|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$7,156.38
|
|
|
Service Code
|
APR-DRG 5132
|
| Hospital Charge Code |
APRDRG5131
|
| Min. Negotiated Rate |
$7,156.38 |
| Max. Negotiated Rate |
$7,156.38 |
| Rate for Payer: AHCCCS Medicaid |
$7,156.38
|
| Rate for Payer: Allwell Medicaid |
$7,156.38
|
| Rate for Payer: AZCH Complete Medicaid |
$7,156.38
|
| Rate for Payer: Banner UC Health Medicaid |
$7,156.38
|
| Rate for Payer: Mercy Care Medicaid |
$7,156.38
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$22,557.02
|
|
|
Service Code
|
APR-DRG 5134
|
| Hospital Charge Code |
APRDRG5133
|
| Min. Negotiated Rate |
$22,557.02 |
| Max. Negotiated Rate |
$22,557.02 |
| Rate for Payer: AHCCCS Medicaid |
$22,557.02
|
| Rate for Payer: Allwell Medicaid |
$22,557.02
|
| Rate for Payer: AZCH Complete Medicaid |
$22,557.02
|
| Rate for Payer: Banner UC Health Medicaid |
$22,557.02
|
| Rate for Payer: Mercy Care Medicaid |
$22,557.02
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$22,557.02
|
|
|
Service Code
|
APR-DRG 5134
|
| Hospital Charge Code |
APRDRG5134
|
| Min. Negotiated Rate |
$22,557.02 |
| Max. Negotiated Rate |
$22,557.02 |
| Rate for Payer: AHCCCS Medicaid |
$22,557.02
|
| Rate for Payer: Allwell Medicaid |
$22,557.02
|
| Rate for Payer: AZCH Complete Medicaid |
$22,557.02
|
| Rate for Payer: Banner UC Health Medicaid |
$22,557.02
|
| Rate for Payer: Mercy Care Medicaid |
$22,557.02
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$7,156.38
|
|
|
Service Code
|
APR-DRG 5132
|
| Hospital Charge Code |
APRDRG5134
|
| Min. Negotiated Rate |
$7,156.38 |
| Max. Negotiated Rate |
$7,156.38 |
| Rate for Payer: AHCCCS Medicaid |
$7,156.38
|
| Rate for Payer: Allwell Medicaid |
$7,156.38
|
| Rate for Payer: AZCH Complete Medicaid |
$7,156.38
|
| Rate for Payer: Banner UC Health Medicaid |
$7,156.38
|
| Rate for Payer: Mercy Care Medicaid |
$7,156.38
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$12,243.64
|
|
|
Service Code
|
APR-DRG 5133
|
| Hospital Charge Code |
APRDRG5132
|
| Min. Negotiated Rate |
$12,243.64 |
| Max. Negotiated Rate |
$12,243.64 |
| Rate for Payer: AHCCCS Medicaid |
$12,243.64
|
| Rate for Payer: Allwell Medicaid |
$12,243.64
|
| Rate for Payer: AZCH Complete Medicaid |
$12,243.64
|
| Rate for Payer: Banner UC Health Medicaid |
$12,243.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,243.64
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$12,243.64
|
|
|
Service Code
|
APR-DRG 5133
|
| Hospital Charge Code |
APRDRG5134
|
| Min. Negotiated Rate |
$12,243.64 |
| Max. Negotiated Rate |
$12,243.64 |
| Rate for Payer: AHCCCS Medicaid |
$12,243.64
|
| Rate for Payer: Allwell Medicaid |
$12,243.64
|
| Rate for Payer: AZCH Complete Medicaid |
$12,243.64
|
| Rate for Payer: Banner UC Health Medicaid |
$12,243.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,243.64
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$7,156.38
|
|
|
Service Code
|
APR-DRG 5132
|
| Hospital Charge Code |
