Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
Service Code
|
APR-DRG 7243
|
Hospital Charge Code |
APRDRG7243
|
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 |
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
|
$3,896.28
|
|
Service Code
|
APR-DRG 7241
|
Hospital Charge Code |
APRDRG7243
|
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 Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$3,840.87
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG8151
|
Min. Negotiated Rate |
$3,840.87 |
Max. Negotiated Rate |
$3,840.87 |
Rate for Payer: AHCCCS Medicaid |
$3,840.87
|
Rate for Payer: Allwell Medicaid |
$3,840.87
|
Rate for Payer: AZCH Complete Medicaid |
$3,840.87
|
Rate for Payer: Banner UC Health Medicaid |
$3,840.87
|
Rate for Payer: Mercy Care Medicaid |
$3,840.87
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$16,898.13
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG8151
|
Min. Negotiated Rate |
$16,898.13 |
Max. Negotiated Rate |
$16,898.13 |
Rate for Payer: AHCCCS Medicaid |
$16,898.13
|
Rate for Payer: Allwell Medicaid |
$16,898.13
|
Rate for Payer: AZCH Complete Medicaid |
$16,898.13
|
Rate for Payer: Banner UC Health Medicaid |
$16,898.13
|
Rate for Payer: Mercy Care Medicaid |
$16,898.13
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$2,978.14
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG8151
|
Min. Negotiated Rate |
$2,978.14 |
Max. Negotiated Rate |
$2,978.14 |
Rate for Payer: AHCCCS Medicaid |
$2,978.14
|
Rate for Payer: Allwell Medicaid |
$2,978.14
|
Rate for Payer: AZCH Complete Medicaid |
$2,978.14
|
Rate for Payer: Banner UC Health Medicaid |
$2,978.14
|
Rate for Payer: Mercy Care Medicaid |
$2,978.14
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$6,475.32
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG8151
|
Min. Negotiated Rate |
$6,475.32 |
Max. Negotiated Rate |
$6,475.32 |
Rate for Payer: AHCCCS Medicaid |
$6,475.32
|
Rate for Payer: Allwell Medicaid |
$6,475.32
|
Rate for Payer: AZCH Complete Medicaid |
$6,475.32
|
Rate for Payer: Banner UC Health Medicaid |
$6,475.32
|
Rate for Payer: Mercy Care Medicaid |
$6,475.32
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$6,475.32
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG8153
|
Min. Negotiated Rate |
$6,475.32 |
Max. Negotiated Rate |
$6,475.32 |
Rate for Payer: AHCCCS Medicaid |
$6,475.32
|
Rate for Payer: Allwell Medicaid |
$6,475.32
|
Rate for Payer: AZCH Complete Medicaid |
$6,475.32
|
Rate for Payer: Banner UC Health Medicaid |
$6,475.32
|
Rate for Payer: Mercy Care Medicaid |
$6,475.32
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$3,840.87
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG8154
|
Min. Negotiated Rate |
$3,840.87 |
Max. Negotiated Rate |
$3,840.87 |
Rate for Payer: AHCCCS Medicaid |
$3,840.87
|
Rate for Payer: Allwell Medicaid |
$3,840.87
|
Rate for Payer: AZCH Complete Medicaid |
$3,840.87
|
Rate for Payer: Banner UC Health Medicaid |
$3,840.87
|
Rate for Payer: Mercy Care Medicaid |
$3,840.87
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$2,978.14
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG8154
|
Min. Negotiated Rate |
$2,978.14 |
Max. Negotiated Rate |
$2,978.14 |
Rate for Payer: AHCCCS Medicaid |
$2,978.14
|
Rate for Payer: Allwell Medicaid |
$2,978.14
|
Rate for Payer: AZCH Complete Medicaid |
$2,978.14
|
Rate for Payer: Banner UC Health Medicaid |
$2,978.14
|
Rate for Payer: Mercy Care Medicaid |
$2,978.14
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$6,475.32
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG8154
|
Min. Negotiated Rate |
$6,475.32 |
Max. Negotiated Rate |
$6,475.32 |
Rate for Payer: AHCCCS Medicaid |
$6,475.32
|
Rate for Payer: Allwell Medicaid |
$6,475.32
|
Rate for Payer: AZCH Complete Medicaid |
$6,475.32
|
Rate for Payer: Banner UC Health Medicaid |
$6,475.32
|
Rate for Payer: Mercy Care Medicaid |
$6,475.32
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$2,978.14
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG8153
|
Min. Negotiated Rate |
$2,978.14 |
Max. Negotiated Rate |
$2,978.14 |
Rate for Payer: AHCCCS Medicaid |
$2,978.14
|
Rate for Payer: Allwell Medicaid |
$2,978.14
|
Rate for Payer: AZCH Complete Medicaid |
$2,978.14
|
Rate for Payer: Banner UC Health Medicaid |
$2,978.14
|
Rate for Payer: Mercy Care Medicaid |
$2,978.14
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$2,978.14
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG8152
|
Min. Negotiated Rate |
$2,978.14 |
Max. Negotiated Rate |
$2,978.14 |
Rate for Payer: AHCCCS Medicaid |
$2,978.14
|
Rate for Payer: Allwell Medicaid |
$2,978.14
|
Rate for Payer: AZCH Complete Medicaid |
