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Charge Type Setting Price  
Service Code APR-DRG 1801
Hospital Charge Code APRDRG1801
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 APRDRG1801
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 1803
Hospital Charge Code APRDRG1804
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 1804
Hospital Charge Code APRDRG1803
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 1804
Hospital Charge Code APRDRG1801
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 8132
Hospital Charge Code APRDRG8131
Min. Negotiated Rate $4,932.95
Max. Negotiated Rate $4,932.95
Rate for Payer: AHCCCS Medicaid $4,932.95
Rate for Payer: Allwell Medicaid $4,932.95
Rate for Payer: AZCH Complete Medicaid $4,932.95
Rate for Payer: Banner UC Health Medicaid $4,932.95
Rate for Payer: Mercy Care Medicaid $4,932.95
Service Code APR-DRG 8134
Hospital Charge Code APRDRG8132
Min. Negotiated Rate $14,164.07
Max. Negotiated Rate $14,164.07
Rate for Payer: AHCCCS Medicaid $14,164.07
Rate for Payer: Allwell Medicaid $14,164.07
Rate for Payer: AZCH Complete Medicaid $14,164.07
Rate for Payer: Banner UC Health Medicaid $14,164.07
Rate for Payer: Mercy Care Medicaid $14,164.07
Service Code APR-DRG 8131
Hospital Charge Code APRDRG8134
Min. Negotiated Rate $3,992.37
Max. Negotiated Rate $3,992.37
Rate for Payer: AHCCCS Medicaid $3,992.37
Rate for Payer: Allwell Medicaid $3,992.37
Rate for Payer: AZCH Complete Medicaid $3,992.37
Rate for Payer: Banner UC Health Medicaid $3,992.37
Rate for Payer: Mercy Care Medicaid $3,992.37
Service Code APR-DRG 8133
Hospital Charge Code APRDRG8131
Min. Negotiated Rate $7,324.02
Max. Negotiated Rate $7,324.02
Rate for Payer: AHCCCS Medicaid $7,324.02
Rate for Payer: Allwell Medicaid $7,324.02
Rate for Payer: AZCH Complete Medicaid $7,324.02
Rate for Payer: Banner UC Health Medicaid $7,324.02
Rate for Payer: Mercy Care Medicaid $7,324.02
Service Code APR-DRG 8131
Hospital Charge Code APRDRG8131
Min. Negotiated Rate $3,992.37
Max. Negotiated Rate $3,992.37
Rate for Payer: AHCCCS Medicaid $3,992.37
Rate for Payer: Allwell Medicaid $3,992.37
Rate for Payer: AZCH Complete Medicaid $3,992.37
Rate for Payer: Banner UC Health Medicaid $3,992.37
Rate for Payer: Mercy Care Medicaid $3,992.37
Service Code APR-DRG 8134
Hospital Charge Code APRDRG8134
Min. Negotiated Rate $14,164.07
Max. Negotiated Rate $14,164.07
Rate for Payer: AHCCCS Medicaid $14,164.07
Rate for Payer: Allwell Medicaid $14,164.07
Rate for Payer: AZCH Complete Medicaid $14,164.07
Rate for Payer: Banner UC Health Medicaid $14,164.07
Rate for Payer: Mercy Care Medicaid $14,164.07
Service Code APR-DRG 8131
Hospital Charge Code APRDRG8133
Min. Negotiated Rate $3,992.37
Max. Negotiated Rate $3,992.37
Rate for Payer: AHCCCS Medicaid $3,992.37
Rate for Payer: Allwell Medicaid $3,992.37
Rate for Payer: AZCH Complete Medicaid $3,992.37
Rate for Payer: Banner UC Health Medicaid $3,992.37
Rate for Payer: Mercy Care Medicaid $3,992.37
Service Code APR-DRG 8133
Hospital Charge Code APRDRG8132
Min. Negotiated Rate $7,324.02
Max. Negotiated Rate $7,324.02
Rate for Payer: AHCCCS Medicaid $7,324.02
Rate for Payer: Allwell Medicaid $7,324.02
Rate for Payer: AZCH Complete Medicaid $7,324.02
Rate for Payer: Banner UC Health Medicaid $7,324.02
Rate for Payer: Mercy Care Medicaid $7,324.02
Service Code APR-DRG 8133
Hospital Charge Code APRDRG8134
Min. Negotiated Rate $7,324.02
Max. Negotiated Rate $7,324.02
Rate for Payer: AHCCCS Medicaid $7,324.02
Rate for Payer: Allwell Medicaid $7,324.02
Rate for Payer: AZCH Complete Medicaid $7,324.02
Rate for Payer: Banner UC Health Medicaid $7,324.02
Rate for Payer: Mercy Care Medicaid $7,324.02
Service Code APR-DRG 8134
Hospital Charge Code APRDRG8131
Min. Negotiated Rate $14,164.07
Max. Negotiated Rate $14,164.07
