|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$11,878.91
|
|
|
Service Code
|
APR-DRG 5324
|
| Hospital Charge Code |
APRDRG5321
|
| Min. Negotiated Rate |
$11,878.91 |
| Max. Negotiated Rate |
$11,878.91 |
| Rate for Payer: AHCCCS Medicaid |
$11,878.91
|
| Rate for Payer: Allwell Medicaid |
$11,878.91
|
| Rate for Payer: AZCH Complete Medicaid |
$11,878.91
|
| Rate for Payer: Banner UC Health Medicaid |
$11,878.91
|
| Rate for Payer: Mercy Care Medicaid |
$11,878.91
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$5,450.58
|
|
|
Service Code
|
APR-DRG 5323
|
| Hospital Charge Code |
APRDRG5324
|
| Min. Negotiated Rate |
$5,450.58 |
| Max. Negotiated Rate |
$5,450.58 |
| Rate for Payer: AHCCCS Medicaid |
$5,450.58
|
| Rate for Payer: Allwell Medicaid |
$5,450.58
|
| Rate for Payer: AZCH Complete Medicaid |
$5,450.58
|
| Rate for Payer: Banner UC Health Medicaid |
$5,450.58
|
| Rate for Payer: Mercy Care Medicaid |
$5,450.58
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,118.42
|
|
|
Service Code
|
APR-DRG 5321
|
| Hospital Charge Code |
APRDRG5324
|
| Min. Negotiated Rate |
$3,118.42 |
| Max. Negotiated Rate |
$3,118.42 |
| Rate for Payer: AHCCCS Medicaid |
$3,118.42
|
| Rate for Payer: Allwell Medicaid |
$3,118.42
|
| Rate for Payer: AZCH Complete Medicaid |
$3,118.42
|
| Rate for Payer: Banner UC Health Medicaid |
$3,118.42
|
| Rate for Payer: Mercy Care Medicaid |
$3,118.42
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,118.42
|
|
|
Service Code
|
APR-DRG 5321
|
| Hospital Charge Code |
APRDRG5322
|
| Min. Negotiated Rate |
$3,118.42 |
| Max. Negotiated Rate |
$3,118.42 |
| Rate for Payer: AHCCCS Medicaid |
$3,118.42
|
| Rate for Payer: Allwell Medicaid |
$3,118.42
|
| Rate for Payer: AZCH Complete Medicaid |
$3,118.42
|
| Rate for Payer: Banner UC Health Medicaid |
$3,118.42
|
| Rate for Payer: Mercy Care Medicaid |
$3,118.42
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,737.06
|
|
|
Service Code
|
APR-DRG 5322
|
| Hospital Charge Code |
APRDRG5322
|
| Min. Negotiated Rate |
$3,737.06 |
| Max. Negotiated Rate |
$3,737.06 |
| Rate for Payer: AHCCCS Medicaid |
$3,737.06
|
| Rate for Payer: Allwell Medicaid |
$3,737.06
|
| Rate for Payer: AZCH Complete Medicaid |
$3,737.06
|
| Rate for Payer: Banner UC Health Medicaid |
$3,737.06
|
| Rate for Payer: Mercy Care Medicaid |
$3,737.06
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,737.06
|
|
|
Service Code
|
APR-DRG 5322
|
| Hospital Charge Code |
APRDRG5323
|
| Min. Negotiated Rate |
$3,737.06 |
| Max. Negotiated Rate |
$3,737.06 |
| Rate for Payer: AHCCCS Medicaid |
$3,737.06
|
| Rate for Payer: Allwell Medicaid |
$3,737.06
|
| Rate for Payer: AZCH Complete Medicaid |
$3,737.06
|
| Rate for Payer: Banner UC Health Medicaid |
$3,737.06
|
| Rate for Payer: Mercy Care Medicaid |
$3,737.06
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$5,450.58
|
|
|
Service Code
|
APR-DRG 5323
|
| Hospital Charge Code |
APRDRG5323
|
| Min. Negotiated Rate |
$5,450.58 |
| Max. Negotiated Rate |
$5,450.58 |
| Rate for Payer: AHCCCS Medicaid |
$5,450.58
|
| Rate for Payer: Allwell Medicaid |
$5,450.58
|
| Rate for Payer: AZCH Complete Medicaid |
$5,450.58
|
| Rate for Payer: Banner UC Health Medicaid |
$5,450.58
|
| Rate for Payer: Mercy Care Medicaid |
$5,450.58
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,118.42
|
|
|
Service Code
|
APR-DRG 5321
|
| Hospital Charge Code |
APRDRG5321
|
| Min. Negotiated Rate |
$3,118.42 |
| Max. Negotiated Rate |
$3,118.42 |
| Rate for Payer: AHCCCS Medicaid |
$3,118.42
|
| Rate for Payer: Allwell Medicaid |
$3,118.42
|
| Rate for Payer: AZCH Complete Medicaid |
$3,118.42
|
| Rate for Payer: Banner UC Health Medicaid |
$3,118.42
|
| Rate for Payer: Mercy Care Medicaid |
$3,118.42
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$5,450.58
|
|
|
Service Code
|
APR-DRG 5323
|
| Hospital Charge Code |
APRDRG5321
|
| Min. Negotiated Rate |
$5,450.58 |
| Max. Negotiated Rate |
$5,450.58 |
