|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$30,224.73
|
|
|
Service Code
|
APR-DRG 1704
|
| Hospital Charge Code |
APRDRG1703
|
| Min. Negotiated Rate |
$30,224.73 |
| Max. Negotiated Rate |
$30,224.73 |
| Rate for Payer: AHCCCS Medicaid |
$30,224.73
|
| Rate for Payer: Allwell Medicaid |
$30,224.73
|
| Rate for Payer: AZCH Complete Medicaid |
$30,224.73
|
| Rate for Payer: Banner UC Health Medicaid |
$30,224.73
|
| Rate for Payer: Mercy Care Medicaid |
$30,224.73
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$18,338.80
|
|
|
Service Code
|
APR-DRG 1703
|
| Hospital Charge Code |
APRDRG1702
|
| Min. Negotiated Rate |
$18,338.80 |
| Max. Negotiated Rate |
$18,338.80 |
| Rate for Payer: AHCCCS Medicaid |
$18,338.80
|
| Rate for Payer: Allwell Medicaid |
$18,338.80
|
| Rate for Payer: AZCH Complete Medicaid |
$18,338.80
|
| Rate for Payer: Banner UC Health Medicaid |
$18,338.80
|
| Rate for Payer: Mercy Care Medicaid |
$18,338.80
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$18,338.80
|
|
|
Service Code
|
APR-DRG 1703
|
| Hospital Charge Code |
APRDRG1704
|
| Min. Negotiated Rate |
$18,338.80 |
| Max. Negotiated Rate |
$18,338.80 |
| Rate for Payer: AHCCCS Medicaid |
$18,338.80
|
| Rate for Payer: Allwell Medicaid |
$18,338.80
|
| Rate for Payer: AZCH Complete Medicaid |
$18,338.80
|
| Rate for Payer: Banner UC Health Medicaid |
$18,338.80
|
| Rate for Payer: Mercy Care Medicaid |
$18,338.80
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$30,224.73
|
|
|
Service Code
|
APR-DRG 1704
|
| Hospital Charge Code |
APRDRG1704
|
| Min. Negotiated Rate |
$30,224.73 |
| Max. Negotiated Rate |
$30,224.73 |
| Rate for Payer: AHCCCS Medicaid |
$30,224.73
|
| Rate for Payer: Allwell Medicaid |
$30,224.73
|
| Rate for Payer: AZCH Complete Medicaid |
$30,224.73
|
| Rate for Payer: Banner UC Health Medicaid |
$30,224.73
|
| Rate for Payer: Mercy Care Medicaid |
$30,224.73
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$13,306.26
|
|
|
Service Code
|
APR-DRG 1701
|
| Hospital Charge Code |
APRDRG1704
|
| Min. Negotiated Rate |
$13,306.26 |
| Max. Negotiated Rate |
$13,306.26 |
| Rate for Payer: AHCCCS Medicaid |
$13,306.26
|
| Rate for Payer: Allwell Medicaid |
$13,306.26
|
| Rate for Payer: AZCH Complete Medicaid |
$13,306.26
|
| Rate for Payer: Banner UC Health Medicaid |
$13,306.26
|
| Rate for Payer: Mercy Care Medicaid |
$13,306.26
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,691.72
|
|
|
Service Code
|
APR-DRG 1702
|
| Hospital Charge Code |
APRDRG1702
|
| Min. Negotiated Rate |
$15,691.72 |
| Max. Negotiated Rate |
$15,691.72 |
| Rate for Payer: AHCCCS Medicaid |
$15,691.72
|
| Rate for Payer: Allwell Medicaid |
$15,691.72
|
| Rate for Payer: AZCH Complete Medicaid |
$15,691.72
|
| Rate for Payer: Banner UC Health Medicaid |
$15,691.72
|
| Rate for Payer: Mercy Care Medicaid |
$15,691.72
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$30,224.73
|
|
|
Service Code
|
APR-DRG 1704
|
| Hospital Charge Code |
