Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$42,829.59
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG1623
|
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
|
$27,620.43
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG1623
|
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
|
$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 Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$26,241.48
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG1634
|
Min. Negotiated Rate |
$26,241.48 |
Max. Negotiated Rate |
$26,241.48 |
Rate for Payer: AHCCCS Medicaid |
$26,241.48
|
Rate for Payer: Allwell Medicaid |
$26,241.48
|
Rate for Payer: AZCH Complete Medicaid |
$26,241.48
|
Rate for Payer: Banner UC Health Medicaid |
$26,241.48
|
Rate for Payer: Mercy Care Medicaid |
$26,241.48
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$34,985.83
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG1634
|
Min. Negotiated Rate |
$34,985.83 |
Max. Negotiated Rate |
$34,985.83 |
Rate for Payer: AHCCCS Medicaid |
$34,985.83
|
Rate for Payer: Allwell Medicaid |
$34,985.83
|
Rate for Payer: AZCH Complete Medicaid |
$34,985.83
|
Rate for Payer: Banner UC Health Medicaid |
$34,985.83
|
Rate for Payer: Mercy Care Medicaid |
$34,985.83
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$23,736.78
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG1631
|
Min. Negotiated Rate |
$23,736.78 |
Max. Negotiated Rate |
$23,736.78 |
Rate for Payer: AHCCCS Medicaid |
$23,736.78
|
Rate for Payer: Allwell Medicaid |
$23,736.78
|
Rate for Payer: AZCH Complete Medicaid |
$23,736.78
|
Rate for Payer: Banner UC Health Medicaid |
$23,736.78
|
Rate for Payer: Mercy Care Medicaid |
$23,736.78
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$34,985.83
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG1632
|
Min. Negotiated Rate |
$34,985.83 |
Max. Negotiated Rate |
$34,985.83 |
Rate for Payer: AHCCCS Medicaid |
$34,985.83
|
Rate for Payer: Allwell Medicaid |
$34,985.83
|
Rate for Payer: AZCH Complete Medicaid |
$34,985.83
|
Rate for Payer: Banner UC Health Medicaid |
$34,985.83
|
Rate for Payer: Mercy Care Medicaid |
$34,985.83
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$23,736.78
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG1634
|
Min. Negotiated Rate |
$23,736.78 |
Max. Negotiated Rate |
$23,736.78 |
Rate for Payer: AHCCCS Medicaid |
$23,736.78
|
Rate for Payer: Allwell Medicaid |
$23,736.78
|
Rate for Payer: AZCH Complete Medicaid |
$23,736.78
|
Rate for Payer: Banner UC Health Medicaid |
$23,736.78
|
Rate for Payer: Mercy Care Medicaid |
$23,736.78
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$23,736.78
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG1633
|
Min. Negotiated Rate |
$23,736.78 |
Max. Negotiated Rate |
$23,736.78 |
Rate for Payer: AHCCCS Medicaid |
$23,736.78
|
Rate for Payer: Allwell Medicaid |
$23,736.78
|
Rate for Payer: AZCH Complete Medicaid |
$23,736.78
|
Rate for Payer: Banner UC Health Medicaid |
$23,736.78
|
Rate for Payer: Mercy Care Medicaid |
$23,736.78
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$54,932.95
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG1632
|
Min. Negotiated Rate |
$54,932.95 |
Max. Negotiated Rate |
