Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,826.92
|
|
Service Code
|
APR-DRG 4841
|
Hospital Charge Code |
APRDRG4841
|
Min. Negotiated Rate |
$7,826.92 |
Max. Negotiated Rate |
$7,826.92 |
Rate for Payer: AHCCCS Medicaid |
$7,826.92
|
Rate for Payer: Allwell Medicaid |
$7,826.92
|
Rate for Payer: AZCH Complete Medicaid |
$7,826.92
|
Rate for Payer: Banner UC Health Medicaid |
$7,826.92
|
Rate for Payer: Mercy Care Medicaid |
$7,826.92
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$27,039.67
|
|
Service Code
|
APR-DRG 4844
|
Hospital Charge Code |
APRDRG4844
|
Min. Negotiated Rate |
$27,039.67 |
Max. Negotiated Rate |
$27,039.67 |
Rate for Payer: AHCCCS Medicaid |
$27,039.67
|
Rate for Payer: Allwell Medicaid |
$27,039.67
|
Rate for Payer: AZCH Complete Medicaid |
$27,039.67
|
Rate for Payer: Banner UC Health Medicaid |
$27,039.67
|
Rate for Payer: Mercy Care Medicaid |
$27,039.67
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$8,821.51
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG4842
|
Min. Negotiated Rate |
$8,821.51 |
Max. Negotiated Rate |
$8,821.51 |
Rate for Payer: AHCCCS Medicaid |
$8,821.51
|
Rate for Payer: Allwell Medicaid |
$8,821.51
|
Rate for Payer: AZCH Complete Medicaid |
$8,821.51
|
Rate for Payer: Banner UC Health Medicaid |
$8,821.51
|
Rate for Payer: Mercy Care Medicaid |
$8,821.51
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$8,821.51
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG4843
|
Min. Negotiated Rate |
$8,821.51 |
Max. Negotiated Rate |
$8,821.51 |
Rate for Payer: AHCCCS Medicaid |
$8,821.51
|
Rate for Payer: Allwell Medicaid |
$8,821.51
|
Rate for Payer: AZCH Complete Medicaid |
$8,821.51
|
Rate for Payer: Banner UC Health Medicaid |
$8,821.51
|
Rate for Payer: Mercy Care Medicaid |
$8,821.51
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$8,821.51
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG4841
|
Min. Negotiated Rate |
$8,821.51 |
Max. Negotiated Rate |
$8,821.51 |
Rate for Payer: AHCCCS Medicaid |
$8,821.51
|
Rate for Payer: Allwell Medicaid |
$8,821.51
|
Rate for Payer: AZCH Complete Medicaid |
$8,821.51
|
Rate for Payer: Banner UC Health Medicaid |
$8,821.51
|
Rate for Payer: Mercy Care Medicaid |
$8,821.51
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,826.92
|
|
Service Code
|
APR-DRG 4841
|
Hospital Charge Code |
APRDRG4844
|
Min. Negotiated Rate |
$7,826.92 |
Max. Negotiated Rate |
$7,826.92 |
Rate for Payer: AHCCCS Medicaid |
$7,826.92
|
Rate for Payer: Allwell Medicaid |
$7,826.92
|
Rate for Payer: AZCH Complete Medicaid |
$7,826.92
|
Rate for Payer: Banner UC Health Medicaid |
$7,826.92
|
Rate for Payer: Mercy Care Medicaid |
$7,826.92
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$7,826.92
|
|
Service Code
|
APR-DRG 4841
|
Hospital Charge Code |
APRDRG4842
|
Min. Negotiated Rate |
$7,826.92 |
Max. Negotiated Rate |
$7,826.92 |
Rate for Payer: AHCCCS Medicaid |
$7,826.92
|
Rate for Payer: Allwell Medicaid |
$7,826.92
|
Rate for Payer: AZCH Complete Medicaid |
$7,826.92
|
Rate for Payer: Banner UC Health Medicaid |
$7,826.92
|
Rate for Payer: Mercy Care Medicaid |
$7,826.92
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$8,821.51
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG4844
|
Min. Negotiated Rate |
$8,821.51 |
Max. Negotiated Rate |
$8,821.51 |
Rate for Payer: AHCCCS Medicaid |
$8,821.51
|
Rate for Payer: Allwell Medicaid |
$8,821.51
|
Rate for Payer: AZCH Complete Medicaid |
$8,821.51
|
Rate for Payer: Banner UC Health Medicaid |
$8,821.51
|
Rate for Payer: Mercy Care Medicaid |
$8,821.51
|
|
Other Male Reproductive System And Related Procedures
|
Facility
|
IP
|
$10,704.77
|
|
Service Code
|
APR-DRG 4843
|
Hospital Charge Code |
