Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$1,892.38
|
|
Service Code
|
APR-DRG 7551
|
Hospital Charge Code |
APRDRG7553
|
Min. Negotiated Rate |
$1,892.38 |
Max. Negotiated Rate |
$1,892.38 |
Rate for Payer: AHCCCS Medicaid |
$1,892.38
|
Rate for Payer: Allwell Medicaid |
$1,892.38
|
Rate for Payer: AZCH Complete Medicaid |
$1,892.38
|
Rate for Payer: Banner UC Health Medicaid |
$1,892.38
|
Rate for Payer: Mercy Care Medicaid |
$1,892.38
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$2,871.53
|
|
Service Code
|
APR-DRG 7552
|
Hospital Charge Code |
APRDRG7551
|
Min. Negotiated Rate |
$2,871.53 |
Max. Negotiated Rate |
$2,871.53 |
Rate for Payer: AHCCCS Medicaid |
$2,871.53
|
Rate for Payer: Allwell Medicaid |
$2,871.53
|
Rate for Payer: AZCH Complete Medicaid |
$2,871.53
|
Rate for Payer: Banner UC Health Medicaid |
$2,871.53
|
Rate for Payer: Mercy Care Medicaid |
$2,871.53
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$12,163.68
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG7554
|
Min. Negotiated Rate |
$12,163.68 |
Max. Negotiated Rate |
$12,163.68 |
Rate for Payer: AHCCCS Medicaid |
$12,163.68
|
Rate for Payer: Allwell Medicaid |
$12,163.68
|
Rate for Payer: AZCH Complete Medicaid |
$12,163.68
|
Rate for Payer: Banner UC Health Medicaid |
$12,163.68
|
Rate for Payer: Mercy Care Medicaid |
$12,163.68
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$12,163.68
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG7551
|
Min. Negotiated Rate |
$12,163.68 |
Max. Negotiated Rate |
$12,163.68 |
Rate for Payer: AHCCCS Medicaid |
$12,163.68
|
Rate for Payer: Allwell Medicaid |
$12,163.68
|
Rate for Payer: AZCH Complete Medicaid |
$12,163.68
|
Rate for Payer: Banner UC Health Medicaid |
$12,163.68
|
Rate for Payer: Mercy Care Medicaid |
$12,163.68
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$1,892.38
|
|
Service Code
|
APR-DRG 7551
|
Hospital Charge Code |
APRDRG7552
|
Min. Negotiated Rate |
$1,892.38 |
Max. Negotiated Rate |
$1,892.38 |
Rate for Payer: AHCCCS Medicaid |
$1,892.38
|
Rate for Payer: Allwell Medicaid |
$1,892.38
|
Rate for Payer: AZCH Complete Medicaid |
$1,892.38
|
Rate for Payer: Banner UC Health Medicaid |
$1,892.38
|
Rate for Payer: Mercy Care Medicaid |
$1,892.38
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$2,871.53
|
|
Service Code
|
APR-DRG 7552
|
Hospital Charge Code |
APRDRG7554
|
Min. Negotiated Rate |
$2,871.53 |
Max. Negotiated Rate |
$2,871.53 |
Rate for Payer: AHCCCS Medicaid |
$2,871.53
|
Rate for Payer: Allwell Medicaid |
$2,871.53
|
Rate for Payer: AZCH Complete Medicaid |
$2,871.53
|
Rate for Payer: Banner UC Health Medicaid |
$2,871.53
|
Rate for Payer: Mercy Care Medicaid |
$2,871.53
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$4,436.36
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG7553
