|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$7,124.12
|
|
|
Service Code
|
APR-DRG 2483
|
| Hospital Charge Code |
APRDRG2483
|
| Min. Negotiated Rate |
$7,124.12 |
| Max. Negotiated Rate |
$7,124.12 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,124.12
|
| Rate for Payer: Mercy Care Medicaid |
$7,124.12
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,124.12
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$13,927.00
|
|
|
Service Code
|
APR-DRG 2484
|
| Hospital Charge Code |
APRDRG2484
|
| Min. Negotiated Rate |
$13,927.00 |
| Max. Negotiated Rate |
$13,927.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,927.00
|
| Rate for Payer: Mercy Care Medicaid |
$13,927.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,927.00
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$4,683.95
|
|
|
Service Code
|
APR-DRG 2482
|
| Hospital Charge Code |
APRDRG2483
|
| Min. Negotiated Rate |
$4,683.95 |
| Max. Negotiated Rate |
$4,683.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,683.95
|
| Rate for Payer: Mercy Care Medicaid |
$4,683.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,683.95
|
|
|
Major Gastrointestinal And Peritoneal Infections
|
Facility
|
IP
|
$13,927.00
|
|
|
Service Code
|
APR-DRG 2484
|
| Hospital Charge Code |
APRDRG2481
|
| Min. Negotiated Rate |
$13,927.00 |
| Max. Negotiated Rate |
$13,927.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,927.00
|
| Rate for Payer: Mercy Care Medicaid |
$13,927.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,927.00
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$13,292.72
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$13,292.72 |
| Max. Negotiated Rate |
$13,292.72 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,292.72
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$22,915.79
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$22,915.79 |
| Max. Negotiated Rate |
$22,915.79 |
| Rate for Payer: Seven Corners Travel Insurance |
$22,915.79
|
|
|
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$9,572.47
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$9,572.47 |
| Max. Negotiated Rate |
$9,572.47 |
| Rate for Payer: Seven Corners Travel Insurance |
$9,572.47
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$28,188.86
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$28,188.86 |
| Max. Negotiated Rate |
$28,188.86 |
| Rate for Payer: Seven Corners Travel Insurance |
$28,188.86
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$55,125.35
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$55,125.35 |
| Max. Negotiated Rate |
$55,125.35 |
| Rate for Payer: Seven Corners Travel Insurance |
$55,125.35
|
|
|
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$20,632.09
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$20,632.09 |
| Max. Negotiated Rate |
$20,632.09 |
| Rate for Payer: Seven Corners Travel Insurance |
$20,632.09
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$16,395.90
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$16,395.90 |
| Max. Negotiated Rate |
$16,395.90 |
| Rate for Payer: Seven Corners Travel Insurance |
$16,395.90
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$28,535.22
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$28,535.22 |
| Max. Negotiated Rate |
$28,535.22 |
| Rate for Payer: Seven Corners Travel Insurance |
$28,535.22
|
|
|
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$13,617.08
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$13,617.08 |
| Max. Negotiated Rate |
$13,617.08 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,617.08
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$24,310.52
|
|
|
Service Code
|
APR-DRG 6604
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$24,310.52 |
| Max. Negotiated Rate |
$24,310.52 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,310.52
|
| Rate for Payer: Mercy Care Medicaid |
$24,310.52
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,310.52
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$5,365.71
|
|
|
Service Code
|
APR-DRG 6602
|
| Hospital Charge Code |
APRDRG6601
|
| Min. Negotiated Rate |
$5,365.71 |
| Max. Negotiated Rate |
$5,365.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,365.71
|
| Rate for Payer: Mercy Care Medicaid |
$5,365.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,365.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6602
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,175.71
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$4,660.10
|
|
|
Service Code
|
APR-DRG 6601
|
| Hospital Charge Code |
APRDRG6604
|
| Min. Negotiated Rate |
$4,660.10 |
| Max. Negotiated Rate |
$4,660.10 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,660.10
|
| Rate for Payer: Mercy Care Medicaid |
$4,660.10
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,660.10
|
|
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation
|
Facility
|
IP
|
$9,175.71
|
|
|
Service Code
|
APR-DRG 6603
|
| Hospital Charge Code |
APRDRG6603
|
| Min. Negotiated Rate |
$9,175.71 |
| Max. Negotiated Rate |
$9,175.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,175.71
|
| Rate for Payer: Mercy Care Medicaid |
$9,175.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,175.71
|
|
