|
Other Disorders Of The Liver
|
Facility
|
IP
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2834
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: AHCCCS Medicaid |
$14,313.47
|
| Rate for Payer: Allwell Medicaid |
$14,313.47
|
| Rate for Payer: AZCH Complete Medicaid |
$14,313.47
|
| Rate for Payer: Banner UC Health Medicaid |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$4,536.66
|
|
|
Service Code
|
APR-DRG 2832
|
| Hospital Charge Code |
APRDRG2834
|
| 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
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2831
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: AHCCCS Medicaid |
$14,313.47
|
| Rate for Payer: Allwell Medicaid |
$14,313.47
|
| Rate for Payer: AZCH Complete Medicaid |
$14,313.47
|
| Rate for Payer: Banner UC Health Medicaid |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$6,694.16
|
|
|
Service Code
|
APR-DRG 2833
|
| Hospital Charge Code |
APRDRG2834
|
| 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
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2832
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: AHCCCS Medicaid |
$14,313.47
|
| Rate for Payer: Allwell Medicaid |
$14,313.47
|
| Rate for Payer: AZCH Complete Medicaid |
$14,313.47
|
| Rate for Payer: Banner UC Health Medicaid |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$3,722.33
|
|
|
Service Code
|
APR-DRG 2831
|
| Hospital Charge Code |
APRDRG2833
|
| 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
|
$6,694.16
|
|
|
Service Code
|
APR-DRG 2833
|
| Hospital Charge Code |
APRDRG2832
|
| 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
|
$4,536.66
|
|
|
Service Code
|
APR-DRG 2832
|
| Hospital Charge Code |
APRDRG2832
|
| 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 |
APRDRG2831
|
| 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
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2833
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: AHCCCS Medicaid |
$14,313.47
|
| Rate for Payer: Allwell Medicaid |
$14,313.47
|
| Rate for Payer: AZCH Complete Medicaid |
$14,313.47
|
| Rate for Payer: Banner UC Health Medicaid |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$10,656.37
|
|
|
Service Code
|
APR-DRG 7764
|
| Hospital Charge Code |
APRDRG7763
|
| Min. Negotiated Rate |
$10,656.37 |
| Max. Negotiated Rate |
$10,656.37 |
| Rate for Payer: AHCCCS Medicaid |
$10,656.37
|
| Rate for Payer: Allwell Medicaid |
$10,656.37
|
| Rate for Payer: AZCH Complete Medicaid |
$10,656.37
|
| Rate for Payer: Banner UC Health Medicaid |
$10,656.37
|
| Rate for Payer: Mercy Care Medicaid |
$10,656.37
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,378.45
|
|
|
Service Code
|
APR-DRG 7761
|
| Hospital Charge Code |
APRDRG7764
|
| Min. Negotiated Rate |
$2,378.45 |
| Max. Negotiated Rate |
$2,378.45 |
| Rate for Payer: AHCCCS Medicaid |
$2,378.45
|
| Rate for Payer: Allwell Medicaid |
$2,378.45
|
| Rate for Payer: AZCH Complete Medicaid |
$2,378.45
|
| Rate for Payer: Banner UC Health Medicaid |
$2,378.45
|
| Rate for Payer: Mercy Care Medicaid |
$2,378.45
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$5,362.90
|
|
|
Service Code
|
APR-DRG 7763
|
| Hospital Charge Code |
APRDRG7764
|
| Min. Negotiated Rate |
$5,362.90 |
| Max. Negotiated Rate |
$5,362.90 |
| Rate for Payer: AHCCCS Medicaid |
$5,362.90
|
| Rate for Payer: Allwell Medicaid |
$5,362.90
|
| Rate for Payer: AZCH Complete Medicaid |
$5,362.90
|
| Rate for Payer: Banner UC Health Medicaid |
$5,362.90
|
| Rate for Payer: Mercy Care Medicaid |
$5,362.90
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,825.24
|
|
|
Service Code
|
APR-DRG 7762
|
| Hospital Charge Code |
APRDRG7763
|
| Min. Negotiated Rate |
$2,825.24 |
| Max. Negotiated Rate |
$2,825.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,825.24
|
| Rate for Payer: Allwell Medicaid |
$2,825.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,825.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,825.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,825.24
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,825.24
|
|
|
Service Code
|
APR-DRG 7762
|
| Hospital Charge Code |
APRDRG7762
|
| Min. Negotiated Rate |
$2,825.24 |
| Max. Negotiated Rate |
$2,825.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,825.24
|
| Rate for Payer: Allwell Medicaid |
$2,825.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,825.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,825.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,825.24
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$10,656.37
|
|
|
Service Code
|
APR-DRG 7764
|