|
Min. Negotiated Rate |
$4,436.36 |
Max. Negotiated Rate |
$4,436.36 |
Rate for Payer: AHCCCS Medicaid |
$4,436.36
|
Rate for Payer: Allwell Medicaid |
$4,436.36
|
Rate for Payer: AZCH Complete Medicaid |
$4,436.36
|
Rate for Payer: Banner UC Health Medicaid |
$4,436.36
|
Rate for Payer: Mercy Care Medicaid |
$4,436.36
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$12,163.68
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG7552
|
Min. Negotiated Rate |
$12,163.68 |
Max. Negotiated Rate |
$12,163.68 |
Rate for Payer: AHCCCS Medicaid |
$12,163.68
|
Rate for Payer: Allwell Medicaid |
$12,163.68
|
Rate for Payer: AZCH Complete Medicaid |
$12,163.68
|
Rate for Payer: Banner UC Health Medicaid |
$12,163.68
|
Rate for Payer: Mercy Care Medicaid |
$12,163.68
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$4,436.36
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG7551
|
Min. Negotiated Rate |
$4,436.36 |
Max. Negotiated Rate |
$4,436.36 |
Rate for Payer: AHCCCS Medicaid |
$4,436.36
|
Rate for Payer: Allwell Medicaid |
$4,436.36
|
Rate for Payer: AZCH Complete Medicaid |
$4,436.36
|
Rate for Payer: Banner UC Health Medicaid |
$4,436.36
|
Rate for Payer: Mercy Care Medicaid |
$4,436.36
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$12,163.68
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG7553
|
Min. Negotiated Rate |
$12,163.68 |
Max. Negotiated Rate |
$12,163.68 |
Rate for Payer: AHCCCS Medicaid |
$12,163.68
|
Rate for Payer: Allwell Medicaid |
$12,163.68
|
Rate for Payer: AZCH Complete Medicaid |
$12,163.68
|
Rate for Payer: Banner UC Health Medicaid |
$12,163.68
|
Rate for Payer: Mercy Care Medicaid |
$12,163.68
|
|
Adjustment Disorders And Neuroses Except Depressive Diagnoses
|
Facility
|
IP
|
$4,436.36
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG7554
|
Min. Negotiated Rate |
$4,436.36 |
Max. Negotiated Rate |
$4,436.36 |
Rate for Payer: AHCCCS Medicaid |
$4,436.36
|
Rate for Payer: Allwell Medicaid |
$4,436.36
|
Rate for Payer: AZCH Complete Medicaid |
$4,436.36
|
Rate for Payer: Banner UC Health Medicaid |
$4,436.36
|
Rate for Payer: Mercy Care Medicaid |
$4,436.36
|
|
Adrenal Procedures
|
Facility
|
IP
|
$8,435.74
|
|
Service Code
|
APR-DRG 4011
|
Hospital Charge Code |
APRDRG4014
|
Min. Negotiated Rate |
$8,435.74 |
Max. Negotiated Rate |
$8,435.74 |
Rate for Payer: AHCCCS Medicaid |
$8,435.74
|
Rate for Payer: Allwell Medicaid |
$8,435.74
|
Rate for Payer: AZCH Complete Medicaid |
$8,435.74
|
Rate for Payer: Banner UC Health Medicaid |
$8,435.74
|
Rate for Payer: Mercy Care Medicaid |
$8,435.74
|
|
Adrenal Procedures
|
Facility
|
IP
|
$22,228.77
|
|
Service Code
|
APR-DRG 4013
|
Hospital Charge Code |
APRDRG4013
|
Min. Negotiated Rate |
$22,228.77 |
Max. Negotiated Rate |
$22,228.77 |
