|
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
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4422
|
| 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
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$15,769.58
|
|
|
Service Code
|
APR-DRG 4423
|
| Hospital Charge Code |
APRDRG4424
|
| 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
|
$8,917.60
|
|
|
Service Code
|
APR-DRG 4421
|
| Hospital Charge Code |
APRDRG4423
|
| 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
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4422
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4424
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,622.53
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$10,210.28
|
|
|
Service Code
|
APR-DRG 4422
|
| Hospital Charge Code |
APRDRG4423
|
| Min. Negotiated Rate |
$10,210.28 |
| Max. Negotiated Rate |
$10,210.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,210.28
|
| Rate for Payer: Mercy Care Medicaid |
$10,210.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,210.28
|
|
|
Kidney And Urinary Tract Procedures For Malignancy
|
Facility
|
IP
|
$27,622.53
|
|
|
Service Code
|
APR-DRG 4424
|
| Hospital Charge Code |
APRDRG4421
|
| Min. Negotiated Rate |
$27,622.53 |
| Max. Negotiated Rate |
$27,622.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,622.53
|
| Rate for Payer: Mercy Care Medicaid |
$27,622.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,622.53
|
|
|
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 Non-Malignancy
|
Facility
|
IP
|
$7,889.35
|
|
|
Service Code
|
APR-DRG 4431
|
| Hospital Charge Code |
APRDRG4433
|
| Min. Negotiated Rate |
$7,889.35 |
| Max. Negotiated Rate |
$7,889.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,889.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,889.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,889.35
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$26,944.28
|
|
|
Service Code
|
APR-DRG 4434
|
| Hospital Charge Code |
APRDRG4431
|
| Min. Negotiated Rate |
$26,944.28 |
| Max. Negotiated Rate |
$26,944.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,944.28
|
| Rate for Payer: Mercy Care Medicaid |
$26,944.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,944.28
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$9,200.26
|
|
|
Service Code
|
APR-DRG 4432
|
| Hospital Charge Code |
APRDRG4433
|
| Min. Negotiated Rate |
$9,200.26 |
| Max. Negotiated Rate |
$9,200.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,200.26
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,200.26
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$7,889.35
|
|
|
Service Code
|
APR-DRG 4431
|
| Hospital Charge Code |
APRDRG4434
|
| Min. Negotiated Rate |
$7,889.35 |
| Max. Negotiated Rate |
$7,889.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,889.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,889.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,889.35
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$14,370.98
|
|
|
Service Code
|
APR-DRG 4433
|
| Hospital Charge Code |
APRDRG4431
|
| Min. Negotiated Rate |
$14,370.98 |
| Max. Negotiated Rate |
$14,370.98 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,370.98
|
| Rate for Payer: Mercy Care Medicaid |
$14,370.98
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,370.98
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$14,370.98
|
|
|
Service Code
|
APR-DRG 4433
|
| Hospital Charge Code |
APRDRG4432
|
| Min. Negotiated Rate |
$14,370.98 |
| Max. Negotiated Rate |
$14,370.98 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,370.98
|
| Rate for Payer: Mercy Care Medicaid |
$14,370.98
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,370.98
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$14,370.98
|
|
|
Service Code
|
APR-DRG 4433
|
| Hospital Charge Code |
APRDRG4433
|
| Min. Negotiated Rate |
$14,370.98 |
| Max. Negotiated Rate |
$14,370.98 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,370.98
|
| Rate for Payer: Mercy Care Medicaid |
$14,370.98
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,370.98
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$7,889.35
|
|
|
Service Code
|
APR-DRG 4431
|
| Hospital Charge Code |
APRDRG4432
|
| Min. Negotiated Rate |
$7,889.35 |
| Max. Negotiated Rate |
$7,889.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,889.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,889.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,889.35
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$9,200.26
|
|
|
Service Code
|
APR-DRG 4432
|
| Hospital Charge Code |
APRDRG4431
|
| Min. Negotiated Rate |
$9,200.26 |
| Max. Negotiated Rate |
$9,200.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,200.26
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,200.26
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$9,200.26
|
|
|
Service Code
|
APR-DRG 4432
|
| Hospital Charge Code |
APRDRG4434
|
| Min. Negotiated Rate |
$9,200.26 |
| Max. Negotiated Rate |
$9,200.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,200.26
|
| Rate for Payer: Mercy Care Medicaid |
$9,200.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,200.26
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$26,944.28
|
|
|
Service Code
|
APR-DRG 4434
|
| Hospital Charge Code |
APRDRG4432
|
| Min. Negotiated Rate |
$26,944.28 |
| Max. Negotiated Rate |
$26,944.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,944.28
|
| Rate for Payer: Mercy Care Medicaid |
$26,944.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,944.28
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$26,944.28
|
|
|
Service Code
|
APR-DRG 4434
|
| Hospital Charge Code |
APRDRG4434
|
| Min. Negotiated Rate |
$26,944.28 |
| Max. Negotiated Rate |
$26,944.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,944.28
|
| Rate for Payer: Mercy Care Medicaid |
$26,944.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,944.28
|
|
|
Kidney And Urinary Tract Procedures For Non-Malignancy
|
Facility
|
IP
|
$26,944.28
|
|
|
Service Code
|
APR-DRG 4434
|
| Hospital Charge Code |
APRDRG4433
|
| Min. Negotiated Rate |
$26,944.28 |
| Max. Negotiated Rate |
$26,944.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,944.28
|
| Rate for Payer: Mercy Care Medicaid |
$26,944.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,944.28
|
|
