|
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
|
|
|
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
|
|
|
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
|
$19,821.56
|
|
|
Service Code
|
APR-DRG 3253
|
| Hospital Charge Code |
APRDRG3251
|
| 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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$19,821.56
|
|
|
Service Code
|
APR-DRG 3253
|
| Hospital Charge Code |
APRDRG3254
|
| 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-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$17,668.27
|
|
|
Service Code
|
APR-DRG 7944
|
| Hospital Charge Code |
APRDRG7944
|
| Min. Negotiated Rate |
$17,668.27 |
| Max. Negotiated Rate |
$17,668.27 |
| Rate for Payer: AHCCCS Medicaid |
$17,668.27
|
| Rate for Payer: Allwell Medicaid |
$17,668.27
|
| Rate for Payer: AZCH Complete Medicaid |
$17,668.27
|
| Rate for Payer: Banner UC Health Medicaid |
$17,668.27
|
| Rate for Payer: Mercy Care Medicaid |
$17,668.27
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$11,025.31
|
|
|
Service Code
|
APR-DRG 7943
|
| Hospital Charge Code |
APRDRG7943
|
| Min. Negotiated Rate |
$11,025.31 |
| Max. Negotiated Rate |
$11,025.31 |
| Rate for Payer: AHCCCS Medicaid |
$11,025.31
|
| Rate for Payer: Allwell Medicaid |
$11,025.31
|
| Rate for Payer: AZCH Complete Medicaid |
$11,025.31
|
| Rate for Payer: Banner UC Health Medicaid |
$11,025.31
|
| Rate for Payer: Mercy Care Medicaid |
$11,025.31
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$5,590.86
|
|
|
Service Code
|
APR-DRG 7941
|
| Hospital Charge Code |
APRDRG7943
|
| Min. Negotiated Rate |
$5,590.86 |
| Max. Negotiated Rate |
$5,590.86 |
| Rate for Payer: AHCCCS Medicaid |
$5,590.86
|
| Rate for Payer: Allwell Medicaid |
$5,590.86
|
| Rate for Payer: AZCH Complete Medicaid |
$5,590.86
|
| Rate for Payer: Banner UC Health Medicaid |
$5,590.86
|
| Rate for Payer: Mercy Care Medicaid |
$5,590.86
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$17,668.27
|
|
|
Service Code
|
APR-DRG 7944
|
| Hospital Charge Code |
APRDRG7941
|
| Min. Negotiated Rate |
$17,668.27 |
| Max. Negotiated Rate |
$17,668.27 |
| Rate for Payer: AHCCCS Medicaid |
$17,668.27
|
| Rate for Payer: Allwell Medicaid |
$17,668.27
|
| Rate for Payer: AZCH Complete Medicaid |
$17,668.27
|
| Rate for Payer: Banner UC Health Medicaid |
$17,668.27
|
| Rate for Payer: Mercy Care Medicaid |
$17,668.27
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$6,721.52
|
|
|
Service Code
|
APR-DRG 7942
|
| Hospital Charge Code |
APRDRG7944
|
| Min. Negotiated Rate |
$6,721.52 |
| Max. Negotiated Rate |
$6,721.52 |
| Rate for Payer: AHCCCS Medicaid |
$6,721.52
|
| Rate for Payer: Allwell Medicaid |
$6,721.52
|
| Rate for Payer: AZCH Complete Medicaid |
$6,721.52
|
| Rate for Payer: Banner UC Health Medicaid |
$6,721.52
|
| Rate for Payer: Mercy Care Medicaid |
$6,721.52
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$11,025.31
|
|
|
Service Code
|
APR-DRG 7943
|
| Hospital Charge Code |
APRDRG7942
|
| Min. Negotiated Rate |
$11,025.31 |
| Max. Negotiated Rate |
$11,025.31 |
| Rate for Payer: AHCCCS Medicaid |
$11,025.31
|
| Rate for Payer: Allwell Medicaid |
$11,025.31
|
| Rate for Payer: AZCH Complete Medicaid |
$11,025.31
|
| Rate for Payer: Banner UC Health Medicaid |
$11,025.31
|
| Rate for Payer: Mercy Care Medicaid |
