|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$24,699.10
|
|
|
Service Code
|
APR-DRG 4834
|
| Hospital Charge Code |
APRDRG4831
|
| Min. Negotiated Rate |
$24,699.10 |
| Max. Negotiated Rate |
$24,699.10 |
| Rate for Payer: AHCCCS Medicaid |
$24,699.10
|
| Rate for Payer: Allwell Medicaid |
$24,699.10
|
| Rate for Payer: AZCH Complete Medicaid |
$24,699.10
|
| Rate for Payer: Banner UC Health Medicaid |
$24,699.10
|
| Rate for Payer: Mercy Care Medicaid |
$24,699.10
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$24,699.10
|
|
|
Service Code
|
APR-DRG 4834
|
| Hospital Charge Code |
APRDRG4832
|
| Min. Negotiated Rate |
$24,699.10 |
| Max. Negotiated Rate |
$24,699.10 |
| Rate for Payer: AHCCCS Medicaid |
$24,699.10
|
| Rate for Payer: Allwell Medicaid |
$24,699.10
|
| Rate for Payer: AZCH Complete Medicaid |
$24,699.10
|
| Rate for Payer: Banner UC Health Medicaid |
$24,699.10
|
| Rate for Payer: Mercy Care Medicaid |
$24,699.10
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$13,713.07
|
|
|
Service Code
|
APR-DRG 4833
|
| Hospital Charge Code |
APRDRG4833
|
| Min. Negotiated Rate |
$13,713.07 |
| Max. Negotiated Rate |
$13,713.07 |
| Rate for Payer: AHCCCS Medicaid |
$13,713.07
|
| Rate for Payer: Allwell Medicaid |
$13,713.07
|
| Rate for Payer: AZCH Complete Medicaid |
$13,713.07
|
| Rate for Payer: Banner UC Health Medicaid |
$13,713.07
|
| Rate for Payer: Mercy Care Medicaid |
$13,713.07
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$7,091.86
|
|
|
Service Code
|
APR-DRG 4831
|
| Hospital Charge Code |
APRDRG4832
|
| Min. Negotiated Rate |
$7,091.86 |
| Max. Negotiated Rate |
$7,091.86 |
| Rate for Payer: AHCCCS Medicaid |
$7,091.86
|
| Rate for Payer: Allwell Medicaid |
$7,091.86
|
| Rate for Payer: AZCH Complete Medicaid |
$7,091.86
|
| Rate for Payer: Banner UC Health Medicaid |
$7,091.86
|
| Rate for Payer: Mercy Care Medicaid |
$7,091.86
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$9,340.54
|
|
|
Service Code
|
APR-DRG 4832
|
| Hospital Charge Code |
APRDRG4832
|
| Min. Negotiated Rate |
$9,340.54 |
| Max. Negotiated Rate |
$9,340.54 |
| Rate for Payer: AHCCCS Medicaid |
$9,340.54
|
| Rate for Payer: Allwell Medicaid |
$9,340.54
|
| Rate for Payer: AZCH Complete Medicaid |
$9,340.54
|
| Rate for Payer: Banner UC Health Medicaid |
$9,340.54
|
| Rate for Payer: Mercy Care Medicaid |
$9,340.54
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$13,713.07
|
|
|
Service Code
|
APR-DRG 4833
|
| Hospital Charge Code |
APRDRG4831
|
| Min. Negotiated Rate |
$13,713.07 |
| Max. Negotiated Rate |
$13,713.07 |
| Rate for Payer: AHCCCS Medicaid |
$13,713.07
|
| Rate for Payer: Allwell Medicaid |
$13,713.07
|
| Rate for Payer: AZCH Complete Medicaid |
$13,713.07
|
| Rate for Payer: Banner UC Health Medicaid |
$13,713.07
|
| Rate for Payer: Mercy Care Medicaid |
$13,713.07
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$7,091.86
|
|
|
Service Code
|
APR-DRG 4831
|
