|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
|
Service Code
|
APR-DRG 0581
|
| Hospital Charge Code |
APRDRG0584
|
| Min. Negotiated Rate |
$5,577.53 |
| Max. Negotiated Rate |
$5,577.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,577.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,577.53
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
|
Service Code
|
APR-DRG 0581
|
| Hospital Charge Code |
APRDRG0583
|
| Min. Negotiated Rate |
$5,577.53 |
| Max. Negotiated Rate |
$5,577.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,577.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,577.53
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
|
Service Code
|
APR-DRG 0581
|
| Hospital Charge Code |
APRDRG0581
|
| Min. Negotiated Rate |
$5,577.53 |
| Max. Negotiated Rate |
$5,577.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,577.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,577.53
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$7,469.91
|
|
|
Service Code
|
APR-DRG 0582
|
| Hospital Charge Code |
APRDRG0583
|
| 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 |
APRDRG0581
|
| 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
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
|
Service Code
|
APR-DRG 0584
|
| Hospital Charge Code |
APRDRG0584
|
| 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
|
$9,690.54
|
|
|
Service Code
|
APR-DRG 0583
|
| Hospital Charge Code |
APRDRG0583
|
| 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
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$14,395.53
|
|
|
Service Code
|
APR-DRG 0584
|
| Hospital Charge Code |
APRDRG0583
|
| 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 |
APRDRG0581
|
| 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
|
$14,395.53
|
|
|
Service Code
|
APR-DRG 0584
|
| Hospital Charge Code |
APRDRG0581
|
| 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 |
APRDRG0582
|
| 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 |
APRDRG0582
|
| 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
|
|
|
Other Disorders Of Nervous System
|
Facility
|
IP
|
$5,577.53
|
|
|
Service Code
|
APR-DRG 0581
|
| Hospital Charge Code |
APRDRG0582
|
| Min. Negotiated Rate |
$5,577.53 |
| Max. Negotiated Rate |
$5,577.53 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,577.53
|
| Rate for Payer: Mercy Care Medicaid |
$5,577.53
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,577.53
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$13,318.06
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$13,318.06 |
| Max. Negotiated Rate |
$13,318.06 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,318.06
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$22,697.39
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$22,697.39 |
| Max. Negotiated Rate |
$22,697.39 |
| Rate for Payer: Seven Corners Travel Insurance |
$22,697.39
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$10,445.50
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$10,445.50 |
| Max. Negotiated Rate |
$10,445.50 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,445.50
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$17,120.67
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$17,120.67 |
| Max. Negotiated Rate |
$17,120.67 |
| Rate for Payer: Seven Corners Travel Insurance |
$17,120.67
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$10,084.33
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$10,084.33 |
| Max. Negotiated Rate |
$10,084.33 |
| Rate for Payer: Seven Corners Travel Insurance |
$10,084.33
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2834
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,313.47
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$6,694.16
|
|
|
Service Code
|
APR-DRG 2833
|
| Hospital Charge Code |
APRDRG2834
|
| Min. Negotiated Rate |
$6,694.16 |
| Max. Negotiated Rate |
$6,694.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,694.16
|
| Rate for Payer: Mercy Care Medicaid |
$6,694.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,694.16
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$4,536.66
|
|
|
Service Code
|
APR-DRG 2832
|
| Hospital Charge Code |
APRDRG2832
|
| Min. Negotiated Rate |
$4,536.66 |
| Max. Negotiated Rate |
$4,536.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,536.66
|
| Rate for Payer: Mercy Care Medicaid |
$4,536.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,536.66
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$4,536.66
|
|
|
Service Code
|
APR-DRG 2832
|
| Hospital Charge Code |
APRDRG2833
|
| Min. Negotiated Rate |
$4,536.66 |
| Max. Negotiated Rate |
$4,536.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,536.66
|
| Rate for Payer: Mercy Care Medicaid |
$4,536.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,536.66
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$6,694.16
|
|
|
Service Code
|
APR-DRG 2833
|
| Hospital Charge Code |
APRDRG2831
|
| Min. Negotiated Rate |
$6,694.16 |
| Max. Negotiated Rate |
$6,694.16 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,694.16
|
| Rate for Payer: Mercy Care Medicaid |
$6,694.16
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,694.16
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$3,722.33
|
|
|
Service Code
|
APR-DRG 2831
|
| Hospital Charge Code |
APRDRG2832
|
| Min. Negotiated Rate |
$3,722.33 |
| Max. Negotiated Rate |
$3,722.33 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,722.33
|
| Rate for Payer: Mercy Care Medicaid |
$3,722.33
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,722.33
|
|
|
Other Disorders Of The Liver
|
Facility
|
IP
|
$14,313.47
|
|
|
Service Code
|
APR-DRG 2834
|
| Hospital Charge Code |
APRDRG2831
|
| Min. Negotiated Rate |
$14,313.47 |
| Max. Negotiated Rate |
$14,313.47 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,313.47
|
| Rate for Payer: Mercy Care Medicaid |
$14,313.47
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,313.47
|
|
