INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$10,712.92
|
|
Service Code
|
APR-DRG 0402
|
Hospital Charge Code |
APRDRG 0402
|
Min. Negotiated Rate |
$10,712.92 |
Max. Negotiated Rate |
$10,712.92 |
Rate for Payer: Aetna CHP/Medicaid |
$10,712.92
|
Rate for Payer: Humana OH Medicaid |
$10,712.92
|
|
INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$20,848.37
|
|
Service Code
|
APR-DRG 0403
|
Hospital Charge Code |
APRDRG 0403
|
Min. Negotiated Rate |
$20,848.37 |
Max. Negotiated Rate |
$20,848.37 |
Rate for Payer: Aetna CHP/Medicaid |
$20,848.37
|
Rate for Payer: Humana OH Medicaid |
$20,848.37
|
|
INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$20,848.37
|
|
Service Code
|
APR-DRG 0404
|
Hospital Charge Code |
APRDRG 0404
|
Min. Negotiated Rate |
$20,848.37 |
Max. Negotiated Rate |
$20,848.37 |
Rate for Payer: Aetna CHP/Medicaid |
$20,848.37
|
Rate for Payer: Humana OH Medicaid |
$20,848.37
|
|
INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,200.20
|
|
Service Code
|
APR-DRG 0411
|
Hospital Charge Code |
APRDRG 0411
|
Min. Negotiated Rate |
$4,200.20 |
Max. Negotiated Rate |
$4,200.20 |
Rate for Payer: Aetna CHP/Medicaid |
$4,200.20
|
Rate for Payer: Humana OH Medicaid |
$4,200.20
|
|
INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,871.87
|
|
Service Code
|
APR-DRG 0412
|
Hospital Charge Code |
APRDRG 0412
|
Min. Negotiated Rate |
$4,871.87 |
Max. Negotiated Rate |
$4,871.87 |
Rate for Payer: Aetna CHP/Medicaid |
$4,871.87
|
Rate for Payer: Humana OH Medicaid |
$4,871.87
|
|
INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,618.31
|
|
Service Code
|
APR-DRG 0413
|
Hospital Charge Code |
APRDRG 0413
|
Min. Negotiated Rate |
$7,618.31 |
Max. Negotiated Rate |
$7,618.31 |
Rate for Payer: Aetna CHP/Medicaid |
$7,618.31
|
Rate for Payer: Humana OH Medicaid |
$7,618.31
|
|
INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$11,387.19
|
|
Service Code
|
APR-DRG 0414
|
Hospital Charge Code |
APRDRG 0414
|
Min. Negotiated Rate |
$11,387.19 |
Max. Negotiated Rate |
$11,387.19 |
Rate for Payer: Aetna CHP/Medicaid |
$11,387.19
|
Rate for Payer: Humana OH Medicaid |
$11,387.19
|
|
INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$6,433.47
|
|
Service Code
|
APR-DRG 0421
|
Hospital Charge Code |
APRDRG 0421
|
Min. Negotiated Rate |
$6,433.47 |
Max. Negotiated Rate |
$6,433.47 |
Rate for Payer: Aetna CHP/Medicaid |
$6,433.47
|
Rate for Payer: Humana OH Medicaid |
$6,433.47
|
|
INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$6,558.84
|
|
Service Code
|
APR-DRG 0422
|
Hospital Charge Code |
APRDRG 0422
|
Min. Negotiated Rate |
$6,558.84 |
Max. Negotiated Rate |
$6,558.84 |
Rate for Payer: Aetna CHP/Medicaid |
$6,558.84
|
Rate for Payer: Humana OH Medicaid |
$6,558.84
|
|
INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$10,165.32
|
|
Service Code
|
APR-DRG 0423
|
Hospital Charge Code |
APRDRG 0423
|
Min. Negotiated Rate |
$10,165.32 |
Max. Negotiated Rate |
$10,165.32 |
Rate for Payer: Aetna CHP/Medicaid |
$10,165.32
|
Rate for Payer: Humana OH Medicaid |
$10,165.32
|
|
INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS
|
Facility
|
IP
|
$20,902.93
|
|
Service Code
|
APR-DRG 0424
|
Hospital Charge Code |
APRDRG 0424
|
Min. Negotiated Rate |
$20,902.93 |
Max. Negotiated Rate |
$20,902.93 |
Rate for Payer: Aetna CHP/Medicaid |
$20,902.93
|
Rate for Payer: Humana OH Medicaid |
$20,902.93
|
|
INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$4,831.60
|
|
Service Code
|
APR-DRG 0431
|
Hospital Charge Code |
APRDRG 0431
|
Min. Negotiated Rate |
$4,831.60 |
Max. Negotiated Rate |
$4,831.60 |
Rate for Payer: Aetna CHP/Medicaid |
$4,831.60
|
Rate for Payer: Humana OH Medicaid |
$4,831.60
|
|
INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$7,854.11
|
|
Service Code
|
APR-DRG 0432
|
Hospital Charge Code |
APRDRG 0432
|
Min. Negotiated Rate |
$7,854.11 |
Max. Negotiated Rate |
$7,854.11 |
Rate for Payer: Aetna CHP/Medicaid |
$7,854.11
|
