24,310.52
|
| Rate for Payer: AZCH Complete Medicaid |
$24,310.52
|
| Rate for Payer: Banner UC Health Medicaid |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: AHCCCS Medicaid |
$4,660.10
|
| Rate for Payer: Allwell Medicaid |
$4,660.10
|
| Rate for Payer: AZCH Complete Medicaid |
$4,660.10
|
| Rate for Payer: Banner UC Health Medicaid |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: AHCCCS Medicaid |
$5,365.71
|
| Rate for Payer: Allwell Medicaid |
$5,365.71
|
| Rate for Payer: AZCH Complete Medicaid |
$5,365.71
|
| Rate for Payer: Banner UC Health Medicaid |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: AHCCCS Medicaid |
$9,175.71
|
| Rate for Payer: Allwell Medicaid |
$9,175.71
|
| Rate for Payer: AZCH Complete Medicaid |
$9,175.71
|
| Rate for Payer: Banner UC Health Medicaid |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: AHCCCS Medicaid |
$4,660.10
|
| Rate for Payer: Allwell Medicaid |
$4,660.10
|
| Rate for Payer: AZCH Complete Medicaid |
$4,660.10
|
| Rate for Payer: Banner UC Health Medicaid |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: AHCCCS Medicaid |
$24,310.52
|
| Rate for Payer: Allwell Medicaid |
$24,310.52
|
| Rate for Payer: AZCH Complete Medicaid |
$24,310.52
|
| Rate for Payer: Banner UC Health Medicaid |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: AHCCCS Medicaid |
$9,175.71
|
| Rate for Payer: Allwell Medicaid |
$9,175.71
|
| Rate for Payer: AZCH Complete Medicaid |
$9,175.71
|
| Rate for Payer: Banner UC Health Medicaid |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: AHCCCS Medicaid |
$4,660.10
|
| Rate for Payer: Allwell Medicaid |
$4,660.10
|
| Rate for Payer: AZCH Complete Medicaid |
$4,660.10
|
| Rate for Payer: Banner UC Health Medicaid |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: AHCCCS Medicaid |
$4,660.10
|
| Rate for Payer: Allwell Medicaid |
$4,660.10
|
| Rate for Payer: AZCH Complete Medicaid |
$4,660.10
|
| Rate for Payer: Banner UC Health Medicaid |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: AHCCCS Medicaid |
$24,310.52
|
| Rate for Payer: Allwell Medicaid |
$24,310.52
|
| Rate for Payer: AZCH Complete Medicaid |
$24,310.52
|
| Rate for Payer: Banner UC Health Medicaid |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: AHCCCS Medicaid |
$5,365.71
|
| Rate for Payer: Allwell Medicaid |
$5,365.71
|
| Rate for Payer: AZCH Complete Medicaid |
$5,365.71
|
| Rate for Payer: Banner UC Health Medicaid |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: AHCCCS Medicaid |
$5,365.71
|
| Rate for Payer: Allwell Medicaid |
$5,365.71
|
| Rate for Payer: AZCH Complete Medicaid |
$5,365.71
|
| Rate for Payer: Banner UC Health Medicaid |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: AHCCCS Medicaid |
$9,175.71
|
| Rate for Payer: Allwell Medicaid |
$9,175.71
|
| Rate for Payer: AZCH Complete Medicaid |
$9,175.71
|
| Rate for Payer: Banner UC Health Medicaid |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: AHCCCS Medicaid |
$24,310.52
|
| Rate for Payer: Allwell Medicaid |
$24,310.52
|
| Rate for Payer: AZCH Complete Medicaid |
$24,310.52
|
| Rate for Payer: Banner UC Health Medicaid |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$9,038.24
|
|
|
Service Code
|
APR-DRG 2311
|
| Hospital Charge Code |
APRDRG2312
|
| Min. Negotiated Rate |
$9,038.24 |
| Max. Negotiated Rate |
$9,038.24 |
| Rate for Payer: AHCCCS Medicaid |
$9,038.24
|
| Rate for Payer: Allwell Medicaid |
$9,038.24
|
| Rate for Payer: AZCH Complete Medicaid |
$9,038.24
|
| Rate for Payer: Banner UC Health Medicaid |
$9,038.24
|
| Rate for Payer: Mercy Care Medicaid |
$9,038.24
|
|
