|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$30,981.74
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$30,981.74 |
| Max. Negotiated Rate |
$30,981.74 |
| Rate for Payer: Seven Corners Travel Insurance |
$30,981.74
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$59,405.80
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$59,405.80 |
| Max. Negotiated Rate |
$59,405.80 |
| Rate for Payer: Seven Corners Travel Insurance |
$59,405.80
|
|
|
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,750.03
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$21,750.03 |
| Max. Negotiated Rate |
$21,750.03 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,750.03
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$8,732.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Hospital Charge Code |
APRDRG2304
|
| Min. Negotiated Rate |
$8,732.43 |
| Max. Negotiated Rate |
$8,732.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,732.43
|
| Rate for Payer: Mercy Care Medicaid |
$8,732.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,732.43
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$17,896.22
|
|
|
Service Code
|
APR-DRG 2303
|
| Hospital Charge Code |
APRDRG2302
|
| Min. Negotiated Rate |
$17,896.22 |
| Max. Negotiated Rate |
$17,896.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,896.22
|
| Rate for Payer: Mercy Care Medicaid |
$17,896.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,896.22
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$34,522.21
|
|
|
Service Code
|
APR-DRG 2304
|
| Hospital Charge Code |
APRDRG2302
|
| Min. Negotiated Rate |
$34,522.21 |
| Max. Negotiated Rate |
$34,522.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$34,522.21
|
| Rate for Payer: Mercy Care Medicaid |
$34,522.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$34,522.21
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$12,110.37
|
|
|
Service Code
|
APR-DRG 2302
|
| Hospital Charge Code |
APRDRG2304
|
| Min. Negotiated Rate |
$12,110.37 |
| Max. Negotiated Rate |
$12,110.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,110.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,110.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,110.37
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$8,732.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Hospital Charge Code |
APRDRG2303
|
| Min. Negotiated Rate |
$8,732.43 |
| Max. Negotiated Rate |
$8,732.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,732.43
|
| Rate for Payer: Mercy Care Medicaid |
$8,732.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,732.43
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$34,522.21
|
|
|
Service Code
|
APR-DRG 2304
|
| Hospital Charge Code |
APRDRG2304
|
| Min. Negotiated Rate |
$34,522.21 |
| Max. Negotiated Rate |
$34,522.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$34,522.21
|
| Rate for Payer: Mercy Care Medicaid |
$34,522.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$34,522.21
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$17,896.22
|
|
|
Service Code
|
APR-DRG 2303
|
| Hospital Charge Code |
APRDRG2304
|
| Min. Negotiated Rate |
$17,896.22 |
| Max. Negotiated Rate |
$17,896.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,896.22
|
| Rate for Payer: Mercy Care Medicaid |
$17,896.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,896.22
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$34,522.21
|
|
|
Service Code
|
APR-DRG 2304
|
| Hospital Charge Code |
APRDRG2301
|
| Min. Negotiated Rate |
$34,522.21 |
| Max. Negotiated Rate |
$34,522.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$34,522.21
|
| Rate for Payer: Mercy Care Medicaid |
$34,522.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$34,522.21
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$17,896.22
|
|
|
Service Code
|
APR-DRG 2303
|
| Hospital Charge Code |
APRDRG2303
|
| Min. Negotiated Rate |
$17,896.22 |
| Max. Negotiated Rate |
$17,896.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,896.22
|
| Rate for Payer: Mercy Care Medicaid |
$17,896.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,896.22
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$34,522.21
|
|
|
Service Code
|
APR-DRG 2304
|
| Hospital Charge Code |
APRDRG2303
|
| Min. Negotiated Rate |
$34,522.21 |
| Max. Negotiated Rate |
$34,522.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$34,522.21
|
| Rate for Payer: Mercy Care Medicaid |
$34,522.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$34,522.21
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$12,110.37