Rate for Payer: AHCCCS Medicaid |
$22,228.77
|
Rate for Payer: Allwell Medicaid |
$22,228.77
|
Rate for Payer: AZCH Complete Medicaid |
$22,228.77
|
Rate for Payer: Banner UC Health Medicaid |
$22,228.77
|
Rate for Payer: Mercy Care Medicaid |
$22,228.77
|
|
Adrenal Procedures
|
Facility
|
IP
|
$8,435.74
|
|
Service Code
|
APR-DRG 4011
|
Hospital Charge Code |
APRDRG4013
|
Min. Negotiated Rate |
$8,435.74 |
Max. Negotiated Rate |
$8,435.74 |
Rate for Payer: AHCCCS Medicaid |
$8,435.74
|
Rate for Payer: Allwell Medicaid |
$8,435.74
|
Rate for Payer: AZCH Complete Medicaid |
$8,435.74
|
Rate for Payer: Banner UC Health Medicaid |
$8,435.74
|
Rate for Payer: Mercy Care Medicaid |
$8,435.74
|
|
Adrenal Procedures
|
Facility
|
IP
|
$22,228.77
|
|
Service Code
|
APR-DRG 4013
|
Hospital Charge Code |
APRDRG4011
|
Min. Negotiated Rate |
$22,228.77 |
Max. Negotiated Rate |
$22,228.77 |
Rate for Payer: AHCCCS Medicaid |
$22,228.77
|
Rate for Payer: Allwell Medicaid |
$22,228.77
|
Rate for Payer: AZCH Complete Medicaid |
$22,228.77
|
Rate for Payer: Banner UC Health Medicaid |
$22,228.77
|
Rate for Payer: Mercy Care Medicaid |
$22,228.77
|
|
Adrenal Procedures
|
Facility
|
IP
|
$27,535.56
|
|
Service Code
|
APR-DRG 4014
|
Hospital Charge Code |
APRDRG4012
|
Min. Negotiated Rate |
$27,535.56 |
Max. Negotiated Rate |
$27,535.56 |
Rate for Payer: AHCCCS Medicaid |
$27,535.56
|
Rate for Payer: Allwell Medicaid |
$27,535.56
|
Rate for Payer: AZCH Complete Medicaid |
$27,535.56
|
Rate for Payer: Banner UC Health Medicaid |
$27,535.56
|
Rate for Payer: Mercy Care Medicaid |
$27,535.56
|
|
Adrenal Procedures
|
Facility
|
IP
|
$8,435.74
|
|
Service Code
|
APR-DRG 4011
|
Hospital Charge Code |
APRDRG4012
|
Min. Negotiated Rate |
$8,435.74 |
Max. Negotiated Rate |
$8,435.74 |
Rate for Payer: AHCCCS Medicaid |
$8,435.74
|
Rate for Payer: Allwell Medicaid |
$8,435.74
|
Rate for Payer: AZCH Complete Medicaid |
$8,435.74
|
Rate for Payer: Banner UC Health Medicaid |
$8,435.74
|
Rate for Payer: Mercy Care Medicaid |
$8,435.74
|
|
Adrenal Procedures
|
Facility
|
IP
|
$16,455.55
|
|
Service Code
|
APR-DRG 4012
|
Hospital Charge Code |
APRDRG4011
|
Min. Negotiated Rate |
$16,455.55 |
Max. Negotiated Rate |
$16,455.55 |
Rate for Payer: AHCCCS Medicaid |
$16,455.55
|
Rate for Payer: Allwell Medicaid |
$16,455.55
|
Rate for Payer: AZCH Complete Medicaid |
$16,455.55
|
Rate for Payer: Banner UC Health Medicaid |
$16,455.55
|
Rate for Payer: Mercy Care Medicaid |
$16,455.55
|
|
Adrenal Procedures
|
Facility
|
IP
|
$16,455.55
|
|
Service Code
|
APR-DRG 4012
|
Hospital Charge Code |
APRDRG4012
|
Min. Negotiated Rate |
$16,455.55 |
Max. Negotiated Rate |
$16,455.55 |
Rate for Payer: AHCCCS Medicaid |
$16,455.55
|
Rate for Payer: Allwell Medicaid |
$16,455.55
|
Rate for Payer: AZCH Complete Medicaid |
