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Charge Type Setting Price  
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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