|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$44,853.13
|
|
|
Service Code
|
APR-DRG 0214
|
| Hospital Charge Code |
APRDRG0214
|
| Min. Negotiated Rate |
$44,853.13 |
| Max. Negotiated Rate |
$44,853.13 |
| Rate for Payer: AHCCCS Medicaid |
$44,853.13
|
| Rate for Payer: Allwell Medicaid |
$44,853.13
|
| Rate for Payer: AZCH Complete Medicaid |
$44,853.13
|
| Rate for Payer: Banner UC Health Medicaid |
$44,853.13
|
| Rate for Payer: Mercy Care Medicaid |
$44,853.13
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$13,508.96
|
|
|
Service Code
|
APR-DRG 0211
|
| Hospital Charge Code |
APRDRG0211
|
| Min. Negotiated Rate |
$13,508.96 |
| Max. Negotiated Rate |
$13,508.96 |
| Rate for Payer: AHCCCS Medicaid |
$13,508.96
|
| Rate for Payer: Allwell Medicaid |
$13,508.96
|
| Rate for Payer: AZCH Complete Medicaid |
$13,508.96
|
| Rate for Payer: Banner UC Health Medicaid |
$13,508.96
|
| Rate for Payer: Mercy Care Medicaid |
$13,508.96
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$27,410.01
|
|
|
Service Code
|
APR-DRG 0213
|
| Hospital Charge Code |
APRDRG0214
|
| Min. Negotiated Rate |
$27,410.01 |
| Max. Negotiated Rate |
$27,410.01 |
| Rate for Payer: AHCCCS Medicaid |
$27,410.01
|
| Rate for Payer: Allwell Medicaid |
$27,410.01
|
| Rate for Payer: AZCH Complete Medicaid |
$27,410.01
|
| Rate for Payer: Banner UC Health Medicaid |
$27,410.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,410.01
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$17,671.77
|
|
|
Service Code
|
APR-DRG 0212
|
| Hospital Charge Code |
APRDRG0214
|
| Min. Negotiated Rate |
$17,671.77 |
| Max. Negotiated Rate |
$17,671.77 |
| Rate for Payer: AHCCCS Medicaid |
$17,671.77
|
| Rate for Payer: Allwell Medicaid |
$17,671.77
|
| Rate for Payer: AZCH Complete Medicaid |
$17,671.77
|
| Rate for Payer: Banner UC Health Medicaid |
$17,671.77
|
| Rate for Payer: Mercy Care Medicaid |
$17,671.77
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$27,410.01
|
|
|
Service Code
|
APR-DRG 0213
|
| Hospital Charge Code |
APRDRG0213
|
| Min. Negotiated Rate |
$27,410.01 |
| Max. Negotiated Rate |
$27,410.01 |
| Rate for Payer: AHCCCS Medicaid |
$27,410.01
|
| Rate for Payer: Allwell Medicaid |
$27,410.01
|
| Rate for Payer: AZCH Complete Medicaid |
$27,410.01
|
| Rate for Payer: Banner UC Health Medicaid |
$27,410.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,410.01
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$44,853.13
|
|
|
Service Code
|
APR-DRG 0214
|
| Hospital Charge Code |
APRDRG0213
|
| Min. Negotiated Rate |
$44,853.13 |
| Max. Negotiated Rate |
$44,853.13 |
| Rate for Payer: AHCCCS Medicaid |
$44,853.13
|
| Rate for Payer: Allwell Medicaid |
$44,853.13
|
| Rate for Payer: AZCH Complete Medicaid |
$44,853.13
|
| Rate for Payer: Banner UC Health Medicaid |
$44,853.13
|
| Rate for Payer: Mercy Care Medicaid |
$44,853.13
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$44,853.13
|
|
|
Service Code
|
APR-DRG 0214
|
| Hospital Charge Code |
