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Charge Type Setting Price  
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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