Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,829.03
|
|
Service Code
|
APR-DRG 5182
|
Hospital Charge Code |
APRDRG5183
|
Min. Negotiated Rate |
$7,829.03 |
Max. Negotiated Rate |
$7,829.03 |
Rate for Payer: AHCCCS Medicaid |
$7,829.03
|
Rate for Payer: Allwell Medicaid |
$7,829.03
|
Rate for Payer: AZCH Complete Medicaid |
$7,829.03
|
Rate for Payer: Banner UC Health Medicaid |
$7,829.03
|
Rate for Payer: Mercy Care Medicaid |
$7,829.03
|
|
Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$15,416.77
|
|
Service Code
|
APR-DRG 5183
|
Hospital Charge Code |
APRDRG5181
|
Min. Negotiated Rate |
$15,416.77 |
Max. Negotiated Rate |
$15,416.77 |
Rate for Payer: AHCCCS Medicaid |
$15,416.77
|
Rate for Payer: Allwell Medicaid |
$15,416.77
|
Rate for Payer: AZCH Complete Medicaid |
$15,416.77
|
Rate for Payer: Banner UC Health Medicaid |
$15,416.77
|
Rate for Payer: Mercy Care Medicaid |
$15,416.77
|
|
Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,829.03
|
|
Service Code
|
APR-DRG 5182
|
Hospital Charge Code |
APRDRG5181
|
Min. Negotiated Rate |
$7,829.03 |
Max. Negotiated Rate |
$7,829.03 |
Rate for Payer: AHCCCS Medicaid |
$7,829.03
|
Rate for Payer: Allwell Medicaid |
$7,829.03
|
Rate for Payer: AZCH Complete Medicaid |
$7,829.03
|
Rate for Payer: Banner UC Health Medicaid |
$7,829.03
|
Rate for Payer: Mercy Care Medicaid |
$7,829.03
|
|
Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$21,533.68
|
|
Service Code
|
APR-DRG 5184
|
Hospital Charge Code |
APRDRG5181
|
Min. Negotiated Rate |
$21,533.68 |
Max. Negotiated Rate |
$21,533.68 |
Rate for Payer: AHCCCS Medicaid |
$21,533.68
|
Rate for Payer: Allwell Medicaid |
$21,533.68
|
Rate for Payer: AZCH Complete Medicaid |
$21,533.68
|
Rate for Payer: Banner UC Health Medicaid |
$21,533.68
|
Rate for Payer: Mercy Care Medicaid |
$21,533.68
|
|
Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,829.03
|
|
Service Code
|
APR-DRG 5182
|
Hospital Charge Code |
APRDRG5184
|
Min. Negotiated Rate |
$7,829.03 |
Max. Negotiated Rate |
$7,829.03 |
Rate for Payer: AHCCCS Medicaid |
$7,829.03
|
Rate for Payer: Allwell Medicaid |
$7,829.03
|
Rate for Payer: AZCH Complete Medicaid |
$7,829.03
|
Rate for Payer: Banner UC Health Medicaid |
$7,829.03
|
Rate for Payer: Mercy Care Medicaid |
$7,829.03
|
|
Other Female Reproductive System And Related Procedures
|
Facility
|
IP
|
$5,804.79
|
|
Service Code
|
APR-DRG 5181
|
Hospital Charge Code |
APRDRG5183
|
Min. Negotiated Rate |
$5,804.79 |
Max. Negotiated Rate |
$5,804.79 |
Rate for Payer: AHCCCS Medicaid |
$5,804.79
|
Rate for Payer: Allwell Medicaid |
$5,804.79
|
Rate for Payer: AZCH Complete Medicaid |
$5,804.79
|
Rate for Payer: Banner UC Health Medicaid |
$5,804.79
|
Rate for Payer: Mercy Care Medicaid |
$5,804.79
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$5,482.14
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG2493
|
Min. Negotiated Rate |
$5,482.14 |
Max. Negotiated Rate |
$5,482.14 |
Rate for Payer: AHCCCS Medicaid |
$5,482.14
|
Rate for Payer: Allwell Medicaid |
$5,482.14
|
Rate for Payer: AZCH Complete Medicaid |
$5,482.14
|
Rate for Payer: Banner UC Health Medicaid |
$5,482.14
|
Rate for Payer: Mercy Care Medicaid |
$5,482.14
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,726.54
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG2493
|
Min. Negotiated Rate |
$3,726.54 |
Max. Negotiated Rate |
$3,726.54 |
Rate for Payer: AHCCCS Medicaid |
$3,726.54
|
Rate for Payer: Allwell Medicaid |
$3,726.54
|
Rate for Payer: AZCH Complete Medicaid |
$3,726.54
|
Rate for Payer: Banner UC Health Medicaid |
$3,726.54
|
Rate for Payer: Mercy Care Medicaid |
$3,726.54
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,726.54
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG2492
