|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
|
Service Code
|
APR-DRG 1832
|
| Hospital Charge Code |
APRDRG1833
|
| Min. Negotiated Rate |
$28,283.25 |
| Max. Negotiated Rate |
$28,283.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,283.25
|
| Rate for Payer: Mercy Care Medicaid |
$28,283.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,283.25
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
|
Service Code
|
APR-DRG 1832
|
| Hospital Charge Code |
APRDRG1831
|
| Min. Negotiated Rate |
$28,283.25 |
| Max. Negotiated Rate |
$28,283.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,283.25
|
| Rate for Payer: Mercy Care Medicaid |
$28,283.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,283.25
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$26,889.57
|
|
|
Service Code
|
APR-DRG 1831
|
| Hospital Charge Code |
APRDRG1832
|
| Min. Negotiated Rate |
$26,889.57 |
| Max. Negotiated Rate |
$26,889.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,889.57
|
| Rate for Payer: Mercy Care Medicaid |
$26,889.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,889.57
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$33,632.13
|
|
|
Service Code
|
APR-DRG 1833
|
| Hospital Charge Code |
APRDRG1833
|
| Min. Negotiated Rate |
$33,632.13 |
| Max. Negotiated Rate |
$33,632.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$33,632.13
|
| Rate for Payer: Mercy Care Medicaid |
$33,632.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$33,632.13
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
|
Service Code
|
APR-DRG 1834
|
| Hospital Charge Code |
APRDRG1833
|
| Min. Negotiated Rate |
$48,903.71 |
| Max. Negotiated Rate |
$48,903.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$48,903.71
|
| Rate for Payer: Mercy Care Medicaid |
$48,903.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$48,903.71
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
|
Service Code
|
APR-DRG 1832
|
| Hospital Charge Code |
APRDRG1832
|
| Min. Negotiated Rate |
$28,283.25 |
| Max. Negotiated Rate |
$28,283.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,283.25
|
| Rate for Payer: Mercy Care Medicaid |
$28,283.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,283.25
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$33,632.13
|
|
|
Service Code
|
APR-DRG 1833
|
| Hospital Charge Code |
APRDRG1831
|
| Min. Negotiated Rate |
$33,632.13 |
| Max. Negotiated Rate |
$33,632.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$33,632.13
|
| Rate for Payer: Mercy Care Medicaid |
$33,632.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$33,632.13
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
|
Service Code
|
APR-DRG 1834
|
| Hospital Charge Code |
APRDRG1834
|
| Min. Negotiated Rate |
$48,903.71 |
| Max. Negotiated Rate |
$48,903.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$48,903.71
|
| Rate for Payer: Mercy Care Medicaid |
$48,903.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$48,903.71
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$33,632.13
|
|
|
Service Code
|
APR-DRG 1833
|
| Hospital Charge Code |
APRDRG1834
|
| Min. Negotiated Rate |
$33,632.13 |
| Max. Negotiated Rate |
$33,632.13 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$33,632.13
|
| Rate for Payer: Mercy Care Medicaid |
$33,632.13
|
| Rate for Payer: NaphCare Correctional Healthcare |
$33,632.13
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$48,903.71
|
|
|
Service Code
|
APR-DRG 1834
|
| Hospital Charge Code |
APRDRG1831
|
| Min. Negotiated Rate |
$48,903.71 |
| Max. Negotiated Rate |
$48,903.71 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$48,903.71
|
| Rate for Payer: Mercy Care Medicaid |
$48,903.71
|
| Rate for Payer: NaphCare Correctional Healthcare |
$48,903.71
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$26,889.57
|
|
|
Service Code
|
APR-DRG 1831
|
| Hospital Charge Code |
APRDRG1834
|
| Min. Negotiated Rate |
$26,889.57 |
| Max. Negotiated Rate |
$26,889.57 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$26,889.57
|
| Rate for Payer: Mercy Care Medicaid |
$26,889.57
|
| Rate for Payer: NaphCare Correctional Healthcare |
$26,889.57
|
|
|
Percutaneous Structural Cardiac Procedures
|
Facility
|
IP
|
$28,283.25
|
|
|
Service Code
|
APR-DRG 1832
|
| Hospital Charge Code |
APRDRG1834
|
| Min. Negotiated Rate |
$28,283.25 |
| Max. Negotiated Rate |
$28,283.25 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$28,283.25
|
| Rate for Payer: Mercy Care Medicaid |
$28,283.25
|
| Rate for Payer: NaphCare Correctional Healthcare |
$28,283.25
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$3,568.72
|
|
|
Service Code
|
APR-DRG 1971
|
| Hospital Charge Code |
APRDRG1973
|
| Min. Negotiated Rate |
$3,568.72 |