APRDRG5132
|
| Min. Negotiated Rate |
$7,156.38 |
| Max. Negotiated Rate |
$7,156.38 |
| Rate for Payer: AHCCCS Medicaid |
$7,156.38
|
| Rate for Payer: Allwell Medicaid |
$7,156.38
|
| Rate for Payer: AZCH Complete Medicaid |
$7,156.38
|
| Rate for Payer: Banner UC Health Medicaid |
$7,156.38
|
| Rate for Payer: Mercy Care Medicaid |
$7,156.38
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$7,156.38
|
|
|
Service Code
|
APR-DRG 5132
|
| Hospital Charge Code |
APRDRG5133
|
| Min. Negotiated Rate |
$7,156.38 |
| Max. Negotiated Rate |
$7,156.38 |
| Rate for Payer: AHCCCS Medicaid |
$7,156.38
|
| Rate for Payer: Allwell Medicaid |
$7,156.38
|
| Rate for Payer: AZCH Complete Medicaid |
$7,156.38
|
| Rate for Payer: Banner UC Health Medicaid |
$7,156.38
|
| Rate for Payer: Mercy Care Medicaid |
$7,156.38
|
|
|
Uterine And Adnexa Procedures For Non-Malignancy Except Leiomyoma
|
Facility
|
IP
|
$6,013.80
|
|
|
Service Code
|
APR-DRG 5131
|
| Hospital Charge Code |
APRDRG5131
|
| Min. Negotiated Rate |
$6,013.80 |
| Max. Negotiated Rate |
$6,013.80 |
| Rate for Payer: AHCCCS Medicaid |
$6,013.80
|
| Rate for Payer: Allwell Medicaid |
$6,013.80
|
| Rate for Payer: AZCH Complete Medicaid |
$6,013.80
|
| Rate for Payer: Banner UC Health Medicaid |
$6,013.80
|
| Rate for Payer: Mercy Care Medicaid |
$6,013.80
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$15,999.64
|
|
|
Service Code
|
APR-DRG 5123
|
| Hospital Charge Code |
APRDRG5122
|
| Min. Negotiated Rate |
$15,999.64 |
| Max. Negotiated Rate |
$15,999.64 |
| Rate for Payer: AHCCCS Medicaid |
$15,999.64
|
| Rate for Payer: Allwell Medicaid |
$15,999.64
|
| Rate for Payer: AZCH Complete Medicaid |
$15,999.64
|
| Rate for Payer: Banner UC Health Medicaid |
$15,999.64
|
| Rate for Payer: Mercy Care Medicaid |
$15,999.64
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$27,193.98
|
|
|
Service Code
|
APR-DRG 5124
|
| Hospital Charge Code |
APRDRG5121
|
| Min. Negotiated Rate |
$27,193.98 |
| Max. Negotiated Rate |
$27,193.98 |
| Rate for Payer: AHCCCS Medicaid |
$27,193.98
|
| Rate for Payer: Allwell Medicaid |
$27,193.98
|
| Rate for Payer: AZCH Complete Medicaid |
$27,193.98
|
| Rate for Payer: Banner UC Health Medicaid |
$27,193.98
|
| Rate for Payer: Mercy Care Medicaid |
$27,193.98
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$9,472.41
|
|
|
Service Code
|
APR-DRG 5122
|
| Hospital Charge Code |
APRDRG5123
|
| Min. Negotiated Rate |
$9,472.41 |
| Max. Negotiated Rate |
$9,472.41 |
| Rate for Payer: AHCCCS Medicaid |
$9,472.41
|
| Rate for Payer: Allwell Medicaid |
$9,472.41
|
| Rate for Payer: AZCH Complete Medicaid |
$9,472.41
|
| Rate for Payer: Banner UC Health Medicaid |
$9,472.41
|
| Rate for Payer: Mercy Care Medicaid |
$9,472.41
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$15,999.64
|
|
|
Service Code
|
APR-DRG 5123
|
| Hospital Charge Code |
APRDRG5124
|
| Min. Negotiated Rate |
$15,999.64 |
| Max. Negotiated Rate |
$15,999.64 |
