|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$55,438.66
|
|
|
Service Code
|
APR-DRG 6022
|
| Hospital Charge Code |
APRDRG6024
|
| Min. Negotiated Rate |
$55,438.66 |
| Max. Negotiated Rate |
$55,438.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$55,438.66
|
| Rate for Payer: Mercy Care Medicaid |
$55,438.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$55,438.66
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$61,856.47
|
|
|
Service Code
|
APR-DRG 6023
|
| Hospital Charge Code |
APRDRG6024
|
| Min. Negotiated Rate |
$61,856.47 |
| Max. Negotiated Rate |
$61,856.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$61,856.47
|
| Rate for Payer: Mercy Care Medicaid |
$61,856.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$61,856.47
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$19,312.35
|
|
|
Service Code
|
APR-DRG 6021
|
| Hospital Charge Code |
APRDRG6021
|
| Min. Negotiated Rate |
$19,312.35 |
| Max. Negotiated Rate |
$19,312.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,312.35
|
| Rate for Payer: Mercy Care Medicaid |
$19,312.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,312.35
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$90,728.90
|
|
|
Service Code
|
APR-DRG 6024
|
| Hospital Charge Code |
APRDRG6022
|
| Min. Negotiated Rate |
$90,728.90 |
| Max. Negotiated Rate |
$90,728.90 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$90,728.90
|
| Rate for Payer: Mercy Care Medicaid |
$90,728.90
|
| Rate for Payer: NaphCare Correctional Healthcare |
$90,728.90
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$61,856.47
|
|
|
Service Code
|
APR-DRG 6023
|
| Hospital Charge Code |
APRDRG6021
|
| Min. Negotiated Rate |
$61,856.47 |
| Max. Negotiated Rate |
$61,856.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$61,856.47
|
| Rate for Payer: Mercy Care Medicaid |
$61,856.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$61,856.47
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$19,312.35
|
|
|
Service Code
|
APR-DRG 6021
|
| Hospital Charge Code |
APRDRG6024
|
| Min. Negotiated Rate |
$19,312.35 |
| Max. Negotiated Rate |
$19,312.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,312.35
|
| Rate for Payer: Mercy Care Medicaid |
$19,312.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,312.35
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$61,856.47
|
|
|
Service Code
|
APR-DRG 6023
|
| Hospital Charge Code |
APRDRG6023
|
| Min. Negotiated Rate |
$61,856.47 |
| Max. Negotiated Rate |
$61,856.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$61,856.47
|
| Rate for Payer: Mercy Care Medicaid |
$61,856.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$61,856.47
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$19,312.35
|
|
|
Service Code
|
APR-DRG 6021
|
| Hospital Charge Code |
APRDRG6023
|
| Min. Negotiated Rate |
$19,312.35 |
| Max. Negotiated Rate |
$19,312.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,312.35
|
| Rate for Payer: Mercy Care Medicaid |
$19,312.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,312.35
|
|
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
|
Facility
|
IP
|
$61,856.47
|
|
|
Service Code
|
APR-DRG 6023
|
| Hospital Charge Code |
APRDRG6022
|
| Min. Negotiated Rate |
$61,856.47 |
| Max. Negotiated Rate |
$61,856.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$61,856.47
|
| Rate for Payer: Mercy Care Medicaid |
$61,856.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$61,856.47
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$67,001.94
|
|
|
Service Code
|
APR-DRG 6084
|
| Hospital Charge Code |
APRDRG6083
|
| Min. Negotiated Rate |
$67,001.94 |
| Max. Negotiated Rate |
$67,001.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$67,001.94
|
| Rate for Payer: Mercy Care Medicaid |
$67,001.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$67,001.94
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$10,373.00
|
|
|
Service Code
|
APR-DRG 6081
|
| Hospital Charge Code |
APRDRG6084
|
| Min. Negotiated Rate |
$10,373.00 |
| Max. Negotiated Rate |
$10,373.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,373.00
|
| Rate for Payer: Mercy Care Medicaid |
$10,373.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,373.00
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$10,373.00
|
|
|
Service Code
|
APR-DRG 6081
|
| Hospital Charge Code |
APRDRG6083
|
| Min. Negotiated Rate |
$10,373.00 |
| Max. Negotiated Rate |
$10,373.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,373.00
|
| Rate for Payer: Mercy Care Medicaid |
$10,373.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,373.00
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$41,263.36
|
|
|
Service Code
|
APR-DRG 6083
|
| Hospital Charge Code |
APRDRG6083
|
| Min. Negotiated Rate |
$41,263.36 |
| Max. Negotiated Rate |
