|
Major Respiratory Infections And Inflammations
|
Facility
|
IP
|
$7,371.01
|
|
|
Service Code
|
APR-DRG 1373
|
| Hospital Charge Code |
APRDRG1373
|
| Min. Negotiated Rate |
$7,371.01 |
| Max. Negotiated Rate |
$7,371.01 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,371.01
|
| Rate for Payer: Mercy Care Medicaid |
$7,371.01
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,371.01
|
|
|
Major Respiratory Infections And Inflammations
|
Facility
|
IP
|
$5,227.53
|
|
|
Service Code
|
APR-DRG 1372
|
| Hospital Charge Code |
APRDRG1373
|
| Min. Negotiated Rate |
$5,227.53 |
| Max. Negotiated Rate |
$5,227.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,227.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,227.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,227.53
|
|
|
Major Respiratory Infections And Inflammations
|
Facility
|
IP
|
$5,227.53
|
|
|
Service Code
|
APR-DRG 1372
|
| Hospital Charge Code |
APRDRG1372
|
| Min. Negotiated Rate |
$5,227.53 |
| Max. Negotiated Rate |
$5,227.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,227.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,227.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,227.53
|
|
|
Major Respiratory Infections And Inflammations
|
Facility
|
IP
|
$10,831.72
|
|
|
Service Code
|
APR-DRG 1374
|
| Hospital Charge Code |
APRDRG1371
|
| Min. Negotiated Rate |
$10,831.72 |
| Max. Negotiated Rate |
$10,831.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,831.72
|
| Rate for Payer: Mercy Care Medicaid |
$10,831.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,831.72
|
|
|
Major Respiratory Infections And Inflammations
|
Facility
|
IP
|
$3,990.97
|
|
|
Service Code
|
APR-DRG 1371
|
| Hospital Charge Code |
APRDRG1373
|
| Min. Negotiated Rate |
$3,990.97 |
| Max. Negotiated Rate |
$3,990.97 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,990.97
|
| Rate for Payer: Mercy Care Medicaid |
$3,990.97
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,990.97
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$23,346.17
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$23,346.17 |
| Max. Negotiated Rate |
$23,346.17 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,346.17
|
|
|
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,572.32
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$19,572.32 |
| Max. Negotiated Rate |
$19,572.32 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,572.32
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$9,989.34
|
|
|
Service Code
|
APR-DRG 3813
|
| Hospital Charge Code |
APRDRG3811
|
| Min. Negotiated Rate |
$9,989.34 |
| Max. Negotiated Rate |
$9,989.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,989.34
|
| Rate for Payer: Mercy Care Medicaid |
$9,989.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,989.34
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$5,306.79
|
|
|
Service Code
|
APR-DRG 3812
|
| Hospital Charge Code |
APRDRG3814
|
| Min. Negotiated Rate |
$5,306.79 |
| Max. Negotiated Rate |
$5,306.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,306.79
|
| Rate for Payer: Mercy Care Medicaid |
$5,306.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,306.79
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$2,962.71
|
|
|
Service Code
|
APR-DRG 3811
|
| Hospital Charge Code |
APRDRG3814
|
| Min. Negotiated Rate |
$2,962.71 |
| Max. Negotiated Rate |
$2,962.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,962.71
|
| Rate for Payer: Mercy Care Medicaid |
$2,962.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,962.71
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$23,974.55
|
|
|
Service Code
|
APR-DRG 3814
|
| Hospital Charge Code |
APRDRG3813
|
| Min. Negotiated Rate |
$23,974.55 |
| Max. Negotiated Rate |
$23,974.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$23,974.55
|
| Rate for Payer: Mercy Care Medicaid |
$23,974.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$23,974.55
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$9,989.34
|
|
|
Service Code
|
APR-DRG 3813
|
| Hospital Charge Code |
APRDRG3814
|
| Min. Negotiated Rate |
$9,989.34 |
| Max. Negotiated Rate |
$9,989.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,989.34
|
| Rate for Payer: Mercy Care Medicaid |
$9,989.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,989.34
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$5,306.79
|
|
|
Service Code
|
APR-DRG 3812
|
| Hospital Charge Code |
APRDRG3813
|
| Min. Negotiated Rate |
