INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$37,032.08
|
|
Service Code
|
APR-DRG 2204
|
Hospital Charge Code |
APRDRG 2204
|
Min. Negotiated Rate |
$37,032.08 |
Max. Negotiated Rate |
$37,032.08 |
Rate for Payer: Aetna CHP/Medicaid |
$37,032.08
|
Rate for Payer: Humana OH Medicaid |
$37,032.08
|
|
INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$5,055.70
|
|
Service Code
|
APR-DRG 2221
|
Hospital Charge Code |
APRDRG 2221
|
Min. Negotiated Rate |
$5,055.70 |
Max. Negotiated Rate |
$5,055.70 |
Rate for Payer: Aetna CHP/Medicaid |
$5,055.70
|
Rate for Payer: Humana OH Medicaid |
$5,055.70
|
|
INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,199.04
|
|
Service Code
|
APR-DRG 2222
|
Hospital Charge Code |
APRDRG 2222
|
Min. Negotiated Rate |
$8,199.04 |
Max. Negotiated Rate |
$8,199.04 |
Rate for Payer: Aetna CHP/Medicaid |
$8,199.04
|
Rate for Payer: Humana OH Medicaid |
$8,199.04
|
|
INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,246.88
|
|
Service Code
|
APR-DRG 2223
|
Hospital Charge Code |
APRDRG 2223
|
Min. Negotiated Rate |
$11,246.88 |
Max. Negotiated Rate |
$11,246.88 |
Rate for Payer: Aetna CHP/Medicaid |
$11,246.88
|
Rate for Payer: Humana OH Medicaid |
$11,246.88
|
|
INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$22,928.33
|
|
Service Code
|
APR-DRG 2224
|
Hospital Charge Code |
APRDRG 2224
|
Min. Negotiated Rate |
$22,928.33 |
Max. Negotiated Rate |
$22,928.33 |
Rate for Payer: Aetna CHP/Medicaid |
$22,928.33
|
Rate for Payer: Humana OH Medicaid |
$22,928.33
|
|
INPATIENT APRDRG 2231: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$5,883.92
|
|
Service Code
|
APR-DRG 2231
|
Hospital Charge Code |
APRDRG 2231
|
Min. Negotiated Rate |
$5,883.92 |
Max. Negotiated Rate |
$5,883.92 |
Rate for Payer: Aetna CHP/Medicaid |
$5,883.92
|
Rate for Payer: Humana OH Medicaid |
$5,883.92
|
|
INPATIENT APRDRG 2232: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,118.85
|
|
Service Code
|
APR-DRG 2232
|
Hospital Charge Code |
APRDRG 2232
|
Min. Negotiated Rate |
$9,118.85 |
Max. Negotiated Rate |
$9,118.85 |
Rate for Payer: Aetna CHP/Medicaid |
$9,118.85
|
Rate for Payer: Humana OH Medicaid |
$9,118.85
|
|
INPATIENT APRDRG 2233: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$13,823.78
|
|
Service Code
|
APR-DRG 2233
|
Hospital Charge Code |
APRDRG 2233
|
Min. Negotiated Rate |
$13,823.78 |
Max. Negotiated Rate |
$13,823.78 |
Rate for Payer: Aetna CHP/Medicaid |
$13,823.78
|
Rate for Payer: Humana OH Medicaid |
$13,823.78
|
|
INPATIENT APRDRG 2234: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$24,721.83
|
|
Service Code
|
APR-DRG 2234
|
Hospital Charge Code |
APRDRG 2234
|
Min. Negotiated Rate |
$24,721.83 |
Max. Negotiated Rate |
$24,721.83 |
Rate for Payer: Aetna CHP/Medicaid |
$24,721.83
|
Rate for Payer: Humana OH Medicaid |
$24,721.83
|
|
INPATIENT APRDRG 2241: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$7,074.61
|
|
Service Code
|
APR-DRG 2241
|
Hospital Charge Code |
APRDRG 2241
|
Min. Negotiated Rate |
$7,074.61 |
Max. Negotiated Rate |
$7,074.61 |
Rate for Payer: Aetna CHP/Medicaid |
$7,074.61
|
Rate for Payer: Humana OH Medicaid |
$7,074.61
|
|
INPATIENT APRDRG 2242: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,807.05
|
|
Service Code
|
APR-DRG 2242
|
Hospital Charge Code |
APRDRG 2242
|
Min. Negotiated Rate |
$8,807.05 |
Max. Negotiated Rate |
$8,807.05 |
Rate for Payer: Aetna CHP/Medicaid |
$8,807.05
|
Rate for Payer: Humana OH Medicaid |
$8,807.05
|
|
INPATIENT APRDRG 2243: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$13,843.91
|
|
Service Code
|
APR-DRG 2243
|
Hospital Charge Code |
APRDRG 2243
|
Min. Negotiated Rate |
$13,843.91 |
Max. Negotiated Rate |
$13,843.91 |
Rate for Payer: Aetna CHP/Medicaid |
$13,843.91
|
Rate for Payer: Humana OH Medicaid |
$13,843.91
|
|
INPATIENT APRDRG 2244: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$26,740.73
|
|
Service Code
|
APR-DRG 2244
|
Hospital Charge Code |
APRDRG 2244
|
Min. Negotiated Rate |
