|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$3,941.17
|
|
|
Service Code
|
APR-DRG 1962
|
| Hospital Charge Code |
APRDRG1962
|
| Min. Negotiated Rate |
$3,941.17 |
| Max. Negotiated Rate |
$3,941.17 |
| Rate for Payer: AHCCCS Medicaid |
$3,941.17
|
| Rate for Payer: Allwell Medicaid |
$3,941.17
|
| Rate for Payer: AZCH Complete Medicaid |
$3,941.17
|
| Rate for Payer: Banner UC Health Medicaid |
$3,941.17
|
| Rate for Payer: Mercy Care Medicaid |
$3,941.17
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$5,661.00
|
|
|
Service Code
|
APR-DRG 1963
|
| Hospital Charge Code |
APRDRG1963
|
| Min. Negotiated Rate |
$5,661.00 |
| Max. Negotiated Rate |
$5,661.00 |
| Rate for Payer: AHCCCS Medicaid |
$5,661.00
|
| Rate for Payer: Allwell Medicaid |
$5,661.00
|
| Rate for Payer: AZCH Complete Medicaid |
$5,661.00
|
| Rate for Payer: Banner UC Health Medicaid |
$5,661.00
|
| Rate for Payer: Mercy Care Medicaid |
$5,661.00
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$3,941.17
|
|
|
Service Code
|
APR-DRG 1962
|
| Hospital Charge Code |
APRDRG1963
|
| Min. Negotiated Rate |
$3,941.17 |
| Max. Negotiated Rate |
$3,941.17 |
| Rate for Payer: AHCCCS Medicaid |
$3,941.17
|
| Rate for Payer: Allwell Medicaid |
$3,941.17
|
| Rate for Payer: AZCH Complete Medicaid |
$3,941.17
|
| Rate for Payer: Banner UC Health Medicaid |
$3,941.17
|
| Rate for Payer: Mercy Care Medicaid |
$3,941.17
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$11,544.34
|
|
|
Service Code
|
APR-DRG 1964
|
| Hospital Charge Code |
APRDRG1961
|
| Min. Negotiated Rate |
$11,544.34 |
| Max. Negotiated Rate |
$11,544.34 |
| Rate for Payer: AHCCCS Medicaid |
$11,544.34
|
| Rate for Payer: Allwell Medicaid |
$11,544.34
|
| Rate for Payer: AZCH Complete Medicaid |
$11,544.34
|
| Rate for Payer: Banner UC Health Medicaid |
$11,544.34
|
| Rate for Payer: Mercy Care Medicaid |
$11,544.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$3,941.17
|
|
|
Service Code
|
APR-DRG 1962
|
| Hospital Charge Code |
APRDRG1961
|
| Min. Negotiated Rate |
$3,941.17 |
| Max. Negotiated Rate |
$3,941.17 |
| Rate for Payer: AHCCCS Medicaid |
$3,941.17
|
| Rate for Payer: Allwell Medicaid |
$3,941.17
|
| Rate for Payer: AZCH Complete Medicaid |
$3,941.17
|
| Rate for Payer: Banner UC Health Medicaid |
$3,941.17
|
| Rate for Payer: Mercy Care Medicaid |
$3,941.17
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$3,941.17
|
|
|
Service Code
|
APR-DRG 1962
|
| Hospital Charge Code |
APRDRG1964
|
| Min. Negotiated Rate |
$3,941.17 |
| Max. Negotiated Rate |
$3,941.17 |
| Rate for Payer: AHCCCS Medicaid |
$3,941.17
|
| Rate for Payer: Allwell Medicaid |
$3,941.17
|
| Rate for Payer: AZCH Complete Medicaid |
$3,941.17
|
| Rate for Payer: Banner UC Health Medicaid |
$3,941.17
|
| Rate for Payer: Mercy Care Medicaid |
$3,941.17
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$11,544.34
|
|
|
Service Code
|
APR-DRG 1964
|
| Hospital Charge Code |
