Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$8,406.98
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG2332
|
Min. Negotiated Rate |
$8,406.98 |
Max. Negotiated Rate |
$8,406.98 |
Rate for Payer: AHCCCS Medicaid |
$8,406.98
|
Rate for Payer: Allwell Medicaid |
$8,406.98
|
Rate for Payer: AZCH Complete Medicaid |
$8,406.98
|
Rate for Payer: Banner UC Health Medicaid |
$8,406.98
|
Rate for Payer: Mercy Care Medicaid |
$8,406.98
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$12,458.97
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG2333
|
Min. Negotiated Rate |
$12,458.97 |
Max. Negotiated Rate |
$12,458.97 |
Rate for Payer: AHCCCS Medicaid |
$12,458.97
|
Rate for Payer: Allwell Medicaid |
$12,458.97
|
Rate for Payer: AZCH Complete Medicaid |
$12,458.97
|
Rate for Payer: Banner UC Health Medicaid |
$12,458.97
|
Rate for Payer: Mercy Care Medicaid |
$12,458.97
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$20,985.19
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG2334
|
Min. Negotiated Rate |
$20,985.19 |
Max. Negotiated Rate |
$20,985.19 |
Rate for Payer: AHCCCS Medicaid |
$20,985.19
|
Rate for Payer: Allwell Medicaid |
$20,985.19
|
Rate for Payer: AZCH Complete Medicaid |
$20,985.19
|
Rate for Payer: Banner UC Health Medicaid |
$20,985.19
|
Rate for Payer: Mercy Care Medicaid |
$20,985.19
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$8,406.98
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG2333
|
Min. Negotiated Rate |
$8,406.98 |
Max. Negotiated Rate |
$8,406.98 |
Rate for Payer: AHCCCS Medicaid |
$8,406.98
|
Rate for Payer: Allwell Medicaid |
$8,406.98
|
Rate for Payer: AZCH Complete Medicaid |
$8,406.98
|
Rate for Payer: Banner UC Health Medicaid |
$8,406.98
|
Rate for Payer: Mercy Care Medicaid |
$8,406.98
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$12,458.97
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG2334
|
Min. Negotiated Rate |
$12,458.97 |
Max. Negotiated Rate |
$12,458.97 |
Rate for Payer: AHCCCS Medicaid |
$12,458.97
|
Rate for Payer: Allwell Medicaid |
$12,458.97
|
Rate for Payer: AZCH Complete Medicaid |
$12,458.97
|
Rate for Payer: Banner UC Health Medicaid |
$12,458.97
|
Rate for Payer: Mercy Care Medicaid |
$12,458.97
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$12,458.97
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG2332
|
Min. Negotiated Rate |
$12,458.97 |
Max. Negotiated Rate |
$12,458.97 |
Rate for Payer: AHCCCS Medicaid |
$12,458.97
|
Rate for Payer: Allwell Medicaid |
$12,458.97
|
Rate for Payer: AZCH Complete Medicaid |
$12,458.97
|
Rate for Payer: Banner UC Health Medicaid |
$12,458.97
|
Rate for Payer: Mercy Care Medicaid |
$12,458.97
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$8,406.98
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG2331
|
Min. Negotiated Rate |
$8,406.98 |
Max. Negotiated Rate |
$8,406.98 |
Rate for Payer: AHCCCS Medicaid |
$8,406.98
|
Rate for Payer: Allwell Medicaid |
$8,406.98
|
Rate for Payer: AZCH Complete Medicaid |
$8,406.98
|
Rate for Payer: Banner UC Health Medicaid |
$8,406.98
|
Rate for Payer: Mercy Care Medicaid |
$8,406.98
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$6,466.91
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG2331
|
Min. Negotiated Rate |
$6,466.91 |
Max. Negotiated Rate |
$6,466.91 |
Rate for Payer: AHCCCS Medicaid |
$6,466.91
|
Rate for Payer: Allwell Medicaid |
$6,466.91
|
Rate for Payer: AZCH Complete Medicaid |
$6,466.91
|
Rate for Payer: Banner UC Health Medicaid |
$6,466.91
|
Rate for Payer: Mercy Care Medicaid |
$6,466.91
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$12,458.97
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG2331
|
Min. Negotiated Rate |
$12,458.97 |
