Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure
|
Facility
|
IP
|
$9,573.41
|
|
Service Code
|
APR-DRG 7112
|
Hospital Charge Code |
APRDRG7113
|
Min. Negotiated Rate |
$9,573.41 |
Max. Negotiated Rate |
$9,573.41 |
Rate for Payer: AHCCCS Medicaid |
$9,573.41
|
Rate for Payer: Allwell Medicaid |
$9,573.41
|
Rate for Payer: AZCH Complete Medicaid |
$9,573.41
|
Rate for Payer: Banner UC Health Medicaid |
$9,573.41
|
Rate for Payer: Mercy Care Medicaid |
$9,573.41
|
|
Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure
|
Facility
|
IP
|
$33,120.81
|
|
Service Code
|
APR-DRG 7114
|
Hospital Charge Code |
APRDRG7113
|
Min. Negotiated Rate |
$33,120.81 |
Max. Negotiated Rate |
$33,120.81 |
Rate for Payer: AHCCCS Medicaid |
$33,120.81
|
Rate for Payer: Allwell Medicaid |
$33,120.81
|
Rate for Payer: AZCH Complete Medicaid |
$33,120.81
|
Rate for Payer: Banner UC Health Medicaid |
$33,120.81
|
Rate for Payer: Mercy Care Medicaid |
$33,120.81
|
|
Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure
|
Facility
|
IP
|
$7,152.88
|
|
Service Code
|
APR-DRG 7111
|
Hospital Charge Code |
APRDRG7111
|
Min. Negotiated Rate |
$7,152.88 |
Max. Negotiated Rate |
$7,152.88 |
Rate for Payer: AHCCCS Medicaid |
$7,152.88
|
Rate for Payer: Allwell Medicaid |
$7,152.88
|
Rate for Payer: AZCH Complete Medicaid |
$7,152.88
|
Rate for Payer: Banner UC Health Medicaid |
$7,152.88
|
Rate for Payer: Mercy Care Medicaid |
$7,152.88
|
|
Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure
|
Facility
|
IP
|
$16,744.52
|
|
Service Code
|
APR-DRG 7113
|
Hospital Charge Code |
APRDRG7111
|
Min. Negotiated Rate |
$16,744.52 |
Max. Negotiated Rate |
$16,744.52 |
Rate for Payer: AHCCCS Medicaid |
$16,744.52
|
Rate for Payer: Allwell Medicaid |
$16,744.52
|
Rate for Payer: AZCH Complete Medicaid |
$16,744.52
|
Rate for Payer: Banner UC Health Medicaid |
$16,744.52
|
Rate for Payer: Mercy Care Medicaid |
$16,744.52
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$8,592.85
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG7211
|
Min. Negotiated Rate |
$8,592.85 |
Max. Negotiated Rate |
$8,592.85 |
Rate for Payer: AHCCCS Medicaid |
$8,592.85
|
Rate for Payer: Allwell Medicaid |
$8,592.85
|
Rate for Payer: AZCH Complete Medicaid |
$8,592.85
|
Rate for Payer: Banner UC Health Medicaid |
$8,592.85
|
Rate for Payer: Mercy Care Medicaid |
$8,592.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$5,287.85
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG7213
|
Min. Negotiated Rate |
$5,287.85 |
Max. Negotiated Rate |
$5,287.85 |
Rate for Payer: AHCCCS Medicaid |
$5,287.85
|
Rate for Payer: Allwell Medicaid |
$5,287.85
|
Rate for Payer: AZCH Complete Medicaid |
$5,287.85
|
Rate for Payer: Banner UC Health Medicaid |
$5,287.85
|
Rate for Payer: Mercy Care Medicaid |
$5,287.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$4,019.02
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG7211
|
Min. Negotiated Rate |
$4,019.02 |
Max. Negotiated Rate |
$4,019.02 |
Rate for Payer: AHCCCS Medicaid |
$4,019.02
|
Rate for Payer: Allwell Medicaid |
$4,019.02
|
Rate for Payer: AZCH Complete Medicaid |
$4,019.02
|
Rate for Payer: Banner UC Health Medicaid |
$4,019.02
|
Rate for Payer: Mercy Care Medicaid |
$4,019.02
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$15,622.28
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG7212
|
Min. Negotiated Rate |
$15,622.28 |
Max. Negotiated Rate |
$15,622.28 |
Rate for Payer: AHCCCS Medicaid |
$15,622.28
|
Rate for Payer: Allwell Medicaid |
$15,622.28
|
Rate for Payer: AZCH Complete Medicaid |
$15,622.28
|
Rate for Payer: Banner UC Health Medicaid |
$15,622.28
|
Rate for Payer: Mercy Care Medicaid |
$15,622.28
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$4,019.02
