|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$3,575.04
|
|
|
Service Code
|
APR-DRG 3511
|
| Hospital Charge Code |
APRDRG3511
|
| Min. Negotiated Rate |
$3,575.04 |
| Max. Negotiated Rate |
$3,575.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,575.04
|
| Rate for Payer: Mercy Care Medicaid |
$3,575.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,575.04
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3511
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3512
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$3,575.04
|
|
|
Service Code
|
APR-DRG 3511
|
| Hospital Charge Code |
APRDRG3513
|
| Min. Negotiated Rate |
$3,575.04 |
| Max. Negotiated Rate |
$3,575.04 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,575.04
|
| Rate for Payer: Mercy Care Medicaid |
$3,575.04
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,575.04
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$12,364.28
|
|
|
Service Code
|
APR-DRG 3514
|
| Hospital Charge Code |
APRDRG3511
|
| Min. Negotiated Rate |
$12,364.28 |
| Max. Negotiated Rate |
$12,364.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,364.28
|
| Rate for Payer: Mercy Care Medicaid |
$12,364.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,364.28
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$6,504.78
|
|
|
Service Code
|
APR-DRG 3513
|
| Hospital Charge Code |
APRDRG3513
|
| Min. Negotiated Rate |
$6,504.78 |
| Max. Negotiated Rate |
$6,504.78 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,504.78
|
| Rate for Payer: Mercy Care Medicaid |
$6,504.78
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,504.78
|
|
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
Facility
|
IP
|
$12,364.28
|
|
|
Service Code
|
APR-DRG 3514
|
| Hospital Charge Code |
APRDRG3512
|
| Min. Negotiated Rate |
$12,364.28 |
| Max. Negotiated Rate |
$12,364.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$12,364.28
|
| Rate for Payer: Mercy Care Medicaid |
$12,364.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$12,364.28
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$12,702.23
|
|
|
Service Code
|
MSDRG 565
|
| Min. Negotiated Rate |
$12,702.23 |
| Max. Negotiated Rate |
$12,702.23 |
| Rate for Payer: Seven Corners Travel Insurance |
$12,702.23
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$19,949.71
|
|
|
Service Code
|
MSDRG 564
|
| Min. Negotiated Rate |
$19,949.71 |
| Max. Negotiated Rate |
$19,949.71 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,949.71
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$9,849.95
|
|
|
Service Code
|
MSDRG 566
|
| Min. Negotiated Rate |
$9,849.95 |
| Max. Negotiated Rate |
$9,849.95 |
| Rate for Payer: Seven Corners Travel Insurance |
$9,849.95
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$26,857.67
|
|
|
Service Code
|
MSDRG 516
|
| Min. Negotiated Rate |
$26,857.67 |
| Max. Negotiated Rate |
$26,857.67 |
| Rate for Payer: Seven Corners Travel Insurance |
$26,857.67
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$41,187.92
|
|
|
Service Code
|
MSDRG 515
|
| Min. Negotiated Rate |
$41,187.92 |
| Max. Negotiated Rate |
$41,187.92 |
| Rate for Payer: Seven Corners Travel Insurance |
$41,187.92
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$19,860.52
|
|
|
Service Code
|
MSDRG 517
|
| Min. Negotiated Rate |
$19,860.52 |
| Max. Negotiated Rate |
$19,860.52 |
| Rate for Payer: Seven Corners Travel Insurance |
$19,860.52
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$25,580.76
|
|
|
Service Code
|
APR-DRG 3204
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$25,580.76 |
| Max. Negotiated Rate |
$25,580.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$25,580.76
|
| Rate for Payer: Mercy Care Medicaid |
$25,580.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$25,580.76
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,453.95
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$15,453.95
|
|
|
Service Code
|
APR-DRG 3203
|
| Hospital Charge Code |
APRDRG3203
|
| Min. Negotiated Rate |
$15,453.95 |
| Max. Negotiated Rate |
$15,453.95 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$15,453.95
|
| Rate for Payer: Mercy Care Medicaid |
$15,453.95
|
| Rate for Payer: NaphCare Correctional Healthcare |
$15,453.95
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3201
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,873.72
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$9,961.28
|
|
|
Service Code
|
APR-DRG 3202
|
| Hospital Charge Code |
APRDRG3202
|
| Min. Negotiated Rate |
$9,961.28 |
| Max. Negotiated Rate |
$9,961.28 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,961.28
|
| Rate for Payer: Mercy Care Medicaid |
$9,961.28
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,961.28
|
|
|
Other Musculoskeletal System And Connective Tissue Procedures
|
Facility
|
IP
|
$6,873.72
|
|
|
Service Code
|
APR-DRG 3201
|
| Hospital Charge Code |
APRDRG3204
|
| Min. Negotiated Rate |
$6,873.72 |
| Max. Negotiated Rate |
$6,873.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,873.72
|
| Rate for Payer: Mercy Care Medicaid |
$6,873.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,873.72
|
|