Rate for Payer: Humana OH Medicaid |
$7,854.11
|
|
INPATIENT APRDRG 0433: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$14,973.54
|
|
Service Code
|
APR-DRG 0433
|
Hospital Charge Code |
APRDRG 0433
|
Min. Negotiated Rate |
$14,973.54 |
Max. Negotiated Rate |
$14,973.54 |
Rate for Payer: Aetna CHP/Medicaid |
$14,973.54
|
Rate for Payer: Humana OH Medicaid |
$14,973.54
|
|
INPATIENT APRDRG 0434: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
|
Facility
|
IP
|
$28,682.99
|
|
Service Code
|
APR-DRG 0434
|
Hospital Charge Code |
APRDRG 0434
|
Min. Negotiated Rate |
$28,682.99 |
Max. Negotiated Rate |
$28,682.99 |
Rate for Payer: Aetna CHP/Medicaid |
$28,682.99
|
Rate for Payer: Humana OH Medicaid |
$28,682.99
|
|
INPATIENT APRDRG 0441: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$3,768.88
|
|
Service Code
|
APR-DRG 0441
|
Hospital Charge Code |
APRDRG 0441
|
Min. Negotiated Rate |
$3,768.88 |
Max. Negotiated Rate |
$3,768.88 |
Rate for Payer: Aetna CHP/Medicaid |
$3,768.88
|
Rate for Payer: Humana OH Medicaid |
$3,768.88
|
|
INPATIENT APRDRG 0442: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$6,556.24
|
|
Service Code
|
APR-DRG 0442
|
Hospital Charge Code |
APRDRG 0442
|
Min. Negotiated Rate |
$6,556.24 |
Max. Negotiated Rate |
$6,556.24 |
Rate for Payer: Aetna CHP/Medicaid |
$6,556.24
|
Rate for Payer: Humana OH Medicaid |
$6,556.24
|
|
INPATIENT APRDRG 0443: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$9,682.68
|
|
Service Code
|
APR-DRG 0443
|
Hospital Charge Code |
APRDRG 0443
|
Min. Negotiated Rate |
$9,682.68 |
Max. Negotiated Rate |
$9,682.68 |
Rate for Payer: Aetna CHP/Medicaid |
$9,682.68
|
Rate for Payer: Humana OH Medicaid |
$9,682.68
|
|
INPATIENT APRDRG 0444: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$14,918.32
|
|
Service Code
|
APR-DRG 0444
|
Hospital Charge Code |
APRDRG 0444
|
Min. Negotiated Rate |
$14,918.32 |
Max. Negotiated Rate |
$14,918.32 |
Rate for Payer: Aetna CHP/Medicaid |
$14,918.32
|
Rate for Payer: Humana OH Medicaid |
$14,918.32
|
|
INPATIENT APRDRG 0451: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$3,217.38
|
|
Service Code
|
APR-DRG 0451
|
Hospital Charge Code |
APRDRG 0451
|
Min. Negotiated Rate |
$3,217.38 |
Max. Negotiated Rate |
$3,217.38 |
Rate for Payer: Aetna CHP/Medicaid |
$3,217.38
|
Rate for Payer: Humana OH Medicaid |
$3,217.38
|
|
INPATIENT APRDRG 0452: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$5,188.22
|
|
Service Code
|
APR-DRG 0452
|
Hospital Charge Code |
APRDRG 0452
|
Min. Negotiated Rate |
$5,188.22 |
Max. Negotiated Rate |
$5,188.22 |
Rate for Payer: Aetna CHP/Medicaid |
$5,188.22
|
Rate for Payer: Humana OH Medicaid |
$5,188.22
|
|
INPATIENT APRDRG 0453: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$8,013.91
|
|
Service Code
|
APR-DRG 0453
|
Hospital Charge Code |
APRDRG 0453
|
Min. Negotiated Rate |
$8,013.91 |
Max. Negotiated Rate |
$8,013.91 |
Rate for Payer: Aetna CHP/Medicaid |
$8,013.91
|
Rate for Payer: Humana OH Medicaid |
$8,013.91
|
|
INPATIENT APRDRG 0454: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$14,393.46
|
|
Service Code
|
APR-DRG 0454
|
Hospital Charge Code |
APRDRG 0454
|
Min. Negotiated Rate |
$14,393.46 |
Max. Negotiated Rate |
$14,393.46 |
Rate for Payer: Aetna CHP/Medicaid |
$14,393.46
|
Rate for Payer: Humana OH Medicaid |
$14,393.46
|
|
INPATIENT APRDRG 0461: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$3,960.51
|
|
Service Code
|
APR-DRG 0461
|
Hospital Charge Code |
APRDRG 0461
|
Min. Negotiated Rate |
$3,960.51 |
Max. Negotiated Rate |
$3,960.51 |
Rate for Payer: Aetna CHP/Medicaid |
$3,960.51
|
Rate for Payer: Humana OH Medicaid |
$3,960.51
|
|
INPATIENT APRDRG 0462: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$4,213.20
|
|
Service Code
|
APR-DRG 0462
|
Hospital Charge Code |
APRDRG 0462
|
Min. Negotiated Rate |
$4,213.20 |
Max. Negotiated Rate |
$4,213.20 |
Rate for Payer: Aetna CHP/Medicaid |
$4,213.20
|
Rate for Payer: Humana OH Medicaid |
$4,213.20
|
|