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG7212
|
Min. Negotiated Rate |
$4,019.02 |
Max. Negotiated Rate |
$4,019.02 |
Rate for Payer: AHCCCS Medicaid |
$4,019.02
|
Rate for Payer: Allwell Medicaid |
$4,019.02
|
Rate for Payer: AZCH Complete Medicaid |
$4,019.02
|
Rate for Payer: Banner UC Health Medicaid |
$4,019.02
|
Rate for Payer: Mercy Care Medicaid |
$4,019.02
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$5,287.85
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG7214
|
Min. Negotiated Rate |
$5,287.85 |
Max. Negotiated Rate |
$5,287.85 |
Rate for Payer: AHCCCS Medicaid |
$5,287.85
|
Rate for Payer: Allwell Medicaid |
$5,287.85
|
Rate for Payer: AZCH Complete Medicaid |
$5,287.85
|
Rate for Payer: Banner UC Health Medicaid |
$5,287.85
|
Rate for Payer: Mercy Care Medicaid |
$5,287.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$5,287.85
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG7212
|
Min. Negotiated Rate |
$5,287.85 |
Max. Negotiated Rate |
$5,287.85 |
Rate for Payer: AHCCCS Medicaid |
$5,287.85
|
Rate for Payer: Allwell Medicaid |
$5,287.85
|
Rate for Payer: AZCH Complete Medicaid |
$5,287.85
|
Rate for Payer: Banner UC Health Medicaid |
$5,287.85
|
Rate for Payer: Mercy Care Medicaid |
$5,287.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$8,592.85
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG7214
|
Min. Negotiated Rate |
$8,592.85 |
Max. Negotiated Rate |
$8,592.85 |
Rate for Payer: AHCCCS Medicaid |
$8,592.85
|
Rate for Payer: Allwell Medicaid |
$8,592.85
|
Rate for Payer: AZCH Complete Medicaid |
$8,592.85
|
Rate for Payer: Banner UC Health Medicaid |
$8,592.85
|
Rate for Payer: Mercy Care Medicaid |
$8,592.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$5,287.85
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG7211
|
Min. Negotiated Rate |
$5,287.85 |
Max. Negotiated Rate |
$5,287.85 |
Rate for Payer: AHCCCS Medicaid |
$5,287.85
|
Rate for Payer: Allwell Medicaid |
$5,287.85
|
Rate for Payer: AZCH Complete Medicaid |
$5,287.85
|
Rate for Payer: Banner UC Health Medicaid |
$5,287.85
|
Rate for Payer: Mercy Care Medicaid |
$5,287.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$15,622.28
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG7214
|
Min. Negotiated Rate |
$15,622.28 |
Max. Negotiated Rate |
$15,622.28 |
Rate for Payer: AHCCCS Medicaid |
$15,622.28
|
Rate for Payer: Allwell Medicaid |
$15,622.28
|
Rate for Payer: AZCH Complete Medicaid |
$15,622.28
|
Rate for Payer: Banner UC Health Medicaid |
$15,622.28
|
Rate for Payer: Mercy Care Medicaid |
$15,622.28
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$15,622.28
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG7211
|
Min. Negotiated Rate |
$15,622.28 |
Max. Negotiated Rate |
$15,622.28 |
Rate for Payer: AHCCCS Medicaid |
$15,622.28
|
Rate for Payer: Allwell Medicaid |
$15,622.28
|
Rate for Payer: AZCH Complete Medicaid |
$15,622.28
|
Rate for Payer: Banner UC Health Medicaid |
$15,622.28
|
Rate for Payer: Mercy Care Medicaid |
$15,622.28
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$4,019.02
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG7214
|
Min. Negotiated Rate |
$4,019.02 |
Max. Negotiated Rate |
$4,019.02 |
Rate for Payer: AHCCCS Medicaid |
$4,019.02
|
Rate for Payer: Allwell Medicaid |
$4,019.02
|
Rate for Payer: AZCH Complete Medicaid |
$4,019.02
|
Rate for Payer: Banner UC Health Medicaid |
$4,019.02
|
Rate for Payer: Mercy Care Medicaid |
$4,019.02
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$15,622.28
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG7213
|
Min. Negotiated Rate |
$15,622.28 |
Max. Negotiated Rate |
$15,622.28 |
Rate for Payer: AHCCCS Medicaid |
$15,622.28
|
Rate for Payer: Allwell Medicaid |
