|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$1,845.38
|
|
|
Service Code
|
APR-DRG 5611
|
| Hospital Charge Code |
APRDRG5614
|
| 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
|
$2,764.92
|
|
|
Service Code
|
APR-DRG 5612
|
| Hospital Charge Code |
APRDRG5614
|
| Min. Negotiated Rate |
$2,764.92 |
| Max. Negotiated Rate |
$2,764.92 |
| Rate for Payer: AHCCCS Medicaid |
$2,764.92
|
| Rate for Payer: Allwell Medicaid |
$2,764.92
|
| Rate for Payer: AZCH Complete Medicaid |
$2,764.92
|
| Rate for Payer: Banner UC Health Medicaid |
$2,764.92
|
| Rate for Payer: Mercy Care Medicaid |
$2,764.92
|
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$9,424.71
|
|
|
Service Code
|
APR-DRG 5614
|
| Hospital Charge Code |
APRDRG5614
|
| 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
|
$4,461.61
|
|
|
Service Code
|
APR-DRG 5613
|
| Hospital Charge Code |
APRDRG5612
|
| 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
|
$9,424.71
|
|
|
Service Code
|
APR-DRG 5614
|
| Hospital Charge Code |
APRDRG5613
|
| 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
|
$4,461.61
|
|
|
Service Code
|
APR-DRG 5613
|
| Hospital Charge Code |
APRDRG5614
|
| 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
|
$9,424.71
|
|
|
Service Code
|
APR-DRG 5614
|
| Hospital Charge Code |
APRDRG5612
|
| 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
|
$2,764.92
|
|
|
Service Code
|
APR-DRG 5612
|
| Hospital Charge Code |
APRDRG5611
|
| Min. Negotiated Rate |
$2,764.92 |
| Max. Negotiated Rate |
$2,764.92 |
| Rate for Payer: AHCCCS Medicaid |
$2,764.92
|
| Rate for Payer: Allwell Medicaid |
$2,764.92
|
| Rate for Payer: AZCH Complete Medicaid |
$2,764.92
|
| Rate for Payer: Banner UC Health Medicaid |
$2,764.92
|
| Rate for Payer: Mercy Care Medicaid |
$2,764.92
|
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$2,764.92
|
|
|
Service Code
|
APR-DRG 5612
|
| Hospital Charge Code |
APRDRG5613
|
| Min. Negotiated Rate |
$2,764.92 |
| Max. Negotiated Rate |
$2,764.92 |
| Rate for Payer: AHCCCS Medicaid |
$2,764.92
|
| Rate for Payer: Allwell Medicaid |
$2,764.92
|
| Rate for Payer: AZCH Complete Medicaid |
$2,764.92
|
| Rate for Payer: Banner UC Health Medicaid |
$2,764.92
|
| Rate for Payer: Mercy Care Medicaid |
$2,764.92
|
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$2,764.92
|
|
|
Service Code
|
APR-DRG 5612
|
| Hospital Charge Code |
APRDRG5612
|
| Min. Negotiated Rate |
$2,764.92 |
| Max. Negotiated Rate |
$2,764.92 |
| Rate for Payer: AHCCCS Medicaid |
$2,764.92
|
| Rate for Payer: Allwell Medicaid |
$2,764.92
|
| Rate for Payer: AZCH Complete Medicaid |
$2,764.92
|
| Rate for Payer: Banner UC Health Medicaid |
$2,764.92
|
| Rate for Payer: Mercy Care Medicaid |
$2,764.92
|
|
|
Postpartum And Post Abortion Diagnoses Without Procedure
|
Facility
|
IP
|
$4,461.61
|
|
|
Service Code
|
APR-DRG 5613
|
| Hospital Charge Code |
APRDRG5611
|
| 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 Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$5,311.70
|
|
|
Service Code
|
APR-DRG 5482
|
| Hospital Charge Code |
APRDRG5484
|
| Min. Negotiated Rate |
$5,311.70 |
| Max. Negotiated Rate |
$5,311.70 |
| Rate for Payer: AHCCCS Medicaid |
$5,311.70
