|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$9,893.25
|
|
|
Service Code
|
APR-DRG 3231
|
| Hospital Charge Code |
APRDRG3233
|
| Min. Negotiated Rate |
$9,893.25 |
| Max. Negotiated Rate |
$9,893.25 |
| Rate for Payer: AHCCCS Medicaid |
$9,893.25
|
| Rate for Payer: Allwell Medicaid |
$9,893.25
|
| Rate for Payer: AZCH Complete Medicaid |
$9,893.25
|
| Rate for Payer: Banner UC Health Medicaid |
$9,893.25
|
| Rate for Payer: Mercy Care Medicaid |
$9,893.25
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$9,893.25
|
|
|
Service Code
|
APR-DRG 3231
|
| Hospital Charge Code |
APRDRG3234
|
| Min. Negotiated Rate |
$9,893.25 |
| Max. Negotiated Rate |
$9,893.25 |
| Rate for Payer: AHCCCS Medicaid |
$9,893.25
|
| Rate for Payer: Allwell Medicaid |
$9,893.25
|
| Rate for Payer: AZCH Complete Medicaid |
$9,893.25
|
| Rate for Payer: Banner UC Health Medicaid |
$9,893.25
|
| Rate for Payer: Mercy Care Medicaid |
$9,893.25
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$22,891.59
|
|
|
Service Code
|
APR-DRG 3234
|
| Hospital Charge Code |
APRDRG3233
|
| Min. Negotiated Rate |
$22,891.59 |
| Max. Negotiated Rate |
$22,891.59 |
| Rate for Payer: AHCCCS Medicaid |
$22,891.59
|
| Rate for Payer: Allwell Medicaid |
$22,891.59
|
| Rate for Payer: AZCH Complete Medicaid |
$22,891.59
|
| Rate for Payer: Banner UC Health Medicaid |
$22,891.59
|
| Rate for Payer: Mercy Care Medicaid |
$22,891.59
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$11,223.80
|
|
|
Service Code
|
APR-DRG 3232
|
| Hospital Charge Code |
APRDRG3234
|
| Min. Negotiated Rate |
$11,223.80 |
| Max. Negotiated Rate |
$11,223.80 |
| Rate for Payer: AHCCCS Medicaid |
$11,223.80
|
| Rate for Payer: Allwell Medicaid |
$11,223.80
|
| Rate for Payer: AZCH Complete Medicaid |
$11,223.80
|
| Rate for Payer: Banner UC Health Medicaid |
$11,223.80
|
| Rate for Payer: Mercy Care Medicaid |
$11,223.80
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$11,223.80
|
|
|
Service Code
|
APR-DRG 3232
|
| Hospital Charge Code |
APRDRG3231
|
| Min. Negotiated Rate |
$11,223.80 |
| Max. Negotiated Rate |
$11,223.80 |
| Rate for Payer: AHCCCS Medicaid |
$11,223.80
|
| Rate for Payer: Allwell Medicaid |
$11,223.80
|
| Rate for Payer: AZCH Complete Medicaid |
$11,223.80
|
| Rate for Payer: Banner UC Health Medicaid |
$11,223.80
|
| Rate for Payer: Mercy Care Medicaid |
$11,223.80
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$9,893.25
|
|
|
Service Code
|
APR-DRG 3231
|
| Hospital Charge Code |
APRDRG3232
|
| Min. Negotiated Rate |
$9,893.25 |
| Max. Negotiated Rate |
$9,893.25 |
| Rate for Payer: AHCCCS Medicaid |
$9,893.25
|
| Rate for Payer: Allwell Medicaid |
$9,893.25
|
| Rate for Payer: AZCH Complete Medicaid |
$9,893.25
|
| Rate for Payer: Banner UC Health Medicaid |
$9,893.25
|
| Rate for Payer: Mercy Care Medicaid |
$9,893.25
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$22,891.59
|
|
|
Service Code
|
APR-DRG 3234
|
| Hospital Charge Code |
APRDRG3231
|
