|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
|
Service Code
|
APR-DRG 4801
|
| Hospital Charge Code |
APRDRG4803
|
| Min. Negotiated Rate |
$8,082.23 |
| Max. Negotiated Rate |
$8,082.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,082.23
|
| Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,082.23
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
|
Service Code
|
APR-DRG 4801
|
| Hospital Charge Code |
APRDRG4802
|
| Min. Negotiated Rate |
$8,082.23 |
| Max. Negotiated Rate |
$8,082.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,082.23
|
| Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,082.23
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
|
Service Code
|
APR-DRG 4802
|
| Hospital Charge Code |
APRDRG4803
|
| Min. Negotiated Rate |
$9,064.19 |
| Max. Negotiated Rate |
$9,064.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,064.19
|
| Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,064.19
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
|
Service Code
|
APR-DRG 4804
|
| Hospital Charge Code |
APRDRG4802
|
| Min. Negotiated Rate |
$31,941.76 |
| Max. Negotiated Rate |
$31,941.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$31,941.76
|
| Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$31,941.76
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
|
Service Code
|
APR-DRG 4804
|
| Hospital Charge Code |
APRDRG4803
|
| Min. Negotiated Rate |
$31,941.76 |
| Max. Negotiated Rate |
$31,941.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$31,941.76
|
| Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$31,941.76
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
|
Service Code
|
APR-DRG 4804
|
| Hospital Charge Code |
APRDRG4804
|
| Min. Negotiated Rate |
$31,941.76 |
| Max. Negotiated Rate |
$31,941.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$31,941.76
|
| Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$31,941.76
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$31,941.76
|
|
|
Service Code
|
APR-DRG 4804
|
| Hospital Charge Code |
APRDRG4801
|
| Min. Negotiated Rate |
$31,941.76 |
| Max. Negotiated Rate |
$31,941.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$31,941.76
|
| Rate for Payer: Mercy Care Medicaid |
$31,941.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$31,941.76
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
|
Service Code
|
APR-DRG 4801
|
| Hospital Charge Code |
APRDRG4804
|
| Min. Negotiated Rate |
$8,082.23 |
| Max. Negotiated Rate |
$8,082.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,082.23
|
| Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,082.23
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
|
Service Code
|
APR-DRG 4802
|
| Hospital Charge Code |
APRDRG4802
|
| Min. Negotiated Rate |
$9,064.19 |
| Max. Negotiated Rate |
$9,064.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,064.19
|
| Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,064.19
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$9,064.19
|
|
|
Service Code
|
APR-DRG 4802
|
| Hospital Charge Code |
APRDRG4804
|
| Min. Negotiated Rate |
$9,064.19 |
| Max. Negotiated Rate |
$9,064.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,064.19
|
| Rate for Payer: Mercy Care Medicaid |
$9,064.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,064.19
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
|
Service Code
|
APR-DRG 4803
|
| Hospital Charge Code |
APRDRG4804
|
| Min. Negotiated Rate |
$14,384.31 |
| Max. Negotiated Rate |
$14,384.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,384.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,384.31
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
|
Service Code
|
APR-DRG 4803
|
| Hospital Charge Code |
APRDRG4803
|
| Min. Negotiated Rate |
$14,384.31 |
| Max. Negotiated Rate |
$14,384.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,384.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,384.31
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$8,082.23
|
|
|
Service Code
|
APR-DRG 4801
|
| Hospital Charge Code |
APRDRG4801
|
| Min. Negotiated Rate |
$8,082.23 |
| Max. Negotiated Rate |
$8,082.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,082.23
|
| Rate for Payer: Mercy Care Medicaid |
$8,082.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,082.23
|
|
|
Major Male Pelvic Procedures
|
Facility
|
IP
|
$14,384.31
|
|
|
Service Code
|
APR-DRG 4803
|
| Hospital Charge Code |
APRDRG4802
|
| Min. Negotiated Rate |
$14,384.31 |
| Max. Negotiated Rate |
$14,384.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,384.31
|
| Rate for Payer: Mercy Care Medicaid |
$14,384.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,384.31
|
|
|
MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$25,852.18
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$25,852.18 |
| Max. Negotiated Rate |
$25,852.18 |
| Rate for Payer: Seven Corners Travel Insurance |
$25,852.18
|
|
|
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,828.21
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$19,828.21 |
| Max. Negotiated Rate |
$19,828.21 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,828.21
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$10,380.02 |
| Max. Negotiated Rate |
$10,380.02 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,380.02
|
| Rate for Payer: Mercy Care Medicaid |
$10,380.02
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,380.02
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6802
|
| Min. Negotiated Rate |
$51,210.62 |
| Max. Negotiated Rate |
$51,210.62 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$51,210.62
|
| Rate for Payer: Mercy Care Medicaid |
$51,210.62
|
| Rate for Payer: NaphCare Correctional Healthcare |
$51,210.62
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6803
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,020.85
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6801
|
| Min. Negotiated Rate |
$14,706.96 |
| Max. Negotiated Rate |
$14,706.96 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,706.96
|
| Rate for Payer: Mercy Care Medicaid |
$14,706.96
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,706.96
|
|
|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6804
|
| Min. Negotiated Rate |
$24,020.85 |
| Max. Negotiated Rate |
$24,020.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,020.85
|
| Rate for Payer: Mercy Care Medicaid |
$24,020.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,020.85
|
|