APRDRG4843
|
Min. Negotiated Rate |
$10,704.77 |
Max. Negotiated Rate |
$10,704.77 |
Rate for Payer: AHCCCS Medicaid |
$10,704.77
|
Rate for Payer: Allwell Medicaid |
$10,704.77
|
Rate for Payer: AZCH Complete Medicaid |
$10,704.77
|
Rate for Payer: Banner UC Health Medicaid |
$10,704.77
|
Rate for Payer: Mercy Care Medicaid |
$10,704.77
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$4,496.68
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG7603
|
Min. Negotiated Rate |
$4,496.68 |
Max. Negotiated Rate |
$4,496.68 |
Rate for Payer: AHCCCS Medicaid |
$4,496.68
|
Rate for Payer: Allwell Medicaid |
$4,496.68
|
Rate for Payer: AZCH Complete Medicaid |
$4,496.68
|
Rate for Payer: Banner UC Health Medicaid |
$4,496.68
|
Rate for Payer: Mercy Care Medicaid |
$4,496.68
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$6,403.08
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG7602
|
Min. Negotiated Rate |
$6,403.08 |
Max. Negotiated Rate |
$6,403.08 |
Rate for Payer: AHCCCS Medicaid |
$6,403.08
|
Rate for Payer: Allwell Medicaid |
$6,403.08
|
Rate for Payer: AZCH Complete Medicaid |
$6,403.08
|
Rate for Payer: Banner UC Health Medicaid |
$6,403.08
|
Rate for Payer: Mercy Care Medicaid |
$6,403.08
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$4,496.68
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG7601
|
Min. Negotiated Rate |
$4,496.68 |
Max. Negotiated Rate |
$4,496.68 |
Rate for Payer: AHCCCS Medicaid |
$4,496.68
|
Rate for Payer: Allwell Medicaid |
$4,496.68
|
Rate for Payer: AZCH Complete Medicaid |
$4,496.68
|
Rate for Payer: Banner UC Health Medicaid |
$4,496.68
|
Rate for Payer: Mercy Care Medicaid |
$4,496.68
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$8,107.48
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG7603
|
Min. Negotiated Rate |
$8,107.48 |
Max. Negotiated Rate |
$8,107.48 |
Rate for Payer: AHCCCS Medicaid |
$8,107.48
|
Rate for Payer: Allwell Medicaid |
$8,107.48
|
Rate for Payer: AZCH Complete Medicaid |
$8,107.48
|
Rate for Payer: Banner UC Health Medicaid |
$8,107.48
|
Rate for Payer: Mercy Care Medicaid |
$8,107.48
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$3,814.91
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG7603
|
Min. Negotiated Rate |
$3,814.91 |
Max. Negotiated Rate |
$3,814.91 |
Rate for Payer: AHCCCS Medicaid |
$3,814.91
|
Rate for Payer: Allwell Medicaid |
$3,814.91
|
Rate for Payer: AZCH Complete Medicaid |
$3,814.91
|
Rate for Payer: Banner UC Health Medicaid |
$3,814.91
|
Rate for Payer: Mercy Care Medicaid |
$3,814.91
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$3,814.91
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG7602
|
Min. Negotiated Rate |
$3,814.91 |
Max. Negotiated Rate |
$3,814.91 |
Rate for Payer: AHCCCS Medicaid |
$3,814.91
|
Rate for Payer: Allwell Medicaid |
$3,814.91
|
Rate for Payer: AZCH Complete Medicaid |
$3,814.91
|
Rate for Payer: Banner UC Health Medicaid |
$3,814.91
|
Rate for Payer: Mercy Care Medicaid |
$3,814.91
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$6,403.08
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG7604
|
Min. Negotiated Rate |
$6,403.08 |
Max. Negotiated Rate |
$6,403.08 |
Rate for Payer: AHCCCS Medicaid |
$6,403.08
|
Rate for Payer: Allwell Medicaid |
$6,403.08
|
Rate for Payer: AZCH Complete Medicaid |
$6,403.08
|
Rate for Payer: Banner UC Health Medicaid |
$6,403.08
|
Rate for Payer: Mercy Care Medicaid |
$6,403.08
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$6,403.08
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG7601
|
Min. Negotiated Rate |
$6,403.08 |
Max. Negotiated Rate |
$6,403.08 |
Rate for Payer: AHCCCS Medicaid |
$6,403.08
|
Rate for Payer: Allwell Medicaid |
