INPATIENT APRDRG 2463: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$12,965.03
|
|
Service Code
|
APR-DRG 2463
|
Hospital Charge Code |
APRDRG 2463
|
Min. Negotiated Rate |
$12,965.03 |
Max. Negotiated Rate |
$12,965.03 |
Rate for Payer: Aetna CHP/Medicaid |
$12,965.03
|
Rate for Payer: Humana OH Medicaid |
$12,965.03
|
|
INPATIENT APRDRG 2464: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$12,965.03
|
|
Service Code
|
APR-DRG 2464
|
Hospital Charge Code |
APRDRG 2464
|
Min. Negotiated Rate |
$12,965.03 |
Max. Negotiated Rate |
$12,965.03 |
Rate for Payer: Aetna CHP/Medicaid |
$12,965.03
|
Rate for Payer: Humana OH Medicaid |
$12,965.03
|
|
INPATIENT APRDRG 2471: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,917.28
|
|
Service Code
|
APR-DRG 2471
|
Hospital Charge Code |
APRDRG 2471
|
Min. Negotiated Rate |
$2,917.28 |
Max. Negotiated Rate |
$2,917.28 |
Rate for Payer: Aetna CHP/Medicaid |
$2,917.28
|
Rate for Payer: Humana OH Medicaid |
$2,917.28
|
|
INPATIENT APRDRG 2472: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$4,174.87
|
|
Service Code
|
APR-DRG 2472
|
Hospital Charge Code |
APRDRG 2472
|
Min. Negotiated Rate |
$4,174.87 |
Max. Negotiated Rate |
$4,174.87 |
Rate for Payer: Aetna CHP/Medicaid |
$4,174.87
|
Rate for Payer: Humana OH Medicaid |
$4,174.87
|
|
INPATIENT APRDRG 2473: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$6,424.38
|
|
Service Code
|
APR-DRG 2473
|
Hospital Charge Code |
APRDRG 2473
|
Min. Negotiated Rate |
$6,424.38 |
Max. Negotiated Rate |
$6,424.38 |
Rate for Payer: Aetna CHP/Medicaid |
$6,424.38
|
Rate for Payer: Humana OH Medicaid |
$6,424.38
|
|
INPATIENT APRDRG 2474: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$13,240.45
|
|
Service Code
|
APR-DRG 2474
|
Hospital Charge Code |
APRDRG 2474
|
Min. Negotiated Rate |
$13,240.45 |
Max. Negotiated Rate |
$13,240.45 |
Rate for Payer: Aetna CHP/Medicaid |
$13,240.45
|
Rate for Payer: Humana OH Medicaid |
$13,240.45
|
|
INPATIENT APRDRG 2481: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,563.61
|
|
Service Code
|
APR-DRG 2481
|
Hospital Charge Code |
APRDRG 2481
|
Min. Negotiated Rate |
$3,563.61 |
Max. Negotiated Rate |
$3,563.61 |
Rate for Payer: Aetna CHP/Medicaid |
$3,563.61
|
Rate for Payer: Humana OH Medicaid |
$3,563.61
|
|
INPATIENT APRDRG 2482: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,564.62
|
|
Service Code
|
APR-DRG 2482
|
Hospital Charge Code |
APRDRG 2482
|
Min. Negotiated Rate |
$4,564.62 |
Max. Negotiated Rate |
$4,564.62 |
Rate for Payer: Aetna CHP/Medicaid |
$4,564.62
|
Rate for Payer: Humana OH Medicaid |
$4,564.62
|
|
INPATIENT APRDRG 2483: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$7,049.92
|
|
Service Code
|
APR-DRG 2483
|
Hospital Charge Code |
APRDRG 2483
|
Min. Negotiated Rate |
$7,049.92 |
Max. Negotiated Rate |
$7,049.92 |
Rate for Payer: Aetna CHP/Medicaid |
$7,049.92
|
Rate for Payer: Humana OH Medicaid |
$7,049.92
|
|
INPATIENT APRDRG 2484: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$23,915.05
|
|
Service Code
|
APR-DRG 2484
|
Hospital Charge Code |
APRDRG 2484
|
Min. Negotiated Rate |
$23,915.05 |
Max. Negotiated Rate |
$23,915.05 |
Rate for Payer: Aetna CHP/Medicaid |
$23,915.05
|
Rate for Payer: Humana OH Medicaid |
$23,915.05
|
|
INPATIENT APRDRG 2491: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$3,269.35
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG 2491
|
Min. Negotiated Rate |
$3,269.35 |
Max. Negotiated Rate |
$3,269.35 |
Rate for Payer: Aetna CHP/Medicaid |
$3,269.35
|
Rate for Payer: Humana OH Medicaid |
$3,269.35
|
|
INPATIENT APRDRG 2492: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$3,973.50
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG 2492
|
Min. Negotiated Rate |
$3,973.50 |
Max. Negotiated Rate |
$3,973.50 |
Rate for Payer: Aetna CHP/Medicaid |
$3,973.50
|
Rate for Payer: Humana OH Medicaid |
$3,973.50
|
|
INPATIENT APRDRG 2493: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$6,078.80
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG 2493
