|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$7,378.73
|
|
|
Service Code
|
APR-DRG 7101
|
| Hospital Charge Code |
APRDRG7103
|
| Min. Negotiated Rate |
$7,378.73 |
| Max. Negotiated Rate |
$7,378.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,378.73
|
| Rate for Payer: Mercy Care Medicaid |
$7,378.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,378.73
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$33,463.79
|
|
|
Service Code
|
APR-DRG 7104
|
| Hospital Charge Code |
APRDRG7102
|
| Min. Negotiated Rate |
$33,463.79 |
| Max. Negotiated Rate |
$33,463.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$33,463.79
|
| Rate for Payer: Mercy Care Medicaid |
$33,463.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$33,463.79
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$10,647.95
|
|
|
Service Code
|
APR-DRG 7102
|
| Hospital Charge Code |
APRDRG7101
|
| Min. Negotiated Rate |
$10,647.95 |
| Max. Negotiated Rate |
$10,647.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,647.95
|
| Rate for Payer: Mercy Care Medicaid |
$10,647.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,647.95
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$17,367.37
|
|
|
Service Code
|
APR-DRG 7103
|
| Hospital Charge Code |
APRDRG7102
|
| Min. Negotiated Rate |
$17,367.37 |
| Max. Negotiated Rate |
$17,367.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,367.37
|
| Rate for Payer: Mercy Care Medicaid |
$17,367.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,367.37
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$17,367.37
|
|
|
Service Code
|
APR-DRG 7103
|
| Hospital Charge Code |
APRDRG7104
|
| Min. Negotiated Rate |
$17,367.37 |
| Max. Negotiated Rate |
$17,367.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,367.37
|
| Rate for Payer: Mercy Care Medicaid |
$17,367.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,367.37
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$7,378.73
|
|
|
Service Code
|
APR-DRG 7101
|
| Hospital Charge Code |
APRDRG7104
|
| Min. Negotiated Rate |
$7,378.73 |
| Max. Negotiated Rate |
$7,378.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,378.73
|
| Rate for Payer: Mercy Care Medicaid |
$7,378.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,378.73
|
|
|
Infectious And Parasitic Diseases Including Hiv With O.R. Procedure
|
Facility
|
IP
|
$7,378.73
|
|
|
Service Code
|
APR-DRG 7101
|
| Hospital Charge Code |
APRDRG7101
|
| Min. Negotiated Rate |
$7,378.73 |
| Max. Negotiated Rate |
$7,378.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,378.73
|
| Rate for Payer: Mercy Care Medicaid |
$7,378.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,378.73
|
|
|
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$25,823.72
|
|
|
Service Code
|
MSDRG 854
|
| Min. Negotiated Rate |
$25,823.72 |
| Max. Negotiated Rate |
$25,823.72 |
| Rate for Payer: Seven Corners Travel Insurance |
$25,823.72
|
|
|
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$63,827.16
|
|
|
Service Code
|
MSDRG 853
|
| Min. Negotiated Rate |
$63,827.16 |
| Max. Negotiated Rate |
$63,827.16 |
| Rate for Payer: Seven Corners Travel Insurance |
$63,827.16
|
|
|
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,350.02
|
|
|
Service Code
|
MSDRG 855
|
| Min. Negotiated Rate |
$19,350.02 |
| Max. Negotiated Rate |
$19,350.02 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,350.02
|
|
|
Infectious disease, chronic hepatitis C virus (HCV) infectio
|
Facility
|
OP
|
$1,736.00
|
|
|
Service Code
|
CPT 81596
|
| Hospital Charge Code |
23599256
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$104.68 |
| Max. Negotiated Rate |
$1,562.40 |
| Rate for Payer: Aetna of AZ Commercial |
$1,562.40
|
| Rate for Payer: Arizona Complete Health Allwell |
$277.76
|
| Rate for Payer: Banner UC Health Medicare |
$277.76
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Commercial |
$1,180.48
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Medicare |
$277.76
|
| Rate for Payer: Care1st Health Plan Arizona Medicare |
$277.76
|
| Rate for Payer: Cash Price |
$1,388.80
|
| Rate for Payer: Cash Price |
$1,388.80
|
| Rate for Payer: Cigna of AZ Commercial |
$1,128.40
|
| Rate for Payer: Devoted Health Medicare |
$312.48
|
| Rate for Payer: Humana of AZ Medicare |
$277.76
|
| Rate for Payer: Seven Corners Travel Insurance |
$104.68
|
| Rate for Payer: Southwest Service Administrators UFCW |
$1,180.48
|
| Rate for Payer: TriWest Medicare |
$277.76
|
| Rate for Payer: United Healthcare Commercial |
$992.99
|
| Rate for Payer: United Healthcare Medicare |
$277.76
|
| Rate for Payer: Veterans Affairs TRICARE |
$274.98
|
|
|
Infectious disease, chronic hepatitis C virus (HCV) infectio
|
Facility
|
IP
|
$1,736.00
|
|
|
Service Code
|
CPT 81596
|
| Hospital Charge Code |
23599256