APRDRG1963
|
| Min. Negotiated Rate |
$11,544.34 |
| Max. Negotiated Rate |
$11,544.34 |
| Rate for Payer: AHCCCS Medicaid |
$11,544.34
|
| Rate for Payer: Allwell Medicaid |
$11,544.34
|
| Rate for Payer: AZCH Complete Medicaid |
$11,544.34
|
| Rate for Payer: Banner UC Health Medicaid |
$11,544.34
|
| Rate for Payer: Mercy Care Medicaid |
$11,544.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$11,544.34
|
|
|
Service Code
|
APR-DRG 1964
|
| Hospital Charge Code |
APRDRG1962
|
| Min. Negotiated Rate |
$11,544.34 |
| Max. Negotiated Rate |
$11,544.34 |
| Rate for Payer: AHCCCS Medicaid |
$11,544.34
|
| Rate for Payer: Allwell Medicaid |
$11,544.34
|
| Rate for Payer: AZCH Complete Medicaid |
$11,544.34
|
| Rate for Payer: Banner UC Health Medicaid |
$11,544.34
|
| Rate for Payer: Mercy Care Medicaid |
$11,544.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$2,874.34
|
|
|
Service Code
|
APR-DRG 1961
|
| Hospital Charge Code |
APRDRG1962
|
| Min. Negotiated Rate |
$2,874.34 |
| Max. Negotiated Rate |
$2,874.34 |
| Rate for Payer: AHCCCS Medicaid |
$2,874.34
|
| Rate for Payer: Allwell Medicaid |
$2,874.34
|
| Rate for Payer: AZCH Complete Medicaid |
$2,874.34
|
| Rate for Payer: Banner UC Health Medicaid |
$2,874.34
|
| Rate for Payer: Mercy Care Medicaid |
$2,874.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$2,874.34
|
|
|
Service Code
|
APR-DRG 1961
|
| Hospital Charge Code |
APRDRG1963
|
| Min. Negotiated Rate |
$2,874.34 |
| Max. Negotiated Rate |
$2,874.34 |
| Rate for Payer: AHCCCS Medicaid |
$2,874.34
|
| Rate for Payer: Allwell Medicaid |
$2,874.34
|
| Rate for Payer: AZCH Complete Medicaid |
$2,874.34
|
| Rate for Payer: Banner UC Health Medicaid |
$2,874.34
|
| Rate for Payer: Mercy Care Medicaid |
$2,874.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$2,874.34
|
|
|
Service Code
|
APR-DRG 1961
|
| Hospital Charge Code |
APRDRG1964
|
| Min. Negotiated Rate |
$2,874.34 |
| Max. Negotiated Rate |
$2,874.34 |
| Rate for Payer: AHCCCS Medicaid |
$2,874.34
|
| Rate for Payer: Allwell Medicaid |
$2,874.34
|
| Rate for Payer: AZCH Complete Medicaid |
$2,874.34
|
| Rate for Payer: Banner UC Health Medicaid |
$2,874.34
|
| Rate for Payer: Mercy Care Medicaid |
$2,874.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$2,874.34
|
|
|
Service Code
|
APR-DRG 1961
|
| Hospital Charge Code |
APRDRG1961
|
| Min. Negotiated Rate |
$2,874.34 |
| Max. Negotiated Rate |
$2,874.34 |
| Rate for Payer: AHCCCS Medicaid |
$2,874.34
|
| Rate for Payer: Allwell Medicaid |
$2,874.34
|
| Rate for Payer: AZCH Complete Medicaid |
$2,874.34
|
| Rate for Payer: Banner UC Health Medicaid |
$2,874.34
|
| Rate for Payer: Mercy Care Medicaid |
$2,874.34
|
|
|
Cardiac Arrest And Shock
|
Facility
|
IP
|
$5,661.00
|
|
|
Service Code
|
APR-DRG 1963
|
| Hospital Charge Code |
APRDRG1964
|
| Min. Negotiated Rate |
$5,661.00 |
| Max. Negotiated Rate |
$5,661.00 |
| Rate for Payer: AHCCCS Medicaid |
