|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$6,718.71
|
|
|
Service Code
|
APR-DRG 2231
|
| Hospital Charge Code |
APRDRG2231
|
| Min. Negotiated Rate |
$6,718.71 |
| Max. Negotiated Rate |
$6,718.71 |
| Rate for Payer: AHCCCS Medicaid |
$6,718.71
|
| Rate for Payer: Allwell Medicaid |
$6,718.71
|
| Rate for Payer: AZCH Complete Medicaid |
$6,718.71
|
| Rate for Payer: Banner UC Health Medicaid |
$6,718.71
|
| Rate for Payer: Mercy Care Medicaid |
$6,718.71
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$14,578.60
|
|
|
Service Code
|
APR-DRG 2233
|
| Hospital Charge Code |
APRDRG2234
|
| Min. Negotiated Rate |
$14,578.60 |
| Max. Negotiated Rate |
$14,578.60 |
| Rate for Payer: AHCCCS Medicaid |
$14,578.60
|
| Rate for Payer: Allwell Medicaid |
$14,578.60
|
| Rate for Payer: AZCH Complete Medicaid |
$14,578.60
|
| Rate for Payer: Banner UC Health Medicaid |
$14,578.60
|
| Rate for Payer: Mercy Care Medicaid |
$14,578.60
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$27,320.93
|
|
|
Service Code
|
APR-DRG 2234
|
| Hospital Charge Code |
APRDRG2231
|
| Min. Negotiated Rate |
$27,320.93 |
| Max. Negotiated Rate |
$27,320.93 |
| Rate for Payer: AHCCCS Medicaid |
$27,320.93
|
| Rate for Payer: Allwell Medicaid |
$27,320.93
|
| Rate for Payer: AZCH Complete Medicaid |
$27,320.93
|
| Rate for Payer: Banner UC Health Medicaid |
$27,320.93
|
| Rate for Payer: Mercy Care Medicaid |
$27,320.93
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$27,320.93
|
|
|
Service Code
|
APR-DRG 2234
|
| Hospital Charge Code |
APRDRG2234
|
| Min. Negotiated Rate |
$27,320.93 |
| Max. Negotiated Rate |
$27,320.93 |
| Rate for Payer: AHCCCS Medicaid |
$27,320.93
|
| Rate for Payer: Allwell Medicaid |
$27,320.93
|
| Rate for Payer: AZCH Complete Medicaid |
$27,320.93
|
| Rate for Payer: Banner UC Health Medicaid |
$27,320.93
|
| Rate for Payer: Mercy Care Medicaid |
$27,320.93
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$6,718.71
|
|
|
Service Code
|
APR-DRG 2231
|
| Hospital Charge Code |
APRDRG2233
|
| Min. Negotiated Rate |
$6,718.71 |
| Max. Negotiated Rate |
$6,718.71 |
| Rate for Payer: AHCCCS Medicaid |
$6,718.71
|
| Rate for Payer: Allwell Medicaid |
$6,718.71
|
| Rate for Payer: AZCH Complete Medicaid |
$6,718.71
|
| Rate for Payer: Banner UC Health Medicaid |
$6,718.71
|
| Rate for Payer: Mercy Care Medicaid |
$6,718.71
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$6,718.71
|
|
|
Service Code
|
APR-DRG 2231
|
| Hospital Charge Code |
APRDRG2234
|
| Min. Negotiated Rate |
$6,718.71 |
| Max. Negotiated Rate |
$6,718.71 |
| Rate for Payer: AHCCCS Medicaid |
$6,718.71
|
| Rate for Payer: Allwell Medicaid |
$6,718.71
|
| Rate for Payer: AZCH Complete Medicaid |
$6,718.71
|
| Rate for Payer: Banner UC Health Medicaid |
$6,718.71
|
| Rate for Payer: Mercy Care Medicaid |
$6,718.71
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$9,722.81
|
|
|
Service Code
|
APR-DRG 2232
|
| Hospital Charge Code |
