|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$11,399.15
|
|
|
Service Code
|
APR-DRG 3222
|
| Hospital Charge Code |
APRDRG3223
|
| Min. Negotiated Rate |
$11,399.15 |
| Max. Negotiated Rate |
$11,399.15 |
| Rate for Payer: AHCCCS Medicaid |
$11,399.15
|
| Rate for Payer: Allwell Medicaid |
$11,399.15
|
| Rate for Payer: AZCH Complete Medicaid |
$11,399.15
|
| Rate for Payer: Banner UC Health Medicaid |
$11,399.15
|
| Rate for Payer: Mercy Care Medicaid |
$11,399.15
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$26,533.26
|
|
|
Service Code
|
APR-DRG 3224
|
| Hospital Charge Code |
APRDRG3223
|
| Min. Negotiated Rate |
$26,533.26 |
| Max. Negotiated Rate |
$26,533.26 |
| Rate for Payer: AHCCCS Medicaid |
$26,533.26
|
| Rate for Payer: Allwell Medicaid |
$26,533.26
|
| Rate for Payer: AZCH Complete Medicaid |
$26,533.26
|
| Rate for Payer: Banner UC Health Medicaid |
$26,533.26
|
| Rate for Payer: Mercy Care Medicaid |
$26,533.26
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$10,051.76
|
|
|
Service Code
|
APR-DRG 3221
|
| Hospital Charge Code |
APRDRG3224
|
| Min. Negotiated Rate |
$10,051.76 |
| Max. Negotiated Rate |
$10,051.76 |
| Rate for Payer: AHCCCS Medicaid |
$10,051.76
|
| Rate for Payer: Allwell Medicaid |
$10,051.76
|
| Rate for Payer: AZCH Complete Medicaid |
$10,051.76
|
| Rate for Payer: Banner UC Health Medicaid |
$10,051.76
|
| Rate for Payer: Mercy Care Medicaid |
$10,051.76
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$11,399.15
|
|
|
Service Code
|
APR-DRG 3222
|
| Hospital Charge Code |
APRDRG3224
|
| Min. Negotiated Rate |
$11,399.15 |
| Max. Negotiated Rate |
$11,399.15 |
| Rate for Payer: AHCCCS Medicaid |
$11,399.15
|
| Rate for Payer: Allwell Medicaid |
$11,399.15
|
| Rate for Payer: AZCH Complete Medicaid |
$11,399.15
|
| Rate for Payer: Banner UC Health Medicaid |
$11,399.15
|
| Rate for Payer: Mercy Care Medicaid |
$11,399.15
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$26,533.26
|
|
|
Service Code
|
APR-DRG 3224
|
| Hospital Charge Code |
APRDRG3221
|
| Min. Negotiated Rate |
$26,533.26 |
| Max. Negotiated Rate |
$26,533.26 |
| Rate for Payer: AHCCCS Medicaid |
$26,533.26
|
| Rate for Payer: Allwell Medicaid |
$26,533.26
|
| Rate for Payer: AZCH Complete Medicaid |
$26,533.26
|
| Rate for Payer: Banner UC Health Medicaid |
$26,533.26
|
| Rate for Payer: Mercy Care Medicaid |
$26,533.26
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$26,533.26
|
|
|
Service Code
|
APR-DRG 3224
|
| Hospital Charge Code |
APRDRG3222
|
| Min. Negotiated Rate |
$26,533.26 |
| Max. Negotiated Rate |
$26,533.26 |
| Rate for Payer: AHCCCS Medicaid |
$26,533.26
|
| Rate for Payer: Allwell Medicaid |
$26,533.26
|
| Rate for Payer: AZCH Complete Medicaid |
$26,533.26
|
| Rate for Payer: Banner UC Health Medicaid |
$26,533.26
|
| Rate for Payer: Mercy Care Medicaid |
$26,533.26
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$10,051.76
|
|
|
Service Code
|
APR-DRG 3221
|
| Hospital Charge Code |
