|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
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
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$32,208.99
|
|
|
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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0291
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0292
|
| Hospital Charge Code |
APRDRG0294
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0292
|
| Hospital Charge Code |
APRDRG0293
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$32,208.99
|
|
|
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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0291
|
| Hospital Charge Code |
APRDRG0292
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$17,934.10
|
|
|
Service Code
|
APR-DRG 0293
|
| Hospital Charge Code |
APRDRG0294
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0292
|
| Hospital Charge Code |
APRDRG0292
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$32,208.99
|
|
|
Service Code
|
APR-DRG 0294
|
| Hospital Charge Code |
APRDRG0293
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$17,934.10
|
|
|
Service Code
|
APR-DRG 0293
|
| Hospital Charge Code |
APRDRG0291
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0291
|
| Hospital Charge Code |
APRDRG0293
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$32,208.99
|
|
|
Service Code
|
APR-DRG 0294
|
| Hospital Charge Code |
APRDRG0294
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$17,934.10
|
|
|
Service Code
|
APR-DRG 0293
|
| Hospital Charge Code |
APRDRG0293
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$13,233.31
|
|
|
Service Code
|
APR-DRG 0291
|
| Hospital Charge Code |
APRDRG0294
|
| 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
|
|
|
Other Percutaneous Intracranial Procedures
|
Facility
|
IP
|
$17,934.10
|
|
|
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
|
|
