INPATIENT APRDRG 0463: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$5,140.15
|
|
Service Code
|
APR-DRG 0463
|
Hospital Charge Code |
APRDRG 0463
|
Min. Negotiated Rate |
$5,140.15 |
Max. Negotiated Rate |
$5,140.15 |
Rate for Payer: Aetna CHP/Medicaid |
$5,140.15
|
Rate for Payer: Humana OH Medicaid |
$5,140.15
|
|
INPATIENT APRDRG 0464: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$5,140.15
|
|
Service Code
|
APR-DRG 0464
|
Hospital Charge Code |
APRDRG 0464
|
Min. Negotiated Rate |
$5,140.15 |
Max. Negotiated Rate |
$5,140.15 |
Rate for Payer: Aetna CHP/Medicaid |
$5,140.15
|
Rate for Payer: Humana OH Medicaid |
$5,140.15
|
|
INPATIENT APRDRG 0471: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$2,598.33
|
|
Service Code
|
APR-DRG 0471
|
Hospital Charge Code |
APRDRG 0471
|
Min. Negotiated Rate |
$2,598.33 |
Max. Negotiated Rate |
$2,598.33 |
Rate for Payer: Aetna CHP/Medicaid |
$2,598.33
|
Rate for Payer: Humana OH Medicaid |
$2,598.33
|
|
INPATIENT APRDRG 0472: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$3,342.10
|
|
Service Code
|
APR-DRG 0472
|
Hospital Charge Code |
APRDRG 0472
|
Min. Negotiated Rate |
$3,342.10 |
Max. Negotiated Rate |
$3,342.10 |
Rate for Payer: Aetna CHP/Medicaid |
$3,342.10
|
Rate for Payer: Humana OH Medicaid |
$3,342.10
|
|
INPATIENT APRDRG 0473: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$6,321.74
|
|
Service Code
|
APR-DRG 0473
|
Hospital Charge Code |
APRDRG 0473
|
Min. Negotiated Rate |
$6,321.74 |
Max. Negotiated Rate |
$6,321.74 |
Rate for Payer: Aetna CHP/Medicaid |
$6,321.74
|
Rate for Payer: Humana OH Medicaid |
$6,321.74
|
|
INPATIENT APRDRG 0474: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$6,321.74
|
|
Service Code
|
APR-DRG 0474
|
Hospital Charge Code |
APRDRG 0474
|
Min. Negotiated Rate |
$6,321.74 |
Max. Negotiated Rate |
$6,321.74 |
Rate for Payer: Aetna CHP/Medicaid |
$6,321.74
|
Rate for Payer: Humana OH Medicaid |
$6,321.74
|
|
INPATIENT APRDRG 0481: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,322.62
|
|
Service Code
|
APR-DRG 0481
|
Hospital Charge Code |
APRDRG 0481
|
Min. Negotiated Rate |
$3,322.62 |
Max. Negotiated Rate |
$3,322.62 |
Rate for Payer: Aetna CHP/Medicaid |
$3,322.62
|
Rate for Payer: Humana OH Medicaid |
$3,322.62
|
|
INPATIENT APRDRG 0482: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,413.92
|
|
Service Code
|
APR-DRG 0482
|
Hospital Charge Code |
APRDRG 0482
|
Min. Negotiated Rate |
$4,413.92 |
Max. Negotiated Rate |
$4,413.92 |
Rate for Payer: Aetna CHP/Medicaid |
$4,413.92
|
Rate for Payer: Humana OH Medicaid |
$4,413.92
|
|
INPATIENT APRDRG 0483: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$6,497.13
|
|
Service Code
|
APR-DRG 0483
|
Hospital Charge Code |
APRDRG 0483
|
Min. Negotiated Rate |
$6,497.13 |
Max. Negotiated Rate |
$6,497.13 |
Rate for Payer: Aetna CHP/Medicaid |
$6,497.13
|
Rate for Payer: Humana OH Medicaid |
$6,497.13
|
|
INPATIENT APRDRG 0484: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$13,849.76
|
|
Service Code
|
APR-DRG 0484
|
Hospital Charge Code |
APRDRG 0484
|
Min. Negotiated Rate |
$13,849.76 |
Max. Negotiated Rate |
$13,849.76 |
Rate for Payer: Aetna CHP/Medicaid |
$13,849.76
|
Rate for Payer: Humana OH Medicaid |
$13,849.76
|
|
INPATIENT APRDRG 0491: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,169.38
|
|
Service Code
|
APR-DRG 0491
|
Hospital Charge Code |
APRDRG 0491
|
Min. Negotiated Rate |
$5,169.38 |
Max. Negotiated Rate |
$5,169.38 |
Rate for Payer: Aetna CHP/Medicaid |
$5,169.38
|
Rate for Payer: Humana OH Medicaid |
$5,169.38
|
|
INPATIENT APRDRG 0492: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,010.07
|
|
Service Code
|
APR-DRG 0492
|
Hospital Charge Code |
APRDRG 0492
|
Min. Negotiated Rate |
$10,010.07 |
Max. Negotiated Rate |
$10,010.07 |
Rate for Payer: Aetna CHP/Medicaid |
$10,010.07
|
Rate for Payer: Humana OH Medicaid |
$10,010.07
|
|
INPATIENT APRDRG 0493: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,313.50