APRDRG1701
|
| Min. Negotiated Rate |
$30,224.73 |
| Max. Negotiated Rate |
$30,224.73 |
| Rate for Payer: AHCCCS Medicaid |
$30,224.73
|
| Rate for Payer: Allwell Medicaid |
$30,224.73
|
| Rate for Payer: AZCH Complete Medicaid |
$30,224.73
|
| Rate for Payer: Banner UC Health Medicaid |
$30,224.73
|
| Rate for Payer: Mercy Care Medicaid |
$30,224.73
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,691.72
|
|
|
Service Code
|
APR-DRG 1702
|
| Hospital Charge Code |
APRDRG1701
|
| Min. Negotiated Rate |
$15,691.72 |
| Max. Negotiated Rate |
$15,691.72 |
| Rate for Payer: AHCCCS Medicaid |
$15,691.72
|
| Rate for Payer: Allwell Medicaid |
$15,691.72
|
| Rate for Payer: AZCH Complete Medicaid |
$15,691.72
|
| Rate for Payer: Banner UC Health Medicaid |
$15,691.72
|
| Rate for Payer: Mercy Care Medicaid |
$15,691.72
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$13,306.26
|
|
|
Service Code
|
APR-DRG 1701
|
| Hospital Charge Code |
APRDRG1701
|
| Min. Negotiated Rate |
$13,306.26 |
| Max. Negotiated Rate |
$13,306.26 |
| Rate for Payer: AHCCCS Medicaid |
$13,306.26
|
| Rate for Payer: Allwell Medicaid |
$13,306.26
|
| Rate for Payer: AZCH Complete Medicaid |
$13,306.26
|
| Rate for Payer: Banner UC Health Medicaid |
$13,306.26
|
| Rate for Payer: Mercy Care Medicaid |
$13,306.26
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,691.72
|
|
|
Service Code
|
APR-DRG 1702
|
| Hospital Charge Code |
APRDRG1703
|
| Min. Negotiated Rate |
$15,691.72 |
| Max. Negotiated Rate |
$15,691.72 |
| Rate for Payer: AHCCCS Medicaid |
$15,691.72
|
| Rate for Payer: Allwell Medicaid |
$15,691.72
|
| Rate for Payer: AZCH Complete Medicaid |
$15,691.72
|
| Rate for Payer: Banner UC Health Medicaid |
$15,691.72
|
| Rate for Payer: Mercy Care Medicaid |
$15,691.72
|
|
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,691.72
|
|
|
Service Code
|
APR-DRG 1702
|
| Hospital Charge Code |
APRDRG1704
|
| Min. Negotiated Rate |
$15,691.72 |
| Max. Negotiated Rate |
$15,691.72 |
| Rate for Payer: AHCCCS Medicaid |
$15,691.72
|
| Rate for Payer: Allwell Medicaid |
$15,691.72
|
| Rate for Payer: AZCH Complete Medicaid |
$15,691.72
|
| Rate for Payer: Banner UC Health Medicaid |
$15,691.72
|
| Rate for Payer: Mercy Care Medicaid |
$15,691.72
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$24,199.00
|
|
|
Service Code
|
APR-DRG 1714
|
| Hospital Charge Code |
APRDRG1713
|
| Min. Negotiated Rate |
$24,199.00 |
| Max. Negotiated Rate |
$24,199.00 |
| Rate for Payer: AHCCCS Medicaid |
$24,199.00
|
| Rate for Payer: Allwell Medicaid |
$24,199.00
|
| Rate for Payer: AZCH Complete Medicaid |
$24,199.00
|
| Rate for Payer: Banner UC Health Medicaid |
$24,199.00
|
| Rate for Payer: Mercy Care Medicaid |
$24,199.00
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$11,450.36
|
|
|
Service Code
|
APR-DRG 1712
|
| Hospital Charge Code |
APRDRG1711
|
| Min. Negotiated Rate |
$11,450.36 |
| Max. Negotiated Rate |
$11,450.36 |
| Rate for Payer: AHCCCS Medicaid |
