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
|
$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. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
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
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,996.58
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$6,071.32
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$12,041.64
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
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
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$12,041.64
|
|
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
|
|