Other Circulatory System Diagnoses
|
Facility
|
IP
|
$6,596.67
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG2074
|
Min. Negotiated Rate |
$6,596.67 |
Max. Negotiated Rate |
$6,596.67 |
Rate for Payer: AHCCCS Medicaid |
$6,596.67
|
Rate for Payer: Allwell Medicaid |
$6,596.67
|
Rate for Payer: AZCH Complete Medicaid |
$6,596.67
|
Rate for Payer: Banner UC Health Medicaid |
$6,596.67
|
Rate for Payer: Mercy Care Medicaid |
$6,596.67
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$11,589.93
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG2074
|
Min. Negotiated Rate |
$11,589.93 |
Max. Negotiated Rate |
$11,589.93 |
Rate for Payer: AHCCCS Medicaid |
$11,589.93
|
Rate for Payer: Allwell Medicaid |
$11,589.93
|
Rate for Payer: AZCH Complete Medicaid |
$11,589.93
|
Rate for Payer: Banner UC Health Medicaid |
$11,589.93
|
Rate for Payer: Mercy Care Medicaid |
$11,589.93
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$4,564.01
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG2073
|
Min. Negotiated Rate |
$4,564.01 |
Max. Negotiated Rate |
$4,564.01 |
Rate for Payer: AHCCCS Medicaid |
$4,564.01
|
Rate for Payer: Allwell Medicaid |
$4,564.01
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.01
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.01
|
Rate for Payer: Mercy Care Medicaid |
$4,564.01
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$6,596.67
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG2073
|
Min. Negotiated Rate |
$6,596.67 |
Max. Negotiated Rate |
$6,596.67 |
Rate for Payer: AHCCCS Medicaid |
$6,596.67
|
Rate for Payer: Allwell Medicaid |
$6,596.67
|
Rate for Payer: AZCH Complete Medicaid |
$6,596.67
|
Rate for Payer: Banner UC Health Medicaid |
$6,596.67
|
Rate for Payer: Mercy Care Medicaid |
$6,596.67
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$3,586.26
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG2072
|
Min. Negotiated Rate |
$3,586.26 |
Max. Negotiated Rate |
$3,586.26 |
Rate for Payer: AHCCCS Medicaid |
$3,586.26
|
Rate for Payer: Allwell Medicaid |
$3,586.26
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.26
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.26
|
Rate for Payer: Mercy Care Medicaid |
$3,586.26
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$3,586.26
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG2074
|
Min. Negotiated Rate |
$3,586.26 |
Max. Negotiated Rate |
$3,586.26 |
Rate for Payer: AHCCCS Medicaid |
$3,586.26
|
Rate for Payer: Allwell Medicaid |
$3,586.26
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.26
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.26
|
Rate for Payer: Mercy Care Medicaid |
$3,586.26
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$6,596.67
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG2072
|
Min. Negotiated Rate |
$6,596.67 |
Max. Negotiated Rate |
$6,596.67 |
Rate for Payer: AHCCCS Medicaid |
$6,596.67
|
Rate for Payer: Allwell Medicaid |
$6,596.67
|
Rate for Payer: AZCH Complete Medicaid |
$6,596.67
|
Rate for Payer: Banner UC Health Medicaid |
$6,596.67
|
Rate for Payer: Mercy Care Medicaid |
$6,596.67
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$4,564.01
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG2072
|
Min. Negotiated Rate |
$4,564.01 |
Max. Negotiated Rate |
$4,564.01 |
Rate for Payer: AHCCCS Medicaid |
$4,564.01
|
Rate for Payer: Allwell Medicaid |
$4,564.01
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.01
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.01
|
Rate for Payer: Mercy Care Medicaid |
$4,564.01
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$11,589.93
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG2072
|
Min. Negotiated Rate |
$11,589.93 |
Max. Negotiated Rate |
$11,589.93 |
Rate for Payer: AHCCCS Medicaid |
$11,589.93
|
Rate for Payer: Allwell Medicaid |
$11,589.93
|
Rate for Payer: AZCH Complete Medicaid |
$11,589.93
|
Rate for Payer: Banner UC Health Medicaid |
$11,589.93
|
Rate for Payer: Mercy Care Medicaid |
$11,589.93
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$3,586.26
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG2071
|
Min. Negotiated Rate |
$3,586.26 |
Max. Negotiated Rate |
$3,586.26 |
Rate for Payer: AHCCCS Medicaid |
$3,586.26
|
Rate for Payer: Allwell Medicaid |
$3,586.26
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.26
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.26
|
Rate for Payer: Mercy Care Medicaid |
$3,586.26
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$11,589.93
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG2071
|
Min. Negotiated Rate |
$11,589.93 |
Max. Negotiated Rate |
$11,589.93 |
Rate for Payer: AHCCCS Medicaid |
$11,589.93
|
Rate for Payer: Allwell Medicaid |
$11,589.93
|
Rate for Payer: AZCH Complete Medicaid |
$11,589.93
|
Rate for Payer: Banner UC Health Medicaid |
$11,589.93
|
Rate for Payer: Mercy Care Medicaid |
$11,589.93
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$3,586.26