APRDRG0211
|
| Min. Negotiated Rate |
$44,853.13 |
| Max. Negotiated Rate |
$44,853.13 |
| Rate for Payer: AHCCCS Medicaid |
$44,853.13
|
| Rate for Payer: Allwell Medicaid |
$44,853.13
|
| Rate for Payer: AZCH Complete Medicaid |
$44,853.13
|
| Rate for Payer: Banner UC Health Medicaid |
$44,853.13
|
| Rate for Payer: Mercy Care Medicaid |
$44,853.13
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$27,410.01
|
|
|
Service Code
|
APR-DRG 0213
|
| Hospital Charge Code |
APRDRG0212
|
| Min. Negotiated Rate |
$27,410.01 |
| Max. Negotiated Rate |
$27,410.01 |
| Rate for Payer: AHCCCS Medicaid |
$27,410.01
|
| Rate for Payer: Allwell Medicaid |
$27,410.01
|
| Rate for Payer: AZCH Complete Medicaid |
$27,410.01
|
| Rate for Payer: Banner UC Health Medicaid |
$27,410.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,410.01
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$27,410.01
|
|
|
Service Code
|
APR-DRG 0213
|
| Hospital Charge Code |
APRDRG0211
|
| Min. Negotiated Rate |
$27,410.01 |
| Max. Negotiated Rate |
$27,410.01 |
| Rate for Payer: AHCCCS Medicaid |
$27,410.01
|
| Rate for Payer: Allwell Medicaid |
$27,410.01
|
| Rate for Payer: AZCH Complete Medicaid |
$27,410.01
|
| Rate for Payer: Banner UC Health Medicaid |
$27,410.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,410.01
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$13,508.96
|
|
|
Service Code
|
APR-DRG 0211
|
| Hospital Charge Code |
APRDRG0213
|
| Min. Negotiated Rate |
$13,508.96 |
| Max. Negotiated Rate |
$13,508.96 |
| Rate for Payer: AHCCCS Medicaid |
$13,508.96
|
| Rate for Payer: Allwell Medicaid |
$13,508.96
|
| Rate for Payer: AZCH Complete Medicaid |
$13,508.96
|
| Rate for Payer: Banner UC Health Medicaid |
$13,508.96
|
| Rate for Payer: Mercy Care Medicaid |
$13,508.96
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$17,671.77
|
|
|
Service Code
|
APR-DRG 0212
|
| Hospital Charge Code |
APRDRG0212
|
| Min. Negotiated Rate |
$17,671.77 |
| Max. Negotiated Rate |
$17,671.77 |
| Rate for Payer: AHCCCS Medicaid |
$17,671.77
|
| Rate for Payer: Allwell Medicaid |
$17,671.77
|
| Rate for Payer: AZCH Complete Medicaid |
$17,671.77
|
| Rate for Payer: Banner UC Health Medicaid |
$17,671.77
|
| Rate for Payer: Mercy Care Medicaid |
$17,671.77
|
|
|
Open Craniotomy Except Trauma
|
Facility
|
IP
|
$44,853.13
|
|
|
Service Code
|
APR-DRG 0214
|
| Hospital Charge Code |
APRDRG0212
|
| Min. Negotiated Rate |
$44,853.13 |
| Max. Negotiated Rate |
$44,853.13 |
| Rate for Payer: AHCCCS Medicaid |
$44,853.13
|
| Rate for Payer: Allwell Medicaid |
$44,853.13
|
| Rate for Payer: AZCH Complete Medicaid |
$44,853.13
|
| Rate for Payer: Banner UC Health Medicaid |
$44,853.13
|
| Rate for Payer: Mercy Care Medicaid |
$44,853.13
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$24,253.71
|
|
|
Service Code
|
APR-DRG 0203
|
| Hospital Charge Code |
APRDRG0202
|
| Min. Negotiated Rate |
$24,253.71 |
| Max. Negotiated Rate |
$24,253.71 |