|
Min. Negotiated Rate |
$3,726.54 |
Max. Negotiated Rate |
$3,726.54 |
Rate for Payer: AHCCCS Medicaid |
$3,726.54
|
Rate for Payer: Allwell Medicaid |
$3,726.54
|
Rate for Payer: AZCH Complete Medicaid |
$3,726.54
|
Rate for Payer: Banner UC Health Medicaid |
$3,726.54
|
Rate for Payer: Mercy Care Medicaid |
$3,726.54
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,125.44
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG2492
|
Min. Negotiated Rate |
$3,125.44 |
Max. Negotiated Rate |
$3,125.44 |
Rate for Payer: AHCCCS Medicaid |
$3,125.44
|
Rate for Payer: Allwell Medicaid |
$3,125.44
|
Rate for Payer: AZCH Complete Medicaid |
$3,125.44
|
Rate for Payer: Banner UC Health Medicaid |
$3,125.44
|
Rate for Payer: Mercy Care Medicaid |
$3,125.44
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$11,184.52
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG2494
|
Min. Negotiated Rate |
$11,184.52 |
Max. Negotiated Rate |
$11,184.52 |
Rate for Payer: AHCCCS Medicaid |
$11,184.52
|
Rate for Payer: Allwell Medicaid |
$11,184.52
|
Rate for Payer: AZCH Complete Medicaid |
$11,184.52
|
Rate for Payer: Banner UC Health Medicaid |
$11,184.52
|
Rate for Payer: Mercy Care Medicaid |
$11,184.52
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$5,482.14
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG2491
|
Min. Negotiated Rate |
$5,482.14 |
Max. Negotiated Rate |
$5,482.14 |
Rate for Payer: AHCCCS Medicaid |
$5,482.14
|
Rate for Payer: Allwell Medicaid |
$5,482.14
|
Rate for Payer: AZCH Complete Medicaid |
$5,482.14
|
Rate for Payer: Banner UC Health Medicaid |
$5,482.14
|
Rate for Payer: Mercy Care Medicaid |
$5,482.14
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$11,184.52
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG2492
|
Min. Negotiated Rate |
$11,184.52 |
Max. Negotiated Rate |
$11,184.52 |
Rate for Payer: AHCCCS Medicaid |
$11,184.52
|
Rate for Payer: Allwell Medicaid |
$11,184.52
|
Rate for Payer: AZCH Complete Medicaid |
$11,184.52
|
Rate for Payer: Banner UC Health Medicaid |
$11,184.52
|
Rate for Payer: Mercy Care Medicaid |
$11,184.52
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,726.54
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG2491
|
Min. Negotiated Rate |
$3,726.54 |
Max. Negotiated Rate |
$3,726.54 |
Rate for Payer: AHCCCS Medicaid |
$3,726.54
|
Rate for Payer: Allwell Medicaid |
$3,726.54
|
Rate for Payer: AZCH Complete Medicaid |
$3,726.54
|
Rate for Payer: Banner UC Health Medicaid |
$3,726.54
|
Rate for Payer: Mercy Care Medicaid |
$3,726.54
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$5,482.14
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG2492
|
Min. Negotiated Rate |
$5,482.14 |
Max. Negotiated Rate |
$5,482.14 |
Rate for Payer: AHCCCS Medicaid |
$5,482.14
|
Rate for Payer: Allwell Medicaid |
$5,482.14
|
Rate for Payer: AZCH Complete Medicaid |
$5,482.14
|
Rate for Payer: Banner UC Health Medicaid |
$5,482.14
|
Rate for Payer: Mercy Care Medicaid |
$5,482.14
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,125.44
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG2491
|
Min. Negotiated Rate |
$3,125.44 |
Max. Negotiated Rate |
$3,125.44 |
Rate for Payer: AHCCCS Medicaid |
$3,125.44
|
Rate for Payer: Allwell Medicaid |
$3,125.44
|
Rate for Payer: AZCH Complete Medicaid |
$3,125.44
|
Rate for Payer: Banner UC Health Medicaid |
$3,125.44
|
Rate for Payer: Mercy Care Medicaid |
$3,125.44
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,726.54
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG2494
|
Min. Negotiated Rate |
$3,726.54 |
Max. Negotiated Rate |
$3,726.54 |
Rate for Payer: AHCCCS Medicaid |
$3,726.54
|
Rate for Payer: Allwell Medicaid |
$3,726.54
|
