|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$6,181.44
|
|
|
Service Code
|
APR-DRG 7753
|
| Hospital Charge Code |
APRDRG7751
|
| Min. Negotiated Rate |
$6,181.44 |
| Max. Negotiated Rate |
$6,181.44 |
| Rate for Payer: AHCCCS Medicaid |
$6,181.44
|
| Rate for Payer: Allwell Medicaid |
$6,181.44
|
| Rate for Payer: AZCH Complete Medicaid |
$6,181.44
|
| Rate for Payer: Banner UC Health Medicaid |
$6,181.44
|
| Rate for Payer: Mercy Care Medicaid |
$6,181.44
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$15,554.25
|
|
|
Service Code
|
APR-DRG 7754
|
| Hospital Charge Code |
APRDRG7751
|
| Min. Negotiated Rate |
$15,554.25 |
| Max. Negotiated Rate |
$15,554.25 |
| Rate for Payer: AHCCCS Medicaid |
$15,554.25
|
| Rate for Payer: Allwell Medicaid |
$15,554.25
|
| Rate for Payer: AZCH Complete Medicaid |
$15,554.25
|
| Rate for Payer: Banner UC Health Medicaid |
$15,554.25
|
| Rate for Payer: Mercy Care Medicaid |
$15,554.25
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$6,181.44
|
|
|
Service Code
|
APR-DRG 7753
|
| Hospital Charge Code |
APRDRG7753
|
| Min. Negotiated Rate |
$6,181.44 |
| Max. Negotiated Rate |
$6,181.44 |
| Rate for Payer: AHCCCS Medicaid |
$6,181.44
|
| Rate for Payer: Allwell Medicaid |
$6,181.44
|
| Rate for Payer: AZCH Complete Medicaid |
$6,181.44
|
| Rate for Payer: Banner UC Health Medicaid |
$6,181.44
|
| Rate for Payer: Mercy Care Medicaid |
$6,181.44
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$15,554.25
|
|
|
Service Code
|
APR-DRG 7754
|
| Hospital Charge Code |
APRDRG7754
|
| Min. Negotiated Rate |
$15,554.25 |
| Max. Negotiated Rate |
$15,554.25 |
| Rate for Payer: AHCCCS Medicaid |
$15,554.25
|
| Rate for Payer: Allwell Medicaid |
$15,554.25
|
| Rate for Payer: AZCH Complete Medicaid |
$15,554.25
|
| Rate for Payer: Banner UC Health Medicaid |
$15,554.25
|
| Rate for Payer: Mercy Care Medicaid |
$15,554.25
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$3,457.90
|
|
|
Service Code
|
APR-DRG 7752
|
| Hospital Charge Code |
APRDRG7752
|
| Min. Negotiated Rate |
$3,457.90 |
| Max. Negotiated Rate |
$3,457.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,457.90
|
| Rate for Payer: Allwell Medicaid |
$3,457.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,457.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,457.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,457.90
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$2,454.20
|
|
|
Service Code
|
APR-DRG 7751
|
| Hospital Charge Code |
APRDRG7753
|
| Min. Negotiated Rate |
$2,454.20 |
| Max. Negotiated Rate |
$2,454.20 |
| Rate for Payer: AHCCCS Medicaid |
$2,454.20
|
| Rate for Payer: Allwell Medicaid |
$2,454.20
|
| Rate for Payer: AZCH Complete Medicaid |
$2,454.20
|
| Rate for Payer: Banner UC Health Medicaid |
$2,454.20
|
| Rate for Payer: Mercy Care Medicaid |
$2,454.20
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$15,554.25
|
|
|
Service Code
|
APR-DRG 7754
|
| Hospital Charge Code |
APRDRG7753
|
| Min. Negotiated Rate |
$15,554.25 |
| Max. Negotiated Rate |
$15,554.25 |
| Rate for Payer: AHCCCS Medicaid |
$15,554.25
|
| Rate for Payer: Allwell Medicaid |
$15,554.25
|
| Rate for Payer: AZCH Complete Medicaid |
$15,554.25
|
| Rate for Payer: Banner UC Health Medicaid |
$15,554.25
|
| Rate for Payer: Mercy Care Medicaid |
$15,554.25
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$2,454.20
|
|
|
Service Code
|
APR-DRG 7751
|
| Hospital Charge Code |
APRDRG7754
|
| Min. Negotiated Rate |
$2,454.20 |
| Max. Negotiated Rate |
$2,454.20 |
| Rate for Payer: AHCCCS Medicaid |
$2,454.20
|
| Rate for Payer: Allwell Medicaid |
$2,454.20
|
| Rate for Payer: AZCH Complete Medicaid |
$2,454.20
|
| Rate for Payer: Banner UC Health Medicaid |
$2,454.20
|
| Rate for Payer: Mercy Care Medicaid |
$2,454.20
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$2,454.20
|
|
|
Service Code
|
APR-DRG 7751
|
| Hospital Charge Code |
APRDRG7752
|
| Min. Negotiated Rate |