|
|
|
Service Code
|
APR-DRG 2302
|
| Hospital Charge Code |
APRDRG2303
|
| Min. Negotiated Rate |
$12,110.37 |
| Max. Negotiated Rate |
$12,110.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,110.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,110.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,110.37
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$12,110.37
|
|
|
Service Code
|
APR-DRG 2302
|
| Hospital Charge Code |
APRDRG2301
|
| Min. Negotiated Rate |
$12,110.37 |
| Max. Negotiated Rate |
$12,110.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,110.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,110.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,110.37
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$8,732.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Hospital Charge Code |
APRDRG2302
|
| Min. Negotiated Rate |
$8,732.43 |
| Max. Negotiated Rate |
$8,732.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,732.43
|
| Rate for Payer: Mercy Care Medicaid |
$8,732.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,732.43
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$8,732.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Hospital Charge Code |
APRDRG2301
|
| Min. Negotiated Rate |
$8,732.43 |
| Max. Negotiated Rate |
$8,732.43 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,732.43
|
| Rate for Payer: Mercy Care Medicaid |
$8,732.43
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,732.43
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$12,110.37
|
|
|
Service Code
|
APR-DRG 2302
|
| Hospital Charge Code |
APRDRG2302
|
| Min. Negotiated Rate |
$12,110.37 |
| Max. Negotiated Rate |
$12,110.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,110.37
|
| Rate for Payer: Mercy Care Medicaid |
$12,110.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,110.37
|
|
|
Major Small Bowel Procedures
|
Facility
|
IP
|
$17,896.22
|
|
|
Service Code
|
APR-DRG 2303
|
| Hospital Charge Code |
APRDRG2301
|
| Min. Negotiated Rate |
$17,896.22 |
| Max. Negotiated Rate |
$17,896.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,896.22
|
| Rate for Payer: Mercy Care Medicaid |
$17,896.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,896.22
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,895.86
|
|
|
Service Code
|
APR-DRG 2201
|
| Hospital Charge Code |
APRDRG2203
|
| Min. Negotiated Rate |
$8,895.86 |
| Max. Negotiated Rate |
$8,895.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,895.86
|
| Rate for Payer: Mercy Care Medicaid |
$8,895.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,895.86
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$40,004.35
|
|
|
Service Code
|
APR-DRG 2204
|
| Hospital Charge Code |
APRDRG2203
|
| Min. Negotiated Rate |
$40,004.35 |
| Max. Negotiated Rate |
$40,004.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$40,004.35
|
| Rate for Payer: Mercy Care Medicaid |
$40,004.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$40,004.35
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$40,004.35
|
|
|
Service Code
|
APR-DRG 2204
|
| Hospital Charge Code |
APRDRG2204
|
| Min. Negotiated Rate |
$40,004.35 |
| Max. Negotiated Rate |
$40,004.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$40,004.35
|
| Rate for Payer: Mercy Care Medicaid |
$40,004.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$40,004.35
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,895.86
|
|
|
Service Code
|
APR-DRG 2201
|
| Hospital Charge Code |
APRDRG2202
|
| Min. Negotiated Rate |
$8,895.86 |
| Max. Negotiated Rate |
$8,895.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,895.86
|
| Rate for Payer: Mercy Care Medicaid |
$8,895.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,895.86
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$13,548.94
|
|
|
Service Code
|
APR-DRG 2202
|
| Hospital Charge Code |
APRDRG2203
|
| Min. Negotiated Rate |
$13,548.94 |
| Max. Negotiated Rate |
$13,548.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,548.94
|
| Rate for Payer: Mercy Care Medicaid |
$13,548.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,548.94
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$40,004.35
|
|
|
Service Code
|
APR-DRG 2204
|
| Hospital Charge Code |
APRDRG2202
|
| Min. Negotiated Rate |
$40,004.35 |
| Max. Negotiated Rate |
$40,004.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$40,004.35
|
| Rate for Payer: Mercy Care Medicaid |
$40,004.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$40,004.35
|
|