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG2073
|
Min. Negotiated Rate |
$3,586.26 |
Max. Negotiated Rate |
$3,586.26 |
Rate for Payer: AHCCCS Medicaid |
$3,586.26
|
Rate for Payer: Allwell Medicaid |
$3,586.26
|
Rate for Payer: AZCH Complete Medicaid |
$3,586.26
|
Rate for Payer: Banner UC Health Medicaid |
$3,586.26
|
Rate for Payer: Mercy Care Medicaid |
$3,586.26
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$4,564.01
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG2071
|
Min. Negotiated Rate |
$4,564.01 |
Max. Negotiated Rate |
$4,564.01 |
Rate for Payer: AHCCCS Medicaid |
$4,564.01
|
Rate for Payer: Allwell Medicaid |
$4,564.01
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.01
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.01
|
Rate for Payer: Mercy Care Medicaid |
$4,564.01
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$4,564.01
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG2074
|
Min. Negotiated Rate |
$4,564.01 |
Max. Negotiated Rate |
$4,564.01 |
Rate for Payer: AHCCCS Medicaid |
$4,564.01
|
Rate for Payer: Allwell Medicaid |
$4,564.01
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.01
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.01
|
Rate for Payer: Mercy Care Medicaid |
$4,564.01
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG1804
|
Min. Negotiated Rate |
$27,915.72 |
Max. Negotiated Rate |
$27,915.72 |
Rate for Payer: AHCCCS Medicaid |
$27,915.72
|
Rate for Payer: Allwell Medicaid |
$27,915.72
|
Rate for Payer: AZCH Complete Medicaid |
$27,915.72
|
Rate for Payer: Banner UC Health Medicaid |
$27,915.72
|
Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG1802
|
Min. Negotiated Rate |
$14,895.63 |
Max. Negotiated Rate |
$14,895.63 |
Rate for Payer: AHCCCS Medicaid |
$14,895.63
|
Rate for Payer: Allwell Medicaid |
$14,895.63
|
Rate for Payer: AZCH Complete Medicaid |
$14,895.63
|
Rate for Payer: Banner UC Health Medicaid |
$14,895.63
|
Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG1804
|
Min. Negotiated Rate |
$10,401.06 |
Max. Negotiated Rate |
$10,401.06 |
Rate for Payer: AHCCCS Medicaid |
$10,401.06
|
Rate for Payer: Allwell Medicaid |
$10,401.06
|
Rate for Payer: AZCH Complete Medicaid |
$10,401.06
|
Rate for Payer: Banner UC Health Medicaid |
$10,401.06
|
Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG1804
|
Min. Negotiated Rate |
$7,848.67 |
Max. Negotiated Rate |
$7,848.67 |
Rate for Payer: AHCCCS Medicaid |
$7,848.67
|
Rate for Payer: Allwell Medicaid |
$7,848.67
|
Rate for Payer: AZCH Complete Medicaid |
$7,848.67
|
Rate for Payer: Banner UC Health Medicaid |
$7,848.67
|
Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG1803
|
Min. Negotiated Rate |
$14,895.63 |
Max. Negotiated Rate |
$14,895.63 |
Rate for Payer: AHCCCS Medicaid |
$14,895.63
|
Rate for Payer: Allwell Medicaid |
$14,895.63
|
Rate for Payer: AZCH Complete Medicaid |
$14,895.63
|
Rate for Payer: Banner UC Health Medicaid |
$14,895.63
|
Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG1803
|
Min. Negotiated Rate |
$7,848.67 |
Max. Negotiated Rate |
$7,848.67 |
Rate for Payer: AHCCCS Medicaid |
$7,848.67
|
Rate for Payer: Allwell Medicaid |
$7,848.67
|
Rate for Payer: AZCH Complete Medicaid |
$7,848.67
|
Rate for Payer: Banner UC Health Medicaid |
$7,848.67
|
Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG1802
|
Min. Negotiated Rate |
$27,915.72 |
Max. Negotiated Rate |
$27,915.72 |
Rate for Payer: AHCCCS Medicaid |
$27,915.72
|
Rate for Payer: Allwell Medicaid |
$27,915.72
|
Rate for Payer: AZCH Complete Medicaid |
$27,915.72
|
Rate for Payer: Banner UC Health Medicaid |
$27,915.72
|
Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG1802
|
Min. Negotiated Rate |
$7,848.67 |
Max. Negotiated Rate |
$7,848.67 |
Rate for Payer: AHCCCS Medicaid |
$7,848.67
|
Rate for Payer: Allwell Medicaid |
$7,848.67
|
Rate for Payer: AZCH Complete Medicaid |
$7,848.67
|
Rate for Payer: Banner UC Health Medicaid |
$7,848.67
|
Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG1803
|
Min. Negotiated Rate |
$10,401.06 |
Max. Negotiated Rate |
$10,401.06 |
Rate for Payer: AHCCCS Medicaid |
$10,401.06
|
Rate for Payer: Allwell Medicaid |
$10,401.06
|
Rate for Payer: AZCH Complete Medicaid |
$10,401.06
|
Rate for Payer: Banner UC Health Medicaid |
$10,401.06
|
Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG1801
|
Min. Negotiated Rate |
$10,401.06 |
Max. Negotiated Rate |
$10,401.06 |
Rate for Payer: AHCCCS Medicaid |
$10,401.06
|
Rate for Payer: Allwell Medicaid |
$10,401.06
|
Rate for Payer: AZCH Complete Medicaid |
$10,401.06
|
Rate for Payer: Banner UC Health Medicaid |
$10,401.06
|
Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG1802
|
Min. Negotiated Rate |
$10,401.06 |
Max. Negotiated Rate |
$10,401.06 |
Rate for Payer: AHCCCS Medicaid |
$10,401.06
|
Rate for Payer: Allwell Medicaid |
$10,401.06
|
Rate for Payer: AZCH Complete Medicaid |
$10,401.06
|
Rate for Payer: Banner UC Health Medicaid |
$10,401.06
|
Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
|