$11,450.36
|
| Rate for Payer: Allwell Medicaid |
$11,450.36
|
| Rate for Payer: AZCH Complete Medicaid |
$11,450.36
|
| Rate for Payer: Banner UC Health Medicaid |
$11,450.36
|
| Rate for Payer: Mercy Care Medicaid |
$11,450.36
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$24,199.00
|
|
|
Service Code
|
APR-DRG 1714
|
| Hospital Charge Code |
APRDRG1711
|
| Min. Negotiated Rate |
$24,199.00 |
| Max. Negotiated Rate |
$24,199.00 |
| Rate for Payer: AHCCCS Medicaid |
$24,199.00
|
| Rate for Payer: Allwell Medicaid |
$24,199.00
|
| Rate for Payer: AZCH Complete Medicaid |
$24,199.00
|
| Rate for Payer: Banner UC Health Medicaid |
$24,199.00
|
| Rate for Payer: Mercy Care Medicaid |
$24,199.00
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$24,199.00
|
|
|
Service Code
|
APR-DRG 1714
|
| Hospital Charge Code |
APRDRG1714
|
| Min. Negotiated Rate |
$24,199.00 |
| Max. Negotiated Rate |
$24,199.00 |
| Rate for Payer: AHCCCS Medicaid |
$24,199.00
|
| Rate for Payer: Allwell Medicaid |
$24,199.00
|
| Rate for Payer: AZCH Complete Medicaid |
$24,199.00
|
| Rate for Payer: Banner UC Health Medicaid |
$24,199.00
|
| Rate for Payer: Mercy Care Medicaid |
$24,199.00
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$11,450.36
|
|
|
Service Code
|
APR-DRG 1712
|
| Hospital Charge Code |
APRDRG1713
|
| Min. Negotiated Rate |
$11,450.36 |
| Max. Negotiated Rate |
$11,450.36 |
| Rate for Payer: AHCCCS Medicaid |
$11,450.36
|
| Rate for Payer: Allwell Medicaid |
$11,450.36
|
| Rate for Payer: AZCH Complete Medicaid |
$11,450.36
|
| Rate for Payer: Banner UC Health Medicaid |
$11,450.36
|
| Rate for Payer: Mercy Care Medicaid |
$11,450.36
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$10,013.89
|
|
|
Service Code
|
APR-DRG 1711
|
| Hospital Charge Code |
APRDRG1712
|
| Min. Negotiated Rate |
$10,013.89 |
| Max. Negotiated Rate |
$10,013.89 |
| Rate for Payer: AHCCCS Medicaid |
$10,013.89
|
| Rate for Payer: Allwell Medicaid |
$10,013.89
|
| Rate for Payer: AZCH Complete Medicaid |
$10,013.89
|
| Rate for Payer: Banner UC Health Medicaid |
$10,013.89
|
| Rate for Payer: Mercy Care Medicaid |
$10,013.89
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$24,199.00
|
|
|
Service Code
|
APR-DRG 1714
|
| Hospital Charge Code |
APRDRG1712
|
| Min. Negotiated Rate |
$24,199.00 |
| Max. Negotiated Rate |
$24,199.00 |
| Rate for Payer: AHCCCS Medicaid |
$24,199.00
|
| Rate for Payer: Allwell Medicaid |
$24,199.00
|
| Rate for Payer: AZCH Complete Medicaid |
$24,199.00
|
| Rate for Payer: Banner UC Health Medicaid |
$24,199.00
|
| Rate for Payer: Mercy Care Medicaid |
$24,199.00
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$11,450.36
|
|
|
Service Code
|
APR-DRG 1712
|
| Hospital Charge Code |
APRDRG1714
|
| Min. Negotiated Rate |
$11,450.36 |
| Max. Negotiated Rate |
$11,450.36 |
| Rate for Payer: AHCCCS Medicaid |
$11,450.36
|
| Rate for Payer: Allwell Medicaid |
$11,450.36
|
| Rate for Payer: AZCH Complete Medicaid |
$11,450.36
|
