Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
Service Code
|
APR-DRG 2541
|
Hospital Charge Code |
APRDRG2544
|
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
|
$4,615.21
|
|
Service Code
|
APR-DRG 2542
|
Hospital Charge Code |
APRDRG2542
|
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
|
$6,833.74
|
|
Service Code
|
APR-DRG 2543
|
Hospital Charge Code |
APRDRG2544
|
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 Disorders Of Nervous System
|
Facility
|
IP
|
$9,690.54
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG0584
|
Min. Negotiated Rate |
$9,690.54 |
Max. Negotiated Rate |
$9,690.54 |
Rate for Payer: AHCCCS Medicaid |
$9,690.54
|
Rate for Payer: Allwell Medicaid |
$9,690.54
|
Rate for Payer: AZCH Complete Medicaid |
$9,690.54
|
Rate for Payer: Banner UC Health Medicaid |
$9,690.54
|
Rate for Payer: Mercy Care Medicaid |
$9,690.54
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG0583
|
Min. Negotiated Rate |
$7,469.91 |
Max. Negotiated Rate |
$7,469.91 |
Rate for Payer: AHCCCS Medicaid |
$7,469.91
|
Rate for Payer: Allwell Medicaid |
$7,469.91
|
Rate for Payer: AZCH Complete Medicaid |
$7,469.91
|
Rate for Payer: Banner UC Health Medicaid |
$7,469.91
|
Rate for Payer: Mercy Care Medicaid |
$7,469.91
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG0582
|
Min. Negotiated Rate |
$14,395.53 |
Max. Negotiated Rate |
$14,395.53 |
Rate for Payer: AHCCCS Medicaid |
$14,395.53
|
Rate for Payer: Allwell Medicaid |
$14,395.53
|
Rate for Payer: AZCH Complete Medicaid |
$14,395.53
|
Rate for Payer: Banner UC Health Medicaid |
$14,395.53
|
Rate for Payer: Mercy Care Medicaid |
$14,395.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG0583
|
Min. Negotiated Rate |
$14,395.53 |
Max. Negotiated Rate |
$14,395.53 |
Rate for Payer: AHCCCS Medicaid |
$14,395.53
|
Rate for Payer: Allwell Medicaid |
$14,395.53
|
Rate for Payer: AZCH Complete Medicaid |
$14,395.53
|
Rate for Payer: Banner UC Health Medicaid |
$14,395.53
|
Rate for Payer: Mercy Care Medicaid |
$14,395.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$9,690.54
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG0582
|
Min. Negotiated Rate |
$9,690.54 |
Max. Negotiated Rate |
$9,690.54 |
Rate for Payer: AHCCCS Medicaid |
$9,690.54
|
Rate for Payer: Allwell Medicaid |
$9,690.54
|
Rate for Payer: AZCH Complete Medicaid |
$9,690.54
|
Rate for Payer: Banner UC Health Medicaid |
$9,690.54
|
Rate for Payer: Mercy Care Medicaid |
$9,690.54
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG0581
|
Min. Negotiated Rate |
$5,577.53 |
Max. Negotiated Rate |
$5,577.53 |
Rate for Payer: AHCCCS Medicaid |
$5,577.53
|
Rate for Payer: Allwell Medicaid |
$5,577.53
|
Rate for Payer: AZCH Complete Medicaid |
$5,577.53
|
Rate for Payer: Banner UC Health Medicaid |
$5,577.53
|
Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$9,690.54
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG0583
|
Min. Negotiated Rate |
$9,690.54 |
Max. Negotiated Rate |
$9,690.54 |
Rate for Payer: AHCCCS Medicaid |
$9,690.54
|
Rate for Payer: Allwell Medicaid |
$9,690.54
|
Rate for Payer: AZCH Complete Medicaid |
$9,690.54
|
Rate for Payer: Banner UC Health Medicaid |
$9,690.54
|
Rate for Payer: Mercy Care Medicaid |
$9,690.54
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG0584
|
Min. Negotiated Rate |
$7,469.91 |
Max. Negotiated Rate |
$7,469.91 |
Rate for Payer: AHCCCS Medicaid |
$7,469.91
|
Rate for Payer: Allwell Medicaid |
$7,469.91
|
Rate for Payer: AZCH Complete Medicaid |
$7,469.91
|
Rate for Payer: Banner UC Health Medicaid |
$7,469.91
|
Rate for Payer: Mercy Care Medicaid |
$7,469.91
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG0581
|
Min. Negotiated Rate |
$7,469.91 |
Max. Negotiated Rate |
$7,469.91 |
Rate for Payer: AHCCCS Medicaid |
$7,469.91
|
Rate for Payer: Allwell Medicaid |
$7,469.91
|
Rate for Payer: AZCH Complete Medicaid |
$7,469.91
|
Rate for Payer: Banner UC Health Medicaid |
$7,469.91
|
Rate for Payer: Mercy Care Medicaid |
$7,469.91
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG0584
|
Min. Negotiated Rate |
$5,577.53 |
Max. Negotiated Rate |
$5,577.53 |
Rate for Payer: AHCCCS Medicaid |
$5,577.53
|
Rate for Payer: Allwell Medicaid |
$5,577.53
|
Rate for Payer: AZCH Complete Medicaid |
$5,577.53
|
Rate for Payer: Banner UC Health Medicaid |
$5,577.53
|
Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG0581
|
Min. Negotiated Rate |
$14,395.53 |
Max. Negotiated Rate |
$14,395.53 |
Rate for Payer: AHCCCS Medicaid |
$14,395.53
|
Rate for Payer: Allwell Medicaid |
$14,395.53
|
Rate for Payer: AZCH Complete Medicaid |
$14,395.53
|
