INPATIENT APRDRG 0231: SPINAL PROCEDURES
|
Facility
|
IP
|
$9,897.70
|
|
Service Code
|
APR-DRG 0231
|
Hospital Charge Code |
APRDRG 0231
|
Min. Negotiated Rate |
$9,897.70 |
Max. Negotiated Rate |
$9,897.70 |
Rate for Payer: Aetna CHP/Medicaid |
$9,897.70
|
Rate for Payer: Humana OH Medicaid |
$9,897.70
|
|
INPATIENT APRDRG 0232: SPINAL PROCEDURES
|
Facility
|
IP
|
$15,605.58
|
|
Service Code
|
APR-DRG 0232
|
Hospital Charge Code |
APRDRG 0232
|
Min. Negotiated Rate |
$15,605.58 |
Max. Negotiated Rate |
$15,605.58 |
Rate for Payer: Aetna CHP/Medicaid |
$15,605.58
|
Rate for Payer: Humana OH Medicaid |
$15,605.58
|
|
INPATIENT APRDRG 0233: SPINAL PROCEDURES
|
Facility
|
IP
|
$23,151.79
|
|
Service Code
|
APR-DRG 0233
|
Hospital Charge Code |
APRDRG 0233
|
Min. Negotiated Rate |
$23,151.79 |
Max. Negotiated Rate |
$23,151.79 |
Rate for Payer: Aetna CHP/Medicaid |
$23,151.79
|
Rate for Payer: Humana OH Medicaid |
$23,151.79
|
|
INPATIENT APRDRG 0234: SPINAL PROCEDURES
|
Facility
|
IP
|
$34,661.75
|
|
Service Code
|
APR-DRG 0234
|
Hospital Charge Code |
APRDRG 0234
|
Min. Negotiated Rate |
$34,661.75 |
Max. Negotiated Rate |
$34,661.75 |
Rate for Payer: Aetna CHP/Medicaid |
$34,661.75
|
Rate for Payer: Humana OH Medicaid |
$34,661.75
|
|
INPATIENT APRDRG 0241: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,506.52
|
|
Service Code
|
APR-DRG 0241
|
Hospital Charge Code |
APRDRG 0241
|
Min. Negotiated Rate |
$5,506.52 |
Max. Negotiated Rate |
$5,506.52 |
Rate for Payer: Aetna CHP/Medicaid |
$5,506.52
|
Rate for Payer: Humana OH Medicaid |
$5,506.52
|
|
INPATIENT APRDRG 0242: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$6,823.22
|
|
Service Code
|
APR-DRG 0242
|
Hospital Charge Code |
APRDRG 0242
|
Min. Negotiated Rate |
$6,823.22 |
Max. Negotiated Rate |
$6,823.22 |
Rate for Payer: Aetna CHP/Medicaid |
$6,823.22
|
Rate for Payer: Humana OH Medicaid |
$6,823.22
|
|
INPATIENT APRDRG 0243: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,091.99
|
|
Service Code
|
APR-DRG 0243
|
Hospital Charge Code |
APRDRG 0243
|
Min. Negotiated Rate |
$12,091.99 |
Max. Negotiated Rate |
$12,091.99 |
Rate for Payer: Aetna CHP/Medicaid |
$12,091.99
|
Rate for Payer: Humana OH Medicaid |
$12,091.99
|
|
INPATIENT APRDRG 0244: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,939.08
|
|
Service Code
|
APR-DRG 0244
|
Hospital Charge Code |
APRDRG 0244
|
Min. Negotiated Rate |
$23,939.08 |
Max. Negotiated Rate |
$23,939.08 |
Rate for Payer: Aetna CHP/Medicaid |
$23,939.08
|
Rate for Payer: Humana OH Medicaid |
$23,939.08
|
|
INPATIENT APRDRG 0261: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$7,579.98
|
|
Service Code
|
APR-DRG 0261
|
Hospital Charge Code |
APRDRG 0261
|
Min. Negotiated Rate |
$7,579.98 |
Max. Negotiated Rate |
$7,579.98 |
Rate for Payer: Aetna CHP/Medicaid |
$7,579.98
|
Rate for Payer: Humana OH Medicaid |
$7,579.98
|
|
INPATIENT APRDRG 0262: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$9,227.98
|
|
Service Code
|
APR-DRG 0262
|
Hospital Charge Code |
APRDRG 0262
|
Min. Negotiated Rate |
$9,227.98 |
Max. Negotiated Rate |
$9,227.98 |
Rate for Payer: Aetna CHP/Medicaid |
$9,227.98
|
Rate for Payer: Humana OH Medicaid |
$9,227.98
|
|
INPATIENT APRDRG 0263: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$14,461.67
|
|
Service Code
|
APR-DRG 0263
|
Hospital Charge Code |
APRDRG 0263
|
Min. Negotiated Rate |
$14,461.67 |
Max. Negotiated Rate |
$14,461.67 |
Rate for Payer: Aetna CHP/Medicaid |
$14,461.67
|
Rate for Payer: Humana OH Medicaid |
$14,461.67
|
|
INPATIENT APRDRG 0264: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$35,388.63
|
|
Service Code
|
APR-DRG 0264
|
Hospital Charge Code |
APRDRG 0264
|
Min. Negotiated Rate |
$35,388.63 |
Max. Negotiated Rate |
$35,388.63 |
Rate for Payer: Aetna CHP/Medicaid |
$35,388.63
|
Rate for Payer: Humana OH Medicaid |
$35,388.63
|
|
INPATIENT APRDRG 0271: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$10,747.35
|
|
Service Code
|
APR-DRG 0271
|
Hospital Charge Code |
