|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4264
|
| 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
|
$12,041.64
|
|
|
Service Code
|
APR-DRG 4264
|
| Hospital Charge Code |
APRDRG4264
|
| 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
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4262
|
| 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
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4261
|
| 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
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4264
|
| 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
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4262
|
| 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
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4263
|
| 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
|
$12,041.64
|
|
|
Service Code
|
APR-DRG 4264
|
| Hospital Charge Code |
APRDRG4262
|
| 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
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4264
|
| 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
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4262
|
| 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
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$5,677.83
|
|
|
Service Code
|
APR-DRG 0462
|
| Hospital Charge Code |
APRDRG0462
|
| Min. Negotiated Rate |
$5,677.83 |
| Max. Negotiated Rate |
$5,677.83 |
| Rate for Payer: AHCCCS Medicaid |
$5,677.83
|
| Rate for Payer: Allwell Medicaid |
$5,677.83
|
| Rate for Payer: AZCH Complete Medicaid |
$5,677.83
|
| Rate for Payer: Banner UC Health Medicaid |
$5,677.83
|
| Rate for Payer: Mercy Care Medicaid |
$5,677.83
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$7,488.15
|
|
|
Service Code
|
APR-DRG 0463
|
| Hospital Charge Code |
APRDRG0462
|
| Min. Negotiated Rate |
$7,488.15 |
| Max. Negotiated Rate |
$7,488.15 |
| Rate for Payer: AHCCCS Medicaid |
$7,488.15
|
| Rate for Payer: Allwell Medicaid |
$7,488.15
|
| Rate for Payer: AZCH Complete Medicaid |
$7,488.15
|
| Rate for Payer: Banner UC Health Medicaid |
$7,488.15
|
| Rate for Payer: Mercy Care Medicaid |
$7,488.15
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$13,441.63
|
|
|
Service Code
|
APR-DRG 0464
|
| Hospital Charge Code |
APRDRG0461
|
| Min. Negotiated Rate |
$13,441.63 |
| Max. Negotiated Rate |
$13,441.63 |
| Rate for Payer: AHCCCS Medicaid |
$13,441.63
|
| Rate for Payer: Allwell Medicaid |
$13,441.63
|
| Rate for Payer: AZCH Complete Medicaid |
$13,441.63
|
| Rate for Payer: Banner UC Health Medicaid |
$13,441.63
|
| Rate for Payer: Mercy Care Medicaid |
$13,441.63
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$5,677.83
|
|
|
Service Code
|
APR-DRG 0462
|
| Hospital Charge Code |
APRDRG0461
|
| Min. Negotiated Rate |
$5,677.83 |
| Max. Negotiated Rate |
$5,677.83 |
| Rate for Payer: AHCCCS Medicaid |
$5,677.83
|
| Rate for Payer: Allwell Medicaid |
$5,677.83
|
| Rate for Payer: AZCH Complete Medicaid |
$5,677.83
|
| Rate for Payer: Banner UC Health Medicaid |
$5,677.83
|
| Rate for Payer: Mercy Care Medicaid |
$5,677.83
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$4,874.03
|
|
|
Service Code
|
APR-DRG 0461
|
| Hospital Charge Code |
APRDRG0463
|
| Min. Negotiated Rate |
$4,874.03 |
| Max. Negotiated Rate |
$4,874.03 |
| Rate for Payer: AHCCCS Medicaid |
$4,874.03
|
| Rate for Payer: Allwell Medicaid |
$4,874.03
|
| Rate for Payer: AZCH Complete Medicaid |
$4,874.03
|
| Rate for Payer: Banner UC Health Medicaid |
$4,874.03
|
| Rate for Payer: Mercy Care Medicaid |
$4,874.03
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$4,874.03
|
|
|
Service Code
|
APR-DRG 0461
|
| Hospital Charge Code |
APRDRG0464
|
| Min. Negotiated Rate |
$4,874.03 |
| Max. Negotiated Rate |
$4,874.03 |
| Rate for Payer: AHCCCS Medicaid |
$4,874.03
|
| Rate for Payer: Allwell Medicaid |
$4,874.03
|
| Rate for Payer: AZCH Complete Medicaid |
$4,874.03
|
| Rate for Payer: Banner UC Health Medicaid |
$4,874.03
|
| Rate for Payer: Mercy Care Medicaid |
$4,874.03
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$4,874.03
|
|
|
Service Code
|
APR-DRG 0461
|
| Hospital Charge Code |
