|
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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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 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
|
$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
|
$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
|
$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
|
$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 |
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
|
$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
|
$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
|
$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
|
$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
|
$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 |
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
|
$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
|
$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
|
$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 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
|
|
|
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
|
$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
|
|