INPATIENT APRDRG 1663: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$22,654.21
|
|
Service Code
|
APR-DRG 1663
|
Hospital Charge Code |
APRDRG 1663
|
Min. Negotiated Rate |
$22,654.21 |
Max. Negotiated Rate |
$22,654.21 |
Rate for Payer: Aetna CHP/Medicaid |
$22,654.21
|
Rate for Payer: Humana OH Medicaid |
$22,654.21
|
|
INPATIENT APRDRG 1664: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$33,249.56
|
|
Service Code
|
APR-DRG 1664
|
Hospital Charge Code |
APRDRG 1664
|
Min. Negotiated Rate |
$33,249.56 |
Max. Negotiated Rate |
$33,249.56 |
Rate for Payer: Aetna CHP/Medicaid |
$33,249.56
|
Rate for Payer: Humana OH Medicaid |
$33,249.56
|
|
INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,235.97
|
|
Service Code
|
APR-DRG 1671
|
Hospital Charge Code |
APRDRG 1671
|
Min. Negotiated Rate |
$15,235.97 |
Max. Negotiated Rate |
$15,235.97 |
Rate for Payer: Aetna CHP/Medicaid |
$15,235.97
|
Rate for Payer: Humana OH Medicaid |
$15,235.97
|
|
INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,562.42
|
|
Service Code
|
APR-DRG 1672
|
Hospital Charge Code |
APRDRG 1672
|
Min. Negotiated Rate |
$16,562.42 |
Max. Negotiated Rate |
$16,562.42 |
Rate for Payer: Aetna CHP/Medicaid |
$16,562.42
|
Rate for Payer: Humana OH Medicaid |
$16,562.42
|
|
INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$25,352.57
|
|
Service Code
|
APR-DRG 1673
|
Hospital Charge Code |
APRDRG 1673
|
Min. Negotiated Rate |
$25,352.57 |
Max. Negotiated Rate |
$25,352.57 |
Rate for Payer: Aetna CHP/Medicaid |
$25,352.57
|
Rate for Payer: Humana OH Medicaid |
$25,352.57
|
|
INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$39,786.96
|
|
Service Code
|
APR-DRG 1674
|
Hospital Charge Code |
APRDRG 1674
|
Min. Negotiated Rate |
$39,786.96 |
Max. Negotiated Rate |
$39,786.96 |
Rate for Payer: Aetna CHP/Medicaid |
$39,786.96
|
Rate for Payer: Humana OH Medicaid |
$39,786.96
|
|
INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,359.97
|
|
Service Code
|
APR-DRG 1691
|
Hospital Charge Code |
APRDRG 1691
|
Min. Negotiated Rate |
$13,359.97 |
Max. Negotiated Rate |
$13,359.97 |
Rate for Payer: Aetna CHP/Medicaid |
$13,359.97
|
Rate for Payer: Humana OH Medicaid |
$13,359.97
|
|
INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,984.22
|
|
Service Code
|
APR-DRG 1692
|
Hospital Charge Code |
APRDRG 1692
|
Min. Negotiated Rate |
$13,984.22 |
Max. Negotiated Rate |
$13,984.22 |
Rate for Payer: Aetna CHP/Medicaid |
$13,984.22
|
Rate for Payer: Humana OH Medicaid |
$13,984.22
|
|
INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$21,651.25
|
|
Service Code
|
APR-DRG 1693
|
Hospital Charge Code |
APRDRG 1693
|
Min. Negotiated Rate |
$21,651.25 |
Max. Negotiated Rate |
$21,651.25 |
Rate for Payer: Aetna CHP/Medicaid |
$21,651.25
|
Rate for Payer: Humana OH Medicaid |
$21,651.25
|
|
INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$32,725.99
|
|
Service Code
|
APR-DRG 1694
|
Hospital Charge Code |
APRDRG 1694
|
Min. Negotiated Rate |
$32,725.99 |
Max. Negotiated Rate |
$32,725.99 |
Rate for Payer: Aetna CHP/Medicaid |
$32,725.99
|
Rate for Payer: Humana OH Medicaid |
$32,725.99
|
|
INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,019.66
|
|
Service Code
|
APR-DRG 1701
|
Hospital Charge Code |
APRDRG 1701
|
Min. Negotiated Rate |
$15,019.66 |
Max. Negotiated Rate |
$15,019.66 |
Rate for Payer: Aetna CHP/Medicaid |
$15,019.66
|
Rate for Payer: Humana OH Medicaid |
$15,019.66
|
|
INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,019.66
|
|
Service Code
|
APR-DRG 1702
|
Hospital Charge Code |
APRDRG 1702
|
Min. Negotiated Rate |
$15,019.66 |
Max. Negotiated Rate |
$15,019.66 |
Rate for Payer: Aetna CHP/Medicaid |
$15,019.66
|
Rate for Payer: Humana OH Medicaid |
$15,019.66
|
|
INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,019.66
|
|
Service Code
|
APR-DRG 1703
|
Hospital Charge Code |
APRDRG 1703
|