$2,454.20 |
| Max. Negotiated Rate |
$2,454.20 |
| Rate for Payer: AHCCCS Medicaid |
$2,454.20
|
| Rate for Payer: Allwell Medicaid |
$2,454.20
|
| Rate for Payer: AZCH Complete Medicaid |
$2,454.20
|
| Rate for Payer: Banner UC Health Medicaid |
$2,454.20
|
| Rate for Payer: Mercy Care Medicaid |
$2,454.20
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$3,457.90
|
|
|
Service Code
|
APR-DRG 7752
|
| Hospital Charge Code |
APRDRG7753
|
| Min. Negotiated Rate |
$3,457.90 |
| Max. Negotiated Rate |
$3,457.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,457.90
|
| Rate for Payer: Allwell Medicaid |
$3,457.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,457.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,457.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,457.90
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$3,457.90
|
|
|
Service Code
|
APR-DRG 7752
|
| Hospital Charge Code |
APRDRG7754
|
| Min. Negotiated Rate |
$3,457.90 |
| Max. Negotiated Rate |
$3,457.90 |
| Rate for Payer: AHCCCS Medicaid |
$3,457.90
|
| Rate for Payer: Allwell Medicaid |
$3,457.90
|
| Rate for Payer: AZCH Complete Medicaid |
$3,457.90
|
| Rate for Payer: Banner UC Health Medicaid |
$3,457.90
|
| Rate for Payer: Mercy Care Medicaid |
$3,457.90
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$2,454.20
|
|
|
Service Code
|
APR-DRG 7751
|
| Hospital Charge Code |
APRDRG7751
|
| Min. Negotiated Rate |
$2,454.20 |
| Max. Negotiated Rate |
$2,454.20 |
| Rate for Payer: AHCCCS Medicaid |
$2,454.20
|
| Rate for Payer: Allwell Medicaid |
$2,454.20
|
| Rate for Payer: AZCH Complete Medicaid |
$2,454.20
|
| Rate for Payer: Banner UC Health Medicaid |
$2,454.20
|
| Rate for Payer: Mercy Care Medicaid |
$2,454.20
|
|
|
Alcohol Abuse And Dependence
|
Facility
|
IP
|
$6,181.44
|
|
|
Service Code
|
APR-DRG 7753
|
| Hospital Charge Code |
APRDRG7754
|
| Min. Negotiated Rate |
$6,181.44 |
| Max. Negotiated Rate |
$6,181.44 |
| Rate for Payer: AHCCCS Medicaid |
$6,181.44
|
| Rate for Payer: Allwell Medicaid |
$6,181.44
|
| Rate for Payer: AZCH Complete Medicaid |
$6,181.44
|
| Rate for Payer: Banner UC Health Medicaid |
$6,181.44
|
| Rate for Payer: Mercy Care Medicaid |
$6,181.44
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$3,490.87
|
|
|
Service Code
|
APR-DRG 7721
|
| Hospital Charge Code |
APRDRG7722
|
| Min. Negotiated Rate |
$3,490.87 |
| Max. Negotiated Rate |
$3,490.87 |
| Rate for Payer: AHCCCS Medicaid |
$3,490.87
|
| Rate for Payer: Allwell Medicaid |
$3,490.87
|
| Rate for Payer: AZCH Complete Medicaid |
$3,490.87
|
| Rate for Payer: Banner UC Health Medicaid |
$3,490.87
|
| Rate for Payer: Mercy Care Medicaid |
$3,490.87
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$3,490.87
|
|
|
Service Code
|
APR-DRG 7721
|
| Hospital Charge Code |
APRDRG7723
|
| Min. Negotiated Rate |
$3,490.87 |
| Max. Negotiated Rate |
$3,490.87 |
| Rate for Payer: AHCCCS Medicaid |
$3,490.87
|
| Rate for Payer: Allwell Medicaid |
$3,490.87
|
| Rate for Payer: AZCH Complete Medicaid |
$3,490.87
|
| Rate for Payer: Banner UC Health Medicaid |
$3,490.87
|
| Rate for Payer: Mercy Care Medicaid |
$3,490.87
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$16,819.57
|
|
|
Service Code
|
APR-DRG 7724
|
| Hospital Charge Code |
APRDRG7722
|
| Min. Negotiated Rate |
$16,819.57 |
| Max. Negotiated Rate |
$16,819.57 |
| Rate for Payer: AHCCCS Medicaid |
$16,819.57
|
| Rate for Payer: Allwell Medicaid |
$16,819.57
|
| Rate for Payer: AZCH Complete Medicaid |
$16,819.57
|
| Rate for Payer: Banner UC Health Medicaid |
$16,819.57
|
| Rate for Payer: Mercy Care Medicaid |
$16,819.57
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$4,314.31
|
|
|
Service Code
|
APR-DRG 7722
|
| Hospital Charge Code |
APRDRG7722
|
| Min. Negotiated Rate |
$4,314.31 |
| Max. Negotiated Rate |
$4,314.31 |
| Rate for Payer: AHCCCS Medicaid |
$4,314.31
|
| Rate for Payer: Allwell Medicaid |
$4,314.31
|
| Rate for Payer: AZCH Complete Medicaid |
