INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,500.60
|
|
Service Code
|
APR-DRG 1452
|
Hospital Charge Code |
APRDRG 1452
|
Min. Negotiated Rate |
$3,500.60 |
Max. Negotiated Rate |
$3,500.60 |
Rate for Payer: Aetna CHP/Medicaid |
$3,500.60
|
Rate for Payer: Humana OH Medicaid |
$3,500.60
|
|
INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$5,560.43
|
|
Service Code
|
APR-DRG 1453
|
Hospital Charge Code |
APRDRG 1453
|
Min. Negotiated Rate |
$5,560.43 |
Max. Negotiated Rate |
$5,560.43 |
Rate for Payer: Aetna CHP/Medicaid |
$5,560.43
|
Rate for Payer: Humana OH Medicaid |
$5,560.43
|
|
INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$10,190.01
|
|
Service Code
|
APR-DRG 1454
|
Hospital Charge Code |
APRDRG 1454
|
Min. Negotiated Rate |
$10,190.01 |
Max. Negotiated Rate |
$10,190.01 |
Rate for Payer: Aetna CHP/Medicaid |
$10,190.01
|
Rate for Payer: Humana OH Medicaid |
$10,190.01
|
|
INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$23,575.97
|
|
Service Code
|
APR-DRG 1601
|
Hospital Charge Code |
APRDRG 1601
|
Min. Negotiated Rate |
$23,575.97 |
Max. Negotiated Rate |
$23,575.97 |
Rate for Payer: Aetna CHP/Medicaid |
$23,575.97
|
Rate for Payer: Humana OH Medicaid |
$23,575.97
|
|
INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$26,755.02
|
|
Service Code
|
APR-DRG 1602
|
Hospital Charge Code |
APRDRG 1602
|
Min. Negotiated Rate |
$26,755.02 |
Max. Negotiated Rate |
$26,755.02 |
Rate for Payer: Aetna CHP/Medicaid |
$26,755.02
|
Rate for Payer: Humana OH Medicaid |
$26,755.02
|
|
INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$38,794.40
|
|
Service Code
|
APR-DRG 1603
|
Hospital Charge Code |
APRDRG 1603
|
Min. Negotiated Rate |
$38,794.40 |
Max. Negotiated Rate |
$38,794.40 |
Rate for Payer: Aetna CHP/Medicaid |
$38,794.40
|
Rate for Payer: Humana OH Medicaid |
$38,794.40
|
|
INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$94,629.95
|
|
Service Code
|
APR-DRG 1604
|
Hospital Charge Code |
APRDRG 1604
|
Min. Negotiated Rate |
$94,629.95 |
Max. Negotiated Rate |
$94,629.95 |
Rate for Payer: Aetna CHP/Medicaid |
$94,629.95
|
Rate for Payer: Humana OH Medicaid |
$94,629.95
|
|
INPATIENT APRDRG 1611: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$168,807.13
|
|
Service Code
|
APR-DRG 1611
|
Hospital Charge Code |
APRDRG 1611
|
Min. Negotiated Rate |
$168,807.13 |
Max. Negotiated Rate |
$168,807.13 |
Rate for Payer: Aetna CHP/Medicaid |
$168,807.13
|
Rate for Payer: Humana OH Medicaid |
$168,807.13
|
|
INPATIENT APRDRG 1612: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$168,807.13
|
|
Service Code
|
APR-DRG 1612
|
Hospital Charge Code |
APRDRG 1612
|
Min. Negotiated Rate |
$168,807.13 |
Max. Negotiated Rate |
$168,807.13 |
Rate for Payer: Aetna CHP/Medicaid |
$168,807.13
|
Rate for Payer: Humana OH Medicaid |
$168,807.13
|
|
INPATIENT APRDRG 1613: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$168,807.13
|
|
Service Code
|
APR-DRG 1613
|
Hospital Charge Code |
APRDRG 1613
|
Min. Negotiated Rate |
$168,807.13 |
Max. Negotiated Rate |
$168,807.13 |
Rate for Payer: Aetna CHP/Medicaid |
$168,807.13
|
Rate for Payer: Humana OH Medicaid |
$168,807.13
|
|
INPATIENT APRDRG 1614: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$218,117.63
|
|
Service Code
|
APR-DRG 1614
|
Hospital Charge Code |
APRDRG 1614
|
Min. Negotiated Rate |
$218,117.63 |
Max. Negotiated Rate |
$218,117.63 |
Rate for Payer: Aetna CHP/Medicaid |
$218,117.63
|
Rate for Payer: Humana OH Medicaid |
$218,117.63
|
|
INPATIENT APRDRG 1621: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$20,101.35
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG 1621
|
Min. Negotiated Rate |
$20,101.35 |
Max. Negotiated Rate |
$20,101.35 |
Rate for Payer: Aetna CHP/Medicaid |
$20,101.35
|
Rate for Payer: Humana OH Medicaid |
$20,101.35
|
|
INPATIENT APRDRG 1622: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$28,079.52
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG 1622
|
Min. Negotiated Rate |
$28,079.52 |
Max. Negotiated Rate |
