|
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$15,057.80
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$15,057.80 |
| Max. Negotiated Rate |
$15,057.80 |
| Rate for Payer: Seven Corners Travel Insurance |
$15,057.80
|
|
|
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$10,612.75
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$10,612.75 |
| Max. Negotiated Rate |
$10,612.75 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,612.75
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,549.48
|
|
|
Service Code
|
APR-DRG 4612
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$5,549.48 |
| Max. Negotiated Rate |
$5,549.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,549.48
|
| Rate for Payer: Mercy Care Medicaid |
$5,549.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,549.48
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,553.57
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,553.57
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,549.48
|
|
|
Service Code
|
APR-DRG 4612
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$5,549.48 |
| Max. Negotiated Rate |
$5,549.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,549.48
|
| Rate for Payer: Mercy Care Medicaid |
$5,549.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,549.48
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,059.20
|
|
|
Service Code
|
APR-DRG 4611
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$5,059.20 |
| Max. Negotiated Rate |
$5,059.20 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,059.20
|
| Rate for Payer: Mercy Care Medicaid |
$5,059.20
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,059.20
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,549.48
|
|
|
Service Code
|
APR-DRG 4612
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$5,549.48 |
| Max. Negotiated Rate |
$5,549.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,549.48
|
| Rate for Payer: Mercy Care Medicaid |
$5,549.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,549.48
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4614
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,553.57
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4612
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$5,549.48
|
|
|
Service Code
|
APR-DRG 4612
|
| Hospital Charge Code |
APRDRG4611
|
| Min. Negotiated Rate |
$5,549.48 |
| Max. Negotiated Rate |
$5,549.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,549.48
|
| Rate for Payer: Mercy Care Medicaid |
$5,549.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,549.48
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$13,346.94
|
|
|
Service Code
|
APR-DRG 4614
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$13,346.94 |
| Max. Negotiated Rate |
$13,346.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,346.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,346.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,346.94
|
|
|
Kidney And Urinary Tract Malignancy
|
Facility
|
IP
|
$8,553.57
|
|
|
Service Code
|
APR-DRG 4613
|
| Hospital Charge Code |
APRDRG4613
|
| Min. Negotiated Rate |
$8,553.57 |
| Max. Negotiated Rate |
$8,553.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,553.57
|
| Rate for Payer: Mercy Care Medicaid |
$8,553.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,553.57
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$13,632.29
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$13,632.29 |
| Max. Negotiated Rate |
$13,632.29 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,632.29
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$23,311.26
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$23,311.26 |
| Max. Negotiated Rate |
$23,311.26 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,311.26
|
|
|
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,369.47
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$10,369.47 |
| Max. Negotiated Rate |
$10,369.47 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,369.47
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$8,917.60 |
| Max. Negotiated Rate |
$8,917.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,917.60
|
| Rate for Payer: Mercy Care Medicaid |
$8,917.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,917.60
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$15,769.58 |
| Max. Negotiated Rate |
$15,769.58 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,769.58
|
| Rate for Payer: Mercy Care Medicaid |
$15,769.58
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,769.58
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$15,769.58 |
| Max. Negotiated Rate |
$15,769.58 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,769.58
|
| Rate for Payer: Mercy Care Medicaid |
$15,769.58
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,769.58
|
|
