OUTPATIENT EAPG 00578: PNEUMONIA EXCEPT FOR COMMUNITY ACQUIRED PNEUMONIA
|
Facility
OP
|
$70.99
|
|
Service Code
|
EAPG 00578
|
Hospital Charge Code |
EAPG 00578
|
Min. Negotiated Rate |
$70.99 |
Max. Negotiated Rate |
$70.99 |
Rate for Payer: Buckeye Health Medicaid OOS |
$70.99
|
Rate for Payer: Molina Healthcare of OH Medicare |
$70.99
|
|
OUTPATIENT EAPG 00579: STATUS ASTHMATICUS
|
Facility
OP
|
$107.39
|
|
Service Code
|
EAPG 00579
|
Hospital Charge Code |
EAPG 00579
|
Min. Negotiated Rate |
$107.39 |
Max. Negotiated Rate |
$107.39 |
Rate for Payer: Buckeye Health Medicaid OOS |
$107.39
|
Rate for Payer: Molina Healthcare of OH Medicare |
$107.39
|
|
OUTPATIENT EAPG 00591: ACUTE MYOCARDIAL INFARCTION
|
Facility
OP
|
$119.89
|
|
Service Code
|
EAPG 00591
|
Hospital Charge Code |
EAPG 00591
|
Min. Negotiated Rate |
$119.89 |
Max. Negotiated Rate |
$119.89 |
Rate for Payer: Buckeye Health Medicaid OOS |
$119.89
|
Rate for Payer: Molina Healthcare of OH Medicare |
$119.89
|
|
OUTPATIENT EAPG 00592: LEVEL I CARDIOVASCULAR DIAGNOSES
|
Facility
OP
|
$64.10
|
|
Service Code
|
EAPG 00592
|
Hospital Charge Code |
EAPG 00592
|
Min. Negotiated Rate |
$64.10 |
Max. Negotiated Rate |
$64.10 |
Rate for Payer: Buckeye Health Medicaid OOS |
$64.10
|
Rate for Payer: Molina Healthcare of OH Medicare |
$64.10
|
|
OUTPATIENT EAPG 00593: LEVEL II CARDIOVASCULAR DIAGNOSES
|
Facility
OP
|
$67.70
|
|
Service Code
|
EAPG 00593
|
Hospital Charge Code |
EAPG 00593
|
Min. Negotiated Rate |
$67.70 |
Max. Negotiated Rate |
$67.70 |
Rate for Payer: Buckeye Health Medicaid OOS |
$67.70
|
Rate for Payer: Molina Healthcare of OH Medicare |
$67.70
|
|
OUTPATIENT EAPG 00594: HEART FAILURE
|
Facility
OP
|
$56.36
|
|
Service Code
|
EAPG 00594
|
Hospital Charge Code |
EAPG 00594
|
Min. Negotiated Rate |
$56.36 |
Max. Negotiated Rate |
$56.36 |
Rate for Payer: Buckeye Health Medicaid OOS |
$56.36
|
Rate for Payer: Molina Healthcare of OH Medicare |
$56.36
|
|
OUTPATIENT EAPG 00595: CARDIAC ARREST OR OTHER CAUSES OF MORTALITY
|
Facility
OP
|
$162.83
|
|
Service Code
|
EAPG 00595
|
Hospital Charge Code |
EAPG 00595
|
Min. Negotiated Rate |
$162.83 |
Max. Negotiated Rate |
$162.83 |
Rate for Payer: Buckeye Health Medicaid OOS |
$162.83
|
Rate for Payer: Molina Healthcare of OH Medicare |
$162.83
|
|
OUTPATIENT EAPG 00596: PERIPHERAL & OTHER VASCULAR DIAGNOSES
|
Facility
OP
|
$40.82
|
|
Service Code
|
EAPG 00596
|
Hospital Charge Code |
EAPG 00596
|
Min. Negotiated Rate |
$40.82 |
Max. Negotiated Rate |
$40.82 |
Rate for Payer: Buckeye Health Medicaid OOS |
$40.82
|
Rate for Payer: Molina Healthcare of OH Medicare |
$40.82
|
|
OUTPATIENT EAPG 00597: PHLEBITIS
|
Facility
OP
|
$62.44
|
|
Service Code
|
EAPG 00597
|
