|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$18,061.05
|
|
|
Service Code
|
APR-DRG 1692
|
| Hospital Charge Code |
APRDRG1692
|
| Min. Negotiated Rate |
$18,061.05 |
| Max. Negotiated Rate |
$18,061.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,061.05
|
| Rate for Payer: Mercy Care Medicaid |
$18,061.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,061.05
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$17,101.53
|
|
|
Service Code
|
APR-DRG 1691
|
| Hospital Charge Code |
APRDRG1693
|
| Min. Negotiated Rate |
$17,101.53 |
| Max. Negotiated Rate |
$17,101.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,101.53
|
| Rate for Payer: Mercy Care Medicaid |
$17,101.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,101.53
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$42,746.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$42,746.82 |
| Max. Negotiated Rate |
$42,746.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,746.82
|
| Rate for Payer: Mercy Care Medicaid |
$42,746.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,746.82
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$17,101.53
|
|
|
Service Code
|
APR-DRG 1691
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$17,101.53 |
| Max. Negotiated Rate |
$17,101.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,101.53
|
| Rate for Payer: Mercy Care Medicaid |
$17,101.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,101.53
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$42,746.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Hospital Charge Code |
APRDRG1691
|
| Min. Negotiated Rate |
$42,746.82 |
| Max. Negotiated Rate |
$42,746.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,746.82
|
| Rate for Payer: Mercy Care Medicaid |
$42,746.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,746.82
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$17,101.53
|
|
|
Service Code
|
APR-DRG 1691
|
| Hospital Charge Code |
APRDRG1692
|
| Min. Negotiated Rate |
$17,101.53 |
| Max. Negotiated Rate |
$17,101.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,101.53
|
| Rate for Payer: Mercy Care Medicaid |
$17,101.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,101.53
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$25,119.24
|
|
|
Service Code
|
APR-DRG 1693
|
| Hospital Charge Code |
APRDRG1692
|
| Min. Negotiated Rate |
$25,119.24 |
| Max. Negotiated Rate |
$25,119.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,119.24
|
| Rate for Payer: Mercy Care Medicaid |
$25,119.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,119.24
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$18,061.05
|
|
|
Service Code
|
APR-DRG 1692
|
| Hospital Charge Code |
APRDRG1694
|
| Min. Negotiated Rate |
$18,061.05 |
| Max. Negotiated Rate |
$18,061.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,061.05
|
| Rate for Payer: Mercy Care Medicaid |
$18,061.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,061.05
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$18,061.05
|
|
|
Service Code
|
APR-DRG 1692
|
| Hospital Charge Code |
APRDRG1691
|
| Min. Negotiated Rate |
$18,061.05 |
| Max. Negotiated Rate |
$18,061.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,061.05
|
| Rate for Payer: Mercy Care Medicaid |
$18,061.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,061.05
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$25,119.24
|
|
|
Service Code
|
APR-DRG 1693
|
| Hospital Charge Code |
APRDRG1691
|
| Min. Negotiated Rate |
$25,119.24 |
| Max. Negotiated Rate |
$25,119.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,119.24
|
| Rate for Payer: Mercy Care Medicaid |
$25,119.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,119.24
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$42,746.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Hospital Charge Code |
APRDRG1693
|
| Min. Negotiated Rate |
$42,746.82 |
| Max. Negotiated Rate |
$42,746.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,746.82
|
| Rate for Payer: Mercy Care Medicaid |
$42,746.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,746.82
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$25,119.24
|
|
|
Service Code
|
APR-DRG 1693
|
| Hospital Charge Code |
APRDRG1693
|
| Min. Negotiated Rate |
$25,119.24 |
| Max. Negotiated Rate |
$25,119.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,119.24
|
| Rate for Payer: Mercy Care Medicaid |
$25,119.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,119.24
