|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$6,833.74
|
|
|
Service Code
|
APR-DRG 2543
|
| Hospital Charge Code |
APRDRG2544
|
| Min. Negotiated Rate |
$6,833.74 |
| Max. Negotiated Rate |
$6,833.74 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,833.74
|
| Rate for Payer: Mercy Care Medicaid |
$6,833.74
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,833.74
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$3,578.54
|
|
|
Service Code
|
APR-DRG 2541
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$3,578.54 |
| Max. Negotiated Rate |
$3,578.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,578.54
|
| Rate for Payer: Mercy Care Medicaid |
$3,578.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,578.54
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2542
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,008.16
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$4,615.21
|
|
|
Service Code
|
APR-DRG 2542
|
| Hospital Charge Code |
APRDRG2541
|
| Min. Negotiated Rate |
$4,615.21 |
| Max. Negotiated Rate |
$4,615.21 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,615.21
|
| Rate for Payer: Mercy Care Medicaid |
$4,615.21
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,615.21
|
|
|
Other Digestive System Diagnoses
|
Facility
|
IP
|
$13,008.16
|
|
|
Service Code
|
APR-DRG 2544
|
| Hospital Charge Code |
APRDRG2543
|
| Min. Negotiated Rate |
$13,008.16 |
| Max. Negotiated Rate |
$13,008.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,008.16
|
| Rate for Payer: Mercy Care Medicaid |
$13,008.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,008.16
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,211.87
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$12,211.87 |
| Max. Negotiated Rate |
$12,211.87 |
| Rate for Payer: Seven Corners Travel Insurance |
$12,211.87
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$20,669.59
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$20,669.59 |
| Max. Negotiated Rate |
$20,669.59 |
| Rate for Payer: Seven Corners Travel Insurance |
$20,669.59
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,579.01
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$8,579.01 |
| Max. Negotiated Rate |
$8,579.01 |
| Rate for Payer: Seven Corners Travel Insurance |
$8,579.01
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$30,055.08
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$30,055.08 |
| Max. Negotiated Rate |
$30,055.08 |
| Rate for Payer: Seven Corners Travel Insurance |
$30,055.08
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$56,773.18
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$56,773.18 |
| Max. Negotiated Rate |
$56,773.18 |
| Rate for Payer: Seven Corners Travel Insurance |
$56,773.18
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$18,068.48
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$18,068.48 |
| Max. Negotiated Rate |
$18,068.48 |
| Rate for Payer: Seven Corners Travel Insurance |
$18,068.48
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
|
Service Code
|
APR-DRG 0584
|
| Hospital Charge Code |
APRDRG0582
|
| Min. Negotiated Rate |
$14,395.53 |
| Max. Negotiated Rate |
$14,395.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,395.53
|
| Rate for Payer: Mercy Care Medicaid |
$14,395.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,395.53
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
|
Service Code
|
APR-DRG 0582
|
| Hospital Charge Code |
APRDRG0584
|
| Min. Negotiated Rate |
$7,469.91 |
| Max. Negotiated Rate |
$7,469.91 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,469.91
|
| Rate for Payer: Mercy Care Medicaid |
$7,469.91
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,469.91
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$9,690.54
|
|
|
Service Code
|
APR-DRG 0583
|
| Hospital Charge Code |
APRDRG0584
|
| Min. Negotiated Rate |
$9,690.54 |
| Max. Negotiated Rate |
$9,690.54 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,690.54
|
| Rate for Payer: Mercy Care Medicaid |
$9,690.54
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,690.54
|
|