|
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
|
$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
|
$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
|
$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
|
$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, 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 |
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
|
$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
|
$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
|
$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
|
$3,431.25
|
|
|
Service Code
|
APR-DRG 1151
|
| Hospital Charge Code |
APRDRG1152
|
| 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 |
APRDRG1154
|
| 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
|
$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
|
$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
|
$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
|
$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
|
$13,565.78
|
|
|
Service Code
|
APR-DRG 1154
|
| Hospital Charge Code |
APRDRG1151
|
| 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
|
$13,565.78
|
|
|
Service Code
|
APR-DRG 1154
|
| Hospital Charge Code |
APRDRG1153
|
| 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
|
$4,564.71
|
|
|
Service Code
|
APR-DRG 1152
|
| Hospital Charge Code |
APRDRG1151
|
| 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
|
$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
|
$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 |
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
|
$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
|
|