|
Vaginal Delivery
|
Facility
|
IP
|
$2,362.32
|
|
|
Service Code
|
APR-DRG 5602
|
| Hospital Charge Code |
APRDRG5603
|
| Min. Negotiated Rate |
$2,362.32 |
| Max. Negotiated Rate |
$2,362.32 |
| Rate for Payer: AHCCCS Medicaid |
$2,362.32
|
| Rate for Payer: Allwell Medicaid |
$2,362.32
|
| Rate for Payer: AZCH Complete Medicaid |
$2,362.32
|
| Rate for Payer: Banner UC Health Medicaid |
$2,362.32
|
| Rate for Payer: Mercy Care Medicaid |
$2,362.32
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$3,306.40
|
|
|
Service Code
|
APR-DRG 5603
|
| Hospital Charge Code |
APRDRG5602
|
| Min. Negotiated Rate |
$3,306.40 |
| Max. Negotiated Rate |
$3,306.40 |
| Rate for Payer: AHCCCS Medicaid |
$3,306.40
|
| Rate for Payer: Allwell Medicaid |
$3,306.40
|
| Rate for Payer: AZCH Complete Medicaid |
$3,306.40
|
| Rate for Payer: Banner UC Health Medicaid |
$3,306.40
|
| Rate for Payer: Mercy Care Medicaid |
$3,306.40
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$2,095.78
|
|
|
Service Code
|
APR-DRG 5601
|
| Hospital Charge Code |
APRDRG5603
|
| Min. Negotiated Rate |
$2,095.78 |
| Max. Negotiated Rate |
$2,095.78 |
| Rate for Payer: AHCCCS Medicaid |
$2,095.78
|
| Rate for Payer: Allwell Medicaid |
$2,095.78
|
| Rate for Payer: AZCH Complete Medicaid |
$2,095.78
|
| Rate for Payer: Banner UC Health Medicaid |
$2,095.78
|
| Rate for Payer: Mercy Care Medicaid |
$2,095.78
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$4,964.51
|
|
|
Service Code
|
APR-DRG 5604
|
| Hospital Charge Code |
APRDRG5601
|
| Min. Negotiated Rate |
$4,964.51 |
| Max. Negotiated Rate |
$4,964.51 |
| Rate for Payer: AHCCCS Medicaid |
$4,964.51
|
| Rate for Payer: Allwell Medicaid |
$4,964.51
|
| Rate for Payer: AZCH Complete Medicaid |
$4,964.51
|
| Rate for Payer: Banner UC Health Medicaid |
$4,964.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,964.51
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$2,362.32
|
|
|
Service Code
|
APR-DRG 5602
|
| Hospital Charge Code |
APRDRG5604
|
| Min. Negotiated Rate |
$2,362.32 |
| Max. Negotiated Rate |
$2,362.32 |
| Rate for Payer: AHCCCS Medicaid |
$2,362.32
|
| Rate for Payer: Allwell Medicaid |
$2,362.32
|
| Rate for Payer: AZCH Complete Medicaid |
$2,362.32
|
| Rate for Payer: Banner UC Health Medicaid |
$2,362.32
|
| Rate for Payer: Mercy Care Medicaid |
$2,362.32
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$4,964.51
|
|
|
Service Code
|
APR-DRG 5604
|
| Hospital Charge Code |
APRDRG5603
|
| Min. Negotiated Rate |
$4,964.51 |
| Max. Negotiated Rate |
$4,964.51 |
| Rate for Payer: AHCCCS Medicaid |
$4,964.51
|
| Rate for Payer: Allwell Medicaid |
$4,964.51
|
| Rate for Payer: AZCH Complete Medicaid |
$4,964.51
|
| Rate for Payer: Banner UC Health Medicaid |
$4,964.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,964.51
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$4,964.51
|
|
|
Service Code
|
APR-DRG 5604
|
| Hospital Charge Code |
APRDRG5604
|
| Min. Negotiated Rate |
$4,964.51 |
| Max. Negotiated Rate |
$4,964.51 |
| Rate for Payer: AHCCCS Medicaid |
$4,964.51
|
| Rate for Payer: Allwell Medicaid |
$4,964.51
|
| Rate for Payer: AZCH Complete Medicaid |
$4,964.51
|
| Rate for Payer: Banner UC Health Medicaid |
$4,964.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,964.51
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$4,964.51
|
|
|
Service Code
|
APR-DRG 5604
|
| Hospital Charge Code |
APRDRG5602
|
| Min. Negotiated Rate |
$4,964.51 |
| Max. Negotiated Rate |
$4,964.51 |
| Rate for Payer: AHCCCS Medicaid |
$4,964.51
|
| Rate for Payer: Allwell Medicaid |
$4,964.51
|
| Rate for Payer: AZCH Complete Medicaid |
$4,964.51
|
| Rate for Payer: Banner UC Health Medicaid |
$4,964.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,964.51
|
|
|
Vaginal Delivery
|
Facility
|
IP
|
$3,306.40
|
|
|
Service Code
|
APR-DRG 5603
|
| Hospital Charge Code |
APRDRG5603
|
| Min. Negotiated Rate |
$3,306.40 |
| Max. Negotiated Rate |
