|
Other Complications Of Treatment
|
Facility
|
IP
|
$14,164.07
|
|
|
Service Code
|
APR-DRG 8134
|
| Hospital Charge Code |
APRDRG8133
|
| 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
|
$7,324.02
|
|
|
Service Code
|
APR-DRG 8133
|
| Hospital Charge Code |
APRDRG8132
|
| 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 |
APRDRG8132
|
| 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 |
APRDRG8131
|
| 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 |
APRDRG8131
|
| 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
|
$3,992.37
|
|
|
Service Code
|
APR-DRG 8131
|
| Hospital Charge Code |
APRDRG8132
|
| 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
|
$7,324.02
|
|
|
Service Code
|
APR-DRG 8133
|
| Hospital Charge Code |
APRDRG8131
|
| 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 |
APRDRG8134
|
| 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 |
APRDRG8134
|
| 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 Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2291
|
| Min. Negotiated Rate |
$7,414.50 |
| Max. Negotiated Rate |
$7,414.50 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,414.50
|
| Rate for Payer: Mercy Care Medicaid |
$7,414.50
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,414.50
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2292
|
| Min. Negotiated Rate |
$13,919.28 |
| Max. Negotiated Rate |
$13,919.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,919.28
|
| Rate for Payer: Mercy Care Medicaid |
$13,919.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,919.28
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2293
|
| Min. Negotiated Rate |
$7,414.50 |
| Max. Negotiated Rate |
$7,414.50 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,414.50
|
| Rate for Payer: Mercy Care Medicaid |
$7,414.50
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,414.50
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2294
|
| Min. Negotiated Rate |
$27,182.06 |
| Max. Negotiated Rate |
$27,182.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,182.06
|
| Rate for Payer: Mercy Care Medicaid |
$27,182.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,182.06
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2291
|
| Min. Negotiated Rate |
$13,919.28 |
| Max. Negotiated Rate |
$13,919.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,919.28
|
| Rate for Payer: Mercy Care Medicaid |
$13,919.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,919.28
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2292
|
| Min. Negotiated Rate |
$7,414.50 |
| Max. Negotiated Rate |
$7,414.50 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,414.50
|
| Rate for Payer: Mercy Care Medicaid |
$7,414.50
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,414.50
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2294
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2294
|
| Min. Negotiated Rate |
$13,919.28 |
| Max. Negotiated Rate |
$13,919.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,919.28
|
| Rate for Payer: Mercy Care Medicaid |
$13,919.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,919.28
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2293
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2292
|
| Min. Negotiated Rate |
$27,182.06 |
| Max. Negotiated Rate |
$27,182.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,182.06
|
| Rate for Payer: Mercy Care Medicaid |
$27,182.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,182.06
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2291
|
| Min. Negotiated Rate |
$27,182.06 |
| Max. Negotiated Rate |
$27,182.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,182.06
|
| Rate for Payer: Mercy Care Medicaid |
$27,182.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,182.06
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2292
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,574.11
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$7,414.50
|
|
|
Service Code
|
APR-DRG 2291
|
| Hospital Charge Code |
APRDRG2294
|
| Min. Negotiated Rate |
$7,414.50 |
| Max. Negotiated Rate |
$7,414.50 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,414.50
|
| Rate for Payer: Mercy Care Medicaid |
$7,414.50
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,414.50
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$27,182.06
|
|
|
Service Code
|
APR-DRG 2294
|
| Hospital Charge Code |
APRDRG2293
|
| Min. Negotiated Rate |
$27,182.06 |
| Max. Negotiated Rate |
$27,182.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,182.06
|
| Rate for Payer: Mercy Care Medicaid |
$27,182.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,182.06
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$13,919.28
|
|
|
Service Code
|
APR-DRG 2293
|
| Hospital Charge Code |
APRDRG2293
|
| Min. Negotiated Rate |
$13,919.28 |
| Max. Negotiated Rate |
$13,919.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,919.28
|
| Rate for Payer: Mercy Care Medicaid |
$13,919.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,919.28
|
|
|
Other Digestive System And Abdominal Procedures
|
Facility
|
IP
|
$9,574.11
|
|
|
Service Code
|
APR-DRG 2292
|
| Hospital Charge Code |
APRDRG2291
|
| Min. Negotiated Rate |
$9,574.11 |
| Max. Negotiated Rate |
$9,574.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,574.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,574.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,574.11
|
|
