|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$3,835.96
|
|
|
Service Code
|
APR-DRG 7562
|
| Hospital Charge Code |
APRDRG7562
|
| Min. Negotiated Rate |
$3,835.96 |
| Max. Negotiated Rate |
$3,835.96 |
| Rate for Payer: AHCCCS Medicaid |
$3,835.96
|
| Rate for Payer: Allwell Medicaid |
$3,835.96
|
| Rate for Payer: AZCH Complete Medicaid |
$3,835.96
|
| Rate for Payer: Banner UC Health Medicaid |
$3,835.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,835.96
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$10,876.61
|
|
|
Service Code
|
APR-DRG 7564
|
| Hospital Charge Code |
APRDRG7561
|
| Min. Negotiated Rate |
$10,876.61 |
| Max. Negotiated Rate |
$10,876.61 |
| Rate for Payer: AHCCCS Medicaid |
$10,876.61
|
| Rate for Payer: Allwell Medicaid |
$10,876.61
|
| Rate for Payer: AZCH Complete Medicaid |
$10,876.61
|
| Rate for Payer: Banner UC Health Medicaid |
$10,876.61
|
| Rate for Payer: Mercy Care Medicaid |
$10,876.61
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$3,835.96
|
|
|
Service Code
|
APR-DRG 7562
|
| Hospital Charge Code |
APRDRG7563
|
| Min. Negotiated Rate |
$3,835.96 |
| Max. Negotiated Rate |
$3,835.96 |
| Rate for Payer: AHCCCS Medicaid |
$3,835.96
|
| Rate for Payer: Allwell Medicaid |
$3,835.96
|
| Rate for Payer: AZCH Complete Medicaid |
$3,835.96
|
| Rate for Payer: Banner UC Health Medicaid |
$3,835.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,835.96
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$3,004.10
|
|
|
Service Code
|
APR-DRG 7561
|
| Hospital Charge Code |
APRDRG7561
|
| Min. Negotiated Rate |
$3,004.10 |
| Max. Negotiated Rate |
$3,004.10 |
| Rate for Payer: AHCCCS Medicaid |
$3,004.10
|
| Rate for Payer: Allwell Medicaid |
$3,004.10
|
| Rate for Payer: AZCH Complete Medicaid |
$3,004.10
|
| Rate for Payer: Banner UC Health Medicaid |
$3,004.10
|
| Rate for Payer: Mercy Care Medicaid |
$3,004.10
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$4,012.71
|
|
|
Service Code
|
APR-DRG 7563
|
| Hospital Charge Code |
APRDRG7563
|
| Min. Negotiated Rate |
$4,012.71 |
| Max. Negotiated Rate |
$4,012.71 |
| Rate for Payer: AHCCCS Medicaid |
$4,012.71
|
| Rate for Payer: Allwell Medicaid |
$4,012.71
|
| Rate for Payer: AZCH Complete Medicaid |
$4,012.71
|
| Rate for Payer: Banner UC Health Medicaid |
$4,012.71
|
| Rate for Payer: Mercy Care Medicaid |
$4,012.71
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$10,876.61
|
|
|
Service Code
|
APR-DRG 7564
|
| Hospital Charge Code |
APRDRG7564
|
| Min. Negotiated Rate |
$10,876.61 |
| Max. Negotiated Rate |
$10,876.61 |
| Rate for Payer: AHCCCS Medicaid |
$10,876.61
|
| Rate for Payer: Allwell Medicaid |
$10,876.61
|
| Rate for Payer: AZCH Complete Medicaid |
$10,876.61
|
| Rate for Payer: Banner UC Health Medicaid |
$10,876.61
|
| Rate for Payer: Mercy Care Medicaid |
$10,876.61
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$3,835.96
|
|
|
Service Code
|
APR-DRG 7562
|
| Hospital Charge Code |
APRDRG7561
|
| Min. Negotiated Rate |
$3,835.96 |
| Max. Negotiated Rate |
$3,835.96 |
| Rate for Payer: AHCCCS Medicaid |
$3,835.96
|
| Rate for Payer: Allwell Medicaid |
$3,835.96
|
| Rate for Payer: AZCH Complete Medicaid |
$3,835.96
|
| Rate for Payer: Banner UC Health Medicaid |
$3,835.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,835.96
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$3,835.96
|
|
|
Service Code
|
APR-DRG 7562
|
| Hospital Charge Code |
APRDRG7564
|
| Min. Negotiated Rate |
$3,835.96 |
| Max. Negotiated Rate |
$3,835.96 |
| Rate for Payer: AHCCCS Medicaid |
$3,835.96
|
| Rate for Payer: Allwell Medicaid |
$3,835.96
|
| Rate for Payer: AZCH Complete Medicaid |
$3,835.96
|
| Rate for Payer: Banner UC Health Medicaid |
$3,835.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,835.96
|
|
|
Acute Anxiety And Delirium States
|
Facility
|
IP
|
$4,012.71
|
|
|
Service Code
|
APR-DRG 7563
|
| Hospital Charge Code |
APRDRG7561
|
| Min. Negotiated Rate |
