|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$3,586.26
|
|
|
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
|
|
|
Other Circulatory System Diagnoses
|
Facility
|
IP
|
$11,589.93
|
|
|
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
|
|
|
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
|
$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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
|
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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
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
|
|
|
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
|
$27,915.72
|
|
|
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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
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
|
|
|
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
|
$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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
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
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
|
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
|
|
|
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
|
$10,401.06
|
|
|
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
|
|
|
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
|
$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
|
$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
|
$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
|
$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 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
|
$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
|
|