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$18,061.05
|
|
|
Service Code
|
APR-DRG 1692
|
| Hospital Charge Code |
APRDRG1693
|
| Min. Negotiated Rate |
$18,061.05 |
| Max. Negotiated Rate |
$18,061.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,061.05
|
| Rate for Payer: Mercy Care Medicaid |
$18,061.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,061.05
|
|
|
Major Abdominal Vascular Procedures
|
Facility
|
IP
|
$42,746.82
|
|
|
Service Code
|
APR-DRG 1694
|
| Hospital Charge Code |
APRDRG1692
|
| Min. Negotiated Rate |
$42,746.82 |
| Max. Negotiated Rate |
$42,746.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,746.82
|
| Rate for Payer: Mercy Care Medicaid |
$42,746.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,746.82
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
|
Service Code
|
APR-DRG 2614
|
| Hospital Charge Code |
APRDRG2614
|
| Min. Negotiated Rate |
$37,024.10 |
| Max. Negotiated Rate |
$37,024.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$37,024.10
|
| Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$37,024.10
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
|
Service Code
|
APR-DRG 2612
|
| Hospital Charge Code |
APRDRG2613
|
| Min. Negotiated Rate |
$12,884.72 |
| Max. Negotiated Rate |
$12,884.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,884.72
|
| Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,884.72
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
|
Service Code
|
APR-DRG 2614
|
| Hospital Charge Code |
APRDRG2611
|
| Min. Negotiated Rate |
$37,024.10 |
| Max. Negotiated Rate |
$37,024.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$37,024.10
|
| Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$37,024.10
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
|
Service Code
|
APR-DRG 2611
|
| Hospital Charge Code |
APRDRG2612
|
| Min. Negotiated Rate |
$9,297.06 |
| Max. Negotiated Rate |
$9,297.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,297.06
|
| Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,297.06
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
|
Service Code
|
APR-DRG 2613
|
| Hospital Charge Code |
APRDRG2613
|
| Min. Negotiated Rate |
$19,266.76 |
| Max. Negotiated Rate |
$19,266.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,266.76
|
| Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,266.76
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
|
Service Code
|
APR-DRG 2613
|
| Hospital Charge Code |
APRDRG2612
|
| Min. Negotiated Rate |
$19,266.76 |
| Max. Negotiated Rate |
$19,266.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,266.76
|
| Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,266.76
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$37,024.10
|
|
|
Service Code
|
APR-DRG 2614
|
| Hospital Charge Code |
APRDRG2613
|
| Min. Negotiated Rate |
$37,024.10 |
| Max. Negotiated Rate |
$37,024.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$37,024.10
|
| Rate for Payer: Mercy Care Medicaid |
$37,024.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$37,024.10
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$12,884.72
|
|
|
Service Code
|
APR-DRG 2612
|
| Hospital Charge Code |
APRDRG2611
|
| Min. Negotiated Rate |
$12,884.72 |
| Max. Negotiated Rate |
$12,884.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,884.72
|
| Rate for Payer: Mercy Care Medicaid |
$12,884.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,884.72
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$19,266.76
|
|
|
Service Code
|
APR-DRG 2613
|
| Hospital Charge Code |
APRDRG2611
|
| Min. Negotiated Rate |
$19,266.76 |
| Max. Negotiated Rate |
$19,266.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,266.76
|
| Rate for Payer: Mercy Care Medicaid |
$19,266.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,266.76
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
|
Service Code
|
APR-DRG 2611
|
| Hospital Charge Code |
APRDRG2613
|
| Min. Negotiated Rate |
$9,297.06 |
| Max. Negotiated Rate |
$9,297.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,297.06
|
| Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,297.06
|
|
|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
|
Service Code
|
APR-DRG 2611
|
| Hospital Charge Code |
APRDRG2614
|
| Min. Negotiated Rate |
$9,297.06 |
| Max. Negotiated Rate |
$9,297.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,297.06
|
| Rate for Payer: Mercy Care Medicaid |
$9,297.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,297.06
|
|