|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$46,137.39
|
|
|
Service Code
|
APR-DRG 9124
|
| Hospital Charge Code |
APRDRG9121
|
| Min. Negotiated Rate |
$46,137.39 |
| Max. Negotiated Rate |
$46,137.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$46,137.39
|
| Rate for Payer: Mercy Care Medicaid |
$46,137.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$46,137.39
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$46,137.39
|
|
|
Service Code
|
APR-DRG 9124
|
| Hospital Charge Code |
APRDRG9123
|
| Min. Negotiated Rate |
$46,137.39 |
| Max. Negotiated Rate |
$46,137.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$46,137.39
|
| Rate for Payer: Mercy Care Medicaid |
$46,137.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$46,137.39
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,661.87
|
|
|
Service Code
|
APR-DRG 9121
|
| Hospital Charge Code |
APRDRG9124
|
| Min. Negotiated Rate |
$13,661.87 |
| Max. Negotiated Rate |
$13,661.87 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,661.87
|
| Rate for Payer: Mercy Care Medicaid |
$13,661.87
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,661.87
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$46,137.39
|
|
|
Service Code
|
APR-DRG 9124
|
| Hospital Charge Code |
APRDRG9122
|
| Min. Negotiated Rate |
$46,137.39 |
| Max. Negotiated Rate |
$46,137.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$46,137.39
|
| Rate for Payer: Mercy Care Medicaid |
$46,137.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$46,137.39
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$24,008.22
|
|
|
Service Code
|
APR-DRG 9123
|
| Hospital Charge Code |
APRDRG9123
|
| Min. Negotiated Rate |
$24,008.22 |
| Max. Negotiated Rate |
$24,008.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,008.22
|
| Rate for Payer: Mercy Care Medicaid |
$24,008.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,008.22
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,817.08
|
|
|
Service Code
|
APR-DRG 9122
|
| Hospital Charge Code |
APRDRG9121
|
| Min. Negotiated Rate |
$14,817.08 |
| Max. Negotiated Rate |
$14,817.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,817.08
|
| Rate for Payer: Mercy Care Medicaid |
$14,817.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,817.08
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,661.87
|
|
|
Service Code
|
APR-DRG 9121
|
| Hospital Charge Code |
APRDRG9121
|
| Min. Negotiated Rate |
$13,661.87 |
| Max. Negotiated Rate |
$13,661.87 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,661.87
|
| Rate for Payer: Mercy Care Medicaid |
$13,661.87
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,661.87
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$13,661.87
|
|
|
Service Code
|
APR-DRG 9121
|
| Hospital Charge Code |
APRDRG9123
|
| Min. Negotiated Rate |
$13,661.87 |
| Max. Negotiated Rate |
$13,661.87 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,661.87
|
| Rate for Payer: Mercy Care Medicaid |
$13,661.87
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,661.87
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$24,008.22
|
|
|
Service Code
|
APR-DRG 9123
|
| Hospital Charge Code |
APRDRG9124
|
| Min. Negotiated Rate |
$24,008.22 |
| Max. Negotiated Rate |
$24,008.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$24,008.22
|
| Rate for Payer: Mercy Care Medicaid |
$24,008.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$24,008.22
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,817.08
|
|
|
Service Code
|
APR-DRG 9122
|
| Hospital Charge Code |
APRDRG9122
|
| Min. Negotiated Rate |
$14,817.08 |
| Max. Negotiated Rate |
$14,817.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,817.08
|
| Rate for Payer: Mercy Care Medicaid |
$14,817.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,817.08
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$46,137.39
|
|
|
Service Code
|
APR-DRG 9124
|
| Hospital Charge Code |
APRDRG9124
|
| Min. Negotiated Rate |
$46,137.39 |
| Max. Negotiated Rate |
$46,137.39 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$46,137.39
|
| Rate for Payer: Mercy Care Medicaid |
$46,137.39
|
| Rate for Payer: NaphCare Correctional Healthcare |
$46,137.39
|
|
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
Facility
|
IP
|
$14,817.08
|
|
|
Service Code
|
APR-DRG 9122
|
| Hospital Charge Code |
APRDRG9124
|
| Min. Negotiated Rate |
$14,817.08 |
| Max. Negotiated Rate |
$14,817.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,817.08
|
| Rate for Payer: Mercy Care Medicaid |
$14,817.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,817.08
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$10,084.73
|
|
|
Service Code
|
APR-DRG 3433
|
| Hospital Charge Code |
APRDRG3431
|
| Min. Negotiated Rate |
$10,084.73 |