$3,306.40 |
| Rate for Payer: AHCCCS Medicaid |
$3,306.40
|
| Rate for Payer: Allwell Medicaid |
$3,306.40
|
| Rate for Payer: AZCH Complete Medicaid |
$3,306.40
|
| Rate for Payer: Banner UC Health Medicaid |
$3,306.40
|
| Rate for Payer: Mercy Care Medicaid |
$3,306.40
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,859.61
|
|
|
Service Code
|
APR-DRG 5422
|
| Hospital Charge Code |
APRDRG5421
|
| Min. Negotiated Rate |
$2,859.61 |
| Max. Negotiated Rate |
$2,859.61 |
| Rate for Payer: AHCCCS Medicaid |
$2,859.61
|
| Rate for Payer: Allwell Medicaid |
$2,859.61
|
| Rate for Payer: AZCH Complete Medicaid |
$2,859.61
|
| Rate for Payer: Banner UC Health Medicaid |
$2,859.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,859.61
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$12,969.59
|
|
|
Service Code
|
APR-DRG 5424
|
| Hospital Charge Code |
APRDRG5423
|
| Min. Negotiated Rate |
$12,969.59 |
| Max. Negotiated Rate |
$12,969.59 |
| Rate for Payer: AHCCCS Medicaid |
$12,969.59
|
| Rate for Payer: Allwell Medicaid |
$12,969.59
|
| Rate for Payer: AZCH Complete Medicaid |
$12,969.59
|
| Rate for Payer: Banner UC Health Medicaid |
$12,969.59
|
| Rate for Payer: Mercy Care Medicaid |
$12,969.59
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,374.24
|
|
|
Service Code
|
APR-DRG 5421
|
| Hospital Charge Code |
APRDRG5421
|
| Min. Negotiated Rate |
$2,374.24 |
| Max. Negotiated Rate |
$2,374.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,374.24
|
| Rate for Payer: Allwell Medicaid |
$2,374.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,374.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,374.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,374.24
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$4,514.91
|
|
|
Service Code
|
APR-DRG 5423
|
| Hospital Charge Code |
APRDRG5422
|
| Min. Negotiated Rate |
$4,514.91 |
| Max. Negotiated Rate |
$4,514.91 |
| Rate for Payer: AHCCCS Medicaid |
$4,514.91
|
| Rate for Payer: Allwell Medicaid |
$4,514.91
|
| Rate for Payer: AZCH Complete Medicaid |
$4,514.91
|
| Rate for Payer: Banner UC Health Medicaid |
$4,514.91
|
| Rate for Payer: Mercy Care Medicaid |
$4,514.91
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$4,514.91
|
|
|
Service Code
|
APR-DRG 5423
|
| Hospital Charge Code |
APRDRG5423
|
| Min. Negotiated Rate |
$4,514.91 |
| Max. Negotiated Rate |
$4,514.91 |
| Rate for Payer: AHCCCS Medicaid |
$4,514.91
|
| Rate for Payer: Allwell Medicaid |
$4,514.91
|
| Rate for Payer: AZCH Complete Medicaid |
$4,514.91
|
| Rate for Payer: Banner UC Health Medicaid |
$4,514.91
|
| Rate for Payer: Mercy Care Medicaid |
$4,514.91
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$4,514.91
|
|
|
Service Code
|
APR-DRG 5423
|
| Hospital Charge Code |
APRDRG5424
|
| Min. Negotiated Rate |
$4,514.91 |
| Max. Negotiated Rate |
$4,514.91 |
| Rate for Payer: AHCCCS Medicaid |
$4,514.91
|
| Rate for Payer: Allwell Medicaid |
$4,514.91
|
| Rate for Payer: AZCH Complete Medicaid |
$4,514.91
|
| Rate for Payer: Banner UC Health Medicaid |
$4,514.91
|
| Rate for Payer: Mercy Care Medicaid |
$4,514.91
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$12,969.59
|
|
|
Service Code
|
APR-DRG 5424
|
| Hospital Charge Code |
APRDRG5421
|
| Min. Negotiated Rate |
$12,969.59 |
| Max. Negotiated Rate |
$12,969.59 |
| Rate for Payer: AHCCCS Medicaid |
$12,969.59
|
| Rate for Payer: Allwell Medicaid |
$12,969.59
|
| Rate for Payer: AZCH Complete Medicaid |
$12,969.59
|
| Rate for Payer: Banner UC Health Medicaid |
$12,969.59
|
| Rate for Payer: Mercy Care Medicaid |
$12,969.59
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,374.24
|
|
|
Service Code
|
APR-DRG 5421
|
| Hospital Charge Code |
APRDRG5422
|
| Min. Negotiated Rate |
$2,374.24 |
| Max. Negotiated Rate |
$2,374.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,374.24
|
| Rate for Payer: Allwell Medicaid |
