Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$27,123.14
|
|
Service Code
|
APR-DRG 2644
|
Hospital Charge Code |
APRDRG2641
|
Min. Negotiated Rate |
$27,123.14 |
Max. Negotiated Rate |
$27,123.14 |
Rate for Payer: AHCCCS Medicaid |
$27,123.14
|
Rate for Payer: Allwell Medicaid |
$27,123.14
|
Rate for Payer: AZCH Complete Medicaid |
$27,123.14
|
Rate for Payer: Banner UC Health Medicaid |
$27,123.14
|
Rate for Payer: Mercy Care Medicaid |
$27,123.14
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,094.35
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG2641
|
Min. Negotiated Rate |
$9,094.35 |
Max. Negotiated Rate |
$9,094.35 |
Rate for Payer: AHCCCS Medicaid |
$9,094.35
|
Rate for Payer: Allwell Medicaid |
$9,094.35
|
Rate for Payer: AZCH Complete Medicaid |
$9,094.35
|
Rate for Payer: Banner UC Health Medicaid |
$9,094.35
|
Rate for Payer: Mercy Care Medicaid |
$9,094.35
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,094.35
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG2644
|
Min. Negotiated Rate |
$9,094.35 |
Max. Negotiated Rate |
$9,094.35 |
Rate for Payer: AHCCCS Medicaid |
$9,094.35
|
Rate for Payer: Allwell Medicaid |
$9,094.35
|
Rate for Payer: AZCH Complete Medicaid |
$9,094.35
|
Rate for Payer: Banner UC Health Medicaid |
$9,094.35
|
Rate for Payer: Mercy Care Medicaid |
$9,094.35
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,094.35
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG2642
|
Min. Negotiated Rate |
$9,094.35 |
Max. Negotiated Rate |
$9,094.35 |
Rate for Payer: AHCCCS Medicaid |
$9,094.35
|
Rate for Payer: Allwell Medicaid |
$9,094.35
|
Rate for Payer: AZCH Complete Medicaid |
$9,094.35
|
Rate for Payer: Banner UC Health Medicaid |
$9,094.35
|
Rate for Payer: Mercy Care Medicaid |
$9,094.35
|
|
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
|
$10,384.23
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG2642
|
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
|
$9,094.35
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG2643
|
Min. Negotiated Rate |
$9,094.35 |
Max. Negotiated Rate |
$9,094.35 |
Rate for Payer: AHCCCS Medicaid |
$9,094.35
|
Rate for Payer: Allwell Medicaid |
$9,094.35
|
Rate for Payer: AZCH Complete Medicaid |
$9,094.35
|
Rate for Payer: Banner UC Health Medicaid |
$9,094.35
|
Rate for Payer: Mercy Care Medicaid |
$9,094.35
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$27,123.14
|
|
Service Code
|
APR-DRG 2644
|
Hospital Charge Code |
APRDRG2642
|
Min. Negotiated Rate |
$27,123.14 |
Max. Negotiated Rate |
$27,123.14 |
Rate for Payer: AHCCCS Medicaid |
$27,123.14
|
Rate for Payer: Allwell Medicaid |
$27,123.14
|
Rate for Payer: AZCH Complete Medicaid |
$27,123.14
|
Rate for Payer: Banner UC Health Medicaid |
$27,123.14
|
Rate for Payer: Mercy Care Medicaid |
$27,123.14
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,034.73
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG2643
|
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
|
|
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
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,034.73
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG2642
|
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
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,034.73
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG2644
|
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
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$10,384.23
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG2643
|
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 Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
Service Code
|
APR-DRG 7244
|
Hospital Charge Code |
APRDRG7243
|
Min. Negotiated Rate |
$18,566.06 |
Max. Negotiated Rate |
$18,566.06 |
Rate for Payer: AHCCCS Medicaid |
$18,566.06
|
Rate for Payer: Allwell Medicaid |
$18,566.06
|
Rate for Payer: AZCH Complete Medicaid |
$18,566.06
|
Rate for Payer: Banner UC Health Medicaid |
$18,566.06
|
Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
Service Code
|
APR-DRG 7244
|
Hospital Charge Code |
APRDRG7242
|
Min. Negotiated Rate |
$18,566.06 |
Max. Negotiated Rate |
$18,566.06 |
