|
Chronic Kidney Disease
|
Facility
|
IP
|
$4,275.73
|
|
|
Service Code
|
APR-DRG 4702
|
| Hospital Charge Code |
APRDRG4704
|
| Min. Negotiated Rate |
$4,275.73 |
| Max. Negotiated Rate |
$4,275.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,275.73
|
| Rate for Payer: Mercy Care Medicaid |
$4,275.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,275.73
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$4,275.73
|
|
|
Service Code
|
APR-DRG 4702
|
| Hospital Charge Code |
APRDRG4702
|
| Min. Negotiated Rate |
$4,275.73 |
| Max. Negotiated Rate |
$4,275.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,275.73
|
| Rate for Payer: Mercy Care Medicaid |
$4,275.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,275.73
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$11,939.93
|
|
|
Service Code
|
APR-DRG 4704
|
| Hospital Charge Code |
APRDRG4701
|
| Min. Negotiated Rate |
$11,939.93 |
| Max. Negotiated Rate |
$11,939.93 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,939.93
|
| Rate for Payer: Mercy Care Medicaid |
$11,939.93
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,939.93
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$11,939.93
|
|
|
Service Code
|
APR-DRG 4704
|
| Hospital Charge Code |
APRDRG4703
|
| Min. Negotiated Rate |
$11,939.93 |
| Max. Negotiated Rate |
$11,939.93 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,939.93
|
| Rate for Payer: Mercy Care Medicaid |
$11,939.93
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,939.93
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$3,170.33
|
|
|
Service Code
|
APR-DRG 4701
|
| Hospital Charge Code |
APRDRG4702
|
| Min. Negotiated Rate |
$3,170.33 |
| Max. Negotiated Rate |
$3,170.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,170.33
|
| Rate for Payer: Mercy Care Medicaid |
$3,170.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,170.33
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$3,170.33
|
|
|
Service Code
|
APR-DRG 4701
|
| Hospital Charge Code |
APRDRG4701
|
| Min. Negotiated Rate |
$3,170.33 |
| Max. Negotiated Rate |
$3,170.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,170.33
|
| Rate for Payer: Mercy Care Medicaid |
$3,170.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,170.33
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$4,275.73
|
|
|
Service Code
|
APR-DRG 4702
|
| Hospital Charge Code |
APRDRG4703
|
| Min. Negotiated Rate |
$4,275.73 |
| Max. Negotiated Rate |
$4,275.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,275.73
|
| Rate for Payer: Mercy Care Medicaid |
$4,275.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,275.73
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$6,330.84
|
|
|
Service Code
|
APR-DRG 4703
|
| Hospital Charge Code |
APRDRG4703
|
| Min. Negotiated Rate |
$6,330.84 |
| Max. Negotiated Rate |
$6,330.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,330.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,330.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,330.84
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$6,330.84
|
|
|
Service Code
|
APR-DRG 4703
|
| Hospital Charge Code |
APRDRG4701
|
| Min. Negotiated Rate |
$6,330.84 |
| Max. Negotiated Rate |
$6,330.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,330.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,330.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,330.84
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$3,170.33
|
|
|
Service Code
|
APR-DRG 4701
|
| Hospital Charge Code |
APRDRG4704
|
| Min. Negotiated Rate |
$3,170.33 |
| Max. Negotiated Rate |
$3,170.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,170.33
|
| Rate for Payer: Mercy Care Medicaid |
$3,170.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,170.33
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$6,330.84
|
|
|
Service Code
|
APR-DRG 4703
|
| Hospital Charge Code |
APRDRG4702
|
| Min. Negotiated Rate |
$6,330.84 |
| Max. Negotiated Rate |
$6,330.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,330.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,330.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,330.84
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$4,275.73
|
|
|
Service Code
|
APR-DRG 4702
|
| Hospital Charge Code |
APRDRG4701
|
| Min. Negotiated Rate |
$4,275.73 |
| Max. Negotiated Rate |
$4,275.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,275.73
|
| Rate for Payer: Mercy Care Medicaid |
$4,275.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,275.73
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$11,939.93
|
|
|
Service Code
|
APR-DRG 4704
|
| Hospital Charge Code |
APRDRG4702
|
| Min. Negotiated Rate |
$11,939.93 |
| Max. Negotiated Rate |