| Rate for Payer: AHCCCS Medicaid |
$15,999.64
|
| Rate for Payer: Allwell Medicaid |
$15,999.64
|
| Rate for Payer: AZCH Complete Medicaid |
$15,999.64
|
| Rate for Payer: Banner UC Health Medicaid |
$15,999.64
|
| Rate for Payer: Mercy Care Medicaid |
$15,999.64
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$9,472.41
|
|
|
Service Code
|
APR-DRG 5122
|
| Hospital Charge Code |
APRDRG5121
|
| Min. Negotiated Rate |
$9,472.41 |
| Max. Negotiated Rate |
$9,472.41 |
| Rate for Payer: AHCCCS Medicaid |
$9,472.41
|
| Rate for Payer: Allwell Medicaid |
$9,472.41
|
| Rate for Payer: AZCH Complete Medicaid |
$9,472.41
|
| Rate for Payer: Banner UC Health Medicaid |
$9,472.41
|
| Rate for Payer: Mercy Care Medicaid |
$9,472.41
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$8,163.59
|
|
|
Service Code
|
APR-DRG 5121
|
| Hospital Charge Code |
APRDRG5121
|
| Min. Negotiated Rate |
$8,163.59 |
| Max. Negotiated Rate |
$8,163.59 |
| Rate for Payer: AHCCCS Medicaid |
$8,163.59
|
| Rate for Payer: Allwell Medicaid |
$8,163.59
|
| Rate for Payer: AZCH Complete Medicaid |
$8,163.59
|
| Rate for Payer: Banner UC Health Medicaid |
$8,163.59
|
| Rate for Payer: Mercy Care Medicaid |
$8,163.59
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$27,193.98
|
|
|
Service Code
|
APR-DRG 5124
|
| Hospital Charge Code |
APRDRG5122
|
| Min. Negotiated Rate |
$27,193.98 |
| Max. Negotiated Rate |
$27,193.98 |
| Rate for Payer: AHCCCS Medicaid |
$27,193.98
|
| Rate for Payer: Allwell Medicaid |
$27,193.98
|
| Rate for Payer: AZCH Complete Medicaid |
$27,193.98
|
| Rate for Payer: Banner UC Health Medicaid |
$27,193.98
|
| Rate for Payer: Mercy Care Medicaid |
$27,193.98
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$8,163.59
|
|
|
Service Code
|
APR-DRG 5121
|
| Hospital Charge Code |
APRDRG5122
|
| Min. Negotiated Rate |
$8,163.59 |
| Max. Negotiated Rate |
$8,163.59 |
| Rate for Payer: AHCCCS Medicaid |
$8,163.59
|
| Rate for Payer: Allwell Medicaid |
$8,163.59
|
| Rate for Payer: AZCH Complete Medicaid |
$8,163.59
|
| Rate for Payer: Banner UC Health Medicaid |
$8,163.59
|
| Rate for Payer: Mercy Care Medicaid |
$8,163.59
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$9,472.41
|
|
|
Service Code
|
APR-DRG 5122
|
| Hospital Charge Code |
APRDRG5122
|
| Min. Negotiated Rate |
$9,472.41 |
| Max. Negotiated Rate |
$9,472.41 |
| Rate for Payer: AHCCCS Medicaid |
$9,472.41
|
| Rate for Payer: Allwell Medicaid |
$9,472.41
|
| Rate for Payer: AZCH Complete Medicaid |
$9,472.41
|
| Rate for Payer: Banner UC Health Medicaid |
$9,472.41
|
| Rate for Payer: Mercy Care Medicaid |
$9,472.41
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$27,193.98
|
|
|
Service Code
|
APR-DRG 5124
|
| Hospital Charge Code |
APRDRG5123
|
| Min. Negotiated Rate |
$27,193.98 |
| Max. Negotiated Rate |
$27,193.98 |
| Rate for Payer: AHCCCS Medicaid |
$27,193.98
|
| Rate for Payer: Allwell Medicaid |
$27,193.98
|
| Rate for Payer: AZCH Complete Medicaid |
$27,193.98
|