$6,403.08
|
Rate for Payer: AZCH Complete Medicaid |
$6,403.08
|
Rate for Payer: Banner UC Health Medicaid |
$6,403.08
|
Rate for Payer: Mercy Care Medicaid |
$6,403.08
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$8,107.48
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG7604
|
Min. Negotiated Rate |
$8,107.48 |
Max. Negotiated Rate |
$8,107.48 |
Rate for Payer: AHCCCS Medicaid |
$8,107.48
|
Rate for Payer: Allwell Medicaid |
$8,107.48
|
Rate for Payer: AZCH Complete Medicaid |
$8,107.48
|
Rate for Payer: Banner UC Health Medicaid |
$8,107.48
|
Rate for Payer: Mercy Care Medicaid |
$8,107.48
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$4,496.68
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG7604
|
Min. Negotiated Rate |
$4,496.68 |
Max. Negotiated Rate |
$4,496.68 |
Rate for Payer: AHCCCS Medicaid |
$4,496.68
|
Rate for Payer: Allwell Medicaid |
$4,496.68
|
Rate for Payer: AZCH Complete Medicaid |
$4,496.68
|
Rate for Payer: Banner UC Health Medicaid |
$4,496.68
|
Rate for Payer: Mercy Care Medicaid |
$4,496.68
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$3,814.91
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG7604
|
Min. Negotiated Rate |
$3,814.91 |
Max. Negotiated Rate |
$3,814.91 |
Rate for Payer: AHCCCS Medicaid |
$3,814.91
|
Rate for Payer: Allwell Medicaid |
$3,814.91
|
Rate for Payer: AZCH Complete Medicaid |
$3,814.91
|
Rate for Payer: Banner UC Health Medicaid |
$3,814.91
|
Rate for Payer: Mercy Care Medicaid |
$3,814.91
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$8,107.48
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG7602
|
Min. Negotiated Rate |
$8,107.48 |
Max. Negotiated Rate |
$8,107.48 |
Rate for Payer: AHCCCS Medicaid |
$8,107.48
|
Rate for Payer: Allwell Medicaid |
$8,107.48
|
Rate for Payer: AZCH Complete Medicaid |
$8,107.48
|
Rate for Payer: Banner UC Health Medicaid |
$8,107.48
|
Rate for Payer: Mercy Care Medicaid |
$8,107.48
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$4,496.68
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG7602
|
Min. Negotiated Rate |
$4,496.68 |
Max. Negotiated Rate |
$4,496.68 |
Rate for Payer: AHCCCS Medicaid |
$4,496.68
|
Rate for Payer: Allwell Medicaid |
$4,496.68
|
Rate for Payer: AZCH Complete Medicaid |
$4,496.68
|
Rate for Payer: Banner UC Health Medicaid |
$4,496.68
|
Rate for Payer: Mercy Care Medicaid |
$4,496.68
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$8,107.48
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG7601
|
Min. Negotiated Rate |
$8,107.48 |
Max. Negotiated Rate |
$8,107.48 |
Rate for Payer: AHCCCS Medicaid |
$8,107.48
|
Rate for Payer: Allwell Medicaid |
$8,107.48
|
Rate for Payer: AZCH Complete Medicaid |
$8,107.48
|
Rate for Payer: Banner UC Health Medicaid |
$8,107.48
|
Rate for Payer: Mercy Care Medicaid |
$8,107.48
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$3,814.91
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG7601
|
Min. Negotiated Rate |
$3,814.91 |
Max. Negotiated Rate |
$3,814.91 |
Rate for Payer: AHCCCS Medicaid |
$3,814.91
|
Rate for Payer: Allwell Medicaid |
$3,814.91
|
Rate for Payer: AZCH Complete Medicaid |
$3,814.91
|
Rate for Payer: Banner UC Health Medicaid |
$3,814.91
|
Rate for Payer: Mercy Care Medicaid |
$3,814.91
|
|
Other Mental Health Disorders
|
Facility
|
IP
|
$6,403.08
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG7603
|
Min. Negotiated Rate |
$6,403.08 |
Max. Negotiated Rate |
$6,403.08 |
Rate for Payer: AHCCCS Medicaid |
$6,403.08
|
Rate for Payer: Allwell Medicaid |
$6,403.08
|
Rate for Payer: AZCH Complete Medicaid |
$6,403.08
|
Rate for Payer: Banner UC Health Medicaid |
$6,403.08
|
Rate for Payer: Mercy Care Medicaid |
$6,403.08
|
|