INPATIENT APRDRG 1942: HEART FAILURE
|
Facility
|
IP
|
$4,056.00
|
|
Service Code
|
APR-DRG 1942
|
Hospital Charge Code |
APRDRG 1942
|
Min. Negotiated Rate |
$4,056.00 |
Max. Negotiated Rate |
$4,056.00 |
Rate for Payer: Aetna CHP/Medicaid |
$4,056.00
|
Rate for Payer: Humana OH Medicaid |
$4,056.00
|
|
INPATIENT APRDRG 1943: HEART FAILURE
|
Facility
|
IP
|
$5,807.92
|
|
Service Code
|
APR-DRG 1943
|
Hospital Charge Code |
APRDRG 1943
|
Min. Negotiated Rate |
$5,807.92 |
Max. Negotiated Rate |
$5,807.92 |
Rate for Payer: Aetna CHP/Medicaid |
$5,807.92
|
Rate for Payer: Humana OH Medicaid |
$5,807.92
|
|
INPATIENT APRDRG 1944: HEART FAILURE
|
Facility
|
IP
|
$10,344.61
|
|
Service Code
|
APR-DRG 1944
|
Hospital Charge Code |
APRDRG 1944
|
Min. Negotiated Rate |
$10,344.61 |
Max. Negotiated Rate |
$10,344.61 |
Rate for Payer: Aetna CHP/Medicaid |
$10,344.61
|
Rate for Payer: Humana OH Medicaid |
$10,344.61
|
|
INPATIENT APRDRG 1961: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$3,856.57
|
|
Service Code
|
APR-DRG 1961
|
Hospital Charge Code |
APRDRG 1961
|
Min. Negotiated Rate |
$3,856.57 |
Max. Negotiated Rate |
$3,856.57 |
Rate for Payer: Aetna CHP/Medicaid |
$3,856.57
|
Rate for Payer: Humana OH Medicaid |
$3,856.57
|
|
INPATIENT APRDRG 1962: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$3,856.57
|
|
Service Code
|
APR-DRG 1962
|
Hospital Charge Code |
APRDRG 1962
|
Min. Negotiated Rate |
$3,856.57 |
Max. Negotiated Rate |
$3,856.57 |
Rate for Payer: Aetna CHP/Medicaid |
$3,856.57
|
Rate for Payer: Humana OH Medicaid |
$3,856.57
|
|
INPATIENT APRDRG 1963: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$5,242.13
|
|
Service Code
|
APR-DRG 1963
|
Hospital Charge Code |
APRDRG 1963
|
Min. Negotiated Rate |
$5,242.13 |
Max. Negotiated Rate |
$5,242.13 |
Rate for Payer: Aetna CHP/Medicaid |
$5,242.13
|
Rate for Payer: Humana OH Medicaid |
$5,242.13
|
|
INPATIENT APRDRG 1964: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$11,769.14
|
|
Service Code
|
APR-DRG 1964
|
Hospital Charge Code |
APRDRG 1964
|
Min. Negotiated Rate |
$11,769.14 |
Max. Negotiated Rate |
$11,769.14 |
Rate for Payer: Aetna CHP/Medicaid |
$11,769.14
|
Rate for Payer: Humana OH Medicaid |
$11,769.14
|
|
INPATIENT APRDRG 1971: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,236.87
|
|
Service Code
|
APR-DRG 1971
|
Hospital Charge Code |
APRDRG 1971
|
Min. Negotiated Rate |
$3,236.87 |
Max. Negotiated Rate |
$3,236.87 |
Rate for Payer: Aetna CHP/Medicaid |
$3,236.87
|
Rate for Payer: Humana OH Medicaid |
$3,236.87
|
|
INPATIENT APRDRG 1972: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,876.71
|
|
Service Code
|
APR-DRG 1972
|
Hospital Charge Code |
