|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$9,520.80
|
|
|
Service Code
|
APR-DRG 1913
|
| Hospital Charge Code |
APRDRG1912
|
| Min. Negotiated Rate |
$9,520.80 |
| Max. Negotiated Rate |
$9,520.80 |
| Rate for Payer: AHCCCS Medicaid |
$9,520.80
|
| Rate for Payer: Allwell Medicaid |
$9,520.80
|
| Rate for Payer: AZCH Complete Medicaid |
$9,520.80
|
| Rate for Payer: Banner UC Health Medicaid |
$9,520.80
|
| Rate for Payer: Mercy Care Medicaid |
$9,520.80
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$15,013.47
|
|
|
Service Code
|
APR-DRG 1914
|
| Hospital Charge Code |
APRDRG1911
|
| Min. Negotiated Rate |
$15,013.47 |
| Max. Negotiated Rate |
$15,013.47 |
| Rate for Payer: AHCCCS Medicaid |
$15,013.47
|
| Rate for Payer: Allwell Medicaid |
$15,013.47
|
| Rate for Payer: AZCH Complete Medicaid |
$15,013.47
|
| Rate for Payer: Banner UC Health Medicaid |
$15,013.47
|
| Rate for Payer: Mercy Care Medicaid |
$15,013.47
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$7,141.65
|
|
|
Service Code
|
APR-DRG 1912
|
| Hospital Charge Code |
APRDRG1914
|
| Min. Negotiated Rate |
$7,141.65 |
| Max. Negotiated Rate |
$7,141.65 |
| Rate for Payer: AHCCCS Medicaid |
$7,141.65
|
| Rate for Payer: Allwell Medicaid |
$7,141.65
|
| Rate for Payer: AZCH Complete Medicaid |
$7,141.65
|
| Rate for Payer: Banner UC Health Medicaid |
$7,141.65
|
| Rate for Payer: Mercy Care Medicaid |
$7,141.65
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$6,088.85
|
|
|
Service Code
|
APR-DRG 1911
|
| Hospital Charge Code |
APRDRG1914
|
| Min. Negotiated Rate |
$6,088.85 |
| Max. Negotiated Rate |
$6,088.85 |
| Rate for Payer: AHCCCS Medicaid |
$6,088.85
|
| Rate for Payer: Allwell Medicaid |
$6,088.85
|
| Rate for Payer: AZCH Complete Medicaid |
$6,088.85
|
| Rate for Payer: Banner UC Health Medicaid |
$6,088.85
|
| Rate for Payer: Mercy Care Medicaid |
$6,088.85
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$15,013.47
|
|
|
Service Code
|
APR-DRG 1914
|
| Hospital Charge Code |
APRDRG1913
|
| Min. Negotiated Rate |
$15,013.47 |
| Max. Negotiated Rate |
$15,013.47 |
| Rate for Payer: AHCCCS Medicaid |
$15,013.47
|
| Rate for Payer: Allwell Medicaid |
$15,013.47
|
| Rate for Payer: AZCH Complete Medicaid |
$15,013.47
|
| Rate for Payer: Banner UC Health Medicaid |
$15,013.47
|
| Rate for Payer: Mercy Care Medicaid |
$15,013.47
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$7,141.65
|
|
|
Service Code
|
APR-DRG 1912
|
| Hospital Charge Code |
APRDRG1911
|
| Min. Negotiated Rate |
$7,141.65 |
| Max. Negotiated Rate |
$7,141.65 |
| Rate for Payer: AHCCCS Medicaid |
$7,141.65
|
| Rate for Payer: Allwell Medicaid |
$7,141.65
|
| Rate for Payer: AZCH Complete Medicaid |
$7,141.65
|
| Rate for Payer: Banner UC Health Medicaid |
$7,141.65
|
| Rate for Payer: Mercy Care Medicaid |
$7,141.65
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$9,520.80
|
|
|
Service Code
|
APR-DRG 1913
|
| Hospital Charge Code |
APRDRG1914
|
