|
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 RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$10,028.85
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$9,091.27 |
| Max. Negotiated Rate |
$10,028.85 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,028.85
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,028.85
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$23,948.20
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$23,785.31 |
| Max. Negotiated Rate |
$23,948.20 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,948.20
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,948.20
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$8,083.60
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$7,611.30 |
| Max. Negotiated Rate |
$8,083.60 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,083.60
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,083.60
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,086.50
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$12,650.26 |
| Max. Negotiated Rate |
$15,086.50 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$15,086.50
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$15,086.50
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,699.94
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$3,069.17 |
| Max. Negotiated Rate |
$3,699.94 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,069.17
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,069.17
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$2,507.21
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$2,501.86 |
| 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: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$8,559.10
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$8,527.48 |
| Max. Negotiated Rate |
$8,559.10 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,559.10
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,559.10
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,827.54
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$4,538.92 |
| Max. Negotiated Rate |
$4,827.54 |
| 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: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,074.93
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$1,268.55 |
| Max. Negotiated Rate |
$2,074.93 |
| 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: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$3,674.36
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$2,149.49 |
| Max. Negotiated Rate |
$3,674.36 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,674.36
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,674.36
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$6,095.12
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$3,418.04 |
| Max. Negotiated Rate |
$6,095.12 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,095.12
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,095.12
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$12,622.52
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$4,158.02 |
| Max. Negotiated Rate |
$12,622.52 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$12,622.52
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$12,622.52
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$5,849.43
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$5,273.79 |
| Max. Negotiated Rate |
$5,849.43 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,273.79
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,273.79
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$21,248.21
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$19,928.02 |
| Max. Negotiated Rate |
$21,248.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$19,928.02
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$19,928.02
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$8,559.10
|
|
|
Service Code
|
APR-DRG 2302
|
| Min. Negotiated Rate |
$7,540.82 |
| Max. Negotiated Rate |
$8,559.10 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,559.10
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,559.10
|
|
|
APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$13,143.59
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$12,579.29 |
| Max. Negotiated Rate |
$13,143.59 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$12,579.29
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$12,579.29
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,596.57
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$7,470.35 |
| Max. Negotiated Rate |
$9,596.57 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$9,596.57
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$9,596.57
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$23,559.15
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$19,803.47 |
| Max. Negotiated Rate |
$23,559.15 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,559.15
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,559.15
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$6,657.08
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$5,814.19 |
| Max. Negotiated Rate |
$6,657.08 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,657.08
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,657.08
|
|
|
APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
|
IP
|
$14,049.03
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$13,883.58 |
| Max. Negotiated Rate |
$14,049.03 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$14,049.03
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$14,049.03
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$9,250.75
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$5,849.43 |
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$4,495.69
|
|
|
Service Code
|
APR-DRG 5013
|
| Min. Negotiated Rate |
$2,678.05 |
| Max. Negotiated Rate |
$4,495.69 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,495.69
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,495.69
|
|
|
APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,025.95
|
|
|
Service Code
|
APR-DRG 5012
|
| Min. Negotiated Rate |
$2,678.05 |
| 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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,377.53
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$2,255.20 |
| Max. Negotiated Rate |
$2,377.53 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,377.53
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,377.53
|
|