|
Min. Negotiated Rate |
$6,078.80 |
Max. Negotiated Rate |
$6,078.80 |
Rate for Payer: Aetna CHP/Medicaid |
$6,078.80
|
Rate for Payer: Humana OH Medicaid |
$6,078.80
|
|
INPATIENT APRDRG 2494: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$11,975.71
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG 2494
|
Min. Negotiated Rate |
$11,975.71 |
Max. Negotiated Rate |
$11,975.71 |
Rate for Payer: Aetna CHP/Medicaid |
$11,975.71
|
Rate for Payer: Humana OH Medicaid |
$11,975.71
|
|
INPATIENT APRDRG 2511: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,106.96
|
|
Service Code
|
APR-DRG 2511
|
Hospital Charge Code |
APRDRG 2511
|
Min. Negotiated Rate |
$3,106.96 |
Max. Negotiated Rate |
$3,106.96 |
Rate for Payer: Aetna CHP/Medicaid |
$3,106.96
|
Rate for Payer: Humana OH Medicaid |
$3,106.96
|
|
INPATIENT APRDRG 2512: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,915.04
|
|
Service Code
|
APR-DRG 2512
|
Hospital Charge Code |
APRDRG 2512
|
Min. Negotiated Rate |
$3,915.04 |
Max. Negotiated Rate |
$3,915.04 |
Rate for Payer: Aetna CHP/Medicaid |
$3,915.04
|
Rate for Payer: Humana OH Medicaid |
$3,915.04
|
|
INPATIENT APRDRG 2513: ABDOMINAL PAIN
|
Facility
|
IP
|
$5,625.39
|
|
Service Code
|
APR-DRG 2513
|
Hospital Charge Code |
APRDRG 2513
|
Min. Negotiated Rate |
$5,625.39 |
Max. Negotiated Rate |
$5,625.39 |
Rate for Payer: Aetna CHP/Medicaid |
$5,625.39
|
Rate for Payer: Humana OH Medicaid |
$5,625.39
|
|
INPATIENT APRDRG 2514: ABDOMINAL PAIN
|
Facility
|
IP
|
$5,625.39
|
|
Service Code
|
APR-DRG 2514
|
Hospital Charge Code |
APRDRG 2514
|
Min. Negotiated Rate |
$5,625.39 |
Max. Negotiated Rate |
$5,625.39 |
Rate for Payer: Aetna CHP/Medicaid |
$5,625.39
|
Rate for Payer: Humana OH Medicaid |
$5,625.39
|
|
INPATIENT APRDRG 2521: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,367.80
|
|
Service Code
|
APR-DRG 2521
|
Hospital Charge Code |
APRDRG 2521
|
Min. Negotiated Rate |
$4,367.80 |
Max. Negotiated Rate |
$4,367.80 |
Rate for Payer: Aetna CHP/Medicaid |
$4,367.80
|
Rate for Payer: Humana OH Medicaid |
$4,367.80
|
|
INPATIENT APRDRG 2522: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,181.72
|
|
Service Code
|
APR-DRG 2522
|
Hospital Charge Code |
APRDRG 2522
|
Min. Negotiated Rate |
$5,181.72 |
Max. Negotiated Rate |
$5,181.72 |
Rate for Payer: Aetna CHP/Medicaid |
$5,181.72
|
Rate for Payer: Humana OH Medicaid |
$5,181.72
|
|
INPATIENT APRDRG 2523: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$7,687.81
|
|
Service Code
|
APR-DRG 2523
|
Hospital Charge Code |
APRDRG 2523
|
Min. Negotiated Rate |
$7,687.81 |
Max. Negotiated Rate |
$7,687.81 |
Rate for Payer: Aetna CHP/Medicaid |
$7,687.81
|
Rate for Payer: Humana OH Medicaid |
$7,687.81
|
|
INPATIENT APRDRG 2524: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,787.69
|
|
Service Code
|
APR-DRG 2524
|
Hospital Charge Code |
APRDRG 2524
|
Min. Negotiated Rate |
$12,787.69 |
Max. Negotiated Rate |
$12,787.69 |
Rate for Payer: Aetna CHP/Medicaid |
$12,787.69
|
Rate for Payer: Humana OH Medicaid |
$12,787.69
|
|
INPATIENT APRDRG 2531: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,270.00
|
|
Service Code
|
APR-DRG 2531
|
Hospital Charge Code |
APRDRG 2531
|
Min. Negotiated Rate |
$3,270.00 |
Max. Negotiated Rate |
$3,270.00 |
Rate for Payer: Aetna CHP/Medicaid |
$3,270.00
|
Rate for Payer: Humana OH Medicaid |
$3,270.00
|
|
INPATIENT APRDRG 2532: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,010.53
|
|
Service Code
|
APR-DRG 2532
|
Hospital Charge Code |
APRDRG 2532
|
Min. Negotiated Rate |
$4,010.53 |
Max. Negotiated Rate |
$4,010.53 |
Rate for Payer: Aetna CHP/Medicaid |
$4,010.53
|
Rate for Payer: Humana OH Medicaid |
$4,010.53
|
|
INPATIENT APRDRG 2533: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,142.46
|
|
Service Code
|
APR-DRG 2533
|
Hospital Charge Code |
APRDRG 2533
|
Min. Negotiated Rate |
$6,142.46 |
Max. Negotiated Rate |
$6,142.46 |
Rate for Payer: Aetna CHP/Medicaid |
$6,142.46
|
Rate for Payer: Humana OH Medicaid |
$6,142.46
|
|