| Min. Negotiated Rate |
$22,891.59 |
| Max. Negotiated Rate |
$22,891.59 |
| Rate for Payer: AHCCCS Medicaid |
$22,891.59
|
| Rate for Payer: Allwell Medicaid |
$22,891.59
|
| Rate for Payer: AZCH Complete Medicaid |
$22,891.59
|
| Rate for Payer: Banner UC Health Medicaid |
$22,891.59
|
| Rate for Payer: Mercy Care Medicaid |
$22,891.59
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$15,202.14
|
|
|
Service Code
|
APR-DRG 3233
|
| Hospital Charge Code |
APRDRG3232
|
| Min. Negotiated Rate |
$15,202.14 |
| Max. Negotiated Rate |
$15,202.14 |
| Rate for Payer: AHCCCS Medicaid |
$15,202.14
|
| Rate for Payer: Allwell Medicaid |
$15,202.14
|
| Rate for Payer: AZCH Complete Medicaid |
$15,202.14
|
| Rate for Payer: Banner UC Health Medicaid |
$15,202.14
|
| Rate for Payer: Mercy Care Medicaid |
$15,202.14
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$15,202.14
|
|
|
Service Code
|
APR-DRG 3233
|
| Hospital Charge Code |
APRDRG3233
|
| Min. Negotiated Rate |
$15,202.14 |
| Max. Negotiated Rate |
$15,202.14 |
| Rate for Payer: AHCCCS Medicaid |
$15,202.14
|
| Rate for Payer: Allwell Medicaid |
$15,202.14
|
| Rate for Payer: AZCH Complete Medicaid |
$15,202.14
|
| Rate for Payer: Banner UC Health Medicaid |
$15,202.14
|
| Rate for Payer: Mercy Care Medicaid |
$15,202.14
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$9,893.25
|
|
|
Service Code
|
APR-DRG 3231
|
| Hospital Charge Code |
APRDRG3231
|
| Min. Negotiated Rate |
$9,893.25 |
| Max. Negotiated Rate |
$9,893.25 |
| Rate for Payer: AHCCCS Medicaid |
$9,893.25
|
| Rate for Payer: Allwell Medicaid |
$9,893.25
|
| Rate for Payer: AZCH Complete Medicaid |
$9,893.25
|
| Rate for Payer: Banner UC Health Medicaid |
$9,893.25
|
| Rate for Payer: Mercy Care Medicaid |
$9,893.25
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$11,223.80
|
|
|
Service Code
|
APR-DRG 3232
|
| Hospital Charge Code |
APRDRG3233
|
| Min. Negotiated Rate |
$11,223.80 |
| Max. Negotiated Rate |
$11,223.80 |
| Rate for Payer: AHCCCS Medicaid |
$11,223.80
|
| Rate for Payer: Allwell Medicaid |
$11,223.80
|
| Rate for Payer: AZCH Complete Medicaid |
$11,223.80
|
| Rate for Payer: Banner UC Health Medicaid |
$11,223.80
|
| Rate for Payer: Mercy Care Medicaid |
$11,223.80
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$11,223.80
|
|
|
Service Code
|
APR-DRG 3232
|
| Hospital Charge Code |
APRDRG3232
|
| Min. Negotiated Rate |
$11,223.80 |
| Max. Negotiated Rate |
$11,223.80 |
| Rate for Payer: AHCCCS Medicaid |
$11,223.80
|
| Rate for Payer: Allwell Medicaid |
$11,223.80
|
| Rate for Payer: AZCH Complete Medicaid |
$11,223.80
|
| Rate for Payer: Banner UC Health Medicaid |
$11,223.80
|
| Rate for Payer: Mercy Care Medicaid |
$11,223.80
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$22,891.59
|
|
|
Service Code
|
APR-DRG 3234
|
| Hospital Charge Code |
APRDRG3232
|
| Min. Negotiated Rate |
$22,891.59 |
| Max. Negotiated Rate |
$22,891.59 |
| Rate for Payer: AHCCCS Medicaid |
$22,891.59
|