$54,932.95 |
Rate for Payer: AHCCCS Medicaid |
$54,932.95
|
Rate for Payer: Allwell Medicaid |
$54,932.95
|
Rate for Payer: AZCH Complete Medicaid |
$54,932.95
|
Rate for Payer: Banner UC Health Medicaid |
$54,932.95
|
Rate for Payer: Mercy Care Medicaid |
$54,932.95
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$54,932.95
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG1631
|
Min. Negotiated Rate |
$54,932.95 |
Max. Negotiated Rate |
$54,932.95 |
Rate for Payer: AHCCCS Medicaid |
$54,932.95
|
Rate for Payer: Allwell Medicaid |
$54,932.95
|
Rate for Payer: AZCH Complete Medicaid |
$54,932.95
|
Rate for Payer: Banner UC Health Medicaid |
$54,932.95
|
Rate for Payer: Mercy Care Medicaid |
$54,932.95
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$26,241.48
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG1633
|
Min. Negotiated Rate |
$26,241.48 |
Max. Negotiated Rate |
$26,241.48 |
Rate for Payer: AHCCCS Medicaid |
$26,241.48
|
Rate for Payer: Allwell Medicaid |
$26,241.48
|
Rate for Payer: AZCH Complete Medicaid |
$26,241.48
|
Rate for Payer: Banner UC Health Medicaid |
$26,241.48
|
Rate for Payer: Mercy Care Medicaid |
$26,241.48
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$23,736.78
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG1632
|
Min. Negotiated Rate |
$23,736.78 |
Max. Negotiated Rate |
$23,736.78 |
Rate for Payer: AHCCCS Medicaid |
$23,736.78
|
Rate for Payer: Allwell Medicaid |
$23,736.78
|
Rate for Payer: AZCH Complete Medicaid |
$23,736.78
|
Rate for Payer: Banner UC Health Medicaid |
$23,736.78
|
Rate for Payer: Mercy Care Medicaid |
$23,736.78
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$26,241.48
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG1632
|
Min. Negotiated Rate |
$26,241.48 |
Max. Negotiated Rate |
$26,241.48 |
Rate for Payer: AHCCCS Medicaid |
$26,241.48
|
Rate for Payer: Allwell Medicaid |
$26,241.48
|
Rate for Payer: AZCH Complete Medicaid |
$26,241.48
|
Rate for Payer: Banner UC Health Medicaid |
$26,241.48
|
Rate for Payer: Mercy Care Medicaid |
$26,241.48
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$34,985.83
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG1631
|
Min. Negotiated Rate |
$34,985.83 |
Max. Negotiated Rate |
$34,985.83 |
Rate for Payer: AHCCCS Medicaid |
$34,985.83
|
Rate for Payer: Allwell Medicaid |
$34,985.83
|
Rate for Payer: AZCH Complete Medicaid |
$34,985.83
|
Rate for Payer: Banner UC Health Medicaid |
$34,985.83
|
Rate for Payer: Mercy Care Medicaid |
$34,985.83
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$26,241.48
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG1631
|
Min. Negotiated Rate |
$26,241.48 |
Max. Negotiated Rate |
$26,241.48 |
Rate for Payer: AHCCCS Medicaid |
$26,241.48
|
Rate for Payer: Allwell Medicaid |
$26,241.48
|
Rate for Payer: AZCH Complete Medicaid |
$26,241.48
|
Rate for Payer: Banner UC Health Medicaid |
$26,241.48
|
Rate for Payer: Mercy Care Medicaid |
$26,241.48
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$34,985.83
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG1633
|
Min. Negotiated Rate |
$34,985.83 |
Max. Negotiated Rate |
$34,985.83 |
Rate for Payer: AHCCCS Medicaid |
$34,985.83
|
Rate for Payer: Allwell Medicaid |
$34,985.83
