|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,354.49
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$6,096.09 |
| Max. Negotiated Rate |
$6,354.49 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,354.49
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,354.49
|
|
|
APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$9,466.89
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$6,096.09 |
| Max. Negotiated Rate |
$9,466.89 |
| 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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,625.37
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$4,510.40 |
| Max. Negotiated Rate |
$4,625.37 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,625.37
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,625.37
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,596.62
|
|
|
Service Code
|
APR-DRG 1694
|
| Min. Negotiated Rate |
$22,552.00 |
| Max. Negotiated Rate |
$24,596.62 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$24,596.62
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$24,596.62
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,412.14
|
|
|
Service Code
|
APR-DRG 1691
|
| Min. Negotiated Rate |
$7,717.01 |
| Max. Negotiated Rate |
$11,412.14 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,412.14
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,412.14
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,616.76
|
|
|
Service Code
|
APR-DRG 1692
|
| Min. Negotiated Rate |
$9,936.98 |
| Max. Negotiated Rate |
$13,616.76 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$13,616.76
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$13,616.76
|
|
|
APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$17,204.66
|
|
|
Service Code
|
APR-DRG 1693
|
| Min. Negotiated Rate |
$13,531.20 |
| Max. Negotiated Rate |
$17,204.66 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$17,204.66
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$17,204.66
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$7,046.13
|
|
|
Service Code
|
APR-DRG 2611
|
| Min. Negotiated Rate |
$4,827.54 |
| 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: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$23,083.65
|
|
|
Service Code
|
APR-DRG 2614
|
| Min. Negotiated Rate |
$13,460.73 |
| Max. Negotiated Rate |
$23,083.65 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,083.65
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,083.65
|
|
|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$9,899.17
|
|
|
Service Code
|
APR-DRG 2612
|
| Min. Negotiated Rate |
$7,117.98 |
| 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: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$12,147.01
|
|
|
Service Code
|
APR-DRG 2613
|
| Min. Negotiated Rate |
$8,774.14 |
| Max. Negotiated Rate |
$12,147.01 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$12,147.01
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$12,147.01
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$9,250.75
|
|
|
Service Code
|
APR-DRG 4411
|
| Min. Negotiated Rate |
$6,272.27 |
| Max. Negotiated Rate |
$9,250.75 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,250.75
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,250.75
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$11,498.59
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$6,977.02 |
| Max. Negotiated Rate |
$11,498.59 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,498.59
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,498.59
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$22,199.62
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$21,657.13 |
| Max. Negotiated Rate |
$22,199.62 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$21,657.13
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$21,657.13
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$14,870.36
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$10,958.86 |
| Max. Negotiated Rate |
$14,870.36 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$14,870.36
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$14,870.36
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$14,394.86
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$9,972.21 |
| Max. Negotiated Rate |
$14,394.86 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$14,394.86
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$14,394.86
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$20,317.07
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$11,769.33 |
| Max. Negotiated Rate |
$20,317.07 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$20,317.07
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$20,317.07
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$27,147.06
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$15,363.55 |
| Max. Negotiated Rate |
$27,147.06 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$27,147.06
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$27,147.06
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$58,573.67
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$34,849.89 |
| Max. Negotiated Rate |
$58,573.67 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$58,573.67
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$58,573.67
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,489.93
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$3,805.65 |
| Max. Negotiated Rate |
$5,489.93 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,489.93
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,489.93
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$9,726.25
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$5,919.90 |
| Max. Negotiated Rate |
$9,726.25 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,726.25
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,726.25
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$3,760.82
|
|
|
Service Code
|
APR-DRG 1352
|
| Min. Negotiated Rate |
$3,136.14 |
| Max. Negotiated Rate |
$3,760.82 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,760.82
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,760.82
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$2,982.72
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$2,149.49 |
| Max. Negotiated Rate |
$2,982.72 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,982.72
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,982.72
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$7,737.78
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$5,391.34 |
| Max. Negotiated Rate |
$7,737.78 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7,737.78
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7,737.78
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$23,213.33
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$22,375.81 |
| Max. Negotiated Rate |
$23,213.33 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,213.33
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,213.33
|
|