| Max. Negotiated Rate |
$3,568.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,568.72
|
| Rate for Payer: Mercy Care Medicaid |
$3,568.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,568.72
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
|
Service Code
|
APR-DRG 1972
|
| Hospital Charge Code |
APRDRG1974
|
| Min. Negotiated Rate |
$4,634.85 |
| Max. Negotiated Rate |
$4,634.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,634.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,634.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,634.85
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$6,431.84
|
|
|
Service Code
|
APR-DRG 1973
|
| Hospital Charge Code |
APRDRG1973
|
| Min. Negotiated Rate |
$6,431.84 |
| Max. Negotiated Rate |
$6,431.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,431.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,431.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,431.84
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
|
Service Code
|
APR-DRG 1972
|
| Hospital Charge Code |
APRDRG1971
|
| Min. Negotiated Rate |
$4,634.85 |
| Max. Negotiated Rate |
$4,634.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,634.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,634.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,634.85
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$3,568.72
|
|
|
Service Code
|
APR-DRG 1971
|
| Hospital Charge Code |
APRDRG1972
|
| Min. Negotiated Rate |
$3,568.72 |
| Max. Negotiated Rate |
$3,568.72 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,568.72
|
| Rate for Payer: Mercy Care Medicaid |
$3,568.72
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,568.72
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
|
Service Code
|
APR-DRG 1974
|
| Hospital Charge Code |
APRDRG1973
|
| Min. Negotiated Rate |
$13,418.48 |
| Max. Negotiated Rate |
$13,418.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,418.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,418.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,418.48
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$6,431.84
|
|
|
Service Code
|
APR-DRG 1973
|
| Hospital Charge Code |
APRDRG1974
|
| Min. Negotiated Rate |
$6,431.84 |
| Max. Negotiated Rate |
$6,431.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,431.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,431.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,431.84
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$6,431.84
|
|
|
Service Code
|
APR-DRG 1973
|
| Hospital Charge Code |
APRDRG1972
|
| Min. Negotiated Rate |
$6,431.84 |
| Max. Negotiated Rate |
$6,431.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,431.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,431.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,431.84
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
|
Service Code
|
APR-DRG 1974
|
| Hospital Charge Code |
APRDRG1971
|
| Min. Negotiated Rate |
$13,418.48 |
| Max. Negotiated Rate |
$13,418.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,418.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,418.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,418.48
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$4,634.85
|
|
|
Service Code
|
APR-DRG 1972
|
| Hospital Charge Code |
APRDRG1973
|
| Min. Negotiated Rate |
$4,634.85 |
| Max. Negotiated Rate |
$4,634.85 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,634.85
|
| Rate for Payer: Mercy Care Medicaid |
$4,634.85
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,634.85
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
|
Service Code
|
APR-DRG 1974
|
| Hospital Charge Code |
APRDRG1972
|
| Min. Negotiated Rate |
$13,418.48 |
| Max. Negotiated Rate |
$13,418.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,418.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,418.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,418.48
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$13,418.48
|
|
|
Service Code
|
APR-DRG 1974
|
| Hospital Charge Code |
APRDRG1974
|
| Min. Negotiated Rate |
$13,418.48 |
| Max. Negotiated Rate |
$13,418.48 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,418.48
|
| Rate for Payer: Mercy Care Medicaid |
$13,418.48
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,418.48
|
|
|
Peripheral And Other Vascular Disorders
|
Facility
|
IP
|
$6,431.84
|
|
|
Service Code
|
APR-DRG 1973
|
| Hospital Charge Code |
APRDRG1971
|
| Min. Negotiated Rate |
$6,431.84 |
| Max. Negotiated Rate |
$6,431.84 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$6,431.84
|
| Rate for Payer: Mercy Care Medicaid |
$6,431.84
|
| Rate for Payer: NaphCare Correctional Healthcare |
$6,431.84
|
|
