|
Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6802
|
| 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
|
$24,020.85
|
|
|
Service Code
|
APR-DRG 6803
|
| Hospital Charge Code |
APRDRG6801
|
| 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
|
$51,210.62
|
|
|
Service Code
|
APR-DRG 6804
|
| Hospital Charge Code |
APRDRG6804
|
| 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 |
APRDRG6802
|
| 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
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6804
|
| 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
|
$10,380.02
|
|
|
Service Code
|
APR-DRG 6801
|
| Hospital Charge Code |
APRDRG6803
|
| 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
|
$14,706.96
|
|
|
Service Code
|
APR-DRG 6802
|
| Hospital Charge Code |
APRDRG6804
|
| 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 Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$22,261.73
|
|
|
Service Code
|
APR-DRG 2603
|
| Hospital Charge Code |
APRDRG2604
|
| Min. Negotiated Rate |
$22,261.73 |
| Max. Negotiated Rate |
$22,261.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,261.73
|
| Rate for Payer: Mercy Care Medicaid |
$22,261.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,261.73
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$47,113.04
|
|
|
Service Code
|
APR-DRG 2604
|
| Hospital Charge Code |
APRDRG2602
|
| Min. Negotiated Rate |
$47,113.04 |
| Max. Negotiated Rate |
$47,113.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$47,113.04
|
| Rate for Payer: Mercy Care Medicaid |
$47,113.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$47,113.04
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$12,095.64
|
|
|
Service Code
|
APR-DRG 2601
|
| Hospital Charge Code |
APRDRG2603
|
| Min. Negotiated Rate |
$12,095.64 |
| Max. Negotiated Rate |
$12,095.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,095.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,095.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,095.64
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2602
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2604
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$12,095.64
|
|
|
Service Code
|
APR-DRG 2601
|
| Hospital Charge Code |
APRDRG2602
|
| Min. Negotiated Rate |
$12,095.64 |
| Max. Negotiated Rate |
$12,095.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,095.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,095.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,095.64
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$22,261.73
|
|
|
Service Code
|
APR-DRG 2603
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$22,261.73 |
| Max. Negotiated Rate |
$22,261.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,261.73
|
| Rate for Payer: Mercy Care Medicaid |
$22,261.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,261.73
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$12,095.64
|
|
|
Service Code
|
APR-DRG 2601
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$12,095.64 |
| Max. Negotiated Rate |
$12,095.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,095.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,095.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,095.64
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$47,113.04
|
|
|
Service Code
|
APR-DRG 2604
|
| Hospital Charge Code |
APRDRG2601
|
| Min. Negotiated Rate |
$47,113.04 |
| Max. Negotiated Rate |
$47,113.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$47,113.04
|
| Rate for Payer: Mercy Care Medicaid |
$47,113.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$47,113.04
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$15,280.00
|
|
|
Service Code
|
APR-DRG 2602
|
| Hospital Charge Code |
APRDRG2603
|
| Min. Negotiated Rate |
$15,280.00 |
| Max. Negotiated Rate |
$15,280.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,280.00
|
| Rate for Payer: Mercy Care Medicaid |
$15,280.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,280.00
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$47,113.04
|
|
|
Service Code
|
APR-DRG 2604
|
| Hospital Charge Code |
APRDRG2603
|
| Min. Negotiated Rate |
$47,113.04 |
| Max. Negotiated Rate |
$47,113.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$47,113.04
|
| Rate for Payer: Mercy Care Medicaid |
$47,113.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$47,113.04
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$47,113.04
|
|
|
Service Code
|
APR-DRG 2604
|
| Hospital Charge Code |
APRDRG2604
|
| Min. Negotiated Rate |
$47,113.04 |
| Max. Negotiated Rate |
$47,113.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$47,113.04
|
| Rate for Payer: Mercy Care Medicaid |
$47,113.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$47,113.04
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$22,261.73
|
|
|
Service Code
|
APR-DRG 2603
|
| Hospital Charge Code |
APRDRG2603
|
| Min. Negotiated Rate |
$22,261.73 |
| Max. Negotiated Rate |
$22,261.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,261.73
|
| Rate for Payer: Mercy Care Medicaid |
$22,261.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,261.73
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$22,261.73
|
|
|
Service Code
|
APR-DRG 2603
|
| Hospital Charge Code |
APRDRG2602
|
| Min. Negotiated Rate |
$22,261.73 |
| Max. Negotiated Rate |
$22,261.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$22,261.73
|
| Rate for Payer: Mercy Care Medicaid |
$22,261.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$22,261.73
|
|
|
Major Pancreas, Liver And Shunt Procedures
|
Facility
|
IP
|
$12,095.64
|
|
|
Service Code
|
APR-DRG 2601
|
| Hospital Charge Code |
APRDRG2604
|
| Min. Negotiated Rate |
$12,095.64 |
| Max. Negotiated Rate |
$12,095.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,095.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,095.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,095.64
|
|
|
Major Respiratory And Chest Procedures
|
Facility
|
IP
|
$11,484.72
|
|
|
Service Code
|
APR-DRG 1201
|
| Hospital Charge Code |
APRDRG1203
|
| Min. Negotiated Rate |
$11,484.72 |
| Max. Negotiated Rate |
$11,484.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,484.72
|
| Rate for Payer: Mercy Care Medicaid |
$11,484.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,484.72
|
|
|
Major Respiratory And Chest Procedures
|
Facility
|
IP
|
$14,252.45
|
|
|
Service Code
|
APR-DRG 1202
|
| Hospital Charge Code |
APRDRG1201
|
| Min. Negotiated Rate |
$14,252.45 |
| Max. Negotiated Rate |
$14,252.45 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,252.45
|
| Rate for Payer: Mercy Care Medicaid |
$14,252.45
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,252.45
|
|