| Hospital Charge Code |
APRDRG4833
|
| Min. Negotiated Rate |
$7,091.86 |
| Max. Negotiated Rate |
$7,091.86 |
| Rate for Payer: AHCCCS Medicaid |
$7,091.86
|
| Rate for Payer: Allwell Medicaid |
$7,091.86
|
| Rate for Payer: AZCH Complete Medicaid |
$7,091.86
|
| Rate for Payer: Banner UC Health Medicaid |
$7,091.86
|
| Rate for Payer: Mercy Care Medicaid |
$7,091.86
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$9,340.54
|
|
|
Service Code
|
APR-DRG 4832
|
| Hospital Charge Code |
APRDRG4833
|
| Min. Negotiated Rate |
$9,340.54 |
| Max. Negotiated Rate |
$9,340.54 |
| Rate for Payer: AHCCCS Medicaid |
$9,340.54
|
| Rate for Payer: Allwell Medicaid |
$9,340.54
|
| Rate for Payer: AZCH Complete Medicaid |
$9,340.54
|
| Rate for Payer: Banner UC Health Medicaid |
$9,340.54
|
| Rate for Payer: Mercy Care Medicaid |
$9,340.54
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$7,091.86
|
|
|
Service Code
|
APR-DRG 4831
|
| Hospital Charge Code |
APRDRG4831
|
| Min. Negotiated Rate |
$7,091.86 |
| Max. Negotiated Rate |
$7,091.86 |
| Rate for Payer: AHCCCS Medicaid |
$7,091.86
|
| Rate for Payer: Allwell Medicaid |
$7,091.86
|
| Rate for Payer: AZCH Complete Medicaid |
$7,091.86
|
| Rate for Payer: Banner UC Health Medicaid |
$7,091.86
|
| Rate for Payer: Mercy Care Medicaid |
$7,091.86
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$24,699.10
|
|
|
Service Code
|
APR-DRG 4834
|
| Hospital Charge Code |
APRDRG4833
|
| Min. Negotiated Rate |
$24,699.10 |
| Max. Negotiated Rate |
$24,699.10 |
| Rate for Payer: AHCCCS Medicaid |
$24,699.10
|
| Rate for Payer: Allwell Medicaid |
$24,699.10
|
| Rate for Payer: AZCH Complete Medicaid |
$24,699.10
|
| Rate for Payer: Banner UC Health Medicaid |
$24,699.10
|
| Rate for Payer: Mercy Care Medicaid |
$24,699.10
|
|
|
Penis, Testes And Scrotal Procedures
|
Facility
|
IP
|
$7,091.86
|
|
|
Service Code
|
APR-DRG 4831
|
| Hospital Charge Code |
APRDRG4834
|
| Min. Negotiated Rate |
$7,091.86 |
| Max. Negotiated Rate |
$7,091.86 |
| Rate for Payer: AHCCCS Medicaid |
$7,091.86
|
| Rate for Payer: Allwell Medicaid |
$7,091.86
|
| Rate for Payer: AZCH Complete Medicaid |
$7,091.86
|
| Rate for Payer: Banner UC Health Medicaid |
$7,091.86
|
| Rate for Payer: Mercy Care Medicaid |
$7,091.86
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$7,366.80
|
|
|
Service Code
|
APR-DRG 2413
|
| Hospital Charge Code |
APRDRG2411
|
| Min. Negotiated Rate |
$7,366.80 |
| Max. Negotiated Rate |
$7,366.80 |
| Rate for Payer: AHCCCS Medicaid |
$7,366.80
|
| Rate for Payer: Allwell Medicaid |
$7,366.80
|
| Rate for Payer: AZCH Complete Medicaid |
$7,366.80
|
| Rate for Payer: Banner UC Health Medicaid |
$7,366.80
|
| Rate for Payer: Mercy Care Medicaid |
$7,366.80
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$16,030.50
|
|
|
Service Code
|
APR-DRG 2414
|
| Hospital Charge Code |
APRDRG2414
|
| Min. Negotiated Rate |
$16,030.50 |
| Max. Negotiated Rate |
$16,030.50 |
| Rate for Payer: AHCCCS Medicaid |
