|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$21,106.53
|
|
|
Service Code
|
APR-DRG 2203
|
| Hospital Charge Code |
APRDRG2201
|
| Min. Negotiated Rate |
$21,106.53 |
| Max. Negotiated Rate |
$21,106.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,106.53
|
| Rate for Payer: Mercy Care Medicaid |
$21,106.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,106.53
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$21,106.53
|
|
|
Service Code
|
APR-DRG 2203
|
| Hospital Charge Code |
APRDRG2204
|
| Min. Negotiated Rate |
$21,106.53 |
| Max. Negotiated Rate |
$21,106.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,106.53
|
| Rate for Payer: Mercy Care Medicaid |
$21,106.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,106.53
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,895.86
|
|
|
Service Code
|
APR-DRG 2201
|
| Hospital Charge Code |
APRDRG2201
|
| 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
|
$21,106.53
|
|
|
Service Code
|
APR-DRG 2203
|
| Hospital Charge Code |
APRDRG2202
|
| Min. Negotiated Rate |
$21,106.53 |
| Max. Negotiated Rate |
$21,106.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,106.53
|
| Rate for Payer: Mercy Care Medicaid |
$21,106.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,106.53
|
|
|
Major Stomach, Esophageal And Duodenal Procedures
|
Facility
|
IP
|
$8,895.86
|
|
|
Service Code
|
APR-DRG 2201
|
| Hospital Charge Code |
APRDRG2204
|
| 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 |
APRDRG2204
|
| 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
|
$13,548.94
|
|
|
Service Code
|
APR-DRG 2202
|
| Hospital Charge Code |
APRDRG2201
|
| 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
|
$13,548.94
|
|
|
Service Code
|
APR-DRG 2202
|
| Hospital Charge Code |
APRDRG2202
|
| 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 |
APRDRG2201
|
| 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
|
$21,106.53
|
|
|
Service Code
|
APR-DRG 2203
|
| Hospital Charge Code |
APRDRG2203
|
| Min. Negotiated Rate |
$21,106.53 |
| Max. Negotiated Rate |
$21,106.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,106.53
|
| Rate for Payer: Mercy Care Medicaid |
$21,106.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,106.53
|
|
|
MAJOR THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$17,451.40
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$17,451.40 |
| Max. Negotiated Rate |
$17,451.40 |
| Rate for Payer: Seven Corners Travel Insurance |
$17,451.40
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$12,380.41
|
|
|
Service Code
|
APR-DRG 5014
|
| Hospital Charge Code |
APRDRG5011
|
| Min. Negotiated Rate |
$12,380.41 |
| Max. Negotiated Rate |
$12,380.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,380.41
|
| Rate for Payer: Mercy Care Medicaid |
$12,380.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,380.41
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$12,380.41
|
|
|
Service Code
|
APR-DRG 5014
|
| Hospital Charge Code |
APRDRG5014
|
| Min. Negotiated Rate |
$12,380.41 |
| Max. Negotiated Rate |
$12,380.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,380.41
|
| Rate for Payer: Mercy Care Medicaid |
$12,380.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,380.41
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$12,380.41
|
|
|
Service Code
|
APR-DRG 5014
|
| Hospital Charge Code |
APRDRG5012
|
| Min. Negotiated Rate |
$12,380.41 |
| Max. Negotiated Rate |
$12,380.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,380.41
|
| Rate for Payer: Mercy Care Medicaid |
$12,380.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,380.41
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$4,289.76
|
|
|
Service Code
|
APR-DRG 5012
|
| Hospital Charge Code |
APRDRG5011
|
| Min. Negotiated Rate |
$4,289.76 |
| Max. Negotiated Rate |
$4,289.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,289.76
|
| Rate for Payer: Mercy Care Medicaid |
$4,289.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,289.76
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$6,284.54
|
|
|
Service Code
|
APR-DRG 5013
|
| Hospital Charge Code |
APRDRG5011
|
| Min. Negotiated Rate |
$6,284.54 |
| Max. Negotiated Rate |
$6,284.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,284.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,284.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,284.54
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$4,289.76
|
|
|
Service Code
|
APR-DRG 5012
|
| Hospital Charge Code |
APRDRG5013
|
| Min. Negotiated Rate |
$4,289.76 |
| Max. Negotiated Rate |
$4,289.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,289.76
|
| Rate for Payer: Mercy Care Medicaid |
$4,289.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,289.76
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$6,284.54
|
|
|
Service Code
|
APR-DRG 5013
|
| Hospital Charge Code |
APRDRG5013
|
| Min. Negotiated Rate |
$6,284.54 |
| Max. Negotiated Rate |
$6,284.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,284.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,284.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,284.54
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$3,301.49
|
|
|
Service Code
|
APR-DRG 5011
|
| Hospital Charge Code |
APRDRG5012
|
| Min. Negotiated Rate |
$3,301.49 |
| Max. Negotiated Rate |
$3,301.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,301.49
|
| Rate for Payer: Mercy Care Medicaid |
$3,301.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,301.49
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$6,284.54
|
|
|
Service Code
|
APR-DRG 5013
|
| Hospital Charge Code |
APRDRG5014
|
| Min. Negotiated Rate |
$6,284.54 |
| Max. Negotiated Rate |
$6,284.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,284.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,284.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,284.54
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$12,380.41
|
|
|
Service Code
|
APR-DRG 5014
|
| Hospital Charge Code |
APRDRG5013
|
| Min. Negotiated Rate |
$12,380.41 |
| Max. Negotiated Rate |
$12,380.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,380.41
|
| Rate for Payer: Mercy Care Medicaid |
$12,380.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,380.41
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$3,301.49
|
|
|
Service Code
|
APR-DRG 5011
|
| Hospital Charge Code |
APRDRG5011
|
| Min. Negotiated Rate |
$3,301.49 |
| Max. Negotiated Rate |
$3,301.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,301.49
|
| Rate for Payer: Mercy Care Medicaid |
$3,301.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,301.49
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$3,301.49
|
|
|
Service Code
|
APR-DRG 5011
|
| Hospital Charge Code |
APRDRG5014
|
| Min. Negotiated Rate |
$3,301.49 |
| Max. Negotiated Rate |
$3,301.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,301.49
|
| Rate for Payer: Mercy Care Medicaid |
$3,301.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,301.49
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$6,284.54
|
|
|
Service Code
|
APR-DRG 5013
|
| Hospital Charge Code |
APRDRG5012
|
| Min. Negotiated Rate |
$6,284.54 |
| Max. Negotiated Rate |
$6,284.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,284.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,284.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,284.54
|
|
|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$4,289.76
|
|
|
Service Code
|
APR-DRG 5012
|
| Hospital Charge Code |
APRDRG5014
|
| Min. Negotiated Rate |
$4,289.76 |
| Max. Negotiated Rate |
$4,289.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,289.76
|
| Rate for Payer: Mercy Care Medicaid |
$4,289.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,289.76
|
|