| Min. Negotiated Rate |
$9,520.80 |
| Max. Negotiated Rate |
$9,520.80 |
| Rate for Payer: AHCCCS Medicaid |
$9,520.80
|
| Rate for Payer: Allwell Medicaid |
$9,520.80
|
| Rate for Payer: AZCH Complete Medicaid |
$9,520.80
|
| Rate for Payer: Banner UC Health Medicaid |
$9,520.80
|
| Rate for Payer: Mercy Care Medicaid |
$9,520.80
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$9,520.80
|
|
|
Service Code
|
APR-DRG 1913
|
| Hospital Charge Code |
APRDRG1913
|
| Min. Negotiated Rate |
$9,520.80 |
| Max. Negotiated Rate |
$9,520.80 |
| Rate for Payer: AHCCCS Medicaid |
$9,520.80
|
| Rate for Payer: Allwell Medicaid |
$9,520.80
|
| Rate for Payer: AZCH Complete Medicaid |
$9,520.80
|
| Rate for Payer: Banner UC Health Medicaid |
$9,520.80
|
| Rate for Payer: Mercy Care Medicaid |
$9,520.80
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$9,520.80
|
|
|
Service Code
|
APR-DRG 1913
|
| Hospital Charge Code |
APRDRG1911
|
| Min. Negotiated Rate |
$9,520.80 |
| Max. Negotiated Rate |
$9,520.80 |
| Rate for Payer: AHCCCS Medicaid |
$9,520.80
|
| Rate for Payer: Allwell Medicaid |
$9,520.80
|
| Rate for Payer: AZCH Complete Medicaid |
$9,520.80
|
| Rate for Payer: Banner UC Health Medicaid |
$9,520.80
|
| Rate for Payer: Mercy Care Medicaid |
$9,520.80
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$15,013.47
|
|
|
Service Code
|
APR-DRG 1914
|
| Hospital Charge Code |
APRDRG1914
|
| Min. Negotiated Rate |
$15,013.47 |
| Max. Negotiated Rate |
$15,013.47 |
| Rate for Payer: AHCCCS Medicaid |
$15,013.47
|
| Rate for Payer: Allwell Medicaid |
$15,013.47
|
| Rate for Payer: AZCH Complete Medicaid |
$15,013.47
|
| Rate for Payer: Banner UC Health Medicaid |
$15,013.47
|
| Rate for Payer: Mercy Care Medicaid |
$15,013.47
|
|
|
Cardiac Catheterization For Coronary Artery Disease
|
Facility
|
IP
|
$6,088.85
|
|
|
Service Code
|
APR-DRG 1911
|
| Hospital Charge Code |
APRDRG1913
|
| Min. Negotiated Rate |
$6,088.85 |
| Max. Negotiated Rate |
$6,088.85 |
| Rate for Payer: AHCCCS Medicaid |
$6,088.85
|
| Rate for Payer: Allwell Medicaid |
$6,088.85
|
| Rate for Payer: AZCH Complete Medicaid |
$6,088.85
|
| Rate for Payer: Banner UC Health Medicaid |
$6,088.85
|
| Rate for Payer: Mercy Care Medicaid |
$6,088.85
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$8,145.36
|
|
|
Service Code
|
APR-DRG 1922
|
| Hospital Charge Code |
APRDRG1923
|
| Min. Negotiated Rate |
$8,145.36 |
| Max. Negotiated Rate |
$8,145.36 |
| Rate for Payer: AHCCCS Medicaid |
$8,145.36
|
| Rate for Payer: Allwell Medicaid |
$8,145.36
|
| Rate for Payer: AZCH Complete Medicaid |
$8,145.36
|
| Rate for Payer: Banner UC Health Medicaid |
$8,145.36
|
| Rate for Payer: Mercy Care Medicaid |
$8,145.36
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$6,492.86
|
|
|
Service Code
|
APR-DRG 1921
|
| Hospital Charge Code |
APRDRG1923
|
| Min. Negotiated Rate |
$6,492.86 |
| Max. Negotiated Rate |
$6,492.86 |
| Rate for Payer: AHCCCS Medicaid |
$6,492.86
|
