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Charge Type Setting Price  
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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