|
Hiv With Multiple Major Hiv Related Conditions
|
Facility
|
IP
|
$5,891.76
|
|
|
Service Code
|
APR-DRG 8901
|
| Hospital Charge Code |
APRDRG8901
|
| Min. Negotiated Rate |
$5,891.76 |
| Max. Negotiated Rate |
$5,891.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,891.76
|
| Rate for Payer: Mercy Care Medicaid |
$5,891.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,891.76
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$8,735.94
|
|
|
Service Code
|
APR-DRG 8933
|
| Hospital Charge Code |
APRDRG8932
|
| Min. Negotiated Rate |
$8,735.94 |
| Max. Negotiated Rate |
$8,735.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,735.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,735.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,735.94
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$12,978.71
|
|
|
Service Code
|
APR-DRG 8934
|
| Hospital Charge Code |
APRDRG8932
|
| Min. Negotiated Rate |
$12,978.71 |
| Max. Negotiated Rate |
$12,978.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,978.71
|
| Rate for Payer: Mercy Care Medicaid |
$12,978.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,978.71
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$5,884.04
|
|
|
Service Code
|
APR-DRG 8932
|
| Hospital Charge Code |
APRDRG8934
|
| Min. Negotiated Rate |
$5,884.04 |
| Max. Negotiated Rate |
$5,884.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,884.04
|
| Rate for Payer: Mercy Care Medicaid |
$5,884.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,884.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$4,080.04
|
|
|
Service Code
|
APR-DRG 8931
|
| Hospital Charge Code |
APRDRG8933
|
| Min. Negotiated Rate |
$4,080.04 |
| Max. Negotiated Rate |
$4,080.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,080.04
|
| Rate for Payer: Mercy Care Medicaid |
$4,080.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,080.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$12,978.71
|
|
|
Service Code
|
APR-DRG 8934
|
| Hospital Charge Code |
APRDRG8933
|
| Min. Negotiated Rate |
$12,978.71 |
| Max. Negotiated Rate |
$12,978.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,978.71
|
| Rate for Payer: Mercy Care Medicaid |
$12,978.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,978.71
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$8,735.94
|
|
|
Service Code
|
APR-DRG 8933
|
| Hospital Charge Code |
APRDRG8934
|
| Min. Negotiated Rate |
$8,735.94 |
| Max. Negotiated Rate |
$8,735.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,735.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,735.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,735.94
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$4,080.04
|
|
|
Service Code
|
APR-DRG 8931
|
| Hospital Charge Code |
APRDRG8932
|
| Min. Negotiated Rate |
$4,080.04 |
| Max. Negotiated Rate |
$4,080.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,080.04
|
| Rate for Payer: Mercy Care Medicaid |
$4,080.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,080.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$4,080.04
|
|
|
Service Code
|
APR-DRG 8931
|
| Hospital Charge Code |
APRDRG8931
|
| Min. Negotiated Rate |
$4,080.04 |
| Max. Negotiated Rate |
$4,080.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,080.04
|
| Rate for Payer: Mercy Care Medicaid |
$4,080.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,080.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$12,978.71
|
|
|
Service Code
|
APR-DRG 8934
|
| Hospital Charge Code |
APRDRG8934
|
| Min. Negotiated Rate |
$12,978.71 |
| Max. Negotiated Rate |
$12,978.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,978.71
|
| Rate for Payer: Mercy Care Medicaid |
$12,978.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,978.71
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$5,884.04
|
|
|
Service Code
|
APR-DRG 8932
|
| Hospital Charge Code |
APRDRG8932
|
| Min. Negotiated Rate |
$5,884.04 |
| Max. Negotiated Rate |
$5,884.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,884.04
|
| Rate for Payer: Mercy Care Medicaid |
$5,884.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,884.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$8,735.94
|
|
|
Service Code
|
APR-DRG 8933
|
| Hospital Charge Code |
APRDRG8933
|
| Min. Negotiated Rate |
$8,735.94 |
| Max. Negotiated Rate |
$8,735.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,735.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,735.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,735.94
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$5,884.04
|
|
|
Service Code
|
APR-DRG 8932
|
| Hospital Charge Code |
APRDRG8933
|
| Min. Negotiated Rate |
$5,884.04 |
| Max. Negotiated Rate |