APRDRG 0271
|
Min. Negotiated Rate |
$10,747.35 |
Max. Negotiated Rate |
$10,747.35 |
Rate for Payer: Aetna CHP/Medicaid |
$10,747.35
|
Rate for Payer: Humana OH Medicaid |
$10,747.35
|
|
INPATIENT APRDRG 0272: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$13,144.31
|
|
Service Code
|
APR-DRG 0272
|
Hospital Charge Code |
APRDRG 0272
|
Min. Negotiated Rate |
$13,144.31 |
Max. Negotiated Rate |
$13,144.31 |
Rate for Payer: Aetna CHP/Medicaid |
$13,144.31
|
Rate for Payer: Humana OH Medicaid |
$13,144.31
|
|
INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$18,259.13
|
|
Service Code
|
APR-DRG 0273
|
Hospital Charge Code |
APRDRG 0273
|
Min. Negotiated Rate |
$18,259.13 |
Max. Negotiated Rate |
$18,259.13 |
Rate for Payer: Aetna CHP/Medicaid |
$18,259.13
|
Rate for Payer: Humana OH Medicaid |
$18,259.13
|
|
INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$32,781.21
|
|
Service Code
|
APR-DRG 0274
|
Hospital Charge Code |
APRDRG 0274
|
Min. Negotiated Rate |
$32,781.21 |
Max. Negotiated Rate |
$32,781.21 |
Rate for Payer: Aetna CHP/Medicaid |
$32,781.21
|
Rate for Payer: Humana OH Medicaid |
$32,781.21
|
|
INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$12,858.50
|
|
Service Code
|
APR-DRG 0291
|
Hospital Charge Code |
APRDRG 0291
|
Min. Negotiated Rate |
$12,858.50 |
Max. Negotiated Rate |
$12,858.50 |
Rate for Payer: Aetna CHP/Medicaid |
$12,858.50
|
Rate for Payer: Humana OH Medicaid |
$12,858.50
|
|
INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$15,219.73
|
|
Service Code
|
APR-DRG 0292
|
Hospital Charge Code |
APRDRG 0292
|
Min. Negotiated Rate |
$15,219.73 |
Max. Negotiated Rate |
$15,219.73 |
Rate for Payer: Aetna CHP/Medicaid |
$15,219.73
|
Rate for Payer: Humana OH Medicaid |
$15,219.73
|
|
INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$18,618.35
|
|
Service Code
|
APR-DRG 0293
|
Hospital Charge Code |
APRDRG 0293
|
Min. Negotiated Rate |
$18,618.35 |
Max. Negotiated Rate |
$18,618.35 |
Rate for Payer: Aetna CHP/Medicaid |
$18,618.35
|
Rate for Payer: Humana OH Medicaid |
$18,618.35
|
|
INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$31,899.07
|
|
Service Code
|
APR-DRG 0294
|
Hospital Charge Code |
APRDRG 0294
|
Min. Negotiated Rate |
$31,899.07 |
Max. Negotiated Rate |
$31,899.07 |
Rate for Payer: Aetna CHP/Medicaid |
$31,899.07
|
Rate for Payer: Humana OH Medicaid |
$31,899.07
|
|
INPATIENT APRDRG 0301: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,186.24
|
|
Service Code
|
APR-DRG 0301
|
Hospital Charge Code |
APRDRG 0301
|
Min. Negotiated Rate |
$14,186.24 |
Max. Negotiated Rate |
$14,186.24 |
Rate for Payer: Aetna CHP/Medicaid |
$14,186.24
|
Rate for Payer: Humana OH Medicaid |
$14,186.24
|
|
INPATIENT APRDRG 0302: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,153.83
|
|
Service Code
|
APR-DRG 0302
|
Hospital Charge Code |
APRDRG 0302
|
Min. Negotiated Rate |
$16,153.83 |
Max. Negotiated Rate |
$16,153.83 |
Rate for Payer: Aetna CHP/Medicaid |
$16,153.83
|
Rate for Payer: Humana OH Medicaid |
$16,153.83
|
|
INPATIENT APRDRG 0303: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$22,052.04
|
|
Service Code
|
APR-DRG 0303
|
Hospital Charge Code |
APRDRG 0303
|
Min. Negotiated Rate |
$22,052.04 |
Max. Negotiated Rate |
$22,052.04 |
Rate for Payer: Aetna CHP/Medicaid |
$22,052.04
|
Rate for Payer: Humana OH Medicaid |
$22,052.04
|
|
INPATIENT APRDRG 0304: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$32,818.23
|
|
Service Code
|
APR-DRG 0304
|
Hospital Charge Code |
APRDRG 0304
|
Min. Negotiated Rate |
$32,818.23 |
Max. Negotiated Rate |
$32,818.23 |
Rate for Payer: Aetna CHP/Medicaid |
$32,818.23
|
Rate for Payer: Humana OH Medicaid |
$32,818.23
|
|
INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$5,113.52
|
|
Service Code
|
APR-DRG 0401
|
Hospital Charge Code |
APRDRG 0401
|
Min. Negotiated Rate |
$5,113.52 |
Max. Negotiated Rate |
$5,113.52 |
Rate for Payer: Aetna CHP/Medicaid |
$5,113.52
|
Rate for Payer: Humana OH Medicaid |
$5,113.52
|
|