|
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
|
$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
|
$3,726.54
|
|
|
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
|
$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 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
|
$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
|
$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 |
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 |
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 |
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 Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$27,123.14
|
|
|
Service Code
|
APR-DRG 2644
|
| Hospital Charge Code |
APRDRG2643
|
| 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 |
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
|
$27,123.14
|
|
|
Service Code
|
APR-DRG 2644
|
| Hospital Charge Code |
APRDRG2644
|
| 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
|
$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 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
|
$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
|
$9,034.73
|
|
|
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 |
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
|
$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
|
$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
|
$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
|
$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 |
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
|
|
