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Charge Type Setting Price  
Service Code APR-DRG 1834
Hospital Charge Code APRDRG1834
Min. Negotiated Rate $48,903.71
Max. Negotiated Rate $48,903.71
Rate for Payer: AHCCCS Medicaid $48,903.71
Rate for Payer: Allwell Medicaid $48,903.71
Rate for Payer: AZCH Complete Medicaid $48,903.71
Rate for Payer: Banner UC Health Medicaid $48,903.71
Rate for Payer: Mercy Care Medicaid $48,903.71
Service Code APR-DRG 1832
Hospital Charge Code APRDRG1833
Min. Negotiated Rate $28,283.25
Max. Negotiated Rate $28,283.25
Rate for Payer: AHCCCS Medicaid $28,283.25
Rate for Payer: Allwell Medicaid $28,283.25
Rate for Payer: AZCH Complete Medicaid $28,283.25
Rate for Payer: Banner UC Health Medicaid $28,283.25
Rate for Payer: Mercy Care Medicaid $28,283.25
Service Code APR-DRG 1834
Hospital Charge Code APRDRG1831
Min. Negotiated Rate $48,903.71
Max. Negotiated Rate $48,903.71
Rate for Payer: AHCCCS Medicaid $48,903.71
Rate for Payer: Allwell Medicaid $48,903.71
Rate for Payer: AZCH Complete Medicaid $48,903.71
Rate for Payer: Banner UC Health Medicaid $48,903.71
Rate for Payer: Mercy Care Medicaid $48,903.71
Service Code APR-DRG 1831
Hospital Charge Code APRDRG1833
Min. Negotiated Rate $26,889.57
Max. Negotiated Rate $26,889.57
Rate for Payer: AHCCCS Medicaid $26,889.57
Rate for Payer: Allwell Medicaid $26,889.57
Rate for Payer: AZCH Complete Medicaid $26,889.57
Rate for Payer: Banner UC Health Medicaid $26,889.57
Rate for Payer: Mercy Care Medicaid $26,889.57
Service Code APR-DRG 1832
Hospital Charge Code APRDRG1834
Min. Negotiated Rate $28,283.25
Max. Negotiated Rate $28,283.25
Rate for Payer: AHCCCS Medicaid $28,283.25
Rate for Payer: Allwell Medicaid $28,283.25
Rate for Payer: AZCH Complete Medicaid $28,283.25
Rate for Payer: Banner UC Health Medicaid $28,283.25
Rate for Payer: Mercy Care Medicaid $28,283.25
Service Code APR-DRG 1831
Hospital Charge Code APRDRG1831
Min. Negotiated Rate $26,889.57
Max. Negotiated Rate $26,889.57
Rate for Payer: AHCCCS Medicaid $26,889.57
Rate for Payer: Allwell Medicaid $26,889.57
Rate for Payer: AZCH Complete Medicaid $26,889.57
Rate for Payer: Banner UC Health Medicaid $26,889.57
Rate for Payer: Mercy Care Medicaid $26,889.57
Service Code APR-DRG 1832
Hospital Charge Code APRDRG1832
Min. Negotiated Rate $28,283.25
Max. Negotiated Rate $28,283.25
Rate for Payer: AHCCCS Medicaid $28,283.25
Rate for Payer: Allwell Medicaid $28,283.25
Rate for Payer: AZCH Complete Medicaid $28,283.25
Rate for Payer: Banner UC Health Medicaid $28,283.25
Rate for Payer: Mercy Care Medicaid $28,283.25
Service Code APR-DRG 1834
Hospital Charge Code APRDRG1833
Min. Negotiated Rate $48,903.71
Max. Negotiated Rate $48,903.71
Rate for Payer: AHCCCS Medicaid $48,903.71
Rate for Payer: Allwell Medicaid $48,903.71
Rate for Payer: AZCH Complete Medicaid $48,903.71
Rate for Payer: Banner UC Health Medicaid $48,903.71
Rate for Payer: Mercy Care Medicaid $48,903.71
Service Code APR-DRG 1833
Hospital Charge Code APRDRG1831