$5,661.00
|
| Rate for Payer: Allwell Medicaid |
$5,661.00
|
| Rate for Payer: AZCH Complete Medicaid |
$5,661.00
|
| Rate for Payer: Banner UC Health Medicaid |
$5,661.00
|
| Rate for Payer: Mercy Care Medicaid |
$5,661.00
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$5,799.88
|
|
|
Service Code
|
APR-DRG 2013
|
| Hospital Charge Code |
APRDRG2012
|
| Min. Negotiated Rate |
$5,799.88 |
| Max. Negotiated Rate |
$5,799.88 |
| Rate for Payer: AHCCCS Medicaid |
$5,799.88
|
| Rate for Payer: Allwell Medicaid |
$5,799.88
|
| Rate for Payer: AZCH Complete Medicaid |
$5,799.88
|
| Rate for Payer: Banner UC Health Medicaid |
$5,799.88
|
| Rate for Payer: Mercy Care Medicaid |
$5,799.88
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$5,799.88
|
|
|
Service Code
|
APR-DRG 2013
|
| Hospital Charge Code |
APRDRG2014
|
| Min. Negotiated Rate |
$5,799.88 |
| Max. Negotiated Rate |
$5,799.88 |
| Rate for Payer: AHCCCS Medicaid |
$5,799.88
|
| Rate for Payer: Allwell Medicaid |
$5,799.88
|
| Rate for Payer: AZCH Complete Medicaid |
$5,799.88
|
| Rate for Payer: Banner UC Health Medicaid |
$5,799.88
|
| Rate for Payer: Mercy Care Medicaid |
$5,799.88
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$5,799.88
|
|
|
Service Code
|
APR-DRG 2013
|
| Hospital Charge Code |
APRDRG2013
|
| Min. Negotiated Rate |
$5,799.88 |
| Max. Negotiated Rate |
$5,799.88 |
| Rate for Payer: AHCCCS Medicaid |
$5,799.88
|
| Rate for Payer: Allwell Medicaid |
$5,799.88
|
| Rate for Payer: AZCH Complete Medicaid |
$5,799.88
|
| Rate for Payer: Banner UC Health Medicaid |
$5,799.88
|
| Rate for Payer: Mercy Care Medicaid |
$5,799.88
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$3,864.01
|
|
|
Service Code
|
APR-DRG 2012
|
| Hospital Charge Code |
APRDRG2012
|
| Min. Negotiated Rate |
$3,864.01 |
| Max. Negotiated Rate |
$3,864.01 |
| Rate for Payer: AHCCCS Medicaid |
$3,864.01
|
| Rate for Payer: Allwell Medicaid |
$3,864.01
|
| Rate for Payer: AZCH Complete Medicaid |
$3,864.01
|
| Rate for Payer: Banner UC Health Medicaid |
$3,864.01
|
| Rate for Payer: Mercy Care Medicaid |
$3,864.01
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$5,799.88
|
|
|
Service Code
|
APR-DRG 2013
|
| Hospital Charge Code |
APRDRG2011
|
| Min. Negotiated Rate |
$5,799.88 |
| Max. Negotiated Rate |
$5,799.88 |
| Rate for Payer: AHCCCS Medicaid |
$5,799.88
|
| Rate for Payer: Allwell Medicaid |
$5,799.88
|
| Rate for Payer: AZCH Complete Medicaid |
$5,799.88
|
| Rate for Payer: Banner UC Health Medicaid |
$5,799.88
|
| Rate for Payer: Mercy Care Medicaid |
$5,799.88
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$3,864.01
|
|
|
Service Code
|
APR-DRG 2012
|
| Hospital Charge Code |
APRDRG2011
|
| Min. Negotiated Rate |
$3,864.01 |
| Max. Negotiated Rate |
$3,864.01 |
| Rate for Payer: AHCCCS Medicaid |
$3,864.01
|
| Rate for Payer: Allwell Medicaid |
$3,864.01
|
| Rate for Payer: AZCH Complete Medicaid |
$3,864.01
|
