|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2294
|
| 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 |
APRDRG2293
|
| 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
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2292
|
| 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
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2291
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,574.11
|
| Rate for Payer: Allwell Medicaid |
$9,574.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,574.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2292
|
| 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
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2293
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,574.11
|
| Rate for Payer: Allwell Medicaid |
$9,574.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,574.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2292
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,574.11
|
| Rate for Payer: Allwell Medicaid |
$9,574.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,574.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2294
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,574.11
|
| Rate for Payer: Allwell Medicaid |
$9,574.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,574.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2292
|
| 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 |
APRDRG2293
|
| 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
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2291
|
| 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
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2294
|
| 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 Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: AHCCCS Medicaid |
$6,833.74
|
| Rate for Payer: Allwell Medicaid |
$6,833.74
|
| Rate for Payer: AZCH Complete Medicaid |
$6,833.74
|
| Rate for Payer: Banner UC Health Medicaid |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,578.54
|
| Rate for Payer: Allwell Medicaid |
$3,578.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,578.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: AHCCCS Medicaid |
$13,008.16
|
| Rate for Payer: Allwell Medicaid |
$13,008.16
|
| Rate for Payer: AZCH Complete Medicaid |
$13,008.16
|
| Rate for Payer: Banner UC Health Medicaid |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: AHCCCS Medicaid |
$6,833.74
|
| Rate for Payer: Allwell Medicaid |
$6,833.74
|
| Rate for Payer: AZCH Complete Medicaid |
$6,833.74
|
| Rate for Payer: Banner UC Health Medicaid |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: AHCCCS Medicaid |
$4,615.21
|
| Rate for Payer: Allwell Medicaid |
$4,615.21
|
| Rate for Payer: AZCH Complete Medicaid |
$4,615.21
|
| Rate for Payer: Banner UC Health Medicaid |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: AHCCCS Medicaid |
$13,008.16
|
| Rate for Payer: Allwell Medicaid |
$13,008.16
|
| Rate for Payer: AZCH Complete Medicaid |
$13,008.16
|
| Rate for Payer: Banner UC Health Medicaid |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,578.54
|
| Rate for Payer: Allwell Medicaid |
$3,578.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,578.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: AHCCCS Medicaid |
$6,833.74
|
| Rate for Payer: Allwell Medicaid |
$6,833.74
|
| Rate for Payer: AZCH Complete Medicaid |
$6,833.74
|
| Rate for Payer: Banner UC Health Medicaid |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,578.54
|
| Rate for Payer: Allwell Medicaid |
$3,578.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,578.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: AHCCCS Medicaid |
$13,008.16
|
| Rate for Payer: Allwell Medicaid |
$13,008.16
|
| Rate for Payer: AZCH Complete Medicaid |
$13,008.16
|
| Rate for Payer: Banner UC Health Medicaid |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: AHCCCS Medicaid |
$4,615.21
|
| Rate for Payer: Allwell Medicaid |
$4,615.21
|
| Rate for Payer: AZCH Complete Medicaid |
$4,615.21
|
| Rate for Payer: Banner UC Health Medicaid |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: AHCCCS Medicaid |
$13,008.16
|
| Rate for Payer: Allwell Medicaid |
$13,008.16
|
| Rate for Payer: AZCH Complete Medicaid |
$13,008.16
|
| Rate for Payer: Banner UC Health Medicaid |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: AHCCCS Medicaid |
$4,615.21
|
| Rate for Payer: Allwell Medicaid |
$4,615.21
|
| Rate for Payer: AZCH Complete Medicaid |
$4,615.21
|
| Rate for Payer: Banner UC Health Medicaid |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
|