| Rate for Payer: Allwell Medicaid |
$6,492.86
|
| Rate for Payer: AZCH Complete Medicaid |
$6,492.86
|
| Rate for Payer: Banner UC Health Medicaid |
$6,492.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,492.86
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$11,871.90
|
|
|
Service Code
|
APR-DRG 1923
|
| Hospital Charge Code |
APRDRG1922
|
| Min. Negotiated Rate |
$11,871.90 |
| Max. Negotiated Rate |
$11,871.90 |
| Rate for Payer: AHCCCS Medicaid |
$11,871.90
|
| Rate for Payer: Allwell Medicaid |
$11,871.90
|
| Rate for Payer: AZCH Complete Medicaid |
$11,871.90
|
| Rate for Payer: Banner UC Health Medicaid |
$11,871.90
|
| Rate for Payer: Mercy Care Medicaid |
$11,871.90
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$19,239.40
|
|
|
Service Code
|
APR-DRG 1924
|
| Hospital Charge Code |
APRDRG1923
|
| Min. Negotiated Rate |
$19,239.40 |
| Max. Negotiated Rate |
$19,239.40 |
| Rate for Payer: AHCCCS Medicaid |
$19,239.40
|
| Rate for Payer: Allwell Medicaid |
$19,239.40
|
| Rate for Payer: AZCH Complete Medicaid |
$19,239.40
|
| Rate for Payer: Banner UC Health Medicaid |
$19,239.40
|
| Rate for Payer: Mercy Care Medicaid |
$19,239.40
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$11,871.90
|
|
|
Service Code
|
APR-DRG 1923
|
| Hospital Charge Code |
APRDRG1921
|
| Min. Negotiated Rate |
$11,871.90 |
| Max. Negotiated Rate |
$11,871.90 |
| Rate for Payer: AHCCCS Medicaid |
$11,871.90
|
| Rate for Payer: Allwell Medicaid |
$11,871.90
|
| Rate for Payer: AZCH Complete Medicaid |
$11,871.90
|
| Rate for Payer: Banner UC Health Medicaid |
$11,871.90
|
| Rate for Payer: Mercy Care Medicaid |
$11,871.90
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$19,239.40
|
|
|
Service Code
|
APR-DRG 1924
|
| Hospital Charge Code |
APRDRG1922
|
| Min. Negotiated Rate |
$19,239.40 |
| Max. Negotiated Rate |
$19,239.40 |
| Rate for Payer: AHCCCS Medicaid |
$19,239.40
|
| Rate for Payer: Allwell Medicaid |
$19,239.40
|
| Rate for Payer: AZCH Complete Medicaid |
$19,239.40
|
| Rate for Payer: Banner UC Health Medicaid |
$19,239.40
|
| Rate for Payer: Mercy Care Medicaid |
$19,239.40
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$11,871.90
|
|
|
Service Code
|
APR-DRG 1923
|
| Hospital Charge Code |
APRDRG1923
|
| Min. Negotiated Rate |
$11,871.90 |
| Max. Negotiated Rate |
$11,871.90 |
| Rate for Payer: AHCCCS Medicaid |
$11,871.90
|
| Rate for Payer: Allwell Medicaid |
$11,871.90
|
| Rate for Payer: AZCH Complete Medicaid |
$11,871.90
|
| Rate for Payer: Banner UC Health Medicaid |
$11,871.90
|
| Rate for Payer: Mercy Care Medicaid |
$11,871.90
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$8,145.36
|
|
|
Service Code
|
APR-DRG 1922
|
| Hospital Charge Code |
APRDRG1924
|
| Min. Negotiated Rate |
$8,145.36 |
| Max. Negotiated Rate |
$8,145.36 |
| Rate for Payer: AHCCCS Medicaid |
$8,145.36
|
| Rate for Payer: Allwell Medicaid |
$8,145.36
|
| Rate for Payer: AZCH Complete Medicaid |
$8,145.36
|