$4,012.71 |
| Max. Negotiated Rate |
$4,012.71 |
| Rate for Payer: AHCCCS Medicaid |
$4,012.71
|
| Rate for Payer: Allwell Medicaid |
$4,012.71
|
| Rate for Payer: AZCH Complete Medicaid |
$4,012.71
|
| Rate for Payer: Banner UC Health Medicaid |
$4,012.71
|
| Rate for Payer: Mercy Care Medicaid |
$4,012.71
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,928.54
|
|
|
Service Code
|
APR-DRG 1452
|
| Hospital Charge Code |
APRDRG1454
|
| Min. Negotiated Rate |
$3,928.54 |
| Max. Negotiated Rate |
$3,928.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,928.54
|
| Rate for Payer: Allwell Medicaid |
$3,928.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,928.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,928.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,928.54
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,281.15
|
|
|
Service Code
|
APR-DRG 1451
|
| Hospital Charge Code |
APRDRG1451
|
| Min. Negotiated Rate |
$3,281.15 |
| Max. Negotiated Rate |
$3,281.15 |
| Rate for Payer: AHCCCS Medicaid |
$3,281.15
|
| Rate for Payer: Allwell Medicaid |
$3,281.15
|
| Rate for Payer: AZCH Complete Medicaid |
$3,281.15
|
| Rate for Payer: Banner UC Health Medicaid |
$3,281.15
|
| Rate for Payer: Mercy Care Medicaid |
$3,281.15
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,281.15
|
|
|
Service Code
|
APR-DRG 1451
|
| Hospital Charge Code |
APRDRG1454
|
| Min. Negotiated Rate |
$3,281.15 |
| Max. Negotiated Rate |
$3,281.15 |
| Rate for Payer: AHCCCS Medicaid |
$3,281.15
|
| Rate for Payer: Allwell Medicaid |
$3,281.15
|
| Rate for Payer: AZCH Complete Medicaid |
$3,281.15
|
| Rate for Payer: Banner UC Health Medicaid |
$3,281.15
|
| Rate for Payer: Mercy Care Medicaid |
$3,281.15
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$5,228.24
|
|
|
Service Code
|
APR-DRG 1453
|
| Hospital Charge Code |
APRDRG1454
|
| Min. Negotiated Rate |
$5,228.24 |
| Max. Negotiated Rate |
$5,228.24 |
| Rate for Payer: AHCCCS Medicaid |
$5,228.24
|
| Rate for Payer: Allwell Medicaid |
$5,228.24
|
| Rate for Payer: AZCH Complete Medicaid |
$5,228.24
|
| Rate for Payer: Banner UC Health Medicaid |
$5,228.24
|
| Rate for Payer: Mercy Care Medicaid |
$5,228.24
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,281.15
|
|
|
Service Code
|
APR-DRG 1451
|
| Hospital Charge Code |
APRDRG1453
|
| Min. Negotiated Rate |
$3,281.15 |
| Max. Negotiated Rate |
$3,281.15 |
| Rate for Payer: AHCCCS Medicaid |
$3,281.15
|
| Rate for Payer: Allwell Medicaid |
$3,281.15
|
| Rate for Payer: AZCH Complete Medicaid |
$3,281.15
|
| Rate for Payer: Banner UC Health Medicaid |
$3,281.15
|
| Rate for Payer: Mercy Care Medicaid |
$3,281.15
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$8,968.10
|
|
|
Service Code
|
APR-DRG 1454
|
| Hospital Charge Code |
APRDRG1451
|
| Min. Negotiated Rate |
$8,968.10 |
| Max. Negotiated Rate |
$8,968.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,968.10
|
| Rate for Payer: Allwell Medicaid |
$8,968.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,968.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,968.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,968.10
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,928.54
|
|
|
Service Code
|
APR-DRG 1452
|
| Hospital Charge Code |
APRDRG1452
|
| Min. Negotiated Rate |
$3,928.54 |
| Max. Negotiated Rate |
$3,928.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,928.54
|
| Rate for Payer: Allwell Medicaid |
$3,928.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,928.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,928.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,928.54
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$5,228.24
|
|
|
Service Code
|
APR-DRG 1453
|
| Hospital Charge Code |
APRDRG1451
|
| Min. Negotiated Rate |
$5,228.24 |
| Max. Negotiated Rate |
$5,228.24 |
| Rate for Payer: AHCCCS Medicaid |
$5,228.24
|
| Rate for Payer: Allwell Medicaid |
$5,228.24
|
| Rate for Payer: AZCH Complete Medicaid |
