|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$22,453.92
|
|
|
Service Code
|
APR-DRG 1601
|
| Hospital Charge Code |
APRDRG1603
|
| Min. Negotiated Rate |
$22,453.92 |
| Max. Negotiated Rate |
$22,453.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,453.92
|
| Rate for Payer: Mercy Care Medicaid |
$22,453.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,453.92
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$35,903.96
|
|
|
Service Code
|
APR-DRG 1603
|
| Hospital Charge Code |
APRDRG1603
|
| Min. Negotiated Rate |
$35,903.96 |
| Max. Negotiated Rate |
$35,903.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,903.96
|
| Rate for Payer: Mercy Care Medicaid |
$35,903.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,903.96
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$22,453.92
|
|
|
Service Code
|
APR-DRG 1601
|
| Hospital Charge Code |
APRDRG1601
|
| Min. Negotiated Rate |
$22,453.92 |
| Max. Negotiated Rate |
$22,453.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,453.92
|
| Rate for Payer: Mercy Care Medicaid |
$22,453.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,453.92
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$75,687.37
|
|
|
Service Code
|
APR-DRG 1604
|
| Hospital Charge Code |
APRDRG1604
|
| 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
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$35,903.96
|
|
|
Service Code
|
APR-DRG 1603
|
| Hospital Charge Code |
APRDRG1602
|
| Min. Negotiated Rate |
$35,903.96 |
| Max. Negotiated Rate |
$35,903.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,903.96
|
| Rate for Payer: Mercy Care Medicaid |
$35,903.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,903.96
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$22,453.92
|
|
|
Service Code
|
APR-DRG 1601
|
| Hospital Charge Code |
APRDRG1602
|
| Min. Negotiated Rate |
$22,453.92 |
| Max. Negotiated Rate |
$22,453.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,453.92
|
| Rate for Payer: Mercy Care Medicaid |
$22,453.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,453.92
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$26,470.84
|
|
|
Service Code
|
APR-DRG 1602
|
| Hospital Charge Code |
APRDRG1602
|
| Min. Negotiated Rate |
$26,470.84 |
| Max. Negotiated Rate |
$26,470.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,470.84
|
| Rate for Payer: Mercy Care Medicaid |
$26,470.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,470.84
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$22,453.92
|
|
|
Service Code
|
APR-DRG 1601
|
| Hospital Charge Code |
APRDRG1604
|
| Min. Negotiated Rate |
$22,453.92 |
| Max. Negotiated Rate |
$22,453.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,453.92
|
| Rate for Payer: Mercy Care Medicaid |
$22,453.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,453.92
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$35,903.96
|
|
|
Service Code
|
APR-DRG 1603
|
| Hospital Charge Code |
APRDRG1601
|
| Min. Negotiated Rate |
$35,903.96 |
| Max. Negotiated Rate |
$35,903.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,903.96
|
| Rate for Payer: Mercy Care Medicaid |
$35,903.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,903.96
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$75,687.37
|
|
|
Service Code
|
APR-DRG 1604
|
| Hospital Charge Code |
APRDRG1601
|
| 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
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$75,687.37
|
|
|
Service Code
|
APR-DRG 1604
|
| Hospital Charge Code |
APRDRG1603
|
| 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
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$35,903.96
|
|
|
Service Code
|
APR-DRG 1603
|
| Hospital Charge Code |
APRDRG1604
|
| Min. Negotiated Rate |
$35,903.96 |
| Max. Negotiated Rate |
$35,903.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$35,903.96
|
| Rate for Payer: Mercy Care Medicaid |
$35,903.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$35,903.96
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$26,470.84
|
|
|
Service Code
|
APR-DRG 1602
|
| Hospital Charge Code |
APRDRG1604
|
| Min. Negotiated Rate |
$26,470.84 |
| Max. Negotiated Rate |
$26,470.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,470.84
|
| Rate for Payer: Mercy Care Medicaid |
$26,470.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,470.84
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$26,470.84
|
|
|
Service Code
|
