INPATIENT APRDRG 2013: CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS
|
Facility
|
IP
|
$5,134.30
|
|
Service Code
|
APR-DRG 2013
|
Hospital Charge Code |
APRDRG 2013
|
Min. Negotiated Rate |
$5,134.30 |
Max. Negotiated Rate |
$5,134.30 |
Rate for Payer: Aetna CHP/Medicaid |
$5,134.30
|
Rate for Payer: Humana OH Medicaid |
$5,134.30
|
|
INPATIENT APRDRG 2014: CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS
|
Facility
|
IP
|
$9,968.50
|
|
Service Code
|
APR-DRG 2014
|
Hospital Charge Code |
APRDRG 2014
|
Min. Negotiated Rate |
$9,968.50 |
Max. Negotiated Rate |
$9,968.50 |
Rate for Payer: Aetna CHP/Medicaid |
$9,968.50
|
Rate for Payer: Humana OH Medicaid |
$9,968.50
|
|
INPATIENT APRDRG 2031: CHEST PAIN
|
Facility
|
IP
|
$2,404.76
|
|
Service Code
|
APR-DRG 2031
|
Hospital Charge Code |
APRDRG 2031
|
Min. Negotiated Rate |
$2,404.76 |
Max. Negotiated Rate |
$2,404.76 |
Rate for Payer: Aetna CHP/Medicaid |
$2,404.76
|
Rate for Payer: Humana OH Medicaid |
$2,404.76
|
|
INPATIENT APRDRG 2032: CHEST PAIN
|
Facility
|
IP
|
$3,118.65
|
|
Service Code
|
APR-DRG 2032
|
Hospital Charge Code |
APRDRG 2032
|
Min. Negotiated Rate |
$3,118.65 |
Max. Negotiated Rate |
$3,118.65 |
Rate for Payer: Aetna CHP/Medicaid |
$3,118.65
|
Rate for Payer: Humana OH Medicaid |
$3,118.65
|
|
INPATIENT APRDRG 2033: CHEST PAIN
|
Facility
|
IP
|
$4,715.32
|
|
Service Code
|
APR-DRG 2033
|
Hospital Charge Code |
APRDRG 2033
|
Min. Negotiated Rate |
$4,715.32 |
Max. Negotiated Rate |
$4,715.32 |
Rate for Payer: Aetna CHP/Medicaid |
$4,715.32
|
Rate for Payer: Humana OH Medicaid |
$4,715.32
|
|
INPATIENT APRDRG 2034: CHEST PAIN
|
Facility
|
IP
|
$5,559.13
|
|
Service Code
|
APR-DRG 2034
|
Hospital Charge Code |
APRDRG 2034
|
Min. Negotiated Rate |
$5,559.13 |
Max. Negotiated Rate |
$5,559.13 |
Rate for Payer: Aetna CHP/Medicaid |
$5,559.13
|
Rate for Payer: Humana OH Medicaid |
$5,559.13
|
|
INPATIENT APRDRG 2041: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$2,828.28
|
|
Service Code
|
APR-DRG 2041
|
Hospital Charge Code |
APRDRG 2041
|
Min. Negotiated Rate |
$2,828.28 |
Max. Negotiated Rate |
$2,828.28 |
Rate for Payer: Aetna CHP/Medicaid |
$2,828.28
|
Rate for Payer: Humana OH Medicaid |
$2,828.28
|
|
INPATIENT APRDRG 2042: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$3,722.11
|
|
Service Code
|
APR-DRG 2042
|
Hospital Charge Code |
APRDRG 2042
|
Min. Negotiated Rate |
$3,722.11 |
Max. Negotiated Rate |
$3,722.11 |
Rate for Payer: Aetna CHP/Medicaid |
$3,722.11
|
Rate for Payer: Humana OH Medicaid |
$3,722.11
|
|
INPATIENT APRDRG 2043: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$5,278.51
|
|
Service Code
|
APR-DRG 2043
|
Hospital Charge Code |
APRDRG 2043
|
Min. Negotiated Rate |
$5,278.51 |
Max. Negotiated Rate |
$5,278.51 |
Rate for Payer: Aetna CHP/Medicaid |
$5,278.51
|
Rate for Payer: Humana OH Medicaid |
$5,278.51
|
|
INPATIENT APRDRG 2044: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$6,664.07
|
|
Service Code
|
APR-DRG 2044
|
Hospital Charge Code |
APRDRG 2044
|
Min. Negotiated Rate |
$6,664.07 |
Max. Negotiated Rate |
$6,664.07 |
Rate for Payer: Aetna CHP/Medicaid |
$6,664.07
|
Rate for Payer: Humana OH Medicaid |
$6,664.07
|
|
INPATIENT APRDRG 2051: CARDIOMYOPATHY
|
Facility
|
IP
|
$2,361.88
|
|
Service Code
|
APR-DRG 2051
|
Hospital Charge Code |
APRDRG 2051
|
Min. Negotiated Rate |
$2,361.88 |
Max. Negotiated Rate |
$2,361.88 |
Rate for Payer: Aetna CHP/Medicaid |
$2,361.88
|
Rate for Payer: Humana OH Medicaid |
$2,361.88
|
|
INPATIENT APRDRG 2052: CARDIOMYOPATHY
|
Facility
|
IP
|
$7,916.47
|
|
Service Code
|
APR-DRG 2052
|
Hospital Charge Code |
APRDRG 2052
|
Min. Negotiated Rate |
$7,916.47 |
Max. Negotiated Rate |
$7,916.47 |
Rate for Payer: Aetna CHP/Medicaid |
$7,916.47
|
Rate for Payer: Humana OH Medicaid |
$7,916.47
|
|
INPATIENT APRDRG 2053: CARDIOMYOPATHY
|
Facility
|
IP
|
$7,916.47
|
|
Service Code
|
APR-DRG 2053
