|
Male Reproductive System Diagnoses Except Malignancy
|
Facility
|
IP
|
$4,289.76
|
|
|
Service Code
|
APR-DRG 5012
|
| Hospital Charge Code |
APRDRG5012
|
| 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
|
$3,301.49
|
|
|
Service Code
|
APR-DRG 5011
|
| Hospital Charge Code |
APRDRG5013
|
| 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
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$16,206.55
|
|
|
Service Code
|
APR-DRG 2524
|
| Hospital Charge Code |
APRDRG2522
|
| Min. Negotiated Rate |
$16,206.55 |
| Max. Negotiated Rate |
$16,206.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,206.55
|
| Rate for Payer: Mercy Care Medicaid |
$16,206.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,206.55
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$3,976.24
|
|
|
Service Code
|
APR-DRG 2521
|
| Hospital Charge Code |
APRDRG2522
|
| Min. Negotiated Rate |
$3,976.24 |
| Max. Negotiated Rate |
$3,976.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,976.24
|
| Rate for Payer: Mercy Care Medicaid |
$3,976.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,976.24
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$7,653.68
|
|
|
Service Code
|
APR-DRG 2523
|
| Hospital Charge Code |
APRDRG2524
|
| Min. Negotiated Rate |
$7,653.68 |
| Max. Negotiated Rate |
$7,653.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,653.68
|
| Rate for Payer: Mercy Care Medicaid |
$7,653.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,653.68
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$3,976.24
|
|
|
Service Code
|
APR-DRG 2521
|
| Hospital Charge Code |
APRDRG2524
|
| Min. Negotiated Rate |
$3,976.24 |
| Max. Negotiated Rate |
$3,976.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,976.24
|
| Rate for Payer: Mercy Care Medicaid |
$3,976.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,976.24
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$5,019.92
|
|
|
Service Code
|
APR-DRG 2522
|
| Hospital Charge Code |
APRDRG2522
|
| Min. Negotiated Rate |
$5,019.92 |
| Max. Negotiated Rate |
$5,019.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,019.92
|
| Rate for Payer: Mercy Care Medicaid |
$5,019.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,019.92
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$5,019.92
|
|
|
Service Code
|
APR-DRG 2522
|
| Hospital Charge Code |
APRDRG2524
|
| Min. Negotiated Rate |
$5,019.92 |
| Max. Negotiated Rate |
$5,019.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,019.92
|
| Rate for Payer: Mercy Care Medicaid |
$5,019.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,019.92
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$16,206.55
|
|
|
Service Code
|
APR-DRG 2524
|
| Hospital Charge Code |
APRDRG2521
|
| Min. Negotiated Rate |
$16,206.55 |
| Max. Negotiated Rate |
$16,206.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,206.55
|
| Rate for Payer: Mercy Care Medicaid |
$16,206.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,206.55
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$7,653.68
|
|
|
Service Code
|
APR-DRG 2523
|
| Hospital Charge Code |
APRDRG2522
|
| Min. Negotiated Rate |
$7,653.68 |
| Max. Negotiated Rate |
$7,653.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,653.68
|
| Rate for Payer: Mercy Care Medicaid |
$7,653.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,653.68
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$3,976.24
|
|
|
Service Code
|
APR-DRG 2521
|
| Hospital Charge Code |
APRDRG2523
|
| Min. Negotiated Rate |
$3,976.24 |
| Max. Negotiated Rate |
$3,976.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,976.24
|
| Rate for Payer: Mercy Care Medicaid |
$3,976.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,976.24
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$16,206.55
|
|
|
Service Code
|
APR-DRG 2524
|
| Hospital Charge Code |
APRDRG2523
|
| Min. Negotiated Rate |
$16,206.55 |
| Max. Negotiated Rate |
$16,206.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,206.55
|
| Rate for Payer: Mercy Care Medicaid |
$16,206.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,206.55
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$16,206.55
|
|
|
Service Code
|
APR-DRG 2524
|
| Hospital Charge Code |
APRDRG2524
|
| Min. Negotiated Rate |
$16,206.55 |
| Max. Negotiated Rate |
$16,206.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,206.55
|
| Rate for Payer: Mercy Care Medicaid |
$16,206.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,206.55
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$5,019.92
