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
|
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses
|
Facility
|
IP
|
$3,431.25
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG1154
|
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
|
$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
|
$13,565.78
|
|
Service Code
|
APR-DRG 1154
|
Hospital Charge Code |
APRDRG1154
|
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 |
APRDRG1154
|
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 |
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 |
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
|
$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 Endocrine Disorders
|
Facility
|
IP
|
$7,105.88
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG4243
|
Min. Negotiated Rate |
$7,105.88 |
Max. Negotiated Rate |
$7,105.88 |
Rate for Payer: AHCCCS Medicaid |
$7,105.88
|
Rate for Payer: Allwell Medicaid |
$7,105.88
|
Rate for Payer: AZCH Complete Medicaid |
$7,105.88
|
Rate for Payer: Banner UC Health Medicaid |
$7,105.88
|
Rate for Payer: Mercy Care Medicaid |
$7,105.88
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$4,780.04
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG4244
|
Min. Negotiated Rate |
$4,780.04 |
Max. Negotiated Rate |
$4,780.04 |
Rate for Payer: AHCCCS Medicaid |
$4,780.04
|
Rate for Payer: Allwell Medicaid |
$4,780.04
|
Rate for Payer: AZCH Complete Medicaid |
$4,780.04
|
Rate for Payer: Banner UC Health Medicaid |
$4,780.04
|
Rate for Payer: Mercy Care Medicaid |
$4,780.04
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$4,780.04
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG4242
|
Min. Negotiated Rate |
$4,780.04 |
Max. Negotiated Rate |
$4,780.04 |
Rate for Payer: AHCCCS Medicaid |
$4,780.04
|
Rate for Payer: Allwell Medicaid |
$4,780.04
|
Rate for Payer: AZCH Complete Medicaid |
$4,780.04
|
Rate for Payer: Banner UC Health Medicaid |
$4,780.04
|
Rate for Payer: Mercy Care Medicaid |
$4,780.04
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$7,105.88
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG4242
|
Min. Negotiated Rate |
$7,105.88 |
Max. Negotiated Rate |
$7,105.88 |
Rate for Payer: AHCCCS Medicaid |
$7,105.88
|
Rate for Payer: Allwell Medicaid |
$7,105.88
|
Rate for Payer: AZCH Complete Medicaid |
$7,105.88
|
Rate for Payer: Banner UC Health Medicaid |
$7,105.88
|
Rate for Payer: Mercy Care Medicaid |
$7,105.88
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$3,579.24
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG4242
|
Min. Negotiated Rate |
$3,579.24 |
Max. Negotiated Rate |
$3,579.24 |
Rate for Payer: AHCCCS Medicaid |
$3,579.24
|
Rate for Payer: Allwell Medicaid |
$3,579.24
|
Rate for Payer: AZCH Complete Medicaid |
$3,579.24
|
Rate for Payer: Banner UC Health Medicaid |
$3,579.24
|
Rate for Payer: Mercy Care Medicaid |
$3,579.24
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$3,579.24
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG4241
|
Min. Negotiated Rate |
$3,579.24 |
Max. Negotiated Rate |
$3,579.24 |
Rate for Payer: AHCCCS Medicaid |
$3,579.24
|
Rate for Payer: Allwell Medicaid |
$3,579.24
|
Rate for Payer: AZCH Complete Medicaid |
$3,579.24
|
Rate for Payer: Banner UC Health Medicaid |
$3,579.24
|
Rate for Payer: Mercy Care Medicaid |
$3,579.24
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$13,603.65
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG4242
|
Min. Negotiated Rate |
$13,603.65 |
Max. Negotiated Rate |
$13,603.65 |
Rate for Payer: AHCCCS Medicaid |
$13,603.65
|
Rate for Payer: Allwell Medicaid |
$13,603.65
|
Rate for Payer: AZCH Complete Medicaid |
$13,603.65
|
Rate for Payer: Banner UC Health Medicaid |
$13,603.65
|
Rate for Payer: Mercy Care Medicaid |
$13,603.65
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$4,780.04
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG4243
|
Min. Negotiated Rate |
$4,780.04 |
Max. Negotiated Rate |
$4,780.04 |
Rate for Payer: AHCCCS Medicaid |
$4,780.04
|
Rate for Payer: Allwell Medicaid |
$4,780.04
|
Rate for Payer: AZCH Complete Medicaid |
$4,780.04
|
