|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$7,521.64
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$4,933.25 |
| Max. Negotiated Rate |
$7,521.64 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7,521.64
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7,521.64
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,149.49
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$2,031.71 |
| Max. Negotiated Rate |
$2,149.49 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,031.71
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,031.71
|
|
|
APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$4,106.64
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$3,911.36 |
| Max. Negotiated Rate |
$4,106.64 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,106.64
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,106.64
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$7,046.13
|
|
|
Service Code
|
APR-DRG 1913
|
| Min. Negotiated Rate |
$4,193.26 |
| 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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$10,504.36
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$7,681.77 |
| Max. Negotiated Rate |
$10,504.36 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,504.36
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,504.36
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,366.01
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$3,136.14 |
| Max. Negotiated Rate |
$4,366.01 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,366.01
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,366.01
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,187.34
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$3,699.94 |
| Max. Negotiated Rate |
$5,187.34 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,187.34
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,187.34
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$8,515.88
|
|
|
Service Code
|
APR-DRG 1923
|
| Min. Negotiated Rate |
$5,673.24 |
| Max. Negotiated Rate |
$8,515.88 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,515.88
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,515.88
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$13,876.12
|
|
|
Service Code
|
APR-DRG 1924
|
| Min. Negotiated Rate |
$10,254.11 |
| Max. Negotiated Rate |
$13,876.12 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$13,876.12
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$13,876.12
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$4,538.92
|
|
|
Service Code
|
APR-DRG 1921
|
| Min. Negotiated Rate |
$2,889.47 |
| Max. Negotiated Rate |
$4,538.92 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,538.92
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,538.92
|
|
|
APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$5,835.75
|
|
|
Service Code
|
APR-DRG 1922
|
| Min. Negotiated Rate |
$3,805.65 |
| Max. Negotiated Rate |
$5,835.75 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,835.75
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,835.75
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,732.02
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$6,166.56 |
| Max. Negotiated Rate |
$8,732.02 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,732.02
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,732.02
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,893.41
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$10,430.30 |
| Max. Negotiated Rate |
$10,893.41 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,893.41
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,893.41
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$15,605.24
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$10,430.30 |
| Max. Negotiated Rate |
$15,605.24 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$15,605.24
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$15,605.24
|
|
|
APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$5,749.30
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$3,805.65 |
| Max. Negotiated Rate |
$5,749.30 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,749.30
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,749.30
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,743.71
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$2,853.03 |
| Max. Negotiated Rate |
$5,743.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,853.03
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,853.03
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,743.71
|
|
|
Service Code
|
APR-DRG 2002
|
| Min. Negotiated Rate |
$3,804.05 |
| Max. Negotiated Rate |
$5,743.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,804.05
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,804.05
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,743.71
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$5,619.61 |
| Max. Negotiated Rate |
$5,743.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,619.61
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,619.61
|
|
|
APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$9,899.17
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$5,743.71 |
| Max. Negotiated Rate |
$9,899.17 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,899.17
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,899.17
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$28,789.71
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$23,186.28 |
| Max. Negotiated Rate |
$28,789.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$28,789.71
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$28,789.71
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$21,743.58
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$15,222.60 |
| Max. Negotiated Rate |
$21,743.58 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$21,743.58
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$21,743.58
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$39,337.30
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$32,242.31 |
| Max. Negotiated Rate |
$39,337.30 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$39,337.30
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$39,337.30
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,112.45
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$13,073.11 |
| Max. Negotiated Rate |
$18,112.45 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$18,112.45
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$18,112.45
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$24,769.53
|
|
|
Service Code
|
APR-DRG 1633
|
| Min. Negotiated Rate |
$16,314.96 |
| Max. Negotiated Rate |
$24,769.53 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$24,769.53
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$24,769.53
|
|
|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,302.64
|
|
|
Service Code
|
APR-DRG 1631
|
| Min. Negotiated Rate |
$11,135.05 |
| Max. Negotiated Rate |
$15,302.64 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$15,302.64
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$15,302.64
|
|