$5,228.24
|
| Rate for Payer: Banner UC Health Medicaid |
$5,228.24
|
| Rate for Payer: Mercy Care Medicaid |
$5,228.24
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$8,968.10
|
|
|
Service Code
|
APR-DRG 1454
|
| Hospital Charge Code |
APRDRG1454
|
| Min. Negotiated Rate |
$8,968.10 |
| Max. Negotiated Rate |
$8,968.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,968.10
|
| Rate for Payer: Allwell Medicaid |
$8,968.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,968.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,968.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,968.10
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,281.15
|
|
|
Service Code
|
APR-DRG 1451
|
| Hospital Charge Code |
APRDRG1452
|
| Min. Negotiated Rate |
$3,281.15 |
| Max. Negotiated Rate |
$3,281.15 |
| Rate for Payer: AHCCCS Medicaid |
$3,281.15
|
| Rate for Payer: Allwell Medicaid |
$3,281.15
|
| Rate for Payer: AZCH Complete Medicaid |
$3,281.15
|
| Rate for Payer: Banner UC Health Medicaid |
$3,281.15
|
| Rate for Payer: Mercy Care Medicaid |
$3,281.15
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$5,228.24
|
|
|
Service Code
|
APR-DRG 1453
|
| Hospital Charge Code |
APRDRG1452
|
| Min. Negotiated Rate |
$5,228.24 |
| Max. Negotiated Rate |
$5,228.24 |
| Rate for Payer: AHCCCS Medicaid |
$5,228.24
|
| Rate for Payer: Allwell Medicaid |
$5,228.24
|
| Rate for Payer: AZCH Complete Medicaid |
$5,228.24
|
| Rate for Payer: Banner UC Health Medicaid |
$5,228.24
|
| Rate for Payer: Mercy Care Medicaid |
$5,228.24
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$8,968.10
|
|
|
Service Code
|
APR-DRG 1454
|
| Hospital Charge Code |
APRDRG1453
|
| Min. Negotiated Rate |
$8,968.10 |
| Max. Negotiated Rate |
$8,968.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,968.10
|
| Rate for Payer: Allwell Medicaid |
$8,968.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,968.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,968.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,968.10
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,928.54
|
|
|
Service Code
|
APR-DRG 1452
|
| Hospital Charge Code |
APRDRG1453
|
| Min. Negotiated Rate |
$3,928.54 |
| Max. Negotiated Rate |
$3,928.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,928.54
|
| Rate for Payer: Allwell Medicaid |
$3,928.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,928.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,928.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,928.54
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$3,928.54
|
|
|
Service Code
|
APR-DRG 1452
|
| Hospital Charge Code |
APRDRG1451
|
| Min. Negotiated Rate |
$3,928.54 |
| Max. Negotiated Rate |
$3,928.54 |
| Rate for Payer: AHCCCS Medicaid |
$3,928.54
|
| Rate for Payer: Allwell Medicaid |
$3,928.54
|
| Rate for Payer: AZCH Complete Medicaid |
$3,928.54
|
| Rate for Payer: Banner UC Health Medicaid |
$3,928.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,928.54
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$8,968.10
|
|
|
Service Code
|
APR-DRG 1454
|
| Hospital Charge Code |
APRDRG1452
|
| Min. Negotiated Rate |
$8,968.10 |
| Max. Negotiated Rate |
$8,968.10 |
| Rate for Payer: AHCCCS Medicaid |
$8,968.10
|
| Rate for Payer: Allwell Medicaid |
$8,968.10
|
| Rate for Payer: AZCH Complete Medicaid |
$8,968.10
|
| Rate for Payer: Banner UC Health Medicaid |
$8,968.10
|
| Rate for Payer: Mercy Care Medicaid |
$8,968.10
|
|
|
Acute Bronchitis And Related Symptoms
|
Facility
|
IP
|
$5,228.24
|
|
|
Service Code
|
APR-DRG 1453
|
| Hospital Charge Code |
APRDRG1453
|
| Min. Negotiated Rate |
$5,228.24 |
| Max. Negotiated Rate |
$5,228.24 |
| Rate for Payer: AHCCCS Medicaid |
$5,228.24
|
| Rate for Payer: Allwell Medicaid |
$5,228.24
|
| Rate for Payer: AZCH Complete Medicaid |
$5,228.24
|
| Rate for Payer: Banner UC Health Medicaid |
$5,228.24
|
| Rate for Payer: Mercy Care Medicaid |
$5,228.24
|
|