$41,263.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$41,263.36
|
| Rate for Payer: Mercy Care Medicaid |
$41,263.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$41,263.36
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$10,373.00
|
|
|
Service Code
|
APR-DRG 6081
|
| Hospital Charge Code |
APRDRG6082
|
| Min. Negotiated Rate |
$10,373.00 |
| Max. Negotiated Rate |
$10,373.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,373.00
|
| Rate for Payer: Mercy Care Medicaid |
$10,373.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,373.00
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$28,194.88
|
|
|
Service Code
|
APR-DRG 6082
|
| Hospital Charge Code |
APRDRG6081
|
| Min. Negotiated Rate |
$28,194.88 |
| Max. Negotiated Rate |
$28,194.88 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,194.88
|
| Rate for Payer: Mercy Care Medicaid |
$28,194.88
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,194.88
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$28,194.88
|
|
|
Service Code
|
APR-DRG 6082
|
| Hospital Charge Code |
APRDRG6082
|
| Min. Negotiated Rate |
$28,194.88 |
| Max. Negotiated Rate |
$28,194.88 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,194.88
|
| Rate for Payer: Mercy Care Medicaid |
$28,194.88
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,194.88
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$41,263.36
|
|
|
Service Code
|
APR-DRG 6083
|
| Hospital Charge Code |
APRDRG6081
|
| Min. Negotiated Rate |
$41,263.36 |
| Max. Negotiated Rate |
$41,263.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$41,263.36
|
| Rate for Payer: Mercy Care Medicaid |
$41,263.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$41,263.36
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$10,373.00
|
|
|
Service Code
|
APR-DRG 6081
|
| Hospital Charge Code |
APRDRG6081
|
| Min. Negotiated Rate |
$10,373.00 |
| Max. Negotiated Rate |
$10,373.00 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,373.00
|
| Rate for Payer: Mercy Care Medicaid |
$10,373.00
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,373.00
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$67,001.94
|
|
|
Service Code
|
APR-DRG 6084
|
| Hospital Charge Code |
APRDRG6081
|
| Min. Negotiated Rate |
$67,001.94 |
| Max. Negotiated Rate |
$67,001.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$67,001.94
|
| Rate for Payer: Mercy Care Medicaid |
$67,001.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$67,001.94
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$41,263.36
|
|
|
Service Code
|
APR-DRG 6083
|
| Hospital Charge Code |
APRDRG6084
|
| Min. Negotiated Rate |
$41,263.36 |
| Max. Negotiated Rate |
$41,263.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$41,263.36
|
| Rate for Payer: Mercy Care Medicaid |
$41,263.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$41,263.36
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$41,263.36
|
|
|
Service Code
|
APR-DRG 6083
|
| Hospital Charge Code |
APRDRG6082
|
| Min. Negotiated Rate |
$41,263.36 |
| Max. Negotiated Rate |
$41,263.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$41,263.36
|
| Rate for Payer: Mercy Care Medicaid |
$41,263.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$41,263.36
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$67,001.94
|
|
|
Service Code
|
APR-DRG 6084
|
| Hospital Charge Code |
APRDRG6082
|
| Min. Negotiated Rate |
$67,001.94 |
| Max. Negotiated Rate |
$67,001.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$67,001.94
|
| Rate for Payer: Mercy Care Medicaid |
$67,001.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$67,001.94
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$28,194.88
|
|
|
Service Code
|
APR-DRG 6082
|
| Hospital Charge Code |
APRDRG6084
|
| Min. Negotiated Rate |
$28,194.88 |
| Max. Negotiated Rate |
$28,194.88 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,194.88
|
| Rate for Payer: Mercy Care Medicaid |
$28,194.88
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,194.88
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$67,001.94
|
|
|
Service Code
|
APR-DRG 6084
|
| Hospital Charge Code |
APRDRG6084
|
| Min. Negotiated Rate |
$67,001.94 |
| Max. Negotiated Rate |
$67,001.94 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$67,001.94
|
| Rate for Payer: Mercy Care Medicaid |
$67,001.94
|
| Rate for Payer: NaphCare Correctional Healthcare |
$67,001.94
|
|
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
Facility
|
IP
|
$28,194.88
|
|
|
Service Code
|
APR-DRG 6082
|
| Hospital Charge Code |
APRDRG6083
|
| Min. Negotiated Rate |
$28,194.88 |
| Max. Negotiated Rate |
$28,194.88 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,194.88
|
| Rate for Payer: Mercy Care Medicaid |
$28,194.88
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,194.88
|
|
