|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
|
Service Code
|
APR-DRG 9521
|
| Hospital Charge Code |
APRDRG9523
|
| Min. Negotiated Rate |
$6,053.08 |
| Max. Negotiated Rate |
$6,053.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,053.08
|
| Rate for Payer: Mercy Care Medicaid |
$6,053.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,053.08
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
|
Service Code
|
APR-DRG 9524
|
| Hospital Charge Code |
APRDRG9521
|
| Min. Negotiated Rate |
$27,511.01 |
| Max. Negotiated Rate |
$27,511.01 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,511.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,511.01
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,511.01
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
|
Service Code
|
APR-DRG 9524
|
| Hospital Charge Code |
APRDRG9523
|
| Min. Negotiated Rate |
$27,511.01 |
| Max. Negotiated Rate |
$27,511.01 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,511.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,511.01
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,511.01
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
|
Service Code
|
APR-DRG 9522
|
| Hospital Charge Code |
APRDRG9524
|
| Min. Negotiated Rate |
$8,481.33 |
| Max. Negotiated Rate |
$8,481.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,481.33
|
| Rate for Payer: Mercy Care Medicaid |
$8,481.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,481.33
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
|
Service Code
|
APR-DRG 9522
|
| Hospital Charge Code |
APRDRG9523
|
| Min. Negotiated Rate |
$8,481.33 |
| Max. Negotiated Rate |
$8,481.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,481.33
|
| Rate for Payer: Mercy Care Medicaid |
$8,481.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,481.33
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
|
Service Code
|
APR-DRG 9523
|
| Hospital Charge Code |
APRDRG9524
|
| Min. Negotiated Rate |
$13,889.82 |
| Max. Negotiated Rate |
$13,889.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,889.82
|
| Rate for Payer: Mercy Care Medicaid |
$13,889.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,889.82
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
|
Service Code
|
APR-DRG 9521
|
| Hospital Charge Code |
APRDRG9524
|
| Min. Negotiated Rate |
$6,053.08 |
| Max. Negotiated Rate |
$6,053.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,053.08
|
| Rate for Payer: Mercy Care Medicaid |
$6,053.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,053.08
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$8,481.33
|
|
|
Service Code
|
APR-DRG 9522
|
| Hospital Charge Code |
APRDRG9522
|
| Min. Negotiated Rate |
$8,481.33 |
| Max. Negotiated Rate |
$8,481.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,481.33
|
| Rate for Payer: Mercy Care Medicaid |
$8,481.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,481.33
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
|
Service Code
|
APR-DRG 9521
|
| Hospital Charge Code |
APRDRG9521
|
| Min. Negotiated Rate |
$6,053.08 |
| Max. Negotiated Rate |
$6,053.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,053.08
|
| Rate for Payer: Mercy Care Medicaid |
$6,053.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,053.08
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$6,053.08
|
|
|
Service Code
|
APR-DRG 9521
|
| Hospital Charge Code |
APRDRG9522
|
| Min. Negotiated Rate |
$6,053.08 |
| Max. Negotiated Rate |
$6,053.08 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,053.08
|
| Rate for Payer: Mercy Care Medicaid |
$6,053.08
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,053.08
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
|
Service Code
|
APR-DRG 9524
|
| Hospital Charge Code |
APRDRG9524
|
| Min. Negotiated Rate |
$27,511.01 |
| Max. Negotiated Rate |
$27,511.01 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,511.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,511.01
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,511.01
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$13,889.82
|
|
|
Service Code
|
APR-DRG 9523
|
| Hospital Charge Code |
APRDRG9523
|
| Min. Negotiated Rate |
$13,889.82 |
| Max. Negotiated Rate |
$13,889.82 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,889.82
|
| Rate for Payer: Mercy Care Medicaid |
$13,889.82
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,889.82
|
|
|
Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
|
Facility
|
IP
|
$27,511.01
|
|
|
Service Code
|
APR-DRG 9524
|
| Hospital Charge Code |
APRDRG9522
|
| Min. Negotiated Rate |
$27,511.01 |
| Max. Negotiated Rate |
$27,511.01 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,511.01
|
| Rate for Payer: Mercy Care Medicaid |
$27,511.01
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,511.01
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4261
|
| Min. Negotiated Rate |
$3,011.81 |
| Max. Negotiated Rate |
$3,011.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,011.81
|
| Rate for Payer: Mercy Care Medicaid |
$3,011.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,011.81
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4262
|
| Min. Negotiated Rate |
$6,071.32 |
| Max. Negotiated Rate |
$6,071.32 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,071.32
|
| Rate for Payer: Mercy Care Medicaid |
$6,071.32
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,071.32
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4261
|
| Min. Negotiated Rate |
$3,996.58 |
| Max. Negotiated Rate |
$3,996.58 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,996.58
|
| Rate for Payer: Mercy Care Medicaid |
$3,996.58
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,996.58
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$12,041.64
|
|
|
Service Code
|
APR-DRG 4264
|
| Hospital Charge Code |
APRDRG4262
|
| Min. Negotiated Rate |
$12,041.64 |
| Max. Negotiated Rate |
$12,041.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,041.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,041.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,041.64
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4263
|
| Min. Negotiated Rate |
$3,996.58 |
| Max. Negotiated Rate |
$3,996.58 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,996.58
|
| Rate for Payer: Mercy Care Medicaid |
$3,996.58
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,996.58
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$12,041.64
|
|
|
Service Code
|
APR-DRG 4264
|
| Hospital Charge Code |
APRDRG4264
|
| Min. Negotiated Rate |
$12,041.64 |
| Max. Negotiated Rate |
$12,041.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,041.64
|
| Rate for Payer: Mercy Care Medicaid |
$12,041.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,041.64
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4262
|
| Min. Negotiated Rate |
$3,011.81 |
| Max. Negotiated Rate |
$3,011.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,011.81
|
| Rate for Payer: Mercy Care Medicaid |
$3,011.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,011.81
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,996.58
|
|
|
Service Code
|
APR-DRG 4262
|
| Hospital Charge Code |
APRDRG4262
|
| Min. Negotiated Rate |
$3,996.58 |
| Max. Negotiated Rate |
$3,996.58 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,996.58
|
| Rate for Payer: Mercy Care Medicaid |
$3,996.58
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,996.58
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4263
|
| Min. Negotiated Rate |
$6,071.32 |
| Max. Negotiated Rate |
$6,071.32 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,071.32
|
| Rate for Payer: Mercy Care Medicaid |
$6,071.32
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,071.32
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4263
|
| Min. Negotiated Rate |
$3,011.81 |
| Max. Negotiated Rate |
$3,011.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,011.81
|
| Rate for Payer: Mercy Care Medicaid |
$3,011.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,011.81
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$3,011.81
|
|
|
Service Code
|
APR-DRG 4261
|
| Hospital Charge Code |
APRDRG4264
|
| Min. Negotiated Rate |
$3,011.81 |
| Max. Negotiated Rate |
$3,011.81 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,011.81
|
| Rate for Payer: Mercy Care Medicaid |
$3,011.81
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,011.81
|
|
|
Non-Hypovolemic Sodium Disorders
|
Facility
|
IP
|
$6,071.32
|
|
|
Service Code
|
APR-DRG 4263
|
| Hospital Charge Code |
APRDRG4261
|
| Min. Negotiated Rate |
$6,071.32 |
| Max. Negotiated Rate |
$6,071.32 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,071.32
|
| Rate for Payer: Mercy Care Medicaid |
$6,071.32
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,071.32
|
|
