|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$49,192.69
|
|
|
Service Code
|
APR-DRG 9114
|
| Hospital Charge Code |
APRDRG9111
|
| Min. Negotiated Rate |
$49,192.69 |
| Max. Negotiated Rate |
$49,192.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$49,192.69
|
| Rate for Payer: Mercy Care Medicaid |
$49,192.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$49,192.69
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$49,192.69
|
|
|
Service Code
|
APR-DRG 9114
|
| Hospital Charge Code |
APRDRG9112
|
| Min. Negotiated Rate |
$49,192.69 |
| Max. Negotiated Rate |
$49,192.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$49,192.69
|
| Rate for Payer: Mercy Care Medicaid |
$49,192.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$49,192.69
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$20,800.72
|
|
|
Service Code
|
APR-DRG 9113
|
| Hospital Charge Code |
APRDRG9112
|
| Min. Negotiated Rate |
$20,800.72 |
| Max. Negotiated Rate |
$20,800.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$20,800.72
|
| Rate for Payer: Mercy Care Medicaid |
$20,800.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$20,800.72
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,096.54
|
|
|
Service Code
|
APR-DRG 9111
|
| Hospital Charge Code |
APRDRG9114
|
| Min. Negotiated Rate |
$13,096.54 |
| Max. Negotiated Rate |
$13,096.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,096.54
|
| Rate for Payer: Mercy Care Medicaid |
$13,096.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,096.54
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$20,800.72
|
|
|
Service Code
|
APR-DRG 9113
|
| Hospital Charge Code |
APRDRG9111
|
| Min. Negotiated Rate |
$20,800.72 |
| Max. Negotiated Rate |
$20,800.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$20,800.72
|
| Rate for Payer: Mercy Care Medicaid |
$20,800.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$20,800.72
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,096.54
|
|
|
Service Code
|
APR-DRG 9111
|
| Hospital Charge Code |
APRDRG9111
|
| Min. Negotiated Rate |
$13,096.54 |
| Max. Negotiated Rate |
$13,096.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,096.54
|
| Rate for Payer: Mercy Care Medicaid |
$13,096.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,096.54
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,627.00
|
|
|
Service Code
|
APR-DRG 9112
|
| Hospital Charge Code |
APRDRG9112
|
| Min. Negotiated Rate |
$14,627.00 |
| Max. Negotiated Rate |
$14,627.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,627.00
|
| Rate for Payer: Mercy Care Medicaid |
$14,627.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,627.00
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$20,800.72
|
|
|
Service Code
|
APR-DRG 9113
|
| Hospital Charge Code |
APRDRG9114
|
| Min. Negotiated Rate |
$20,800.72 |
| Max. Negotiated Rate |
$20,800.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$20,800.72
|
| Rate for Payer: Mercy Care Medicaid |
$20,800.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$20,800.72
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,627.00
|
|
|
Service Code
|
APR-DRG 9112
|
| Hospital Charge Code |
APRDRG9114
|
| Min. Negotiated Rate |
$14,627.00 |
| Max. Negotiated Rate |
$14,627.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,627.00
|
| Rate for Payer: Mercy Care Medicaid |
$14,627.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,627.00
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,627.00
|
|
|
Service Code
|
APR-DRG 9112
|
| Hospital Charge Code |
APRDRG9113
|
| Min. Negotiated Rate |
$14,627.00 |
| Max. Negotiated Rate |
$14,627.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,627.00
|
| Rate for Payer: Mercy Care Medicaid |
$14,627.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,627.00
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$49,192.69
|
|
|
Service Code
|
APR-DRG 9114
|
| Hospital Charge Code |
APRDRG9114
|
| Min. Negotiated Rate |
$49,192.69 |
| Max. Negotiated Rate |
$49,192.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$49,192.69
|
| Rate for Payer: Mercy Care Medicaid |
$49,192.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$49,192.69
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$49,192.69
|
|
|
Service Code
|
APR-DRG 9114
|
| Hospital Charge Code |
APRDRG9113
|
| Min. Negotiated Rate |
$49,192.69 |
| Max. Negotiated Rate |
$49,192.69 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$49,192.69
|
| Rate for Payer: Mercy Care Medicaid |
$49,192.69
|
| Rate for Payer: NaphCare Correctional Healthcare |
$49,192.69
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$20,800.72