|
Rate for Payer: AZCH Complete Medicaid |
$34,985.83
|
Rate for Payer: Banner UC Health Medicaid |
$34,985.83
|
Rate for Payer: Mercy Care Medicaid |
$34,985.83
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$54,932.95
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG1633
|
Min. Negotiated Rate |
$54,932.95 |
Max. Negotiated Rate |
$54,932.95 |
Rate for Payer: AHCCCS Medicaid |
$54,932.95
|
Rate for Payer: Allwell Medicaid |
$54,932.95
|
Rate for Payer: AZCH Complete Medicaid |
$54,932.95
|
Rate for Payer: Banner UC Health Medicaid |
$54,932.95
|
Rate for Payer: Mercy Care Medicaid |
$54,932.95
|
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$54,932.95
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG1634
|
Min. Negotiated Rate |
$54,932.95 |
Max. Negotiated Rate |
$54,932.95 |
Rate for Payer: AHCCCS Medicaid |
$54,932.95
|
Rate for Payer: Allwell Medicaid |
$54,932.95
|
Rate for Payer: AZCH Complete Medicaid |
$54,932.95
|
Rate for Payer: Banner UC Health Medicaid |
$54,932.95
|
Rate for Payer: Mercy Care Medicaid |
$54,932.95
|
|
Cardiomyopathy
|
Facility
|
IP
|
$3,612.91
|
|
Service Code
|
APR-DRG 2051
|
Hospital Charge Code |
APRDRG2054
|
Min. Negotiated Rate |
$3,612.91 |
Max. Negotiated Rate |
$3,612.91 |
Rate for Payer: AHCCCS Medicaid |
$3,612.91
|
Rate for Payer: Allwell Medicaid |
$3,612.91
|
Rate for Payer: AZCH Complete Medicaid |
$3,612.91
|
Rate for Payer: Banner UC Health Medicaid |
$3,612.91
|
Rate for Payer: Mercy Care Medicaid |
$3,612.91
|
|
Cardiomyopathy
|
Facility
|
IP
|
$6,686.45
|
|
Service Code
|
APR-DRG 2053
|
Hospital Charge Code |
APRDRG2053
|
Min. Negotiated Rate |
$6,686.45 |
Max. Negotiated Rate |
$6,686.45 |
Rate for Payer: AHCCCS Medicaid |
$6,686.45
|
Rate for Payer: Allwell Medicaid |
$6,686.45
|
Rate for Payer: AZCH Complete Medicaid |
$6,686.45
|
Rate for Payer: Banner UC Health Medicaid |
$6,686.45
|
Rate for Payer: Mercy Care Medicaid |
$6,686.45
|
|
Cardiomyopathy
|
Facility
|
IP
|
$4,557.00
|
|
Service Code
|
APR-DRG 2052
|
Hospital Charge Code |
APRDRG2052
|
Min. Negotiated Rate |
$4,557.00 |
Max. Negotiated Rate |
$4,557.00 |
Rate for Payer: AHCCCS Medicaid |
$4,557.00
|
Rate for Payer: Allwell Medicaid |
$4,557.00
|
Rate for Payer: AZCH Complete Medicaid |
$4,557.00
|
Rate for Payer: Banner UC Health Medicaid |
$4,557.00
|
Rate for Payer: Mercy Care Medicaid |
$4,557.00
|
|
Cardiomyopathy
|
Facility
|
IP
|
$13,234.02
|
|
Service Code
|
APR-DRG 2054
|
Hospital Charge Code |
APRDRG2051
|
Min. Negotiated Rate |
$13,234.02 |
Max. Negotiated Rate |
$13,234.02 |
Rate for Payer: AHCCCS Medicaid |
$13,234.02
|
Rate for Payer: Allwell Medicaid |
$13,234.02
|
Rate for Payer: AZCH Complete Medicaid |
$13,234.02
|
Rate for Payer: Banner UC Health Medicaid |
$13,234.02
|
Rate for Payer: Mercy Care Medicaid |
$13,234.02
|
|
Cardiomyopathy
|
Facility
|
IP
|
$4,557.00
|
|
Service Code
|
APR-DRG 2052
|
Hospital Charge Code |
APRDRG2054
|
Min. Negotiated Rate |
$4,557.00 |
Max. Negotiated Rate |
$4,557.00 |
Rate for Payer: AHCCCS Medicaid |
$4,557.00
|
Rate for Payer: Allwell Medicaid |
$4,557.00
|
Rate for Payer: AZCH Complete Medicaid |
$4,557.00
|
Rate for Payer: Banner UC Health Medicaid |
$4,557.00
|
Rate for Payer: Mercy Care Medicaid |
$4,557.00
|
|