APRDRG2231
|
| Min. Negotiated Rate |
$9,722.81 |
| Max. Negotiated Rate |
$9,722.81 |
| Rate for Payer: AHCCCS Medicaid |
$9,722.81
|
| Rate for Payer: Allwell Medicaid |
$9,722.81
|
| Rate for Payer: AZCH Complete Medicaid |
$9,722.81
|
| Rate for Payer: Banner UC Health Medicaid |
$9,722.81
|
| Rate for Payer: Mercy Care Medicaid |
$9,722.81
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$9,722.81
|
|
|
Service Code
|
APR-DRG 2232
|
| Hospital Charge Code |
APRDRG2232
|
| Min. Negotiated Rate |
$9,722.81 |
| Max. Negotiated Rate |
$9,722.81 |
| Rate for Payer: AHCCCS Medicaid |
$9,722.81
|
| Rate for Payer: Allwell Medicaid |
$9,722.81
|
| Rate for Payer: AZCH Complete Medicaid |
$9,722.81
|
| Rate for Payer: Banner UC Health Medicaid |
$9,722.81
|
| Rate for Payer: Mercy Care Medicaid |
$9,722.81
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$27,320.93
|
|
|
Service Code
|
APR-DRG 2234
|
| Hospital Charge Code |
APRDRG2232
|
| Min. Negotiated Rate |
$27,320.93 |
| Max. Negotiated Rate |
$27,320.93 |
| Rate for Payer: AHCCCS Medicaid |
$27,320.93
|
| Rate for Payer: Allwell Medicaid |
$27,320.93
|
| Rate for Payer: AZCH Complete Medicaid |
$27,320.93
|
| Rate for Payer: Banner UC Health Medicaid |
$27,320.93
|
| Rate for Payer: Mercy Care Medicaid |
$27,320.93
|
|
|
Other Small And Large Bowel Procedures
|
Facility
|
IP
|
$27,320.93
|
|
|
Service Code
|
APR-DRG 2234
|
| Hospital Charge Code |
APRDRG2233
|
| Min. Negotiated Rate |
$27,320.93 |
| Max. Negotiated Rate |
$27,320.93 |
| Rate for Payer: AHCCCS Medicaid |
$27,320.93
|
| Rate for Payer: Allwell Medicaid |
$27,320.93
|
| Rate for Payer: AZCH Complete Medicaid |
$27,320.93
|
| Rate for Payer: Banner UC Health Medicaid |
$27,320.93
|
| Rate for Payer: Mercy Care Medicaid |
$27,320.93
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$27,475.94
|
|
|
Service Code
|
APR-DRG 2224
|
| Hospital Charge Code |
APRDRG2223
|
| Min. Negotiated Rate |
$27,475.94 |
| Max. Negotiated Rate |
$27,475.94 |
| Rate for Payer: AHCCCS Medicaid |
$27,475.94
|
| Rate for Payer: Allwell Medicaid |
$27,475.94
|
| Rate for Payer: AZCH Complete Medicaid |
$27,475.94
|
| Rate for Payer: Banner UC Health Medicaid |
$27,475.94
|
| Rate for Payer: Mercy Care Medicaid |
$27,475.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$13,584.01
|
|
|
Service Code
|
APR-DRG 2223
|
| Hospital Charge Code |
APRDRG2221
|
| Min. Negotiated Rate |
$13,584.01 |
| Max. Negotiated Rate |
$13,584.01 |
| Rate for Payer: AHCCCS Medicaid |
$13,584.01
|
| Rate for Payer: Allwell Medicaid |
$13,584.01
|
| Rate for Payer: AZCH Complete Medicaid |
$13,584.01
|
| Rate for Payer: Banner UC Health Medicaid |
$13,584.01
|
| Rate for Payer: Mercy Care Medicaid |
$13,584.01
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$5,064.81
|
|
|
Service Code
|
APR-DRG 2221
|
| Hospital Charge Code |
APRDRG2221
|
| Min. Negotiated Rate |
$5,064.81 |
| Max. Negotiated Rate |
$5,064.81 |
| Rate for Payer: AHCCCS Medicaid |
