|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$6,754.48
|
|
|
Service Code
|
APR-DRG 4683
|
| Hospital Charge Code |
APRDRG4682
|
| 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
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4684
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: AHCCCS Medicaid |
$3,485.26
|
| Rate for Payer: Allwell Medicaid |
$3,485.26
|
| Rate for Payer: AZCH Complete Medicaid |
$3,485.26
|
| Rate for Payer: Banner UC Health Medicaid |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4682
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: AHCCCS Medicaid |
$3,485.26
|
| Rate for Payer: Allwell Medicaid |
$3,485.26
|
| Rate for Payer: AZCH Complete Medicaid |
$3,485.26
|
| Rate for Payer: Banner UC Health Medicaid |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4683
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: AHCCCS Medicaid |
$4,490.36
|
| Rate for Payer: Allwell Medicaid |
$4,490.36
|
| Rate for Payer: AZCH Complete Medicaid |
$4,490.36
|
| Rate for Payer: Banner UC Health Medicaid |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$6,754.48
|
|
|
Service Code
|
APR-DRG 4683
|
| Hospital Charge Code |
APRDRG4681
|
| 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
|
$6,754.48
|
|
|
Service Code
|
APR-DRG 4683
|
| Hospital Charge Code |
APRDRG4683
|
| 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
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4682
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: AHCCCS Medicaid |
$4,490.36
|
| Rate for Payer: Allwell Medicaid |
$4,490.36
|
| Rate for Payer: AZCH Complete Medicaid |
$4,490.36
|
| Rate for Payer: Banner UC Health Medicaid |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4681
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: AHCCCS Medicaid |
$4,490.36
|
| Rate for Payer: Allwell Medicaid |
$4,490.36
|
| Rate for Payer: AZCH Complete Medicaid |
$4,490.36
|
| Rate for Payer: Banner UC Health Medicaid |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4684
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: AHCCCS Medicaid |
$4,490.36
|
| Rate for Payer: Allwell Medicaid |
$4,490.36
|
| Rate for Payer: AZCH Complete Medicaid |
$4,490.36
|
| Rate for Payer: Banner UC Health Medicaid |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4683
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: AHCCCS Medicaid |
$3,485.26
|
| Rate for Payer: Allwell Medicaid |
$3,485.26
|
| Rate for Payer: AZCH Complete Medicaid |
$3,485.26
|
| Rate for Payer: Banner UC Health Medicaid |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4681
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: AHCCCS Medicaid |
$3,485.26
|
| Rate for Payer: Allwell Medicaid |
$3,485.26
|
| Rate for Payer: AZCH Complete Medicaid |
$3,485.26
|
| Rate for Payer: Banner UC Health Medicaid |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4471
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: AHCCCS Medicaid |
$9,990.04
|
| Rate for Payer: Allwell Medicaid |
$9,990.04
|
| Rate for Payer: AZCH Complete Medicaid |
$9,990.04
|
| Rate for Payer: Banner UC Health Medicaid |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$14,459.36
|
|
|
Service Code
|
APR-DRG 4473
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$14,459.36 |
| Max. Negotiated Rate |
$14,459.36 |
| Rate for Payer: AHCCCS Medicaid |
$14,459.36
|
| Rate for Payer: Allwell Medicaid |
$14,459.36
|
| Rate for Payer: AZCH Complete Medicaid |
$14,459.36
|
| Rate for Payer: Banner UC Health Medicaid |
$14,459.36
|
| Rate for Payer: Mercy Care Medicaid |
$14,459.36
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4471
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: AHCCCS Medicaid |
$32,618.61
|
| Rate for Payer: Allwell Medicaid |
$32,618.61
|
| Rate for Payer: AZCH Complete Medicaid |
$32,618.61
|
| Rate for Payer: Banner UC Health Medicaid |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: AHCCCS Medicaid |
$9,990.04
|
| Rate for Payer: Allwell Medicaid |
$9,990.04
|
| Rate for Payer: AZCH Complete Medicaid |
$9,990.04
|
| Rate for Payer: Banner UC Health Medicaid |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4474
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: AHCCCS Medicaid |
$9,990.04
|
| Rate for Payer: Allwell Medicaid |
$9,990.04
|
| Rate for Payer: AZCH Complete Medicaid |
$9,990.04
|
| Rate for Payer: Banner UC Health Medicaid |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: AHCCCS Medicaid |
$9,990.04
|
| Rate for Payer: Allwell Medicaid |
$9,990.04
|
| Rate for Payer: AZCH Complete Medicaid |
$9,990.04
|
| Rate for Payer: Banner UC Health Medicaid |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$14,459.36
|
|
|
Service Code
|
APR-DRG 4473
|
| Hospital Charge Code |
APRDRG4474
|
| Min. Negotiated Rate |
$14,459.36 |
| Max. Negotiated Rate |
$14,459.36 |
| Rate for Payer: AHCCCS Medicaid |
$14,459.36
|
| Rate for Payer: Allwell Medicaid |
$14,459.36
|
| Rate for Payer: AZCH Complete Medicaid |
$14,459.36
|
| Rate for Payer: Banner UC Health Medicaid |
$14,459.36
|
| Rate for Payer: Mercy Care Medicaid |
$14,459.36
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4471
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,271.11
|
| Rate for Payer: Allwell Medicaid |
$9,271.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,271.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,271.11
|
| Rate for Payer: Allwell Medicaid |
$9,271.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,271.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$14,459.36
|
|
|
Service Code
|
APR-DRG 4473
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$14,459.36 |
| Max. Negotiated Rate |
$14,459.36 |
| Rate for Payer: AHCCCS Medicaid |
$14,459.36
|
| Rate for Payer: Allwell Medicaid |
$14,459.36
|
| Rate for Payer: AZCH Complete Medicaid |
$14,459.36
|
| Rate for Payer: Banner UC Health Medicaid |
$14,459.36
|
| Rate for Payer: Mercy Care Medicaid |
$14,459.36
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,271.11
|
| Rate for Payer: Allwell Medicaid |
$9,271.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,271.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: AHCCCS Medicaid |
$32,618.61
|
| Rate for Payer: Allwell Medicaid |
$32,618.61
|
| Rate for Payer: AZCH Complete Medicaid |
$32,618.61
|
| Rate for Payer: Banner UC Health Medicaid |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4474
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: AHCCCS Medicaid |
$9,271.11
|
| Rate for Payer: Allwell Medicaid |
$9,271.11
|
| Rate for Payer: AZCH Complete Medicaid |
$9,271.11
|
| Rate for Payer: Banner UC Health Medicaid |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: AHCCCS Medicaid |
$32,618.61
|
| Rate for Payer: Allwell Medicaid |
$32,618.61
|
| Rate for Payer: AZCH Complete Medicaid |
$32,618.61
|
| Rate for Payer: Banner UC Health Medicaid |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
|