Rate for Payer: AZCH Complete Medicaid |
$3,726.54
|
Rate for Payer: Banner UC Health Medicaid |
$3,726.54
|
Rate for Payer: Mercy Care Medicaid |
$3,726.54
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$11,184.52
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG2493
|
Min. Negotiated Rate |
$11,184.52 |
Max. Negotiated Rate |
$11,184.52 |
Rate for Payer: AHCCCS Medicaid |
$11,184.52
|
Rate for Payer: Allwell Medicaid |
$11,184.52
|
Rate for Payer: AZCH Complete Medicaid |
$11,184.52
|
Rate for Payer: Banner UC Health Medicaid |
$11,184.52
|
Rate for Payer: Mercy Care Medicaid |
$11,184.52
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$5,482.14
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG2494
|
Min. Negotiated Rate |
$5,482.14 |
Max. Negotiated Rate |
$5,482.14 |
Rate for Payer: AHCCCS Medicaid |
$5,482.14
|
Rate for Payer: Allwell Medicaid |
$5,482.14
|
Rate for Payer: AZCH Complete Medicaid |
$5,482.14
|
Rate for Payer: Banner UC Health Medicaid |
$5,482.14
|
Rate for Payer: Mercy Care Medicaid |
$5,482.14
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,125.44
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG2494
|
Min. Negotiated Rate |
$3,125.44 |
Max. Negotiated Rate |
$3,125.44 |
Rate for Payer: AHCCCS Medicaid |
$3,125.44
|
Rate for Payer: Allwell Medicaid |
$3,125.44
|
Rate for Payer: AZCH Complete Medicaid |
$3,125.44
|
Rate for Payer: Banner UC Health Medicaid |
$3,125.44
|
Rate for Payer: Mercy Care Medicaid |
$3,125.44
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$11,184.52
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG2491
|
Min. Negotiated Rate |
$11,184.52 |
Max. Negotiated Rate |
$11,184.52 |
Rate for Payer: AHCCCS Medicaid |
$11,184.52
|
Rate for Payer: Allwell Medicaid |
$11,184.52
|
Rate for Payer: AZCH Complete Medicaid |
$11,184.52
|
Rate for Payer: Banner UC Health Medicaid |
$11,184.52
|
Rate for Payer: Mercy Care Medicaid |
$11,184.52
|
|
Other Gastroenteritis, Nausea And Vomiting
|
Facility
|
IP
|
$3,125.44
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG2493
|
Min. Negotiated Rate |
$3,125.44 |
Max. Negotiated Rate |
$3,125.44 |
Rate for Payer: AHCCCS Medicaid |
$3,125.44
|
Rate for Payer: Allwell Medicaid |
$3,125.44
|
Rate for Payer: AZCH Complete Medicaid |
$3,125.44
|
Rate for Payer: Banner UC Health Medicaid |
$3,125.44
|
Rate for Payer: Mercy Care Medicaid |
$3,125.44
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$10,384.23
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG2644
|
Min. Negotiated Rate |
$10,384.23 |
Max. Negotiated Rate |
$10,384.23 |
Rate for Payer: AHCCCS Medicaid |
$10,384.23
|
Rate for Payer: Allwell Medicaid |
$10,384.23
|
Rate for Payer: AZCH Complete Medicaid |
$10,384.23
|
Rate for Payer: Banner UC Health Medicaid |
$10,384.23
|
Rate for Payer: Mercy Care Medicaid |
$10,384.23
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$10,384.23
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG2641
|
Min. Negotiated Rate |
$10,384.23 |
Max. Negotiated Rate |
$10,384.23 |
Rate for Payer: AHCCCS Medicaid |
$10,384.23
|
Rate for Payer: Allwell Medicaid |
$10,384.23
|
Rate for Payer: AZCH Complete Medicaid |
$10,384.23
|
Rate for Payer: Banner UC Health Medicaid |
$10,384.23
|
Rate for Payer: Mercy Care Medicaid |
$10,384.23
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,034.73
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG2641
|
Min. Negotiated Rate |
$9,034.73 |
Max. Negotiated Rate |
$9,034.73 |
Rate for Payer: AHCCCS Medicaid |
$9,034.73
|
Rate for Payer: Allwell Medicaid |
$9,034.73
|
Rate for Payer: AZCH Complete Medicaid |
$9,034.73
|
Rate for Payer: Banner UC Health Medicaid |
$9,034.73
|
Rate for Payer: Mercy Care Medicaid |
$9,034.73
|
|