Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$6,734.14
|
|
Service Code
|
APR-DRG 2003
|
Hospital Charge Code |
APRDRG2002
|
Min. Negotiated Rate |
$6,734.14 |
Max. Negotiated Rate |
$6,734.14 |
Rate for Payer: AHCCCS Medicaid |
$6,734.14
|
Rate for Payer: Allwell Medicaid |
$6,734.14
|
Rate for Payer: AZCH Complete Medicaid |
$6,734.14
|
Rate for Payer: Banner UC Health Medicaid |
$6,734.14
|
Rate for Payer: Mercy Care Medicaid |
$6,734.14
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$12,416.88
|
|
Service Code
|
APR-DRG 2004
|
Hospital Charge Code |
APRDRG2003
|
Min. Negotiated Rate |
$12,416.88 |
Max. Negotiated Rate |
$12,416.88 |
Rate for Payer: AHCCCS Medicaid |
$12,416.88
|
Rate for Payer: Allwell Medicaid |
$12,416.88
|
Rate for Payer: AZCH Complete Medicaid |
$12,416.88
|
Rate for Payer: Banner UC Health Medicaid |
$12,416.88
|
Rate for Payer: Mercy Care Medicaid |
$12,416.88
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$4,726.03
|
|
Service Code
|
APR-DRG 2002
|
Hospital Charge Code |
APRDRG2003
|
Min. Negotiated Rate |
$4,726.03 |
Max. Negotiated Rate |
$4,726.03 |
Rate for Payer: AHCCCS Medicaid |
$4,726.03
|
Rate for Payer: Allwell Medicaid |
$4,726.03
|
Rate for Payer: AZCH Complete Medicaid |
$4,726.03
|
Rate for Payer: Banner UC Health Medicaid |
$4,726.03
|
Rate for Payer: Mercy Care Medicaid |
$4,726.03
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$3,734.25
|
|
Service Code
|
APR-DRG 2001
|
Hospital Charge Code |
APRDRG2004
|
Min. Negotiated Rate |
$3,734.25 |
Max. Negotiated Rate |
$3,734.25 |
Rate for Payer: AHCCCS Medicaid |
$3,734.25
|
Rate for Payer: Allwell Medicaid |
$3,734.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,734.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,734.25
|
Rate for Payer: Mercy Care Medicaid |
$3,734.25
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$3,734.25
|
|
Service Code
|
APR-DRG 2001
|
Hospital Charge Code |
APRDRG2002
|
Min. Negotiated Rate |
$3,734.25 |
Max. Negotiated Rate |
$3,734.25 |
Rate for Payer: AHCCCS Medicaid |
$3,734.25
|
Rate for Payer: Allwell Medicaid |
$3,734.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,734.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,734.25
|
Rate for Payer: Mercy Care Medicaid |
$3,734.25
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$3,734.25
|
|
Service Code
|
APR-DRG 2001
|
Hospital Charge Code |
APRDRG2001
|
Min. Negotiated Rate |
$3,734.25 |
Max. Negotiated Rate |
$3,734.25 |
Rate for Payer: AHCCCS Medicaid |
$3,734.25
|
Rate for Payer: Allwell Medicaid |
$3,734.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,734.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,734.25
|
Rate for Payer: Mercy Care Medicaid |
$3,734.25
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$4,726.03
|
|
Service Code
|
APR-DRG 2002
|
Hospital Charge Code |
APRDRG2001
|
Min. Negotiated Rate |
$4,726.03 |
Max. Negotiated Rate |
$4,726.03 |
Rate for Payer: AHCCCS Medicaid |
$4,726.03
|
Rate for Payer: Allwell Medicaid |
$4,726.03
|
Rate for Payer: AZCH Complete Medicaid |
$4,726.03
|
Rate for Payer: Banner UC Health Medicaid |
$4,726.03
|
Rate for Payer: Mercy Care Medicaid |
$4,726.03
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$3,734.25
|
|
Service Code
|
APR-DRG 2001
|
Hospital Charge Code |
APRDRG2003
|
Min. Negotiated Rate |
$3,734.25 |
Max. Negotiated Rate |
$3,734.25 |
Rate for Payer: AHCCCS Medicaid |
$3,734.25
|
Rate for Payer: Allwell Medicaid |
$3,734.25
|
Rate for Payer: AZCH Complete Medicaid |
$3,734.25
|
Rate for Payer: Banner UC Health Medicaid |
$3,734.25
|
Rate for Payer: Mercy Care Medicaid |
$3,734.25
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$12,416.88
|
|
Service Code
|
APR-DRG 2004
|
Hospital Charge Code |
APRDRG2004
|
