|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$3,385.66
|
|
|
Service Code
|
APR-DRG 5431
|
| Hospital Charge Code |
APRDRG5432
|
| Min. Negotiated Rate |
$3,385.66 |
| Max. Negotiated Rate |
$3,385.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,385.66
|
| Rate for Payer: Mercy Care Medicaid |
$3,385.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,385.66
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$13,229.11
|
|
|
Service Code
|
APR-DRG 5434
|
| Hospital Charge Code |
APRDRG5433
|
| Min. Negotiated Rate |
$13,229.11 |
| Max. Negotiated Rate |
$13,229.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,229.11
|
| Rate for Payer: Mercy Care Medicaid |
$13,229.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,229.11
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$5,752.18
|
|
|
Service Code
|
APR-DRG 5433
|
| Hospital Charge Code |
APRDRG5432
|
| Min. Negotiated Rate |
$5,752.18 |
| Max. Negotiated Rate |
$5,752.18 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,752.18
|
| Rate for Payer: Mercy Care Medicaid |
$5,752.18
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,752.18
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$3,385.66
|
|
|
Service Code
|
APR-DRG 5431
|
| Hospital Charge Code |
APRDRG5434
|
| Min. Negotiated Rate |
$3,385.66 |
| Max. Negotiated Rate |
$3,385.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,385.66
|
| Rate for Payer: Mercy Care Medicaid |
$3,385.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,385.66
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$4,146.68
|
|
|
Service Code
|
APR-DRG 5432
|
| Hospital Charge Code |
APRDRG5431
|
| Min. Negotiated Rate |
$4,146.68 |
| Max. Negotiated Rate |
$4,146.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,146.68
|
| Rate for Payer: Mercy Care Medicaid |
$4,146.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,146.68
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$5,752.18
|
|
|
Service Code
|
APR-DRG 5433
|
| Hospital Charge Code |
APRDRG5433
|
| Min. Negotiated Rate |
$5,752.18 |
| Max. Negotiated Rate |
$5,752.18 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,752.18
|
| Rate for Payer: Mercy Care Medicaid |
$5,752.18
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,752.18
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$4,146.68
|
|
|
Service Code
|
APR-DRG 5432
|
| Hospital Charge Code |
APRDRG5434
|
| Min. Negotiated Rate |
$4,146.68 |
| Max. Negotiated Rate |
$4,146.68 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,146.68
|
| Rate for Payer: Mercy Care Medicaid |
$4,146.68
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,146.68
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$5,752.18
|
|
|
Service Code
|
APR-DRG 5433
|
| Hospital Charge Code |
APRDRG5431
|
| Min. Negotiated Rate |
$5,752.18 |
| Max. Negotiated Rate |
$5,752.18 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,752.18
|
| Rate for Payer: Mercy Care Medicaid |
$5,752.18
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,752.18
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$5,752.18
|
|
|
Service Code
|
APR-DRG 5433
|
| Hospital Charge Code |
APRDRG5434
|
| Min. Negotiated Rate |
$5,752.18 |
| Max. Negotiated Rate |
$5,752.18 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$5,752.18
|
| Rate for Payer: Mercy Care Medicaid |
$5,752.18
|
| Rate for Payer: NaphCare Correctional Healthcare |
$5,752.18
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$13,229.11
|
|
|
Service Code
|
APR-DRG 5434
|
| Hospital Charge Code |
APRDRG5431
|
| Min. Negotiated Rate |
$13,229.11 |
| Max. Negotiated Rate |
$13,229.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,229.11
|
| Rate for Payer: Mercy Care Medicaid |
$13,229.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,229.11
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$3,385.66
|
|
|
Service Code
|
APR-DRG 5431
|
| Hospital Charge Code |
APRDRG5433
|
| Min. Negotiated Rate |
$3,385.66 |
| Max. Negotiated Rate |
$3,385.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,385.66
|
| Rate for Payer: Mercy Care Medicaid |
$3,385.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,385.66
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$3,385.66
|
|
|
Service Code
|
APR-DRG 5431
|
| Hospital Charge Code |
APRDRG5431
|
| Min. Negotiated Rate |
$3,385.66 |
| Max. Negotiated Rate |
$3,385.66 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$3,385.66
|
| Rate for Payer: Mercy Care Medicaid |
$3,385.66
|
| Rate for Payer: NaphCare Correctional Healthcare |
$3,385.66
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$13,229.11
|
|
|
Service Code
|
APR-DRG 5434
