|
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 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
|
$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
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7243
|
| 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
|
$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
|
$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
|
$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 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
|
$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
|
|
|
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
|
$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
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7244
|
| 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
|
$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 |
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
|
$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 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 |
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
|
$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
|
$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 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 |
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 |
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
|
|