| Rate for Payer: Banner UC Health Medicaid |
$11,450.36
|
| Rate for Payer: Mercy Care Medicaid |
$11,450.36
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,065.37
|
|
|
Service Code
|
APR-DRG 1713
|
| Hospital Charge Code |
APRDRG1712
|
| Min. Negotiated Rate |
$15,065.37 |
| Max. Negotiated Rate |
$15,065.37 |
| Rate for Payer: AHCCCS Medicaid |
$15,065.37
|
| Rate for Payer: Allwell Medicaid |
$15,065.37
|
| Rate for Payer: AZCH Complete Medicaid |
$15,065.37
|
| Rate for Payer: Banner UC Health Medicaid |
$15,065.37
|
| Rate for Payer: Mercy Care Medicaid |
$15,065.37
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$10,013.89
|
|
|
Service Code
|
APR-DRG 1711
|
| Hospital Charge Code |
APRDRG1713
|
| Min. Negotiated Rate |
$10,013.89 |
| Max. Negotiated Rate |
$10,013.89 |
| Rate for Payer: AHCCCS Medicaid |
$10,013.89
|
| Rate for Payer: Allwell Medicaid |
$10,013.89
|
| Rate for Payer: AZCH Complete Medicaid |
$10,013.89
|
| Rate for Payer: Banner UC Health Medicaid |
$10,013.89
|
| Rate for Payer: Mercy Care Medicaid |
$10,013.89
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$11,450.36
|
|
|
Service Code
|
APR-DRG 1712
|
| Hospital Charge Code |
APRDRG1712
|
| Min. Negotiated Rate |
$11,450.36 |
| Max. Negotiated Rate |
$11,450.36 |
| Rate for Payer: AHCCCS Medicaid |
$11,450.36
|
| Rate for Payer: Allwell Medicaid |
$11,450.36
|
| Rate for Payer: AZCH Complete Medicaid |
$11,450.36
|
| Rate for Payer: Banner UC Health Medicaid |
$11,450.36
|
| Rate for Payer: Mercy Care Medicaid |
$11,450.36
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$10,013.89
|
|
|
Service Code
|
APR-DRG 1711
|
| Hospital Charge Code |
APRDRG1711
|
| Min. Negotiated Rate |
$10,013.89 |
| Max. Negotiated Rate |
$10,013.89 |
| Rate for Payer: AHCCCS Medicaid |
$10,013.89
|
| Rate for Payer: Allwell Medicaid |
$10,013.89
|
| Rate for Payer: AZCH Complete Medicaid |
$10,013.89
|
| Rate for Payer: Banner UC Health Medicaid |
$10,013.89
|
| Rate for Payer: Mercy Care Medicaid |
$10,013.89
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,065.37
|
|
|
Service Code
|
APR-DRG 1713
|
| Hospital Charge Code |
APRDRG1711
|
| Min. Negotiated Rate |
$15,065.37 |
| Max. Negotiated Rate |
$15,065.37 |
| Rate for Payer: AHCCCS Medicaid |
$15,065.37
|
| Rate for Payer: Allwell Medicaid |
$15,065.37
|
| Rate for Payer: AZCH Complete Medicaid |
$15,065.37
|
| Rate for Payer: Banner UC Health Medicaid |
$15,065.37
|
| Rate for Payer: Mercy Care Medicaid |
$15,065.37
|
|
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
Facility
|
IP
|
$15,065.37
|
|
|
Service Code
|
APR-DRG 1713
|
| Hospital Charge Code |
APRDRG1714
|
| Min. Negotiated Rate |
$15,065.37 |
| Max. Negotiated Rate |
$15,065.37 |
| Rate for Payer: AHCCCS Medicaid |
$15,065.37
|
| Rate for Payer: Allwell Medicaid |
$15,065.37
|
| Rate for Payer: AZCH Complete Medicaid |
$15,065.37
|
| Rate for Payer: Banner UC Health Medicaid |
$15,065.37
|
| Rate for Payer: Mercy Care Medicaid |
$15,065.37
|
|