$16,030.50
|
| Rate for Payer: Allwell Medicaid |
$16,030.50
|
| Rate for Payer: AZCH Complete Medicaid |
$16,030.50
|
| Rate for Payer: Banner UC Health Medicaid |
$16,030.50
|
| Rate for Payer: Mercy Care Medicaid |
$16,030.50
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$4,103.19
|
|
|
Service Code
|
APR-DRG 2411
|
| Hospital Charge Code |
APRDRG2412
|
| Min. Negotiated Rate |
$4,103.19 |
| Max. Negotiated Rate |
$4,103.19 |
| Rate for Payer: AHCCCS Medicaid |
$4,103.19
|
| Rate for Payer: Allwell Medicaid |
$4,103.19
|
| Rate for Payer: AZCH Complete Medicaid |
$4,103.19
|
| Rate for Payer: Banner UC Health Medicaid |
$4,103.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,103.19
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$4,103.19
|
|
|
Service Code
|
APR-DRG 2411
|
| Hospital Charge Code |
APRDRG2411
|
| Min. Negotiated Rate |
$4,103.19 |
| Max. Negotiated Rate |
$4,103.19 |
| Rate for Payer: AHCCCS Medicaid |
$4,103.19
|
| Rate for Payer: Allwell Medicaid |
$4,103.19
|
| Rate for Payer: AZCH Complete Medicaid |
$4,103.19
|
| Rate for Payer: Banner UC Health Medicaid |
$4,103.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,103.19
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$16,030.50
|
|
|
Service Code
|
APR-DRG 2414
|
| Hospital Charge Code |
APRDRG2413
|
| Min. Negotiated Rate |
$16,030.50 |
| Max. Negotiated Rate |
$16,030.50 |
| Rate for Payer: AHCCCS Medicaid |
$16,030.50
|
| Rate for Payer: Allwell Medicaid |
$16,030.50
|
| Rate for Payer: AZCH Complete Medicaid |
$16,030.50
|
| Rate for Payer: Banner UC Health Medicaid |
$16,030.50
|
| Rate for Payer: Mercy Care Medicaid |
$16,030.50
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$5,002.38
|
|
|
Service Code
|
APR-DRG 2412
|
| Hospital Charge Code |
APRDRG2413
|
| Min. Negotiated Rate |
$5,002.38 |
| Max. Negotiated Rate |
$5,002.38 |
| Rate for Payer: AHCCCS Medicaid |
$5,002.38
|
| Rate for Payer: Allwell Medicaid |
$5,002.38
|
| Rate for Payer: AZCH Complete Medicaid |
$5,002.38
|
| Rate for Payer: Banner UC Health Medicaid |
$5,002.38
|
| Rate for Payer: Mercy Care Medicaid |
$5,002.38
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$5,002.38
|
|
|
Service Code
|
APR-DRG 2412
|
| Hospital Charge Code |
APRDRG2411
|
| Min. Negotiated Rate |
$5,002.38 |
| Max. Negotiated Rate |
$5,002.38 |
| Rate for Payer: AHCCCS Medicaid |
$5,002.38
|
| Rate for Payer: Allwell Medicaid |
$5,002.38
|
| Rate for Payer: AZCH Complete Medicaid |
$5,002.38
|
| Rate for Payer: Banner UC Health Medicaid |
$5,002.38
|
| Rate for Payer: Mercy Care Medicaid |
$5,002.38
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$7,366.80
|
|
|
Service Code
|
APR-DRG 2413
|
| Hospital Charge Code |
APRDRG2413
|
| Min. Negotiated Rate |
$7,366.80 |
| Max. Negotiated Rate |
$7,366.80 |
| Rate for Payer: AHCCCS Medicaid |
$7,366.80
|
| Rate for Payer: Allwell Medicaid |
$7,366.80
|
| Rate for Payer: AZCH Complete Medicaid |
