Questions & corrections

Banner University Medical Center Tucson · MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

$24,629.58

Source file dated 2026-09-25 · inpatient

Source note: Delays in discharge solely due to unavailability of PABHS, or delay in Company response to requests from Hospital for PABHS, are paid at an additional per diem of $585. Company may determine that the Inpatient level of care provided for a given service was not Medically Necessary. If Banner Health agrees to accept Company’s level of care determination, Banner Health may resubmit the claim with Observation bill type for payment of Covered Services in accordance with the Observation Case Rate for non-rehab stays. For rehab stays, a case rate of $3,935 will be paid.