| Rate for Payer: AHCCCS Medicaid |
$24,253.71
|
| Rate for Payer: Allwell Medicaid |
$24,253.71
|
| Rate for Payer: AZCH Complete Medicaid |
$24,253.71
|
| Rate for Payer: Banner UC Health Medicaid |
$24,253.71
|
| Rate for Payer: Mercy Care Medicaid |
$24,253.71
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$18,754.73
|
|
|
Service Code
|
APR-DRG 0202
|
| Hospital Charge Code |
APRDRG0201
|
| Min. Negotiated Rate |
$18,754.73 |
| Max. Negotiated Rate |
$18,754.73 |
| Rate for Payer: AHCCCS Medicaid |
$18,754.73
|
| Rate for Payer: Allwell Medicaid |
$18,754.73
|
| Rate for Payer: AZCH Complete Medicaid |
$18,754.73
|
| Rate for Payer: Banner UC Health Medicaid |
$18,754.73
|
| Rate for Payer: Mercy Care Medicaid |
$18,754.73
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$40,117.98
|
|
|
Service Code
|
APR-DRG 0204
|
| Hospital Charge Code |
APRDRG0204
|
| Min. Negotiated Rate |
$40,117.98 |
| Max. Negotiated Rate |
$40,117.98 |
| Rate for Payer: AHCCCS Medicaid |
$40,117.98
|
| Rate for Payer: Allwell Medicaid |
$40,117.98
|
| Rate for Payer: AZCH Complete Medicaid |
$40,117.98
|
| Rate for Payer: Banner UC Health Medicaid |
$40,117.98
|
| Rate for Payer: Mercy Care Medicaid |
$40,117.98
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$14,951.74
|
|
|
Service Code
|
APR-DRG 0201
|
| Hospital Charge Code |
APRDRG0202
|
| Min. Negotiated Rate |
$14,951.74 |
| Max. Negotiated Rate |
$14,951.74 |
| Rate for Payer: AHCCCS Medicaid |
$14,951.74
|
| Rate for Payer: Allwell Medicaid |
$14,951.74
|
| Rate for Payer: AZCH Complete Medicaid |
$14,951.74
|
| Rate for Payer: Banner UC Health Medicaid |
$14,951.74
|
| Rate for Payer: Mercy Care Medicaid |
$14,951.74
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$14,951.74
|
|
|
Service Code
|
APR-DRG 0201
|
| Hospital Charge Code |
APRDRG0204
|
| Min. Negotiated Rate |
$14,951.74 |
| Max. Negotiated Rate |
$14,951.74 |
| Rate for Payer: AHCCCS Medicaid |
$14,951.74
|
| Rate for Payer: Allwell Medicaid |
$14,951.74
|
| Rate for Payer: AZCH Complete Medicaid |
$14,951.74
|
| Rate for Payer: Banner UC Health Medicaid |
$14,951.74
|
| Rate for Payer: Mercy Care Medicaid |
$14,951.74
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$18,754.73
|
|
|
Service Code
|
APR-DRG 0202
|
| Hospital Charge Code |
APRDRG0202
|
| Min. Negotiated Rate |
$18,754.73 |
| Max. Negotiated Rate |
$18,754.73 |
| Rate for Payer: AHCCCS Medicaid |
$18,754.73
|
| Rate for Payer: Allwell Medicaid |
$18,754.73
|
| Rate for Payer: AZCH Complete Medicaid |
$18,754.73
|
| Rate for Payer: Banner UC Health Medicaid |
$18,754.73
|
| Rate for Payer: Mercy Care Medicaid |
$18,754.73
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$24,253.71
|
|
|
Service Code
|
APR-DRG 0203
|
| Hospital Charge Code |
APRDRG0203
|
| Min. Negotiated Rate |
$24,253.71 |
| Max. Negotiated Rate |
$24,253.71 |
| Rate for Payer: AHCCCS Medicaid |
$24,253.71
|
| Rate for Payer: Allwell Medicaid |
$24,253.71
|
| Rate for Payer: AZCH Complete Medicaid |