Rate for Payer: AHCCCS Medicaid $14,164.07
Rate for Payer: Allwell Medicaid $14,164.07
Rate for Payer: AZCH Complete Medicaid $14,164.07
Rate for Payer: Banner UC Health Medicaid $14,164.07
Rate for Payer: Mercy Care Medicaid $14,164.07
Service Code APR-DRG 8132
Hospital Charge Code APRDRG8134
Min. Negotiated Rate $4,932.95
Max. Negotiated Rate $4,932.95
Rate for Payer: AHCCCS Medicaid $4,932.95
Rate for Payer: Allwell Medicaid $4,932.95
Rate for Payer: AZCH Complete Medicaid $4,932.95
Rate for Payer: Banner UC Health Medicaid $4,932.95
Rate for Payer: Mercy Care Medicaid $4,932.95
Service Code APR-DRG 8132
Hospital Charge Code APRDRG8132
Min. Negotiated Rate $4,932.95
Max. Negotiated Rate $4,932.95
Rate for Payer: AHCCCS Medicaid $4,932.95
Rate for Payer: Allwell Medicaid $4,932.95
Rate for Payer: AZCH Complete Medicaid $4,932.95
Rate for Payer: Banner UC Health Medicaid $4,932.95
Rate for Payer: Mercy Care Medicaid $4,932.95
Service Code APR-DRG 8134
Hospital Charge Code APRDRG8133
Min. Negotiated Rate $14,164.07
Max. Negotiated Rate $14,164.07
Rate for Payer: AHCCCS Medicaid $14,164.07
Rate for Payer: Allwell Medicaid $14,164.07
Rate for Payer: AZCH Complete Medicaid $14,164.07
Rate for Payer: Banner UC Health Medicaid $14,164.07
Rate for Payer: Mercy Care Medicaid $14,164.07
Service Code APR-DRG 8131
Hospital Charge Code APRDRG8132
Min. Negotiated Rate $3,992.37
Max. Negotiated Rate $3,992.37
Rate for Payer: AHCCCS Medicaid $3,992.37
Rate for Payer: Allwell Medicaid $3,992.37
Rate for Payer: AZCH Complete Medicaid $3,992.37
Rate for Payer: Banner UC Health Medicaid $3,992.37
Rate for Payer: Mercy Care Medicaid $3,992.37
Service Code APR-DRG 8133
Hospital Charge Code APRDRG8133
Min. Negotiated Rate $7,324.02
Max. Negotiated Rate $7,324.02
Rate for Payer: AHCCCS Medicaid $7,324.02
Rate for Payer: Allwell Medicaid $7,324.02
Rate for Payer: AZCH Complete Medicaid $7,324.02
Rate for Payer: Banner UC Health Medicaid $7,324.02
Rate for Payer: Mercy Care Medicaid $7,324.02
Service Code APR-DRG 8132
Hospital Charge Code APRDRG8133
Min. Negotiated Rate $4,932.95
Max. Negotiated Rate $4,932.95
Rate for Payer: AHCCCS Medicaid $4,932.95
Rate for Payer: Allwell Medicaid $4,932.95
Rate for Payer: AZCH Complete Medicaid $4,932.95
Rate for Payer: Banner UC Health Medicaid $4,932.95
Rate for Payer: Mercy Care Medicaid $4,932.95
Service Code APR-DRG 2294
Hospital Charge Code APRDRG2293
Min. Negotiated Rate $27,182.06
Max. Negotiated Rate $27,182.06
Rate for Payer: AHCCCS Medicaid $27,182.06
Rate for Payer: Allwell Medicaid $27,182.06
Rate for Payer: AZCH Complete Medicaid $27,182.06
Rate for Payer: Banner UC Health Medicaid $27,182.06
Rate for Payer: Mercy Care Medicaid $27,182.06
Service Code APR-DRG 2293
Hospital Charge Code APRDRG2291
Min. Negotiated Rate $13,919.28
Max. Negotiated Rate $13,919.28
Rate for Payer: AHCCCS Medicaid $13,919.28
Rate for Payer: Allwell Medicaid $13,919.28
Rate for Payer: AZCH Complete Medicaid $13,919.28
Rate for Payer: Banner UC Health Medicaid $13,919.28
Rate for Payer: Mercy Care Medicaid $13,919.28
Service Code APR-DRG 2294
Hospital Charge Code APRDRG2291
Min. Negotiated Rate $27,182.06
Max. Negotiated Rate $27,182.06
Rate for Payer: AHCCCS Medicaid $27,182.06
Rate for Payer: Allwell Medicaid $27,182.06
Rate for Payer: AZCH Complete Medicaid $27,182.06
Rate for Payer: Banner UC Health Medicaid $27,182.06
Rate for Payer: Mercy Care Medicaid $27,182.06
Service Code APR-DRG 2291
Hospital Charge Code APRDRG2294
Min. Negotiated Rate $7,414.50
Max. Negotiated Rate $7,414.50
Rate for Payer: AHCCCS Medicaid $7,414.50
Rate for Payer: Allwell Medicaid $7,414.50
Rate for Payer: AZCH Complete Medicaid $7,414.50
Rate for Payer: Banner UC Health Medicaid $7,414.50
Rate for Payer: Mercy Care Medicaid $7,414.50