Major Large Bowel Procedures
|
Facility
|
IP
|
$17,794.52
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG2314
|
Min. Negotiated Rate |
$17,794.52 |
Max. Negotiated Rate |
$17,794.52 |
Rate for Payer: AHCCCS Medicaid |
$17,794.52
|
Rate for Payer: Allwell Medicaid |
$17,794.52
|
Rate for Payer: AZCH Complete Medicaid |
$17,794.52
|
Rate for Payer: Banner UC Health Medicaid |
$17,794.52
|
Rate for Payer: Mercy Care Medicaid |
$17,794.52
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$30,310.30
|
|
Service Code
|
APR-DRG 2314
|
Hospital Charge Code |
APRDRG2311
|
Min. Negotiated Rate |
$30,310.30 |
Max. Negotiated Rate |
$30,310.30 |
Rate for Payer: AHCCCS Medicaid |
$30,310.30
|
Rate for Payer: Allwell Medicaid |
$30,310.30
|
Rate for Payer: AZCH Complete Medicaid |
$30,310.30
|
Rate for Payer: Banner UC Health Medicaid |
$30,310.30
|
Rate for Payer: Mercy Care Medicaid |
$30,310.30
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$11,551.36
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG2313
|
Min. Negotiated Rate |
$11,551.36 |
Max. Negotiated Rate |
$11,551.36 |
Rate for Payer: AHCCCS Medicaid |
$11,551.36
|
Rate for Payer: Allwell Medicaid |
$11,551.36
|
Rate for Payer: AZCH Complete Medicaid |
$11,551.36
|
Rate for Payer: Banner UC Health Medicaid |
$11,551.36
|
Rate for Payer: Mercy Care Medicaid |
$11,551.36
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$30,310.30
|
|
Service Code
|
APR-DRG 2314
|
Hospital Charge Code |
APRDRG2313
|
Min. Negotiated Rate |
$30,310.30 |
Max. Negotiated Rate |
$30,310.30 |
Rate for Payer: AHCCCS Medicaid |
$30,310.30
|
Rate for Payer: Allwell Medicaid |
$30,310.30
|
Rate for Payer: AZCH Complete Medicaid |
$30,310.30
|
Rate for Payer: Banner UC Health Medicaid |
$30,310.30
|
Rate for Payer: Mercy Care Medicaid |
$30,310.30
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$17,794.52
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG2313
|
Min. Negotiated Rate |
$17,794.52 |
Max. Negotiated Rate |
$17,794.52 |
Rate for Payer: AHCCCS Medicaid |
$17,794.52
|
Rate for Payer: Allwell Medicaid |
$17,794.52
|
Rate for Payer: AZCH Complete Medicaid |
$17,794.52
|
Rate for Payer: Banner UC Health Medicaid |
$17,794.52
|
Rate for Payer: Mercy Care Medicaid |
$17,794.52
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$9,038.24
|
|
Service Code
|
APR-DRG 2311
|
Hospital Charge Code |
APRDRG2313
|
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
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$11,551.36
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG2311
|
Min. Negotiated Rate |
$11,551.36 |
Max. Negotiated Rate |
$11,551.36 |
Rate for Payer: AHCCCS Medicaid |
$11,551.36
|
Rate for Payer: Allwell Medicaid |
$11,551.36
|
Rate for Payer: AZCH Complete Medicaid |
$11,551.36
|
Rate for Payer: Banner UC Health Medicaid |
$11,551.36
|
Rate for Payer: Mercy Care Medicaid |
$11,551.36
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$11,551.36
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG2312
|
Min. Negotiated Rate |
$11,551.36 |
Max. Negotiated Rate |
$11,551.36 |
Rate for Payer: AHCCCS Medicaid |
$11,551.36
|
Rate for Payer: Allwell Medicaid |
$11,551.36
|
Rate for Payer: AZCH Complete Medicaid |
$11,551.36
|
Rate for Payer: Banner UC Health Medicaid |
$11,551.36
|
Rate for Payer: Mercy Care Medicaid |
$11,551.36
|
|
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
|
|
Major Large Bowel Procedures
|
Facility
|
IP
|
$17,794.52
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG2311
|
Min. Negotiated Rate |
$17,794.52 |
Max. Negotiated Rate |
$17,794.52 |
Rate for Payer: AHCCCS Medicaid |
$17,794.52
|
Rate for Payer: Allwell Medicaid |
$17,794.52
|
Rate for Payer: AZCH Complete Medicaid |
$17,794.52
|
Rate for Payer: Banner UC Health Medicaid |
$17,794.52
|
Rate for Payer: Mercy Care Medicaid |
$17,794.52
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG4801
|
Min. Negotiated Rate |
$9,064.19 |
Max. Negotiated Rate |
$9,064.19 |
Rate for Payer: AHCCCS Medicaid |
$9,064.19
|
Rate for Payer: Allwell Medicaid |
$9,064.19
|
Rate for Payer: AZCH Complete Medicaid |
$9,064.19
|
Rate for Payer: Banner UC Health Medicaid |
$9,064.19
|
Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG4804
|
Min. Negotiated Rate |
$8,082.23 |
Max. Negotiated Rate |
$8,082.23 |
Rate for Payer: AHCCCS Medicaid |
$8,082.23
|
Rate for Payer: Allwell Medicaid |
$8,082.23
|
Rate for Payer: AZCH Complete Medicaid |
$8,082.23
|