APRDRG0461
|
| Min. Negotiated Rate |
$4,874.03 |
| Max. Negotiated Rate |
$4,874.03 |
| Rate for Payer: AHCCCS Medicaid |
$4,874.03
|
| Rate for Payer: Allwell Medicaid |
$4,874.03
|
| Rate for Payer: AZCH Complete Medicaid |
$4,874.03
|
| Rate for Payer: Banner UC Health Medicaid |
$4,874.03
|
| Rate for Payer: Mercy Care Medicaid |
$4,874.03
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$13,441.63
|
|
|
Service Code
|
APR-DRG 0464
|
| Hospital Charge Code |
APRDRG0464
|
| Min. Negotiated Rate |
$13,441.63 |
| Max. Negotiated Rate |
$13,441.63 |
| Rate for Payer: AHCCCS Medicaid |
$13,441.63
|
| Rate for Payer: Allwell Medicaid |
$13,441.63
|
| Rate for Payer: AZCH Complete Medicaid |
$13,441.63
|
| Rate for Payer: Banner UC Health Medicaid |
$13,441.63
|
| Rate for Payer: Mercy Care Medicaid |
$13,441.63
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$7,488.15
|
|
|
Service Code
|
APR-DRG 0463
|
| Hospital Charge Code |
APRDRG0461
|
| Min. Negotiated Rate |
$7,488.15 |
| Max. Negotiated Rate |
$7,488.15 |
| Rate for Payer: AHCCCS Medicaid |
$7,488.15
|
| Rate for Payer: Allwell Medicaid |
$7,488.15
|
| Rate for Payer: AZCH Complete Medicaid |
$7,488.15
|
| Rate for Payer: Banner UC Health Medicaid |
$7,488.15
|
| Rate for Payer: Mercy Care Medicaid |
$7,488.15
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$4,874.03
|
|
|
Service Code
|
APR-DRG 0461
|
| Hospital Charge Code |
APRDRG0462
|
| Min. Negotiated Rate |
$4,874.03 |
| Max. Negotiated Rate |
$4,874.03 |
| Rate for Payer: AHCCCS Medicaid |
$4,874.03
|
| Rate for Payer: Allwell Medicaid |
$4,874.03
|
| Rate for Payer: AZCH Complete Medicaid |
$4,874.03
|
| Rate for Payer: Banner UC Health Medicaid |
$4,874.03
|
| Rate for Payer: Mercy Care Medicaid |
$4,874.03
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$13,441.63
|
|
|
Service Code
|
APR-DRG 0464
|
| Hospital Charge Code |
APRDRG0463
|
| Min. Negotiated Rate |
$13,441.63 |
| Max. Negotiated Rate |
$13,441.63 |
| Rate for Payer: AHCCCS Medicaid |
$13,441.63
|
| Rate for Payer: Allwell Medicaid |
$13,441.63
|
| Rate for Payer: AZCH Complete Medicaid |
$13,441.63
|
| Rate for Payer: Banner UC Health Medicaid |
$13,441.63
|
| Rate for Payer: Mercy Care Medicaid |
$13,441.63
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$13,441.63
|
|
|
Service Code
|
APR-DRG 0464
|
| Hospital Charge Code |
APRDRG0462
|
| Min. Negotiated Rate |
$13,441.63 |
| Max. Negotiated Rate |
$13,441.63 |
| Rate for Payer: AHCCCS Medicaid |
$13,441.63
|
| Rate for Payer: Allwell Medicaid |
$13,441.63
|
| Rate for Payer: AZCH Complete Medicaid |
$13,441.63
|
| Rate for Payer: Banner UC Health Medicaid |
$13,441.63
|
| Rate for Payer: Mercy Care Medicaid |
$13,441.63
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$5,677.83
|
|
|
Service Code
|
APR-DRG 0462
|
| Hospital Charge Code |
APRDRG0463
|
| Min. Negotiated Rate |
$5,677.83 |
| Max. Negotiated Rate |
$5,677.83 |
| Rate for Payer: AHCCCS Medicaid |
$5,677.83
|
| Rate for Payer: Allwell Medicaid |
$5,677.83
|
| Rate for Payer: AZCH Complete Medicaid |
$5,677.83
|
| Rate for Payer: Banner UC Health Medicaid |
$5,677.83
|
| Rate for Payer: Mercy Care Medicaid |
$5,677.83
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$7,488.15
|
|
|
Service Code
|
APR-DRG 0463
|
| Hospital Charge Code |
APRDRG0463
|
| Min. Negotiated Rate |
$7,488.15 |
| Max. Negotiated Rate |
$7,488.15 |
| Rate for Payer: AHCCCS Medicaid |
$7,488.15
|
| Rate for Payer: Allwell Medicaid |
$7,488.15
|
| Rate for Payer: AZCH Complete Medicaid |
$7,488.15
|
| Rate for Payer: Banner UC Health Medicaid |
$7,488.15
|
| Rate for Payer: Mercy Care Medicaid |
$7,488.15
|
|
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
Facility
|
IP
|
$5,677.83
|
|
|
Service Code
|
APR-DRG 0462
|
| Hospital Charge Code |
APRDRG0464
|
| Min. Negotiated Rate |
$5,677.83 |
| Max. Negotiated Rate |
$5,677.83 |
| Rate for Payer: AHCCCS Medicaid |
$5,677.83
|
| Rate for Payer: Allwell Medicaid |
$5,677.83
|
| Rate for Payer: AZCH Complete Medicaid |
$5,677.83
|
| Rate for Payer: Banner UC Health Medicaid |
$5,677.83
|
| Rate for Payer: Mercy Care Medicaid |
$5,677.83
|
|