Min. Negotiated Rate |
$15,019.66 |
Max. Negotiated Rate |
$15,019.66 |
Rate for Payer: Aetna CHP/Medicaid |
$15,019.66
|
Rate for Payer: Humana OH Medicaid |
$15,019.66
|
|
INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,019.66
|
|
Service Code
|
APR-DRG 1704
|
Hospital Charge Code |
APRDRG 1704
|
Min. Negotiated Rate |
$15,019.66 |
Max. Negotiated Rate |
$15,019.66 |
Rate for Payer: Aetna CHP/Medicaid |
$15,019.66
|
Rate for Payer: Humana OH Medicaid |
$15,019.66
|
|
INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,405.31
|
|
Service Code
|
APR-DRG 1711
|
Hospital Charge Code |
APRDRG 1711
|
Min. Negotiated Rate |
$9,405.31 |
Max. Negotiated Rate |
$9,405.31 |
Rate for Payer: Aetna CHP/Medicaid |
$9,405.31
|
Rate for Payer: Humana OH Medicaid |
$9,405.31
|
|
INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,245.58
|
|
Service Code
|
APR-DRG 1712
|
Hospital Charge Code |
APRDRG 1712
|
Min. Negotiated Rate |
$11,245.58 |
Max. Negotiated Rate |
$11,245.58 |
Rate for Payer: Aetna CHP/Medicaid |
$11,245.58
|
Rate for Payer: Humana OH Medicaid |
$11,245.58
|
|
INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,783.50
|
|
Service Code
|
APR-DRG 1713
|
Hospital Charge Code |
APRDRG 1713
|
Min. Negotiated Rate |
$13,783.50 |
Max. Negotiated Rate |
$13,783.50 |
Rate for Payer: Aetna CHP/Medicaid |
$13,783.50
|
Rate for Payer: Humana OH Medicaid |
$13,783.50
|
|
INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$25,639.04
|
|
Service Code
|
APR-DRG 1714
|
Hospital Charge Code |
APRDRG 1714
|
Min. Negotiated Rate |
$25,639.04 |
Max. Negotiated Rate |
$25,639.04 |
Rate for Payer: Aetna CHP/Medicaid |
$25,639.04
|
Rate for Payer: Humana OH Medicaid |
$25,639.04
|
|
INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$7,842.42
|
|
Service Code
|
APR-DRG 1741
|
Hospital Charge Code |
APRDRG 1741
|
Min. Negotiated Rate |
$7,842.42 |
Max. Negotiated Rate |
$7,842.42 |
Rate for Payer: Aetna CHP/Medicaid |
$7,842.42
|
Rate for Payer: Humana OH Medicaid |
$7,842.42
|
|
INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$8,720.65
|
|
Service Code
|
APR-DRG 1742
|
Hospital Charge Code |
APRDRG 1742
|
Min. Negotiated Rate |
$8,720.65 |
Max. Negotiated Rate |
$8,720.65 |
Rate for Payer: Aetna CHP/Medicaid |
$8,720.65
|
Rate for Payer: Humana OH Medicaid |
$8,720.65
|
|
INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$10,688.89
|
|
Service Code
|
APR-DRG 1743
|
Hospital Charge Code |
APRDRG 1743
|
Min. Negotiated Rate |
$10,688.89 |
Max. Negotiated Rate |
$10,688.89 |
Rate for Payer: Aetna CHP/Medicaid |
$10,688.89
|
Rate for Payer: Humana OH Medicaid |
$10,688.89
|
|
INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$16,417.56
|
|
Service Code
|
APR-DRG 1744
|
Hospital Charge Code |
APRDRG 1744
|
Min. Negotiated Rate |
$16,417.56 |
Max. Negotiated Rate |
$16,417.56 |
Rate for Payer: Aetna CHP/Medicaid |
$16,417.56
|
Rate for Payer: Humana OH Medicaid |
$16,417.56
|
|
INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$8,812.24
|
|
Service Code
|
APR-DRG 1751
|
Hospital Charge Code |
APRDRG 1751
|
Min. Negotiated Rate |
$8,812.24 |
Max. Negotiated Rate |
$8,812.24 |
Rate for Payer: Aetna CHP/Medicaid |
$8,812.24
|
Rate for Payer: Humana OH Medicaid |
$8,812.24
|
|
INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$10,614.84
|
|
Service Code
|
APR-DRG 1752
|
Hospital Charge Code |
APRDRG 1752
|
Min. Negotiated Rate |
$10,614.84 |
Max. Negotiated Rate |
$10,614.84 |
Rate for Payer: Aetna CHP/Medicaid |
$10,614.84
|
Rate for Payer: Humana OH Medicaid |
$10,614.84
|
|
INPATIENT APRDRG 1753: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$13,985.52
|
|
Service Code
|
APR-DRG 1753
|
Hospital Charge Code |
APRDRG 1753
|
Min. Negotiated Rate |
$13,985.52 |
Max. Negotiated Rate |
$13,985.52 |
Rate for Payer: Aetna CHP/Medicaid |
$13,985.52
|
Rate for Payer: Humana OH Medicaid |
$13,985.52
|
|