Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
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
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
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
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$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
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
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
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$4,932.95
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$7,324.02
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$7,324.02
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$4,932.95
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$7,324.02
|
|
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
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$4,932.95
|
|
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
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
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
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
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
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
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
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
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
|
|