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1,562.40 |
| Max. Negotiated Rate |
$1,562.40 |
| Rate for Payer: Aetna of AZ Commercial |
$1,562.40
|
| Rate for Payer: Cash Price |
$1,388.80
|
|
|
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$19,165.20
|
|
|
Service Code
|
MSDRG 727
|
| Min. Negotiated Rate |
$19,165.20 |
| Max. Negotiated Rate |
$19,165.20 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,165.20
|
|
|
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$10,634.29
|
|
|
Service Code
|
MSDRG 728
|
| Min. Negotiated Rate |
$10,634.29 |
| Max. Negotiated Rate |
$10,634.29 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,634.29
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$7,278.43
|
|
|
Service Code
|
APR-DRG 2453
|
| Hospital Charge Code |
APRDRG2453
|
| Min. Negotiated Rate |
$7,278.43 |
| Max. Negotiated Rate |
$7,278.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,278.43
|
| Rate for Payer: Mercy Care Medicaid |
$7,278.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,278.43
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$7,278.43
|
|
|
Service Code
|
APR-DRG 2453
|
| Hospital Charge Code |
APRDRG2454
|
| Min. Negotiated Rate |
$7,278.43 |
| Max. Negotiated Rate |
$7,278.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,278.43
|
| Rate for Payer: Mercy Care Medicaid |
$7,278.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,278.43
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$3,807.20
|
|
|
Service Code
|
APR-DRG 2451
|
| Hospital Charge Code |
APRDRG2451
|
| Min. Negotiated Rate |
$3,807.20 |
| Max. Negotiated Rate |
$3,807.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,807.20
|
| Rate for Payer: Mercy Care Medicaid |
$3,807.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,807.20
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$3,807.20
|
|
|
Service Code
|
APR-DRG 2451
|
| Hospital Charge Code |
APRDRG2453
|
| Min. Negotiated Rate |
$3,807.20 |
| Max. Negotiated Rate |
$3,807.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,807.20
|
| Rate for Payer: Mercy Care Medicaid |
$3,807.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,807.20
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$13,758.66
|
|
|
Service Code
|
APR-DRG 2454
|
| Hospital Charge Code |
APRDRG2452
|
| Min. Negotiated Rate |
$13,758.66 |
| Max. Negotiated Rate |
$13,758.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,758.66
|
| Rate for Payer: Mercy Care Medicaid |
$13,758.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,758.66
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$7,278.43
|
|
|
Service Code
|
APR-DRG 2453
|
| Hospital Charge Code |
APRDRG2452
|
| Min. Negotiated Rate |
$7,278.43 |
| Max. Negotiated Rate |
$7,278.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,278.43
|
| Rate for Payer: Mercy Care Medicaid |
$7,278.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,278.43
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$4,831.94
|
|
|
Service Code
|
APR-DRG 2452
|
| Hospital Charge Code |
APRDRG2454
|
| Min. Negotiated Rate |
$4,831.94 |
| Max. Negotiated Rate |
$4,831.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,831.94
|
| Rate for Payer: Mercy Care Medicaid |
$4,831.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,831.94
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$4,831.94
|
|
|
Service Code
|
APR-DRG 2452
|
| Hospital Charge Code |
APRDRG2452
|
| Min. Negotiated Rate |
$4,831.94 |
| Max. Negotiated Rate |
$4,831.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,831.94
|
| Rate for Payer: Mercy Care Medicaid |
$4,831.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,831.94
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$3,807.20
|
|
|
Service Code
|
APR-DRG 2451
|
| Hospital Charge Code |
APRDRG2452
|
| Min. Negotiated Rate |
$3,807.20 |
| Max. Negotiated Rate |
$3,807.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,807.20
|
| Rate for Payer: Mercy Care Medicaid |
$3,807.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,807.20
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$4,831.94
|
|
|
Service Code
|
APR-DRG 2452
|
| Hospital Charge Code |
APRDRG2453
|
| Min. Negotiated Rate |
$4,831.94 |
| Max. Negotiated Rate |
$4,831.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,831.94
|
| Rate for Payer: Mercy Care Medicaid |
$4,831.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,831.94
|
|
|
Inflammatory Bowel Disease
|
Facility
|
IP
|
$13,758.66
|
|
|
Service Code
|
APR-DRG 2454
|
| Hospital Charge Code |
APRDRG2454
|
| Min. Negotiated Rate |
$13,758.66 |
| Max. Negotiated Rate |
$13,758.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,758.66
|
| Rate for Payer: Mercy Care Medicaid |
$13,758.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,758.66
|
|