$11,939.93 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,939.93
|
| Rate for Payer: Mercy Care Medicaid |
$11,939.93
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,939.93
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$11,939.93
|
|
|
Service Code
|
APR-DRG 4704
|
| Hospital Charge Code |
APRDRG4704
|
| Min. Negotiated Rate |
$11,939.93 |
| Max. Negotiated Rate |
$11,939.93 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,939.93
|
| Rate for Payer: Mercy Care Medicaid |
$11,939.93
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,939.93
|
|
|
Chronic Kidney Disease
|
Facility
|
IP
|
$6,330.84
|
|
|
Service Code
|
APR-DRG 4703
|
| Hospital Charge Code |
APRDRG4704
|
| Min. Negotiated Rate |
$6,330.84 |
| Max. Negotiated Rate |
$6,330.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,330.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,330.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,330.84
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$3,418.62
|
|
|
Service Code
|
APR-DRG 1401
|
| Hospital Charge Code |
APRDRG1402
|
| Min. Negotiated Rate |
$3,418.62 |
| Max. Negotiated Rate |
$3,418.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,418.62
|
| Rate for Payer: Mercy Care Medicaid |
$3,418.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,418.62
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$4,269.42
|
|
|
Service Code
|
APR-DRG 1402
|
| Hospital Charge Code |
APRDRG1403
|
| Min. Negotiated Rate |
$4,269.42 |
| Max. Negotiated Rate |
$4,269.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,269.42
|
| Rate for Payer: Mercy Care Medicaid |
$4,269.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,269.42
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$8,423.11
|
|
|
Service Code
|
APR-DRG 1404
|
| Hospital Charge Code |
APRDRG1401
|
| Min. Negotiated Rate |
$8,423.11 |
| Max. Negotiated Rate |
$8,423.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,423.11
|
| Rate for Payer: Mercy Care Medicaid |
$8,423.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,423.11
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$3,418.62
|
|
|
Service Code
|
APR-DRG 1401
|
| Hospital Charge Code |
APRDRG1401
|
| Min. Negotiated Rate |
$3,418.62 |
| Max. Negotiated Rate |
$3,418.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,418.62
|
| Rate for Payer: Mercy Care Medicaid |
$3,418.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,418.62
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$4,269.42
|
|
|
Service Code
|
APR-DRG 1402
|
| Hospital Charge Code |
APRDRG1402
|
| Min. Negotiated Rate |
$4,269.42 |
| Max. Negotiated Rate |
$4,269.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,269.42
|
| Rate for Payer: Mercy Care Medicaid |
$4,269.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,269.42
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$4,269.42
|
|
|
Service Code
|
APR-DRG 1402
|
| Hospital Charge Code |
APRDRG1404
|
| Min. Negotiated Rate |
$4,269.42 |
| Max. Negotiated Rate |
$4,269.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,269.42
|
| Rate for Payer: Mercy Care Medicaid |
$4,269.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,269.42
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$3,418.62
|
|
|
Service Code
|
APR-DRG 1401
|
| Hospital Charge Code |
APRDRG1404
|
| Min. Negotiated Rate |
$3,418.62 |
| Max. Negotiated Rate |
$3,418.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,418.62
|
| Rate for Payer: Mercy Care Medicaid |
$3,418.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,418.62
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$5,325.73
|
|
|
Service Code
|
APR-DRG 1403
|
| Hospital Charge Code |
APRDRG1401
|
| Min. Negotiated Rate |
$5,325.73 |
| Max. Negotiated Rate |
$5,325.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,325.73
|
| Rate for Payer: Mercy Care Medicaid |
$5,325.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,325.73
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$5,325.73
|
|
|
Service Code
|
APR-DRG 1403
|
| Hospital Charge Code |
APRDRG1403
|
| Min. Negotiated Rate |
$5,325.73 |
| Max. Negotiated Rate |
$5,325.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,325.73
|
| Rate for Payer: Mercy Care Medicaid |
$5,325.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,325.73
|
|
|
Chronic Obstructive Pulmonary Disease
|
Facility
|
IP
|
$5,325.73
|
|
|
Service Code
|
APR-DRG 1403
|
| Hospital Charge Code |
APRDRG1402
|
| Min. Negotiated Rate |
$5,325.73 |
| Max. Negotiated Rate |
$5,325.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,325.73
|
| Rate for Payer: Mercy Care Medicaid |
$5,325.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,325.73
|
|
