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Charge Type Setting Price  
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
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
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
Service Code APR-DRG 9522
Hospital Charge Code APRDRG9524
Min. Negotiated Rate $8,481.33
Max. Negotiated Rate $8,481.33
Rate for Payer: AHCCCS Medicaid $8,481.33
Rate for Payer: Allwell Medicaid $8,481.33
Rate for Payer: AZCH Complete Medicaid $8,481.33
Rate for Payer: Banner UC Health Medicaid $8,481.33
Rate for Payer: Mercy Care Medicaid $8,481.33
Service Code APR-DRG 9521
Hospital Charge Code APRDRG9523
Min. Negotiated Rate $6,053.08
Max. Negotiated Rate $6,053.08
Rate for Payer: AHCCCS Medicaid $6,053.08
Rate for Payer: Allwell Medicaid $6,053.08
Rate for Payer: AZCH Complete Medicaid $6,053.08
Rate for Payer: Banner UC Health Medicaid $6,053.08
Rate for Payer: Mercy Care Medicaid $6,053.08
Service Code APR-DRG 9522
Hospital Charge Code APRDRG9521
Min. Negotiated Rate $8,481.33
Max. Negotiated Rate $8,481.33
Rate for Payer: AHCCCS Medicaid $8,481.33
Rate for Payer: Allwell Medicaid $8,481.33
Rate for Payer: AZCH Complete Medicaid $8,481.33
Rate for Payer: Banner UC Health Medicaid $8,481.33
Rate for Payer: Mercy Care Medicaid $8,481.33
Service Code APR-DRG 9522
Hospital Charge Code APRDRG9523
Min. Negotiated Rate $8,481.33
Max. Negotiated Rate $8,481.33
Rate for Payer: AHCCCS Medicaid $8,481.33
Rate for Payer: Allwell Medicaid $8,481.33
Rate for Payer: AZCH Complete Medicaid $8,481.33
Rate for Payer: Banner UC Health Medicaid $8,481.33
Rate for Payer: Mercy Care Medicaid $8,481.33
Service Code APR-DRG 9524
Hospital Charge Code APRDRG9523
Min. Negotiated Rate $27,511.01
Max. Negotiated Rate $27,511.01
Rate for Payer: AHCCCS Medicaid $27,511.01
Rate for Payer: Allwell Medicaid $27,511.01
Rate for Payer: AZCH Complete Medicaid $27,511.01
Rate for Payer: Banner UC Health Medicaid $27,511.01
Rate for Payer: Mercy Care Medicaid $27,511.01
Service Code APR-DRG 9523
Hospital Charge Code APRDRG9523
Min. Negotiated Rate $13,889.82
Max. Negotiated Rate $13,889.82
Rate for Payer: AHCCCS Medicaid $13,889.82
Rate for Payer: Allwell Medicaid $13,889.82
Rate for Payer: AZCH Complete Medicaid $13,889.82
Rate for Payer: Banner UC Health Medicaid $13,889.82
Rate for Payer: Mercy Care Medicaid $13,889.82
Service Code APR-DRG 9521
Hospital Charge Code APRDRG9524
Min. Negotiated Rate $6,053.08
Max. Negotiated Rate $6,053.08
Rate for Payer: AHCCCS Medicaid $6,053.08
Rate for Payer: Allwell Medicaid $6,053.08
Rate for Payer: AZCH Complete Medicaid $6,053.08
Rate for Payer: Banner UC Health Medicaid $6,053.08
Rate for Payer: Mercy Care Medicaid $6,053.08
Service Code APR-DRG 9523
Hospital Charge Code APRDRG9524
Min. Negotiated Rate $13,889.82
Max. Negotiated Rate $13,889.82
Rate for Payer: AHCCCS Medicaid $13,889.82
Rate for Payer: Allwell Medicaid $13,889.82
Rate for Payer: AZCH Complete Medicaid $13,889.82
Rate for Payer: Banner UC Health Medicaid $13,889.82
Rate for Payer: Mercy Care Medicaid $13,889.82
Service Code APR-DRG 9521
Hospital Charge Code APRDRG9521
Min. Negotiated Rate $6,053.08
Max. Negotiated Rate $6,053.08
Rate for Payer: AHCCCS Medicaid $6,053.08
Rate for Payer: Allwell Medicaid $6,053.08
Rate for Payer: AZCH Complete Medicaid $6,053.08
Rate for Payer: Banner UC Health Medicaid $6,053.08
Rate for Payer: Mercy Care Medicaid $6,053.08
Service Code APR-DRG 9522
Hospital Charge Code APRDRG9522
Min. Negotiated Rate $8,481.33
Max. Negotiated Rate $8,481.33
Rate for Payer: AHCCCS Medicaid $8,481.33
Rate for Payer: Allwell Medicaid $8,481.33
Rate for Payer: AZCH Complete Medicaid $8,481.33
Rate for Payer: Banner UC Health Medicaid $8,481.33
Rate for Payer: Mercy Care Medicaid $8,481.33
Service Code APR-DRG 9523
Hospital Charge Code APRDRG9522
Min. Negotiated Rate $13,889.82
Max. Negotiated Rate $13,889.82
Rate for Payer: AHCCCS Medicaid $13,889.82
Rate for Payer: Allwell Medicaid $13,889.82
Rate for Payer: AZCH Complete Medicaid $13,889.82