| Rate for Payer: Banner UC Health Medicaid |
$27,193.98
|
| Rate for Payer: Mercy Care Medicaid |
$27,193.98
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$8,163.59
|
|
|
Service Code
|
APR-DRG 5121
|
| Hospital Charge Code |
APRDRG5124
|
| Min. Negotiated Rate |
$8,163.59 |
| Max. Negotiated Rate |
$8,163.59 |
| Rate for Payer: AHCCCS Medicaid |
$8,163.59
|
| Rate for Payer: Allwell Medicaid |
$8,163.59
|
| Rate for Payer: AZCH Complete Medicaid |
$8,163.59
|
| Rate for Payer: Banner UC Health Medicaid |
$8,163.59
|
| Rate for Payer: Mercy Care Medicaid |
$8,163.59
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$9,472.41
|
|
|
Service Code
|
APR-DRG 5122
|
| Hospital Charge Code |
APRDRG5124
|
| Min. Negotiated Rate |
$9,472.41 |
| Max. Negotiated Rate |
$9,472.41 |
| Rate for Payer: AHCCCS Medicaid |
$9,472.41
|
| Rate for Payer: Allwell Medicaid |
$9,472.41
|
| Rate for Payer: AZCH Complete Medicaid |
$9,472.41
|
| Rate for Payer: Banner UC Health Medicaid |
$9,472.41
|
| Rate for Payer: Mercy Care Medicaid |
$9,472.41
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$27,193.98
|
|
|
Service Code
|
APR-DRG 5124
|
| Hospital Charge Code |
APRDRG5124
|
| Min. Negotiated Rate |
$27,193.98 |
| Max. Negotiated Rate |
$27,193.98 |
| Rate for Payer: AHCCCS Medicaid |
$27,193.98
|
| Rate for Payer: Allwell Medicaid |
$27,193.98
|
| Rate for Payer: AZCH Complete Medicaid |
$27,193.98
|
| Rate for Payer: Banner UC Health Medicaid |
$27,193.98
|
| Rate for Payer: Mercy Care Medicaid |
$27,193.98
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$15,999.64
|
|
|
Service Code
|
APR-DRG 5123
|
| Hospital Charge Code |
APRDRG5121
|
| Min. Negotiated Rate |
$15,999.64 |
| Max. Negotiated Rate |
$15,999.64 |
| Rate for Payer: AHCCCS Medicaid |
$15,999.64
|
| Rate for Payer: Allwell Medicaid |
$15,999.64
|
| Rate for Payer: AZCH Complete Medicaid |
$15,999.64
|
| Rate for Payer: Banner UC Health Medicaid |
$15,999.64
|
| Rate for Payer: Mercy Care Medicaid |
$15,999.64
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$8,163.59
|
|
|
Service Code
|
APR-DRG 5121
|
| Hospital Charge Code |
APRDRG5123
|
| Min. Negotiated Rate |
$8,163.59 |
| Max. Negotiated Rate |
$8,163.59 |
| Rate for Payer: AHCCCS Medicaid |
$8,163.59
|
| Rate for Payer: Allwell Medicaid |
$8,163.59
|
| Rate for Payer: AZCH Complete Medicaid |
$8,163.59
|
| Rate for Payer: Banner UC Health Medicaid |
$8,163.59
|
| Rate for Payer: Mercy Care Medicaid |
$8,163.59
|
|
|
Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy
|
Facility
|
IP
|
$15,999.64
|
|
|
Service Code
|
APR-DRG 5123
|
| Hospital Charge Code |
APRDRG5123
|
| Min. Negotiated Rate |
$15,999.64 |
| Max. Negotiated Rate |
$15,999.64 |
| Rate for Payer: AHCCCS Medicaid |
$15,999.64
|
| Rate for Payer: Allwell Medicaid |
$15,999.64
|
| Rate for Payer: AZCH Complete Medicaid |
$15,999.64
|
| Rate for Payer: Banner UC Health Medicaid |
$15,999.64
|
| Rate for Payer: Mercy Care Medicaid |
$15,999.64
|
|
