|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,998.44
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$8,998.44 |
| Max. Negotiated Rate |
$8,998.44 |
| Rate for Payer: Seven Corners Travel Insurance |
$8,998.44
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$43,174.39
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$43,174.39 |
| Max. Negotiated Rate |
$43,174.39 |
| Rate for Payer: Seven Corners Travel Insurance |
$43,174.39
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
Service Code
|
APR-DRG 1801
|
| Hospital Charge Code |
APRDRG1801
|
| Min. Negotiated Rate |
$7,848.67 |
| Max. Negotiated Rate |
$7,848.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,848.67
|
| Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,848.67
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
|
Service Code
|
APR-DRG 1804
|
| Hospital Charge Code |
APRDRG1802
|
| Min. Negotiated Rate |
$27,915.72 |
| Max. Negotiated Rate |
$27,915.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,915.72
|
| Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,915.72
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
|
Service Code
|
APR-DRG 1802
|
| Hospital Charge Code |
APRDRG1801
|
| Min. Negotiated Rate |
$10,401.06 |
| Max. Negotiated Rate |
$10,401.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,401.06
|
| Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,401.06
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
Service Code
|
APR-DRG 1803
|
| Hospital Charge Code |
APRDRG1801
|
| Min. Negotiated Rate |
$14,895.63 |
| Max. Negotiated Rate |
$14,895.63 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,895.63
|
| Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,895.63
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
Service Code
|
APR-DRG 1803
|
| Hospital Charge Code |
APRDRG1803
|
| Min. Negotiated Rate |
$14,895.63 |
| Max. Negotiated Rate |
$14,895.63 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,895.63
|
| Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,895.63
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
Service Code
|
APR-DRG 1801
|
| Hospital Charge Code |
APRDRG1803
|
| Min. Negotiated Rate |
$7,848.67 |
| Max. Negotiated Rate |
$7,848.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,848.67
|
| Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,848.67
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
Service Code
|
APR-DRG 1803
|
| Hospital Charge Code |
APRDRG1802
|
| Min. Negotiated Rate |
$14,895.63 |
| Max. Negotiated Rate |
$14,895.63 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,895.63
|
| Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,895.63
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
|
Service Code
|
APR-DRG 1804
|
| Hospital Charge Code |
APRDRG1801
|
| Min. Negotiated Rate |
$27,915.72 |
| Max. Negotiated Rate |
$27,915.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,915.72
|
| Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,915.72
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
Service Code
|
APR-DRG 1801
|
| Hospital Charge Code |
APRDRG1802
|
| Min. Negotiated Rate |
$7,848.67 |
| Max. Negotiated Rate |
$7,848.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,848.67
|
| Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,848.67
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
|
Service Code
|
APR-DRG 1802
|
| Hospital Charge Code |
APRDRG1802
|
| Min. Negotiated Rate |
$10,401.06 |
| Max. Negotiated Rate |
$10,401.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,401.06
|
| Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,401.06
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
|
Service Code
|
APR-DRG 1804
|
| Hospital Charge Code |
APRDRG1803
|
| Min. Negotiated Rate |
$27,915.72 |
| Max. Negotiated Rate |
$27,915.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,915.72
|
| Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,915.72
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$7,848.67
|
|
|
Service Code
|
APR-DRG 1801
|
| Hospital Charge Code |
APRDRG1804
|
| Min. Negotiated Rate |
$7,848.67 |
| Max. Negotiated Rate |
$7,848.67 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,848.67
|
| Rate for Payer: Mercy Care Medicaid |
$7,848.67
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,848.67
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$14,895.63
|
|
|
Service Code
|
APR-DRG 1803
|
| Hospital Charge Code |
APRDRG1804
|
| Min. Negotiated Rate |
$14,895.63 |
| Max. Negotiated Rate |
$14,895.63 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,895.63
|
| Rate for Payer: Mercy Care Medicaid |
$14,895.63
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,895.63
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
|
Service Code
|
APR-DRG 1802
|
| Hospital Charge Code |
APRDRG1804
|
| Min. Negotiated Rate |
$10,401.06 |
| Max. Negotiated Rate |
$10,401.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,401.06
|
| Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,401.06
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$27,915.72
|
|
|
Service Code
|
APR-DRG 1804
|
| Hospital Charge Code |
APRDRG1804
|
| Min. Negotiated Rate |
$27,915.72 |
| Max. Negotiated Rate |
$27,915.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,915.72
|
| Rate for Payer: Mercy Care Medicaid |
$27,915.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,915.72
|
|
|
Other Circulatory System Procedures
|
Facility
|
IP
|
$10,401.06
|
|
|
Service Code
|
APR-DRG 1802
|
| Hospital Charge Code |
APRDRG1803
|
| Min. Negotiated Rate |
$10,401.06 |
| Max. Negotiated Rate |
$10,401.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,401.06
|
| Rate for Payer: Mercy Care Medicaid |
$10,401.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,401.06
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$7,324.02
|
|
|
Service Code
|
APR-DRG 8133
|
| Hospital Charge Code |
APRDRG8133
|
| Min. Negotiated Rate |
$7,324.02 |
| Max. Negotiated Rate |
$7,324.02 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,324.02
|
| Rate for Payer: Mercy Care Medicaid |
$7,324.02
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,324.02
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$7,324.02
|
|
|
Service Code
|
APR-DRG 8133
|
| Hospital Charge Code |
APRDRG8134
|
| Min. Negotiated Rate |
$7,324.02 |
| Max. Negotiated Rate |
$7,324.02 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,324.02
|
| Rate for Payer: Mercy Care Medicaid |
$7,324.02
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,324.02
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$4,932.95
|
|
|
Service Code
|
APR-DRG 8132
|
| Hospital Charge Code |
APRDRG8131
|
| Min. Negotiated Rate |
$4,932.95 |
| Max. Negotiated Rate |
$4,932.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,932.95
|
| Rate for Payer: Mercy Care Medicaid |
$4,932.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,932.95
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
|
Service Code
|
APR-DRG 8134
|
| Hospital Charge Code |
APRDRG8132
|
| Min. Negotiated Rate |
$14,164.07 |
| Max. Negotiated Rate |
$14,164.07 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,164.07
|
| Rate for Payer: Mercy Care Medicaid |
$14,164.07
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,164.07
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
|
Service Code
|
APR-DRG 8131
|
| Hospital Charge Code |
APRDRG8134
|
| Min. Negotiated Rate |
$3,992.37 |
| Max. Negotiated Rate |
$3,992.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,992.37
|
| Rate for Payer: Mercy Care Medicaid |
$3,992.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,992.37
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$4,932.95
|
|
|
Service Code
|
APR-DRG 8132
|
| Hospital Charge Code |
APRDRG8133
|
| Min. Negotiated Rate |
$4,932.95 |
| Max. Negotiated Rate |
$4,932.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,932.95
|
| Rate for Payer: Mercy Care Medicaid |
$4,932.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,932.95
|
|
|
Other Complications Of Treatment
|
Facility
|
IP
|
$3,992.37
|
|
|
Service Code
|
APR-DRG 8131
|
| Hospital Charge Code |
APRDRG8133
|
| Min. Negotiated Rate |
$3,992.37 |
| Max. Negotiated Rate |
$3,992.37 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,992.37
|
| Rate for Payer: Mercy Care Medicaid |
$3,992.37
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,992.37
|
|
