|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$17,334.35
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$16,773.05 |
| Max. Negotiated Rate |
$17,334.35 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$17,334.35
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$17,334.35
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$14,165.48
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$10,115.31 |
| Max. Negotiated Rate |
$14,165.48 |
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,446.70
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$3,664.70 |
| Max. Negotiated Rate |
$5,446.70 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,446.70
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,446.70
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$2,853.03
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$1,656.16 |
| Max. Negotiated Rate |
$2,853.03 |
| 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: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$10,590.81
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$7,435.11 |
| Max. Negotiated Rate |
$10,590.81 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,590.81
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,590.81
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,631.14
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$3,030.43 |
| Max. Negotiated Rate |
$3,631.14 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,631.14
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,631.14
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,664.70
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$3,328.54 |
| Max. Negotiated Rate |
$3,664.70 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,328.54
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,328.54
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$8,775.24
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$6,448.46 |
| Max. Negotiated Rate |
$8,775.24 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,775.24
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,775.24
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,014.42
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$4,158.02 |
| Max. Negotiated Rate |
$5,014.42 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,014.42
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,014.42
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$2,420.76
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$2,184.72 |
| Max. Negotiated Rate |
$2,420.76 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,420.76
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,420.76
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$11,498.59
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$11,240.76 |
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$6,131.32
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$6,051.89 |
| Max. Negotiated Rate |
$6,131.32 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,051.89
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,051.89
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,025.95
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$2,360.91 |
| Max. Negotiated Rate |
$3,025.95 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,025.95
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,025.95
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$3,847.27
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$3,770.41 |
| Max. Negotiated Rate |
$3,847.27 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,847.27
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,847.27
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,440.94
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$6,060.85 |
| Max. Negotiated Rate |
$6,440.94 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,440.94
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,440.94
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$17,593.71
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$14,729.27 |
| Max. Negotiated Rate |
$17,593.71 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$17,593.71
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$17,593.71
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,844.42
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$9,690.31 |
| Max. Negotiated Rate |
$11,844.42 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,844.42
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,844.42
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,256.51
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$6,906.55 |
| 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: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$28,573.58
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$18,640.64 |
| Max. Negotiated Rate |
$28,573.58 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$28,573.58
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$28,573.58
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$9,936.98
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$9,812.71 |
| Max. Negotiated Rate |
$9,936.98 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,812.71
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,812.71
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$15,562.01
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$12,932.16 |
| Max. Negotiated Rate |
$15,562.01 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$15,562.01
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$15,562.01
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$7,132.59
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$5,461.81 |
| Max. Negotiated Rate |
$7,132.59 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$7,132.59
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$7,132.59
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$11,066.32
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$8,175.10 |
| 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: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$24,812.76
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$23,010.09 |
| Max. Negotiated Rate |
$24,812.76 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$24,812.76
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$24,812.76
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$14,697.45
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$12,227.41 |
| Max. Negotiated Rate |
$14,697.45 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$14,697.45
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$14,697.45
|
|