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Charge Type Setting Price  
Service Code APR-DRG 0271
Hospital Charge Code APRDRG0271
Min. Negotiated Rate $11,264.48
Max. Negotiated Rate $11,264.48
Rate for Payer: AHCCCS Medicaid $11,264.48
Rate for Payer: Allwell Medicaid $11,264.48
Rate for Payer: AZCH Complete Medicaid $11,264.48
Rate for Payer: Banner UC Health Medicaid $11,264.48
Rate for Payer: Mercy Care Medicaid $11,264.48
Service Code APR-DRG 0272
Hospital Charge Code APRDRG0271
Min. Negotiated Rate $13,933.31
Max. Negotiated Rate $13,933.31
Rate for Payer: AHCCCS Medicaid $13,933.31
Rate for Payer: Allwell Medicaid $13,933.31
Rate for Payer: AZCH Complete Medicaid $13,933.31
Rate for Payer: Banner UC Health Medicaid $13,933.31
Rate for Payer: Mercy Care Medicaid $13,933.31
Service Code APR-DRG 0274
Hospital Charge Code APRDRG0274
Min. Negotiated Rate $41,005.25
Max. Negotiated Rate $41,005.25
Rate for Payer: AHCCCS Medicaid $41,005.25
Rate for Payer: Allwell Medicaid $41,005.25
Rate for Payer: AZCH Complete Medicaid $41,005.25
Rate for Payer: Banner UC Health Medicaid $41,005.25
Rate for Payer: Mercy Care Medicaid $41,005.25
Service Code APR-DRG 0271
Hospital Charge Code APRDRG0274
Min. Negotiated Rate $11,264.48
Max. Negotiated Rate $11,264.48
Rate for Payer: AHCCCS Medicaid $11,264.48
Rate for Payer: Allwell Medicaid $11,264.48
Rate for Payer: AZCH Complete Medicaid $11,264.48
Rate for Payer: Banner UC Health Medicaid $11,264.48
Rate for Payer: Mercy Care Medicaid $11,264.48
Service Code APR-DRG 0273
Hospital Charge Code APRDRG0273
Min. Negotiated Rate $21,839.49
Max. Negotiated Rate $21,839.49
Rate for Payer: AHCCCS Medicaid $21,839.49
Rate for Payer: Allwell Medicaid $21,839.49
Rate for Payer: AZCH Complete Medicaid $21,839.49
Rate for Payer: Banner UC Health Medicaid $21,839.49
Rate for Payer: Mercy Care Medicaid $21,839.49
Service Code APR-DRG 6814
Hospital Charge Code APRDRG6814
Min. Negotiated Rate $45,273.97
Max. Negotiated Rate $45,273.97
Rate for Payer: AHCCCS Medicaid $45,273.97
Rate for Payer: Allwell Medicaid $45,273.97
Rate for Payer: AZCH Complete Medicaid $45,273.97
Rate for Payer: Banner UC Health Medicaid $45,273.97
Rate for Payer: Mercy Care Medicaid $45,273.97
Service Code APR-DRG 6813
Hospital Charge Code APRDRG6811
Min. Negotiated Rate $19,935.19
Max. Negotiated Rate $19,935.19
Rate for Payer: AHCCCS Medicaid $19,935.19
Rate for Payer: Allwell Medicaid $19,935.19
Rate for Payer: AZCH Complete Medicaid $19,935.19
Rate for Payer: Banner UC Health Medicaid $19,935.19
Rate for Payer: Mercy Care Medicaid $19,935.19
Service Code APR-DRG 6812
Hospital Charge Code APRDRG6814
Min. Negotiated Rate $11,098.25
Max. Negotiated Rate $11,098.25
Rate for Payer: AHCCCS Medicaid $11,098.25
Rate for Payer: Allwell Medicaid $11,098.25
Rate for Payer: AZCH Complete Medicaid $11,098.25
Rate for Payer: Banner UC Health Medicaid $11,098.25
Rate for Payer: Mercy Care Medicaid $11,098.25
Service Code APR-DRG 6811
Hospital Charge Code APRDRG6811
