|
Other Open Craniotomy
|
Facility
|
IP
|
$11,264.48
|
|
|
Service Code
|
APR-DRG 0271
|
| Hospital Charge Code |
APRDRG0271
|
| Min. Negotiated Rate |
$11,264.48 |
| Max. Negotiated Rate |
$11,264.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,264.48
|
| Rate for Payer: Mercy Care Medicaid |
$11,264.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,264.48
|
|
|
Other Open Craniotomy
|
Facility
|
IP
|
$21,839.49
|
|
|
Service Code
|
APR-DRG 0273
|
| Hospital Charge Code |
APRDRG0274
|
| Min. Negotiated Rate |
$21,839.49 |
| Max. Negotiated Rate |
$21,839.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,839.49
|
| Rate for Payer: Mercy Care Medicaid |
$21,839.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,839.49
|
|
|
Other Open Craniotomy
|
Facility
|
IP
|
$13,933.31
|
|
|
Service Code
|
APR-DRG 0272
|
| Hospital Charge Code |
APRDRG0273
|
| Min. Negotiated Rate |
$13,933.31 |
| Max. Negotiated Rate |
$13,933.31 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,933.31
|
| Rate for Payer: Mercy Care Medicaid |
$13,933.31
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,933.31
|
|
|
Other Open Craniotomy
|
Facility
|
IP
|
$21,839.49
|
|
|
Service Code
|
APR-DRG 0273
|
| Hospital Charge Code |
APRDRG0272
|
| Min. Negotiated Rate |
$21,839.49 |
| Max. Negotiated Rate |
$21,839.49 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$21,839.49
|
| Rate for Payer: Mercy Care Medicaid |
$21,839.49
|
| Rate for Payer: NaphCare Correctional Healthcare |
$21,839.49
|
|
|
Other Open Craniotomy
|
Facility
|
IP
|
$41,005.25
|
|
|
Service Code
|
APR-DRG 0274
|
| Hospital Charge Code |
APRDRG0273
|
| Min. Negotiated Rate |
$41,005.25 |
| Max. Negotiated Rate |
$41,005.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$41,005.25
|
| Rate for Payer: Mercy Care Medicaid |
$41,005.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$41,005.25
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$25,786.25
|
|
|
Service Code
|
MSDRG 908
|
| Min. Negotiated Rate |
$25,786.25 |
| Max. Negotiated Rate |
$25,786.25 |
| Rate for Payer: Seven Corners Travel Insurance |
$25,786.25
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$49,619.64
|
|
|
Service Code
|
MSDRG 907
|
| Min. Negotiated Rate |
$49,619.64 |
| Max. Negotiated Rate |
$49,619.64 |
| Rate for Payer: Seven Corners Travel Insurance |
$49,619.64
|
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,988.91
|
|
|
Service Code
|
MSDRG 909
|
| Min. Negotiated Rate |
$16,988.91 |
| Max. Negotiated Rate |
$16,988.91 |
| Rate for Payer: Seven Corners Travel Insurance |
$16,988.91
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$11,098.25
|
|
|
Service Code
|
APR-DRG 6812
|
| Hospital Charge Code |
APRDRG6812
|
| Min. Negotiated Rate |
$11,098.25 |
| Max. Negotiated Rate |
$11,098.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,098.25
|
| Rate for Payer: Mercy Care Medicaid |
$11,098.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,098.25
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
Service Code
|
APR-DRG 6811
|
| Hospital Charge Code |
APRDRG6813
|
| Min. Negotiated Rate |
$7,842.35 |
| Max. Negotiated Rate |
$7,842.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,842.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,842.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,842.35
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
Service Code
|
APR-DRG 6814
|
| Hospital Charge Code |
APRDRG6814
|
| Min. Negotiated Rate |
$45,273.97 |
| Max. Negotiated Rate |
$45,273.97 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$45,273.97
|
| Rate for Payer: Mercy Care Medicaid |
$45,273.97
|
| Rate for Payer: NaphCare Correctional Healthcare |
$45,273.97
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
Service Code
|
APR-DRG 6813
|
| Hospital Charge Code |
APRDRG6814
|
| Min. Negotiated Rate |
$19,935.19 |
| Max. Negotiated Rate |
$19,935.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,935.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,935.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,935.19
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
Service Code
|
APR-DRG 6814
|
| Hospital Charge Code |
APRDRG6812
|
| Min. Negotiated Rate |
$45,273.97 |
| Max. Negotiated Rate |
$45,273.97 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$45,273.97
|
| Rate for Payer: Mercy Care Medicaid |
$45,273.97
|
| Rate for Payer: NaphCare Correctional Healthcare |