$5,884.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,884.04
|
| Rate for Payer: Mercy Care Medicaid |
$5,884.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,884.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$4,080.04
|
|
|
Service Code
|
APR-DRG 8931
|
| Hospital Charge Code |
APRDRG8934
|
| Min. Negotiated Rate |
$4,080.04 |
| Max. Negotiated Rate |
$4,080.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,080.04
|
| Rate for Payer: Mercy Care Medicaid |
$4,080.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,080.04
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$12,978.71
|
|
|
Service Code
|
APR-DRG 8934
|
| Hospital Charge Code |
APRDRG8931
|
| Min. Negotiated Rate |
$12,978.71 |
| Max. Negotiated Rate |
$12,978.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,978.71
|
| Rate for Payer: Mercy Care Medicaid |
$12,978.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,978.71
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$8,735.94
|
|
|
Service Code
|
APR-DRG 8933
|
| Hospital Charge Code |
APRDRG8931
|
| Min. Negotiated Rate |
$8,735.94 |
| Max. Negotiated Rate |
$8,735.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,735.94
|
| Rate for Payer: Mercy Care Medicaid |
$8,735.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,735.94
|
|
|
Hiv With Multiple Significant Hiv Related Conditions
|
Facility
|
IP
|
$5,884.04
|
|
|
Service Code
|
APR-DRG 8932
|
| Hospital Charge Code |
APRDRG8931
|
| Min. Negotiated Rate |
$5,884.04 |
| Max. Negotiated Rate |
$5,884.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,884.04
|
| Rate for Payer: Mercy Care Medicaid |
$5,884.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,884.04
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$3,979.74
|
|
|
Service Code
|
APR-DRG 8941
|
| Hospital Charge Code |
APRDRG8942
|
| Min. Negotiated Rate |
$3,979.74 |
| Max. Negotiated Rate |
$3,979.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,979.74
|
| Rate for Payer: Mercy Care Medicaid |
$3,979.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,979.74
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$10,390.54
|
|
|
Service Code
|
APR-DRG 8944
|
| Hospital Charge Code |
APRDRG8941
|
| Min. Negotiated Rate |
$10,390.54 |
| Max. Negotiated Rate |
$10,390.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,390.54
|
| Rate for Payer: Mercy Care Medicaid |
$10,390.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,390.54
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$6,836.55
|
|
|
Service Code
|
APR-DRG 8943
|
| Hospital Charge Code |
APRDRG8944
|
| Min. Negotiated Rate |
$6,836.55 |
| Max. Negotiated Rate |
$6,836.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,836.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,836.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,836.55
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$10,390.54
|
|
|
Service Code
|
APR-DRG 8944
|
| Hospital Charge Code |
APRDRG8943
|
| Min. Negotiated Rate |
$10,390.54 |
| Max. Negotiated Rate |
$10,390.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,390.54
|
| Rate for Payer: Mercy Care Medicaid |
$10,390.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,390.54
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$6,836.55
|
|
|
Service Code
|
APR-DRG 8943
|
| Hospital Charge Code |
APRDRG8941
|
| Min. Negotiated Rate |
$6,836.55 |
| Max. Negotiated Rate |
$6,836.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,836.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,836.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,836.55
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$3,979.74
|
|
|
Service Code
|
APR-DRG 8941
|
| Hospital Charge Code |
APRDRG8943
|
| Min. Negotiated Rate |
$3,979.74 |
| Max. Negotiated Rate |
$3,979.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,979.74
|
| Rate for Payer: Mercy Care Medicaid |
$3,979.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,979.74
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$5,054.99
|
|
|
Service Code
|
APR-DRG 8942
|
| Hospital Charge Code |
APRDRG8942
|
| Min. Negotiated Rate |
$5,054.99 |
| Max. Negotiated Rate |
$5,054.99 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,054.99
|
| Rate for Payer: Mercy Care Medicaid |
$5,054.99
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,054.99
|
|
|
Hiv With One Significant Hiv Condition Or Without Significant Related Conditions
|
Facility
|
IP
|
$5,054.99
|
|
|
Service Code
|
APR-DRG 8942
|
| Hospital Charge Code |
APRDRG8941
|
| Min. Negotiated Rate |
$5,054.99 |
| Max. Negotiated Rate |
$5,054.99 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,054.99
|
| Rate for Payer: Mercy Care Medicaid |
$5,054.99
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,054.99
|
|
