250 EAST DUNLAP, PHOENIX, AZ, 85020
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 21 | — | — | $11,920 | $11,920 | $26,211 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 21 | — | — | $16,851 | $16,851 | $37,736 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 21 | — | — | $8,816.47 | $8,816.47 | $25,003 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 21 | — | — | $6,199.75 | $6,199.75 | $21,647 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 21 | — | — | $13,252 | $13,252 | $37,510 |
| COPD w MCC | MS-DRG | 190 | 21 | — | — | $9,598.51 | $9,598.51 | $21,838 |
| COPD w CC | MS-DRG | 191 | 21 | — | — | $7,473.18 | $7,473.18 | $18,440 |
| COPD w/o CC/MCC | MS-DRG | 192 | 21 | — | — | $5,859.31 | $5,859.31 | $15,969 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 21 | — | — | $7,175.29 | $7,175.29 | $17,602 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 21 | — | — | $5,750.91 | $5,750.91 | $14,443 |
| AMI discharged alive w MCC | MS-DRG | 280 | 21 | — | — | $13,584 | $13,584 | $37,775 |
| AMI discharged alive w CC | MS-DRG | 281 | 21 | — | — | $8,084.2 | $8,084.2 | $28,508 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 21 | — | — | $6,510.48 | $6,510.48 | $23,060 |
| Heart failure & shock w MCC | MS-DRG | 291 | 21 | — | — | $11,012 | $11,012 | $24,091 |
| Heart failure & shock w CC | MS-DRG | 292 | 21 | — | — | $7,521.35 | $7,521.35 | $19,073 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 21 | — | — | $5,249.09 | $5,249.09 | $16,496 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 21 | — | — | $10,372 | $10,372 | $22,593 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 21 | — | — | $6,611.64 | $6,611.64 | $16,092 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 21 | — | — | $5,249.89 | $5,249.89 | $12,584 |
| GI hemorrhage w CC | MS-DRG | 378 | 21 | — | — | $8,578.8 | $8,578.8 | $19,293 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 21 | — | — | $5,766.17 | $5,766.17 | $16,037 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 21 | — | — | $6,964.13 | $6,964.13 | $14,629 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 21 | — | — | $13,292 | $13,292 | $29,418 |
| Kidney/UTI w MCC | MS-DRG | 689 | 21 | — | — | $10,021 | $10,021 | $21,773 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 21 | — | — | $7,204.2 | $7,204.2 | $15,190 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 21 | — | — | $16,301 | $16,301 | $36,451 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 21 | — | — | $8,920.85 | $8,920.85 | $26,351 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 21 | — | — | $37,611 | $37,611 | $86,253 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 21 | — | — | $19,952 | $19,952 | $55,218 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 21 | — | — | $14,217 | $14,217 | $35,143 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 21 | — | — | $14,287 | $14,287 | $31,743 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 21 | — | — | $11,671 | $11,671 | $25,629 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 21 | — | — | $28,061 | $28,061 | $69,367 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $64,267 | $101,345 | $124,455 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $35,445 | $63,499 | $68,640 |
| Major joint replacement w MCC | MS-DRG | 469 | 21 | — | — | $25,059 | $25,059 | $59,464 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 21 | — | — | $16,192 | $16,192 | $47,187 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 21 | — | — | $24,088 | $24,088 | $54,649 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 21 | — | — | $17,522 | $17,522 | $41,567 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 21 | — | — | $13,800 | $13,800 | $35,178 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 21 | — | — | $23,888 | $23,888 | $58,267 |
| OR procedure for obesity w CC | MS-DRG | 620 | 21 | — | — | $13,554 | $13,554 | $40,694 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 21 | — | — | $12,816 | $12,816 | $35,595 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 21 | — | — | $10,666 | $10,666 | $23,282 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 21 | — | — | $17,157 | $17,157 | $38,451 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 45 | $17,339 |
| UnitedHealthcare | 45 | $13,897 |
| Aetna | 45 | $15,123 |
| az health advantage | 43 | $11,012 |
| azpc | 43 | $11,012 |
| banner | 43 | $11,012 |
| banner university health plan | 43 | $11,012 |
| Cigna | 43 | $14,762 |
| devoted health | 43 | $11,012 |
| gold kidney of arizona | 43 | $11,012 |
| health choice | 43 | $13,477 |
| Humana | 43 | $13,839 |
| imperial health | 43 | $11,012 |
| mercy care plan | 43 | $11,012 |
| Molina | 43 | $11,012 |
| Oscar Health | 43 | $12,050 |
| scan desert health plan | 43 | $11,012 |
| triwest | 43 | $11,012 |
| WellCare | 43 | $11,012 |
| allwell | 43 | $11,012 |
| Ambetter | 43 | $15,417 |
