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Charge Type Setting Price  
Service Code APR-DRG 0501
Hospital Charge Code APRDRG0501
Min. Negotiated Rate $4,423.73
Max. Negotiated Rate $4,423.73
Rate for Payer: AHCCCS Medicaid $4,423.73
Rate for Payer: Allwell Medicaid $4,423.73
Rate for Payer: AZCH Complete Medicaid $4,423.73
Rate for Payer: Banner UC Health Medicaid $4,423.73
Rate for Payer: Mercy Care Medicaid $4,423.73
Service Code APR-DRG 0501
Hospital Charge Code APRDRG0502
Min. Negotiated Rate $4,423.73
Max. Negotiated Rate $4,423.73
Rate for Payer: AHCCCS Medicaid $4,423.73
Rate for Payer: Allwell Medicaid $4,423.73
Rate for Payer: AZCH Complete Medicaid $4,423.73
Rate for Payer: Banner UC Health Medicaid $4,423.73
Rate for Payer: Mercy Care Medicaid $4,423.73
Service Code APR-DRG 0502
Hospital Charge Code APRDRG0504
Min. Negotiated Rate $8,018.40
Max. Negotiated Rate $8,018.40
Rate for Payer: AHCCCS Medicaid $8,018.40
Rate for Payer: Allwell Medicaid $8,018.40
Rate for Payer: AZCH Complete Medicaid $8,018.40
Rate for Payer: Banner UC Health Medicaid $8,018.40
Rate for Payer: Mercy Care Medicaid $8,018.40
Service Code APR-DRG 0503
Hospital Charge Code APRDRG0502
Min. Negotiated Rate $14,022.39
Max. Negotiated Rate $14,022.39
Rate for Payer: AHCCCS Medicaid $14,022.39
Rate for Payer: Allwell Medicaid $14,022.39
Rate for Payer: AZCH Complete Medicaid $14,022.39
Rate for Payer: Banner UC Health Medicaid $14,022.39
Rate for Payer: Mercy Care Medicaid $14,022.39
Service Code APR-DRG 0501
Hospital Charge Code APRDRG0503
Min. Negotiated Rate $4,423.73
Max. Negotiated Rate $4,423.73
Rate for Payer: AHCCCS Medicaid $4,423.73
Rate for Payer: Allwell Medicaid $4,423.73
Rate for Payer: AZCH Complete Medicaid $4,423.73
Rate for Payer: Banner UC Health Medicaid $4,423.73
Rate for Payer: Mercy Care Medicaid $4,423.73
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
Service Code APR-DRG 3234
Hospital Charge Code APRDRG3234
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
Service Code APR-DRG 3233
Hospital Charge Code APRDRG3234
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Service Code APR-DRG 3254
Hospital Charge Code APRDRG3251
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
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
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
Service Code APR-DRG 3252
Hospital Charge Code APRDRG3251
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