|
APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,285.36
|
|
|
Service Code
|
APR-DRG 1632
|
| Min. Negotiated Rate |
$14,764.51 |
| Max. Negotiated Rate |
$18,285.36 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$18,285.36
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$18,285.36
|
|
|
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: CARDIOMYOPATHY
|
Facility
|
IP
|
$2,507.21
|
|
|
Service Code
|
APR-DRG 2051
|
| Min. Negotiated Rate |
$1,867.59 |
| Max. Negotiated Rate |
$2,507.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,507.21
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,507.21
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,112.40
|
|
|
Service Code
|
APR-DRG 2052
|
| Min. Negotiated Rate |
$1,867.59 |
| Max. Negotiated Rate |
$3,112.40 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,112.40
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,112.40
|
|
|
APR-DRG 42.00: CARDIOMYOPATHY
|
Facility
|
IP
|
$4,927.97
|
|
|
Service Code
|
APR-DRG 2053
|
| Min. Negotiated Rate |
$2,959.95 |
| 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: CARDIOMYOPATHY
|
Facility
|
IP
|
$9,207.52
|
|
|
Service Code
|
APR-DRG 2054
|
| Min. Negotiated Rate |
$4,827.54 |
| Max. Negotiated Rate |
$9,207.52 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,207.52
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,207.52
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,184.72
|
|
|
Service Code
|
APR-DRG 3831
|
| Min. Negotiated Rate |
$2,074.93 |
| Max. Negotiated Rate |
$2,184.72 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,074.93
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,074.93
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,889.47
|
|
|
Service Code
|
APR-DRG 3832
|
| Min. Negotiated Rate |
$2,766.58 |
| Max. Negotiated Rate |
$2,889.47 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,766.58
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,766.58
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$4,322.78
|
|
|
Service Code
|
APR-DRG 3833
|
| Min. Negotiated Rate |
$4,017.07 |
| Max. Negotiated Rate |
$4,322.78 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,322.78
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,322.78
|
|
|
APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,256.51
|
|
|
Service Code
|
APR-DRG 3834
|
| Min. Negotiated Rate |
$4,827.54 |
| Max. Negotiated Rate |
$8,256.51 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,256.51
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,256.51
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$2,607.57
|
|
|
Service Code
|
APR-DRG 5401
|
| Min. Negotiated Rate |
$2,507.21 |
| Max. Negotiated Rate |
$2,607.57 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,507.21
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,507.21
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$3,312.32
|
|
|
Service Code
|
APR-DRG 5402
|
| Min. Negotiated Rate |
$3,198.86 |
| Max. Negotiated Rate |
$3,312.32 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,198.86
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,198.86
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$10,677.27
|
|
|
Service Code
|
APR-DRG 5404
|
| Min. Negotiated Rate |
$8,457.00 |
| Max. Negotiated Rate |
$10,677.27 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,677.27
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,677.27
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION
|
Facility
|
IP
|
$4,841.51
|
|
|
Service Code
|
APR-DRG 5403
|
| Min. Negotiated Rate |
$4,263.74 |
| Max. Negotiated Rate |
$4,841.51 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,841.51
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,841.51
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$3,285.31
|
|
|
Service Code
|
APR-DRG 5392
|
| Min. Negotiated Rate |
$3,285.31 |
| Max. Negotiated Rate |
$3,285.31 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,285.31
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,285.31
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$6,397.71
|
|
|
Service Code
|
APR-DRG 5393
|
| Min. Negotiated Rate |
$6,397.71 |
| Max. Negotiated Rate |
$6,397.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,397.71
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,397.71
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$12,319.92
|
|
|
Service Code
|
APR-DRG 5394
|
| Min. Negotiated Rate |
$12,319.92 |
| Max. Negotiated Rate |
$12,319.92 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$12,319.92
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$12,319.92
|
|
|
APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION
|
Facility
|
IP
|
$2,507.21
|
|
|
Service Code
|
APR-DRG 5391
|
| Min. Negotiated Rate |
$2,507.21 |
| Max. Negotiated Rate |
$2,507.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,507.21
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,507.21
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,965.44
|
|
|
Service Code
|
APR-DRG 6952
|
| Min. Negotiated Rate |
$3,558.99 |
| Max. Negotiated Rate |
$5,965.44 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,965.44
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,965.44
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,887.65
|
|
|
Service Code
|
APR-DRG 6953
|
| Min. Negotiated Rate |
$10,183.64 |
| Max. Negotiated Rate |
$11,887.65 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,887.65
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,887.65
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$3,717.59
|
|
|
Service Code
|
APR-DRG 6951
|
| Min. Negotiated Rate |
$3,558.99 |
| Max. Negotiated Rate |
$3,717.59 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,717.59
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,717.59
|
|
|
APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$23,515.92
|
|
|
Service Code
|
APR-DRG 6954
|
| Min. Negotiated Rate |
$22,270.10 |
| Max. Negotiated Rate |
$23,515.92 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,515.92
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,515.92
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$2,896.26
|
|
|
Service Code
|
APR-DRG 2032
|
| Min. Negotiated Rate |
$2,255.20 |
| Max. Negotiated Rate |
$2,896.26 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,896.26
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,896.26
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$3,587.91
|
|
|
Service Code
|
APR-DRG 2033
|
| Min. Negotiated Rate |
$2,959.95 |
| Max. Negotiated Rate |
$3,587.91 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,587.91
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,587.91
|
|
|
APR-DRG 42.00: CHEST PAIN
|
Facility
|
IP
|
$5,749.30
|
|
|
Service Code
|
APR-DRG 2034
|
| Min. Negotiated Rate |
$2,959.95 |
| 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
|
|