|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
Facility
|
IP
|
$16,510.25
|
|
|
Service Code
|
APR-DRG 6944
|
| Hospital Charge Code |
APRDRG6942
|
| Min. Negotiated Rate |
$16,510.25 |
| Max. Negotiated Rate |
$16,510.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,510.25
|
| Rate for Payer: Mercy Care Medicaid |
$16,510.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,510.25
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$28,931.98
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$28,931.98 |
| Max. Negotiated Rate |
$28,931.98 |
| Rate for Payer: Seven Corners Travel Insurance |
$28,931.98
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,797.50
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$75,797.50 |
| Max. Negotiated Rate |
$75,797.50 |
| Rate for Payer: Seven Corners Travel Insurance |
$75,797.50
|
|
|
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,611.54
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$15,611.54 |
| Max. Negotiated Rate |
$15,611.54 |
| Rate for Payer: Seven Corners Travel Insurance |
$15,611.54
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$21,084.45
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$21,084.45 |
| Max. Negotiated Rate |
$21,084.45 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,084.45
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$41,808.30
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$41,808.30 |
| Max. Negotiated Rate |
$41,808.30 |
| Rate for Payer: Seven Corners Travel Insurance |
$41,808.30
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$29,280.91
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$29,280.91 |
| Max. Negotiated Rate |
$29,280.91 |
| Rate for Payer: Seven Corners Travel Insurance |
$29,280.91
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$59,254.60
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$59,254.60 |
| Max. Negotiated Rate |
$59,254.60 |
| Rate for Payer: Seven Corners Travel Insurance |
$59,254.60
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,453.94
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$17,453.94 |
| Max. Negotiated Rate |
$17,453.94 |
| Rate for Payer: Seven Corners Travel Insurance |
$17,453.94
|
|
|
LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$13,158.37
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$13,158.37 |
| Max. Negotiated Rate |
$13,158.37 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,158.37
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$8,613.89
|
|
|
Service Code
|
APR-DRG 6912
|
| Hospital Charge Code |
APRDRG6913
|
| Min. Negotiated Rate |
$8,613.89 |
| Max. Negotiated Rate |
$8,613.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,613.89
|
| Rate for Payer: Mercy Care Medicaid |
$8,613.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,613.89
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$8,613.89
|
|
|
Service Code
|
APR-DRG 6912
|
| Hospital Charge Code |
APRDRG6912
|
| Min. Negotiated Rate |
$8,613.89 |
| Max. Negotiated Rate |
$8,613.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,613.89
|
| Rate for Payer: Mercy Care Medicaid |
$8,613.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,613.89
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$28,128.24
|
|
|
Service Code
|
APR-DRG 6914
|
| Hospital Charge Code |
APRDRG6911
|
| Min. Negotiated Rate |
$28,128.24 |
| Max. Negotiated Rate |
$28,128.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,128.24
|
| Rate for Payer: Mercy Care Medicaid |
$28,128.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,128.24
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$28,128.24
|
|
|
Service Code
|
APR-DRG 6914
|
| Hospital Charge Code |
APRDRG6912
|
| Min. Negotiated Rate |
$28,128.24 |
| Max. Negotiated Rate |
$28,128.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,128.24
|
| Rate for Payer: Mercy Care Medicaid |
$28,128.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,128.24
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$8,613.89
|
|
|
Service Code
|
APR-DRG 6912
|
| Hospital Charge Code |
APRDRG6911
|
| Min. Negotiated Rate |
$8,613.89 |
| Max. Negotiated Rate |
$8,613.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,613.89
|
| Rate for Payer: Mercy Care Medicaid |
$8,613.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,613.89
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$13,707.46
|
|
|
Service Code
|
APR-DRG 6913
|
| Hospital Charge Code |
APRDRG6911
|
| Min. Negotiated Rate |
$13,707.46 |
| Max. Negotiated Rate |
$13,707.46 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,707.46
|
| Rate for Payer: Mercy Care Medicaid |
$13,707.46
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,707.46
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$6,844.96
|
|
|
Service Code
|
APR-DRG 6911
|
| Hospital Charge Code |
APRDRG6912
|
| Min. Negotiated Rate |
$6,844.96 |
| Max. Negotiated Rate |
$6,844.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,844.96
|
| Rate for Payer: Mercy Care Medicaid |
$6,844.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,844.96
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$13,707.46
|
|
|
Service Code
|
APR-DRG 6913
|
| Hospital Charge Code |
APRDRG6912
|
| Min. Negotiated Rate |
$13,707.46 |
| Max. Negotiated Rate |
$13,707.46 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,707.46
|
| Rate for Payer: Mercy Care Medicaid |
$13,707.46
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,707.46
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$6,844.96
|
|
|
Service Code
|
APR-DRG 6911
|
| Hospital Charge Code |
APRDRG6914
|
| Min. Negotiated Rate |
$6,844.96 |
| Max. Negotiated Rate |
$6,844.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,844.96
|
| Rate for Payer: Mercy Care Medicaid |
$6,844.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,844.96
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$6,844.96
|
|
|
Service Code
|
APR-DRG 6911
|
| Hospital Charge Code |
APRDRG6913
|
| Min. Negotiated Rate |
$6,844.96 |
| Max. Negotiated Rate |
$6,844.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,844.96
|
| Rate for Payer: Mercy Care Medicaid |
$6,844.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,844.96
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$6,844.96
|
|
|
Service Code
|
APR-DRG 6911
|
| Hospital Charge Code |
APRDRG6911
|
| Min. Negotiated Rate |
$6,844.96 |
| Max. Negotiated Rate |
$6,844.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,844.96
|
| Rate for Payer: Mercy Care Medicaid |
$6,844.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,844.96
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$8,613.89
|
|
|
Service Code
|
APR-DRG 6912
|
| Hospital Charge Code |
APRDRG6914
|
| Min. Negotiated Rate |
$8,613.89 |
| Max. Negotiated Rate |
$8,613.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,613.89
|
| Rate for Payer: Mercy Care Medicaid |
$8,613.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,613.89
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$13,707.46
|
|
|
Service Code
|
APR-DRG 6913
|
| Hospital Charge Code |
APRDRG6914
|
| Min. Negotiated Rate |
$13,707.46 |
| Max. Negotiated Rate |
$13,707.46 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,707.46
|
| Rate for Payer: Mercy Care Medicaid |
$13,707.46
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,707.46
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$13,707.46
|
|
|
Service Code
|
APR-DRG 6913
|
| Hospital Charge Code |
APRDRG6913
|
| Min. Negotiated Rate |
$13,707.46 |
| Max. Negotiated Rate |
$13,707.46 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,707.46
|
| Rate for Payer: Mercy Care Medicaid |
$13,707.46
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,707.46
|
|
|
Lymphoma, Myeloma And Non-Acute Leukemia
|
Facility
|
IP
|
$28,128.24
|
|
|
Service Code
|
APR-DRG 6914
|
| Hospital Charge Code |
APRDRG6914
|
| Min. Negotiated Rate |
$28,128.24 |
| Max. Negotiated Rate |
$28,128.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,128.24
|
| Rate for Payer: Mercy Care Medicaid |
$28,128.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,128.24
|
|
