INPATIENT APRDRG 1391: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,845.17
|
|
Service Code
|
APR-DRG 1391
|
Hospital Charge Code |
APRDRG 1391
|
Min. Negotiated Rate |
$2,845.17 |
Max. Negotiated Rate |
$2,845.17 |
Rate for Payer: Aetna CHP/Medicaid |
$2,845.17
|
Rate for Payer: Humana OH Medicaid |
$2,845.17
|
|
INPATIENT APRDRG 1392: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,585.05
|
|
Service Code
|
APR-DRG 1392
|
Hospital Charge Code |
APRDRG 1392
|
Min. Negotiated Rate |
$3,585.05 |
Max. Negotiated Rate |
$3,585.05 |
Rate for Payer: Aetna CHP/Medicaid |
$3,585.05
|
Rate for Payer: Humana OH Medicaid |
$3,585.05
|
|
INPATIENT APRDRG 1393: OTHER PNEUMONIA
|
Facility
|
IP
|
$4,905.65
|
|
Service Code
|
APR-DRG 1393
|
Hospital Charge Code |
APRDRG 1393
|
Min. Negotiated Rate |
$4,905.65 |
Max. Negotiated Rate |
$4,905.65 |
Rate for Payer: Aetna CHP/Medicaid |
$4,905.65
|
Rate for Payer: Humana OH Medicaid |
$4,905.65
|
|
INPATIENT APRDRG 1394: OTHER PNEUMONIA
|
Facility
|
IP
|
$8,110.69
|
|
Service Code
|
APR-DRG 1394
|
Hospital Charge Code |
APRDRG 1394
|
Min. Negotiated Rate |
$8,110.69 |
Max. Negotiated Rate |
$8,110.69 |
Rate for Payer: Aetna CHP/Medicaid |
$8,110.69
|
Rate for Payer: Humana OH Medicaid |
$8,110.69
|
|
INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,225.18
|
|
Service Code
|
APR-DRG 1401
|
Hospital Charge Code |
APRDRG 1401
|
Min. Negotiated Rate |
$3,225.18 |
Max. Negotiated Rate |
$3,225.18 |
Rate for Payer: Aetna CHP/Medicaid |
$3,225.18
|
Rate for Payer: Humana OH Medicaid |
$3,225.18
|
|
INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,696.78
|
|
Service Code
|
APR-DRG 1402
|
Hospital Charge Code |
APRDRG 1402
|
Min. Negotiated Rate |
$3,696.78 |
Max. Negotiated Rate |
$3,696.78 |
Rate for Payer: Aetna CHP/Medicaid |
$3,696.78
|
Rate for Payer: Humana OH Medicaid |
$3,696.78
|
|
INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,335.97
|
|
Service Code
|
APR-DRG 1403
|
Hospital Charge Code |
APRDRG 1403
|
Min. Negotiated Rate |
$4,335.97 |
Max. Negotiated Rate |
$4,335.97 |
Rate for Payer: Aetna CHP/Medicaid |
$4,335.97
|
Rate for Payer: Humana OH Medicaid |
$4,335.97
|
|
INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$6,354.22
|
|
Service Code
|
APR-DRG 1404
|
Hospital Charge Code |
APRDRG 1404
|
Min. Negotiated Rate |
$6,354.22 |
Max. Negotiated Rate |
$6,354.22 |
Rate for Payer: Aetna CHP/Medicaid |
$6,354.22
|
Rate for Payer: Humana OH Medicaid |
$6,354.22
|
|
INPATIENT APRDRG 1411: ASTHMA
|
Facility
|
IP
|
$3,013.42
|
|
Service Code
|
APR-DRG 1411
|
Hospital Charge Code |
APRDRG 1411
|
Min. Negotiated Rate |
$3,013.42 |
Max. Negotiated Rate |
$3,013.42 |
Rate for Payer: Aetna CHP/Medicaid |
$3,013.42
|
Rate for Payer: Humana OH Medicaid |
$3,013.42
|
|
INPATIENT APRDRG 1412: ASTHMA
|
Facility
|
IP
|
$3,715.61
|
|
Service Code
|
APR-DRG 1412
|
Hospital Charge Code |
APRDRG 1412
|
Min. Negotiated Rate |
$3,715.61 |
Max. Negotiated Rate |
$3,715.61 |
Rate for Payer: Aetna CHP/Medicaid |
$3,715.61
|
Rate for Payer: Humana OH Medicaid |
$3,715.61
|
|
INPATIENT APRDRG 1413: ASTHMA
|
Facility
|
IP
|
$4,705.58
|
|
Service Code
|
APR-DRG 1413
|
Hospital Charge Code |
APRDRG 1413
|
Min. Negotiated Rate |
$4,705.58 |
Max. Negotiated Rate |
$4,705.58 |
Rate for Payer: Aetna CHP/Medicaid |
$4,705.58
|
Rate for Payer: Humana OH Medicaid |
$4,705.58
|
|
INPATIENT APRDRG 1414: ASTHMA
|
Facility
|
IP
|
$6,842.71
|
|
Service Code
|
APR-DRG 1414
|
Hospital Charge Code |
APRDRG 1414
|
Min. Negotiated Rate |
$6,842.71 |
Max. Negotiated Rate |
$6,842.71 |
Rate for Payer: Aetna CHP/Medicaid |
$6,842.71
|
Rate for Payer: Humana OH Medicaid |
$6,842.71
|
|
INPATIENT APRDRG 1421: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,494.76
|
|
Service Code
|
APR-DRG 1421
|
Hospital Charge Code |
APRDRG 1421
