|
APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$5,619.61
|
|
|
Service Code
|
APR-DRG 0463
|
| Min. Negotiated Rate |
$3,030.43 |
| Max. Negotiated Rate |
$5,619.61 |
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$10,115.31
|
|
|
Service Code
|
APR-DRG 0464
|
| Min. Negotiated Rate |
$3,030.43 |
| Max. Negotiated Rate |
$10,115.31 |
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
|
Facility
|
IP
|
$3,501.45
|
|
|
Service Code
|
APR-DRG 0461
|
| Min. Negotiated Rate |
$3,030.43 |
| Max. Negotiated Rate |
$3,501.45 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,501.45
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,501.45
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$4,971.20
|
|
|
Service Code
|
APR-DRG 7623
|
| Min. Negotiated Rate |
$4,971.20 |
| Max. Negotiated Rate |
$4,971.20 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$4,971.20
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$4,971.20
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$5,749.30
|
|
|
Service Code
|
APR-DRG 7624
|
| Min. Negotiated Rate |
$5,749.30 |
| 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: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$2,636.90
|
|
|
Service Code
|
APR-DRG 7621
|
| Min. Negotiated Rate |
$2,636.90 |
| Max. Negotiated Rate |
$2,636.90 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$2,636.90
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$2,636.90
|
|
|
APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS
|
Facility
|
IP
|
$3,112.40
|
|
|
Service Code
|
APR-DRG 7622
|
| Min. Negotiated Rate |
$3,112.40 |
| 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: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$13,573.53
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$8,034.15 |
| Max. Negotiated Rate |
$13,573.53 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$13,573.53
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$13,573.53
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$18,717.64
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$15,892.11 |
| Max. Negotiated Rate |
$18,717.64 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$18,717.64
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$18,717.64
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$26,628.32
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$21,177.74 |
| Max. Negotiated Rate |
$26,628.32 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$26,628.32
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$26,628.32
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$10,244.99
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$7,012.26 |
| Max. Negotiated Rate |
$10,244.99 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,244.99
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,244.99
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$8,688.79
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$6,730.36 |
| Max. Negotiated Rate |
$8,688.79 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,688.79
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,688.79
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$23,256.56
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$17,407.33 |
| Max. Negotiated Rate |
$23,256.56 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$23,256.56
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$23,256.56
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$11,239.23
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$7,998.91 |
| Max. Negotiated Rate |
$11,239.23 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$11,239.23
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$11,239.23
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$16,037.51
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$10,500.77 |
| Max. Negotiated Rate |
$16,037.51 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$16,037.51
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$16,037.51
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,497.05
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$4,366.01 |
| Max. Negotiated Rate |
$5,497.05 |
| 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: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,331.44
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$9,619.84 |
| Max. Negotiated Rate |
$10,331.44 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$10,331.44
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$10,331.44
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,632.10
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$16,123.97 |
| Max. Negotiated Rate |
$16,632.10 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$16,123.97
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$16,123.97
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,034.15
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$5,792.53 |
| Max. Negotiated Rate |
$8,034.15 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$5,792.53
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$5,792.53
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$8,386.19
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$5,250.39 |
| Max. Negotiated Rate |
$8,386.19 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,386.19
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,386.19
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,031.71
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$1,797.11 |
| Max. Negotiated Rate |
$2,031.71 |
| 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: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,933.73
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$2,360.91 |
| Max. Negotiated Rate |
$3,933.73 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$3,933.73
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$3,933.73
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,515.21
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,383.29 |
| Max. Negotiated Rate |
$1,515.21 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$1,383.29
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$1,383.29
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,008.66
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$4,193.26 |
| Max. Negotiated Rate |
$6,008.66 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$6,008.66
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$6,008.66
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,991.38
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$6,624.65 |
| Max. Negotiated Rate |
$8,991.38 |
| Rate for Payer: Buckeye Health Medicaid OOS |
$8,991.38
|
| Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare |
$8,991.38
|
|