| Max. Negotiated Rate |
$10,084.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,084.73
|
| Rate for Payer: Mercy Care Medicaid |
$10,084.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,084.73
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$17,739.81
|
|
|
Service Code
|
APR-DRG 3434
|
| Hospital Charge Code |
APRDRG3431
|
| Min. Negotiated Rate |
$17,739.81 |
| Max. Negotiated Rate |
$17,739.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,739.81
|
| Rate for Payer: Mercy Care Medicaid |
$17,739.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,739.81
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$10,084.73
|
|
|
Service Code
|
APR-DRG 3433
|
| Hospital Charge Code |
APRDRG3434
|
| Min. Negotiated Rate |
$10,084.73 |
| Max. Negotiated Rate |
$10,084.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,084.73
|
| Rate for Payer: Mercy Care Medicaid |
$10,084.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,084.73
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$5,616.11
|
|
|
Service Code
|
APR-DRG 3431
|
| Hospital Charge Code |
APRDRG3432
|
| Min. Negotiated Rate |
$5,616.11 |
| Max. Negotiated Rate |
$5,616.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,616.11
|
| Rate for Payer: Mercy Care Medicaid |
$5,616.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,616.11
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$17,739.81
|
|
|
Service Code
|
APR-DRG 3434
|
| Hospital Charge Code |
APRDRG3433
|
| Min. Negotiated Rate |
$17,739.81 |
| Max. Negotiated Rate |
$17,739.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,739.81
|
| Rate for Payer: Mercy Care Medicaid |
$17,739.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,739.81
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$5,616.11
|
|
|
Service Code
|
APR-DRG 3431
|
| Hospital Charge Code |
APRDRG3433
|
| Min. Negotiated Rate |
$5,616.11 |
| Max. Negotiated Rate |
$5,616.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,616.11
|
| Rate for Payer: Mercy Care Medicaid |
$5,616.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,616.11
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$6,634.54
|
|
|
Service Code
|
APR-DRG 3432
|
| Hospital Charge Code |
APRDRG3433
|
| Min. Negotiated Rate |
$6,634.54 |
| Max. Negotiated Rate |
$6,634.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,634.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,634.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,634.54
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$17,739.81
|
|
|
Service Code
|
APR-DRG 3434
|
| Hospital Charge Code |
APRDRG3434
|
| Min. Negotiated Rate |
$17,739.81 |
| Max. Negotiated Rate |
$17,739.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,739.81
|
| Rate for Payer: Mercy Care Medicaid |
$17,739.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,739.81
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$10,084.73
|
|
|
Service Code
|
APR-DRG 3433
|
| Hospital Charge Code |
APRDRG3433
|
| Min. Negotiated Rate |
$10,084.73 |
| Max. Negotiated Rate |
$10,084.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,084.73
|
| Rate for Payer: Mercy Care Medicaid |
$10,084.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,084.73
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$6,634.54
|
|
|
Service Code
|
APR-DRG 3432
|
| Hospital Charge Code |
APRDRG3432
|
| Min. Negotiated Rate |
$6,634.54 |
| Max. Negotiated Rate |
$6,634.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,634.54
|
| Rate for Payer: Mercy Care Medicaid |
$6,634.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,634.54
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$5,616.11
|
|
|
Service Code
|
APR-DRG 3431
|
| Hospital Charge Code |
APRDRG3434
|
| Min. Negotiated Rate |
$5,616.11 |
| Max. Negotiated Rate |
$5,616.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,616.11
|
| Rate for Payer: Mercy Care Medicaid |
$5,616.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,616.11
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$10,084.73
|
|
|
Service Code
|
APR-DRG 3433
|
| Hospital Charge Code |
APRDRG3432
|
| Min. Negotiated Rate |
$10,084.73 |
| Max. Negotiated Rate |
$10,084.73 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,084.73
|
| Rate for Payer: Mercy Care Medicaid |
$10,084.73
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,084.73
|
|
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy
|
Facility
|
IP
|
$17,739.81
|
|
|
Service Code
|
APR-DRG 3434
|
| Hospital Charge Code |
APRDRG3432
|
| Min. Negotiated Rate |
$17,739.81 |
| Max. Negotiated Rate |
$17,739.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$17,739.81
|
| Rate for Payer: Mercy Care Medicaid |
$17,739.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$17,739.81
|
|