| Hospital Charge Code |
APRDRG7764
|
| Min. Negotiated Rate |
$10,656.37 |
| Max. Negotiated Rate |
$10,656.37 |
| Rate for Payer: AHCCCS Medicaid |
$10,656.37
|
| Rate for Payer: Allwell Medicaid |
$10,656.37
|
| Rate for Payer: AZCH Complete Medicaid |
$10,656.37
|
| Rate for Payer: Banner UC Health Medicaid |
$10,656.37
|
| Rate for Payer: Mercy Care Medicaid |
$10,656.37
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$5,362.90
|
|
|
Service Code
|
APR-DRG 7763
|
| Hospital Charge Code |
APRDRG7763
|
| Min. Negotiated Rate |
$5,362.90 |
| Max. Negotiated Rate |
$5,362.90 |
| Rate for Payer: AHCCCS Medicaid |
$5,362.90
|
| Rate for Payer: Allwell Medicaid |
$5,362.90
|
| Rate for Payer: AZCH Complete Medicaid |
$5,362.90
|
| Rate for Payer: Banner UC Health Medicaid |
$5,362.90
|
| Rate for Payer: Mercy Care Medicaid |
$5,362.90
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$10,656.37
|
|
|
Service Code
|
APR-DRG 7764
|
| Hospital Charge Code |
APRDRG7762
|
| Min. Negotiated Rate |
$10,656.37 |
| Max. Negotiated Rate |
$10,656.37 |
| Rate for Payer: AHCCCS Medicaid |
$10,656.37
|
| Rate for Payer: Allwell Medicaid |
$10,656.37
|
| Rate for Payer: AZCH Complete Medicaid |
$10,656.37
|
| Rate for Payer: Banner UC Health Medicaid |
$10,656.37
|
| Rate for Payer: Mercy Care Medicaid |
$10,656.37
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,825.24
|
|
|
Service Code
|
APR-DRG 7762
|
| Hospital Charge Code |
APRDRG7761
|
| Min. Negotiated Rate |
$2,825.24 |
| Max. Negotiated Rate |
$2,825.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,825.24
|
| Rate for Payer: Allwell Medicaid |
$2,825.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,825.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,825.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,825.24
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$5,362.90
|
|
|
Service Code
|
APR-DRG 7763
|
| Hospital Charge Code |
APRDRG7761
|
| Min. Negotiated Rate |
$5,362.90 |
| Max. Negotiated Rate |
$5,362.90 |
| Rate for Payer: AHCCCS Medicaid |
$5,362.90
|
| Rate for Payer: Allwell Medicaid |
$5,362.90
|
| Rate for Payer: AZCH Complete Medicaid |
$5,362.90
|
| Rate for Payer: Banner UC Health Medicaid |
$5,362.90
|
| Rate for Payer: Mercy Care Medicaid |
$5,362.90
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,378.45
|
|
|
Service Code
|
APR-DRG 7761
|
| Hospital Charge Code |
APRDRG7763
|
| Min. Negotiated Rate |
$2,378.45 |
| Max. Negotiated Rate |
$2,378.45 |
| Rate for Payer: AHCCCS Medicaid |
$2,378.45
|
| Rate for Payer: Allwell Medicaid |
$2,378.45
|
| Rate for Payer: AZCH Complete Medicaid |
$2,378.45
|
| Rate for Payer: Banner UC Health Medicaid |
$2,378.45
|
| Rate for Payer: Mercy Care Medicaid |
$2,378.45
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,825.24
|
|
|
Service Code
|
APR-DRG 7762
|
| Hospital Charge Code |
APRDRG7764
|
| Min. Negotiated Rate |
$2,825.24 |
| Max. Negotiated Rate |
$2,825.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,825.24
|
| Rate for Payer: Allwell Medicaid |
$2,825.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,825.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,825.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,825.24
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$5,362.90
|
|
|
Service Code
|
APR-DRG 7763
|
| Hospital Charge Code |
APRDRG7762
|
| Min. Negotiated Rate |
$5,362.90 |
| Max. Negotiated Rate |
$5,362.90 |
| Rate for Payer: AHCCCS Medicaid |
$5,362.90
|
| Rate for Payer: Allwell Medicaid |
$5,362.90
|
| Rate for Payer: AZCH Complete Medicaid |
$5,362.90
|
| Rate for Payer: Banner UC Health Medicaid |
$5,362.90
|
| Rate for Payer: Mercy Care Medicaid |
$5,362.90
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$2,378.45
|
|
|
Service Code
|
APR-DRG 7761
|
| Hospital Charge Code |
APRDRG7761
|
| Min. Negotiated Rate |
$2,378.45 |
| Max. Negotiated Rate |
$2,378.45 |
| Rate for Payer: AHCCCS Medicaid |
$2,378.45
|
| Rate for Payer: Allwell Medicaid |
$2,378.45
|
| Rate for Payer: AZCH Complete Medicaid |
$2,378.45
|
| Rate for Payer: Banner UC Health Medicaid |
$2,378.45
|
| Rate for Payer: Mercy Care Medicaid |
$2,378.45
|
|
|
Other Drug Abuse And Dependence
|
Facility
|
IP
|
$10,656.37
|
|
|
Service Code
|
APR-DRG 7764
|
| Hospital Charge Code |
APRDRG7761
|
| Min. Negotiated Rate |
$10,656.37 |
| Max. Negotiated Rate |
$10,656.37 |
| Rate for Payer: AHCCCS Medicaid |
$10,656.37
|
| Rate for Payer: Allwell Medicaid |
$10,656.37
|
| Rate for Payer: AZCH Complete Medicaid |
$10,656.37
|
| Rate for Payer: Banner UC Health Medicaid |
$10,656.37
|
| Rate for Payer: Mercy Care Medicaid |
$10,656.37
|
|
