Non-Bacterial Infections Of Nervous System Except Viral Meningitis
|
Facility
|
IP
|
$4,423.73
|
|
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
|
|
Non-Bacterial Infections Of Nervous System Except Viral Meningitis
|
Facility
|
IP
|
$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
|
|
Non-Bacterial Infections Of Nervous System Except Viral Meningitis
|
Facility
|
IP
|
$8,018.40
|
|
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
|
|
Non-Bacterial Infections Of Nervous System Except Viral Meningitis
|
Facility
|
IP
|
$14,022.39
|
|
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
|
|
Non-Bacterial Infections Of Nervous System Except Viral Meningitis
|
Facility
|
IP
|
$4,423.73
|
|
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
|
|
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
|
$22,891.59
|
|
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
|
|
Non-Elective Or Complex Hip Joint Replacement
|
Facility
|
IP
|
$15,202.14
|
|
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
|
|
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
|
$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
|
$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 |
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
|
$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
|
$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
|
$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
|
$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 |
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 |
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 |
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
|
$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
|
$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
|
$28,854.19
|
|
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
|
|
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
|
$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
|
$15,514.97
|
|
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
|
|