|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$7,583.54
|
|
|
Service Code
|
APR-DRG 5003
|
| Hospital Charge Code |
APRDRG5004
|
| 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
|
$5,268.22
|
|
|
Service Code
|
APR-DRG 5002
|
| Hospital Charge Code |
APRDRG5004
|
| Min. Negotiated Rate |
$5,268.22 |
| Max. Negotiated Rate |
$5,268.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,268.22
|
| Rate for Payer: Mercy Care Medicaid |
$5,268.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,268.22
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$5,268.22
|
|
|
Service Code
|
APR-DRG 5002
|
| Hospital Charge Code |
APRDRG5001
|
| Min. Negotiated Rate |
$5,268.22 |
| Max. Negotiated Rate |
$5,268.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,268.22
|
| Rate for Payer: Mercy Care Medicaid |
$5,268.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,268.22
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$13,371.49
|
|
|
Service Code
|
APR-DRG 5004
|
| Hospital Charge Code |
APRDRG5001
|
| 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
|
$5,268.22
|
|
|
Service Code
|
APR-DRG 5002
|
| Hospital Charge Code |
APRDRG5002
|
| Min. Negotiated Rate |
$5,268.22 |
| Max. Negotiated Rate |
$5,268.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,268.22
|
| Rate for Payer: Mercy Care Medicaid |
$5,268.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,268.22
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$4,259.60
|
|
|
Service Code
|
APR-DRG 5001
|
| Hospital Charge Code |
APRDRG5001
|
| 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
|
$4,259.60
|
|
|
Service Code
|
APR-DRG 5001
|
| Hospital Charge Code |
APRDRG5004
|
| 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
|
$5,268.22
|
|
|
Service Code
|
APR-DRG 5002
|
| Hospital Charge Code |
APRDRG5003
|
| Min. Negotiated Rate |
$5,268.22 |
| Max. Negotiated Rate |
$5,268.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,268.22
|
| Rate for Payer: Mercy Care Medicaid |
$5,268.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,268.22
|
|
|
Malignancy, Male Reproductive System
|
Facility
|
IP
|
$4,259.60
|
|
|
Service Code
|
APR-DRG 5001
|
| Hospital Charge Code |
APRDRG5003
|
| 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 |
APRDRG5001
|
| 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 WITH CC
|
Facility
|
IP
|
$14,834.79
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$14,834.79 |
| Max. Negotiated Rate |
$14,834.79 |
| Rate for Payer: Seven Corners Travel Insurance |
$14,834.79
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$23,388.85
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$23,388.85 |
| Max. Negotiated Rate |
$23,388.85 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,388.85
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$8,663.94
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$8,663.94 |
| Max. Negotiated Rate |
$8,663.94 |
| Rate for Payer: Seven Corners Travel Insurance |
$8,663.94
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$4,715.51
|
|
|
Service Code
|
APR-DRG 2811
|
| Hospital Charge Code |
APRDRG2811
|
| Min. Negotiated Rate |
$4,715.51 |
| Max. Negotiated Rate |
$4,715.51 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,715.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,715.51
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,715.51
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$6,007.49
|
|
|
Service Code
|
APR-DRG 2812
|
| Hospital Charge Code |
APRDRG2811
|
| Min. Negotiated Rate |
$6,007.49 |
| Max. Negotiated Rate |
$6,007.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,007.49
|
| Rate for Payer: Mercy Care Medicaid |
$6,007.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,007.49
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$12,783.72
|
|
|
Service Code
|
APR-DRG 2814
|
| Hospital Charge Code |
APRDRG2814
|
| Min. Negotiated Rate |
$12,783.72 |
| Max. Negotiated Rate |
$12,783.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,783.72
|
| Rate for Payer: Mercy Care Medicaid |
$12,783.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,783.72
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$12,783.72
|
|
|
Service Code
|
APR-DRG 2814
|
| Hospital Charge Code |
APRDRG2811
|
| Min. Negotiated Rate |
$12,783.72 |
| Max. Negotiated Rate |
$12,783.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,783.72
|
| Rate for Payer: Mercy Care Medicaid |
$12,783.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,783.72
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$6,007.49
|
|
|
Service Code
|
APR-DRG 2812
|
| Hospital Charge Code |
APRDRG2813
|
| Min. Negotiated Rate |
$6,007.49 |
| Max. Negotiated Rate |
$6,007.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,007.49
|
| Rate for Payer: Mercy Care Medicaid |
$6,007.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,007.49
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$6,007.49
|
|
|
Service Code
|
APR-DRG 2812
|
| Hospital Charge Code |
APRDRG2812
|
| Min. Negotiated Rate |
$6,007.49 |
| Max. Negotiated Rate |
$6,007.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,007.49
|
| Rate for Payer: Mercy Care Medicaid |
$6,007.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,007.49
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$7,898.47
|
|
|
Service Code
|
APR-DRG 2813
|
| Hospital Charge Code |
APRDRG2811
|
| Min. Negotiated Rate |
$7,898.47 |
| Max. Negotiated Rate |
$7,898.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,898.47
|
| Rate for Payer: Mercy Care Medicaid |
$7,898.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,898.47
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$4,715.51
|
|
|
Service Code
|
APR-DRG 2811
|
| Hospital Charge Code |
APRDRG2812
|
| Min. Negotiated Rate |
$4,715.51 |
| Max. Negotiated Rate |
$4,715.51 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,715.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,715.51
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,715.51
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$7,898.47
|
|
|
Service Code
|
APR-DRG 2813
|
| Hospital Charge Code |
APRDRG2813
|
| Min. Negotiated Rate |
$7,898.47 |
| Max. Negotiated Rate |
$7,898.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,898.47
|
| Rate for Payer: Mercy Care Medicaid |
$7,898.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,898.47
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$7,898.47
|
|
|
Service Code
|
APR-DRG 2813
|
| Hospital Charge Code |
APRDRG2812
|
| Min. Negotiated Rate |
$7,898.47 |
| Max. Negotiated Rate |
$7,898.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,898.47
|
| Rate for Payer: Mercy Care Medicaid |
$7,898.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,898.47
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$4,715.51
|
|
|
Service Code
|
APR-DRG 2811
|
| Hospital Charge Code |
APRDRG2813
|
| Min. Negotiated Rate |
$4,715.51 |
| Max. Negotiated Rate |
$4,715.51 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,715.51
|
| Rate for Payer: Mercy Care Medicaid |
$4,715.51
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,715.51
|
|
|
Malignancy Of Hepatobiliary System And Pancreas
|
Facility
|
IP
|
$12,783.72
|
|
|
Service Code
|
APR-DRG 2814
|
| Hospital Charge Code |
APRDRG2812
|
| Min. Negotiated Rate |
$12,783.72 |
| Max. Negotiated Rate |
$12,783.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,783.72
|
| Rate for Payer: Mercy Care Medicaid |
$12,783.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,783.72
|
|
