|
Other Respiratory And Chest Procedures
|
Facility
|
IP
|
$8,496.06
|
|
|
Service Code
|
APR-DRG 1211
|
| Hospital Charge Code |
APRDRG1211
|
| Min. Negotiated Rate |
$8,496.06 |
| Max. Negotiated Rate |
$8,496.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,496.06
|
| Rate for Payer: Mercy Care Medicaid |
$8,496.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,496.06
|
|
|
Other Respiratory And Chest Procedures
|
Facility
|
IP
|
$11,552.06
|
|
|
Service Code
|
APR-DRG 1212
|
| Hospital Charge Code |
APRDRG1211
|
| Min. Negotiated Rate |
$11,552.06 |
| Max. Negotiated Rate |
$11,552.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$11,552.06
|
| Rate for Payer: Mercy Care Medicaid |
$11,552.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$11,552.06
|
|
|
Other Respiratory And Chest Procedures
|
Facility
|
IP
|
$8,496.06
|
|
|
Service Code
|
APR-DRG 1211
|
| Hospital Charge Code |
APRDRG1212
|
| Min. Negotiated Rate |
$8,496.06 |
| Max. Negotiated Rate |
$8,496.06 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$8,496.06
|
| Rate for Payer: Mercy Care Medicaid |
$8,496.06
|
| Rate for Payer: NaphCare Correctional Healthcare |
$8,496.06
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$6,897.57
|
|
|
Service Code
|
APR-DRG 1433
|
| Hospital Charge Code |
APRDRG1434
|
| Min. Negotiated Rate |
$6,897.57 |
| Max. Negotiated Rate |
$6,897.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,897.57
|
| Rate for Payer: Mercy Care Medicaid |
$6,897.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,897.57
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$10,721.60
|
|
|
Service Code
|
APR-DRG 1434
|
| Hospital Charge Code |
APRDRG1433
|
| Min. Negotiated Rate |
$10,721.60 |
| Max. Negotiated Rate |
$10,721.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,721.60
|
| Rate for Payer: Mercy Care Medicaid |
$10,721.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,721.60
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$3,290.27
|
|
|
Service Code
|
APR-DRG 1431
|
| Hospital Charge Code |
APRDRG1431
|
| Min. Negotiated Rate |
$3,290.27 |
| Max. Negotiated Rate |
$3,290.27 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,290.27
|
| Rate for Payer: Mercy Care Medicaid |
$3,290.27
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,290.27
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$4,782.85
|
|
|
Service Code
|
APR-DRG 1432
|
| Hospital Charge Code |
APRDRG1431
|
| Min. Negotiated Rate |
$4,782.85 |
| Max. Negotiated Rate |
$4,782.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,782.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,782.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,782.85
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$10,721.60
|
|
|
Service Code
|
APR-DRG 1434
|
| Hospital Charge Code |
APRDRG1431
|
| Min. Negotiated Rate |
$10,721.60 |
| Max. Negotiated Rate |
$10,721.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,721.60
|
| Rate for Payer: Mercy Care Medicaid |
$10,721.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,721.60
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$3,290.27
|
|
|
Service Code
|
APR-DRG 1431
|
| Hospital Charge Code |
APRDRG1432
|
| Min. Negotiated Rate |
$3,290.27 |
| Max. Negotiated Rate |
$3,290.27 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,290.27
|
| Rate for Payer: Mercy Care Medicaid |
$3,290.27
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,290.27
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$4,782.85
|
|
|
Service Code
|
APR-DRG 1432
|
| Hospital Charge Code |
APRDRG1434
|
| Min. Negotiated Rate |
$4,782.85 |
| Max. Negotiated Rate |
$4,782.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,782.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,782.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,782.85
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$6,897.57
|
|
|
Service Code
|
APR-DRG 1433
|
| Hospital Charge Code |
APRDRG1432
|
| Min. Negotiated Rate |
$6,897.57 |
| Max. Negotiated Rate |
$6,897.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,897.57
|
| Rate for Payer: Mercy Care Medicaid |
$6,897.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,897.57
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$10,721.60
|
|
|
Service Code
|
APR-DRG 1434
|
| Hospital Charge Code |
APRDRG1434
|
| Min. Negotiated Rate |
$10,721.60 |
| Max. Negotiated Rate |
