|
Disorders Of Gallbladder And Biliary Tract
|
Facility
|
IP
|
$5,649.08
|
|
|
Service Code
|
APR-DRG 2842
|
| Hospital Charge Code |
APRDRG2844
|
| Min. Negotiated Rate |
$5,649.08 |
| Max. Negotiated Rate |
$5,649.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,649.08
|
| Rate for Payer: Mercy Care Medicaid |
$5,649.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,649.08
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$12,586.93
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$12,586.93 |
| Max. Negotiated Rate |
$12,586.93 |
| Rate for Payer: Seven Corners Travel Insurance |
$12,586.93
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$23,194.97
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$23,194.97 |
| Max. Negotiated Rate |
$23,194.97 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,194.97
|
|
|
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,221.46
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$9,221.46 |
| Max. Negotiated Rate |
$9,221.46 |
| Rate for Payer: Seven Corners Travel Insurance |
$9,221.46
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
|
Service Code
|
APR-DRG 2824
|
| Hospital Charge Code |
APRDRG2824
|
| Min. Negotiated Rate |
$18,963.75 |
| Max. Negotiated Rate |
$18,963.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,963.75
|
| Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,963.75
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
|
Service Code
|
APR-DRG 2821
|
| Hospital Charge Code |
APRDRG2824
|
| Min. Negotiated Rate |
$3,455.80 |
| Max. Negotiated Rate |
$3,455.80 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,455.80
|
| Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,455.80
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
|
Service Code
|
APR-DRG 2824
|
| Hospital Charge Code |
APRDRG2823
|
| Min. Negotiated Rate |
$18,963.75 |
| Max. Negotiated Rate |
$18,963.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,963.75
|
| Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,963.75
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
|
Service Code
|
APR-DRG 2822
|
| Hospital Charge Code |
APRDRG2823
|
| Min. Negotiated Rate |
$4,552.79 |
| Max. Negotiated Rate |
$4,552.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,552.79
|
| Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,552.79
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
|
Service Code
|
APR-DRG 2824
|
| Hospital Charge Code |
APRDRG2822
|
| Min. Negotiated Rate |
$18,963.75 |
| Max. Negotiated Rate |
$18,963.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,963.75
|
| Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,963.75
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
|
Service Code
|
APR-DRG 2823
|
| Hospital Charge Code |
APRDRG2821
|
| Min. Negotiated Rate |
$7,508.49 |
| Max. Negotiated Rate |
$7,508.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,508.49
|
| Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,508.49
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$18,963.75
|
|
|
Service Code
|
APR-DRG 2824
|
| Hospital Charge Code |
APRDRG2821
|
| Min. Negotiated Rate |
$18,963.75 |
| Max. Negotiated Rate |
$18,963.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,963.75
|
| Rate for Payer: Mercy Care Medicaid |
$18,963.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,963.75
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
|
Service Code
|
APR-DRG 2822
|
| Hospital Charge Code |
APRDRG2821
|
| Min. Negotiated Rate |
$4,552.79 |
| Max. Negotiated Rate |
$4,552.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,552.79
|
| Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,552.79
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
|
Service Code
|
APR-DRG 2821
|
| Hospital Charge Code |
APRDRG2821
|
| Min. Negotiated Rate |
$3,455.80 |
| Max. Negotiated Rate |
$3,455.80 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,455.80
|
| Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,455.80
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
|
Service Code
|
APR-DRG 2822
|
| Hospital Charge Code |
APRDRG2824
|
| Min. Negotiated Rate |
$4,552.79 |
| Max. Negotiated Rate |
$4,552.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,552.79
|
| Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,552.79
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
|
Service Code
|
APR-DRG 2821
|
| Hospital Charge Code |
APRDRG2823
|
| Min. Negotiated Rate |
$3,455.80 |
| Max. Negotiated Rate |
$3,455.80 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,455.80
|
| Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,455.80
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
|
Service Code
|
APR-DRG 2823
|
| Hospital Charge Code |
APRDRG2824
|
| Min. Negotiated Rate |
$7,508.49 |
| Max. Negotiated Rate |
$7,508.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,508.49
|
| Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,508.49
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$3,455.80
|
|
|
Service Code
|
APR-DRG 2821
|
| Hospital Charge Code |
APRDRG2822
|
| Min. Negotiated Rate |
$3,455.80 |
| Max. Negotiated Rate |
$3,455.80 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,455.80
|
| Rate for Payer: Mercy Care Medicaid |
$3,455.80
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,455.80
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
|
Service Code
|
APR-DRG 2823
|
| Hospital Charge Code |
APRDRG2823
|
| Min. Negotiated Rate |
$7,508.49 |
| Max. Negotiated Rate |
$7,508.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,508.49
|
| Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,508.49
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$7,508.49
|
|
|
Service Code
|
APR-DRG 2823
|
| Hospital Charge Code |
APRDRG2822
|
| Min. Negotiated Rate |
$7,508.49 |
| Max. Negotiated Rate |
$7,508.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,508.49
|
| Rate for Payer: Mercy Care Medicaid |
$7,508.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,508.49
|
|
|
Disorders Of Pancreas Except Malignancy
|
Facility
|
IP
|
$4,552.79
|
|
|
Service Code
|
APR-DRG 2822
|
| Hospital Charge Code |
APRDRG2822
|
| Min. Negotiated Rate |
$4,552.79 |
| Max. Negotiated Rate |
$4,552.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,552.79
|
| Rate for Payer: Mercy Care Medicaid |
$4,552.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,552.79
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$11,014.45
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$11,014.45 |
| Max. Negotiated Rate |
$11,014.45 |
| Rate for Payer: Seven Corners Travel Insurance |
$11,014.45
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$21,068.94
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$21,068.94 |
| Max. Negotiated Rate |
$21,068.94 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,068.94
|
|
|
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$8,229.29
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$8,229.29 |
| Max. Negotiated Rate |
$8,229.29 |
| Rate for Payer: Seven Corners Travel Insurance |
$8,229.29
|
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$6,509.69
|
|
|
Service Code
|
APR-DRG 7523
|
| Hospital Charge Code |
APRDRG7523
|
| Min. Negotiated Rate |
$6,509.69 |
| Max. Negotiated Rate |
$6,509.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,509.69
|
| Rate for Payer: Mercy Care Medicaid |
$6,509.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,509.69
|
|
|
Disorders Of Personality And Impulse Control
|
Facility
|
IP
|
$2,166.62
|
|
|
Service Code
|
APR-DRG 7521
|
| Hospital Charge Code |
APRDRG7521
|
| Min. Negotiated Rate |
$2,166.62 |
| Max. Negotiated Rate |
$2,166.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,166.62
|
| Rate for Payer: Mercy Care Medicaid |
$2,166.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,166.62
|
|