Min. Negotiated Rate $7,842.35
Max. Negotiated Rate $7,842.35
Rate for Payer: AHCCCS Medicaid $7,842.35
Rate for Payer: Allwell Medicaid $7,842.35
Rate for Payer: AZCH Complete Medicaid $7,842.35
Rate for Payer: Banner UC Health Medicaid $7,842.35
Rate for Payer: Mercy Care Medicaid $7,842.35
Service Code APR-DRG 6812
Hospital Charge Code APRDRG6811
Min. Negotiated Rate $11,098.25
Max. Negotiated Rate $11,098.25
Rate for Payer: AHCCCS Medicaid $11,098.25
Rate for Payer: Allwell Medicaid $11,098.25
Rate for Payer: AZCH Complete Medicaid $11,098.25
Rate for Payer: Banner UC Health Medicaid $11,098.25
Rate for Payer: Mercy Care Medicaid $11,098.25
Service Code APR-DRG 6812
Hospital Charge Code APRDRG6812
Min. Negotiated Rate $11,098.25
Max. Negotiated Rate $11,098.25
Rate for Payer: AHCCCS Medicaid $11,098.25
Rate for Payer: Allwell Medicaid $11,098.25
Rate for Payer: AZCH Complete Medicaid $11,098.25
Rate for Payer: Banner UC Health Medicaid $11,098.25
Rate for Payer: Mercy Care Medicaid $11,098.25
Service Code APR-DRG 6811
Hospital Charge Code APRDRG6812
Min. Negotiated Rate $7,842.35
Max. Negotiated Rate $7,842.35
Rate for Payer: AHCCCS Medicaid $7,842.35
Rate for Payer: Allwell Medicaid $7,842.35
Rate for Payer: AZCH Complete Medicaid $7,842.35
Rate for Payer: Banner UC Health Medicaid $7,842.35
Rate for Payer: Mercy Care Medicaid $7,842.35
Service Code APR-DRG 6813
Hospital Charge Code APRDRG6813
Min. Negotiated Rate $19,935.19
Max. Negotiated Rate $19,935.19
Rate for Payer: AHCCCS Medicaid $19,935.19
Rate for Payer: Allwell Medicaid $19,935.19
Rate for Payer: AZCH Complete Medicaid $19,935.19
Rate for Payer: Banner UC Health Medicaid $19,935.19
Rate for Payer: Mercy Care Medicaid $19,935.19
Service Code APR-DRG 6814
Hospital Charge Code APRDRG6813
Min. Negotiated Rate $45,273.97
Max. Negotiated Rate $45,273.97
Rate for Payer: AHCCCS Medicaid $45,273.97
Rate for Payer: Allwell Medicaid $45,273.97
Rate for Payer: AZCH Complete Medicaid $45,273.97
Rate for Payer: Banner UC Health Medicaid $45,273.97
Rate for Payer: Mercy Care Medicaid $45,273.97
Service Code APR-DRG 6813
Hospital Charge Code APRDRG6812
Min. Negotiated Rate $19,935.19
Max. Negotiated Rate $19,935.19
Rate for Payer: AHCCCS Medicaid $19,935.19
Rate for Payer: Allwell Medicaid $19,935.19
Rate for Payer: AZCH Complete Medicaid $19,935.19
Rate for Payer: Banner UC Health Medicaid $19,935.19
Rate for Payer: Mercy Care Medicaid $19,935.19
Service Code APR-DRG 6811
Hospital Charge Code APRDRG6813
Min. Negotiated Rate $7,842.35
Max. Negotiated Rate $7,842.35
Rate for Payer: AHCCCS Medicaid $7,842.35
Rate for Payer: Allwell Medicaid $7,842.35
Rate for Payer: AZCH Complete Medicaid $7,842.35
Rate for Payer: Banner UC Health Medicaid $7,842.35
Rate for Payer: Mercy Care Medicaid $7,842.35
Service Code APR-DRG 6811
Hospital Charge Code APRDRG6814
Min. Negotiated Rate $7,842.35
Max. Negotiated Rate $7,842.35
Rate for Payer: AHCCCS Medicaid $7,842.35
Rate for Payer: Allwell Medicaid $7,842.35
