|
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
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
|
Service Code
|
APR-DRG 4803
|
| Hospital Charge Code |
APRDRG4804
|
| 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
|
$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
|
$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
|
$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
|
$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 O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: AHCCCS Medicaid |
$14,706.96
|
| Rate for Payer: Allwell Medicaid |
$14,706.96
|
| Rate for Payer: AZCH Complete Medicaid |
$14,706.96
|
| Rate for Payer: Banner UC Health Medicaid |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$10,380.02 |
| Max. Negotiated Rate |
$10,380.02 |
| Rate for Payer: AHCCCS Medicaid |
$10,380.02
|
| Rate for Payer: Allwell Medicaid |
$10,380.02
|
| Rate for Payer: AZCH Complete Medicaid |
$10,380.02
|
| Rate for Payer: Banner UC Health Medicaid |
$10,380.02
|
| Rate for Payer: Mercy Care Medicaid |
$10,380.02
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: AHCCCS Medicaid |
$24,020.85
|
| Rate for Payer: Allwell Medicaid |
$24,020.85
|
| Rate for Payer: AZCH Complete Medicaid |
$24,020.85
|
| Rate for Payer: Banner UC Health Medicaid |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6804
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: AHCCCS Medicaid |
$24,020.85
|
| Rate for Payer: Allwell Medicaid |
$24,020.85
|
| Rate for Payer: AZCH Complete Medicaid |
$24,020.85
|
| Rate for Payer: Banner UC Health Medicaid |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6804
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: AHCCCS Medicaid |
$51,210.62
|
| Rate for Payer: Allwell Medicaid |
$51,210.62
|
| Rate for Payer: AZCH Complete Medicaid |
$51,210.62
|
| Rate for Payer: Banner UC Health Medicaid |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: AHCCCS Medicaid |
$51,210.62
|
| Rate for Payer: Allwell Medicaid |
$51,210.62
|
| Rate for Payer: AZCH Complete Medicaid |
$51,210.62
|
| Rate for Payer: Banner UC Health Medicaid |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: AHCCCS Medicaid |
$14,706.96
|
| Rate for Payer: Allwell Medicaid |
$14,706.96
|
| Rate for Payer: AZCH Complete Medicaid |
$14,706.96
|
| Rate for Payer: Banner UC Health Medicaid |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: AHCCCS Medicaid |
$24,020.85
|
| Rate for Payer: Allwell Medicaid |
$24,020.85
|
| Rate for Payer: AZCH Complete Medicaid |
$24,020.85
|
| Rate for Payer: Banner UC Health Medicaid |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: AHCCCS Medicaid |
$14,706.96
|
| Rate for Payer: Allwell Medicaid |
$14,706.96
|
| Rate for Payer: AZCH Complete Medicaid |
$14,706.96
|
| Rate for Payer: Banner UC Health Medicaid |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$10,380.02 |
| Max. Negotiated Rate |
$10,380.02 |
| Rate for Payer: AHCCCS Medicaid |
$10,380.02
|
| Rate for Payer: Allwell Medicaid |
$10,380.02
|
| Rate for Payer: AZCH Complete Medicaid |
$10,380.02
|
| Rate for Payer: Banner UC Health Medicaid |
$10,380.02
|
| Rate for Payer: Mercy Care Medicaid |
$10,380.02
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: AHCCCS Medicaid |
$51,210.62
|
| Rate for Payer: Allwell Medicaid |
$51,210.62
|
| Rate for Payer: AZCH Complete Medicaid |
$51,210.62
|
| Rate for Payer: Banner UC Health Medicaid |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6804
|
| Min. Negotiated Rate |
$10,380.02 |
| Max. Negotiated Rate |
$10,380.02 |
| Rate for Payer: AHCCCS Medicaid |
$10,380.02
|
| Rate for Payer: Allwell Medicaid |
$10,380.02
|
| Rate for Payer: AZCH Complete Medicaid |
$10,380.02
|
| Rate for Payer: Banner UC Health Medicaid |
$10,380.02
|
| Rate for Payer: Mercy Care Medicaid |
$10,380.02
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: AHCCCS Medicaid |
$51,210.62
|
| Rate for Payer: Allwell Medicaid |
$51,210.62
|
| Rate for Payer: AZCH Complete Medicaid |
$51,210.62
|
| Rate for Payer: Banner UC Health Medicaid |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: AHCCCS Medicaid |
$24,020.85
|
| Rate for Payer: Allwell Medicaid |
$24,020.85
|
| Rate for Payer: AZCH Complete Medicaid |
$24,020.85
|
| Rate for Payer: Banner UC Health Medicaid |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$10,380.02 |
| Max. Negotiated Rate |
$10,380.02 |
| Rate for Payer: AHCCCS Medicaid |
$10,380.02
|
| Rate for Payer: Allwell Medicaid |
$10,380.02
|
| Rate for Payer: AZCH Complete Medicaid |
$10,380.02
|
| Rate for Payer: Banner UC Health Medicaid |
$10,380.02
|
| Rate for Payer: Mercy Care Medicaid |
$10,380.02
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6804
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: AHCCCS Medicaid |
$14,706.96
|
| Rate for Payer: Allwell Medicaid |
$14,706.96
|
| Rate for Payer: AZCH Complete Medicaid |
$14,706.96
|
| Rate for Payer: Banner UC Health Medicaid |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: AHCCCS Medicaid |
$15,280.00
|
| Rate for Payer: Allwell Medicaid |
$15,280.00
|
| Rate for Payer: AZCH Complete Medicaid |
$15,280.00
|
| Rate for Payer: Banner UC Health Medicaid |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2602
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: AHCCCS Medicaid |
$15,280.00
|
| Rate for Payer: Allwell Medicaid |
$15,280.00
|
| Rate for Payer: AZCH Complete Medicaid |
$15,280.00
|
| Rate for Payer: Banner UC Health Medicaid |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$47,113.04
|
|
|
Service Code
|
APR-DRG 2604
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$47,113.04 |
| Max. Negotiated Rate |
$47,113.04 |
| Rate for Payer: AHCCCS Medicaid |
$47,113.04
|
| Rate for Payer: Allwell Medicaid |
$47,113.04
|
| Rate for Payer: AZCH Complete Medicaid |
$47,113.04
|
| Rate for Payer: Banner UC Health Medicaid |
$47,113.04
|
| Rate for Payer: Mercy Care Medicaid |
$47,113.04
|
|