Hospital Charge Code |
EAPG 00597
|
Min. Negotiated Rate |
$62.44 |
Max. Negotiated Rate |
$62.44 |
Rate for Payer: Buckeye Health Medicaid OOS |
$62.44
|
Rate for Payer: Molina Healthcare of OH Medicare |
$62.44
|
|
OUTPATIENT EAPG 00598: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
OP
|
$41.80
|
|
Service Code
|
EAPG 00598
|
Hospital Charge Code |
EAPG 00598
|
Min. Negotiated Rate |
$41.80 |
Max. Negotiated Rate |
$41.80 |
Rate for Payer: Buckeye Health Medicaid OOS |
$41.80
|
Rate for Payer: Molina Healthcare of OH Medicare |
$41.80
|
|
OUTPATIENT EAPG 00599: HYPERTENSION
|
Facility
OP
|
$47.21
|
|
Service Code
|
EAPG 00599
|
Hospital Charge Code |
EAPG 00599
|
Min. Negotiated Rate |
$47.21 |
Max. Negotiated Rate |
$47.21 |
Rate for Payer: Buckeye Health Medicaid OOS |
$47.21
|
Rate for Payer: Molina Healthcare of OH Medicare |
$47.21
|
|
OUTPATIENT EAPG 00600: CARDIAC STRUCTURAL & VALVULAR DIAGNOSES
|
Facility
OP
|
$71.44
|
|
Service Code
|
EAPG 00600
|
Hospital Charge Code |
EAPG 00600
|
Min. Negotiated Rate |
$71.44 |
Max. Negotiated Rate |
$71.44 |
Rate for Payer: Buckeye Health Medicaid OOS |
$71.44
|
Rate for Payer: Molina Healthcare of OH Medicare |
$71.44
|
|
OUTPATIENT EAPG 00601: LEVEL I CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES
|
Facility
OP
|
$122.06
|
|
Service Code
|
EAPG 00601
|
Hospital Charge Code |
EAPG 00601
|
Min. Negotiated Rate |
$122.06 |
Max. Negotiated Rate |
$122.06 |
Rate for Payer: Buckeye Health Medicaid OOS |
$122.06
|
Rate for Payer: Molina Healthcare of OH Medicare |
$122.06
|
|
OUTPATIENT EAPG 00602: ATRIAL FIBRILLATION
|
Facility
OP
|
$34.57
|
|
Service Code
|
EAPG 00602
|
Hospital Charge Code |
EAPG 00602
|
Min. Negotiated Rate |
$34.57 |
Max. Negotiated Rate |
$34.57 |
Rate for Payer: Buckeye Health Medicaid OOS |
$34.57
|
Rate for Payer: Molina Healthcare of OH Medicare |
$34.57
|
|
OUTPATIENT EAPG 00603: LEVEL II CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES
|
Facility
OP
|
$90.20
|
|
Service Code
|
EAPG 00603
|
Hospital Charge Code |
EAPG 00603
|
Min. Negotiated Rate |
$90.20 |
Max. Negotiated Rate |
$90.20 |
Rate for Payer: Buckeye Health Medicaid OOS |
$90.20
|
Rate for Payer: Molina Healthcare of OH Medicare |
$90.20
|
|
OUTPATIENT EAPG 00604: CHEST PAIN
|
Facility
OP
|
$186.53
|
|
Service Code
|
EAPG 00604
|
Hospital Charge Code |
EAPG 00604
|
Min. Negotiated Rate |
$186.53 |
Max. Negotiated Rate |
$186.53 |
Rate for Payer: Buckeye Health Medicaid OOS |
$186.53
|
Rate for Payer: Molina Healthcare of OH Medicare |
$186.53
|
|
OUTPATIENT EAPG 00605: SYNCOPE & COLLAPSE
|
Facility
OP
|
$129.77
|
|
Service Code
|
EAPG 00605
|
Hospital Charge Code |
EAPG 00605
|
Min. Negotiated Rate |
$129.77 |