$11,025.31
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$6,721.52
|
|
|
Service Code
|
APR-DRG 7942
|
| Hospital Charge Code |
APRDRG7943
|
| Min. Negotiated Rate |
$6,721.52 |
| Max. Negotiated Rate |
$6,721.52 |
| Rate for Payer: AHCCCS Medicaid |
$6,721.52
|
| Rate for Payer: Allwell Medicaid |
$6,721.52
|
| Rate for Payer: AZCH Complete Medicaid |
$6,721.52
|
| Rate for Payer: Banner UC Health Medicaid |
$6,721.52
|
| Rate for Payer: Mercy Care Medicaid |
$6,721.52
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$11,025.31
|
|
|
Service Code
|
APR-DRG 7943
|
| Hospital Charge Code |
APRDRG7941
|
| Min. Negotiated Rate |
$11,025.31 |
| Max. Negotiated Rate |
$11,025.31 |
| Rate for Payer: AHCCCS Medicaid |
$11,025.31
|
| Rate for Payer: Allwell Medicaid |
$11,025.31
|
| Rate for Payer: AZCH Complete Medicaid |
$11,025.31
|
| Rate for Payer: Banner UC Health Medicaid |
$11,025.31
|
| Rate for Payer: Mercy Care Medicaid |
$11,025.31
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$17,668.27
|
|
|
Service Code
|
APR-DRG 7944
|
| Hospital Charge Code |
APRDRG7942
|
| Min. Negotiated Rate |
$17,668.27 |
| Max. Negotiated Rate |
$17,668.27 |
| Rate for Payer: AHCCCS Medicaid |
$17,668.27
|
| Rate for Payer: Allwell Medicaid |
$17,668.27
|
| Rate for Payer: AZCH Complete Medicaid |
$17,668.27
|
| Rate for Payer: Banner UC Health Medicaid |
$17,668.27
|
| Rate for Payer: Mercy Care Medicaid |
$17,668.27
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$5,590.86
|
|
|
Service Code
|
APR-DRG 7941
|
| Hospital Charge Code |
APRDRG7944
|
| Min. Negotiated Rate |
$5,590.86 |
| Max. Negotiated Rate |
$5,590.86 |
| Rate for Payer: AHCCCS Medicaid |
$5,590.86
|
| Rate for Payer: Allwell Medicaid |
$5,590.86
|
| Rate for Payer: AZCH Complete Medicaid |
$5,590.86
|
| Rate for Payer: Banner UC Health Medicaid |
$5,590.86
|
| Rate for Payer: Mercy Care Medicaid |
$5,590.86
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$5,590.86
|
|
|
Service Code
|
APR-DRG 7941
|
| Hospital Charge Code |
APRDRG7942
|
| Min. Negotiated Rate |
$5,590.86 |
| Max. Negotiated Rate |
$5,590.86 |
| Rate for Payer: AHCCCS Medicaid |
$5,590.86
|
| Rate for Payer: Allwell Medicaid |
$5,590.86
|
| Rate for Payer: AZCH Complete Medicaid |
$5,590.86
|
| Rate for Payer: Banner UC Health Medicaid |
$5,590.86
|
| Rate for Payer: Mercy Care Medicaid |
$5,590.86
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$6,721.52
|
|
|
Service Code
|
APR-DRG 7942
|
| Hospital Charge Code |
APRDRG7942
|
| Min. Negotiated Rate |
$6,721.52 |
| Max. Negotiated Rate |
$6,721.52 |
| Rate for Payer: AHCCCS Medicaid |
$6,721.52
|
| Rate for Payer: Allwell Medicaid |
$6,721.52
|
| Rate for Payer: AZCH Complete Medicaid |
$6,721.52
|
| Rate for Payer: Banner UC Health Medicaid |
$6,721.52
|
| Rate for Payer: Mercy Care Medicaid |
$6,721.52
|
|
|
Non-Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$6,721.52
|
|
|
Service Code
|
APR-DRG 7942
|
| Hospital Charge Code |
APRDRG7941
|
| Min. Negotiated Rate |
$6,721.52 |
| Max. Negotiated Rate |
$6,721.52 |
| Rate for Payer: AHCCCS Medicaid |
$6,721.52
|
| Rate for Payer: Allwell Medicaid |
$6,721.52
|
| Rate for Payer: AZCH Complete Medicaid |
$6,721.52
|
| Rate for Payer: Banner UC Health Medicaid |
$6,721.52
|
| Rate for Payer: Mercy Care Medicaid |
$6,721.52
|
|