|
|
|
Service Code
|
APR-DRG 2522
|
| Hospital Charge Code |
APRDRG2523
|
| Min. Negotiated Rate |
$5,019.92 |
| Max. Negotiated Rate |
$5,019.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,019.92
|
| Rate for Payer: Mercy Care Medicaid |
$5,019.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,019.92
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$7,653.68
|
|
|
Service Code
|
APR-DRG 2523
|
| Hospital Charge Code |
APRDRG2521
|
| Min. Negotiated Rate |
$7,653.68 |
| Max. Negotiated Rate |
$7,653.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,653.68
|
| Rate for Payer: Mercy Care Medicaid |
$7,653.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,653.68
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$7,653.68
|
|
|
Service Code
|
APR-DRG 2523
|
| Hospital Charge Code |
APRDRG2523
|
| Min. Negotiated Rate |
$7,653.68 |
| Max. Negotiated Rate |
$7,653.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,653.68
|
| Rate for Payer: Mercy Care Medicaid |
$7,653.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,653.68
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$5,019.92
|
|
|
Service Code
|
APR-DRG 2522
|
| Hospital Charge Code |
APRDRG2521
|
| Min. Negotiated Rate |
$5,019.92 |
| Max. Negotiated Rate |
$5,019.92 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,019.92
|
| Rate for Payer: Mercy Care Medicaid |
$5,019.92
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,019.92
|
|
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure
|
Facility
|
IP
|
$3,976.24
|
|
|
Service Code
|
APR-DRG 2521
|
| Hospital Charge Code |
APRDRG2521
|
| Min. Negotiated Rate |
$3,976.24 |
| Max. Negotiated Rate |
$3,976.24 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,976.24
|
| Rate for Payer: Mercy Care Medicaid |
$3,976.24
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,976.24
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$5,014.31
|
|
|
Service Code
|
APR-DRG 2061
|
| Hospital Charge Code |
APRDRG2064
|
| Min. Negotiated Rate |
$5,014.31 |
| Max. Negotiated Rate |
$5,014.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,014.31
|
| Rate for Payer: Mercy Care Medicaid |
$5,014.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,014.31
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$5,165.81
|
|
|
Service Code
|
APR-DRG 2062
|
| Hospital Charge Code |
APRDRG2061
|
| Min. Negotiated Rate |
$5,165.81 |
| Max. Negotiated Rate |
$5,165.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,165.81
|
| Rate for Payer: Mercy Care Medicaid |
$5,165.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,165.81
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$5,014.31
|
|
|
Service Code
|
APR-DRG 2061
|
| Hospital Charge Code |
APRDRG2062
|
| Min. Negotiated Rate |
$5,014.31 |
| Max. Negotiated Rate |
$5,014.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,014.31
|
| Rate for Payer: Mercy Care Medicaid |
$5,014.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,014.31
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$5,014.31
|
|
|
Service Code
|
APR-DRG 2061
|
| Hospital Charge Code |
APRDRG2061
|
| Min. Negotiated Rate |
$5,014.31 |
| Max. Negotiated Rate |
$5,014.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,014.31
|
| Rate for Payer: Mercy Care Medicaid |
$5,014.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,014.31
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$16,159.55
|
|
|
Service Code
|
APR-DRG 2064
|
| Hospital Charge Code |
APRDRG2062
|
| Min. Negotiated Rate |
$16,159.55 |
| Max. Negotiated Rate |
$16,159.55 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,159.55
|
| Rate for Payer: Mercy Care Medicaid |
$16,159.55
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,159.55
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$7,528.13
|
|
|
Service Code
|
APR-DRG 2063
|
| Hospital Charge Code |
APRDRG2061
|
| Min. Negotiated Rate |
$7,528.13 |
| Max. Negotiated Rate |
$7,528.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,528.13
|
| Rate for Payer: Mercy Care Medicaid |
$7,528.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,528.13
|
|
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
Facility
|
IP
|
$7,528.13
|
|
|
Service Code
|
APR-DRG 2063
|
| Hospital Charge Code |
APRDRG2063
|
| Min. Negotiated Rate |
$7,528.13 |
| Max. Negotiated Rate |
$7,528.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,528.13
|
| Rate for Payer: Mercy Care Medicaid |
$7,528.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,528.13
|
|
