|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$10,115.31
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$9,972.21 |
| Max. Negotiated Rate |
$10,115.31 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,115.31
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,115.31
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,746.44
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$9,972.21 |
| Max. Negotiated Rate |
$13,746.44 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$13,746.44
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$13,746.44
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,972.21
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$9,466.89 |
| Max. Negotiated Rate |
$9,972.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,466.89
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,466.89
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$20,273.84
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$14,517.85 |
| Max. Negotiated Rate |
$20,273.84 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$20,273.84
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$20,273.84
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$16,513.02
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$11,170.29 |
| Max. Negotiated Rate |
$16,513.02 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$16,513.02
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$16,513.02
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$10,763.72
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$9,408.41 |
| Max. Negotiated Rate |
$10,763.72 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,763.72
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,763.72
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$7,153.21
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$6,570.63 |
| Max. Negotiated Rate |
$7,153.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,570.63
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,570.63
|
|
|
APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$8,069.39
|
|
|
Service Code
|
APR-DRG 1712
|
| Min. Negotiated Rate |
$7,953.92 |
| Max. Negotiated Rate |
$8,069.39 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7,953.92
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7,953.92
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$2,204.62
|
|
|
Service Code
|
APR-DRG 7522
|
| Min. Negotiated Rate |
$408.50 |
| Max. Negotiated Rate |
$2,204.62 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,204.62
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,204.62
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$4,927.97
|
|
|
Service Code
|
APR-DRG 7523
|
| Min. Negotiated Rate |
$408.50 |
| Max. Negotiated Rate |
$4,927.97 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,927.97
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,927.97
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$11,714.73
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$408.50 |
| Max. Negotiated Rate |
$11,714.73 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,714.73
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,714.73
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$1,685.88
|
|
|
Service Code
|
APR-DRG 7521
|
| Min. Negotiated Rate |
$408.50 |
| Max. Negotiated Rate |
$1,685.88 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,685.88
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,685.88
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$1,973.30
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$1,815.57 |
| Max. Negotiated Rate |
$1,973.30 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,815.57
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,815.57
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$8,386.19
|
|
|
Service Code
|
APR-DRG 8124
|
| Min. Negotiated Rate |
$4,968.49 |
| Max. Negotiated Rate |
$8,386.19 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,386.19
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,386.19
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,680.12
|
|
|
Service Code
|
APR-DRG 8122
|
| Min. Negotiated Rate |
$2,325.68 |
| Max. Negotiated Rate |
$2,680.12 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,680.12
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,680.12
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$4,279.55
|
|
|
Service Code
|
APR-DRG 8123
|
| Min. Negotiated Rate |
$2,924.71 |
| Max. Negotiated Rate |
$4,279.55 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,279.55
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,279.55
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$4,927.97
|
|
|
Service Code
|
APR-DRG 7111
|
| Min. Negotiated Rate |
$4,862.77 |
| Max. Negotiated Rate |
$4,927.97 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,927.97
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,927.97
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$19,106.69
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$16,949.24 |
| Max. Negotiated Rate |
$19,106.69 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$19,106.69
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$19,106.69
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,046.13
|
|
|
Service Code
|
APR-DRG 7112
|
| Min. Negotiated Rate |
$5,814.19 |
| Max. Negotiated Rate |
$7,046.13 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7,046.13
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7,046.13
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$11,368.91
|
|
|
Service Code
|
APR-DRG 7113
|
| Min. Negotiated Rate |
$10,571.25 |
| Max. Negotiated Rate |
$11,368.91 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,368.91
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,368.91
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$6,484.17
|
|
|
Service Code
|
APR-DRG 7213
|
| Min. Negotiated Rate |
$5,743.71 |
| Max. Negotiated Rate |
$6,484.17 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,484.17
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,484.17
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$2,809.81
|
|
|
Service Code
|
APR-DRG 7211
|
| Min. Negotiated Rate |
$2,572.34 |
| Max. Negotiated Rate |
$2,809.81 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,809.81
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,809.81
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$3,933.73
|
|
|
Service Code
|
APR-DRG 7212
|
| Min. Negotiated Rate |
$3,453.28 |
| Max. Negotiated Rate |
$3,933.73 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,933.73
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,933.73
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$11,066.32
|
|
|
Service Code
|
APR-DRG 7214
|
| Min. Negotiated Rate |
$9,831.26 |
| Max. Negotiated Rate |
$11,066.32 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,066.32
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,066.32
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$1,726.64
|
|
|
Service Code
|
APR-DRG 5611
|
| Min. Negotiated Rate |
$1,210.38 |
| Max. Negotiated Rate |
$1,726.64 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,210.38
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,210.38
|
|