|
|
Service Code
|
APR-DRG 0493
|
Hospital Charge Code |
APRDRG 0493
|
Min. Negotiated Rate |
$12,313.50 |
Max. Negotiated Rate |
$12,313.50 |
Rate for Payer: Aetna CHP/Medicaid |
$12,313.50
|
Rate for Payer: Humana OH Medicaid |
$12,313.50
|
|
INPATIENT APRDRG 0494: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$24,688.70
|
|
Service Code
|
APR-DRG 0494
|
Hospital Charge Code |
APRDRG 0494
|
Min. Negotiated Rate |
$24,688.70 |
Max. Negotiated Rate |
$24,688.70 |
Rate for Payer: Aetna CHP/Medicaid |
$24,688.70
|
Rate for Payer: Humana OH Medicaid |
$24,688.70
|
|
INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$3,914.39
|
|
Service Code
|
APR-DRG 0501
|
Hospital Charge Code |
APRDRG 0501
|
Min. Negotiated Rate |
$3,914.39 |
Max. Negotiated Rate |
$3,914.39 |
Rate for Payer: Aetna CHP/Medicaid |
$3,914.39
|
Rate for Payer: Humana OH Medicaid |
$3,914.39
|
|
INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$8,039.89
|
|
Service Code
|
APR-DRG 0502
|
Hospital Charge Code |
APRDRG 0502
|
Min. Negotiated Rate |
$8,039.89 |
Max. Negotiated Rate |
$8,039.89 |
Rate for Payer: Aetna CHP/Medicaid |
$8,039.89
|
Rate for Payer: Humana OH Medicaid |
$8,039.89
|
|
INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$14,533.77
|
|
Service Code
|
APR-DRG 0503
|
Hospital Charge Code |
APRDRG 0503
|
Min. Negotiated Rate |
$14,533.77 |
Max. Negotiated Rate |
$14,533.77 |
Rate for Payer: Aetna CHP/Medicaid |
$14,533.77
|
Rate for Payer: Humana OH Medicaid |
$14,533.77
|
|
INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$31,889.33
|
|
Service Code
|
APR-DRG 0504
|
Hospital Charge Code |
APRDRG 0504
|
Min. Negotiated Rate |
$31,889.33 |
Max. Negotiated Rate |
$31,889.33 |
Rate for Payer: Aetna CHP/Medicaid |
$31,889.33
|
Rate for Payer: Humana OH Medicaid |
$31,889.33
|
|
INPATIENT APRDRG 0511: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,123.20
|
|
Service Code
|
APR-DRG 0511
|
Hospital Charge Code |
APRDRG 0511
|
Min. Negotiated Rate |
$3,123.20 |
Max. Negotiated Rate |
$3,123.20 |
Rate for Payer: Aetna CHP/Medicaid |
$3,123.20
|
Rate for Payer: Humana OH Medicaid |
$3,123.20
|
|
INPATIENT APRDRG 0512: VIRAL MENINGITIS
|
Facility
|
IP
|
$4,273.61
|
|
Service Code
|
APR-DRG 0512
|
Hospital Charge Code |
APRDRG 0512
|
Min. Negotiated Rate |
$4,273.61 |
Max. Negotiated Rate |
$4,273.61 |
Rate for Payer: Aetna CHP/Medicaid |
$4,273.61
|
Rate for Payer: Humana OH Medicaid |
$4,273.61
|
|
INPATIENT APRDRG 0513: VIRAL MENINGITIS
|
Facility
|
IP
|
$8,321.81
|
|
Service Code
|
APR-DRG 0513
|
Hospital Charge Code |
APRDRG 0513
|
Min. Negotiated Rate |
$8,321.81 |
Max. Negotiated Rate |
$8,321.81 |
Rate for Payer: Aetna CHP/Medicaid |
$8,321.81
|
Rate for Payer: Humana OH Medicaid |
$8,321.81
|
|
INPATIENT APRDRG 0514: VIRAL MENINGITIS
|
Facility
|
IP
|
$8,321.81
|
|
Service Code
|
APR-DRG 0514
|
Hospital Charge Code |
APRDRG 0514
|
Min. Negotiated Rate |
$8,321.81 |
Max. Negotiated Rate |
$8,321.81 |
Rate for Payer: Aetna CHP/Medicaid |
$8,321.81
|
Rate for Payer: Humana OH Medicaid |
$8,321.81
|
|
INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$2,991.33
|
|
Service Code
|
APR-DRG 0521
|
Hospital Charge Code |
APRDRG 0521
|
Min. Negotiated Rate |
$2,991.33 |
Max. Negotiated Rate |
$2,991.33 |
Rate for Payer: Aetna CHP/Medicaid |
$2,991.33
|
Rate for Payer: Humana OH Medicaid |
$2,991.33
|
|
INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,013.77
|
|
Service Code
|
APR-DRG 0522
|
Hospital Charge Code |
APRDRG 0522
|
Min. Negotiated Rate |
$4,013.77 |
Max. Negotiated Rate |
$4,013.77 |
Rate for Payer: Aetna CHP/Medicaid |
$4,013.77
|
Rate for Payer: Humana OH Medicaid |
$4,013.77
|
|
INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,478.29
|
|
Service Code
|
APR-DRG 0523
|
Hospital Charge Code |
APRDRG 0523
|
Min. Negotiated Rate |
$6,478.29 |
Max. Negotiated Rate |
$6,478.29 |
Rate for Payer: Aetna CHP/Medicaid |
$6,478.29
|
Rate for Payer: Humana OH Medicaid |
$6,478.29
|
|