INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,614.19
|
|
Service Code
|
APR-DRG 1821
|
Hospital Charge Code |
APRDRG 1821
|
Min. Negotiated Rate |
$10,614.19 |
Max. Negotiated Rate |
$10,614.19 |
Rate for Payer: Aetna CHP/Medicaid |
$10,614.19
|
Rate for Payer: Humana OH Medicaid |
$10,614.19
|
|
INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$11,836.05
|
|
Service Code
|
APR-DRG 1822
|
Hospital Charge Code |
APRDRG 1822
|
Min. Negotiated Rate |
$11,836.05 |
Max. Negotiated Rate |
$11,836.05 |
Rate for Payer: Aetna CHP/Medicaid |
$11,836.05
|
Rate for Payer: Humana OH Medicaid |
$11,836.05
|
|
INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$14,967.04
|
|
Service Code
|
APR-DRG 1823
|
Hospital Charge Code |
APRDRG 1823
|
Min. Negotiated Rate |
$14,967.04 |
Max. Negotiated Rate |
$14,967.04 |
Rate for Payer: Aetna CHP/Medicaid |
$14,967.04
|
Rate for Payer: Humana OH Medicaid |
$14,967.04
|
|
INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$31,174.14
|
|
Service Code
|
APR-DRG 1824
|
Hospital Charge Code |
APRDRG 1824
|
Min. Negotiated Rate |
$31,174.14 |
Max. Negotiated Rate |
$31,174.14 |
Rate for Payer: Aetna CHP/Medicaid |
$31,174.14
|
Rate for Payer: Humana OH Medicaid |
$31,174.14
|
|
INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$35,921.94
|
|
Service Code
|
APR-DRG 1831
|
Hospital Charge Code |
APRDRG 1831
|
Min. Negotiated Rate |
$35,921.94 |
Max. Negotiated Rate |
$35,921.94 |
Rate for Payer: Aetna CHP/Medicaid |
$35,921.94
|
Rate for Payer: Humana OH Medicaid |
$35,921.94
|
|
INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$36,960.62
|
|
Service Code
|
APR-DRG 1832
|
Hospital Charge Code |
APRDRG 1832
|
Min. Negotiated Rate |
$36,960.62 |
Max. Negotiated Rate |
$36,960.62 |
Rate for Payer: Aetna CHP/Medicaid |
$36,960.62
|
Rate for Payer: Humana OH Medicaid |
$36,960.62
|
|
INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$41,164.07
|
|
Service Code
|
APR-DRG 1833
|
Hospital Charge Code |
APRDRG 1833
|
Min. Negotiated Rate |
$41,164.07 |
Max. Negotiated Rate |
$41,164.07 |
Rate for Payer: Aetna CHP/Medicaid |
$41,164.07
|
Rate for Payer: Humana OH Medicaid |
$41,164.07
|
|
INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$58,530.03
|
|
Service Code
|
APR-DRG 1834
|
Hospital Charge Code |
APRDRG 1834
|
Min. Negotiated Rate |
$58,530.03 |
Max. Negotiated Rate |
$58,530.03 |
Rate for Payer: Aetna CHP/Medicaid |
$58,530.03
|
Rate for Payer: Humana OH Medicaid |
$58,530.03
|
|
INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,424.60
|
|
Service Code
|
APR-DRG 1901
|
Hospital Charge Code |
APRDRG 1901
|
Min. Negotiated Rate |
$3,424.60 |
Max. Negotiated Rate |
$3,424.60 |
Rate for Payer: Aetna CHP/Medicaid |
$3,424.60
|
Rate for Payer: Humana OH Medicaid |
$3,424.60
|
|
INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,250.87
|
|
Service Code
|
APR-DRG 1902
|
Hospital Charge Code |
APRDRG 1902
|
Min. Negotiated Rate |
$4,250.87 |
Max. Negotiated Rate |
$4,250.87 |
Rate for Payer: Aetna CHP/Medicaid |
$4,250.87
|
Rate for Payer: Humana OH Medicaid |
$4,250.87
|
|
INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,523.40
|
|
Service Code
|
APR-DRG 1903
|
Hospital Charge Code |
APRDRG 1903
|
Min. Negotiated Rate |
$5,523.40 |
Max. Negotiated Rate |
$5,523.40 |
Rate for Payer: Aetna CHP/Medicaid |
$5,523.40
|
Rate for Payer: Humana OH Medicaid |
$5,523.40
|
|
INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$8,862.26
|
|
Service Code
|
APR-DRG 1904
|
Hospital Charge Code |
APRDRG 1904
|
Min. Negotiated Rate |
$8,862.26 |
Max. Negotiated Rate |
$8,862.26 |
Rate for Payer: Aetna CHP/Medicaid |
$8,862.26
|
Rate for Payer: Humana OH Medicaid |
$8,862.26
|
|
INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,097.57
|
|
Service Code
|
APR-DRG 1911
|
Hospital Charge Code |
APRDRG 1911
|
Min. Negotiated Rate |
$4,097.57 |
Max. Negotiated Rate |
$4,097.57 |
Rate for Payer: Aetna CHP/Medicaid |
$4,097.57