|
|
|
Service Code
|
APR-DRG 9113
|
| Hospital Charge Code |
APRDRG9113
|
| Min. Negotiated Rate |
$20,800.72 |
| Max. Negotiated Rate |
$20,800.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$20,800.72
|
| Rate for Payer: Mercy Care Medicaid |
$20,800.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$20,800.72
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,627.00
|
|
|
Service Code
|
APR-DRG 9112
|
| Hospital Charge Code |
APRDRG9111
|
| Min. Negotiated Rate |
$14,627.00 |
| Max. Negotiated Rate |
$14,627.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,627.00
|
| Rate for Payer: Mercy Care Medicaid |
$14,627.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,627.00
|
|
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,096.54
|
|
|
Service Code
|
APR-DRG 9111
|
| Hospital Charge Code |
APRDRG9113
|
| Min. Negotiated Rate |
$13,096.54 |
| Max. Negotiated Rate |
$13,096.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,096.54
|
| Rate for Payer: Mercy Care Medicaid |
$13,096.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,096.54
|
|
|
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$50,329.21
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$50,329.21 |
| Max. Negotiated Rate |
$50,329.21 |
| Rate for Payer: Seven Corners Travel Insurance |
$50,329.21
|
|
|
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$275,936.87
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$275,936.87 |
| Max. Negotiated Rate |
$275,936.87 |
| Rate for Payer: Seven Corners Travel Insurance |
$275,936.87
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$12,044.44
|
|
|
Service Code
|
APR-DRG 7922
|
| Hospital Charge Code |
APRDRG7922
|
| Min. Negotiated Rate |
$12,044.44 |
| Max. Negotiated Rate |
$12,044.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,044.44
|
| Rate for Payer: Mercy Care Medicaid |
$12,044.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,044.44
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$9,703.87
|
|
|
Service Code
|
APR-DRG 7921
|
| Hospital Charge Code |
APRDRG7922
|
| Min. Negotiated Rate |
$9,703.87 |
| Max. Negotiated Rate |
$9,703.87 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,703.87
|
| Rate for Payer: Mercy Care Medicaid |
$9,703.87
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,703.87
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$35,671.10
|
|
|
Service Code
|
APR-DRG 7924
|
| Hospital Charge Code |
APRDRG7921
|
| Min. Negotiated Rate |
$35,671.10 |
| Max. Negotiated Rate |
$35,671.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,671.10
|
| Rate for Payer: Mercy Care Medicaid |
$35,671.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,671.10
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$17,711.75
|
|
|
Service Code
|
APR-DRG 7923
|
| Hospital Charge Code |
APRDRG7923
|
| Min. Negotiated Rate |
$17,711.75 |
| Max. Negotiated Rate |
$17,711.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,711.75
|
| Rate for Payer: Mercy Care Medicaid |
$17,711.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,711.75
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$12,044.44
|
|
|
Service Code
|
APR-DRG 7922
|
| Hospital Charge Code |
APRDRG7923
|
| Min. Negotiated Rate |
$12,044.44 |
| Max. Negotiated Rate |
$12,044.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,044.44
|
| Rate for Payer: Mercy Care Medicaid |
$12,044.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,044.44
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$9,703.87
|
|
|
Service Code
|
APR-DRG 7921
|
| Hospital Charge Code |
APRDRG7921
|
| Min. Negotiated Rate |
$9,703.87 |
| Max. Negotiated Rate |
$9,703.87 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,703.87
|
| Rate for Payer: Mercy Care Medicaid |
$9,703.87
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,703.87
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$17,711.75
|
|
|
Service Code
|
APR-DRG 7923
|
| Hospital Charge Code |
APRDRG7922
|
| Min. Negotiated Rate |
$17,711.75 |
| Max. Negotiated Rate |
$17,711.75 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,711.75
|
| Rate for Payer: Mercy Care Medicaid |
$17,711.75
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,711.75
|
|
|
Extensive O.R. Procedures For Other Complications Of Treatment
|
Facility
|
IP
|
$35,671.10
|
|
|
Service Code
|
APR-DRG 7924
|
| Hospital Charge Code |
APRDRG7922
|
| Min. Negotiated Rate |
$35,671.10 |
| Max. Negotiated Rate |
$35,671.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,671.10
|
| Rate for Payer: Mercy Care Medicaid |
$35,671.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,671.10
|
|
