|
Major Cranial Or Facial Bone Procedures
|
Facility
|
IP
|
$25,246.89
|
|
|
Service Code
|
APR-DRG 0893
|
| Hospital Charge Code |
APRDRG0892
|
| 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
|
$25,246.89
|
|
|
Service Code
|
APR-DRG 0893
|
| Hospital Charge Code |
APRDRG0893
|
| 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 |
APRDRG0891
|
| 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 Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$3,351.29
|
|
|
Service Code
|
APR-DRG 7512
|
| Hospital Charge Code |
APRDRG7514
|
| Min. Negotiated Rate |
$3,351.29 |
| Max. Negotiated Rate |
$3,351.29 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,351.29
|
| Rate for Payer: Mercy Care Medicaid |
$3,351.29
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,351.29
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$6,587.55
|
|
|
Service Code
|
APR-DRG 7513
|
| Hospital Charge Code |
APRDRG7512
|
| Min. Negotiated Rate |
$6,587.55 |
| Max. Negotiated Rate |
$6,587.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,587.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,587.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,587.55
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$6,587.55
|
|
|
Service Code
|
APR-DRG 7513
|
| Hospital Charge Code |
APRDRG7513
|
| Min. Negotiated Rate |
$6,587.55 |
| Max. Negotiated Rate |
$6,587.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,587.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,587.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,587.55
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$6,587.55
|
|
|
Service Code
|
APR-DRG 7513
|
| Hospital Charge Code |
APRDRG7514
|
| Min. Negotiated Rate |
$6,587.55 |
| Max. Negotiated Rate |
$6,587.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,587.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,587.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,587.55
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$2,408.61
|
|
|
Service Code
|
APR-DRG 7511
|
| Hospital Charge Code |
APRDRG7514
|
| Min. Negotiated Rate |
$2,408.61 |
| Max. Negotiated Rate |
$2,408.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,408.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,408.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,408.61
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$3,351.29
|
|
|
Service Code
|
APR-DRG 7512
|
| Hospital Charge Code |
APRDRG7512
|
| Min. Negotiated Rate |
$3,351.29 |
| Max. Negotiated Rate |
$3,351.29 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,351.29
|
| Rate for Payer: Mercy Care Medicaid |
$3,351.29
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,351.29
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$3,351.29
|
|
|
Service Code
|
APR-DRG 7512
|
| Hospital Charge Code |
APRDRG7511
|
| Min. Negotiated Rate |
$3,351.29 |
| Max. Negotiated Rate |
$3,351.29 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,351.29
|
| Rate for Payer: Mercy Care Medicaid |
$3,351.29
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,351.29
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$2,408.61
|
|
|
Service Code
|
APR-DRG 7511
|
| Hospital Charge Code |
APRDRG7511
|
| Min. Negotiated Rate |
$2,408.61 |
| Max. Negotiated Rate |
$2,408.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,408.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,408.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,408.61
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$3,351.29
|
|
|
Service Code
|
APR-DRG 7512
|
| Hospital Charge Code |
APRDRG7513
|
| Min. Negotiated Rate |
$3,351.29 |
| Max. Negotiated Rate |
$3,351.29 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,351.29
|
| Rate for Payer: Mercy Care Medicaid |
$3,351.29
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,351.29
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$2,408.61
|
|
|
Service Code
|
APR-DRG 7511
|
| Hospital Charge Code |
APRDRG7512
|
| Min. Negotiated Rate |
$2,408.61 |
| Max. Negotiated Rate |
$2,408.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,408.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,408.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,408.61
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$12,135.62
|
|
|
Service Code
|
APR-DRG 7514
|
| Hospital Charge Code |
APRDRG7511
|
| Min. Negotiated Rate |
