|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
Facility
|
IP
|
$66,036.11
|
|
|
Service Code
|
APR-DRG 1624
|
| Hospital Charge Code |
APRDRG1623
|
| 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
|
$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
|
$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 |
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
|
|
|
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
|
$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 |
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 |
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
|
$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
|
$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
|
$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
|
$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
|
$66,036.11
|
|
|
Service Code
|
APR-DRG 1624
|
| Hospital Charge Code |
APRDRG1622
|
| 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 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
|
$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
|
$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
|
|
|
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 |
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 |
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
|
$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 |
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
|
$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
|
$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 |
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
|
|