Rate for Payer: AHCCCS Medicaid |
$18,566.06
|
Rate for Payer: Allwell Medicaid |
$18,566.06
|
Rate for Payer: AZCH Complete Medicaid |
$18,566.06
|
Rate for Payer: Banner UC Health Medicaid |
$18,566.06
|
Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
Service Code
|
APR-DRG 7241
|
Hospital Charge Code |
APRDRG7244
|
Min. Negotiated Rate |
$3,896.28 |
Max. Negotiated Rate |
$3,896.28 |
Rate for Payer: AHCCCS Medicaid |
$3,896.28
|
Rate for Payer: Allwell Medicaid |
$3,896.28
|
Rate for Payer: AZCH Complete Medicaid |
$3,896.28
|
Rate for Payer: Banner UC Health Medicaid |
$3,896.28
|
Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
Service Code
|
APR-DRG 7243
|
Hospital Charge Code |
APRDRG7241
|
Min. Negotiated Rate |
$8,141.15 |
Max. Negotiated Rate |
$8,141.15 |
Rate for Payer: AHCCCS Medicaid |
$8,141.15
|
Rate for Payer: Allwell Medicaid |
$8,141.15
|
Rate for Payer: AZCH Complete Medicaid |
$8,141.15
|
Rate for Payer: Banner UC Health Medicaid |
$8,141.15
|
Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
Service Code
|
APR-DRG 7244
|
Hospital Charge Code |
APRDRG7241
|
Min. Negotiated Rate |
$18,566.06 |
Max. Negotiated Rate |
$18,566.06 |
Rate for Payer: AHCCCS Medicaid |
$18,566.06
|
Rate for Payer: Allwell Medicaid |
$18,566.06
|
Rate for Payer: AZCH Complete Medicaid |
$18,566.06
|
Rate for Payer: Banner UC Health Medicaid |
$18,566.06
|
Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
Service Code
|
APR-DRG 7241
|
Hospital Charge Code |
APRDRG7241
|
Min. Negotiated Rate |
$3,896.28 |
Max. Negotiated Rate |
$3,896.28 |
Rate for Payer: AHCCCS Medicaid |
$3,896.28
|
Rate for Payer: Allwell Medicaid |
$3,896.28
|
Rate for Payer: AZCH Complete Medicaid |
$3,896.28
|
Rate for Payer: Banner UC Health Medicaid |
$3,896.28
|
Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
Service Code
|
APR-DRG 7242
|
Hospital Charge Code |
APRDRG7241
|
Min. Negotiated Rate |
$4,714.11 |
Max. Negotiated Rate |
$4,714.11 |
Rate for Payer: AHCCCS Medicaid |
$4,714.11
|
Rate for Payer: Allwell Medicaid |
$4,714.11
|
Rate for Payer: AZCH Complete Medicaid |
$4,714.11
|
Rate for Payer: Banner UC Health Medicaid |
$4,714.11
|
Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
Service Code
|
APR-DRG 7242
|
Hospital Charge Code |
APRDRG7242
|
Min. Negotiated Rate |
$4,714.11 |
Max. Negotiated Rate |
$4,714.11 |
Rate for Payer: AHCCCS Medicaid |
$4,714.11
|
Rate for Payer: Allwell Medicaid |
$4,714.11
|
Rate for Payer: AZCH Complete Medicaid |
$4,714.11
|
Rate for Payer: Banner UC Health Medicaid |
$4,714.11
|
Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
Service Code
|
APR-DRG 7244
|
Hospital Charge Code |
APRDRG7244
|
Min. Negotiated Rate |
$18,566.06 |
Max. Negotiated Rate |
$18,566.06 |
Rate for Payer: AHCCCS Medicaid |
$18,566.06
|
Rate for Payer: Allwell Medicaid |
$18,566.06
|
Rate for Payer: AZCH Complete Medicaid |
$18,566.06
|
Rate for Payer: Banner UC Health Medicaid |
$18,566.06
|
Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
Service Code
|
APR-DRG 7243
|
Hospital Charge Code |
APRDRG7242
|
Min. Negotiated Rate |
$8,141.15 |
Max. Negotiated Rate |
$8,141.15 |
Rate for Payer: AHCCCS Medicaid |
$8,141.15
|
Rate for Payer: Allwell Medicaid |
$8,141.15
|
Rate for Payer: AZCH Complete Medicaid |
$8,141.15
|
Rate for Payer: Banner UC Health Medicaid |
$8,141.15
|
Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
Service Code
|
APR-DRG 7241
|
Hospital Charge Code |
APRDRG7242
|
Min. Negotiated Rate |
$3,896.28 |
Max. Negotiated Rate |
$3,896.28 |
Rate for Payer: AHCCCS Medicaid |
$3,896.28
|
Rate for Payer: Allwell Medicaid |
$3,896.28
|
Rate for Payer: AZCH Complete Medicaid |
$3,896.28
|
Rate for Payer: Banner UC Health Medicaid |
$3,896.28
|
Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
Service Code
|
APR-DRG 7243
|
Hospital Charge Code |
APRDRG7244
|
Min. Negotiated Rate |
$8,141.15 |
Max. Negotiated Rate |
$8,141.15 |
Rate for Payer: AHCCCS Medicaid |
$8,141.15
|
Rate for Payer: Allwell Medicaid |
$8,141.15
|
Rate for Payer: AZCH Complete Medicaid |
$8,141.15
|
Rate for Payer: Banner UC Health Medicaid |
$8,141.15
|
Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
|