Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$26,889.57
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$26,889.57
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$33,632.13
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$26,889.57
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$33,632.13
|
|
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
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$6,431.84
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$3,568.72
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$3,568.72
|
|
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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$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
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
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
|
|