Rate for Payer: Banner UC Health Medicaid |
$4,780.04
|
Rate for Payer: Mercy Care Medicaid |
$4,780.04
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$3,579.24
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG4243
|
Min. Negotiated Rate |
$3,579.24 |
Max. Negotiated Rate |
$3,579.24 |
Rate for Payer: AHCCCS Medicaid |
$3,579.24
|
Rate for Payer: Allwell Medicaid |
$3,579.24
|
Rate for Payer: AZCH Complete Medicaid |
$3,579.24
|
Rate for Payer: Banner UC Health Medicaid |
$3,579.24
|
Rate for Payer: Mercy Care Medicaid |
$3,579.24
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$7,105.88
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG4244
|
Min. Negotiated Rate |
$7,105.88 |
Max. Negotiated Rate |
$7,105.88 |
Rate for Payer: AHCCCS Medicaid |
$7,105.88
|
Rate for Payer: Allwell Medicaid |
$7,105.88
|
Rate for Payer: AZCH Complete Medicaid |
$7,105.88
|
Rate for Payer: Banner UC Health Medicaid |
$7,105.88
|
Rate for Payer: Mercy Care Medicaid |
$7,105.88
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$7,105.88
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG4241
|
Min. Negotiated Rate |
$7,105.88 |
Max. Negotiated Rate |
$7,105.88 |
Rate for Payer: AHCCCS Medicaid |
$7,105.88
|
Rate for Payer: Allwell Medicaid |
$7,105.88
|
Rate for Payer: AZCH Complete Medicaid |
$7,105.88
|
Rate for Payer: Banner UC Health Medicaid |
$7,105.88
|
Rate for Payer: Mercy Care Medicaid |
$7,105.88
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$3,579.24
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG4244
|
Min. Negotiated Rate |
$3,579.24 |
Max. Negotiated Rate |
$3,579.24 |
Rate for Payer: AHCCCS Medicaid |
$3,579.24
|
Rate for Payer: Allwell Medicaid |
$3,579.24
|
Rate for Payer: AZCH Complete Medicaid |
$3,579.24
|
Rate for Payer: Banner UC Health Medicaid |
$3,579.24
|
Rate for Payer: Mercy Care Medicaid |
$3,579.24
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$4,780.04
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG4241
|
Min. Negotiated Rate |
$4,780.04 |
Max. Negotiated Rate |
$4,780.04 |
Rate for Payer: AHCCCS Medicaid |
$4,780.04
|
Rate for Payer: Allwell Medicaid |
$4,780.04
|
Rate for Payer: AZCH Complete Medicaid |
$4,780.04
|
Rate for Payer: Banner UC Health Medicaid |
$4,780.04
|
Rate for Payer: Mercy Care Medicaid |
$4,780.04
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$13,603.65
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG4244
|
Min. Negotiated Rate |
$13,603.65 |
Max. Negotiated Rate |
$13,603.65 |
Rate for Payer: AHCCCS Medicaid |
$13,603.65
|
Rate for Payer: Allwell Medicaid |
$13,603.65
|
Rate for Payer: AZCH Complete Medicaid |
$13,603.65
|
Rate for Payer: Banner UC Health Medicaid |
$13,603.65
|
Rate for Payer: Mercy Care Medicaid |
$13,603.65
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$13,603.65
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG4243
|
Min. Negotiated Rate |
$13,603.65 |
Max. Negotiated Rate |
$13,603.65 |
Rate for Payer: AHCCCS Medicaid |
$13,603.65
|
Rate for Payer: Allwell Medicaid |
$13,603.65
|
Rate for Payer: AZCH Complete Medicaid |
$13,603.65
|
Rate for Payer: Banner UC Health Medicaid |
$13,603.65
|
Rate for Payer: Mercy Care Medicaid |
$13,603.65
|
|
Other Endocrine Disorders
|
Facility
|
IP
|
$13,603.65
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG4241
|
Min. Negotiated Rate |
$13,603.65 |
Max. Negotiated Rate |
$13,603.65 |
Rate for Payer: AHCCCS Medicaid |
$13,603.65
|
Rate for Payer: Allwell Medicaid |
$13,603.65
|
Rate for Payer: AZCH Complete Medicaid |
$13,603.65
|
Rate for Payer: Banner UC Health Medicaid |
$13,603.65
|
Rate for Payer: Mercy Care Medicaid |
$13,603.65
|
|
Other Esophageal Disorders
|
Facility
|
IP
|
$13,180.71
|
|
Service Code
|
APR-DRG 2434
|
Hospital Charge Code |
APRDRG2432
|
Min. Negotiated Rate |
$13,180.71 |
Max. Negotiated Rate |
$13,180.71 |
Rate for Payer: AHCCCS Medicaid |
$13,180.71
|
Rate for Payer: Allwell Medicaid |
$13,180.71
|
Rate for Payer: AZCH Complete Medicaid |
$13,180.71
|
Rate for Payer: Banner UC Health Medicaid |
$13,180.71
|
Rate for Payer: Mercy Care Medicaid |
$13,180.71
|
|