| Rate for Payer: Allwell Medicaid |
$22,891.59
|
| Rate for Payer: AZCH Complete Medicaid |
$22,891.59
|
| Rate for Payer: Banner UC Health Medicaid |
$22,891.59
|
| Rate for Payer: Mercy Care Medicaid |
$22,891.59
|
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$15,202.14
|
|
|
Service Code
|
APR-DRG 3233
|
| Hospital Charge Code |
APRDRG3231
|
| Min. Negotiated Rate |
$15,202.14 |
| Max. Negotiated Rate |
$15,202.14 |
| Rate for Payer: AHCCCS Medicaid |
$15,202.14
|
| Rate for Payer: Allwell Medicaid |
$15,202.14
|
| Rate for Payer: AZCH Complete Medicaid |
$15,202.14
|
| Rate for Payer: Banner UC Health Medicaid |
$15,202.14
|
| Rate for Payer: Mercy Care Medicaid |
$15,202.14
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$19,821.56
|
|
|
Service Code
|
APR-DRG 3253
|
| Hospital Charge Code |
APRDRG3252
|
| Min. Negotiated Rate |
$19,821.56 |
| Max. Negotiated Rate |
$19,821.56 |
| Rate for Payer: AHCCCS Medicaid |
$19,821.56
|
| Rate for Payer: Allwell Medicaid |
$19,821.56
|
| Rate for Payer: AZCH Complete Medicaid |
$19,821.56
|
| Rate for Payer: Banner UC Health Medicaid |
$19,821.56
|
| Rate for Payer: Mercy Care Medicaid |
$19,821.56
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$12,731.11
|
|
|
Service Code
|
APR-DRG 3251
|
| Hospital Charge Code |
APRDRG3251
|
| Min. Negotiated Rate |
$12,731.11 |
| Max. Negotiated Rate |
$12,731.11 |
| Rate for Payer: AHCCCS Medicaid |
$12,731.11
|
| Rate for Payer: Allwell Medicaid |
$12,731.11
|
| Rate for Payer: AZCH Complete Medicaid |
$12,731.11
|
| Rate for Payer: Banner UC Health Medicaid |
$12,731.11
|
| Rate for Payer: Mercy Care Medicaid |
$12,731.11
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$28,854.19
|
|
|
Service Code
|
APR-DRG 3254
|
| Hospital Charge Code |
APRDRG3252
|
| Min. Negotiated Rate |
$28,854.19 |
| Max. Negotiated Rate |
$28,854.19 |
| Rate for Payer: AHCCCS Medicaid |
$28,854.19
|
| Rate for Payer: Allwell Medicaid |
$28,854.19
|
| Rate for Payer: AZCH Complete Medicaid |
$28,854.19
|
| Rate for Payer: Banner UC Health Medicaid |
$28,854.19
|
| Rate for Payer: Mercy Care Medicaid |
$28,854.19
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$12,731.11
|
|
|
Service Code
|
APR-DRG 3251
|
| Hospital Charge Code |
APRDRG3253
|
| Min. Negotiated Rate |
$12,731.11 |
| Max. Negotiated Rate |
$12,731.11 |
| Rate for Payer: AHCCCS Medicaid |
$12,731.11
|
| Rate for Payer: Allwell Medicaid |
$12,731.11
|
| Rate for Payer: AZCH Complete Medicaid |
$12,731.11
|
| Rate for Payer: Banner UC Health Medicaid |
$12,731.11
|
| Rate for Payer: Mercy Care Medicaid |
$12,731.11
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$15,514.97
|
|
|
Service Code
|
APR-DRG 3252
|
| Hospital Charge Code |
APRDRG3253
|
| Min. Negotiated Rate |
$15,514.97 |
| Max. Negotiated Rate |
$15,514.97 |
| Rate for Payer: AHCCCS Medicaid |
$15,514.97
|
| Rate for Payer: Allwell Medicaid |
$15,514.97
|
| Rate for Payer: AZCH Complete Medicaid |
$15,514.97
|