$24,253.71
|
| Rate for Payer: Banner UC Health Medicaid |
$24,253.71
|
| Rate for Payer: Mercy Care Medicaid |
$24,253.71
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$24,253.71
|
|
|
Service Code
|
APR-DRG 0203
|
| Hospital Charge Code |
APRDRG0204
|
| Min. Negotiated Rate |
$24,253.71 |
| Max. Negotiated Rate |
$24,253.71 |
| Rate for Payer: AHCCCS Medicaid |
$24,253.71
|
| Rate for Payer: Allwell Medicaid |
$24,253.71
|
| Rate for Payer: AZCH Complete Medicaid |
$24,253.71
|
| Rate for Payer: Banner UC Health Medicaid |
$24,253.71
|
| Rate for Payer: Mercy Care Medicaid |
$24,253.71
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$18,754.73
|
|
|
Service Code
|
APR-DRG 0202
|
| Hospital Charge Code |
APRDRG0204
|
| Min. Negotiated Rate |
$18,754.73 |
| Max. Negotiated Rate |
$18,754.73 |
| Rate for Payer: AHCCCS Medicaid |
$18,754.73
|
| Rate for Payer: Allwell Medicaid |
$18,754.73
|
| Rate for Payer: AZCH Complete Medicaid |
$18,754.73
|
| Rate for Payer: Banner UC Health Medicaid |
$18,754.73
|
| Rate for Payer: Mercy Care Medicaid |
$18,754.73
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$40,117.98
|
|
|
Service Code
|
APR-DRG 0204
|
| Hospital Charge Code |
APRDRG0202
|
| Min. Negotiated Rate |
$40,117.98 |
| Max. Negotiated Rate |
$40,117.98 |
| Rate for Payer: AHCCCS Medicaid |
$40,117.98
|
| Rate for Payer: Allwell Medicaid |
$40,117.98
|
| Rate for Payer: AZCH Complete Medicaid |
$40,117.98
|
| Rate for Payer: Banner UC Health Medicaid |
$40,117.98
|
| Rate for Payer: Mercy Care Medicaid |
$40,117.98
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$18,754.73
|
|
|
Service Code
|
APR-DRG 0202
|
| Hospital Charge Code |
APRDRG0203
|
| Min. Negotiated Rate |
$18,754.73 |
| Max. Negotiated Rate |
$18,754.73 |
| Rate for Payer: AHCCCS Medicaid |
$18,754.73
|
| Rate for Payer: Allwell Medicaid |
$18,754.73
|
| Rate for Payer: AZCH Complete Medicaid |
$18,754.73
|
| Rate for Payer: Banner UC Health Medicaid |
$18,754.73
|
| Rate for Payer: Mercy Care Medicaid |
$18,754.73
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$14,951.74
|
|
|
Service Code
|
APR-DRG 0201
|
| Hospital Charge Code |
APRDRG0201
|
| Min. Negotiated Rate |
$14,951.74 |
| Max. Negotiated Rate |
$14,951.74 |
| Rate for Payer: AHCCCS Medicaid |
$14,951.74
|
| Rate for Payer: Allwell Medicaid |
$14,951.74
|
| Rate for Payer: AZCH Complete Medicaid |
$14,951.74
|
| Rate for Payer: Banner UC Health Medicaid |
$14,951.74
|
| Rate for Payer: Mercy Care Medicaid |
$14,951.74
|
|
|
Open Craniotomy For Trauma
|
Facility
|
IP
|
$14,951.74
|
|
|
Service Code
|
APR-DRG 0201
|
| Hospital Charge Code |
APRDRG0203
|
| Min. Negotiated Rate |
$14,951.74 |
| Max. Negotiated Rate |
$14,951.74 |
| Rate for Payer: AHCCCS Medicaid |
$14,951.74
|
| Rate for Payer: Allwell Medicaid |
$14,951.74
|
| Rate for Payer: AZCH Complete Medicaid |
$14,951.74
|
| Rate for Payer: Banner UC Health Medicaid |
$14,951.74
|
| Rate for Payer: Mercy Care Medicaid |
$14,951.74
|
|