Rate for Payer: AZCH Complete Medicaid $7,842.35
Rate for Payer: Banner UC Health Medicaid $7,842.35
Rate for Payer: Mercy Care Medicaid $7,842.35
Service Code APR-DRG 6813
Hospital Charge Code APRDRG6814
Min. Negotiated Rate $19,935.19
Max. Negotiated Rate $19,935.19
Rate for Payer: AHCCCS Medicaid $19,935.19
Rate for Payer: Allwell Medicaid $19,935.19
Rate for Payer: AZCH Complete Medicaid $19,935.19
Rate for Payer: Banner UC Health Medicaid $19,935.19
Rate for Payer: Mercy Care Medicaid $19,935.19
Service Code APR-DRG 6812
Hospital Charge Code APRDRG6813
Min. Negotiated Rate $11,098.25
Max. Negotiated Rate $11,098.25
Rate for Payer: AHCCCS Medicaid $11,098.25
Rate for Payer: Allwell Medicaid $11,098.25
Rate for Payer: AZCH Complete Medicaid $11,098.25
Rate for Payer: Banner UC Health Medicaid $11,098.25
Rate for Payer: Mercy Care Medicaid $11,098.25
Service Code APR-DRG 6814
Hospital Charge Code APRDRG6811
Min. Negotiated Rate $45,273.97
Max. Negotiated Rate $45,273.97
Rate for Payer: AHCCCS Medicaid $45,273.97
Rate for Payer: Allwell Medicaid $45,273.97
Rate for Payer: AZCH Complete Medicaid $45,273.97
Rate for Payer: Banner UC Health Medicaid $45,273.97
Rate for Payer: Mercy Care Medicaid $45,273.97
Service Code APR-DRG 6814
Hospital Charge Code APRDRG6812
Min. Negotiated Rate $45,273.97
Max. Negotiated Rate $45,273.97
Rate for Payer: AHCCCS Medicaid $45,273.97
Rate for Payer: Allwell Medicaid $45,273.97
Rate for Payer: AZCH Complete Medicaid $45,273.97
Rate for Payer: Banner UC Health Medicaid $45,273.97
Rate for Payer: Mercy Care Medicaid $45,273.97
Service Code APR-DRG 0294
Hospital Charge Code APRDRG0291
Min. Negotiated Rate $32,208.99
Max. Negotiated Rate $32,208.99
Rate for Payer: AHCCCS Medicaid $32,208.99
Rate for Payer: Allwell Medicaid $32,208.99
Rate for Payer: AZCH Complete Medicaid $32,208.99
Rate for Payer: Banner UC Health Medicaid $32,208.99
Rate for Payer: Mercy Care Medicaid $32,208.99
Service Code APR-DRG 0292
Hospital Charge Code APRDRG0291
Min. Negotiated Rate $13,233.31
Max. Negotiated Rate $13,233.31
Rate for Payer: AHCCCS Medicaid $13,233.31
Rate for Payer: Allwell Medicaid $13,233.31
Rate for Payer: AZCH Complete Medicaid $13,233.31
Rate for Payer: Banner UC Health Medicaid $13,233.31
Rate for Payer: Mercy Care Medicaid $13,233.31
Service Code APR-DRG 0293
Hospital Charge Code APRDRG0292
Min. Negotiated Rate $17,934.10
Max. Negotiated Rate $17,934.10
Rate for Payer: AHCCCS Medicaid $17,934.10
Rate for Payer: Allwell Medicaid $17,934.10
Rate for Payer: AZCH Complete Medicaid $17,934.10
Rate for Payer: Banner UC Health Medicaid $17,934.10
Rate for Payer: Mercy Care Medicaid $17,934.10
Service Code APR-DRG 0294
Hospital Charge Code APRDRG0292
Min. Negotiated Rate $32,208.99
Max. Negotiated Rate $32,208.99
Rate for Payer: AHCCCS Medicaid $32,208.99
Rate for Payer: Allwell Medicaid $32,208.99
Rate for Payer: AZCH Complete Medicaid $32,208.99
Rate for Payer: Banner UC Health Medicaid $32,208.99
Rate for Payer: Mercy Care Medicaid $32,208.99