| Rate for Payer: AHCCCS Medicaid |
$5,450.58
|
| Rate for Payer: Allwell Medicaid |
$5,450.58
|
| Rate for Payer: AZCH Complete Medicaid |
$5,450.58
|
| Rate for Payer: Banner UC Health Medicaid |
$5,450.58
|
| Rate for Payer: Mercy Care Medicaid |
$5,450.58
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,118.42
|
|
|
Service Code
|
APR-DRG 5321
|
| Hospital Charge Code |
APRDRG5323
|
| Min. Negotiated Rate |
$3,118.42 |
| Max. Negotiated Rate |
$3,118.42 |
| Rate for Payer: AHCCCS Medicaid |
$3,118.42
|
| Rate for Payer: Allwell Medicaid |
$3,118.42
|
| Rate for Payer: AZCH Complete Medicaid |
$3,118.42
|
| Rate for Payer: Banner UC Health Medicaid |
$3,118.42
|
| Rate for Payer: Mercy Care Medicaid |
$3,118.42
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$3,737.06
|
|
|
Service Code
|
APR-DRG 5322
|
| Hospital Charge Code |
APRDRG5324
|
| Min. Negotiated Rate |
$3,737.06 |
| Max. Negotiated Rate |
$3,737.06 |
| Rate for Payer: AHCCCS Medicaid |
$3,737.06
|
| Rate for Payer: Allwell Medicaid |
$3,737.06
|
| Rate for Payer: AZCH Complete Medicaid |
$3,737.06
|
| Rate for Payer: Banner UC Health Medicaid |
$3,737.06
|
| Rate for Payer: Mercy Care Medicaid |
$3,737.06
|
|
|
Menstrual And Other Female Reproductive System Disorders
|
Facility
|
IP
|
$5,450.58
|
|
|
Service Code
|
APR-DRG 5323
|
| Hospital Charge Code |
APRDRG5322
|
| Min. Negotiated Rate |
$5,450.58 |
| Max. Negotiated Rate |
$5,450.58 |
| Rate for Payer: AHCCCS Medicaid |
$5,450.58
|
| Rate for Payer: Allwell Medicaid |
$5,450.58
|
| Rate for Payer: AZCH Complete Medicaid |
$5,450.58
|
| Rate for Payer: Banner UC Health Medicaid |
$5,450.58
|
| Rate for Payer: Mercy Care Medicaid |
$5,450.58
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$18,344.42
|
|
|
Service Code
|
APR-DRG 7403
|
| Hospital Charge Code |
APRDRG7404
|
| Min. Negotiated Rate |
$18,344.42 |
| Max. Negotiated Rate |
$18,344.42 |
| Rate for Payer: AHCCCS Medicaid |
$18,344.42
|
| Rate for Payer: Allwell Medicaid |
$18,344.42
|
| Rate for Payer: AZCH Complete Medicaid |
$18,344.42
|
| Rate for Payer: Banner UC Health Medicaid |
$18,344.42
|
| Rate for Payer: Mercy Care Medicaid |
$18,344.42
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$18,344.42
|
|
|
Service Code
|
APR-DRG 7403
|
| Hospital Charge Code |
APRDRG7403
|
| Min. Negotiated Rate |
$18,344.42 |
| Max. Negotiated Rate |
$18,344.42 |
| Rate for Payer: AHCCCS Medicaid |
$18,344.42
|
| Rate for Payer: Allwell Medicaid |
$18,344.42
|
| Rate for Payer: AZCH Complete Medicaid |
$18,344.42
|
| Rate for Payer: Banner UC Health Medicaid |
$18,344.42
|
| Rate for Payer: Mercy Care Medicaid |
$18,344.42
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$18,344.42
|
|
|
Service Code
|
APR-DRG 7403
|
| Hospital Charge Code |
APRDRG7401
|
| Min. Negotiated Rate |
$18,344.42 |
| Max. Negotiated Rate |
$18,344.42 |
| Rate for Payer: AHCCCS Medicaid |
$18,344.42
|
| Rate for Payer: Allwell Medicaid |
$18,344.42
|
| Rate for Payer: AZCH Complete Medicaid |
$18,344.42
|
| Rate for Payer: Banner UC Health Medicaid |
$18,344.42
|
| Rate for Payer: Mercy Care Medicaid |
$18,344.42
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,665.10
|
|
|
Service Code
|
APR-DRG 7402
|
| Hospital Charge Code |
APRDRG7403
|
| Min. Negotiated Rate |
$8,665.10 |
| Max. Negotiated Rate |
$8,665.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,665.10
|
| Rate for Payer: Allwell Medicaid |
$8,665.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,665.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,665.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,665.10
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,571.11
|
|
|
Service Code
|
APR-DRG 7401
|
| Hospital Charge Code |
APRDRG7401
|
| Min. Negotiated Rate |
$8,571.11 |
| Max. Negotiated Rate |
$8,571.11 |
| Rate for Payer: AHCCCS Medicaid |
$8,571.11
|
| Rate for Payer: Allwell Medicaid |
$8,571.11
|
| Rate for Payer: AZCH Complete Medicaid |