Min. Negotiated Rate $33,632.13
Max. Negotiated Rate $33,632.13
Rate for Payer: AHCCCS Medicaid $33,632.13
Rate for Payer: Allwell Medicaid $33,632.13
Rate for Payer: AZCH Complete Medicaid $33,632.13
Rate for Payer: Banner UC Health Medicaid $33,632.13
Rate for Payer: Mercy Care Medicaid $33,632.13
Service Code APR-DRG 1833
Hospital Charge Code APRDRG1834
Min. Negotiated Rate $33,632.13
Max. Negotiated Rate $33,632.13
Rate for Payer: AHCCCS Medicaid $33,632.13
Rate for Payer: Allwell Medicaid $33,632.13
Rate for Payer: AZCH Complete Medicaid $33,632.13
Rate for Payer: Banner UC Health Medicaid $33,632.13
Rate for Payer: Mercy Care Medicaid $33,632.13
Service Code APR-DRG 1831
Hospital Charge Code APRDRG1832
Min. Negotiated Rate $26,889.57
Max. Negotiated Rate $26,889.57
Rate for Payer: AHCCCS Medicaid $26,889.57
Rate for Payer: Allwell Medicaid $26,889.57
Rate for Payer: AZCH Complete Medicaid $26,889.57
Rate for Payer: Banner UC Health Medicaid $26,889.57
Rate for Payer: Mercy Care Medicaid $26,889.57
Service Code APR-DRG 1833
Hospital Charge Code APRDRG1832
Min. Negotiated Rate $33,632.13
Max. Negotiated Rate $33,632.13
Rate for Payer: AHCCCS Medicaid $33,632.13
Rate for Payer: Allwell Medicaid $33,632.13
Rate for Payer: AZCH Complete Medicaid $33,632.13
Rate for Payer: Banner UC Health Medicaid $33,632.13
Rate for Payer: Mercy Care Medicaid $33,632.13
Service Code APR-DRG 1834
Hospital Charge Code APRDRG1832
Min. Negotiated Rate $48,903.71
Max. Negotiated Rate $48,903.71
Rate for Payer: AHCCCS Medicaid $48,903.71
Rate for Payer: Allwell Medicaid $48,903.71
Rate for Payer: AZCH Complete Medicaid $48,903.71
Rate for Payer: Banner UC Health Medicaid $48,903.71
Rate for Payer: Mercy Care Medicaid $48,903.71
Service Code APR-DRG 1973
Hospital Charge Code APRDRG1972
Min. Negotiated Rate $6,431.84
Max. Negotiated Rate $6,431.84
Rate for Payer: AHCCCS Medicaid $6,431.84
Rate for Payer: Allwell Medicaid $6,431.84
Rate for Payer: AZCH Complete Medicaid $6,431.84
Rate for Payer: Banner UC Health Medicaid $6,431.84
Rate for Payer: Mercy Care Medicaid $6,431.84
Service Code APR-DRG 1974
Hospital Charge Code APRDRG1971
Min. Negotiated Rate $13,418.48
Max. Negotiated Rate $13,418.48
Rate for Payer: AHCCCS Medicaid $13,418.48
Rate for Payer: Allwell Medicaid $13,418.48
Rate for Payer: AZCH Complete Medicaid $13,418.48
Rate for Payer: Banner UC Health Medicaid $13,418.48
Rate for Payer: Mercy Care Medicaid $13,418.48
Service Code APR-DRG 1971
Hospital Charge Code APRDRG1973
Min. Negotiated Rate $3,568.72
Max. Negotiated Rate $3,568.72
Rate for Payer: AHCCCS Medicaid $3,568.72
Rate for Payer: Allwell Medicaid $3,568.72
Rate for Payer: AZCH Complete Medicaid $3,568.72
Rate for Payer: Banner UC Health Medicaid $3,568.72
Rate for Payer: Mercy Care Medicaid $3,568.72
Service Code APR-DRG 1972
Hospital Charge Code APRDRG1972
Min. Negotiated Rate $4,634.85
Max. Negotiated Rate $4,634.85
Rate for Payer: AHCCCS Medicaid $4,634.85
Rate for Payer: Allwell Medicaid $4,634.85
