|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$10,860.48
|
|
|
Service Code
|
APR-DRG 3211
|
| Hospital Charge Code |
APRDRG3211
|
| Min. Negotiated Rate |
$10,860.48 |
| Max. Negotiated Rate |
$10,860.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,860.48
|
| Rate for Payer: Mercy Care Medicaid |
$10,860.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,860.48
|
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$35,817.69
|
|
|
Service Code
|
APR-DRG 3214
|
| Hospital Charge Code |
APRDRG3214
|
| Min. Negotiated Rate |
$35,817.69 |
| Max. Negotiated Rate |
$35,817.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,817.69
|
| Rate for Payer: Mercy Care Medicaid |
$35,817.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,817.69
|
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$21,234.18
|
|
|
Service Code
|
APR-DRG 3213
|
| Hospital Charge Code |
APRDRG3214
|
| Min. Negotiated Rate |
$21,234.18 |
| Max. Negotiated Rate |
$21,234.18 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,234.18
|
| Rate for Payer: Mercy Care Medicaid |
$21,234.18
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,234.18
|
|
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or Decompression
|
Facility
|
IP
|
$10,860.48
|
|
|
Service Code
|
APR-DRG 3211
|
| Hospital Charge Code |
APRDRG3214
|
| Min. Negotiated Rate |
$10,860.48 |
| Max. Negotiated Rate |
$10,860.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,860.48
|
| Rate for Payer: Mercy Care Medicaid |
$10,860.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,860.48
|
|
|
CERVICAL SPINAL FUSION WITH CC
|
Facility
|
IP
|
$38,075.81
|
|
|
Service Code
|
MSDRG 472
|
| Min. Negotiated Rate |
$38,075.81 |
| Max. Negotiated Rate |
$38,075.81 |
| Rate for Payer: Seven Corners Travel Insurance |
$38,075.81
|
|
|
CERVICAL SPINAL FUSION WITH MCC
|
Facility
|
IP
|
$62,406.78
|
|
|
Service Code
|
MSDRG 471
|
| Min. Negotiated Rate |
$62,406.78 |
| Max. Negotiated Rate |
$62,406.78 |
| Rate for Payer: Seven Corners Travel Insurance |
$62,406.78
|
|
|
CERVICAL SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$31,551.72
|
|
|
Service Code
|
MSDRG 473
|
| Min. Negotiated Rate |
$31,551.72 |
| Max. Negotiated Rate |
$31,551.72 |
| Rate for Payer: Seven Corners Travel Insurance |
$31,551.72
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
|
Service Code
|
APR-DRG 5401
|
| Hospital Charge Code |
APRDRG5402
|
| Min. Negotiated Rate |
$3,586.96 |
| Max. Negotiated Rate |
$3,586.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,586.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,586.96
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5402
|
| Hospital Charge Code |
APRDRG5402
|
| Min. Negotiated Rate |
$4,371.83 |
| Max. Negotiated Rate |
$4,371.83 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,371.83
|
| Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,371.83
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
|
Service Code
|
APR-DRG 5403
|
| Hospital Charge Code |
APRDRG5402
|
| Min. Negotiated Rate |
$5,938.05 |
| Max. Negotiated Rate |
$5,938.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,938.05
|
| Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,938.05
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
|
Service Code
|
APR-DRG 5401
|
| Hospital Charge Code |
APRDRG5401
|
| Min. Negotiated Rate |
$3,586.96 |
| Max. Negotiated Rate |
$3,586.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,586.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,586.96
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
|
Service Code
|
APR-DRG 5403
|
| Hospital Charge Code |
APRDRG5401
|
| Min. Negotiated Rate |
$5,938.05 |
| Max. Negotiated Rate |
$5,938.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,938.05
|
| Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,938.05
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
|
Service Code
|
APR-DRG 5404
|
| Hospital Charge Code |
APRDRG5402
|
| Min. Negotiated Rate |
$11,774.40 |
| Max. Negotiated Rate |
$11,774.40 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,774.40
|
| Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,774.40
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5402
|
| Hospital Charge Code |
APRDRG5401
|
| Min. Negotiated Rate |
$4,371.83 |
| Max. Negotiated Rate |
$4,371.83 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,371.83
|
| Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,371.83
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
|
Service Code
|
APR-DRG 5404
|
| Hospital Charge Code |
APRDRG5404
|
| Min. Negotiated Rate |
$11,774.40 |
| Max. Negotiated Rate |
$11,774.40 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,774.40
|
| Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,774.40
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
|
Service Code
|
APR-DRG 5404
|
| Hospital Charge Code |
APRDRG5401
|
| Min. Negotiated Rate |
$11,774.40 |
| Max. Negotiated Rate |
$11,774.40 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,774.40
|
| Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,774.40
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
|
Service Code
|
APR-DRG 5401
|
| Hospital Charge Code |
APRDRG5404
|
| Min. Negotiated Rate |
$3,586.96 |
| Max. Negotiated Rate |
$3,586.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,586.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,586.96
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
|
Service Code
|
APR-DRG 5403
|
| Hospital Charge Code |
APRDRG5404
|
| Min. Negotiated Rate |
$5,938.05 |
| Max. Negotiated Rate |
$5,938.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,938.05
|
| Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,938.05
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5402
|
| Hospital Charge Code |
APRDRG5404
|
| Min. Negotiated Rate |
$4,371.83 |
| Max. Negotiated Rate |
$4,371.83 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,371.83
|
| Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,371.83
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$5,938.05
|
|
|
Service Code
|
APR-DRG 5403
|
| Hospital Charge Code |
APRDRG5403
|
| Min. Negotiated Rate |
$5,938.05 |
| Max. Negotiated Rate |
$5,938.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,938.05
|
| Rate for Payer: Mercy Care Medicaid |
$5,938.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,938.05
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$11,774.40
|
|
|
Service Code
|
APR-DRG 5404
|
| Hospital Charge Code |
APRDRG5403
|
| Min. Negotiated Rate |
$11,774.40 |
| Max. Negotiated Rate |
$11,774.40 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,774.40
|
| Rate for Payer: Mercy Care Medicaid |
$11,774.40
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,774.40
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$3,586.96
|
|
|
Service Code
|
APR-DRG 5401
|
| Hospital Charge Code |
APRDRG5403
|
| Min. Negotiated Rate |
$3,586.96 |
| Max. Negotiated Rate |
$3,586.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,586.96
|
| Rate for Payer: Mercy Care Medicaid |
$3,586.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,586.96
|
|
|
Cesarean Section Without Sterilization
|
Facility
|
IP
|
$4,371.83
|
|
|
Service Code
|
APR-DRG 5402
|
| Hospital Charge Code |
APRDRG5403
|
| Min. Negotiated Rate |
$4,371.83 |
| Max. Negotiated Rate |
$4,371.83 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,371.83
|
| Rate for Payer: Mercy Care Medicaid |
$4,371.83
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,371.83
|
|
|
CESAREAN SECTION WITHOUT STERILIZATION WITH CC
|
Facility
|
IP
|
$14,506.60
|
|
|
Service Code
|
MSDRG 787
|
| Min. Negotiated Rate |
$14,506.60 |
| Max. Negotiated Rate |
$14,506.60 |
| Rate for Payer: Seven Corners Travel Insurance |
$14,506.60
|
|
|
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
|
Facility
|
IP
|
$21,318.38
|
|
|
Service Code
|
MSDRG 786
|
| Min. Negotiated Rate |
$21,318.38 |
| Max. Negotiated Rate |
$21,318.38 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,318.38
|
|