$8,571.11
|
| Rate for Payer: Banner UC Health Medicaid |
$8,571.11
|
| Rate for Payer: Mercy Care Medicaid |
$8,571.11
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,665.10
|
|
|
Service Code
|
APR-DRG 7402
|
| Hospital Charge Code |
APRDRG7401
|
| Min. Negotiated Rate |
$8,665.10 |
| Max. Negotiated Rate |
$8,665.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,665.10
|
| Rate for Payer: Allwell Medicaid |
$8,665.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,665.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,665.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,665.10
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$23,982.97
|
|
|
Service Code
|
APR-DRG 7404
|
| Hospital Charge Code |
APRDRG7403
|
| Min. Negotiated Rate |
$23,982.97 |
| Max. Negotiated Rate |
$23,982.97 |
| Rate for Payer: AHCCCS Medicaid |
$23,982.97
|
| Rate for Payer: Allwell Medicaid |
$23,982.97
|
| Rate for Payer: AZCH Complete Medicaid |
$23,982.97
|
| Rate for Payer: Banner UC Health Medicaid |
$23,982.97
|
| Rate for Payer: Mercy Care Medicaid |
$23,982.97
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,571.11
|
|
|
Service Code
|
APR-DRG 7401
|
| Hospital Charge Code |
APRDRG7404
|
| Min. Negotiated Rate |
$8,571.11 |
| Max. Negotiated Rate |
$8,571.11 |
| Rate for Payer: AHCCCS Medicaid |
$8,571.11
|
| Rate for Payer: Allwell Medicaid |
$8,571.11
|
| Rate for Payer: AZCH Complete Medicaid |
$8,571.11
|
| Rate for Payer: Banner UC Health Medicaid |
$8,571.11
|
| Rate for Payer: Mercy Care Medicaid |
$8,571.11
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$23,982.97
|
|
|
Service Code
|
APR-DRG 7404
|
| Hospital Charge Code |
APRDRG7404
|
| Min. Negotiated Rate |
$23,982.97 |
| Max. Negotiated Rate |
$23,982.97 |
| Rate for Payer: AHCCCS Medicaid |
$23,982.97
|
| Rate for Payer: Allwell Medicaid |
$23,982.97
|
| Rate for Payer: AZCH Complete Medicaid |
$23,982.97
|
| Rate for Payer: Banner UC Health Medicaid |
$23,982.97
|
| Rate for Payer: Mercy Care Medicaid |
$23,982.97
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,571.11
|
|
|
Service Code
|
APR-DRG 7401
|
| Hospital Charge Code |
APRDRG7403
|
| Min. Negotiated Rate |
$8,571.11 |
| Max. Negotiated Rate |
$8,571.11 |
| Rate for Payer: AHCCCS Medicaid |
$8,571.11
|
| Rate for Payer: Allwell Medicaid |
$8,571.11
|
| Rate for Payer: AZCH Complete Medicaid |
$8,571.11
|
| Rate for Payer: Banner UC Health Medicaid |
$8,571.11
|
| Rate for Payer: Mercy Care Medicaid |
$8,571.11
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,571.11
|
|
|
Service Code
|
APR-DRG 7401
|
| Hospital Charge Code |
APRDRG7402
|
| Min. Negotiated Rate |
$8,571.11 |
| Max. Negotiated Rate |
$8,571.11 |
| Rate for Payer: AHCCCS Medicaid |
$8,571.11
|
| Rate for Payer: Allwell Medicaid |
$8,571.11
|
| Rate for Payer: AZCH Complete Medicaid |
$8,571.11
|
| Rate for Payer: Banner UC Health Medicaid |
$8,571.11
|
| Rate for Payer: Mercy Care Medicaid |
$8,571.11
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,665.10
|
|
|
Service Code
|
APR-DRG 7402
|
| Hospital Charge Code |
APRDRG7402
|
| Min. Negotiated Rate |
$8,665.10 |
| Max. Negotiated Rate |
$8,665.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,665.10
|
| Rate for Payer: Allwell Medicaid |
$8,665.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,665.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,665.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,665.10
|
|
|
Mental Illness Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$8,665.10
|
|
|
Service Code
|
APR-DRG 7402
|
| Hospital Charge Code |
APRDRG7404
|
| Min. Negotiated Rate |
$8,665.10 |
| Max. Negotiated Rate |
$8,665.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,665.10
|
| Rate for Payer: Allwell Medicaid |
$8,665.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,665.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,665.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,665.10
|
|