$15,622.28
|
Rate for Payer: AZCH Complete Medicaid |
$15,622.28
|
Rate for Payer: Banner UC Health Medicaid |
$15,622.28
|
Rate for Payer: Mercy Care Medicaid |
$15,622.28
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$8,592.85
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG7212
|
Min. Negotiated Rate |
$8,592.85 |
Max. Negotiated Rate |
$8,592.85 |
Rate for Payer: AHCCCS Medicaid |
$8,592.85
|
Rate for Payer: Allwell Medicaid |
$8,592.85
|
Rate for Payer: AZCH Complete Medicaid |
$8,592.85
|
Rate for Payer: Banner UC Health Medicaid |
$8,592.85
|
Rate for Payer: Mercy Care Medicaid |
$8,592.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$8,592.85
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG7213
|
Min. Negotiated Rate |
$8,592.85 |
Max. Negotiated Rate |
$8,592.85 |
Rate for Payer: AHCCCS Medicaid |
$8,592.85
|
Rate for Payer: Allwell Medicaid |
$8,592.85
|
Rate for Payer: AZCH Complete Medicaid |
$8,592.85
|
Rate for Payer: Banner UC Health Medicaid |
$8,592.85
|
Rate for Payer: Mercy Care Medicaid |
$8,592.85
|
|
Post-Operative, Post-Traumatic, Other Device Infections
|
Facility
|
IP
|
$4,019.02
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG7213
|
Min. Negotiated Rate |
$4,019.02 |
Max. Negotiated Rate |
$4,019.02 |
Rate for Payer: AHCCCS Medicaid |
$4,019.02
|
Rate for Payer: Allwell Medicaid |
$4,019.02
|
Rate for Payer: AZCH Complete Medicaid |
$4,019.02
|
Rate for Payer: Banner UC Health Medicaid |
$4,019.02
|
Rate for Payer: Mercy Care Medicaid |
$4,019.02
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$1,845.38
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG5611
|
Min. Negotiated Rate |
$1,845.38 |
Max. Negotiated Rate |
$1,845.38 |
Rate for Payer: AHCCCS Medicaid |
$1,845.38
|
Rate for Payer: Allwell Medicaid |
$1,845.38
|
Rate for Payer: AZCH Complete Medicaid |
$1,845.38
|
Rate for Payer: Banner UC Health Medicaid |
$1,845.38
|
Rate for Payer: Mercy Care Medicaid |
$1,845.38
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$9,424.71
|
|
Service Code
|
APR-DRG 5614
|
Hospital Charge Code |
APRDRG5611
|
Min. Negotiated Rate |
$9,424.71 |
Max. Negotiated Rate |
$9,424.71 |
Rate for Payer: AHCCCS Medicaid |
$9,424.71
|
Rate for Payer: Allwell Medicaid |
$9,424.71
|
Rate for Payer: AZCH Complete Medicaid |
$9,424.71
|
Rate for Payer: Banner UC Health Medicaid |
$9,424.71
|
Rate for Payer: Mercy Care Medicaid |
$9,424.71
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$1,845.38
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG5612
|
Min. Negotiated Rate |
$1,845.38 |
Max. Negotiated Rate |
$1,845.38 |
Rate for Payer: AHCCCS Medicaid |
$1,845.38
|
Rate for Payer: Allwell Medicaid |
$1,845.38
|
Rate for Payer: AZCH Complete Medicaid |
$1,845.38
|
Rate for Payer: Banner UC Health Medicaid |
$1,845.38
|
Rate for Payer: Mercy Care Medicaid |
$1,845.38
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$4,461.61
|
|
Service Code
|
APR-DRG 5613
|
Hospital Charge Code |
APRDRG5613
|
Min. Negotiated Rate |
$4,461.61 |
Max. Negotiated Rate |
$4,461.61 |
Rate for Payer: AHCCCS Medicaid |
$4,461.61
|
Rate for Payer: Allwell Medicaid |
$4,461.61
|
Rate for Payer: AZCH Complete Medicaid |
$4,461.61
|
Rate for Payer: Banner UC Health Medicaid |
$4,461.61
|
Rate for Payer: Mercy Care Medicaid |
$4,461.61
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$1,845.38
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG5613
|
Min. Negotiated Rate |
$1,845.38 |
Max. Negotiated Rate |
$1,845.38 |
Rate for Payer: AHCCCS Medicaid |
$1,845.38
|
Rate for Payer: Allwell Medicaid |
$1,845.38
|
Rate for Payer: AZCH Complete Medicaid |
$1,845.38
|
Rate for Payer: Banner UC Health Medicaid |
$1,845.38
|
Rate for Payer: Mercy Care Medicaid |
$1,845.38
|
|