$16,455.55
|
Rate for Payer: Banner UC Health Medicaid |
$16,455.55
|
Rate for Payer: Mercy Care Medicaid |
$16,455.55
|
|
Adrenal Procedures
|
Facility
|
IP
|
$27,535.56
|
|
Service Code
|
APR-DRG 4014
|
Hospital Charge Code |
APRDRG4014
|
Min. Negotiated Rate |
$27,535.56 |
Max. Negotiated Rate |
$27,535.56 |
Rate for Payer: AHCCCS Medicaid |
$27,535.56
|
Rate for Payer: Allwell Medicaid |
$27,535.56
|
Rate for Payer: AZCH Complete Medicaid |
$27,535.56
|
Rate for Payer: Banner UC Health Medicaid |
$27,535.56
|
Rate for Payer: Mercy Care Medicaid |
$27,535.56
|
|
Adrenal Procedures
|
Facility
|
IP
|
$16,455.55
|
|
Service Code
|
APR-DRG 4012
|
Hospital Charge Code |
APRDRG4014
|
Min. Negotiated Rate |
$16,455.55 |
Max. Negotiated Rate |
$16,455.55 |
Rate for Payer: AHCCCS Medicaid |
$16,455.55
|
Rate for Payer: Allwell Medicaid |
$16,455.55
|
Rate for Payer: AZCH Complete Medicaid |
$16,455.55
|
Rate for Payer: Banner UC Health Medicaid |
$16,455.55
|
Rate for Payer: Mercy Care Medicaid |
$16,455.55
|
|
Adrenal Procedures
|
Facility
|
IP
|
$22,228.77
|
|
Service Code
|
APR-DRG 4013
|
Hospital Charge Code |
APRDRG4012
|
Min. Negotiated Rate |
$22,228.77 |
Max. Negotiated Rate |
$22,228.77 |
Rate for Payer: AHCCCS Medicaid |
$22,228.77
|
Rate for Payer: Allwell Medicaid |
$22,228.77
|
Rate for Payer: AZCH Complete Medicaid |
$22,228.77
|
Rate for Payer: Banner UC Health Medicaid |
$22,228.77
|
Rate for Payer: Mercy Care Medicaid |
$22,228.77
|
|
Adrenal Procedures
|
Facility
|
IP
|
$22,228.77
|
|
Service Code
|
APR-DRG 4013
|
Hospital Charge Code |
APRDRG4014
|
Min. Negotiated Rate |
$22,228.77 |
Max. Negotiated Rate |
$22,228.77 |
Rate for Payer: AHCCCS Medicaid |
$22,228.77
|
Rate for Payer: Allwell Medicaid |
$22,228.77
|
Rate for Payer: AZCH Complete Medicaid |
$22,228.77
|
Rate for Payer: Banner UC Health Medicaid |
$22,228.77
|
Rate for Payer: Mercy Care Medicaid |
$22,228.77
|
|
Adrenal Procedures
|
Facility
|
IP
|
$16,455.55
|
|
Service Code
|
APR-DRG 4012
|
Hospital Charge Code |
APRDRG4013
|
Min. Negotiated Rate |
$16,455.55 |
Max. Negotiated Rate |
$16,455.55 |
Rate for Payer: AHCCCS Medicaid |
$16,455.55
|
Rate for Payer: Allwell Medicaid |
$16,455.55
|
Rate for Payer: AZCH Complete Medicaid |
$16,455.55
|
Rate for Payer: Banner UC Health Medicaid |
$16,455.55
|
Rate for Payer: Mercy Care Medicaid |
$16,455.55
|
|
Adrenal Procedures
|
Facility
|
IP
|
$27,535.56
|
|
Service Code
|
APR-DRG 4014
|
Hospital Charge Code |
APRDRG4011
|
Min. Negotiated Rate |
$27,535.56 |
Max. Negotiated Rate |
$27,535.56 |
Rate for Payer: AHCCCS Medicaid |
$27,535.56
|
Rate for Payer: Allwell Medicaid |
$27,535.56
|
Rate for Payer: AZCH Complete Medicaid |
$27,535.56
|
Rate for Payer: Banner UC Health Medicaid |
$27,535.56
|
Rate for Payer: Mercy Care Medicaid |
$27,535.56
|
|