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 Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$27,722.13
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG0982
|
Min. Negotiated Rate |
$27,722.13 |
Max. Negotiated Rate |
$27,722.13 |
Rate for Payer: AHCCCS Medicaid |
$27,722.13
|
Rate for Payer: Allwell Medicaid |
$27,722.13
|
Rate for Payer: AZCH Complete Medicaid |
$27,722.13
|
Rate for Payer: Banner UC Health Medicaid |
$27,722.13
|
Rate for Payer: Mercy Care Medicaid |
$27,722.13
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$6,205.29
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG0983
|
Min. Negotiated Rate |
$6,205.29 |
Max. Negotiated Rate |
$6,205.29 |
Rate for Payer: AHCCCS Medicaid |
$6,205.29
|
Rate for Payer: Allwell Medicaid |
$6,205.29
|
Rate for Payer: AZCH Complete Medicaid |
$6,205.29
|
Rate for Payer: Banner UC Health Medicaid |
$6,205.29
|
Rate for Payer: Mercy Care Medicaid |
$6,205.29
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$15,063.97
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG0982
|
Min. Negotiated Rate |
$15,063.97 |
Max. Negotiated Rate |
$15,063.97 |
Rate for Payer: AHCCCS Medicaid |
$15,063.97
|
Rate for Payer: Allwell Medicaid |
$15,063.97
|
Rate for Payer: AZCH Complete Medicaid |
$15,063.97
|
Rate for Payer: Banner UC Health Medicaid |
$15,063.97
|
Rate for Payer: Mercy Care Medicaid |
$15,063.97
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$8,771.01
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG0982
|
Min. Negotiated Rate |
$8,771.01 |
Max. Negotiated Rate |
$8,771.01 |
Rate for Payer: AHCCCS Medicaid |
$8,771.01
|
Rate for Payer: Allwell Medicaid |
$8,771.01
|
Rate for Payer: AZCH Complete Medicaid |
$8,771.01
|
Rate for Payer: Banner UC Health Medicaid |
$8,771.01
|
Rate for Payer: Mercy Care Medicaid |
$8,771.01
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$8,771.01
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG0983
|
Min. Negotiated Rate |
$8,771.01 |
Max. Negotiated Rate |
$8,771.01 |
Rate for Payer: AHCCCS Medicaid |
$8,771.01
|
Rate for Payer: Allwell Medicaid |
$8,771.01
|
Rate for Payer: AZCH Complete Medicaid |
$8,771.01
|
Rate for Payer: Banner UC Health Medicaid |
$8,771.01
|
Rate for Payer: Mercy Care Medicaid |
$8,771.01
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$8,771.01
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG0981
|
Min. Negotiated Rate |
$8,771.01 |
Max. Negotiated Rate |
$8,771.01 |
Rate for Payer: AHCCCS Medicaid |
$8,771.01
|
Rate for Payer: Allwell Medicaid |
$8,771.01
|
Rate for Payer: AZCH Complete Medicaid |
$8,771.01
|
Rate for Payer: Banner UC Health Medicaid |
$8,771.01
|
Rate for Payer: Mercy Care Medicaid |
$8,771.01
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$6,205.29
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG0981
|
Min. Negotiated Rate |
$6,205.29 |
Max. Negotiated Rate |
$6,205.29 |
Rate for Payer: AHCCCS Medicaid |
$6,205.29
|
Rate for Payer: Allwell Medicaid |
$6,205.29
|
Rate for Payer: AZCH Complete Medicaid |
$6,205.29
|
Rate for Payer: Banner UC Health Medicaid |
$6,205.29
|
Rate for Payer: Mercy Care Medicaid |
$6,205.29
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$27,722.13
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG0984
|
Min. Negotiated Rate |
$27,722.13 |
Max. Negotiated Rate |
$27,722.13 |
Rate for Payer: AHCCCS Medicaid |
$27,722.13
|
Rate for Payer: Allwell Medicaid |
$27,722.13
|
Rate for Payer: AZCH Complete Medicaid |
$27,722.13
|
Rate for Payer: Banner UC Health Medicaid |
$27,722.13
|
Rate for Payer: Mercy Care Medicaid |
