|
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
|
$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 |
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
|
$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
|
$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
|
$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
|
$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
|
$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
|
$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 |
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 |
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
|
|
|
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 |
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
|
$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
|
$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
|
$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
|
$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
|
|
|
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 |
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
|
$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
|
$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
|
$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 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
|
$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
|
$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
|
|