Rate for Payer: Banner UC Health Medicaid |
$14,395.53
|
Rate for Payer: Mercy Care Medicaid |
$14,395.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG0584
|
Min. Negotiated Rate |
$14,395.53 |
Max. Negotiated Rate |
$14,395.53 |
Rate for Payer: AHCCCS Medicaid |
$14,395.53
|
Rate for Payer: Allwell Medicaid |
$14,395.53
|
Rate for Payer: AZCH Complete Medicaid |
$14,395.53
|
Rate for Payer: Banner UC Health Medicaid |
$14,395.53
|
Rate for Payer: Mercy Care Medicaid |
$14,395.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$9,690.54
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG0581
|
Min. Negotiated Rate |
$9,690.54 |
Max. Negotiated Rate |
$9,690.54 |
Rate for Payer: AHCCCS Medicaid |
$9,690.54
|
Rate for Payer: Allwell Medicaid |
$9,690.54
|
Rate for Payer: AZCH Complete Medicaid |
$9,690.54
|
Rate for Payer: Banner UC Health Medicaid |
$9,690.54
|
Rate for Payer: Mercy Care Medicaid |
$9,690.54
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG0583
|
Min. Negotiated Rate |
$5,577.53 |
Max. Negotiated Rate |
$5,577.53 |
Rate for Payer: AHCCCS Medicaid |
$5,577.53
|
Rate for Payer: Allwell Medicaid |
$5,577.53
|
Rate for Payer: AZCH Complete Medicaid |
$5,577.53
|
Rate for Payer: Banner UC Health Medicaid |
$5,577.53
|
Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG0582
|
Min. Negotiated Rate |
$7,469.91 |
Max. Negotiated Rate |
$7,469.91 |
Rate for Payer: AHCCCS Medicaid |
$7,469.91
|
Rate for Payer: Allwell Medicaid |
$7,469.91
|
Rate for Payer: AZCH Complete Medicaid |
$7,469.91
|
Rate for Payer: Banner UC Health Medicaid |
$7,469.91
|
Rate for Payer: Mercy Care Medicaid |
$7,469.91
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG0582
|
Min. Negotiated Rate |
$5,577.53 |
Max. Negotiated Rate |
$5,577.53 |
Rate for Payer: AHCCCS Medicaid |
$5,577.53
|
Rate for Payer: Allwell Medicaid |
$5,577.53
|
Rate for Payer: AZCH Complete Medicaid |
$5,577.53
|
Rate for Payer: Banner UC Health Medicaid |
$5,577.53
|
Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$4,536.66
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG2833
|
Min. Negotiated Rate |
$4,536.66 |
Max. Negotiated Rate |
$4,536.66 |
Rate for Payer: AHCCCS Medicaid |
$4,536.66
|
Rate for Payer: Allwell Medicaid |
$4,536.66
|
Rate for Payer: AZCH Complete Medicaid |
$4,536.66
|
Rate for Payer: Banner UC Health Medicaid |
$4,536.66
|
Rate for Payer: Mercy Care Medicaid |
$4,536.66
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$6,694.16
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG2833
|
Min. Negotiated Rate |
$6,694.16 |
Max. Negotiated Rate |
$6,694.16 |
Rate for Payer: AHCCCS Medicaid |
$6,694.16
|
Rate for Payer: Allwell Medicaid |
$6,694.16
|
Rate for Payer: AZCH Complete Medicaid |
$6,694.16
|
Rate for Payer: Banner UC Health Medicaid |
$6,694.16
|
Rate for Payer: Mercy Care Medicaid |
$6,694.16
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$3,722.33
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG2834
|
Min. Negotiated Rate |
$3,722.33 |
Max. Negotiated Rate |
$3,722.33 |
Rate for Payer: AHCCCS Medicaid |
$3,722.33
|
Rate for Payer: Allwell Medicaid |
$3,722.33
|
Rate for Payer: AZCH Complete Medicaid |
$3,722.33
|
Rate for Payer: Banner UC Health Medicaid |
$3,722.33
|
Rate for Payer: Mercy Care Medicaid |
$3,722.33
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$4,536.66
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG2831
|
Min. Negotiated Rate |
$4,536.66 |
Max. Negotiated Rate |
$4,536.66 |
Rate for Payer: AHCCCS Medicaid |
$4,536.66
|
Rate for Payer: Allwell Medicaid |
$4,536.66
|
Rate for Payer: AZCH Complete Medicaid |
$4,536.66
|
Rate for Payer: Banner UC Health Medicaid |
$4,536.66
|
Rate for Payer: Mercy Care Medicaid |
$4,536.66
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$3,722.33
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG2831
|
Min. Negotiated Rate |
$3,722.33 |
Max. Negotiated Rate |
$3,722.33 |
Rate for Payer: AHCCCS Medicaid |
$3,722.33
|
Rate for Payer: Allwell Medicaid |
$3,722.33
|
Rate for Payer: AZCH Complete Medicaid |
$3,722.33
|
Rate for Payer: Banner UC Health Medicaid |
$3,722.33
|
Rate for Payer: Mercy Care Medicaid |
$3,722.33
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$3,722.33
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG2832
|
Min. Negotiated Rate |
$3,722.33 |
Max. Negotiated Rate |
$3,722.33 |
Rate for Payer: AHCCCS Medicaid |
$3,722.33
|
Rate for Payer: Allwell Medicaid |
$3,722.33
|
Rate for Payer: AZCH Complete Medicaid |
$3,722.33
|
Rate for Payer: Banner UC Health Medicaid |
$3,722.33
|
Rate for Payer: Mercy Care Medicaid |
$3,722.33
|
|