|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
|
Service Code
|
APR-DRG 4684
|
| Hospital Charge Code |
APRDRG4684
|
| Min. Negotiated Rate |
$11,770.19 |
| Max. Negotiated Rate |
$11,770.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,770.19
|
| Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,770.19
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4684
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4684
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4681
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$6,754.48
|
|
|
Service Code
|
APR-DRG 4683
|
| Hospital Charge Code |
APRDRG4683
|
| Min. Negotiated Rate |
$6,754.48 |
| Max. Negotiated Rate |
$6,754.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,754.48
|
| Rate for Payer: Mercy Care Medicaid |
$6,754.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,754.48
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$3,485.26
|
|
|
Service Code
|
APR-DRG 4681
|
| Hospital Charge Code |
APRDRG4683
|
| Min. Negotiated Rate |
$3,485.26 |
| Max. Negotiated Rate |
$3,485.26 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,485.26
|
| Rate for Payer: Mercy Care Medicaid |
$3,485.26
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,485.26
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$4,490.36
|
|
|
Service Code
|
APR-DRG 4682
|
| Hospital Charge Code |
APRDRG4681
|
| Min. Negotiated Rate |
$4,490.36 |
| Max. Negotiated Rate |
$4,490.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,490.36
|
| Rate for Payer: Mercy Care Medicaid |
$4,490.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,490.36
|
|
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
Facility
|
IP
|
$11,770.19
|
|
|
Service Code
|
APR-DRG 4684
|
| Hospital Charge Code |
APRDRG4683
|
| Min. Negotiated Rate |
$11,770.19 |
| Max. Negotiated Rate |
$11,770.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,770.19
|
| Rate for Payer: Mercy Care Medicaid |
$11,770.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,770.19
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
|
IP
|
$13,216.71
|
|
|
Service Code
|
MSDRG 699
|
| Min. Negotiated Rate |
$13,216.71 |
| Max. Negotiated Rate |
$13,216.71 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,216.71
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,381.69
|
|
|
Service Code
|
MSDRG 698
|
| Min. Negotiated Rate |
$21,381.69 |
| Max. Negotiated Rate |
$21,381.69 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,381.69
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,097.26
|
|
|
Service Code
|
MSDRG 700
|
| Min. Negotiated Rate |
$9,097.26 |
| Max. Negotiated Rate |
$9,097.26 |
| Rate for Payer: Seven Corners Travel Insurance |
$9,097.26
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
|
Facility
|
IP
|
$30,224.39
|
|
|
Service Code
|
MSDRG 674
|
| Min. Negotiated Rate |
$30,224.39 |
| Max. Negotiated Rate |
$30,224.39 |
| Rate for Payer: Seven Corners Travel Insurance |
$30,224.39
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
|
Facility
|
IP
|
$54,302.05
|
|
|
Service Code
|
MSDRG 673
|
| Min. Negotiated Rate |
$54,302.05 |
| Max. Negotiated Rate |
$54,302.05 |
| Rate for Payer: Seven Corners Travel Insurance |
$54,302.05
|
|
|
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$21,213.69
|
|
|
Service Code
|
MSDRG 675
|
| Min. Negotiated Rate |
$21,213.69 |
| Max. Negotiated Rate |
$21,213.69 |
| Rate for Payer: Seven Corners Travel Insurance |
$21,213.69
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,990.04
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$14,459.36
|
|
|
Service Code
|
APR-DRG 4473
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$14,459.36 |
| Max. Negotiated Rate |
$14,459.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,459.36
|
| Rate for Payer: Mercy Care Medicaid |
$14,459.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,459.36
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$32,618.61
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4474
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4471
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4471
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$32,618.61
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$32,618.61
|
|
|
Service Code
|
APR-DRG 4474
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$32,618.61 |
| Max. Negotiated Rate |
$32,618.61 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$32,618.61
|
| Rate for Payer: Mercy Care Medicaid |
$32,618.61
|
| Rate for Payer: NaphCare Correctional Healthcare |
$32,618.61
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$14,459.36
|
|
|
Service Code
|
APR-DRG 4473
|
| Hospital Charge Code |
APRDRG4473
|
| Min. Negotiated Rate |
$14,459.36 |
| Max. Negotiated Rate |
$14,459.36 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$14,459.36
|
| Rate for Payer: Mercy Care Medicaid |
$14,459.36
|
| Rate for Payer: NaphCare Correctional Healthcare |
$14,459.36
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,271.11
|
|
|
Service Code
|
APR-DRG 4471
|
| Hospital Charge Code |
APRDRG4472
|
| Min. Negotiated Rate |
$9,271.11 |
| Max. Negotiated Rate |
$9,271.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,271.11
|
| Rate for Payer: Mercy Care Medicaid |
$9,271.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,271.11
|
|
|
Other Kidney, Urinary Tract And Related Procedures
|
Facility
|
IP
|
$9,990.04
|
|
|
Service Code
|
APR-DRG 4472
|
| Hospital Charge Code |
APRDRG4474
|
| Min. Negotiated Rate |
$9,990.04 |
| Max. Negotiated Rate |
$9,990.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,990.04
|
| Rate for Payer: Mercy Care Medicaid |
$9,990.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,990.04
|
|