$45,273.97
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$11,098.25
|
|
|
Service Code
|
APR-DRG 6812
|
| Hospital Charge Code |
APRDRG6814
|
| Min. Negotiated Rate |
$11,098.25 |
| Max. Negotiated Rate |
$11,098.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,098.25
|
| Rate for Payer: Mercy Care Medicaid |
$11,098.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,098.25
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$11,098.25
|
|
|
Service Code
|
APR-DRG 6812
|
| Hospital Charge Code |
APRDRG6813
|
| Min. Negotiated Rate |
$11,098.25 |
| Max. Negotiated Rate |
$11,098.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,098.25
|
| Rate for Payer: Mercy Care Medicaid |
$11,098.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,098.25
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
Service Code
|
APR-DRG 6813
|
| Hospital Charge Code |
APRDRG6811
|
| Min. Negotiated Rate |
$19,935.19 |
| Max. Negotiated Rate |
$19,935.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,935.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,935.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,935.19
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
Service Code
|
APR-DRG 6811
|
| Hospital Charge Code |
APRDRG6814
|
| Min. Negotiated Rate |
$7,842.35 |
| Max. Negotiated Rate |
$7,842.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,842.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,842.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,842.35
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
Service Code
|
APR-DRG 6811
|
| Hospital Charge Code |
APRDRG6812
|
| Min. Negotiated Rate |
$7,842.35 |
| Max. Negotiated Rate |
$7,842.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,842.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,842.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,842.35
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
Service Code
|
APR-DRG 6814
|
| Hospital Charge Code |
APRDRG6811
|
| Min. Negotiated Rate |
$45,273.97 |
| Max. Negotiated Rate |
$45,273.97 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$45,273.97
|
| Rate for Payer: Mercy Care Medicaid |
$45,273.97
|
| Rate for Payer: NaphCare Correctional Healthcare |
$45,273.97
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
Service Code
|
APR-DRG 6813
|
| Hospital Charge Code |
APRDRG6812
|
| Min. Negotiated Rate |
$19,935.19 |
| Max. Negotiated Rate |
$19,935.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,935.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,935.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,935.19
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$7,842.35
|
|
|
Service Code
|
APR-DRG 6811
|
| Hospital Charge Code |
APRDRG6811
|
| Min. Negotiated Rate |
$7,842.35 |
| Max. Negotiated Rate |
$7,842.35 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$7,842.35
|
| Rate for Payer: Mercy Care Medicaid |
$7,842.35
|
| Rate for Payer: NaphCare Correctional Healthcare |
$7,842.35
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$45,273.97
|
|
|
Service Code
|
APR-DRG 6814
|
| Hospital Charge Code |
APRDRG6813
|
| Min. Negotiated Rate |
$45,273.97 |
| Max. Negotiated Rate |
$45,273.97 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$45,273.97
|
| Rate for Payer: Mercy Care Medicaid |
$45,273.97
|
| Rate for Payer: NaphCare Correctional Healthcare |
$45,273.97
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$11,098.25
|
|
|
Service Code
|
APR-DRG 6812
|
| Hospital Charge Code |
APRDRG6811
|
| Min. Negotiated Rate |
$11,098.25 |
| Max. Negotiated Rate |
$11,098.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,098.25
|
| Rate for Payer: Mercy Care Medicaid |
$11,098.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,098.25
|
|
|
Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
Facility
|
IP
|
$19,935.19
|
|
|
Service Code
|
APR-DRG 6813
|
| Hospital Charge Code |
APRDRG6813
|
| Min. Negotiated Rate |
$19,935.19 |
| Max. Negotiated Rate |
$19,935.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$19,935.19
|
| Rate for Payer: Mercy Care Medicaid |
$19,935.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$19,935.19
|
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$54,461.01
|
|
|
Service Code
|
MSDRG 958
|
| Min. Negotiated Rate |
$54,461.01 |
| Max. Negotiated Rate |
$54,461.01 |
| Rate for Payer: Seven Corners Travel Insurance |
$54,461.01
|
|