|
Min. Negotiated Rate |
$3,494.76 |
Max. Negotiated Rate |
$3,494.76 |
Rate for Payer: Aetna CHP/Medicaid |
$3,494.76
|
Rate for Payer: Humana OH Medicaid |
$3,494.76
|
|
INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,710.78
|
|
Service Code
|
APR-DRG 1422
|
Hospital Charge Code |
APRDRG 1422
|
Min. Negotiated Rate |
$4,710.78 |
Max. Negotiated Rate |
$4,710.78 |
Rate for Payer: Aetna CHP/Medicaid |
$4,710.78
|
Rate for Payer: Humana OH Medicaid |
$4,710.78
|
|
INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,848.85
|
|
Service Code
|
APR-DRG 1423
|
Hospital Charge Code |
APRDRG 1423
|
Min. Negotiated Rate |
$5,848.85 |
Max. Negotiated Rate |
$5,848.85 |
Rate for Payer: Aetna CHP/Medicaid |
$5,848.85
|
Rate for Payer: Humana OH Medicaid |
$5,848.85
|
|
INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,208.49
|
|
Service Code
|
APR-DRG 1424
|
Hospital Charge Code |
APRDRG 1424
|
Min. Negotiated Rate |
$9,208.49 |
Max. Negotiated Rate |
$9,208.49 |
Rate for Payer: Aetna CHP/Medicaid |
$9,208.49
|
Rate for Payer: Humana OH Medicaid |
$9,208.49
|
|
INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,384.33
|
|
Service Code
|
APR-DRG 1431
|
Hospital Charge Code |
APRDRG 1431
|
Min. Negotiated Rate |
$3,384.33 |
Max. Negotiated Rate |
$3,384.33 |
Rate for Payer: Aetna CHP/Medicaid |
$3,384.33
|
Rate for Payer: Humana OH Medicaid |
$3,384.33
|
|
INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,445.10
|
|
Service Code
|
APR-DRG 1432
|
Hospital Charge Code |
APRDRG 1432
|
Min. Negotiated Rate |
$4,445.10 |
Max. Negotiated Rate |
$4,445.10 |
Rate for Payer: Aetna CHP/Medicaid |
$4,445.10
|
Rate for Payer: Humana OH Medicaid |
$4,445.10
|
|
INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,414.63
|
|
Service Code
|
APR-DRG 1433
|
Hospital Charge Code |
APRDRG 1433
|
Min. Negotiated Rate |
$6,414.63 |
Max. Negotiated Rate |
$6,414.63 |
Rate for Payer: Aetna CHP/Medicaid |
$6,414.63
|
Rate for Payer: Humana OH Medicaid |
$6,414.63
|
|
INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$10,760.99
|
|
Service Code
|
APR-DRG 1434
|
Hospital Charge Code |
APRDRG 1434
|
Min. Negotiated Rate |
$10,760.99 |
Max. Negotiated Rate |
$10,760.99 |
Rate for Payer: Aetna CHP/Medicaid |
$10,760.99
|
Rate for Payer: Humana OH Medicaid |
$10,760.99
|
|
INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,133.59
|
|
Service Code
|
APR-DRG 1441
|
Hospital Charge Code |
APRDRG 1441
|
Min. Negotiated Rate |
$3,133.59 |
Max. Negotiated Rate |
$3,133.59 |
Rate for Payer: Aetna CHP/Medicaid |
$3,133.59
|
Rate for Payer: Humana OH Medicaid |
$3,133.59
|
|
INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,764.69
|
|
Service Code
|
APR-DRG 1442
|
Hospital Charge Code |
APRDRG 1442
|
Min. Negotiated Rate |
$4,764.69 |
Max. Negotiated Rate |
$4,764.69 |
Rate for Payer: Aetna CHP/Medicaid |
$4,764.69
|
Rate for Payer: Humana OH Medicaid |
$4,764.69
|
|
INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,300.31
|
|
Service Code
|
APR-DRG 1443
|
Hospital Charge Code |
APRDRG 1443
|
Min. Negotiated Rate |
$6,300.31 |
Max. Negotiated Rate |
$6,300.31 |
Rate for Payer: Aetna CHP/Medicaid |
$6,300.31
|
Rate for Payer: Humana OH Medicaid |
$6,300.31
|
|
INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$9,767.78
|
|
Service Code
|
APR-DRG 1444
|
Hospital Charge Code |
APRDRG 1444
|
Min. Negotiated Rate |
$9,767.78 |
Max. Negotiated Rate |
$9,767.78 |
Rate for Payer: Aetna CHP/Medicaid |
$9,767.78
|
Rate for Payer: Humana OH Medicaid |
$9,767.78
|
|
INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,848.42
|
|
Service Code
|
APR-DRG 1451
|
Hospital Charge Code |
APRDRG 1451
|
Min. Negotiated Rate |
$2,848.42 |
Max. Negotiated Rate |
$2,848.42 |
Rate for Payer: Aetna CHP/Medicaid |
$2,848.42
|
Rate for Payer: Humana OH Medicaid |
$2,848.42
|
|