APRDRG 1972
|
Min. Negotiated Rate |
$3,876.71 |
Max. Negotiated Rate |
$3,876.71 |
Rate for Payer: Aetna CHP/Medicaid |
$3,876.71
|
Rate for Payer: Humana OH Medicaid |
$3,876.71
|
|
INPATIENT APRDRG 1973: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$5,119.36
|
|
Service Code
|
APR-DRG 1973
|
Hospital Charge Code |
APRDRG 1973
|
Min. Negotiated Rate |
$5,119.36 |
Max. Negotiated Rate |
$5,119.36 |
Rate for Payer: Aetna CHP/Medicaid |
$5,119.36
|
Rate for Payer: Humana OH Medicaid |
$5,119.36
|
|
INPATIENT APRDRG 1974: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$11,371.60
|
|
Service Code
|
APR-DRG 1974
|
Hospital Charge Code |
APRDRG 1974
|
Min. Negotiated Rate |
$11,371.60 |
Max. Negotiated Rate |
$11,371.60 |
Rate for Payer: Aetna CHP/Medicaid |
$11,371.60
|
Rate for Payer: Humana OH Medicaid |
$11,371.60
|
|
INPATIENT APRDRG 1981: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,468.42
|
|
Service Code
|
APR-DRG 1981
|
Hospital Charge Code |
APRDRG 1981
|
Min. Negotiated Rate |
$2,468.42 |
Max. Negotiated Rate |
$2,468.42 |
Rate for Payer: Aetna CHP/Medicaid |
$2,468.42
|
Rate for Payer: Humana OH Medicaid |
$2,468.42
|
|
INPATIENT APRDRG 1982: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,071.23
|
|
Service Code
|
APR-DRG 1982
|
Hospital Charge Code |
APRDRG 1982
|
Min. Negotiated Rate |
$3,071.23 |
Max. Negotiated Rate |
$3,071.23 |
Rate for Payer: Aetna CHP/Medicaid |
$3,071.23
|
Rate for Payer: Humana OH Medicaid |
$3,071.23
|
|
INPATIENT APRDRG 1983: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,560.72
|
|
Service Code
|
APR-DRG 1983
|
Hospital Charge Code |
APRDRG 1983
|
Min. Negotiated Rate |
$4,560.72 |
Max. Negotiated Rate |
$4,560.72 |
Rate for Payer: Aetna CHP/Medicaid |
$4,560.72
|
Rate for Payer: Humana OH Medicaid |
$4,560.72
|
|
INPATIENT APRDRG 1984: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$9,306.58
|
|
Service Code
|
APR-DRG 1984
|
Hospital Charge Code |
APRDRG 1984
|
Min. Negotiated Rate |
$9,306.58 |
Max. Negotiated Rate |
$9,306.58 |
Rate for Payer: Aetna CHP/Medicaid |
$9,306.58
|
Rate for Payer: Humana OH Medicaid |
$9,306.58
|
|
INPATIENT APRDRG 1991: HYPERTENSION
|
Facility
|
IP
|
$2,675.63
|
|
Service Code
|
APR-DRG 1991
|
Hospital Charge Code |
APRDRG 1991
|
Min. Negotiated Rate |
$2,675.63 |
Max. Negotiated Rate |
$2,675.63 |
Rate for Payer: Aetna CHP/Medicaid |
$2,675.63
|
Rate for Payer: Humana OH Medicaid |
$2,675.63
|
|
INPATIENT APRDRG 1992: HYPERTENSION
|
Facility
|
IP
|
$3,505.15
|
|
Service Code
|
APR-DRG 1992
|
Hospital Charge Code |
APRDRG 1992
|
Min. Negotiated Rate |
$3,505.15 |
Max. Negotiated Rate |
$3,505.15 |
Rate for Payer: Aetna CHP/Medicaid |
$3,505.15