| Rate for Payer: Banner UC Health Medicaid |
$15,514.97
|
| Rate for Payer: Mercy Care Medicaid |
$15,514.97
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$28,854.19
|
|
|
Service Code
|
APR-DRG 3254
|
| Hospital Charge Code |
APRDRG3253
|
| Min. Negotiated Rate |
$28,854.19 |
| Max. Negotiated Rate |
$28,854.19 |
| Rate for Payer: AHCCCS Medicaid |
$28,854.19
|
| Rate for Payer: Allwell Medicaid |
$28,854.19
|
| Rate for Payer: AZCH Complete Medicaid |
$28,854.19
|
| Rate for Payer: Banner UC Health Medicaid |
$28,854.19
|
| Rate for Payer: Mercy Care Medicaid |
$28,854.19
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$28,854.19
|
|
|
Service Code
|
APR-DRG 3254
|
| Hospital Charge Code |
APRDRG3254
|
| Min. Negotiated Rate |
$28,854.19 |
| Max. Negotiated Rate |
$28,854.19 |
| Rate for Payer: AHCCCS Medicaid |
$28,854.19
|
| Rate for Payer: Allwell Medicaid |
$28,854.19
|
| Rate for Payer: AZCH Complete Medicaid |
$28,854.19
|
| Rate for Payer: Banner UC Health Medicaid |
$28,854.19
|
| Rate for Payer: Mercy Care Medicaid |
$28,854.19
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$19,821.56
|
|
|
Service Code
|
APR-DRG 3253
|
| Hospital Charge Code |
APRDRG3253
|
| Min. Negotiated Rate |
$19,821.56 |
| Max. Negotiated Rate |
$19,821.56 |
| Rate for Payer: AHCCCS Medicaid |
$19,821.56
|
| Rate for Payer: Allwell Medicaid |
$19,821.56
|
| Rate for Payer: AZCH Complete Medicaid |
$19,821.56
|
| Rate for Payer: Banner UC Health Medicaid |
$19,821.56
|
| Rate for Payer: Mercy Care Medicaid |
$19,821.56
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$15,514.97
|
|
|
Service Code
|
APR-DRG 3252
|
| Hospital Charge Code |
APRDRG3254
|
| Min. Negotiated Rate |
$15,514.97 |
| Max. Negotiated Rate |
$15,514.97 |
| Rate for Payer: AHCCCS Medicaid |
$15,514.97
|
| Rate for Payer: Allwell Medicaid |
$15,514.97
|
| Rate for Payer: AZCH Complete Medicaid |
$15,514.97
|
| Rate for Payer: Banner UC Health Medicaid |
$15,514.97
|
| Rate for Payer: Mercy Care Medicaid |
$15,514.97
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$12,731.11
|
|
|
Service Code
|
APR-DRG 3251
|
| Hospital Charge Code |
APRDRG3254
|
| Min. Negotiated Rate |
$12,731.11 |
| Max. Negotiated Rate |
$12,731.11 |
| Rate for Payer: AHCCCS Medicaid |
$12,731.11
|
| Rate for Payer: Allwell Medicaid |
$12,731.11
|
| Rate for Payer: AZCH Complete Medicaid |
$12,731.11
|
| Rate for Payer: Banner UC Health Medicaid |
$12,731.11
|
| Rate for Payer: Mercy Care Medicaid |
$12,731.11
|
|
|
Non-Elective Or Complex Knee Joint Replacement
|
Facility
|
IP
|
$15,514.97
|
|
|
Service Code
|
APR-DRG 3252
|
| Hospital Charge Code |
APRDRG3252
|
| Min. Negotiated Rate |
$15,514.97 |
| Max. Negotiated Rate |
$15,514.97 |
| Rate for Payer: AHCCCS Medicaid |
$15,514.97
|
| Rate for Payer: Allwell Medicaid |
$15,514.97
|
| Rate for Payer: AZCH Complete Medicaid |
$15,514.97
|
| Rate for Payer: Banner UC Health Medicaid |
$15,514.97
|
| Rate for Payer: Mercy Care Medicaid |
$15,514.97
|
|