|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$3,643.07
|
|
|
Service Code
|
APR-DRG 3491
|
| Hospital Charge Code |
APRDRG3494
|
| Min. Negotiated Rate |
$3,643.07 |
| Max. Negotiated Rate |
$3,643.07 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,643.07
|
| Rate for Payer: Mercy Care Medicaid |
$3,643.07
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,643.07
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$14,955.25
|
|
|
Service Code
|
APR-DRG 3494
|
| Hospital Charge Code |
APRDRG3492
|
| Min. Negotiated Rate |
$14,955.25 |
| Max. Negotiated Rate |
$14,955.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,955.25
|
| Rate for Payer: Mercy Care Medicaid |
$14,955.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,955.25
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$8,119.41
|
|
|
Service Code
|
APR-DRG 3493
|
| Hospital Charge Code |
APRDRG3494
|
| Min. Negotiated Rate |
$8,119.41 |
| Max. Negotiated Rate |
$8,119.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,119.41
|
| Rate for Payer: Mercy Care Medicaid |
$8,119.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,119.41
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$3,643.07
|
|
|
Service Code
|
APR-DRG 3491
|
| Hospital Charge Code |
APRDRG3493
|
| Min. Negotiated Rate |
$3,643.07 |
| Max. Negotiated Rate |
$3,643.07 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,643.07
|
| Rate for Payer: Mercy Care Medicaid |
$3,643.07
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,643.07
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$3,643.07
|
|
|
Service Code
|
APR-DRG 3491
|
| Hospital Charge Code |
APRDRG3492
|
| Min. Negotiated Rate |
$3,643.07 |
| Max. Negotiated Rate |
$3,643.07 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,643.07
|
| Rate for Payer: Mercy Care Medicaid |
$3,643.07
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,643.07
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$8,119.41
|
|
|
Service Code
|
APR-DRG 3493
|
| Hospital Charge Code |
APRDRG3492
|
| Min. Negotiated Rate |
$8,119.41 |
| Max. Negotiated Rate |
$8,119.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,119.41
|
| Rate for Payer: Mercy Care Medicaid |
$8,119.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,119.41
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$5,432.34
|
|
|
Service Code
|
APR-DRG 3492
|
| Hospital Charge Code |
APRDRG3491
|
| Min. Negotiated Rate |
$5,432.34 |
| Max. Negotiated Rate |
$5,432.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,432.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,432.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,432.34
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$14,955.25
|
|
|
Service Code
|
APR-DRG 3494
|
| Hospital Charge Code |
APRDRG3494
|
| Min. Negotiated Rate |
$14,955.25 |
| Max. Negotiated Rate |
$14,955.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,955.25
|
| Rate for Payer: Mercy Care Medicaid |
$14,955.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,955.25
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$8,119.41
|
|
|
Service Code
|
APR-DRG 3493
|
| Hospital Charge Code |
APRDRG3491
|
| Min. Negotiated Rate |
$8,119.41 |
| Max. Negotiated Rate |
$8,119.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,119.41
|
| Rate for Payer: Mercy Care Medicaid |
$8,119.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,119.41
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$5,432.34
|
|
|
Service Code
|
APR-DRG 3492
|
| Hospital Charge Code |
APRDRG3492
|
| Min. Negotiated Rate |
$5,432.34 |
| Max. Negotiated Rate |
$5,432.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,432.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,432.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,432.34
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$8,119.41
|
|
|
Service Code
|
APR-DRG 3493
|
| Hospital Charge Code |
APRDRG3493
|
| Min. Negotiated Rate |
$8,119.41 |
| Max. Negotiated Rate |
$8,119.41 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,119.41
|
| Rate for Payer: Mercy Care Medicaid |
$8,119.41
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,119.41
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$3,643.07
|
|
|
Service Code
|
APR-DRG 3491
|
| Hospital Charge Code |
APRDRG3491
|
| Min. Negotiated Rate |
$3,643.07 |
| Max. Negotiated Rate |
$3,643.07 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,643.07
|
| Rate for Payer: Mercy Care Medicaid |
$3,643.07
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,643.07