APRDRG3222
|
| Min. Negotiated Rate |
$10,051.76 |
| Max. Negotiated Rate |
$10,051.76 |
| Rate for Payer: AHCCCS Medicaid |
$10,051.76
|
| Rate for Payer: Allwell Medicaid |
$10,051.76
|
| Rate for Payer: AZCH Complete Medicaid |
$10,051.76
|
| Rate for Payer: Banner UC Health Medicaid |
$10,051.76
|
| Rate for Payer: Mercy Care Medicaid |
$10,051.76
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$11,399.15
|
|
|
Service Code
|
APR-DRG 3222
|
| Hospital Charge Code |
APRDRG3221
|
| Min. Negotiated Rate |
$11,399.15 |
| Max. Negotiated Rate |
$11,399.15 |
| Rate for Payer: AHCCCS Medicaid |
$11,399.15
|
| Rate for Payer: Allwell Medicaid |
$11,399.15
|
| Rate for Payer: AZCH Complete Medicaid |
$11,399.15
|
| Rate for Payer: Banner UC Health Medicaid |
$11,399.15
|
| Rate for Payer: Mercy Care Medicaid |
$11,399.15
|
|
|
Shoulder And Elbow Joint Replacement
|
Facility
|
IP
|
$15,847.43
|
|
|
Service Code
|
APR-DRG 3223
|
| Hospital Charge Code |
APRDRG3223
|
| Min. Negotiated Rate |
$15,847.43 |
| Max. Negotiated Rate |
$15,847.43 |
| Rate for Payer: AHCCCS Medicaid |
$15,847.43
|
| Rate for Payer: Allwell Medicaid |
$15,847.43
|
| Rate for Payer: AZCH Complete Medicaid |
$15,847.43
|
| Rate for Payer: Banner UC Health Medicaid |
$15,847.43
|
| Rate for Payer: Mercy Care Medicaid |
$15,847.43
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$10,067.90
|
|
|
Service Code
|
APR-DRG 3152
|
| Hospital Charge Code |
APRDRG3154
|
| Min. Negotiated Rate |
$10,067.90 |
| Max. Negotiated Rate |
$10,067.90 |
| Rate for Payer: AHCCCS Medicaid |
$10,067.90
|
| Rate for Payer: Allwell Medicaid |
$10,067.90
|
| Rate for Payer: AZCH Complete Medicaid |
$10,067.90
|
| Rate for Payer: Banner UC Health Medicaid |
$10,067.90
|
| Rate for Payer: Mercy Care Medicaid |
$10,067.90
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$15,478.50
|
|
|
Service Code
|
APR-DRG 3153
|
| Hospital Charge Code |
APRDRG3151
|
| Min. Negotiated Rate |
$15,478.50 |
| Max. Negotiated Rate |
$15,478.50 |
| Rate for Payer: AHCCCS Medicaid |
$15,478.50
|
| Rate for Payer: Allwell Medicaid |
$15,478.50
|
| Rate for Payer: AZCH Complete Medicaid |
$15,478.50
|
| Rate for Payer: Banner UC Health Medicaid |
$15,478.50
|
| Rate for Payer: Mercy Care Medicaid |
$15,478.50
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$6,777.63
|
|
|
Service Code
|
APR-DRG 3151
|
| Hospital Charge Code |
APRDRG3152
|
| Min. Negotiated Rate |
$6,777.63 |
| Max. Negotiated Rate |
$6,777.63 |
| Rate for Payer: AHCCCS Medicaid |
$6,777.63
|
| Rate for Payer: Allwell Medicaid |
$6,777.63
|
| Rate for Payer: AZCH Complete Medicaid |
$6,777.63
|
| Rate for Payer: Banner UC Health Medicaid |
$6,777.63
|
| Rate for Payer: Mercy Care Medicaid |
$6,777.63
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$6,777.63
|
|
|
Service Code
|
APR-DRG 3151
|
| Hospital Charge Code |
APRDRG3151
|
| Min. Negotiated Rate |
$6,777.63 |
| Max. Negotiated Rate |
$6,777.63 |
| Rate for Payer: AHCCCS Medicaid |
