|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$10,384.23
|
|
|
Service Code
|
APR-DRG 2643
|
| Hospital Charge Code |
APRDRG2641
|
| Min. Negotiated Rate |
$10,384.23 |
| Max. Negotiated Rate |
$10,384.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,384.23
|
| Rate for Payer: Mercy Care Medicaid |
$10,384.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,384.23
|
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$27,123.14
|
|
|
Service Code
|
APR-DRG 2644
|
| Hospital Charge Code |
APRDRG2643
|
| Min. Negotiated Rate |
$27,123.14 |
| Max. Negotiated Rate |
$27,123.14 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,123.14
|
| Rate for Payer: Mercy Care Medicaid |
$27,123.14
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,123.14
|
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$27,123.14
|
|
|
Service Code
|
APR-DRG 2644
|
| Hospital Charge Code |
APRDRG2644
|
| Min. Negotiated Rate |
$27,123.14 |
| Max. Negotiated Rate |
$27,123.14 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$27,123.14
|
| Rate for Payer: Mercy Care Medicaid |
$27,123.14
|
| Rate for Payer: NaphCare Correctional Healthcare |
$27,123.14
|
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$10,384.23
|
|
|
Service Code
|
APR-DRG 2643
|
| Hospital Charge Code |
APRDRG2643
|
| Min. Negotiated Rate |
$10,384.23 |
| Max. Negotiated Rate |
$10,384.23 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,384.23
|
| Rate for Payer: Mercy Care Medicaid |
$10,384.23
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,384.23
|
|
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
Facility
|
IP
|
$9,094.35
|
|
|
Service Code
|
APR-DRG 2642
|
| Hospital Charge Code |
APRDRG2643
|
| Min. Negotiated Rate |
$9,094.35 |
| Max. Negotiated Rate |
$9,094.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,094.35
|
| Rate for Payer: Mercy Care Medicaid |
$9,094.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,094.35
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7244
|
| Min. Negotiated Rate |
$4,714.11 |
| Max. Negotiated Rate |
$4,714.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,714.11
|
| Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,714.11
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
|
Service Code
|
APR-DRG 7241
|
| Hospital Charge Code |
APRDRG7241
|
| Min. Negotiated Rate |
$3,896.28 |
| Max. Negotiated Rate |
$3,896.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,896.28
|
| Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,896.28
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
|
Service Code
|
APR-DRG 7243
|
| Hospital Charge Code |
APRDRG7243
|
| Min. Negotiated Rate |
$8,141.15 |
| Max. Negotiated Rate |
$8,141.15 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,141.15
|
| Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,141.15
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
|
Service Code
|
APR-DRG 7244
|
| Hospital Charge Code |
APRDRG7244
|
| Min. Negotiated Rate |
$18,566.06 |
| Max. Negotiated Rate |
$18,566.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,566.06
|
| Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,566.06
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
|
Service Code
|
APR-DRG 7244
|
| Hospital Charge Code |
APRDRG7241
|
| Min. Negotiated Rate |
$18,566.06 |
| Max. Negotiated Rate |
$18,566.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,566.06
|
| Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,566.06
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
|
Service Code
|
APR-DRG 7243
|
| Hospital Charge Code |
APRDRG7242
|
| Min. Negotiated Rate |
$8,141.15 |
| Max. Negotiated Rate |
$8,141.15 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,141.15
|
| Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,141.15
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7241
|
| Min. Negotiated Rate |
$4,714.11 |
| Max. Negotiated Rate |
$4,714.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,714.11
|
| Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,714.11
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
|
Service Code
|
APR-DRG 7244
|
| Hospital Charge Code |
APRDRG7242
|
| Min. Negotiated Rate |
$18,566.06 |
| Max. Negotiated Rate |
$18,566.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,566.06
|
| Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,566.06
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
|
Service Code
|
APR-DRG 7241
|
| Hospital Charge Code |
APRDRG7243
|
| Min. Negotiated Rate |
$3,896.28 |
| Max. Negotiated Rate |
$3,896.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,896.28
|
| Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,896.28
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
|
Service Code
|
APR-DRG 7241
|
| Hospital Charge Code |
APRDRG7242
|
| Min. Negotiated Rate |
$3,896.28 |
| Max. Negotiated Rate |
$3,896.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,896.28
|
| Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,896.28
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
|
Service Code
|
APR-DRG 7243
|
| Hospital Charge Code |
APRDRG7241
|
| Min. Negotiated Rate |
$8,141.15 |
| Max. Negotiated Rate |
$8,141.15 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,141.15
|
| Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,141.15
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7243
|
| Min. Negotiated Rate |
$4,714.11 |
| Max. Negotiated Rate |
$4,714.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,714.11
|
| Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,714.11
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$4,714.11
|
|
|
Service Code
|
APR-DRG 7242
|
| Hospital Charge Code |
APRDRG7242
|
| Min. Negotiated Rate |
$4,714.11 |
| Max. Negotiated Rate |
$4,714.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,714.11
|
| Rate for Payer: Mercy Care Medicaid |
$4,714.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,714.11
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$3,896.28
|
|
|
Service Code
|
APR-DRG 7241
|
| Hospital Charge Code |
APRDRG7244
|
| Min. Negotiated Rate |
$3,896.28 |
| Max. Negotiated Rate |
$3,896.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,896.28
|
| Rate for Payer: Mercy Care Medicaid |
$3,896.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,896.28
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$18,566.06
|
|
|
Service Code
|
APR-DRG 7244
|
| Hospital Charge Code |
APRDRG7243
|
| Min. Negotiated Rate |
$18,566.06 |
| Max. Negotiated Rate |
$18,566.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$18,566.06
|
| Rate for Payer: Mercy Care Medicaid |
$18,566.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$18,566.06
|
|
|
Other Infectious And Parasitic Diseases
|
Facility
|
IP
|
$8,141.15
|
|
|
Service Code
|
APR-DRG 7243
|
| Hospital Charge Code |
APRDRG7244
|
| Min. Negotiated Rate |
$8,141.15 |
| Max. Negotiated Rate |
$8,141.15 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,141.15
|
| Rate for Payer: Mercy Care Medicaid |
$8,141.15
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,141.15
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
|
IP
|
$13,420.69
|
|
|
Service Code
|
MSDRG 868
|
| Min. Negotiated Rate |
$13,420.69 |
| Max. Negotiated Rate |
$13,420.69 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,420.69
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
|
IP
|
$27,052.81
|
|
|
Service Code
|
MSDRG 867
|
| Min. Negotiated Rate |
$27,052.81 |
| Max. Negotiated Rate |
$27,052.81 |
| Rate for Payer: Seven Corners Travel Insurance |
$27,052.81
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,601.58
|
|
|
Service Code
|
MSDRG 869
|
| Min. Negotiated Rate |
$9,601.58 |
| Max. Negotiated Rate |
$9,601.58 |
| Rate for Payer: Seven Corners Travel Insurance |
$9,601.58
|
|
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
Facility
|
IP
|
$16,898.13
|
|
|
Service Code
|
APR-DRG 8154
|
| Hospital Charge Code |
APRDRG8152
|
| Min. Negotiated Rate |
$16,898.13 |
| Max. Negotiated Rate |
$16,898.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$16,898.13
|
| Rate for Payer: Mercy Care Medicaid |
$16,898.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$16,898.13
|
|