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$14,955.25
|
|
|
Service Code
|
APR-DRG 3494
|
| Hospital Charge Code |
APRDRG3493
|
| Min. Negotiated Rate |
$14,955.25 |
| Max. Negotiated Rate |
$14,955.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,955.25
|
| Rate for Payer: Mercy Care Medicaid |
$14,955.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,955.25
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$5,432.34
|
|
|
Service Code
|
APR-DRG 3492
|
| Hospital Charge Code |
APRDRG3494
|
| Min. Negotiated Rate |
$5,432.34 |
| Max. Negotiated Rate |
$5,432.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,432.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,432.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,432.34
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$14,955.25
|
|
|
Service Code
|
APR-DRG 3494
|
| Hospital Charge Code |
APRDRG3491
|
| Min. Negotiated Rate |
$14,955.25 |
| Max. Negotiated Rate |
$14,955.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,955.25
|
| Rate for Payer: Mercy Care Medicaid |
$14,955.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,955.25
|
|
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
Facility
|
IP
|
$5,432.34
|
|
|
Service Code
|
APR-DRG 3492
|
| Hospital Charge Code |
APRDRG3493
|
| Min. Negotiated Rate |
$5,432.34 |
| Max. Negotiated Rate |
$5,432.34 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,432.34
|
| Rate for Payer: Mercy Care Medicaid |
$5,432.34
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,432.34
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$14,139.15
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$14,139.15 |
| Max. Negotiated Rate |
$14,139.15 |
| Rate for Payer: Seven Corners Travel Insurance |
$14,139.15
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$23,802.40
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$23,802.40 |
| Max. Negotiated Rate |
$23,802.40 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,802.40
|
|
|
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$12,526.11
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$12,526.11 |
| Max. Negotiated Rate |
$12,526.11 |
| Rate for Payer: Seven Corners Travel Insurance |
$12,526.11
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$13,371.49
|
|
|
Service Code
|
APR-DRG 5004
|
| Hospital Charge Code |
APRDRG5004
|
| Min. Negotiated Rate |
$13,371.49 |
| Max. Negotiated Rate |
$13,371.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,371.49
|
| Rate for Payer: Mercy Care Medicaid |
$13,371.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,371.49
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$4,259.60
|
|
|
Service Code
|
APR-DRG 5001
|
| Hospital Charge Code |
APRDRG5002
|
| Min. Negotiated Rate |
$4,259.60 |
| Max. Negotiated Rate |
$4,259.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,259.60
|
| Rate for Payer: Mercy Care Medicaid |
$4,259.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,259.60
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$7,583.54
|
|
|
Service Code
|
APR-DRG 5003
|
| Hospital Charge Code |
APRDRG5002
|
| Min. Negotiated Rate |
$7,583.54 |
| Max. Negotiated Rate |
$7,583.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,583.54
|
| Rate for Payer: Mercy Care Medicaid |
$7,583.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,583.54
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$13,371.49
|
|
|
Service Code
|
APR-DRG 5004
|
| Hospital Charge Code |
APRDRG5002
|
| Min. Negotiated Rate |
$13,371.49 |
| Max. Negotiated Rate |
$13,371.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,371.49
|
| Rate for Payer: Mercy Care Medicaid |
$13,371.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,371.49
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$13,371.49
|
|
|
Service Code
|
APR-DRG 5004
|
| Hospital Charge Code |
APRDRG5003
|
| Min. Negotiated Rate |
$13,371.49 |
| Max. Negotiated Rate |
$13,371.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,371.49
|
| Rate for Payer: Mercy Care Medicaid |
$13,371.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,371.49
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$7,583.54
|
|
|
Service Code
|
APR-DRG 5003
|
| Hospital Charge Code |
APRDRG5003
|
| Min. Negotiated Rate |
$7,583.54 |
| Max. Negotiated Rate |
$7,583.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,583.54
|
| Rate for Payer: Mercy Care Medicaid |
$7,583.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,583.54
|
|
