|
Major Chest And Respiratory Trauma
|
Facility
|
IP
|
$8,026.82
|
|
|
Service Code
|
APR-DRG 1353
|
| Hospital Charge Code |
APRDRG1353
|
| 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 |
APRDRG1351
|
| 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
|
$4,835.45
|
|
|
Service Code
|
APR-DRG 1351
|
| Hospital Charge Code |
APRDRG1353
|
| 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
|
$4,835.45
|
|
|
Service Code
|
APR-DRG 1351
|
| Hospital Charge Code |
APRDRG1354
|
| 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
|
$13,916.48
|
|
|
Service Code
|
APR-DRG 1354
|
| Hospital Charge Code |
APRDRG1353
|
| 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
|
$13,916.48
|
|
|
Service Code
|
APR-DRG 1354
|
| Hospital Charge Code |
APRDRG1352
|
| 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 PROCEDURES WITH CC
|
Facility
|
IP
|
$32,620.53
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$32,620.53 |
| Max. Negotiated Rate |
$32,620.53 |
| Rate for Payer: Seven Corners Travel Insurance |
$32,620.53
|
|
|
MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$57,923.41
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$57,923.41 |
| Max. Negotiated Rate |
$57,923.41 |
| Rate for Payer: Seven Corners Travel Insurance |
$57,923.41
|
|
|
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,739.39
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$24,739.39 |
| Max. Negotiated Rate |
$24,739.39 |
| Rate for Payer: Seven Corners Travel Insurance |
$24,739.39
|
|
|
MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$13,838.83
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$13,838.83 |
| Max. Negotiated Rate |
$13,838.83 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,838.83
|
|
|
MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$19,772.66
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$19,772.66 |
| Max. Negotiated Rate |
$19,772.66 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,772.66
|
|
|
MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$10,321.33
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$10,321.33 |
| Max. Negotiated Rate |
$10,321.33 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,321.33
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$42,543.42
|
|
|
Service Code
|
APR-DRG 0894
|
| Hospital Charge Code |
APRDRG0891
|
| Min. Negotiated Rate |
$42,543.42 |
| Max. Negotiated Rate |
$42,543.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,543.42
|
| Rate for Payer: Mercy Care Medicaid |
$42,543.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,543.42
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$42,543.42
|
|
|
Service Code
|
APR-DRG 0894
|
| Hospital Charge Code |
APRDRG0894
|
| Min. Negotiated Rate |
$42,543.42 |
| Max. Negotiated Rate |
$42,543.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,543.42
|
| Rate for Payer: Mercy Care Medicaid |
$42,543.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,543.42
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$25,246.89
|
|
|
Service Code
|
APR-DRG 0893
|
| Hospital Charge Code |
APRDRG0894
|
| Min. Negotiated Rate |
$25,246.89 |
| Max. Negotiated Rate |
$25,246.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,246.89
|
| Rate for Payer: Mercy Care Medicaid |
$25,246.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,246.89
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$14,373.09
|
|
|
Service Code
|
APR-DRG 0892
|
| Hospital Charge Code |
APRDRG0894
|
| Min. Negotiated Rate |
$14,373.09 |
| Max. Negotiated Rate |
$14,373.09 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,373.09
|
| Rate for Payer: Mercy Care Medicaid |
$14,373.09
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,373.09
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$10,993.74
|
|
|
Service Code
|
APR-DRG 0891
|
| Hospital Charge Code |
APRDRG0891
|
| Min. Negotiated Rate |
$10,993.74 |
| Max. Negotiated Rate |
$10,993.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,993.74
|
| Rate for Payer: Mercy Care Medicaid |
$10,993.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,993.74
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$10,993.74
|
|
|
Service Code
|
APR-DRG 0891
|
| Hospital Charge Code |
APRDRG0892
|
| Min. Negotiated Rate |
$10,993.74 |
| Max. Negotiated Rate |
$10,993.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,993.74
|
| Rate for Payer: Mercy Care Medicaid |
$10,993.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,993.74
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$10,993.74
|
|
|
Service Code
|
APR-DRG 0891
|
| Hospital Charge Code |
APRDRG0894
|
| Min. Negotiated Rate |
$10,993.74 |
| Max. Negotiated Rate |
$10,993.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,993.74
|
| Rate for Payer: Mercy Care Medicaid |
$10,993.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,993.74
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$14,373.09
|
|
|
Service Code
|
APR-DRG 0892
|
| Hospital Charge Code |
APRDRG0892
|
| Min. Negotiated Rate |
$14,373.09 |
| Max. Negotiated Rate |
$14,373.09 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,373.09
|
| Rate for Payer: Mercy Care Medicaid |
$14,373.09
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,373.09
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$42,543.42
|
|
|
Service Code
|
APR-DRG 0894
|
| Hospital Charge Code |
APRDRG0893
|
| Min. Negotiated Rate |
$42,543.42 |
| Max. Negotiated Rate |
$42,543.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,543.42
|
| Rate for Payer: Mercy Care Medicaid |
$42,543.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,543.42
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$42,543.42
|
|
|
Service Code
|
APR-DRG 0894
|
| Hospital Charge Code |
APRDRG0892
|
| Min. Negotiated Rate |
$42,543.42 |
| Max. Negotiated Rate |
$42,543.42 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$42,543.42
|
| Rate for Payer: Mercy Care Medicaid |
$42,543.42
|
| Rate for Payer: NaphCare Correctional Healthcare |
$42,543.42
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$25,246.89
|
|
|
Service Code
|
APR-DRG 0893
|
| Hospital Charge Code |
APRDRG0891
|
| Min. Negotiated Rate |
$25,246.89 |
| Max. Negotiated Rate |
$25,246.89 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,246.89
|
| Rate for Payer: Mercy Care Medicaid |
$25,246.89
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,246.89
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$10,993.74
|
|
|
Service Code
|
APR-DRG 0891
|
| Hospital Charge Code |
APRDRG0893
|
| Min. Negotiated Rate |
$10,993.74 |
| Max. Negotiated Rate |
$10,993.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,993.74
|
| Rate for Payer: Mercy Care Medicaid |
$10,993.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,993.74
|
|
|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$14,373.09
|
|
|
Service Code
|
APR-DRG 0892
|
| Hospital Charge Code |
APRDRG0893
|
| Min. Negotiated Rate |
$14,373.09 |
| Max. Negotiated Rate |
$14,373.09 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,373.09
|
| Rate for Payer: Mercy Care Medicaid |
$14,373.09
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,373.09
|
|