|
Hospital Charge Code |
APRDRG 2053
|
Min. Negotiated Rate |
$7,916.47 |
Max. Negotiated Rate |
$7,916.47 |
Rate for Payer: Aetna CHP/Medicaid |
$7,916.47
|
Rate for Payer: Humana OH Medicaid |
$7,916.47
|
|
INPATIENT APRDRG 2054: CARDIOMYOPATHY
|
Facility
|
IP
|
$7,916.47
|
|
Service Code
|
APR-DRG 2054
|
Hospital Charge Code |
APRDRG 2054
|
Min. Negotiated Rate |
$7,916.47 |
Max. Negotiated Rate |
$7,916.47 |
Rate for Payer: Aetna CHP/Medicaid |
$7,916.47
|
Rate for Payer: Humana OH Medicaid |
$7,916.47
|
|
INPATIENT APRDRG 2061: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,737.41
|
|
Service Code
|
APR-DRG 2061
|
Hospital Charge Code |
APRDRG 2061
|
Min. Negotiated Rate |
$4,737.41 |
Max. Negotiated Rate |
$4,737.41 |
Rate for Payer: Aetna CHP/Medicaid |
$4,737.41
|
Rate for Payer: Humana OH Medicaid |
$4,737.41
|
|
INPATIENT APRDRG 2062: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,737.41
|
|
Service Code
|
APR-DRG 2062
|
Hospital Charge Code |
APRDRG 2062
|
Min. Negotiated Rate |
$4,737.41 |
Max. Negotiated Rate |
$4,737.41 |
Rate for Payer: Aetna CHP/Medicaid |
$4,737.41
|
Rate for Payer: Humana OH Medicaid |
$4,737.41
|
|
INPATIENT APRDRG 2063: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,909.61
|
|
Service Code
|
APR-DRG 2063
|
Hospital Charge Code |
APRDRG 2063
|
Min. Negotiated Rate |
$6,909.61 |
Max. Negotiated Rate |
$6,909.61 |
Rate for Payer: Aetna CHP/Medicaid |
$6,909.61
|
Rate for Payer: Humana OH Medicaid |
$6,909.61
|
|
INPATIENT APRDRG 2064: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,823.13
|
|
Service Code
|
APR-DRG 2064
|
Hospital Charge Code |
APRDRG 2064
|
Min. Negotiated Rate |
$13,823.13 |
Max. Negotiated Rate |
$13,823.13 |
Rate for Payer: Aetna CHP/Medicaid |
$13,823.13
|
Rate for Payer: Humana OH Medicaid |
$13,823.13
|
|
INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,990.03
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG 2071
|
Min. Negotiated Rate |
$2,990.03 |
Max. Negotiated Rate |
$2,990.03 |
Rate for Payer: Aetna CHP/Medicaid |
$2,990.03
|
Rate for Payer: Humana OH Medicaid |
$2,990.03
|
|
INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,017.67
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG 2072
|
Min. Negotiated Rate |
$4,017.67 |
Max. Negotiated Rate |
$4,017.67 |
Rate for Payer: Aetna CHP/Medicaid |
$4,017.67
|
Rate for Payer: Humana OH Medicaid |
$4,017.67
|
|
INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,067.11
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG 2073
|
Min. Negotiated Rate |
$6,067.11 |
Max. Negotiated Rate |
$6,067.11 |
Rate for Payer: Aetna CHP/Medicaid |
$6,067.11
|
Rate for Payer: Humana OH Medicaid |
$6,067.11
|
|
INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$16,325.97
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG 2074
|
Min. Negotiated Rate |
$16,325.97 |
Max. Negotiated Rate |
$16,325.97 |
Rate for Payer: Aetna CHP/Medicaid |
$16,325.97
|
Rate for Payer: Humana OH Medicaid |
$16,325.97
|
|
INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,406.90
|
|
Service Code
|
APR-DRG 2201
|
Hospital Charge Code |
APRDRG 2201
|
Min. Negotiated Rate |
$8,406.90 |
Max. Negotiated Rate |
$8,406.90 |
Rate for Payer: Aetna CHP/Medicaid |
$8,406.90
|
Rate for Payer: Humana OH Medicaid |
$8,406.90
|
|
INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,029.27
|
|
Service Code
|
APR-DRG 2202
|
Hospital Charge Code |
APRDRG 2202
|
Min. Negotiated Rate |
$11,029.27 |
Max. Negotiated Rate |
$11,029.27 |
Rate for Payer: Aetna CHP/Medicaid |
$11,029.27
|
Rate for Payer: Humana OH Medicaid |
$11,029.27
|
|
INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$18,443.61
|
|
Service Code
|
APR-DRG 2203
|
Hospital Charge Code |
APRDRG 2203
|
Min. Negotiated Rate |
$18,443.61 |
Max. Negotiated Rate |
$18,443.61 |
Rate for Payer: Aetna CHP/Medicaid |
$18,443.61
|
Rate for Payer: Humana OH Medicaid |
$18,443.61
|
|