$28,079.52 |
Rate for Payer: Aetna CHP/Medicaid |
$28,079.52
|
Rate for Payer: Humana OH Medicaid |
$28,079.52
|
|
INPATIENT APRDRG 1623: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$36,142.80
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG 1623
|
Min. Negotiated Rate |
$36,142.80 |
Max. Negotiated Rate |
$36,142.80 |
Rate for Payer: Aetna CHP/Medicaid |
$36,142.80
|
Rate for Payer: Humana OH Medicaid |
$36,142.80
|
|
INPATIENT APRDRG 1624: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$49,860.04
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG 1624
|
Min. Negotiated Rate |
$49,860.04 |
Max. Negotiated Rate |
$49,860.04 |
Rate for Payer: Aetna CHP/Medicaid |
$49,860.04
|
Rate for Payer: Humana OH Medicaid |
$49,860.04
|
|
INPATIENT APRDRG 1631: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$20,829.53
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG 1631
|
Min. Negotiated Rate |
$20,829.53 |
Max. Negotiated Rate |
$20,829.53 |
Rate for Payer: Aetna CHP/Medicaid |
$20,829.53
|
Rate for Payer: Humana OH Medicaid |
$20,829.53
|
|
INPATIENT APRDRG 1632: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$22,961.46
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG 1632
|
Min. Negotiated Rate |
$22,961.46 |
Max. Negotiated Rate |
$22,961.46 |
Rate for Payer: Aetna CHP/Medicaid |
$22,961.46
|
Rate for Payer: Humana OH Medicaid |
$22,961.46
|
|
INPATIENT APRDRG 1633: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$29,889.91
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG 1633
|
Min. Negotiated Rate |
$29,889.91 |
Max. Negotiated Rate |
$29,889.91 |
Rate for Payer: Aetna CHP/Medicaid |
$29,889.91
|
Rate for Payer: Humana OH Medicaid |
$29,889.91
|
|
INPATIENT APRDRG 1634: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$50,429.08
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG 1634
|
Min. Negotiated Rate |
$50,429.08 |
Max. Negotiated Rate |
$50,429.08 |
Rate for Payer: Aetna CHP/Medicaid |
$50,429.08
|
Rate for Payer: Humana OH Medicaid |
$50,429.08
|
|
INPATIENT APRDRG 1651: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,844.18
|
|
Service Code
|
APR-DRG 1651
|
Hospital Charge Code |
APRDRG 1651
|
Min. Negotiated Rate |
$21,844.18 |
Max. Negotiated Rate |
$21,844.18 |
Rate for Payer: Aetna CHP/Medicaid |
$21,844.18
|
Rate for Payer: Humana OH Medicaid |
$21,844.18
|
|
INPATIENT APRDRG 1652: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,844.18
|
|
Service Code
|
APR-DRG 1652
|
Hospital Charge Code |
APRDRG 1652
|
Min. Negotiated Rate |
$21,844.18 |
Max. Negotiated Rate |
$21,844.18 |
Rate for Payer: Aetna CHP/Medicaid |
$21,844.18
|
Rate for Payer: Humana OH Medicaid |
$21,844.18
|
|
INPATIENT APRDRG 1653: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$25,850.81
|
|
Service Code
|
APR-DRG 1653
|
Hospital Charge Code |
APRDRG 1653
|
Min. Negotiated Rate |
$25,850.81 |
Max. Negotiated Rate |
$25,850.81 |
Rate for Payer: Aetna CHP/Medicaid |
$25,850.81
|
Rate for Payer: Humana OH Medicaid |
$25,850.81
|
|
INPATIENT APRDRG 1654: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$36,079.79
|
|
Service Code
|
APR-DRG 1654
|
Hospital Charge Code |
APRDRG 1654
|
Min. Negotiated Rate |
$36,079.79 |
Max. Negotiated Rate |
$36,079.79 |
Rate for Payer: Aetna CHP/Medicaid |
$36,079.79
|
Rate for Payer: Humana OH Medicaid |
$36,079.79
|
|
INPATIENT APRDRG 1661: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$17,607.60
|
|
Service Code
|
APR-DRG 1661
|
Hospital Charge Code |
APRDRG 1661
|
Min. Negotiated Rate |
$17,607.60 |
Max. Negotiated Rate |
$17,607.60 |
Rate for Payer: Aetna CHP/Medicaid |
$17,607.60
|
Rate for Payer: Humana OH Medicaid |
$17,607.60
|
|
INPATIENT APRDRG 1662: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$18,675.51
|
|
Service Code
|
APR-DRG 1662
|
Hospital Charge Code |
APRDRG 1662
|
Min. Negotiated Rate |
$18,675.51 |
Max. Negotiated Rate |
$18,675.51 |
Rate for Payer: Aetna CHP/Medicaid |
$18,675.51
|
Rate for Payer: Humana OH Medicaid |
$18,675.51
|
|