$6,777.63
|
| Rate for Payer: Allwell Medicaid |
$6,777.63
|
| Rate for Payer: AZCH Complete Medicaid |
$6,777.63
|
| Rate for Payer: Banner UC Health Medicaid |
$6,777.63
|
| Rate for Payer: Mercy Care Medicaid |
$6,777.63
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$29,141.77
|
|
|
Service Code
|
APR-DRG 3154
|
| Hospital Charge Code |
APRDRG3154
|
| Min. Negotiated Rate |
$29,141.77 |
| Max. Negotiated Rate |
$29,141.77 |
| Rate for Payer: AHCCCS Medicaid |
$29,141.77
|
| Rate for Payer: Allwell Medicaid |
$29,141.77
|
| Rate for Payer: AZCH Complete Medicaid |
$29,141.77
|
| Rate for Payer: Banner UC Health Medicaid |
$29,141.77
|
| Rate for Payer: Mercy Care Medicaid |
$29,141.77
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$15,478.50
|
|
|
Service Code
|
APR-DRG 3153
|
| Hospital Charge Code |
APRDRG3154
|
| Min. Negotiated Rate |
$15,478.50 |
| Max. Negotiated Rate |
$15,478.50 |
| Rate for Payer: AHCCCS Medicaid |
$15,478.50
|
| Rate for Payer: Allwell Medicaid |
$15,478.50
|
| Rate for Payer: AZCH Complete Medicaid |
$15,478.50
|
| Rate for Payer: Banner UC Health Medicaid |
$15,478.50
|
| Rate for Payer: Mercy Care Medicaid |
$15,478.50
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$15,478.50
|
|
|
Service Code
|
APR-DRG 3153
|
| Hospital Charge Code |
APRDRG3153
|
| Min. Negotiated Rate |
$15,478.50 |
| Max. Negotiated Rate |
$15,478.50 |
| Rate for Payer: AHCCCS Medicaid |
$15,478.50
|
| Rate for Payer: Allwell Medicaid |
$15,478.50
|
| Rate for Payer: AZCH Complete Medicaid |
$15,478.50
|
| Rate for Payer: Banner UC Health Medicaid |
$15,478.50
|
| Rate for Payer: Mercy Care Medicaid |
$15,478.50
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$10,067.90
|
|
|
Service Code
|
APR-DRG 3152
|
| Hospital Charge Code |
APRDRG3153
|
| Min. Negotiated Rate |
$10,067.90 |
| Max. Negotiated Rate |
$10,067.90 |
| Rate for Payer: AHCCCS Medicaid |
$10,067.90
|
| Rate for Payer: Allwell Medicaid |
$10,067.90
|
| Rate for Payer: AZCH Complete Medicaid |
$10,067.90
|
| Rate for Payer: Banner UC Health Medicaid |
$10,067.90
|
| Rate for Payer: Mercy Care Medicaid |
$10,067.90
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$15,478.50
|
|
|
Service Code
|
APR-DRG 3153
|
| Hospital Charge Code |
APRDRG3152
|
| Min. Negotiated Rate |
$15,478.50 |
| Max. Negotiated Rate |
$15,478.50 |
| Rate for Payer: AHCCCS Medicaid |
$15,478.50
|
| Rate for Payer: Allwell Medicaid |
$15,478.50
|
| Rate for Payer: AZCH Complete Medicaid |
$15,478.50
|
| Rate for Payer: Banner UC Health Medicaid |
$15,478.50
|
| Rate for Payer: Mercy Care Medicaid |
$15,478.50
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$29,141.77
|
|
|
Service Code
|
APR-DRG 3154
|
| Hospital Charge Code |
APRDRG3151
|
| Min. Negotiated Rate |
$29,141.77 |
| Max. Negotiated Rate |
$29,141.77 |
| Rate for Payer: AHCCCS Medicaid |
$29,141.77
|
| Rate for Payer: Allwell Medicaid |
$29,141.77
|
| Rate for Payer: AZCH Complete Medicaid |
$29,141.77