Rate for Payer: Banner UC Health Medicaid $13,889.82
Rate for Payer: Mercy Care Medicaid $13,889.82
Service Code APR-DRG 9524
Hospital Charge Code APRDRG9524
Min. Negotiated Rate $27,511.01
Max. Negotiated Rate $27,511.01
Rate for Payer: AHCCCS Medicaid $27,511.01
Rate for Payer: Allwell Medicaid $27,511.01
Rate for Payer: AZCH Complete Medicaid $27,511.01
Rate for Payer: Banner UC Health Medicaid $27,511.01
Rate for Payer: Mercy Care Medicaid $27,511.01
Service Code APR-DRG 9523
Hospital Charge Code APRDRG9521
Min. Negotiated Rate $13,889.82
Max. Negotiated Rate $13,889.82
Rate for Payer: AHCCCS Medicaid $13,889.82
Rate for Payer: Allwell Medicaid $13,889.82
Rate for Payer: AZCH Complete Medicaid $13,889.82
Rate for Payer: Banner UC Health Medicaid $13,889.82
Rate for Payer: Mercy Care Medicaid $13,889.82
Service Code APR-DRG 9524
Hospital Charge Code APRDRG9521
Min. Negotiated Rate $27,511.01
Max. Negotiated Rate $27,511.01
Rate for Payer: AHCCCS Medicaid $27,511.01
Rate for Payer: Allwell Medicaid $27,511.01
Rate for Payer: AZCH Complete Medicaid $27,511.01
Rate for Payer: Banner UC Health Medicaid $27,511.01
Rate for Payer: Mercy Care Medicaid $27,511.01
Service Code APR-DRG 9521
Hospital Charge Code APRDRG9522
Min. Negotiated Rate $6,053.08
Max. Negotiated Rate $6,053.08
Rate for Payer: AHCCCS Medicaid $6,053.08
Rate for Payer: Allwell Medicaid $6,053.08
Rate for Payer: AZCH Complete Medicaid $6,053.08
Rate for Payer: Banner UC Health Medicaid $6,053.08
Rate for Payer: Mercy Care Medicaid $6,053.08
Service Code APR-DRG 9524
Hospital Charge Code APRDRG9522
Min. Negotiated Rate $27,511.01
Max. Negotiated Rate $27,511.01
Rate for Payer: AHCCCS Medicaid $27,511.01
Rate for Payer: Allwell Medicaid $27,511.01
Rate for Payer: AZCH Complete Medicaid $27,511.01
Rate for Payer: Banner UC Health Medicaid $27,511.01
Rate for Payer: Mercy Care Medicaid $27,511.01
Service Code APR-DRG 4262
Hospital Charge Code APRDRG4263
Min. Negotiated Rate $3,996.58
Max. Negotiated Rate $3,996.58
Rate for Payer: AHCCCS Medicaid $3,996.58
Rate for Payer: Allwell Medicaid $3,996.58
Rate for Payer: AZCH Complete Medicaid $3,996.58
Rate for Payer: Banner UC Health Medicaid $3,996.58
Rate for Payer: Mercy Care Medicaid $3,996.58
Service Code APR-DRG 4263
Hospital Charge Code APRDRG4261
Min. Negotiated Rate $6,071.32
Max. Negotiated Rate $6,071.32
Rate for Payer: AHCCCS Medicaid $6,071.32
Rate for Payer: Allwell Medicaid $6,071.32
Rate for Payer: AZCH Complete Medicaid $6,071.32
Rate for Payer: Banner UC Health Medicaid $6,071.32
Rate for Payer: Mercy Care Medicaid $6,071.32
Service Code APR-DRG 4261
Hospital Charge Code APRDRG4261
Min. Negotiated Rate $3,011.81
Max. Negotiated Rate $3,011.81
Rate for Payer: AHCCCS Medicaid $3,011.81
Rate for Payer: Allwell Medicaid $3,011.81
Rate for Payer: AZCH Complete Medicaid $3,011.81
Rate for Payer: Banner UC Health Medicaid $3,011.81
Rate for Payer: Mercy Care Medicaid $3,011.81
Service Code APR-DRG 4264
Hospital Charge Code APRDRG4263
Min. Negotiated Rate $12,041.64
Max. Negotiated Rate $12,041.64
Rate for Payer: AHCCCS Medicaid $12,041.64
Rate for Payer: Allwell Medicaid $12,041.64
Rate for Payer: AZCH Complete Medicaid $12,041.64
Rate for Payer: Banner UC Health Medicaid $12,041.64
Rate for Payer: Mercy Care Medicaid $12,041.64
Service Code APR-DRG 4261
Hospital Charge Code APRDRG4263
Min. Negotiated Rate $3,011.81
Max. Negotiated Rate $3,011.81
Rate for Payer: AHCCCS Medicaid $3,011.81
Rate for Payer: Allwell Medicaid $3,011.81
Rate for Payer: AZCH Complete Medicaid $3,011.81
Rate for Payer: Banner UC Health Medicaid $3,011.81
Rate for Payer: Mercy Care Medicaid $3,011.81
Service Code APR-DRG 4264
Hospital Charge Code APRDRG4261
Min. Negotiated Rate $12,041.64
Max. Negotiated Rate $12,041.64
Rate for Payer: AHCCCS Medicaid $12,041.64
Rate for Payer: Allwell Medicaid $12,041.64
Rate for Payer: AZCH Complete Medicaid $12,041.64
Rate for Payer: Banner UC Health Medicaid $12,041.64
Rate for Payer: Mercy Care Medicaid $12,041.64