|
| Rate for Payer: Allwell Medicaid |
$5,311.70
|
| Rate for Payer: AZCH Complete Medicaid |
$5,311.70
|
| Rate for Payer: Banner UC Health Medicaid |
$5,311.70
|
| Rate for Payer: Mercy Care Medicaid |
$5,311.70
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$32,425.02
|
|
|
Service Code
|
APR-DRG 5484
|
| Hospital Charge Code |
APRDRG5484
|
| Min. Negotiated Rate |
$32,425.02 |
| Max. Negotiated Rate |
$32,425.02 |
| Rate for Payer: AHCCCS Medicaid |
$32,425.02
|
| Rate for Payer: Allwell Medicaid |
$32,425.02
|
| Rate for Payer: AZCH Complete Medicaid |
$32,425.02
|
| Rate for Payer: Banner UC Health Medicaid |
$32,425.02
|
| Rate for Payer: Mercy Care Medicaid |
$32,425.02
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$2,447.89
|
|
|
Service Code
|
APR-DRG 5481
|
| Hospital Charge Code |
APRDRG5484
|
| Min. Negotiated Rate |
$2,447.89 |
| Max. Negotiated Rate |
$2,447.89 |
| Rate for Payer: AHCCCS Medicaid |
$2,447.89
|
| Rate for Payer: Allwell Medicaid |
$2,447.89
|
| Rate for Payer: AZCH Complete Medicaid |
$2,447.89
|
| Rate for Payer: Banner UC Health Medicaid |
$2,447.89
|
| Rate for Payer: Mercy Care Medicaid |
$2,447.89
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$5,311.70
|
|
|
Service Code
|
APR-DRG 5482
|
| Hospital Charge Code |
APRDRG5483
|
| Min. Negotiated Rate |
$5,311.70 |
| Max. Negotiated Rate |
$5,311.70 |
| Rate for Payer: AHCCCS Medicaid |
$5,311.70
|
| Rate for Payer: Allwell Medicaid |
$5,311.70
|
| Rate for Payer: AZCH Complete Medicaid |
$5,311.70
|
| Rate for Payer: Banner UC Health Medicaid |
$5,311.70
|
| Rate for Payer: Mercy Care Medicaid |
$5,311.70
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$2,447.89
|
|
|
Service Code
|
APR-DRG 5481
|
| Hospital Charge Code |
APRDRG5481
|
| Min. Negotiated Rate |
$2,447.89 |
| Max. Negotiated Rate |
$2,447.89 |
| Rate for Payer: AHCCCS Medicaid |
$2,447.89
|
| Rate for Payer: Allwell Medicaid |
$2,447.89
|
| Rate for Payer: AZCH Complete Medicaid |
$2,447.89
|
| Rate for Payer: Banner UC Health Medicaid |
$2,447.89
|
| Rate for Payer: Mercy Care Medicaid |
$2,447.89
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$10,381.42
|
|
|
Service Code
|
APR-DRG 5483
|
| Hospital Charge Code |
APRDRG5484
|
| Min. Negotiated Rate |
$10,381.42 |
| Max. Negotiated Rate |
$10,381.42 |
| Rate for Payer: AHCCCS Medicaid |
$10,381.42
|
| Rate for Payer: Allwell Medicaid |
$10,381.42
|
| Rate for Payer: AZCH Complete Medicaid |
$10,381.42
|
| Rate for Payer: Banner UC Health Medicaid |
$10,381.42
|
| Rate for Payer: Mercy Care Medicaid |
$10,381.42
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$2,447.89
|
|
|
Service Code
|
APR-DRG 5481
|
| Hospital Charge Code |
APRDRG5483
|
| Min. Negotiated Rate |
$2,447.89 |
| Max. Negotiated Rate |
$2,447.89 |
| Rate for Payer: AHCCCS Medicaid |
$2,447.89
|
| Rate for Payer: Allwell Medicaid |
$2,447.89
|
| Rate for Payer: AZCH Complete Medicaid |
$2,447.89
|
| Rate for Payer: Banner UC Health Medicaid |
$2,447.89
|
| Rate for Payer: Mercy Care Medicaid |
$2,447.89
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$32,425.02
|
|
|
Service Code
|
APR-DRG 5484
|
| Hospital Charge Code |
APRDRG5482
|
| Min. Negotiated Rate |