|
| Rate for Payer: Banner UC Health Medicaid |
$29,141.77
|
| Rate for Payer: Mercy Care Medicaid |
$29,141.77
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$29,141.77
|
|
|
Service Code
|
APR-DRG 3154
|
| Hospital Charge Code |
APRDRG3153
|
| Min. Negotiated Rate |
$29,141.77 |
| Max. Negotiated Rate |
$29,141.77 |
| Rate for Payer: AHCCCS Medicaid |
$29,141.77
|
| Rate for Payer: Allwell Medicaid |
$29,141.77
|
| Rate for Payer: AZCH Complete Medicaid |
$29,141.77
|
| Rate for Payer: Banner UC Health Medicaid |
$29,141.77
|
| Rate for Payer: Mercy Care Medicaid |
$29,141.77
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$6,777.63
|
|
|
Service Code
|
APR-DRG 3151
|
| Hospital Charge Code |
APRDRG3153
|
| Min. Negotiated Rate |
$6,777.63 |
| Max. Negotiated Rate |
$6,777.63 |
| Rate for Payer: AHCCCS Medicaid |
$6,777.63
|
| Rate for Payer: Allwell Medicaid |
$6,777.63
|
| Rate for Payer: AZCH Complete Medicaid |
$6,777.63
|
| Rate for Payer: Banner UC Health Medicaid |
$6,777.63
|
| Rate for Payer: Mercy Care Medicaid |
$6,777.63
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$10,067.90
|
|
|
Service Code
|
APR-DRG 3152
|
| Hospital Charge Code |
APRDRG3152
|
| Min. Negotiated Rate |
$10,067.90 |
| Max. Negotiated Rate |
$10,067.90 |
| Rate for Payer: AHCCCS Medicaid |
$10,067.90
|
| Rate for Payer: Allwell Medicaid |
$10,067.90
|
| Rate for Payer: AZCH Complete Medicaid |
$10,067.90
|
| Rate for Payer: Banner UC Health Medicaid |
$10,067.90
|
| Rate for Payer: Mercy Care Medicaid |
$10,067.90
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$29,141.77
|
|
|
Service Code
|
APR-DRG 3154
|
| Hospital Charge Code |
APRDRG3152
|
| Min. Negotiated Rate |
$29,141.77 |
| Max. Negotiated Rate |
$29,141.77 |
| Rate for Payer: AHCCCS Medicaid |
$29,141.77
|
| Rate for Payer: Allwell Medicaid |
$29,141.77
|
| Rate for Payer: AZCH Complete Medicaid |
$29,141.77
|
| Rate for Payer: Banner UC Health Medicaid |
$29,141.77
|
| Rate for Payer: Mercy Care Medicaid |
$29,141.77
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$10,067.90
|
|
|
Service Code
|
APR-DRG 3152
|
| Hospital Charge Code |
APRDRG3151
|
| Min. Negotiated Rate |
$10,067.90 |
| Max. Negotiated Rate |
$10,067.90 |
| Rate for Payer: AHCCCS Medicaid |
$10,067.90
|
| Rate for Payer: Allwell Medicaid |
$10,067.90
|
| Rate for Payer: AZCH Complete Medicaid |
$10,067.90
|
| Rate for Payer: Banner UC Health Medicaid |
$10,067.90
|
| Rate for Payer: Mercy Care Medicaid |
$10,067.90
|
|
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
Facility
|
IP
|
$6,777.63
|
|
|
Service Code
|
APR-DRG 3151
|
| Hospital Charge Code |
APRDRG3154
|
| Min. Negotiated Rate |
$6,777.63 |
| Max. Negotiated Rate |
$6,777.63 |
| Rate for Payer: AHCCCS Medicaid |
$6,777.63
|
| Rate for Payer: Allwell Medicaid |
$6,777.63
|
| Rate for Payer: AZCH Complete Medicaid |
$6,777.63
|
| Rate for Payer: Banner UC Health Medicaid |
$6,777.63
|
| Rate for Payer: Mercy Care Medicaid |
$6,777.63
|
|