|
Rate for Payer: Humana OH Medicaid |
$4,097.57
|
|
INPATIENT APRDRG 1912: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,937.48
|
|
Service Code
|
APR-DRG 1912
|
Hospital Charge Code |
APRDRG 1912
|
Min. Negotiated Rate |
$4,937.48 |
Max. Negotiated Rate |
$4,937.48 |
Rate for Payer: Aetna CHP/Medicaid |
$4,937.48
|
Rate for Payer: Humana OH Medicaid |
$4,937.48
|
|
INPATIENT APRDRG 1913: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$6,625.75
|
|
Service Code
|
APR-DRG 1913
|
Hospital Charge Code |
APRDRG 1913
|
Min. Negotiated Rate |
$6,625.75 |
Max. Negotiated Rate |
$6,625.75 |
Rate for Payer: Aetna CHP/Medicaid |
$6,625.75
|
Rate for Payer: Humana OH Medicaid |
$6,625.75
|
|
INPATIENT APRDRG 1914: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$9,847.03
|
|
Service Code
|
APR-DRG 1914
|
Hospital Charge Code |
APRDRG 1914
|
Min. Negotiated Rate |
$9,847.03 |
Max. Negotiated Rate |
$9,847.03 |
Rate for Payer: Aetna CHP/Medicaid |
$9,847.03
|
Rate for Payer: Humana OH Medicaid |
$9,847.03
|
|
INPATIENT APRDRG 1921: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$4,666.60
|
|
Service Code
|
APR-DRG 1921
|
Hospital Charge Code |
APRDRG 1921
|
Min. Negotiated Rate |
$4,666.60 |
Max. Negotiated Rate |
$4,666.60 |
Rate for Payer: Aetna CHP/Medicaid |
$4,666.60
|
Rate for Payer: Humana OH Medicaid |
$4,666.60
|
|
INPATIENT APRDRG 1922: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$6,093.09
|
|
Service Code
|
APR-DRG 1922
|
Hospital Charge Code |
APRDRG 1922
|
Min. Negotiated Rate |
$6,093.09 |
Max. Negotiated Rate |
$6,093.09 |
Rate for Payer: Aetna CHP/Medicaid |
$6,093.09
|
Rate for Payer: Humana OH Medicaid |
$6,093.09
|
|
INPATIENT APRDRG 1923: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$9,621.62
|
|
Service Code
|
APR-DRG 1923
|
Hospital Charge Code |
APRDRG 1923
|
Min. Negotiated Rate |
$9,621.62 |
Max. Negotiated Rate |
$9,621.62 |
Rate for Payer: Aetna CHP/Medicaid |
$9,621.62
|
Rate for Payer: Humana OH Medicaid |
$9,621.62
|
|
INPATIENT APRDRG 1924: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$16,468.23
|
|
Service Code
|
APR-DRG 1924
|
Hospital Charge Code |
APRDRG 1924
|
Min. Negotiated Rate |
$16,468.23 |
Max. Negotiated Rate |
$16,468.23 |
Rate for Payer: Aetna CHP/Medicaid |
$16,468.23
|
Rate for Payer: Humana OH Medicaid |
$16,468.23
|
|
INPATIENT APRDRG 1931: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$4,891.36
|
|
Service Code
|
APR-DRG 1931
|
Hospital Charge Code |
APRDRG 1931
|
Min. Negotiated Rate |
$4,891.36 |
Max. Negotiated Rate |
$4,891.36 |
Rate for Payer: Aetna CHP/Medicaid |
$4,891.36
|
Rate for Payer: Humana OH Medicaid |
$4,891.36
|
|
INPATIENT APRDRG 1932: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$4,979.05
|
|
Service Code
|
APR-DRG 1932
|
Hospital Charge Code |
APRDRG 1932
|
Min. Negotiated Rate |
$4,979.05 |
Max. Negotiated Rate |
$4,979.05 |
Rate for Payer: Aetna CHP/Medicaid |
$4,979.05
|
Rate for Payer: Humana OH Medicaid |
$4,979.05
|
|
INPATIENT APRDRG 1933: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$6,895.97
|
|
Service Code
|
APR-DRG 1933
|
Hospital Charge Code |
APRDRG 1933
|
Min. Negotiated Rate |
$6,895.97 |
Max. Negotiated Rate |
$6,895.97 |
Rate for Payer: Aetna CHP/Medicaid |
$6,895.97
|
Rate for Payer: Humana OH Medicaid |
$6,895.97
|
|
INPATIENT APRDRG 1934: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$11,028.62
|
|
Service Code
|
APR-DRG 1934
|
Hospital Charge Code |
APRDRG 1934
|
Min. Negotiated Rate |
$11,028.62 |
Max. Negotiated Rate |
$11,028.62 |
Rate for Payer: Aetna CHP/Medicaid |
$11,028.62
|
Rate for Payer: Humana OH Medicaid |
$11,028.62
|
|
INPATIENT APRDRG 1941: HEART FAILURE
|
Facility
|
IP
|
$3,105.66
|
|
Service Code
|
APR-DRG 1941
|
Hospital Charge Code |
APRDRG 1941
|
Min. Negotiated Rate |
$3,105.66 |
Max. Negotiated Rate |
$3,105.66 |
Rate for Payer: Aetna CHP/Medicaid |
$3,105.66
|
Rate for Payer: Humana OH Medicaid |
$3,105.66
|
|