|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3511
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: AHCCCS Medicaid |
$6,504.78
|
| Rate for Payer: Allwell Medicaid |
$6,504.78
|
| Rate for Payer: AZCH Complete Medicaid |
$6,504.78
|
| Rate for Payer: Banner UC Health Medicaid |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$4,171.93
|
|
|
Service Code
|
APR-DRG 3512
|
| Hospital Charge Code |
APRDRG3513
|
| Min. Negotiated Rate |
$4,171.93 |
| Max. Negotiated Rate |
$4,171.93 |
| Rate for Payer: AHCCCS Medicaid |
$4,171.93
|
| Rate for Payer: Allwell Medicaid |
$4,171.93
|
| Rate for Payer: AZCH Complete Medicaid |
$4,171.93
|
| Rate for Payer: Banner UC Health Medicaid |
$4,171.93
|
| Rate for Payer: Mercy Care Medicaid |
$4,171.93
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3513
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: AHCCCS Medicaid |
$6,504.78
|
| Rate for Payer: Allwell Medicaid |
$6,504.78
|
| Rate for Payer: AZCH Complete Medicaid |
$6,504.78
|
| Rate for Payer: Banner UC Health Medicaid |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3512
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: AHCCCS Medicaid |
$6,504.78
|
| Rate for Payer: Allwell Medicaid |
$6,504.78
|
| Rate for Payer: AZCH Complete Medicaid |
$6,504.78
|
| Rate for Payer: Banner UC Health Medicaid |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: AHCCCS Medicaid |
$25,580.76
|
| Rate for Payer: Allwell Medicaid |
$25,580.76
|
| Rate for Payer: AZCH Complete Medicaid |
$25,580.76
|
| Rate for Payer: Banner UC Health Medicaid |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: AHCCCS Medicaid |
$15,453.95
|
| Rate for Payer: Allwell Medicaid |
$15,453.95
|
| Rate for Payer: AZCH Complete Medicaid |
$15,453.95
|
| Rate for Payer: Banner UC Health Medicaid |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: AHCCCS Medicaid |
$6,873.72
|
| Rate for Payer: Allwell Medicaid |
$6,873.72
|
| Rate for Payer: AZCH Complete Medicaid |
$6,873.72
|
| Rate for Payer: Banner UC Health Medicaid |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: AHCCCS Medicaid |
$9,961.28
|
| Rate for Payer: Allwell Medicaid |
$9,961.28
|
| Rate for Payer: AZCH Complete Medicaid |
$9,961.28
|
| Rate for Payer: Banner UC Health Medicaid |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: AHCCCS Medicaid |
$25,580.76
|
| Rate for Payer: Allwell Medicaid |
$25,580.76
|
| Rate for Payer: AZCH Complete Medicaid |
$25,580.76
|
| Rate for Payer: Banner UC Health Medicaid |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: AHCCCS Medicaid |
$6,873.72
|
| Rate for Payer: Allwell Medicaid |
$6,873.72
|
| Rate for Payer: AZCH Complete Medicaid |
$6,873.72
|
| Rate for Payer: Banner UC Health Medicaid |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: AHCCCS Medicaid |
$25,580.76
|
| Rate for Payer: Allwell Medicaid |
$25,580.76
|
| Rate for Payer: AZCH Complete Medicaid |
$25,580.76
|
| Rate for Payer: Banner UC Health Medicaid |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: AHCCCS Medicaid |
$6,873.72
|
| Rate for Payer: Allwell Medicaid |
$6,873.72
|
| Rate for Payer: AZCH Complete Medicaid |
$6,873.72
|
| Rate for Payer: Banner UC Health Medicaid |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: AHCCCS Medicaid |
$9,961.28
|
| Rate for Payer: Allwell Medicaid |
$9,961.28
|
| Rate for Payer: AZCH Complete Medicaid |
$9,961.28
|
| Rate for Payer: Banner UC Health Medicaid |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: AHCCCS Medicaid |
$15,453.95
|
| Rate for Payer: Allwell Medicaid |
$15,453.95
|
| Rate for Payer: AZCH Complete Medicaid |
$15,453.95
|
| Rate for Payer: Banner UC Health Medicaid |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: AHCCCS Medicaid |
$15,453.95
|
| Rate for Payer: Allwell Medicaid |