$2,374.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,374.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,374.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,374.24
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,374.24
|
|
|
Service Code
|
APR-DRG 5421
|
| Hospital Charge Code |
APRDRG5424
|
| Min. Negotiated Rate |
$2,374.24 |
| Max. Negotiated Rate |
$2,374.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,374.24
|
| Rate for Payer: Allwell Medicaid |
$2,374.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,374.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,374.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,374.24
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$12,969.59
|
|
|
Service Code
|
APR-DRG 5424
|
| Hospital Charge Code |
APRDRG5422
|
| Min. Negotiated Rate |
$12,969.59 |
| Max. Negotiated Rate |
$12,969.59 |
| Rate for Payer: AHCCCS Medicaid |
$12,969.59
|
| Rate for Payer: Allwell Medicaid |
$12,969.59
|
| Rate for Payer: AZCH Complete Medicaid |
$12,969.59
|
| Rate for Payer: Banner UC Health Medicaid |
$12,969.59
|
| Rate for Payer: Mercy Care Medicaid |
$12,969.59
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,374.24
|
|
|
Service Code
|
APR-DRG 5421
|
| Hospital Charge Code |
APRDRG5423
|
| Min. Negotiated Rate |
$2,374.24 |
| Max. Negotiated Rate |
$2,374.24 |
| Rate for Payer: AHCCCS Medicaid |
$2,374.24
|
| Rate for Payer: Allwell Medicaid |
$2,374.24
|
| Rate for Payer: AZCH Complete Medicaid |
$2,374.24
|
| Rate for Payer: Banner UC Health Medicaid |
$2,374.24
|
| Rate for Payer: Mercy Care Medicaid |
$2,374.24
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,859.61
|
|
|
Service Code
|
APR-DRG 5422
|
| Hospital Charge Code |
APRDRG5423
|
| Min. Negotiated Rate |
$2,859.61 |
| Max. Negotiated Rate |
$2,859.61 |
| Rate for Payer: AHCCCS Medicaid |
$2,859.61
|
| Rate for Payer: Allwell Medicaid |
$2,859.61
|
| Rate for Payer: AZCH Complete Medicaid |
$2,859.61
|
| Rate for Payer: Banner UC Health Medicaid |
$2,859.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,859.61
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,859.61
|
|
|
Service Code
|
APR-DRG 5422
|
| Hospital Charge Code |
APRDRG5422
|
| Min. Negotiated Rate |
$2,859.61 |
| Max. Negotiated Rate |
$2,859.61 |
| Rate for Payer: AHCCCS Medicaid |
$2,859.61
|
| Rate for Payer: Allwell Medicaid |
$2,859.61
|
| Rate for Payer: AZCH Complete Medicaid |
$2,859.61
|
| Rate for Payer: Banner UC Health Medicaid |
$2,859.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,859.61
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$12,969.59
|
|
|
Service Code
|
APR-DRG 5424
|
| Hospital Charge Code |
APRDRG5424
|
| Min. Negotiated Rate |
$12,969.59 |
| Max. Negotiated Rate |
$12,969.59 |
| Rate for Payer: AHCCCS Medicaid |
$12,969.59
|
| Rate for Payer: Allwell Medicaid |
$12,969.59
|
| Rate for Payer: AZCH Complete Medicaid |
$12,969.59
|
| Rate for Payer: Banner UC Health Medicaid |
$12,969.59
|
| Rate for Payer: Mercy Care Medicaid |
$12,969.59
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$4,514.91
|
|
|
Service Code
|
APR-DRG 5423
|
| Hospital Charge Code |
APRDRG5421
|
| Min. Negotiated Rate |
$4,514.91 |
| Max. Negotiated Rate |
$4,514.91 |
| Rate for Payer: AHCCCS Medicaid |
$4,514.91
|
| Rate for Payer: Allwell Medicaid |
$4,514.91
|
| Rate for Payer: AZCH Complete Medicaid |
$4,514.91
|
| Rate for Payer: Banner UC Health Medicaid |
$4,514.91
|
| Rate for Payer: Mercy Care Medicaid |
$4,514.91
|
|
|
Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C
|
Facility
|
IP
|
$2,859.61
|
|
|
Service Code
|
APR-DRG 5422
|
| Hospital Charge Code |
APRDRG5424
|
| Min. Negotiated Rate |
$2,859.61 |
| Max. Negotiated Rate |
$2,859.61 |
| Rate for Payer: AHCCCS Medicaid |
$2,859.61
|
| Rate for Payer: Allwell Medicaid |
$2,859.61
|
| Rate for Payer: AZCH Complete Medicaid |
$2,859.61
|
| Rate for Payer: Banner UC Health Medicaid |
$2,859.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,859.61
|
|
