|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$4,891.56
|
|
|
Service Code
|
APR-DRG 3441
|
| Hospital Charge Code |
APRDRG3441
|
| Min. Negotiated Rate |
$4,891.56 |
| Max. Negotiated Rate |
$4,891.56 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,891.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,891.56
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,891.56
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$4,891.56
|
|
|
Service Code
|
APR-DRG 3441
|
| Hospital Charge Code |
APRDRG3442
|
| Min. Negotiated Rate |
$4,891.56 |
| Max. Negotiated Rate |
$4,891.56 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,891.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,891.56
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,891.56
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$9,085.23
|
|
|
Service Code
|
APR-DRG 3443
|
| Hospital Charge Code |
APRDRG3441
|
| Min. Negotiated Rate |
$9,085.23 |
| Max. Negotiated Rate |
$9,085.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,085.23
|
| Rate for Payer: Mercy Care Medicaid |
$9,085.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,085.23
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$6,142.86
|
|
|
Service Code
|
APR-DRG 3442
|
| Hospital Charge Code |
APRDRG3443
|
| Min. Negotiated Rate |
$6,142.86 |
| Max. Negotiated Rate |
$6,142.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,142.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,142.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,142.86
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$6,142.86
|
|
|
Service Code
|
APR-DRG 3442
|
| Hospital Charge Code |
APRDRG3441
|
| Min. Negotiated Rate |
$6,142.86 |
| Max. Negotiated Rate |
$6,142.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,142.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,142.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,142.86
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$9,085.23
|
|
|
Service Code
|
APR-DRG 3443
|
| Hospital Charge Code |
APRDRG3442
|
| Min. Negotiated Rate |
$9,085.23 |
| Max. Negotiated Rate |
$9,085.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,085.23
|
| Rate for Payer: Mercy Care Medicaid |
$9,085.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,085.23
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$9,085.23
|
|
|
Service Code
|
APR-DRG 3443
|
| Hospital Charge Code |
APRDRG3444
|
| Min. Negotiated Rate |
$9,085.23 |
| Max. Negotiated Rate |
$9,085.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,085.23
|
| Rate for Payer: Mercy Care Medicaid |
$9,085.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,085.23
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$6,142.86
|
|
|
Service Code
|
APR-DRG 3442
|
| Hospital Charge Code |
APRDRG3442
|
| Min. Negotiated Rate |
$6,142.86 |
| Max. Negotiated Rate |
$6,142.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,142.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,142.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,142.86
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$4,891.56
|
|
|
Service Code
|
APR-DRG 3441
|
| Hospital Charge Code |
APRDRG3444
|
| Min. Negotiated Rate |
$4,891.56 |
| Max. Negotiated Rate |
$4,891.56 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,891.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,891.56
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,891.56
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$4,891.56
|
|
|
Service Code
|
APR-DRG 3441
|
| Hospital Charge Code |
APRDRG3443
|
| Min. Negotiated Rate |
$4,891.56 |
| Max. Negotiated Rate |
$4,891.56 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,891.56
|
| Rate for Payer: Mercy Care Medicaid |
$4,891.56
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,891.56
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$15,890.22
|
|
|
Service Code
|
APR-DRG 3444
|
| Hospital Charge Code |
APRDRG3443
|
| Min. Negotiated Rate |
$15,890.22 |
| Max. Negotiated Rate |
$15,890.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,890.22
|
| Rate for Payer: Mercy Care Medicaid |
$15,890.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,890.22
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$9,085.23
|
|
|
Service Code
|
APR-DRG 3443
|
| Hospital Charge Code |
APRDRG3443
|
| Min. Negotiated Rate |
$9,085.23 |
| Max. Negotiated Rate |
$9,085.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,085.23
|
| Rate for Payer: Mercy Care Medicaid |
$9,085.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,085.23
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$6,142.86
|
|
|
Service Code
|
APR-DRG 3442
|
| Hospital Charge Code |
APRDRG3444
|
| Min. Negotiated Rate |
$6,142.86 |
| Max. Negotiated Rate |
$6,142.86 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,142.86
|
| Rate for Payer: Mercy Care Medicaid |
$6,142.86
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,142.86
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$15,890.22
|
|
|
Service Code
|
APR-DRG 3444
|
| Hospital Charge Code |
APRDRG3441
|
| Min. Negotiated Rate |
$15,890.22 |
| Max. Negotiated Rate |
$15,890.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,890.22
|
| Rate for Payer: Mercy Care Medicaid |
$15,890.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,890.22
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$15,890.22
|
|
|
Service Code
|
APR-DRG 3444
|
| Hospital Charge Code |
APRDRG3444
|
| Min. Negotiated Rate |
$15,890.22 |
| Max. Negotiated Rate |
$15,890.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,890.22
|
| Rate for Payer: Mercy Care Medicaid |
$15,890.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,890.22
|
|
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
Facility
|
IP
|
$15,890.22
|
|
|
Service Code
|