$27,722.13
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$6,205.29
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG0984
|
Min. Negotiated Rate |
$6,205.29 |
Max. Negotiated Rate |
$6,205.29 |
Rate for Payer: AHCCCS Medicaid |
$6,205.29
|
Rate for Payer: Allwell Medicaid |
$6,205.29
|
Rate for Payer: AZCH Complete Medicaid |
$6,205.29
|
Rate for Payer: Banner UC Health Medicaid |
$6,205.29
|
Rate for Payer: Mercy Care Medicaid |
$6,205.29
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$15,063.97
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG0981
|
Min. Negotiated Rate |
$15,063.97 |
Max. Negotiated Rate |
$15,063.97 |
Rate for Payer: AHCCCS Medicaid |
$15,063.97
|
Rate for Payer: Allwell Medicaid |
$15,063.97
|
Rate for Payer: AZCH Complete Medicaid |
$15,063.97
|
Rate for Payer: Banner UC Health Medicaid |
$15,063.97
|
Rate for Payer: Mercy Care Medicaid |
$15,063.97
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$27,722.13
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG0983
|
Min. Negotiated Rate |
$27,722.13 |
Max. Negotiated Rate |
$27,722.13 |
Rate for Payer: AHCCCS Medicaid |
$27,722.13
|
Rate for Payer: Allwell Medicaid |
$27,722.13
|
Rate for Payer: AZCH Complete Medicaid |
$27,722.13
|
Rate for Payer: Banner UC Health Medicaid |
$27,722.13
|
Rate for Payer: Mercy Care Medicaid |
$27,722.13
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$15,063.97
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG0984
|
Min. Negotiated Rate |
$15,063.97 |
Max. Negotiated Rate |
$15,063.97 |
Rate for Payer: AHCCCS Medicaid |
$15,063.97
|
Rate for Payer: Allwell Medicaid |
$15,063.97
|
Rate for Payer: AZCH Complete Medicaid |
$15,063.97
|
Rate for Payer: Banner UC Health Medicaid |
$15,063.97
|
Rate for Payer: Mercy Care Medicaid |
$15,063.97
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$15,063.97
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG0983
|
Min. Negotiated Rate |
$15,063.97 |
Max. Negotiated Rate |
$15,063.97 |
Rate for Payer: AHCCCS Medicaid |
$15,063.97
|
Rate for Payer: Allwell Medicaid |
$15,063.97
|
Rate for Payer: AZCH Complete Medicaid |
$15,063.97
|
Rate for Payer: Banner UC Health Medicaid |
$15,063.97
|
Rate for Payer: Mercy Care Medicaid |
$15,063.97
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$27,722.13
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG0981
|
Min. Negotiated Rate |
$27,722.13 |
Max. Negotiated Rate |
$27,722.13 |
Rate for Payer: AHCCCS Medicaid |
$27,722.13
|
Rate for Payer: Allwell Medicaid |
$27,722.13
|
Rate for Payer: AZCH Complete Medicaid |
$27,722.13
|
Rate for Payer: Banner UC Health Medicaid |
$27,722.13
|
Rate for Payer: Mercy Care Medicaid |
$27,722.13
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$6,205.29
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG0982
|
Min. Negotiated Rate |
$6,205.29 |
Max. Negotiated Rate |
$6,205.29 |
Rate for Payer: AHCCCS Medicaid |
$6,205.29
|
Rate for Payer: Allwell Medicaid |
$6,205.29
|
Rate for Payer: AZCH Complete Medicaid |
$6,205.29
|
Rate for Payer: Banner UC Health Medicaid |
$6,205.29
|
Rate for Payer: Mercy Care Medicaid |
$6,205.29
|
|
Other Ear, Nose, Mouth And Throat Procedures
|
Facility
|
IP
|
$8,771.01
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG0984
|
Min. Negotiated Rate |
$8,771.01 |
Max. Negotiated Rate |
$8,771.01 |
Rate for Payer: AHCCCS Medicaid |
$8,771.01
|
Rate for Payer: Allwell Medicaid |
$8,771.01
|
Rate for Payer: AZCH Complete Medicaid |
$8,771.01
|
Rate for Payer: Banner UC Health Medicaid |
$8,771.01
|
Rate for Payer: Mercy Care Medicaid |