$15,453.95
|
| Rate for Payer: AZCH Complete Medicaid |
$15,453.95
|
| Rate for Payer: Banner UC Health Medicaid |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: AHCCCS Medicaid |
$9,961.28
|
| Rate for Payer: Allwell Medicaid |
$9,961.28
|
| Rate for Payer: AZCH Complete Medicaid |
$9,961.28
|
| Rate for Payer: Banner UC Health Medicaid |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: AHCCCS Medicaid |
$6,873.72
|
| Rate for Payer: Allwell Medicaid |
$6,873.72
|
| Rate for Payer: AZCH Complete Medicaid |
$6,873.72
|
| Rate for Payer: Banner UC Health Medicaid |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: AHCCCS Medicaid |
$25,580.76
|
| Rate for Payer: Allwell Medicaid |
$25,580.76
|
| Rate for Payer: AZCH Complete Medicaid |
$25,580.76
|
| Rate for Payer: Banner UC Health Medicaid |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: AHCCCS Medicaid |
$9,961.28
|
| Rate for Payer: Allwell Medicaid |
$9,961.28
|
| Rate for Payer: AZCH Complete Medicaid |
$9,961.28
|
| Rate for Payer: Banner UC Health Medicaid |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: AHCCCS Medicaid |
$15,453.95
|
| Rate for Payer: Allwell Medicaid |
$15,453.95
|
| Rate for Payer: AZCH Complete Medicaid |
$15,453.95
|
| Rate for Payer: Banner UC Health Medicaid |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
|
|
Other Nervous System And Related Procedures
|
Facility
|
IP
|
$11,330.42
|
|
|
Service Code
|
APR-DRG 0262
|
| Hospital Charge Code |
APRDRG0261
|
| Min. Negotiated Rate |
$11,330.42 |
| Max. Negotiated Rate |
$11,330.42 |
| Rate for Payer: AHCCCS Medicaid |
$11,330.42
|
| Rate for Payer: Allwell Medicaid |
$11,330.42
|
| Rate for Payer: AZCH Complete Medicaid |
$11,330.42
|
| Rate for Payer: Banner UC Health Medicaid |
$11,330.42
|
| Rate for Payer: Mercy Care Medicaid |
$11,330.42
|
|
|
Other Nervous System And Related Procedures
|
Facility
|
IP
|
$11,330.42
|
|
|
Service Code
|
APR-DRG 0262
|
| Hospital Charge Code |
APRDRG0264
|
| Min. Negotiated Rate |
$11,330.42 |
| Max. Negotiated Rate |
$11,330.42 |
| Rate for Payer: AHCCCS Medicaid |
$11,330.42
|
| Rate for Payer: Allwell Medicaid |
$11,330.42
|
| Rate for Payer: AZCH Complete Medicaid |
$11,330.42
|
| Rate for Payer: Banner UC Health Medicaid |
$11,330.42
|
| Rate for Payer: Mercy Care Medicaid |
$11,330.42
|
|
|
Other Nervous System And Related Procedures
|
Facility
|
IP
|
$17,015.96
|
|
|
Service Code
|
APR-DRG 0263
|
| Hospital Charge Code |
APRDRG0262
|
| Min. Negotiated Rate |
$17,015.96 |
| Max. Negotiated Rate |
$17,015.96 |
| Rate for Payer: AHCCCS Medicaid |
$17,015.96
|
| Rate for Payer: Allwell Medicaid |
$17,015.96
|
| Rate for Payer: AZCH Complete Medicaid |
$17,015.96
|
| Rate for Payer: Banner UC Health Medicaid |
$17,015.96
|
| Rate for Payer: Mercy Care Medicaid |
$17,015.96
|
|
|
Other Nervous System And Related Procedures
|
Facility
|
IP
|
$8,983.53
|
|
|
Service Code
|
APR-DRG 0261
|
| Hospital Charge Code |
APRDRG0261
|
| Min. Negotiated Rate |
$8,983.53 |
| Max. Negotiated Rate |
$8,983.53 |
| Rate for Payer: AHCCCS Medicaid |
$8,983.53
|
| Rate for Payer: Allwell Medicaid |
$8,983.53
|
| Rate for Payer: AZCH Complete Medicaid |
$8,983.53
|
| Rate for Payer: Banner UC Health Medicaid |
$8,983.53
|
| Rate for Payer: Mercy Care Medicaid |
$8,983.53
|
|
|
Other Nervous System And Related Procedures
|
Facility
|
IP
|
$34,264.79
|
|
|
Service Code
|
APR-DRG 0264
|
| Hospital Charge Code |
APRDRG0262
|
| Min. Negotiated Rate |
$34,264.79 |
| Max. Negotiated Rate |
$34,264.79 |
| Rate for Payer: AHCCCS Medicaid |
$34,264.79
|
| Rate for Payer: Allwell Medicaid |
$34,264.79
|
| Rate for Payer: AZCH Complete Medicaid |
$34,264.79
|
| Rate for Payer: Banner UC Health Medicaid |
$34,264.79
|
| Rate for Payer: Mercy Care Medicaid |
$34,264.79
|
|