INPATIENT APRDRG 2291: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$5,796.88
|
|
Service Code
|
APR-DRG 2291
|
Hospital Charge Code |
APRDRG 2291
|
Min. Negotiated Rate |
$5,796.88 |
Max. Negotiated Rate |
$5,796.88 |
Rate for Payer: Aetna CHP/Medicaid |
$5,796.88
|
Rate for Payer: Humana OH Medicaid |
$5,796.88
|
|
INPATIENT APRDRG 2292: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,083.41
|
|
Service Code
|
APR-DRG 2292
|
Hospital Charge Code |
APRDRG 2292
|
Min. Negotiated Rate |
$8,083.41 |
Max. Negotiated Rate |
$8,083.41 |
Rate for Payer: Aetna CHP/Medicaid |
$8,083.41
|
Rate for Payer: Humana OH Medicaid |
$8,083.41
|
|
INPATIENT APRDRG 2293: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$13,111.83
|
|
Service Code
|
APR-DRG 2293
|
Hospital Charge Code |
APRDRG 2293
|
Min. Negotiated Rate |
$13,111.83 |
Max. Negotiated Rate |
$13,111.83 |
Rate for Payer: Aetna CHP/Medicaid |
$13,111.83
|
Rate for Payer: Humana OH Medicaid |
$13,111.83
|
|
INPATIENT APRDRG 2294: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$30,235.49
|
|
Service Code
|
APR-DRG 2294
|
Hospital Charge Code |
APRDRG 2294
|
Min. Negotiated Rate |
$30,235.49 |
Max. Negotiated Rate |
$30,235.49 |
Rate for Payer: Aetna CHP/Medicaid |
$30,235.49
|
Rate for Payer: Humana OH Medicaid |
$30,235.49
|
|
INPATIENT APRDRG 2301: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,726.14
|
|
Service Code
|
APR-DRG 2301
|
Hospital Charge Code |
APRDRG 2301
|
Min. Negotiated Rate |
$7,726.14 |
Max. Negotiated Rate |
$7,726.14 |
Rate for Payer: Aetna CHP/Medicaid |
$7,726.14
|
Rate for Payer: Humana OH Medicaid |
$7,726.14
|
|
INPATIENT APRDRG 2302: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$10,607.04
|
|
Service Code
|
APR-DRG 2302
|
Hospital Charge Code |
APRDRG 2302
|
Min. Negotiated Rate |
$10,607.04 |
Max. Negotiated Rate |
$10,607.04 |
Rate for Payer: Aetna CHP/Medicaid |
$10,607.04
|
Rate for Payer: Humana OH Medicaid |
$10,607.04
|
|
INPATIENT APRDRG 2303: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$16,957.36
|
|
Service Code
|
APR-DRG 2303
|
Hospital Charge Code |
APRDRG 2303
|
Min. Negotiated Rate |
$16,957.36 |
Max. Negotiated Rate |
$16,957.36 |
Rate for Payer: Aetna CHP/Medicaid |
$16,957.36
|
Rate for Payer: Humana OH Medicaid |
$16,957.36
|
|
INPATIENT APRDRG 2304: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$33,601.63
|
|
Service Code
|
APR-DRG 2304
|
Hospital Charge Code |
APRDRG 2304
|
Min. Negotiated Rate |
$33,601.63 |
Max. Negotiated Rate |
$33,601.63 |
Rate for Payer: Aetna CHP/Medicaid |
$33,601.63
|
Rate for Payer: Humana OH Medicaid |
$33,601.63
|
|
INPATIENT APRDRG 2311: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,694.67
|
|
Service Code
|
APR-DRG 2311
|
Hospital Charge Code |
APRDRG 2311
|
Min. Negotiated Rate |
$8,694.67 |
Max. Negotiated Rate |
$8,694.67 |
Rate for Payer: Aetna CHP/Medicaid |
$8,694.67
|
Rate for Payer: Humana OH Medicaid |
$8,694.67
|
|
INPATIENT APRDRG 2312: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,688.24
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG 2312
|
Min. Negotiated Rate |
$10,688.24 |
Max. Negotiated Rate |
$10,688.24 |
Rate for Payer: Aetna CHP/Medicaid |
$10,688.24
|
Rate for Payer: Humana OH Medicaid |
$10,688.24
|
|
INPATIENT APRDRG 2313: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$14,192.74
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG 2313
|
Min. Negotiated Rate |
$14,192.74 |
Max. Negotiated Rate |
$14,192.74 |
Rate for Payer: Aetna CHP/Medicaid |
$14,192.74
|
Rate for Payer: Humana OH Medicaid |
$14,192.74
|
|
INPATIENT APRDRG 2314: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$23,679.25
|
|
Service Code
|
APR-DRG 2314
|
Hospital Charge Code |
APRDRG 2314
|
Min. Negotiated Rate |
$23,679.25 |
Max. Negotiated Rate |
$23,679.25 |
Rate for Payer: Aetna CHP/Medicaid |
$23,679.25
|
Rate for Payer: Humana OH Medicaid |
$23,679.25
|
|