APR-DRG 1602
|
| Hospital Charge Code |
APRDRG1601
|
| Min. Negotiated Rate |
$26,470.84 |
| Max. Negotiated Rate |
$26,470.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,470.84
|
| Rate for Payer: Mercy Care Medicaid |
$26,470.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,470.84
|
|
|
Major Cardiothoracic Repair Of Heart Anomaly
|
Facility
|
IP
|
$26,470.84
|
|
|
Service Code
|
APR-DRG 1602
|
| Hospital Charge Code |
APRDRG1603
|
| Min. Negotiated Rate |
$26,470.84 |
| Max. Negotiated Rate |
$26,470.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,470.84
|
| Rate for Payer: Mercy Care Medicaid |
$26,470.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,470.84
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$5,655.39
|
|
|
Service Code
|
APR-DRG 1352
|
| Hospital Charge Code |
APRDRG1352
|
| Min. Negotiated Rate |
$5,655.39 |
| Max. Negotiated Rate |
$5,655.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,655.39
|
| Rate for Payer: Mercy Care Medicaid |
$5,655.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,655.39
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$5,655.39
|
|
|
Service Code
|
APR-DRG 1352
|
| Hospital Charge Code |
APRDRG1354
|
| Min. Negotiated Rate |
$5,655.39 |
| Max. Negotiated Rate |
$5,655.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,655.39
|
| Rate for Payer: Mercy Care Medicaid |
$5,655.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,655.39
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$13,916.48
|
|
|
Service Code
|
APR-DRG 1354
|
| Hospital Charge Code |
APRDRG1354
|
| Min. Negotiated Rate |
$13,916.48 |
| Max. Negotiated Rate |
$13,916.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,916.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,916.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,916.48
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$8,026.82
|
|
|
Service Code
|
APR-DRG 1353
|
| Hospital Charge Code |
APRDRG1352
|
| Min. Negotiated Rate |
$8,026.82 |
| Max. Negotiated Rate |
$8,026.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,026.82
|
| Rate for Payer: Mercy Care Medicaid |
$8,026.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,026.82
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$13,916.48
|
|
|
Service Code
|
APR-DRG 1354
|
| Hospital Charge Code |
APRDRG1351
|
| Min. Negotiated Rate |
$13,916.48 |
| Max. Negotiated Rate |
$13,916.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,916.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,916.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,916.48
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$8,026.82
|
|
|
Service Code
|
APR-DRG 1353
|
| Hospital Charge Code |
APRDRG1351
|
| Min. Negotiated Rate |
$8,026.82 |
| Max. Negotiated Rate |
$8,026.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,026.82
|
| Rate for Payer: Mercy Care Medicaid |
$8,026.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,026.82
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$5,655.39
|
|
|
Service Code
|
APR-DRG 1352
|
| Hospital Charge Code |
APRDRG1351
|
| Min. Negotiated Rate |
$5,655.39 |
| Max. Negotiated Rate |
$5,655.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,655.39
|
| Rate for Payer: Mercy Care Medicaid |
$5,655.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,655.39
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$8,026.82
|
|
|
Service Code
|
APR-DRG 1353
|
| Hospital Charge Code |
APRDRG1354
|
| Min. Negotiated Rate |
$8,026.82 |
| Max. Negotiated Rate |
$8,026.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,026.82
|
| Rate for Payer: Mercy Care Medicaid |
$8,026.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,026.82
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$4,835.45
|
|
|
Service Code
|
APR-DRG 1351
|
| Hospital Charge Code |
APRDRG1352
|
| Min. Negotiated Rate |
$4,835.45 |
| Max. Negotiated Rate |
$4,835.45 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,835.45
|
| Rate for Payer: Mercy Care Medicaid |
$4,835.45
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,835.45
|
|
|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$5,655.39
|
|
|
Service Code
|
APR-DRG 1352
|
| Hospital Charge Code |
APRDRG1353
|
| Min. Negotiated Rate |
$5,655.39 |
| Max. Negotiated Rate |
$5,655.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,655.39
|
| Rate for Payer: Mercy Care Medicaid |
$5,655.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,655.39
|
|