$32,425.02 |
| Max. Negotiated Rate |
$32,425.02 |
| Rate for Payer: AHCCCS Medicaid |
$32,425.02
|
| Rate for Payer: Allwell Medicaid |
$32,425.02
|
| Rate for Payer: AZCH Complete Medicaid |
$32,425.02
|
| Rate for Payer: Banner UC Health Medicaid |
$32,425.02
|
| Rate for Payer: Mercy Care Medicaid |
$32,425.02
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$32,425.02
|
|
|
Service Code
|
APR-DRG 5484
|
| Hospital Charge Code |
APRDRG5481
|
| Min. Negotiated Rate |
$32,425.02 |
| Max. Negotiated Rate |
$32,425.02 |
| Rate for Payer: AHCCCS Medicaid |
$32,425.02
|
| Rate for Payer: Allwell Medicaid |
$32,425.02
|
| Rate for Payer: AZCH Complete Medicaid |
$32,425.02
|
| Rate for Payer: Banner UC Health Medicaid |
$32,425.02
|
| Rate for Payer: Mercy Care Medicaid |
$32,425.02
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$2,447.89
|
|
|
Service Code
|
APR-DRG 5481
|
| Hospital Charge Code |
APRDRG5482
|
| Min. Negotiated Rate |
$2,447.89 |
| Max. Negotiated Rate |
$2,447.89 |
| Rate for Payer: AHCCCS Medicaid |
$2,447.89
|
| Rate for Payer: Allwell Medicaid |
$2,447.89
|
| Rate for Payer: AZCH Complete Medicaid |
$2,447.89
|
| Rate for Payer: Banner UC Health Medicaid |
$2,447.89
|
| Rate for Payer: Mercy Care Medicaid |
$2,447.89
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$10,381.42
|
|
|
Service Code
|
APR-DRG 5483
|
| Hospital Charge Code |
APRDRG5483
|
| Min. Negotiated Rate |
$10,381.42 |
| Max. Negotiated Rate |
$10,381.42 |
| Rate for Payer: AHCCCS Medicaid |
$10,381.42
|
| Rate for Payer: Allwell Medicaid |
$10,381.42
|
| Rate for Payer: AZCH Complete Medicaid |
$10,381.42
|
| Rate for Payer: Banner UC Health Medicaid |
$10,381.42
|
| Rate for Payer: Mercy Care Medicaid |
$10,381.42
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$10,381.42
|
|
|
Service Code
|
APR-DRG 5483
|
| Hospital Charge Code |
APRDRG5482
|
| Min. Negotiated Rate |
$10,381.42 |
| Max. Negotiated Rate |
$10,381.42 |
| Rate for Payer: AHCCCS Medicaid |
$10,381.42
|
| Rate for Payer: Allwell Medicaid |
$10,381.42
|
| Rate for Payer: AZCH Complete Medicaid |
$10,381.42
|
| Rate for Payer: Banner UC Health Medicaid |
$10,381.42
|
| Rate for Payer: Mercy Care Medicaid |
$10,381.42
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$10,381.42
|
|
|
Service Code
|
APR-DRG 5483
|
| Hospital Charge Code |
APRDRG5481
|
| Min. Negotiated Rate |
$10,381.42 |
| Max. Negotiated Rate |
$10,381.42 |
| Rate for Payer: AHCCCS Medicaid |
$10,381.42
|
| Rate for Payer: Allwell Medicaid |
$10,381.42
|
| Rate for Payer: AZCH Complete Medicaid |
$10,381.42
|
| Rate for Payer: Banner UC Health Medicaid |
$10,381.42
|
| Rate for Payer: Mercy Care Medicaid |
$10,381.42
|
|
|
Postpartum And Post Abortion Diagnosis With O.R. Procedure
|
Facility
|
IP
|
$32,425.02
|
|
|
Service Code
|
APR-DRG 5484
|
| Hospital Charge Code |
APRDRG5483
|
| Min. Negotiated Rate |
$32,425.02 |
| Max. Negotiated Rate |
$32,425.02 |
| Rate for Payer: AHCCCS Medicaid |
$32,425.02
|
| Rate for Payer: Allwell Medicaid |
$32,425.02
|
| Rate for Payer: AZCH Complete Medicaid |
$32,425.02
|
| Rate for Payer: Banner UC Health Medicaid |
$32,425.02
|
| Rate for Payer: Mercy Care Medicaid |
$32,425.02
|
|