$12,135.62 |
| Max. Negotiated Rate |
$12,135.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,135.62
|
| Rate for Payer: Mercy Care Medicaid |
$12,135.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,135.62
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$12,135.62
|
|
|
Service Code
|
APR-DRG 7514
|
| Hospital Charge Code |
APRDRG7514
|
| Min. Negotiated Rate |
$12,135.62 |
| Max. Negotiated Rate |
$12,135.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,135.62
|
| Rate for Payer: Mercy Care Medicaid |
$12,135.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,135.62
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$12,135.62
|
|
|
Service Code
|
APR-DRG 7514
|
| Hospital Charge Code |
APRDRG7512
|
| Min. Negotiated Rate |
$12,135.62 |
| Max. Negotiated Rate |
$12,135.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,135.62
|
| Rate for Payer: Mercy Care Medicaid |
$12,135.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,135.62
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$12,135.62
|
|
|
Service Code
|
APR-DRG 7514
|
| Hospital Charge Code |
APRDRG7513
|
| Min. Negotiated Rate |
$12,135.62 |
| Max. Negotiated Rate |
$12,135.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,135.62
|
| Rate for Payer: Mercy Care Medicaid |
$12,135.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,135.62
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$2,408.61
|
|
|
Service Code
|
APR-DRG 7511
|
| Hospital Charge Code |
APRDRG7513
|
| Min. Negotiated Rate |
$2,408.61 |
| Max. Negotiated Rate |
$2,408.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,408.61
|
| Rate for Payer: Mercy Care Medicaid |
$2,408.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,408.61
|
|
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
Facility
|
IP
|
$6,587.55
|
|
|
Service Code
|
APR-DRG 7513
|
| Hospital Charge Code |
APRDRG7511
|
| Min. Negotiated Rate |
$6,587.55 |
| Max. Negotiated Rate |
$6,587.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,587.55
|
| Rate for Payer: Mercy Care Medicaid |
$6,587.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,587.55
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$4,775.13
|
|
|
Service Code
|
APR-DRG 2422
|
| Hospital Charge Code |
APRDRG2422
|
| Min. Negotiated Rate |
$4,775.13 |
| Max. Negotiated Rate |
$4,775.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,775.13
|
| Rate for Payer: Mercy Care Medicaid |
$4,775.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,775.13
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$16,215.67
|
|
|
Service Code
|
APR-DRG 2424
|
| Hospital Charge Code |
APRDRG2424
|
| Min. Negotiated Rate |
$16,215.67 |
| Max. Negotiated Rate |
$16,215.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,215.67
|
| Rate for Payer: Mercy Care Medicaid |
$16,215.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,215.67
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$3,730.05
|
|
|
Service Code
|
APR-DRG 2421
|
| Hospital Charge Code |
APRDRG2421
|
| Min. Negotiated Rate |
$3,730.05 |
| Max. Negotiated Rate |
$3,730.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,730.05
|
| Rate for Payer: Mercy Care Medicaid |
$3,730.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,730.05
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$3,730.05
|
|
|
Service Code
|
APR-DRG 2421
|
| Hospital Charge Code |
APRDRG2423
|
| Min. Negotiated Rate |
$3,730.05 |
| Max. Negotiated Rate |
$3,730.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,730.05
|
| Rate for Payer: Mercy Care Medicaid |
$3,730.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,730.05
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$6,946.67
|
|
|
Service Code
|
APR-DRG 2423
|
| Hospital Charge Code |
APRDRG2421
|
| Min. Negotiated Rate |
$6,946.67 |
| Max. Negotiated Rate |
$6,946.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,946.67
|
| Rate for Payer: Mercy Care Medicaid |
$6,946.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,946.67
|
|
|
Major Esophageal Disorders
|
Facility
|
IP
|
$16,215.67
|
|
|
Service Code
|
APR-DRG 2424
|
| Hospital Charge Code |
APRDRG2423
|
| Min. Negotiated Rate |
$16,215.67 |
| Max. Negotiated Rate |
$16,215.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,215.67
|
| Rate for Payer: Mercy Care Medicaid |
$16,215.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,215.67
|
|