INPATIENT APRDRG 2321: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$7,203.23
|
|
Service Code
|
APR-DRG 2321
|
Hospital Charge Code |
APRDRG 2321
|
Min. Negotiated Rate |
$7,203.23 |
Max. Negotiated Rate |
$7,203.23 |
Rate for Payer: Aetna CHP/Medicaid |
$7,203.23
|
Rate for Payer: Humana OH Medicaid |
$7,203.23
|
|
INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$9,888.60
|
|
Service Code
|
APR-DRG 2322
|
Hospital Charge Code |
APRDRG 2322
|
Min. Negotiated Rate |
$9,888.60 |
Max. Negotiated Rate |
$9,888.60 |
Rate for Payer: Aetna CHP/Medicaid |
$9,888.60
|
Rate for Payer: Humana OH Medicaid |
$9,888.60
|
|
INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$17,959.67
|
|
Service Code
|
APR-DRG 2323
|
Hospital Charge Code |
APRDRG 2323
|
Min. Negotiated Rate |
$17,959.67 |
Max. Negotiated Rate |
$17,959.67 |
Rate for Payer: Aetna CHP/Medicaid |
$17,959.67
|
Rate for Payer: Humana OH Medicaid |
$17,959.67
|
|
INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$17,959.67
|
|
Service Code
|
APR-DRG 2324
|
Hospital Charge Code |
APRDRG 2324
|
Min. Negotiated Rate |
$17,959.67 |
Max. Negotiated Rate |
$17,959.67 |
Rate for Payer: Aetna CHP/Medicaid |
$17,959.67
|
Rate for Payer: Humana OH Medicaid |
$17,959.67
|
|
INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,468.26
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG 2331
|
Min. Negotiated Rate |
$7,468.26 |
Max. Negotiated Rate |
$7,468.26 |
Rate for Payer: Aetna CHP/Medicaid |
$7,468.26
|
Rate for Payer: Humana OH Medicaid |
$7,468.26
|
|
INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,899.29
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG 2332
|
Min. Negotiated Rate |
$8,899.29 |
Max. Negotiated Rate |
$8,899.29 |
Rate for Payer: Aetna CHP/Medicaid |
$8,899.29
|
Rate for Payer: Humana OH Medicaid |
$8,899.29
|
|
INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,934.85
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG 2333
|
Min. Negotiated Rate |
$13,934.85 |
Max. Negotiated Rate |
$13,934.85 |
Rate for Payer: Aetna CHP/Medicaid |
$13,934.85
|
Rate for Payer: Humana OH Medicaid |
$13,934.85
|
|
INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,934.85
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG 2334
|
Min. Negotiated Rate |
$13,934.85 |
Max. Negotiated Rate |
$13,934.85 |
Rate for Payer: Aetna CHP/Medicaid |
$13,934.85
|
Rate for Payer: Humana OH Medicaid |
$13,934.85
|
|
INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$4,315.18
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG 2341
|
Min. Negotiated Rate |
$4,315.18 |
Max. Negotiated Rate |
$4,315.18 |
Rate for Payer: Aetna CHP/Medicaid |
$4,315.18
|
Rate for Payer: Humana OH Medicaid |
$4,315.18
|
|
INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,829.36
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG 2342
|
Min. Negotiated Rate |
$5,829.36 |
Max. Negotiated Rate |
$5,829.36 |
Rate for Payer: Aetna CHP/Medicaid |
$5,829.36
|
Rate for Payer: Humana OH Medicaid |
$5,829.36
|
|
INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,875.97
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG 2343
|
Min. Negotiated Rate |
$10,875.97 |
Max. Negotiated Rate |
$10,875.97 |
Rate for Payer: Aetna CHP/Medicaid |
$10,875.97
|
Rate for Payer: Humana OH Medicaid |
$10,875.97
|
|
INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,875.97
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG 2344
|
Min. Negotiated Rate |
$10,875.97 |
Max. Negotiated Rate |
$10,875.97 |
Rate for Payer: Aetna CHP/Medicaid |
$10,875.97
|
Rate for Payer: Humana OH Medicaid |
$10,875.97
|
|
INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,335.97
|
|
Service Code
|
APR-DRG 2401
|
Hospital Charge Code |
APRDRG 2401
|
Min. Negotiated Rate |
$4,335.97 |
Max. Negotiated Rate |
$4,335.97 |
Rate for Payer: Aetna CHP/Medicaid |
$4,335.97
|
Rate for Payer: Humana OH Medicaid |
$4,335.97
|
|