|
| Hospital Charge Code |
APRDRG5432
|
| Min. Negotiated Rate |
$13,229.11 |
| Max. Negotiated Rate |
$13,229.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,229.11
|
| Rate for Payer: Mercy Care Medicaid |
$13,229.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,229.11
|
|
|
Abortion With D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$13,229.11
|
|
|
Service Code
|
APR-DRG 5434
|
| Hospital Charge Code |
APRDRG5434
|
| Min. Negotiated Rate |
$13,229.11 |
| Max. Negotiated Rate |
$13,229.11 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$13,229.11
|
| Rate for Payer: Mercy Care Medicaid |
$13,229.11
|
| Rate for Payer: NaphCare Correctional Healthcare |
$13,229.11
|
|
|
ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$13,060.85
|
|
|
Service Code
|
MSDRG 770
|
| Min. Negotiated Rate |
$13,060.85 |
| Max. Negotiated Rate |
$13,060.85 |
| Rate for Payer: Seven Corners Travel Insurance |
$13,060.85
|
|
|
ABORTION WITHOUT D&C
|
Facility
|
IP
|
$11,015.69
|
|
|
Service Code
|
MSDRG 779
|
| Min. Negotiated Rate |
$11,015.69 |
| Max. Negotiated Rate |
$11,015.69 |
| Rate for Payer: Seven Corners Travel Insurance |
$11,015.69
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$4,204.19
|
|
|
Service Code
|
APR-DRG 5643
|
| Hospital Charge Code |
APRDRG5643
|
| Min. Negotiated Rate |
$4,204.19 |
| Max. Negotiated Rate |
$4,204.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,204.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,204.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,204.19
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$2,025.64
|
|
|
Service Code
|
APR-DRG 5641
|
| Hospital Charge Code |
APRDRG5641
|
| Min. Negotiated Rate |
$2,025.64 |
| Max. Negotiated Rate |
$2,025.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,025.64
|
| Rate for Payer: Mercy Care Medicaid |
$2,025.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,025.64
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$4,204.19
|
|
|
Service Code
|
APR-DRG 5643
|
| Hospital Charge Code |
APRDRG5642
|
| Min. Negotiated Rate |
$4,204.19 |
| Max. Negotiated Rate |
$4,204.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,204.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,204.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,204.19
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$2,025.64
|
|
|
Service Code
|
APR-DRG 5641
|
| Hospital Charge Code |
APRDRG5643
|
| Min. Negotiated Rate |
$2,025.64 |
| Max. Negotiated Rate |
$2,025.64 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,025.64
|
| Rate for Payer: Mercy Care Medicaid |
$2,025.64
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,025.64
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$2,687.76
|
|
|
Service Code
|
APR-DRG 5642
|
| Hospital Charge Code |
APRDRG5643
|
| Min. Negotiated Rate |
$2,687.76 |
| Max. Negotiated Rate |
$2,687.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,687.76
|
| Rate for Payer: Mercy Care Medicaid |
$2,687.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,687.76
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$10,044.05
|
|
|
Service Code
|
APR-DRG 5644
|
| Hospital Charge Code |
APRDRG5644
|
| Min. Negotiated Rate |
$10,044.05 |
| Max. Negotiated Rate |
$10,044.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,044.05
|
| Rate for Payer: Mercy Care Medicaid |
$10,044.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,044.05
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$2,687.76
|
|
|
Service Code
|
APR-DRG 5642
|
| Hospital Charge Code |
APRDRG5641
|
| Min. Negotiated Rate |
$2,687.76 |
| Max. Negotiated Rate |
$2,687.76 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$2,687.76
|
| Rate for Payer: Mercy Care Medicaid |
$2,687.76
|
| Rate for Payer: NaphCare Correctional Healthcare |
$2,687.76
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$10,044.05
|
|
|
Service Code
|
APR-DRG 5644
|
| Hospital Charge Code |
APRDRG5643
|
| Min. Negotiated Rate |
$10,044.05 |
| Max. Negotiated Rate |
$10,044.05 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$10,044.05
|
| Rate for Payer: Mercy Care Medicaid |
$10,044.05
|
| Rate for Payer: NaphCare Correctional Healthcare |
$10,044.05
|
|
|
Abortion Without D&C, Aspiration Curettage Or Hysterotomy
|
Facility
|
IP
|
$4,204.19
|
|
|
Service Code
|
APR-DRG 5643
|
| Hospital Charge Code |
APRDRG5644
|
| Min. Negotiated Rate |
$4,204.19 |
| Max. Negotiated Rate |
$4,204.19 |
| Rate for Payer: Blue Cross Blue Shield of Arizona Health Choice |
$4,204.19
|
| Rate for Payer: Mercy Care Medicaid |
$4,204.19
|
| Rate for Payer: NaphCare Correctional Healthcare |
$4,204.19
|
|