$5,306.79 |
| Max. Negotiated Rate |
$5,306.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,306.79
|
| Rate for Payer: Mercy Care Medicaid |
$5,306.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,306.79
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$23,974.55
|
|
|
Service Code
|
APR-DRG 3814
|
| Hospital Charge Code |
APRDRG3814
|
| Min. Negotiated Rate |
$23,974.55 |
| Max. Negotiated Rate |
$23,974.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$23,974.55
|
| Rate for Payer: Mercy Care Medicaid |
$23,974.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$23,974.55
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$2,962.71
|
|
|
Service Code
|
APR-DRG 3811
|
| Hospital Charge Code |
APRDRG3812
|
| Min. Negotiated Rate |
$2,962.71 |
| Max. Negotiated Rate |
$2,962.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,962.71
|
| Rate for Payer: Mercy Care Medicaid |
$2,962.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,962.71
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$5,306.79
|
|
|
Service Code
|
APR-DRG 3812
|
| Hospital Charge Code |
APRDRG3812
|
| Min. Negotiated Rate |
$5,306.79 |
| Max. Negotiated Rate |
$5,306.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,306.79
|
| Rate for Payer: Mercy Care Medicaid |
$5,306.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,306.79
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$9,989.34
|
|
|
Service Code
|
APR-DRG 3813
|
| Hospital Charge Code |
APRDRG3812
|
| Min. Negotiated Rate |
$9,989.34 |
| Max. Negotiated Rate |
$9,989.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,989.34
|
| Rate for Payer: Mercy Care Medicaid |
$9,989.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,989.34
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$9,989.34
|
|
|
Service Code
|
APR-DRG 3813
|
| Hospital Charge Code |
APRDRG3813
|
| Min. Negotiated Rate |
$9,989.34 |
| Max. Negotiated Rate |
$9,989.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,989.34
|
| Rate for Payer: Mercy Care Medicaid |
$9,989.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,989.34
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$5,306.79
|
|
|
Service Code
|
APR-DRG 3812
|
| Hospital Charge Code |
APRDRG3811
|
| Min. Negotiated Rate |
$5,306.79 |
| Max. Negotiated Rate |
$5,306.79 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,306.79
|
| Rate for Payer: Mercy Care Medicaid |
$5,306.79
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,306.79
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$2,962.71
|
|
|
Service Code
|
APR-DRG 3811
|
| Hospital Charge Code |
APRDRG3813
|
| Min. Negotiated Rate |
$2,962.71 |
| Max. Negotiated Rate |
$2,962.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,962.71
|
| Rate for Payer: Mercy Care Medicaid |
$2,962.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,962.71
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$23,974.55
|
|
|
Service Code
|
APR-DRG 3814
|
| Hospital Charge Code |
APRDRG3812
|
| Min. Negotiated Rate |
$23,974.55 |
| Max. Negotiated Rate |
$23,974.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$23,974.55
|
| Rate for Payer: Mercy Care Medicaid |
$23,974.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$23,974.55
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$23,974.55
|
|
|
Service Code
|
APR-DRG 3814
|
| Hospital Charge Code |
APRDRG3811
|
| Min. Negotiated Rate |
$23,974.55 |
| Max. Negotiated Rate |
$23,974.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$23,974.55
|
| Rate for Payer: Mercy Care Medicaid |
$23,974.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$23,974.55
|
|
|
Major Skin Disorders
|
Facility
|
IP
|
$2,962.71
|
|
|
Service Code
|
APR-DRG 3811
|
| Hospital Charge Code |
APRDRG3811
|
| Min. Negotiated Rate |
$2,962.71 |
| Max. Negotiated Rate |
$2,962.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,962.71
|
| Rate for Payer: Mercy Care Medicaid |
$2,962.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,962.71
|
|
|
MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$27,408.23
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$27,408.23 |
| Max. Negotiated Rate |
$27,408.23 |
| Rate for Payer: Seven Corners Travel Insurance |
$27,408.23
|
|
|
MAJOR SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$14,071.99
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$14,071.99 |
| Max. Negotiated Rate |
$14,071.99 |
| Rate for Payer: Seven Corners Travel Insurance |
$14,071.99
|
|