APR-DRG 3444
|
| Hospital Charge Code |
APRDRG3442
|
| Min. Negotiated Rate |
$15,890.22 |
| Max. Negotiated Rate |
$15,890.22 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,890.22
|
| Rate for Payer: Mercy Care Medicaid |
$15,890.22
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,890.22
|
|
|
OSTEOMYELITIS WITH CC
|
Facility
|
IP
|
$16,781.08
|
|
|
Service Code
|
MSDRG 540
|
| Min. Negotiated Rate |
$16,781.08 |
| Max. Negotiated Rate |
$16,781.08 |
| Rate for Payer: Seven Corners Travel Insurance |
$16,781.08
|
|
|
OSTEOMYELITIS WITH MCC
|
Facility
|
IP
|
$25,456.69
|
|
|
Service Code
|
MSDRG 539
|
| Min. Negotiated Rate |
$25,456.69 |
| Max. Negotiated Rate |
$25,456.69 |
| Rate for Payer: Seven Corners Travel Insurance |
$25,456.69
|
|
|
OSTEOMYELITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$10,332.73
|
|
|
Service Code
|
MSDRG 541
|
| Min. Negotiated Rate |
$10,332.73 |
| Max. Negotiated Rate |
$10,332.73 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,332.73
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 1-2 BODY REGIONS
|
Facility
|
IP
|
$63.00
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
27901348
|
| Min. Negotiated Rate |
$56.70 |
| Max. Negotiated Rate |
$56.70 |
| Rate for Payer: Aetna of AZ Commercial |
$56.70
|
| Rate for Payer: Cash Price |
$50.40
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 1-2 BODY REGIONS
|
Facility
|
OP
|
$63.00
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
27901348
|
| Min. Negotiated Rate |
$8.72 |
| Max. Negotiated Rate |
$56.70 |
| Rate for Payer: Aetna of AZ Commercial |
$56.70
|
| Rate for Payer: Arizona Complete Health Allwell |
$10.08
|
| Rate for Payer: Banner UC Health Medicare |
$10.08
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Commercial |
$42.84
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8.72
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Medicare |
$10.08
|
| Rate for Payer: Care1st Health Plan Arizona Medicare |
$10.08
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cigna of AZ Commercial |
$44.10
|
| Rate for Payer: Devoted Health Medicare |
$11.34
|
| Rate for Payer: Humana of AZ Medicare |
$10.08
|
| Rate for Payer: Mercy Care Medicaid |
$8.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8.72
|
| Rate for Payer: Seven Corners Travel Insurance |
$33.41
|
| Rate for Payer: Southwest Service Administrators UFCW |
$42.84
|
| Rate for Payer: TriWest Medicare |
$10.08
|
| Rate for Payer: United Healthcare Commercial |
$36.04
|
| Rate for Payer: United Healthcare Medicare |
$10.08
|
| Rate for Payer: Veterans Affairs TRICARE |
$9.98
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 3-4 BODY REGIONS
|
Facility
|
OP
|
$96.00
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
27903389
|
| Min. Negotiated Rate |
$11.16 |
| Max. Negotiated Rate |
$86.40 |
| Rate for Payer: Aetna of AZ Commercial |
$86.40
|
| Rate for Payer: Arizona Complete Health Allwell |
$15.36
|
| Rate for Payer: Banner UC Health Medicare |
$15.36
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Commercial |
$65.28
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11.16
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Medicare |
$15.36
|
| Rate for Payer: Care1st Health Plan Arizona Medicare |
$15.36
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cigna of AZ Commercial |
$67.20
|
| Rate for Payer: Devoted Health Medicare |
$17.28
|
| Rate for Payer: Humana of AZ Medicare |
$15.36
|
| Rate for Payer: Mercy Care Medicaid |
$11.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11.16
|
| Rate for Payer: Seven Corners Travel Insurance |
$33.41
|
| Rate for Payer: Southwest Service Administrators UFCW |
$65.28
|
| Rate for Payer: TriWest Medicare |
$15.36
|
| Rate for Payer: United Healthcare Commercial |
$54.91
|
| Rate for Payer: United Healthcare Medicare |
$15.36
|
| Rate for Payer: Veterans Affairs TRICARE |
$15.21
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 3-4 BODY REGIONS
|
Facility
|
IP
|
$96.00
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
27903389
|
| Min. Negotiated Rate |
$86.40 |
| Max. Negotiated Rate |
$86.40 |
| Rate for Payer: Aetna of AZ Commercial |
$86.40
|
| Rate for Payer: Cash Price |
$76.80
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 5-6 BODY REGIONS
|
Facility
|
OP
|
$128.00
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
27903390
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$115.20 |
| Rate for Payer: Aetna of AZ Commercial |
$115.20
|
| Rate for Payer: Arizona Complete Health Allwell |
$20.48
|
| Rate for Payer: Banner UC Health Medicare |
$20.48
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Commercial |
$87.04
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13.60
|
| Rate for Payer: Blue Cross Blue Shield of Arizona Medicare |
$20.48
|
| Rate for Payer: Care1st Health Plan Arizona Medicare |
$20.48
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cigna of AZ Commercial |
$89.60
|
| Rate for Payer: Devoted Health Medicare |
$23.04
|
| Rate for Payer: Humana of AZ Medicare |
$20.48
|
| Rate for Payer: Mercy Care Medicaid |
$13.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13.60
|
| Rate for Payer: Seven Corners Travel Insurance |
$33.41
|
| Rate for Payer: Southwest Service Administrators UFCW |
$87.04
|
| Rate for Payer: TriWest Medicare |
$20.48
|
| Rate for Payer: United Healthcare Commercial |
$73.22
|
| Rate for Payer: United Healthcare Medicare |
$20.48
|
| Rate for Payer: Veterans Affairs TRICARE |
$20.28
|
|
|
OSTEOPATHIC MANIPULATIVE TREATMENT, 5-6 BODY REGIONS
|
Facility
|
IP
|
$128.00
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
27903390
|
| Min. Negotiated Rate |
$115.20 |
| Max. Negotiated Rate |
$115.20 |
| Rate for Payer: Aetna of AZ Commercial |
$115.20
|
| Rate for Payer: Cash Price |
$102.40
|
|