Rate for Payer: AZCH Complete Medicaid $4,634.85
Rate for Payer: Banner UC Health Medicaid $4,634.85
Rate for Payer: Mercy Care Medicaid $4,634.85
Service Code APR-DRG 1972
Hospital Charge Code APRDRG1971
Min. Negotiated Rate $4,634.85
Max. Negotiated Rate $4,634.85
Rate for Payer: AHCCCS Medicaid $4,634.85
Rate for Payer: Allwell Medicaid $4,634.85
Rate for Payer: AZCH Complete Medicaid $4,634.85
Rate for Payer: Banner UC Health Medicaid $4,634.85
Rate for Payer: Mercy Care Medicaid $4,634.85
Service Code APR-DRG 1974
Hospital Charge Code APRDRG1972
Min. Negotiated Rate $13,418.48
Max. Negotiated Rate $13,418.48
Rate for Payer: AHCCCS Medicaid $13,418.48
Rate for Payer: Allwell Medicaid $13,418.48
Rate for Payer: AZCH Complete Medicaid $13,418.48
Rate for Payer: Banner UC Health Medicaid $13,418.48
Rate for Payer: Mercy Care Medicaid $13,418.48
Service Code APR-DRG 1972
Hospital Charge Code APRDRG1973
Min. Negotiated Rate $4,634.85
Max. Negotiated Rate $4,634.85
Rate for Payer: AHCCCS Medicaid $4,634.85
Rate for Payer: Allwell Medicaid $4,634.85
Rate for Payer: AZCH Complete Medicaid $4,634.85
Rate for Payer: Banner UC Health Medicaid $4,634.85
Rate for Payer: Mercy Care Medicaid $4,634.85
Service Code APR-DRG 1974
Hospital Charge Code APRDRG1974
Min. Negotiated Rate $13,418.48
Max. Negotiated Rate $13,418.48
Rate for Payer: AHCCCS Medicaid $13,418.48
Rate for Payer: Allwell Medicaid $13,418.48
Rate for Payer: AZCH Complete Medicaid $13,418.48
Rate for Payer: Banner UC Health Medicaid $13,418.48
Rate for Payer: Mercy Care Medicaid $13,418.48
Service Code APR-DRG 1971
Hospital Charge Code APRDRG1974
Min. Negotiated Rate $3,568.72
Max. Negotiated Rate $3,568.72
Rate for Payer: AHCCCS Medicaid $3,568.72
Rate for Payer: Allwell Medicaid $3,568.72
Rate for Payer: AZCH Complete Medicaid $3,568.72
Rate for Payer: Banner UC Health Medicaid $3,568.72
Rate for Payer: Mercy Care Medicaid $3,568.72
Service Code APR-DRG 1971
Hospital Charge Code APRDRG1971
Min. Negotiated Rate $3,568.72
Max. Negotiated Rate $3,568.72
Rate for Payer: AHCCCS Medicaid $3,568.72
Rate for Payer: Allwell Medicaid $3,568.72
Rate for Payer: AZCH Complete Medicaid $3,568.72
Rate for Payer: Banner UC Health Medicaid $3,568.72
Rate for Payer: Mercy Care Medicaid $3,568.72
Service Code APR-DRG 1971
Hospital Charge Code APRDRG1972
Min. Negotiated Rate $3,568.72
Max. Negotiated Rate $3,568.72
Rate for Payer: AHCCCS Medicaid $3,568.72
Rate for Payer: Allwell Medicaid $3,568.72
Rate for Payer: AZCH Complete Medicaid $3,568.72
Rate for Payer: Banner UC Health Medicaid $3,568.72
Rate for Payer: Mercy Care Medicaid $3,568.72
Service Code APR-DRG 1972
Hospital Charge Code APRDRG1974
Min. Negotiated Rate $4,634.85
Max. Negotiated Rate $4,634.85
Rate for Payer: AHCCCS Medicaid $4,634.85
Rate for Payer: Allwell Medicaid $4,634.85
Rate for Payer: AZCH Complete Medicaid $4,634.85
Rate for Payer: Banner UC Health Medicaid $4,634.85
Rate for Payer: Mercy Care Medicaid $4,634.85