$5,064.81
|
| Rate for Payer: Allwell Medicaid |
$5,064.81
|
| Rate for Payer: AZCH Complete Medicaid |
$5,064.81
|
| Rate for Payer: Banner UC Health Medicaid |
$5,064.81
|
| Rate for Payer: Mercy Care Medicaid |
$5,064.81
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,136.94
|
|
|
Service Code
|
APR-DRG 2222
|
| Hospital Charge Code |
APRDRG2223
|
| Min. Negotiated Rate |
$8,136.94 |
| Max. Negotiated Rate |
$8,136.94 |
| Rate for Payer: AHCCCS Medicaid |
$8,136.94
|
| Rate for Payer: Allwell Medicaid |
$8,136.94
|
| Rate for Payer: AZCH Complete Medicaid |
$8,136.94
|
| Rate for Payer: Banner UC Health Medicaid |
$8,136.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,136.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$5,064.81
|
|
|
Service Code
|
APR-DRG 2221
|
| Hospital Charge Code |
APRDRG2222
|
| Min. Negotiated Rate |
$5,064.81 |
| Max. Negotiated Rate |
$5,064.81 |
| Rate for Payer: AHCCCS Medicaid |
$5,064.81
|
| Rate for Payer: Allwell Medicaid |
$5,064.81
|
| Rate for Payer: AZCH Complete Medicaid |
$5,064.81
|
| Rate for Payer: Banner UC Health Medicaid |
$5,064.81
|
| Rate for Payer: Mercy Care Medicaid |
$5,064.81
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$27,475.94
|
|
|
Service Code
|
APR-DRG 2224
|
| Hospital Charge Code |
APRDRG2224
|
| Min. Negotiated Rate |
$27,475.94 |
| Max. Negotiated Rate |
$27,475.94 |
| Rate for Payer: AHCCCS Medicaid |
$27,475.94
|
| Rate for Payer: Allwell Medicaid |
$27,475.94
|
| Rate for Payer: AZCH Complete Medicaid |
$27,475.94
|
| Rate for Payer: Banner UC Health Medicaid |
$27,475.94
|
| Rate for Payer: Mercy Care Medicaid |
$27,475.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$27,475.94
|
|
|
Service Code
|
APR-DRG 2224
|
| Hospital Charge Code |
APRDRG2222
|
| Min. Negotiated Rate |
$27,475.94 |
| Max. Negotiated Rate |
$27,475.94 |
| Rate for Payer: AHCCCS Medicaid |
$27,475.94
|
| Rate for Payer: Allwell Medicaid |
$27,475.94
|
| Rate for Payer: AZCH Complete Medicaid |
$27,475.94
|
| Rate for Payer: Banner UC Health Medicaid |
$27,475.94
|
| Rate for Payer: Mercy Care Medicaid |
$27,475.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,136.94
|
|
|
Service Code
|
APR-DRG 2222
|
| Hospital Charge Code |
APRDRG2224
|
| Min. Negotiated Rate |
$8,136.94 |
| Max. Negotiated Rate |
$8,136.94 |
| Rate for Payer: AHCCCS Medicaid |
$8,136.94
|
| Rate for Payer: Allwell Medicaid |
$8,136.94
|
| Rate for Payer: AZCH Complete Medicaid |
$8,136.94
|
| Rate for Payer: Banner UC Health Medicaid |
$8,136.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,136.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$13,584.01
|
|
|
Service Code
|
APR-DRG 2223
|
| Hospital Charge Code |
APRDRG2222
|
| Min. Negotiated Rate |
$13,584.01 |
| Max. Negotiated Rate |
$13,584.01 |
| Rate for Payer: AHCCCS Medicaid |
$13,584.01
|
| Rate for Payer: Allwell Medicaid |
$13,584.01
|
| Rate for Payer: AZCH Complete Medicaid |
$13,584.01
|