$8,771.01
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$4,564.71
|
|
Service Code
|
APR-DRG 1152
|
Hospital Charge Code |
APRDRG1152
|
Min. Negotiated Rate |
$4,564.71 |
Max. Negotiated Rate |
$4,564.71 |
Rate for Payer: AHCCCS Medicaid |
$4,564.71
|
Rate for Payer: Allwell Medicaid |
$4,564.71
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.71
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.71
|
Rate for Payer: Mercy Care Medicaid |
$4,564.71
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$4,564.71
|
|
Service Code
|
APR-DRG 1152
|
Hospital Charge Code |
APRDRG1153
|
Min. Negotiated Rate |
$4,564.71 |
Max. Negotiated Rate |
$4,564.71 |
Rate for Payer: AHCCCS Medicaid |
$4,564.71
|
Rate for Payer: Allwell Medicaid |
$4,564.71
|
Rate for Payer: AZCH Complete Medicaid |
$4,564.71
|
Rate for Payer: Banner UC Health Medicaid |
$4,564.71
|
Rate for Payer: Mercy Care Medicaid |
$4,564.71
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$3,431.25
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG1151
|
Min. Negotiated Rate |
$3,431.25 |
Max. Negotiated Rate |
$3,431.25 |
Rate for Payer: AHCCCS Medicaid |
$3,431.25
|
Rate for Payer: Allwell Medicaid |
$3,431.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,431.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,431.25
|
Rate for Payer: Mercy Care Medicaid |
$3,431.25
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$7,185.14
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG1153
|
Min. Negotiated Rate |
$7,185.14 |
Max. Negotiated Rate |
$7,185.14 |
Rate for Payer: AHCCCS Medicaid |
$7,185.14
|
Rate for Payer: Allwell Medicaid |
$7,185.14
|
Rate for Payer: AZCH Complete Medicaid |
$7,185.14
|
Rate for Payer: Banner UC Health Medicaid |
$7,185.14
|
Rate for Payer: Mercy Care Medicaid |
$7,185.14
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$7,185.14
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG1151
|
Min. Negotiated Rate |
$7,185.14 |
Max. Negotiated Rate |
$7,185.14 |
Rate for Payer: AHCCCS Medicaid |
$7,185.14
|
Rate for Payer: Allwell Medicaid |
$7,185.14
|
Rate for Payer: AZCH Complete Medicaid |
$7,185.14
|
Rate for Payer: Banner UC Health Medicaid |
$7,185.14
|
Rate for Payer: Mercy Care Medicaid |
$7,185.14
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$13,565.78
|
|
Service Code
|
APR-DRG 1154
|
Hospital Charge Code |
APRDRG1152
|
Min. Negotiated Rate |
$13,565.78 |
Max. Negotiated Rate |
$13,565.78 |
Rate for Payer: AHCCCS Medicaid |
$13,565.78
|
Rate for Payer: Allwell Medicaid |
$13,565.78
|
Rate for Payer: AZCH Complete Medicaid |
$13,565.78
|
Rate for Payer: Banner UC Health Medicaid |
$13,565.78
|
Rate for Payer: Mercy Care Medicaid |
$13,565.78
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$7,185.14
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG1152
|
Min. Negotiated Rate |
$7,185.14 |
Max. Negotiated Rate |
$7,185.14 |
Rate for Payer: AHCCCS Medicaid |
$7,185.14
|
Rate for Payer: Allwell Medicaid |
$7,185.14
|
Rate for Payer: AZCH Complete Medicaid |
$7,185.14
|
Rate for Payer: Banner UC Health Medicaid |
$7,185.14
|
Rate for Payer: Mercy Care Medicaid |
$7,185.14
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$3,431.25
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG1153
|
Min. Negotiated Rate |
$3,431.25 |
Max. Negotiated Rate |
$3,431.25 |
Rate for Payer: AHCCCS Medicaid |
$3,431.25
|
Rate for Payer: Allwell Medicaid |
$3,431.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,431.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,431.25
|
Rate for Payer: Mercy Care Medicaid |
$3,431.25
|
|