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Charge Type Setting Price  
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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