| Rate for Payer: Banner UC Health Medicaid |
$8,145.36
|
| Rate for Payer: Mercy Care Medicaid |
$8,145.36
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$6,492.86
|
|
|
Service Code
|
APR-DRG 1921
|
| Hospital Charge Code |
APRDRG1924
|
| Min. Negotiated Rate |
$6,492.86 |
| Max. Negotiated Rate |
$6,492.86 |
| Rate for Payer: AHCCCS Medicaid |
$6,492.86
|
| Rate for Payer: Allwell Medicaid |
$6,492.86
|
| Rate for Payer: AZCH Complete Medicaid |
$6,492.86
|
| Rate for Payer: Banner UC Health Medicaid |
$6,492.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,492.86
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$19,239.40
|
|
|
Service Code
|
APR-DRG 1924
|
| Hospital Charge Code |
APRDRG1921
|
| Min. Negotiated Rate |
$19,239.40 |
| Max. Negotiated Rate |
$19,239.40 |
| Rate for Payer: AHCCCS Medicaid |
$19,239.40
|
| Rate for Payer: Allwell Medicaid |
$19,239.40
|
| Rate for Payer: AZCH Complete Medicaid |
$19,239.40
|
| Rate for Payer: Banner UC Health Medicaid |
$19,239.40
|
| Rate for Payer: Mercy Care Medicaid |
$19,239.40
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$6,492.86
|
|
|
Service Code
|
APR-DRG 1921
|
| Hospital Charge Code |
APRDRG1921
|
| Min. Negotiated Rate |
$6,492.86 |
| Max. Negotiated Rate |
$6,492.86 |
| Rate for Payer: AHCCCS Medicaid |
$6,492.86
|
| Rate for Payer: Allwell Medicaid |
$6,492.86
|
| Rate for Payer: AZCH Complete Medicaid |
$6,492.86
|
| Rate for Payer: Banner UC Health Medicaid |
$6,492.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,492.86
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$19,239.40
|
|
|
Service Code
|
APR-DRG 1924
|
| Hospital Charge Code |
APRDRG1924
|
| Min. Negotiated Rate |
$19,239.40 |
| Max. Negotiated Rate |
$19,239.40 |
| Rate for Payer: AHCCCS Medicaid |
$19,239.40
|
| Rate for Payer: Allwell Medicaid |
$19,239.40
|
| Rate for Payer: AZCH Complete Medicaid |
$19,239.40
|
| Rate for Payer: Banner UC Health Medicaid |
$19,239.40
|
| Rate for Payer: Mercy Care Medicaid |
$19,239.40
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$8,145.36
|
|
|
Service Code
|
APR-DRG 1922
|
| Hospital Charge Code |
APRDRG1921
|
| Min. Negotiated Rate |
$8,145.36 |
| Max. Negotiated Rate |
$8,145.36 |
| Rate for Payer: AHCCCS Medicaid |
$8,145.36
|
| Rate for Payer: Allwell Medicaid |
$8,145.36
|
| Rate for Payer: AZCH Complete Medicaid |
$8,145.36
|
| Rate for Payer: Banner UC Health Medicaid |
$8,145.36
|
| Rate for Payer: Mercy Care Medicaid |
$8,145.36
|
|
|
Cardiac Catheterization For Other Non-Coronary Conditions
|
Facility
|
IP
|
$11,871.90
|
|
|
Service Code
|
APR-DRG 1923
|
| Hospital Charge Code |
APRDRG1924
|
| Min. Negotiated Rate |
$11,871.90 |
| Max. Negotiated Rate |
$11,871.90 |
| Rate for Payer: AHCCCS Medicaid |
$11,871.90
|
| Rate for Payer: Allwell Medicaid |
$11,871.90
|
| Rate for Payer: AZCH Complete Medicaid |
$11,871.90
|
| Rate for Payer: Banner UC Health Medicaid |
$11,871.90
|
| Rate for Payer: Mercy Care Medicaid |
$11,871.90
|
|