$4,314.31
|
| Rate for Payer: Banner UC Health Medicaid |
$4,314.31
|
| Rate for Payer: Mercy Care Medicaid |
$4,314.31
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$5,360.10
|
|
|
Service Code
|
APR-DRG 7723
|
| Hospital Charge Code |
APRDRG7722
|
| Min. Negotiated Rate |
$5,360.10 |
| Max. Negotiated Rate |
$5,360.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,360.10
|
| Rate for Payer: Allwell Medicaid |
$5,360.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,360.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,360.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,360.10
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$4,314.31
|
|
|
Service Code
|
APR-DRG 7722
|
| Hospital Charge Code |
APRDRG7724
|
| Min. Negotiated Rate |
$4,314.31 |
| Max. Negotiated Rate |
$4,314.31 |
| Rate for Payer: AHCCCS Medicaid |
$4,314.31
|
| Rate for Payer: Allwell Medicaid |
$4,314.31
|
| Rate for Payer: AZCH Complete Medicaid |
$4,314.31
|
| Rate for Payer: Banner UC Health Medicaid |
$4,314.31
|
| Rate for Payer: Mercy Care Medicaid |
$4,314.31
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$4,314.31
|
|
|
Service Code
|
APR-DRG 7722
|
| Hospital Charge Code |
APRDRG7723
|
| Min. Negotiated Rate |
$4,314.31 |
| Max. Negotiated Rate |
$4,314.31 |
| Rate for Payer: AHCCCS Medicaid |
$4,314.31
|
| Rate for Payer: Allwell Medicaid |
$4,314.31
|
| Rate for Payer: AZCH Complete Medicaid |
$4,314.31
|
| Rate for Payer: Banner UC Health Medicaid |
$4,314.31
|
| Rate for Payer: Mercy Care Medicaid |
$4,314.31
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$3,490.87
|
|
|
Service Code
|
APR-DRG 7721
|
| Hospital Charge Code |
APRDRG7724
|
| Min. Negotiated Rate |
$3,490.87 |
| Max. Negotiated Rate |
$3,490.87 |
| Rate for Payer: AHCCCS Medicaid |
$3,490.87
|
| Rate for Payer: Allwell Medicaid |
$3,490.87
|
| Rate for Payer: AZCH Complete Medicaid |
$3,490.87
|
| Rate for Payer: Banner UC Health Medicaid |
$3,490.87
|
| Rate for Payer: Mercy Care Medicaid |
$3,490.87
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$16,819.57
|
|
|
Service Code
|
APR-DRG 7724
|
| Hospital Charge Code |
APRDRG7721
|
| Min. Negotiated Rate |
$16,819.57 |
| Max. Negotiated Rate |
$16,819.57 |
| Rate for Payer: AHCCCS Medicaid |
$16,819.57
|
| Rate for Payer: Allwell Medicaid |
$16,819.57
|
| Rate for Payer: AZCH Complete Medicaid |
$16,819.57
|
| Rate for Payer: Banner UC Health Medicaid |
$16,819.57
|
| Rate for Payer: Mercy Care Medicaid |
$16,819.57
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$5,360.10
|
|
|
Service Code
|
APR-DRG 7723
|
| Hospital Charge Code |
APRDRG7721
|
| Min. Negotiated Rate |
$5,360.10 |
| Max. Negotiated Rate |
$5,360.10 |
| Rate for Payer: AHCCCS Medicaid |
$5,360.10
|
| Rate for Payer: Allwell Medicaid |
$5,360.10
|
| Rate for Payer: AZCH Complete Medicaid |
$5,360.10
|
| Rate for Payer: Banner UC Health Medicaid |
$5,360.10
|
| Rate for Payer: Mercy Care Medicaid |
$5,360.10
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$3,490.87
|
|
|
Service Code
|
APR-DRG 7721
|
| Hospital Charge Code |
APRDRG7721
|
| Min. Negotiated Rate |
$3,490.87 |
| Max. Negotiated Rate |
$3,490.87 |
| Rate for Payer: AHCCCS Medicaid |
$3,490.87
|
| Rate for Payer: Allwell Medicaid |
$3,490.87
|
| Rate for Payer: AZCH Complete Medicaid |
$3,490.87
|
| Rate for Payer: Banner UC Health Medicaid |
$3,490.87
|
| Rate for Payer: Mercy Care Medicaid |
$3,490.87
|
|
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
Facility
|
IP
|
$16,819.57
|
|
|
Service Code
|
APR-DRG 7724
|
| Hospital Charge Code |
APRDRG7724
|
| Min. Negotiated Rate |
$16,819.57 |
| Max. Negotiated Rate |
$16,819.57 |
| Rate for Payer: AHCCCS Medicaid |
$16,819.57
|
| Rate for Payer: Allwell Medicaid |
$16,819.57
|
| Rate for Payer: AZCH Complete Medicaid |
$16,819.57
|
| Rate for Payer: Banner UC Health Medicaid |
$16,819.57
|
| Rate for Payer: Mercy Care Medicaid |
$16,819.57
|
|