| Rate for Payer: Banner UC Health Medicaid |
$13,584.01
|
| Rate for Payer: Mercy Care Medicaid |
$13,584.01
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$13,584.01
|
|
|
Service Code
|
APR-DRG 2223
|
| Hospital Charge Code |
APRDRG2224
|
| Min. Negotiated Rate |
$13,584.01 |
| Max. Negotiated Rate |
$13,584.01 |
| Rate for Payer: AHCCCS Medicaid |
$13,584.01
|
| Rate for Payer: Allwell Medicaid |
$13,584.01
|
| Rate for Payer: AZCH Complete Medicaid |
$13,584.01
|
| Rate for Payer: Banner UC Health Medicaid |
$13,584.01
|
| Rate for Payer: Mercy Care Medicaid |
$13,584.01
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,136.94
|
|
|
Service Code
|
APR-DRG 2222
|
| Hospital Charge Code |
APRDRG2222
|
| Min. Negotiated Rate |
$8,136.94 |
| Max. Negotiated Rate |
$8,136.94 |
| Rate for Payer: AHCCCS Medicaid |
$8,136.94
|
| Rate for Payer: Allwell Medicaid |
$8,136.94
|
| Rate for Payer: AZCH Complete Medicaid |
$8,136.94
|
| Rate for Payer: Banner UC Health Medicaid |
$8,136.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,136.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$27,475.94
|
|
|
Service Code
|
APR-DRG 2224
|
| Hospital Charge Code |
APRDRG2221
|
| Min. Negotiated Rate |
$27,475.94 |
| Max. Negotiated Rate |
$27,475.94 |
| Rate for Payer: AHCCCS Medicaid |
$27,475.94
|
| Rate for Payer: Allwell Medicaid |
$27,475.94
|
| Rate for Payer: AZCH Complete Medicaid |
$27,475.94
|
| Rate for Payer: Banner UC Health Medicaid |
$27,475.94
|
| Rate for Payer: Mercy Care Medicaid |
$27,475.94
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$5,064.81
|
|
|
Service Code
|
APR-DRG 2221
|
| Hospital Charge Code |
APRDRG2223
|
| Min. Negotiated Rate |
$5,064.81 |
| Max. Negotiated Rate |
$5,064.81 |
| Rate for Payer: AHCCCS Medicaid |
$5,064.81
|
| Rate for Payer: Allwell Medicaid |
$5,064.81
|
| Rate for Payer: AZCH Complete Medicaid |
$5,064.81
|
| Rate for Payer: Banner UC Health Medicaid |
$5,064.81
|
| Rate for Payer: Mercy Care Medicaid |
$5,064.81
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$13,584.01
|
|
|
Service Code
|
APR-DRG 2223
|
| Hospital Charge Code |
APRDRG2223
|
| Min. Negotiated Rate |
$13,584.01 |
| Max. Negotiated Rate |
$13,584.01 |
| Rate for Payer: AHCCCS Medicaid |
$13,584.01
|
| Rate for Payer: Allwell Medicaid |
$13,584.01
|
| Rate for Payer: AZCH Complete Medicaid |
$13,584.01
|
| Rate for Payer: Banner UC Health Medicaid |
$13,584.01
|
| Rate for Payer: Mercy Care Medicaid |
$13,584.01
|
|
|
Other Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,136.94
|
|
|
Service Code
|
APR-DRG 2222
|
| Hospital Charge Code |
APRDRG2221
|
| Min. Negotiated Rate |
$8,136.94 |
| Max. Negotiated Rate |
$8,136.94 |
| Rate for Payer: AHCCCS Medicaid |
$8,136.94
|
| Rate for Payer: Allwell Medicaid |
$8,136.94
|
| Rate for Payer: AZCH Complete Medicaid |
$8,136.94
|
| Rate for Payer: Banner UC Health Medicaid |
$8,136.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,136.94
|
|