$7,366.80
|
| Rate for Payer: Banner UC Health Medicaid |
$7,366.80
|
| Rate for Payer: Mercy Care Medicaid |
$7,366.80
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$5,002.38
|
|
|
Service Code
|
APR-DRG 2412
|
| Hospital Charge Code |
APRDRG2412
|
| Min. Negotiated Rate |
$5,002.38 |
| Max. Negotiated Rate |
$5,002.38 |
| Rate for Payer: AHCCCS Medicaid |
$5,002.38
|
| Rate for Payer: Allwell Medicaid |
$5,002.38
|
| Rate for Payer: AZCH Complete Medicaid |
$5,002.38
|
| Rate for Payer: Banner UC Health Medicaid |
$5,002.38
|
| Rate for Payer: Mercy Care Medicaid |
$5,002.38
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$16,030.50
|
|
|
Service Code
|
APR-DRG 2414
|
| Hospital Charge Code |
APRDRG2412
|
| Min. Negotiated Rate |
$16,030.50 |
| Max. Negotiated Rate |
$16,030.50 |
| Rate for Payer: AHCCCS Medicaid |
$16,030.50
|
| Rate for Payer: Allwell Medicaid |
$16,030.50
|
| Rate for Payer: AZCH Complete Medicaid |
$16,030.50
|
| Rate for Payer: Banner UC Health Medicaid |
$16,030.50
|
| Rate for Payer: Mercy Care Medicaid |
$16,030.50
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$5,002.38
|
|
|
Service Code
|
APR-DRG 2412
|
| Hospital Charge Code |
APRDRG2414
|
| Min. Negotiated Rate |
$5,002.38 |
| Max. Negotiated Rate |
$5,002.38 |
| Rate for Payer: AHCCCS Medicaid |
$5,002.38
|
| Rate for Payer: Allwell Medicaid |
$5,002.38
|
| Rate for Payer: AZCH Complete Medicaid |
$5,002.38
|
| Rate for Payer: Banner UC Health Medicaid |
$5,002.38
|
| Rate for Payer: Mercy Care Medicaid |
$5,002.38
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$7,366.80
|
|
|
Service Code
|
APR-DRG 2413
|
| Hospital Charge Code |
APRDRG2414
|
| Min. Negotiated Rate |
$7,366.80 |
| Max. Negotiated Rate |
$7,366.80 |
| Rate for Payer: AHCCCS Medicaid |
$7,366.80
|
| Rate for Payer: Allwell Medicaid |
$7,366.80
|
| Rate for Payer: AZCH Complete Medicaid |
$7,366.80
|
| Rate for Payer: Banner UC Health Medicaid |
$7,366.80
|
| Rate for Payer: Mercy Care Medicaid |
$7,366.80
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$4,103.19
|
|
|
Service Code
|
APR-DRG 2411
|
| Hospital Charge Code |
APRDRG2413
|
| Min. Negotiated Rate |
$4,103.19 |
| Max. Negotiated Rate |
$4,103.19 |
| Rate for Payer: AHCCCS Medicaid |
$4,103.19
|
| Rate for Payer: Allwell Medicaid |
$4,103.19
|
| Rate for Payer: AZCH Complete Medicaid |
$4,103.19
|
| Rate for Payer: Banner UC Health Medicaid |
$4,103.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,103.19
|
|
|
Peptic Ulcer And Gastritis
|
Facility
|
IP
|
$4,103.19
|
|
|
Service Code
|
APR-DRG 2411
|
| Hospital Charge Code |
APRDRG2414
|
| Min. Negotiated Rate |
$4,103.19 |
| Max. Negotiated Rate |
$4,103.19 |
| Rate for Payer: AHCCCS Medicaid |
$4,103.19
|
| Rate for Payer: Allwell Medicaid |
$4,103.19
|
| Rate for Payer: AZCH Complete Medicaid |
$4,103.19
|
| Rate for Payer: Banner UC Health Medicaid |
$4,103.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,103.19
|
|