Min. Negotiated Rate |
$12,416.88 |
Max. Negotiated Rate |
$12,416.88 |
Rate for Payer: AHCCCS Medicaid |
$12,416.88
|
Rate for Payer: Allwell Medicaid |
$12,416.88
|
Rate for Payer: AZCH Complete Medicaid |
$12,416.88
|
Rate for Payer: Banner UC Health Medicaid |
$12,416.88
|
Rate for Payer: Mercy Care Medicaid |
$12,416.88
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$6,734.14
|
|
Service Code
|
APR-DRG 2003
|
Hospital Charge Code |
APRDRG2004
|
Min. Negotiated Rate |
$6,734.14 |
Max. Negotiated Rate |
$6,734.14 |
Rate for Payer: AHCCCS Medicaid |
$6,734.14
|
Rate for Payer: Allwell Medicaid |
$6,734.14
|
Rate for Payer: AZCH Complete Medicaid |
$6,734.14
|
Rate for Payer: Banner UC Health Medicaid |
$6,734.14
|
Rate for Payer: Mercy Care Medicaid |
$6,734.14
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$6,734.14
|
|
Service Code
|
APR-DRG 2003
|
Hospital Charge Code |
APRDRG2001
|
Min. Negotiated Rate |
$6,734.14 |
Max. Negotiated Rate |
$6,734.14 |
Rate for Payer: AHCCCS Medicaid |
$6,734.14
|
Rate for Payer: Allwell Medicaid |
$6,734.14
|
Rate for Payer: AZCH Complete Medicaid |
$6,734.14
|
Rate for Payer: Banner UC Health Medicaid |
$6,734.14
|
Rate for Payer: Mercy Care Medicaid |
$6,734.14
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$4,726.03
|
|
Service Code
|
APR-DRG 2002
|
Hospital Charge Code |
APRDRG2004
|
Min. Negotiated Rate |
$4,726.03 |
Max. Negotiated Rate |
$4,726.03 |
Rate for Payer: AHCCCS Medicaid |
$4,726.03
|
Rate for Payer: Allwell Medicaid |
$4,726.03
|
Rate for Payer: AZCH Complete Medicaid |
$4,726.03
|
Rate for Payer: Banner UC Health Medicaid |
$4,726.03
|
Rate for Payer: Mercy Care Medicaid |
$4,726.03
|
|
Cardiac Structural And Valvular Disorders
|
Facility
|
IP
|
$12,416.88
|
|
Service Code
|
APR-DRG 2004
|
Hospital Charge Code |
APRDRG2001
|
Min. Negotiated Rate |
$12,416.88 |
Max. Negotiated Rate |
$12,416.88 |
Rate for Payer: AHCCCS Medicaid |
$12,416.88
|
Rate for Payer: Allwell Medicaid |
$12,416.88
|
Rate for Payer: AZCH Complete Medicaid |
$12,416.88
|
Rate for Payer: Banner UC Health Medicaid |
$12,416.88
|
Rate for Payer: Mercy Care Medicaid |
$12,416.88
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$42,829.59
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG1621
|
Min. Negotiated Rate |
$42,829.59 |
Max. Negotiated Rate |
$42,829.59 |
Rate for Payer: AHCCCS Medicaid |
$42,829.59
|
Rate for Payer: Allwell Medicaid |
$42,829.59
|
Rate for Payer: AZCH Complete Medicaid |
$42,829.59
|
Rate for Payer: Banner UC Health Medicaid |
$42,829.59
|
Rate for Payer: Mercy Care Medicaid |
$42,829.59
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$66,036.11
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG1621
|
Min. Negotiated Rate |
$66,036.11 |
Max. Negotiated Rate |
$66,036.11 |
Rate for Payer: AHCCCS Medicaid |
$66,036.11
|
Rate for Payer: Allwell Medicaid |
$66,036.11
|
Rate for Payer: AZCH Complete Medicaid |
$66,036.11
|
Rate for Payer: Banner UC Health Medicaid |
$66,036.11
|
Rate for Payer: Mercy Care Medicaid |
$66,036.11
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$42,829.59
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG1624
|
Min. Negotiated Rate |
$42,829.59 |
Max. Negotiated Rate |
$42,829.59 |
Rate for Payer: AHCCCS Medicaid |
$42,829.59
|
Rate for Payer: Allwell Medicaid |
$42,829.59
|
Rate for Payer: AZCH Complete Medicaid |
$42,829.59
|
Rate for Payer: Banner UC Health Medicaid |
$42,829.59
|
Rate for Payer: Mercy Care Medicaid |
$42,829.59
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$27,620.43
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG1622
|
Min. Negotiated Rate |
$27,620.43 |
Max. Negotiated Rate |
$27,620.43 |
Rate for Payer: AHCCCS Medicaid |
$27,620.43
|
Rate for Payer: Allwell Medicaid |