| Rate for Payer: Banner UC Health Medicaid |
$3,864.01
|
| Rate for Payer: Mercy Care Medicaid |
$3,864.01
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$10,444.55
|
|
|
Service Code
|
APR-DRG 2014
|
| Hospital Charge Code |
APRDRG2011
|
| Min. Negotiated Rate |
$10,444.55 |
| Max. Negotiated Rate |
$10,444.55 |
| Rate for Payer: AHCCCS Medicaid |
$10,444.55
|
| Rate for Payer: Allwell Medicaid |
$10,444.55
|
| Rate for Payer: AZCH Complete Medicaid |
$10,444.55
|
| Rate for Payer: Banner UC Health Medicaid |
$10,444.55
|
| Rate for Payer: Mercy Care Medicaid |
$10,444.55
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$3,864.01
|
|
|
Service Code
|
APR-DRG 2012
|
| Hospital Charge Code |
APRDRG2013
|
| Min. Negotiated Rate |
$3,864.01 |
| Max. Negotiated Rate |
$3,864.01 |
| Rate for Payer: AHCCCS Medicaid |
$3,864.01
|
| Rate for Payer: Allwell Medicaid |
$3,864.01
|
| Rate for Payer: AZCH Complete Medicaid |
$3,864.01
|
| Rate for Payer: Banner UC Health Medicaid |
$3,864.01
|
| Rate for Payer: Mercy Care Medicaid |
$3,864.01
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$10,444.55
|
|
|
Service Code
|
APR-DRG 2014
|
| Hospital Charge Code |
APRDRG2014
|
| Min. Negotiated Rate |
$10,444.55 |
| Max. Negotiated Rate |
$10,444.55 |
| Rate for Payer: AHCCCS Medicaid |
$10,444.55
|
| Rate for Payer: Allwell Medicaid |
$10,444.55
|
| Rate for Payer: AZCH Complete Medicaid |
$10,444.55
|
| Rate for Payer: Banner UC Health Medicaid |
$10,444.55
|
| Rate for Payer: Mercy Care Medicaid |
$10,444.55
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$2,940.27
|
|
|
Service Code
|
APR-DRG 2011
|
| Hospital Charge Code |
APRDRG2013
|
| Min. Negotiated Rate |
$2,940.27 |
| Max. Negotiated Rate |
$2,940.27 |
| Rate for Payer: AHCCCS Medicaid |
$2,940.27
|
| Rate for Payer: Allwell Medicaid |
$2,940.27
|
| Rate for Payer: AZCH Complete Medicaid |
$2,940.27
|
| Rate for Payer: Banner UC Health Medicaid |
$2,940.27
|
| Rate for Payer: Mercy Care Medicaid |
$2,940.27
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$2,940.27
|
|
|
Service Code
|
APR-DRG 2011
|
| Hospital Charge Code |
APRDRG2012
|
| Min. Negotiated Rate |
$2,940.27 |
| Max. Negotiated Rate |
$2,940.27 |
| Rate for Payer: AHCCCS Medicaid |
$2,940.27
|
| Rate for Payer: Allwell Medicaid |
$2,940.27
|
| Rate for Payer: AZCH Complete Medicaid |
$2,940.27
|
| Rate for Payer: Banner UC Health Medicaid |
$2,940.27
|
| Rate for Payer: Mercy Care Medicaid |
$2,940.27
|
|
|
Cardiac Arrhythmia And Conduction Disorders
|
Facility
|
IP
|
$2,940.27
|
|
|
Service Code
|
APR-DRG 2011
|
| Hospital Charge Code |
APRDRG2014
|
| Min. Negotiated Rate |
$2,940.27 |
| Max. Negotiated Rate |
$2,940.27 |
| Rate for Payer: AHCCCS Medicaid |
$2,940.27
|
| Rate for Payer: Allwell Medicaid |
$2,940.27
|
| Rate for Payer: AZCH Complete Medicaid |
$2,940.27
|
| Rate for Payer: Banner UC Health Medicaid |
$2,940.27
|
| Rate for Payer: Mercy Care Medicaid |
$2,940.27
|
|