Rate for Payer: Banner UC Health Medicaid |
$8,082.23
|
Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG4802
|
Min. Negotiated Rate |
$31,941.76 |
Max. Negotiated Rate |
$31,941.76 |
Rate for Payer: AHCCCS Medicaid |
$31,941.76
|
Rate for Payer: Allwell Medicaid |
$31,941.76
|
Rate for Payer: AZCH Complete Medicaid |
$31,941.76
|
Rate for Payer: Banner UC Health Medicaid |
$31,941.76
|
Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG4803
|
Min. Negotiated Rate |
$31,941.76 |
Max. Negotiated Rate |
$31,941.76 |
Rate for Payer: AHCCCS Medicaid |
$31,941.76
|
Rate for Payer: Allwell Medicaid |
$31,941.76
|
Rate for Payer: AZCH Complete Medicaid |
$31,941.76
|
Rate for Payer: Banner UC Health Medicaid |
$31,941.76
|
Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG4803
|
Min. Negotiated Rate |
$8,082.23 |
Max. Negotiated Rate |
$8,082.23 |
Rate for Payer: AHCCCS Medicaid |
$8,082.23
|
Rate for Payer: Allwell Medicaid |
$8,082.23
|
Rate for Payer: AZCH Complete Medicaid |
$8,082.23
|
Rate for Payer: Banner UC Health Medicaid |
$8,082.23
|
Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG4804
|
Min. Negotiated Rate |
$9,064.19 |
Max. Negotiated Rate |
$9,064.19 |
Rate for Payer: AHCCCS Medicaid |
$9,064.19
|
Rate for Payer: Allwell Medicaid |
$9,064.19
|
Rate for Payer: AZCH Complete Medicaid |
$9,064.19
|
Rate for Payer: Banner UC Health Medicaid |
$9,064.19
|
Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG4801
|
Min. Negotiated Rate |
$8,082.23 |
Max. Negotiated Rate |
$8,082.23 |
Rate for Payer: AHCCCS Medicaid |
$8,082.23
|
Rate for Payer: Allwell Medicaid |
$8,082.23
|
Rate for Payer: AZCH Complete Medicaid |
$8,082.23
|
Rate for Payer: Banner UC Health Medicaid |
$8,082.23
|
Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG4803
|
Min. Negotiated Rate |
$9,064.19 |
Max. Negotiated Rate |
$9,064.19 |
Rate for Payer: AHCCCS Medicaid |
$9,064.19
|
Rate for Payer: Allwell Medicaid |
$9,064.19
|
Rate for Payer: AZCH Complete Medicaid |
$9,064.19
|
Rate for Payer: Banner UC Health Medicaid |
$9,064.19
|
Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG4801
|
Min. Negotiated Rate |
$31,941.76 |
Max. Negotiated Rate |
$31,941.76 |
Rate for Payer: AHCCCS Medicaid |
$31,941.76
|
Rate for Payer: Allwell Medicaid |
$31,941.76
|
Rate for Payer: AZCH Complete Medicaid |
$31,941.76
|
Rate for Payer: Banner UC Health Medicaid |
$31,941.76
|
Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG4804
|
Min. Negotiated Rate |
$31,941.76 |
Max. Negotiated Rate |
$31,941.76 |
Rate for Payer: AHCCCS Medicaid |
$31,941.76
|
Rate for Payer: Allwell Medicaid |
$31,941.76
|
Rate for Payer: AZCH Complete Medicaid |
$31,941.76
|
Rate for Payer: Banner UC Health Medicaid |
$31,941.76
|
Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG4802
|
Min. Negotiated Rate |
$14,384.31 |
Max. Negotiated Rate |
$14,384.31 |
Rate for Payer: AHCCCS Medicaid |
$14,384.31
|
Rate for Payer: Allwell Medicaid |
$14,384.31
|
Rate for Payer: AZCH Complete Medicaid |
$14,384.31
|
Rate for Payer: Banner UC Health Medicaid |
$14,384.31
|
Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG4803
|
Min. Negotiated Rate |
$14,384.31 |
Max. Negotiated Rate |
$14,384.31 |
Rate for Payer: AHCCCS Medicaid |
$14,384.31
|
Rate for Payer: Allwell Medicaid |
$14,384.31
|
Rate for Payer: AZCH Complete Medicaid |
$14,384.31
|
Rate for Payer: Banner UC Health Medicaid |
$14,384.31
|
Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG4801
|
Min. Negotiated Rate |
$14,384.31 |
Max. Negotiated Rate |
$14,384.31 |
Rate for Payer: AHCCCS Medicaid |
$14,384.31
|
Rate for Payer: Allwell Medicaid |
$14,384.31
|
Rate for Payer: AZCH Complete Medicaid |
$14,384.31
|
Rate for Payer: Banner UC Health Medicaid |
$14,384.31
|
Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG4802
|
Min. Negotiated Rate |
$8,082.23 |
Max. Negotiated Rate |
$8,082.23 |
Rate for Payer: AHCCCS Medicaid |
$8,082.23
|
Rate for Payer: Allwell Medicaid |
$8,082.23
|
Rate for Payer: AZCH Complete Medicaid |
$8,082.23
|
Rate for Payer: Banner UC Health Medicaid |
$8,082.23
|
Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG4802
|
Min. Negotiated Rate |
$9,064.19 |
Max. Negotiated Rate |
$9,064.19 |
Rate for Payer: AHCCCS Medicaid |
$9,064.19
|
Rate for Payer: Allwell Medicaid |
$9,064.19
|
Rate for Payer: AZCH Complete Medicaid |
$9,064.19
|
Rate for Payer: Banner UC Health Medicaid |
$9,064.19
|
Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
|