Max. Negotiated Rate |
$12,458.97 |
Rate for Payer: AHCCCS Medicaid |
$12,458.97
|
Rate for Payer: Allwell Medicaid |
$12,458.97
|
Rate for Payer: AZCH Complete Medicaid |
$12,458.97
|
Rate for Payer: Banner UC Health Medicaid |
$12,458.97
|
Rate for Payer: Mercy Care Medicaid |
$12,458.97
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$6,466.91
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG2334
|
Min. Negotiated Rate |
$6,466.91 |
Max. Negotiated Rate |
$6,466.91 |
Rate for Payer: AHCCCS Medicaid |
$6,466.91
|
Rate for Payer: Allwell Medicaid |
$6,466.91
|
Rate for Payer: AZCH Complete Medicaid |
$6,466.91
|
Rate for Payer: Banner UC Health Medicaid |
$6,466.91
|
Rate for Payer: Mercy Care Medicaid |
$6,466.91
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$6,466.91
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG2332
|
Min. Negotiated Rate |
$6,466.91 |
Max. Negotiated Rate |
$6,466.91 |
Rate for Payer: AHCCCS Medicaid |
$6,466.91
|
Rate for Payer: Allwell Medicaid |
$6,466.91
|
Rate for Payer: AZCH Complete Medicaid |
$6,466.91
|
Rate for Payer: Banner UC Health Medicaid |
$6,466.91
|
Rate for Payer: Mercy Care Medicaid |
$6,466.91
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$6,466.91
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG2333
|
Min. Negotiated Rate |
$6,466.91 |
Max. Negotiated Rate |
$6,466.91 |
Rate for Payer: AHCCCS Medicaid |
$6,466.91
|
Rate for Payer: Allwell Medicaid |
$6,466.91
|
Rate for Payer: AZCH Complete Medicaid |
$6,466.91
|
Rate for Payer: Banner UC Health Medicaid |
$6,466.91
|
Rate for Payer: Mercy Care Medicaid |
$6,466.91
|
|
Appendectomy With Complex Principal Diagnosis
|
Facility
|
IP
|
$20,985.19
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG2333
|
Min. Negotiated Rate |
$20,985.19 |
Max. Negotiated Rate |
$20,985.19 |
Rate for Payer: AHCCCS Medicaid |
$20,985.19
|
Rate for Payer: Allwell Medicaid |
$20,985.19
|
Rate for Payer: AZCH Complete Medicaid |
$20,985.19
|
Rate for Payer: Banner UC Health Medicaid |
$20,985.19
|
Rate for Payer: Mercy Care Medicaid |
$20,985.19
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$20,453.53
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG2342
|
Min. Negotiated Rate |
$20,453.53 |
Max. Negotiated Rate |
$20,453.53 |
Rate for Payer: AHCCCS Medicaid |
$20,453.53
|
Rate for Payer: Allwell Medicaid |
$20,453.53
|
Rate for Payer: AZCH Complete Medicaid |
$20,453.53
|
Rate for Payer: Banner UC Health Medicaid |
$20,453.53
|
Rate for Payer: Mercy Care Medicaid |
$20,453.53
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$7,213.20
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG2342
|
Min. Negotiated Rate |
$7,213.20 |
Max. Negotiated Rate |
$7,213.20 |
Rate for Payer: AHCCCS Medicaid |
$7,213.20
|
Rate for Payer: Allwell Medicaid |
$7,213.20
|
Rate for Payer: AZCH Complete Medicaid |
$7,213.20
|
Rate for Payer: Banner UC Health Medicaid |
$7,213.20
|
Rate for Payer: Mercy Care Medicaid |
$7,213.20
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$5,804.79
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG2342
|
Min. Negotiated Rate |
$5,804.79 |
Max. Negotiated Rate |
$5,804.79 |
Rate for Payer: AHCCCS Medicaid |
$5,804.79
|
Rate for Payer: Allwell Medicaid |
$5,804.79
|
Rate for Payer: AZCH Complete Medicaid |
$5,804.79
|
Rate for Payer: Banner UC Health Medicaid |
$5,804.79
|
Rate for Payer: Mercy Care Medicaid |
$5,804.79
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$10,755.97
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG2343
|
Min. Negotiated Rate |
$10,755.97 |
Max. Negotiated Rate |
$10,755.97 |
Rate for Payer: AHCCCS Medicaid |
$10,755.97
|
Rate for Payer: Allwell Medicaid |
$10,755.97
|
Rate for Payer: AZCH Complete Medicaid |
