|
Major Biliary Tract Procedures
|
Facility
|
IP
|
$9,297.06
|
|
|
Service Code
|
APR-DRG 2611
|
| Hospital Charge Code |
APRDRG2611
|
| 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 |
APRDRG2614
|
| 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
|
$12,884.72
|
|
|
Service Code
|
APR-DRG 2612
|
| Hospital Charge Code |
APRDRG2612
|
| 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 |
APRDRG2612
|
| 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 |
APRDRG2614
|
| 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 Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4413
|
| Min. Negotiated Rate |
$14,750.44 |
| Max. Negotiated Rate |
$14,750.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,750.44
|
| Rate for Payer: Mercy Care Medicaid |
$14,750.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,750.44
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
|
Service Code
|
APR-DRG 4411
|
| Hospital Charge Code |
APRDRG4414
|
| Min. Negotiated Rate |
$9,977.42 |
| Max. Negotiated Rate |
$9,977.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,977.42
|
| Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,977.42
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
|
Service Code
|
APR-DRG 4411
|
| Hospital Charge Code |
APRDRG4411
|
| Min. Negotiated Rate |
$9,977.42 |
| Max. Negotiated Rate |
$9,977.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,977.42
|
| Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,977.42
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4411
|
| Min. Negotiated Rate |
$14,750.44 |
| Max. Negotiated Rate |
$14,750.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,750.44
|
| Rate for Payer: Mercy Care Medicaid |
$14,750.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,750.44
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
|
Service Code
|
APR-DRG 4414
|
| Hospital Charge Code |
APRDRG4413
|
| Min. Negotiated Rate |
$39,319.78 |
| Max. Negotiated Rate |
$39,319.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$39,319.78
|
| Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$39,319.78
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
|
Service Code
|
APR-DRG 4411
|
| Hospital Charge Code |
APRDRG4412
|
| Min. Negotiated Rate |
$9,977.42 |
| Max. Negotiated Rate |
$9,977.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,977.42
|
| Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,977.42
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
|
Service Code
|
APR-DRG 4413
|
| Hospital Charge Code |
APRDRG4413
|
| Min. Negotiated Rate |
$18,918.16 |
| Max. Negotiated Rate |
$18,918.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,918.16
|
| Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,918.16
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
|
Service Code
|
APR-DRG 4414
|
| Hospital Charge Code |
APRDRG4411
|
| Min. Negotiated Rate |
$39,319.78 |
| Max. Negotiated Rate |
$39,319.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$39,319.78
|
| Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$39,319.78
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$9,977.42
|
|
|
Service Code
|
APR-DRG 4411
|
| Hospital Charge Code |
APRDRG4413
|
| Min. Negotiated Rate |
$9,977.42 |
| Max. Negotiated Rate |
$9,977.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,977.42
|
| Rate for Payer: Mercy Care Medicaid |
$9,977.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,977.42
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
|
Service Code
|
APR-DRG 4413
|
| Hospital Charge Code |
APRDRG4414
|
| Min. Negotiated Rate |
$18,918.16 |
| Max. Negotiated Rate |
$18,918.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,918.16
|
| Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,918.16
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4414
|
| Min. Negotiated Rate |
$14,750.44 |
| Max. Negotiated Rate |
$14,750.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,750.44
|
| Rate for Payer: Mercy Care Medicaid |
$14,750.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,750.44
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
|
Service Code
|
APR-DRG 4414
|
| Hospital Charge Code |
APRDRG4412
|
| Min. Negotiated Rate |
$39,319.78 |
| Max. Negotiated Rate |
$39,319.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$39,319.78
|
| Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$39,319.78
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
|
Service Code
|
APR-DRG 4413
|
| Hospital Charge Code |
APRDRG4411
|
| Min. Negotiated Rate |
$18,918.16 |
| Max. Negotiated Rate |
$18,918.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,918.16
|
| Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,918.16
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$18,918.16
|
|
|
Service Code
|
APR-DRG 4413
|
| Hospital Charge Code |
APRDRG4412
|
| Min. Negotiated Rate |
$18,918.16 |
| Max. Negotiated Rate |
$18,918.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,918.16
|
| Rate for Payer: Mercy Care Medicaid |
$18,918.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,918.16
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$39,319.78
|
|
|
Service Code
|
APR-DRG 4414
|
| Hospital Charge Code |
APRDRG4414
|
| Min. Negotiated Rate |
$39,319.78 |
| Max. Negotiated Rate |
$39,319.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$39,319.78
|
| Rate for Payer: Mercy Care Medicaid |
$39,319.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$39,319.78
|
|
|
Major Bladder Procedures
|
Facility
|
IP
|
$14,750.44
|
|
|
Service Code
|
APR-DRG 4412
|
| Hospital Charge Code |
APRDRG4412
|
| Min. Negotiated Rate |
$14,750.44 |
| Max. Negotiated Rate |
$14,750.44 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,750.44
|
| Rate for Payer: Mercy Care Medicaid |
$14,750.44
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,750.44
|
|
|
MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$36,178.54
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$36,178.54 |
| Max. Negotiated Rate |
$36,178.54 |
| Rate for Payer: Seven Corners Travel Insurance |
$36,178.54
|
|
|
MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$67,159.03
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$67,159.03 |
| Max. Negotiated Rate |
$67,159.03 |
| Rate for Payer: Seven Corners Travel Insurance |
$67,159.03
|
|
|
MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$27,355.24
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$27,355.24 |
| Max. Negotiated Rate |
$27,355.24 |
| Rate for Payer: Seven Corners Travel Insurance |
$27,355.24
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$75,687.37
|
|
|
Service Code
|
APR-DRG 1604
|
| Hospital Charge Code |
APRDRG1602
|
| Min. Negotiated Rate |
$75,687.37 |
| Max. Negotiated Rate |
$75,687.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$75,687.37
|
| Rate for Payer: Mercy Care Medicaid |
$75,687.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$75,687.37
|
|