$27,620.43
|
Rate for Payer: AZCH Complete Medicaid |
$27,620.43
|
Rate for Payer: Banner UC Health Medicaid |
$27,620.43
|
Rate for Payer: Mercy Care Medicaid |
$27,620.43
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$31,918.61
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG1622
|
Min. Negotiated Rate |
$31,918.61 |
Max. Negotiated Rate |
$31,918.61 |
Rate for Payer: AHCCCS Medicaid |
$31,918.61
|
Rate for Payer: Allwell Medicaid |
$31,918.61
|
Rate for Payer: AZCH Complete Medicaid |
$31,918.61
|
Rate for Payer: Banner UC Health Medicaid |
$31,918.61
|
Rate for Payer: Mercy Care Medicaid |
$31,918.61
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$31,918.61
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG1621
|
Min. Negotiated Rate |
$31,918.61 |
Max. Negotiated Rate |
$31,918.61 |
Rate for Payer: AHCCCS Medicaid |
$31,918.61
|
Rate for Payer: Allwell Medicaid |
$31,918.61
|
Rate for Payer: AZCH Complete Medicaid |
$31,918.61
|
Rate for Payer: Banner UC Health Medicaid |
$31,918.61
|
Rate for Payer: Mercy Care Medicaid |
$31,918.61
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$27,620.43
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG1624
|
Min. Negotiated Rate |
$27,620.43 |
Max. Negotiated Rate |
$27,620.43 |
Rate for Payer: AHCCCS Medicaid |
$27,620.43
|
Rate for Payer: Allwell Medicaid |
$27,620.43
|
Rate for Payer: AZCH Complete Medicaid |
$27,620.43
|
Rate for Payer: Banner UC Health Medicaid |
$27,620.43
|
Rate for Payer: Mercy Care Medicaid |
$27,620.43
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$66,036.11
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG1624
|
Min. Negotiated Rate |
$66,036.11 |
Max. Negotiated Rate |
$66,036.11 |
Rate for Payer: AHCCCS Medicaid |
$66,036.11
|
Rate for Payer: Allwell Medicaid |
$66,036.11
|
Rate for Payer: AZCH Complete Medicaid |
$66,036.11
|
Rate for Payer: Banner UC Health Medicaid |
$66,036.11
|
Rate for Payer: Mercy Care Medicaid |
$66,036.11
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$31,918.61
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG1624
|
Min. Negotiated Rate |
$31,918.61 |
Max. Negotiated Rate |
$31,918.61 |
Rate for Payer: AHCCCS Medicaid |
$31,918.61
|
Rate for Payer: Allwell Medicaid |
$31,918.61
|
Rate for Payer: AZCH Complete Medicaid |
$31,918.61
|
Rate for Payer: Banner UC Health Medicaid |
$31,918.61
|
Rate for Payer: Mercy Care Medicaid |
$31,918.61
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$42,829.59
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG1622
|
Min. Negotiated Rate |
$42,829.59 |
Max. Negotiated Rate |
$42,829.59 |
Rate for Payer: AHCCCS Medicaid |
$42,829.59
|
Rate for Payer: Allwell Medicaid |
$42,829.59
|
Rate for Payer: AZCH Complete Medicaid |
$42,829.59
|
Rate for Payer: Banner UC Health Medicaid |
$42,829.59
|
Rate for Payer: Mercy Care Medicaid |
$42,829.59
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$27,620.43
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG1621
|
Min. Negotiated Rate |
$27,620.43 |
Max. Negotiated Rate |
$27,620.43 |
Rate for Payer: AHCCCS Medicaid |
$27,620.43
|
Rate for Payer: Allwell Medicaid |
$27,620.43
|
Rate for Payer: AZCH Complete Medicaid |
$27,620.43
|
Rate for Payer: Banner UC Health Medicaid |
$27,620.43
|
Rate for Payer: Mercy Care Medicaid |
$27,620.43
|
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$31,918.61
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG1623
|
Min. Negotiated Rate |
$31,918.61 |
Max. Negotiated Rate |
$31,918.61 |
Rate for Payer: AHCCCS Medicaid |
$31,918.61
|
Rate for Payer: Allwell Medicaid |
$31,918.61
|
Rate for Payer: AZCH Complete Medicaid |
$31,918.61
|
Rate for Payer: Banner UC Health Medicaid |
$31,918.61
|
Rate for Payer: Mercy Care Medicaid |
$31,918.61
|
|