Max. Negotiated Rate |
$129.77 |
Rate for Payer: Buckeye Health Medicaid OOS |
$129.77
|
Rate for Payer: Molina Healthcare of OH Medicare |
$129.77
|
|
OUTPATIENT EAPG 00620: DIGESTIVE MALIGNANCY
|
Facility
OP
|
$44.56
|
|
Service Code
|
EAPG 00620
|
Hospital Charge Code |
EAPG 00620
|
Min. Negotiated Rate |
$44.56 |
Max. Negotiated Rate |
$44.56 |
Rate for Payer: Buckeye Health Medicaid OOS |
$44.56
|
Rate for Payer: Molina Healthcare of OH Medicare |
$44.56
|
|
OUTPATIENT EAPG 00621: PEPTIC ULCER & GASTRITIS
|
Facility
OP
|
$110.34
|
|
Service Code
|
EAPG 00621
|
Hospital Charge Code |
EAPG 00621
|
Min. Negotiated Rate |
$110.34 |
Max. Negotiated Rate |
$110.34 |
Rate for Payer: Buckeye Health Medicaid OOS |
$110.34
|
Rate for Payer: Molina Healthcare of OH Medicare |
$110.34
|
|
OUTPATIENT EAPG 00623: ESOPHAGITIS
|
Facility
OP
|
$71.44
|
|
Service Code
|
EAPG 00623
|
Hospital Charge Code |
EAPG 00623
|
Min. Negotiated Rate |
$71.44 |
Max. Negotiated Rate |
$71.44 |
Rate for Payer: Buckeye Health Medicaid OOS |
$71.44
|
Rate for Payer: Molina Healthcare of OH Medicare |
$71.44
|
|
OUTPATIENT EAPG 00624: LEVEL I GASTROINTESTINAL DIAGNOSES
|
Facility
OP
|
$63.74
|
|
Service Code
|
EAPG 00624
|
Hospital Charge Code |
EAPG 00624
|
Min. Negotiated Rate |
$63.74 |
Max. Negotiated Rate |
$63.74 |
Rate for Payer: Buckeye Health Medicaid OOS |
$63.74
|
Rate for Payer: Molina Healthcare of OH Medicare |
$63.74
|
|
OUTPATIENT EAPG 00625: LEVEL II GASTROINTESTINAL DIAGNOSES
|
Facility
OP
|
$66.77
|
|
Service Code
|
EAPG 00625
|
Hospital Charge Code |
EAPG 00625
|
Min. Negotiated Rate |
$66.77 |
Max. Negotiated Rate |
$66.77 |
Rate for Payer: Buckeye Health Medicaid OOS |
$66.77
|
Rate for Payer: Molina Healthcare of OH Medicare |
$66.77
|
|
OUTPATIENT EAPG 00626: INFLAMMATORY BOWEL DISEASE
|
Facility
OP
|
$70.23
|
|
Service Code
|
EAPG 00626
|
Hospital Charge Code |
EAPG 00626
|
Min. Negotiated Rate |
$70.23 |
Max. Negotiated Rate |
$70.23 |
Rate for Payer: Buckeye Health Medicaid OOS |
$70.23
|
Rate for Payer: Molina Healthcare of OH Medicare |
$70.23
|
|
OUTPATIENT EAPG 00627: NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
OP
|
$80.76
|
|
Service Code
|
EAPG 00627
|
Hospital Charge Code |
EAPG 00627
|
Min. Negotiated Rate |
$80.76 |
Max. Negotiated Rate |
$80.76 |
Rate for Payer: Buckeye Health Medicaid OOS |
$80.76
|
Rate for Payer: Molina Healthcare of OH Medicare |
$80.76
|
|
OUTPATIENT EAPG 00628: ABDOMINAL PAIN
|
Facility
OP
|
$111.17
|
|
Service Code
|
EAPG 00628
|
Hospital Charge Code |
EAPG 00628
|
Min. Negotiated Rate |
$111.17 |
Max. Negotiated Rate |
$111.17 |
Rate for Payer: Buckeye Health Medicaid OOS |
$111.17
|
Rate for Payer: Molina Healthcare of OH Medicare |
$111.17
|
|