$10,755.97
|
Rate for Payer: Banner UC Health Medicaid |
$10,755.97
|
Rate for Payer: Mercy Care Medicaid |
$10,755.97
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$10,755.97
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG2342
|
Min. Negotiated Rate |
$10,755.97 |
Max. Negotiated Rate |
$10,755.97 |
Rate for Payer: AHCCCS Medicaid |
$10,755.97
|
Rate for Payer: Allwell Medicaid |
$10,755.97
|
Rate for Payer: AZCH Complete Medicaid |
$10,755.97
|
Rate for Payer: Banner UC Health Medicaid |
$10,755.97
|
Rate for Payer: Mercy Care Medicaid |
$10,755.97
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$5,804.79
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG2344
|
Min. Negotiated Rate |
$5,804.79 |
Max. Negotiated Rate |
$5,804.79 |
Rate for Payer: AHCCCS Medicaid |
$5,804.79
|
Rate for Payer: Allwell Medicaid |
$5,804.79
|
Rate for Payer: AZCH Complete Medicaid |
$5,804.79
|
Rate for Payer: Banner UC Health Medicaid |
$5,804.79
|
Rate for Payer: Mercy Care Medicaid |
$5,804.79
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$20,453.53
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG2343
|
Min. Negotiated Rate |
$20,453.53 |
Max. Negotiated Rate |
$20,453.53 |
Rate for Payer: AHCCCS Medicaid |
$20,453.53
|
Rate for Payer: Allwell Medicaid |
$20,453.53
|
Rate for Payer: AZCH Complete Medicaid |
$20,453.53
|
Rate for Payer: Banner UC Health Medicaid |
$20,453.53
|
Rate for Payer: Mercy Care Medicaid |
$20,453.53
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$20,453.53
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG2341
|
Min. Negotiated Rate |
$20,453.53 |
Max. Negotiated Rate |
$20,453.53 |
Rate for Payer: AHCCCS Medicaid |
$20,453.53
|
Rate for Payer: Allwell Medicaid |
$20,453.53
|
Rate for Payer: AZCH Complete Medicaid |
$20,453.53
|
Rate for Payer: Banner UC Health Medicaid |
$20,453.53
|
Rate for Payer: Mercy Care Medicaid |
$20,453.53
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$5,804.79
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG2343
|
Min. Negotiated Rate |
$5,804.79 |
Max. Negotiated Rate |
$5,804.79 |
Rate for Payer: AHCCCS Medicaid |
$5,804.79
|
Rate for Payer: Allwell Medicaid |
$5,804.79
|
Rate for Payer: AZCH Complete Medicaid |
$5,804.79
|
Rate for Payer: Banner UC Health Medicaid |
$5,804.79
|
Rate for Payer: Mercy Care Medicaid |
$5,804.79
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$7,213.20
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG2344
|
Min. Negotiated Rate |
$7,213.20 |
Max. Negotiated Rate |
$7,213.20 |
Rate for Payer: AHCCCS Medicaid |
$7,213.20
|
Rate for Payer: Allwell Medicaid |
$7,213.20
|
Rate for Payer: AZCH Complete Medicaid |
$7,213.20
|
Rate for Payer: Banner UC Health Medicaid |
$7,213.20
|
Rate for Payer: Mercy Care Medicaid |
$7,213.20
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$7,213.20
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG2343
|
Min. Negotiated Rate |
$7,213.20 |
Max. Negotiated Rate |
$7,213.20 |
Rate for Payer: AHCCCS Medicaid |
$7,213.20
|
Rate for Payer: Allwell Medicaid |
$7,213.20
|
Rate for Payer: AZCH Complete Medicaid |
$7,213.20
|
Rate for Payer: Banner UC Health Medicaid |
$7,213.20
|
Rate for Payer: Mercy Care Medicaid |
$7,213.20
|
|
Appendectomy Without Complex Principal Diagnosis
|
Facility
|
IP
|
$10,755.97
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG2344
|
Min. Negotiated Rate |
$10,755.97 |
Max. Negotiated Rate |
$10,755.97 |
Rate for Payer: AHCCCS Medicaid |
$10,755.97
|
Rate for Payer: Allwell Medicaid |
$10,755.97
|
Rate for Payer: AZCH Complete Medicaid |
$10,755.97
|
Rate for Payer: Banner UC Health Medicaid |
$10,755.97
|
Rate for Payer: Mercy Care Medicaid |
$10,755.97
|
|