|
Rate for Payer: Humana OH Medicaid |
$3,505.15
|
|
INPATIENT APRDRG 1993: HYPERTENSION
|
Facility
|
IP
|
$4,992.05
|
|
Service Code
|
APR-DRG 1993
|
Hospital Charge Code |
APRDRG 1993
|
Min. Negotiated Rate |
$4,992.05 |
Max. Negotiated Rate |
$4,992.05 |
Rate for Payer: Aetna CHP/Medicaid |
$4,992.05
|
Rate for Payer: Humana OH Medicaid |
$4,992.05
|
|
INPATIENT APRDRG 1994: HYPERTENSION
|
Facility
|
IP
|
$8,388.71
|
|
Service Code
|
APR-DRG 1994
|
Hospital Charge Code |
APRDRG 1994
|
Min. Negotiated Rate |
$8,388.71 |
Max. Negotiated Rate |
$8,388.71 |
Rate for Payer: Aetna CHP/Medicaid |
$8,388.71
|
Rate for Payer: Humana OH Medicaid |
$8,388.71
|
|
INPATIENT APRDRG 2001: CARDIAC STRUCTURAL & VALVULAR DISORDERS
|
Facility
|
IP
|
$2,624.32
|
|
Service Code
|
APR-DRG 2001
|
Hospital Charge Code |
APRDRG 2001
|
Min. Negotiated Rate |
$2,624.32 |
Max. Negotiated Rate |
$2,624.32 |
Rate for Payer: Aetna CHP/Medicaid |
$2,624.32
|
Rate for Payer: Humana OH Medicaid |
$2,624.32
|
|
INPATIENT APRDRG 2002: CARDIAC STRUCTURAL & VALVULAR DISORDERS
|
Facility
|
IP
|
$4,858.88
|
|
Service Code
|
APR-DRG 2002
|
Hospital Charge Code |
APRDRG 2002
|
Min. Negotiated Rate |
$4,858.88 |
Max. Negotiated Rate |
$4,858.88 |
Rate for Payer: Aetna CHP/Medicaid |
$4,858.88
|
Rate for Payer: Humana OH Medicaid |
$4,858.88
|
|
INPATIENT APRDRG 2003: CARDIAC STRUCTURAL & VALVULAR DISORDERS
|
Facility
|
IP
|
$9,563.16
|
|
Service Code
|
APR-DRG 2003
|
Hospital Charge Code |
APRDRG 2003
|
Min. Negotiated Rate |
$9,563.16 |
Max. Negotiated Rate |
$9,563.16 |
Rate for Payer: Aetna CHP/Medicaid |
$9,563.16
|
Rate for Payer: Humana OH Medicaid |
$9,563.16
|
|
INPATIENT APRDRG 2004: CARDIAC STRUCTURAL & VALVULAR DISORDERS
|
Facility
|
IP
|
$42,022.17
|
|
Service Code
|
APR-DRG 2004
|
Hospital Charge Code |
APRDRG 2004
|
Min. Negotiated Rate |
$42,022.17 |
Max. Negotiated Rate |
$42,022.17 |
Rate for Payer: Aetna CHP/Medicaid |
$42,022.17
|
Rate for Payer: Humana OH Medicaid |
$42,022.17
|
|
INPATIENT APRDRG 2011: CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS
|
Facility
|
IP
|
$2,721.10
|
|
Service Code
|
APR-DRG 2011
|
Hospital Charge Code |
APRDRG 2011
|
Min. Negotiated Rate |
$2,721.10 |
Max. Negotiated Rate |
$2,721.10 |
Rate for Payer: Aetna CHP/Medicaid |
$2,721.10
|
Rate for Payer: Humana OH Medicaid |
$2,721.10
|
|
INPATIENT APRDRG 2012: CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS
|
Facility
|
IP
|
$3,333.66
|
|
Service Code
|
APR-DRG 2012
|
Hospital Charge Code |
APRDRG 2012
|
Min. Negotiated Rate |
$3,333.66 |
Max. Negotiated Rate |
$3,333.66 |
Rate for Payer: Aetna CHP/Medicaid |
$3,333.66
|
Rate for Payer: Humana OH Medicaid |
$3,333.66
|
|