$26,740.73 |
Max. Negotiated Rate |
$26,740.73 |
Rate for Payer: Aetna CHP/Medicaid |
$26,740.73
|
Rate for Payer: Humana OH Medicaid |
$26,740.73
|
|
INPATIENT APRDRG 2261: ANAL PROCEDURES
|
Facility
|
IP
|
$4,814.71
|
|
Service Code
|
APR-DRG 2261
|
Hospital Charge Code |
APRDRG 2261
|
Min. Negotiated Rate |
$4,814.71 |
Max. Negotiated Rate |
$4,814.71 |
Rate for Payer: Aetna CHP/Medicaid |
$4,814.71
|
Rate for Payer: Humana OH Medicaid |
$4,814.71
|
|
INPATIENT APRDRG 2262: ANAL PROCEDURES
|
Facility
|
IP
|
$5,646.18
|
|
Service Code
|
APR-DRG 2262
|
Hospital Charge Code |
APRDRG 2262
|
Min. Negotiated Rate |
$5,646.18 |
Max. Negotiated Rate |
$5,646.18 |
Rate for Payer: Aetna CHP/Medicaid |
$5,646.18
|
Rate for Payer: Humana OH Medicaid |
$5,646.18
|
|
INPATIENT APRDRG 2263: ANAL PROCEDURES
|
Facility
|
IP
|
$11,319.63
|
|
Service Code
|
APR-DRG 2263
|
Hospital Charge Code |
APRDRG 2263
|
Min. Negotiated Rate |
$11,319.63 |
Max. Negotiated Rate |
$11,319.63 |
Rate for Payer: Aetna CHP/Medicaid |
$11,319.63
|
Rate for Payer: Humana OH Medicaid |
$11,319.63
|
|
INPATIENT APRDRG 2264: ANAL PROCEDURES
|
Facility
|
IP
|
$11,319.63
|
|
Service Code
|
APR-DRG 2264
|
Hospital Charge Code |
APRDRG 2264
|
Min. Negotiated Rate |
$11,319.63 |
Max. Negotiated Rate |
$11,319.63 |
Rate for Payer: Aetna CHP/Medicaid |
$11,319.63
|
Rate for Payer: Humana OH Medicaid |
$11,319.63
|
|
INPATIENT APRDRG 2271: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$6,651.08
|
|
Service Code
|
APR-DRG 2271
|
Hospital Charge Code |
APRDRG 2271
|
Min. Negotiated Rate |
$6,651.08 |
Max. Negotiated Rate |
$6,651.08 |
Rate for Payer: Aetna CHP/Medicaid |
$6,651.08
|
Rate for Payer: Humana OH Medicaid |
$6,651.08
|
|
INPATIENT APRDRG 2272: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$8,397.16
|
|
Service Code
|
APR-DRG 2272
|
Hospital Charge Code |
APRDRG 2272
|
Min. Negotiated Rate |
$8,397.16 |
Max. Negotiated Rate |
$8,397.16 |
Rate for Payer: Aetna CHP/Medicaid |
$8,397.16
|
Rate for Payer: Humana OH Medicaid |
$8,397.16
|
|
INPATIENT APRDRG 2273: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$11,728.87
|
|
Service Code
|
APR-DRG 2273
|
Hospital Charge Code |
APRDRG 2273
|
Min. Negotiated Rate |
$11,728.87 |
Max. Negotiated Rate |
$11,728.87 |
Rate for Payer: Aetna CHP/Medicaid |
$11,728.87
|
Rate for Payer: Humana OH Medicaid |
$11,728.87
|
|
INPATIENT APRDRG 2274: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$24,072.90
|
|
Service Code
|
APR-DRG 2274
|
Hospital Charge Code |
APRDRG 2274
|
Min. Negotiated Rate |
$24,072.90 |
Max. Negotiated Rate |
$24,072.90 |
Rate for Payer: Aetna CHP/Medicaid |
$24,072.90
|
Rate for Payer: Humana OH Medicaid |
$24,072.90
|
|
INPATIENT APRDRG 2281: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$4,421.71
|
|
Service Code
|
APR-DRG 2281
|
Hospital Charge Code |
APRDRG 2281
|
Min. Negotiated Rate |
$4,421.71 |
Max. Negotiated Rate |
$4,421.71 |
Rate for Payer: Aetna CHP/Medicaid |
$4,421.71
|
Rate for Payer: Humana OH Medicaid |
$4,421.71
|
|
INPATIENT APRDRG 2282: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,064.51
|
|
Service Code
|
APR-DRG 2282
|
Hospital Charge Code |
APRDRG 2282
|
Min. Negotiated Rate |
$6,064.51 |
Max. Negotiated Rate |
$6,064.51 |
Rate for Payer: Aetna CHP/Medicaid |
$6,064.51
|
Rate for Payer: Humana OH Medicaid |
$6,064.51
|
|
INPATIENT APRDRG 2283: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,350.75
|
|
Service Code
|
APR-DRG 2283
|
Hospital Charge Code |
APRDRG 2283
|
Min. Negotiated Rate |
$9,350.75 |
Max. Negotiated Rate |
$9,350.75 |
Rate for Payer: Aetna CHP/Medicaid |
$9,350.75
|
Rate for Payer: Humana OH Medicaid |
$9,350.75
|
|
INPATIENT APRDRG 2284: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$18,919.75
|
|
Service Code
|
APR-DRG 2284
|
Hospital Charge Code |
APRDRG 2284
|
Min. Negotiated Rate |
$18,919.75 |
Max. Negotiated Rate |
$18,919.75 |
Rate for Payer: Aetna CHP/Medicaid |
$18,919.75
|
Rate for Payer: Humana OH Medicaid |
$18,919.75
|
|