$2,978.14
|
Rate for Payer: Banner UC Health Medicaid |
$2,978.14
|
Rate for Payer: Mercy Care Medicaid |
$2,978.14
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$16,898.13
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG8152
|
Min. Negotiated Rate |
$16,898.13 |
Max. Negotiated Rate |
$16,898.13 |
Rate for Payer: AHCCCS Medicaid |
$16,898.13
|
Rate for Payer: Allwell Medicaid |
$16,898.13
|
Rate for Payer: AZCH Complete Medicaid |
$16,898.13
|
Rate for Payer: Banner UC Health Medicaid |
$16,898.13
|
Rate for Payer: Mercy Care Medicaid |
$16,898.13
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$6,475.32
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG8152
|
Min. Negotiated Rate |
$6,475.32 |
Max. Negotiated Rate |
$6,475.32 |
Rate for Payer: AHCCCS Medicaid |
$6,475.32
|
Rate for Payer: Allwell Medicaid |
$6,475.32
|
Rate for Payer: AZCH Complete Medicaid |
$6,475.32
|
Rate for Payer: Banner UC Health Medicaid |
$6,475.32
|
Rate for Payer: Mercy Care Medicaid |
$6,475.32
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$16,898.13
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG8154
|
Min. Negotiated Rate |
$16,898.13 |
Max. Negotiated Rate |
$16,898.13 |
Rate for Payer: AHCCCS Medicaid |
$16,898.13
|
Rate for Payer: Allwell Medicaid |
$16,898.13
|
Rate for Payer: AZCH Complete Medicaid |
$16,898.13
|
Rate for Payer: Banner UC Health Medicaid |
$16,898.13
|
Rate for Payer: Mercy Care Medicaid |
$16,898.13
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$16,898.13
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG8153
|
Min. Negotiated Rate |
$16,898.13 |
Max. Negotiated Rate |
$16,898.13 |
Rate for Payer: AHCCCS Medicaid |
$16,898.13
|
Rate for Payer: Allwell Medicaid |
$16,898.13
|
Rate for Payer: AZCH Complete Medicaid |
$16,898.13
|
Rate for Payer: Banner UC Health Medicaid |
$16,898.13
|
Rate for Payer: Mercy Care Medicaid |
$16,898.13
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$3,840.87
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG8153
|
Min. Negotiated Rate |
$3,840.87 |
Max. Negotiated Rate |
$3,840.87 |
Rate for Payer: AHCCCS Medicaid |
$3,840.87
|
Rate for Payer: Allwell Medicaid |
$3,840.87
|
Rate for Payer: AZCH Complete Medicaid |
$3,840.87
|
Rate for Payer: Banner UC Health Medicaid |
$3,840.87
|
Rate for Payer: Mercy Care Medicaid |
$3,840.87
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$3,840.87
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG8152
|
Min. Negotiated Rate |
$3,840.87 |
Max. Negotiated Rate |
$3,840.87 |
Rate for Payer: AHCCCS Medicaid |
$3,840.87
|
Rate for Payer: Allwell Medicaid |
$3,840.87
|
Rate for Payer: AZCH Complete Medicaid |
$3,840.87
|
Rate for Payer: Banner UC Health Medicaid |
$3,840.87
|
Rate for Payer: Mercy Care Medicaid |
$3,840.87
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG4683
|
Min. Negotiated Rate |
$11,770.19 |
Max. Negotiated Rate |
$11,770.19 |
Rate for Payer: AHCCCS Medicaid |
$11,770.19
|
Rate for Payer: Allwell Medicaid |
$11,770.19
|
Rate for Payer: AZCH Complete Medicaid |
$11,770.19
|
Rate for Payer: Banner UC Health Medicaid |
$11,770.19
|
Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG4684
|
Min. Negotiated Rate |
$11,770.19 |
Max. Negotiated Rate |
$11,770.19 |
Rate for Payer: AHCCCS Medicaid |
$11,770.19
|
Rate for Payer: Allwell Medicaid |
$11,770.19
|
Rate for Payer: AZCH Complete Medicaid |
$11,770.19
|
Rate for Payer: Banner UC Health Medicaid |
$11,770.19
|
Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG4682
|
Min. Negotiated Rate |
$11,770.19 |
Max. Negotiated Rate |
$11,770.19 |
Rate for Payer: AHCCCS Medicaid |
$11,770.19
|
Rate for Payer: Allwell Medicaid |
$11,770.19
|
Rate for Payer: AZCH Complete Medicaid |
$11,770.19
|
Rate for Payer: Banner UC Health Medicaid |
$11,770.19
|
Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$6,754.48
|
|
Service Code
|
APR-DRG 4683
|
Hospital Charge Code |
APRDRG4684
|
Min. Negotiated Rate |
$6,754.48 |
Max. Negotiated Rate |
$6,754.48 |
Rate for Payer: AHCCCS Medicaid |
$6,754.48
|
Rate for Payer: Allwell Medicaid |
$6,754.48
|
Rate for Payer: AZCH Complete Medicaid |
$6,754.48
|
Rate for Payer: Banner UC Health Medicaid |
$6,754.48
|
Rate for Payer: Mercy Care Medicaid |
$6,754.48
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG4681
|
Min. Negotiated Rate |
$11,770.19 |
Max. Negotiated Rate |
$11,770.19 |
Rate for Payer: AHCCCS Medicaid |
$11,770.19
|
Rate for Payer: Allwell Medicaid |
$11,770.19
|
Rate for Payer: AZCH Complete Medicaid |
$11,770.19
|
Rate for Payer: Banner UC Health Medicaid |
$11,770.19
|
Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
|