$10,721.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,721.60
|
| Rate for Payer: Mercy Care Medicaid |
$10,721.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,721.60
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$3,290.27
|
|
|
Service Code
|
APR-DRG 1431
|
| Hospital Charge Code |
APRDRG1434
|
| Min. Negotiated Rate |
$3,290.27 |
| Max. Negotiated Rate |
$3,290.27 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,290.27
|
| Rate for Payer: Mercy Care Medicaid |
$3,290.27
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,290.27
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$4,782.85
|
|
|
Service Code
|
APR-DRG 1432
|
| Hospital Charge Code |
APRDRG1432
|
| Min. Negotiated Rate |
$4,782.85 |
| Max. Negotiated Rate |
$4,782.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,782.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,782.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,782.85
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$10,721.60
|
|
|
Service Code
|
APR-DRG 1434
|
| Hospital Charge Code |
APRDRG1432
|
| Min. Negotiated Rate |
$10,721.60 |
| Max. Negotiated Rate |
$10,721.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,721.60
|
| Rate for Payer: Mercy Care Medicaid |
$10,721.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,721.60
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$4,782.85
|
|
|
Service Code
|
APR-DRG 1432
|
| Hospital Charge Code |
APRDRG1433
|
| Min. Negotiated Rate |
$4,782.85 |
| Max. Negotiated Rate |
$4,782.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,782.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,782.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,782.85
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$3,290.27
|
|
|
Service Code
|
APR-DRG 1431
|
| Hospital Charge Code |
APRDRG1433
|
| Min. Negotiated Rate |
$3,290.27 |
| Max. Negotiated Rate |
$3,290.27 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,290.27
|
| Rate for Payer: Mercy Care Medicaid |
$3,290.27
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,290.27
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$6,897.57
|
|
|
Service Code
|
APR-DRG 1433
|
| Hospital Charge Code |
APRDRG1433
|
| Min. Negotiated Rate |
$6,897.57 |
| Max. Negotiated Rate |
$6,897.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,897.57
|
| Rate for Payer: Mercy Care Medicaid |
$6,897.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,897.57
|
|
|
Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses
|
Facility
|
IP
|
$6,897.57
|
|
|
Service Code
|
APR-DRG 1433
|
| Hospital Charge Code |
APRDRG1431
|
| Min. Negotiated Rate |
$6,897.57 |
| Max. Negotiated Rate |
$6,897.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,897.57
|
| Rate for Payer: Mercy Care Medicaid |
$6,897.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,897.57
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$23,664.09
|
|
|
Service Code
|
MSDRG 205
|
| Min. Negotiated Rate |
$23,664.09 |
| Max. Negotiated Rate |
$23,664.09 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,664.09
|
|
|
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
|
IP
|
$12,280.28
|
|
|
Service Code
|
MSDRG 206
|
| Min. Negotiated Rate |
$12,280.28 |
| Max. Negotiated Rate |
$12,280.28 |
| Rate for Payer: Seven Corners Travel Insurance |
$12,280.28
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,307.42
|
|
|
Service Code
|
MSDRG 167
|
| Min. Negotiated Rate |
$23,307.42 |
| Max. Negotiated Rate |
$23,307.42 |
| Rate for Payer: Seven Corners Travel Insurance |
$23,307.42
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$48,306.55
|
|
|
Service Code
|
MSDRG 166
|
| Min. Negotiated Rate |
$48,306.55 |
| Max. Negotiated Rate |
$48,306.55 |
| Rate for Payer: Seven Corners Travel Insurance |
$48,306.55
|
|
|
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,669.35
|
|
|
Service Code
|
MSDRG 168
|
| Min. Negotiated Rate |
$17,669.35 |
| Max. Negotiated Rate |
$17,669.35 |
| Rate for Payer: Seven Corners Travel Insurance |
$17,669.35
|
|
|
Other Significant Hip And Femur Surgery
|
Facility
|
IP
|
$9,220.60
|
|
|
Service Code
|
APR-DRG 3091
|
| Hospital Charge Code |
APRDRG3093
|
| Min. Negotiated Rate |
$9,220.60 |
| Max. Negotiated Rate |
$9,220.60 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$9,220.60
|
| Rate for Payer: Mercy Care Medicaid |
$9,220.60
|
| Rate for Payer: NaphCare Correctional Healthcare |
$9,220.60
|
|