INPATIENT APRDRG 2534: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$11,667.16
|
|
Service Code
|
APR-DRG 2534
|
Hospital Charge Code |
APRDRG 2534
|
Min. Negotiated Rate |
$11,667.16 |
Max. Negotiated Rate |
$11,667.16 |
Rate for Payer: Aetna CHP/Medicaid |
$11,667.16
|
Rate for Payer: Humana OH Medicaid |
$11,667.16
|
|
INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,798.11
|
|
Service Code
|
APR-DRG 2541
|
Hospital Charge Code |
APRDRG 2541
|
Min. Negotiated Rate |
$3,798.11 |
Max. Negotiated Rate |
$3,798.11 |
Rate for Payer: Aetna CHP/Medicaid |
$3,798.11
|
Rate for Payer: Humana OH Medicaid |
$3,798.11
|
|
INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,682.19
|
|
Service Code
|
APR-DRG 2542
|
Hospital Charge Code |
APRDRG 2542
|
Min. Negotiated Rate |
$4,682.19 |
Max. Negotiated Rate |
$4,682.19 |
Rate for Payer: Aetna CHP/Medicaid |
$4,682.19
|
Rate for Payer: Humana OH Medicaid |
$4,682.19
|
|
INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$7,356.53
|
|
Service Code
|
APR-DRG 2543
|
Hospital Charge Code |
APRDRG 2543
|
Min. Negotiated Rate |
$7,356.53 |
Max. Negotiated Rate |
$7,356.53 |
Rate for Payer: Aetna CHP/Medicaid |
$7,356.53
|
Rate for Payer: Humana OH Medicaid |
$7,356.53
|
|
INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$18,867.79
|
|
Service Code
|
APR-DRG 2544
|
Hospital Charge Code |
APRDRG 2544
|
Min. Negotiated Rate |
$18,867.79 |
Max. Negotiated Rate |
$18,867.79 |
Rate for Payer: Aetna CHP/Medicaid |
$18,867.79
|
Rate for Payer: Humana OH Medicaid |
$18,867.79
|
|
INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$10,366.05
|
|
Service Code
|
APR-DRG 2601
|
Hospital Charge Code |
APRDRG 2601
|
Min. Negotiated Rate |
$10,366.05 |
Max. Negotiated Rate |
$10,366.05 |
Rate for Payer: Aetna CHP/Medicaid |
$10,366.05
|
Rate for Payer: Humana OH Medicaid |
$10,366.05
|
|
INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$13,227.46
|
|
Service Code
|
APR-DRG 2602
|
Hospital Charge Code |
APRDRG 2602
|
Min. Negotiated Rate |
$13,227.46 |
Max. Negotiated Rate |
$13,227.46 |
Rate for Payer: Aetna CHP/Medicaid |
$13,227.46
|
Rate for Payer: Humana OH Medicaid |
$13,227.46
|
|
INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$16,740.40
|
|
Service Code
|
APR-DRG 2603
|
Hospital Charge Code |
APRDRG 2603
|
Min. Negotiated Rate |
$16,740.40 |
Max. Negotiated Rate |
$16,740.40 |
Rate for Payer: Aetna CHP/Medicaid |
$16,740.40
|
Rate for Payer: Humana OH Medicaid |
$16,740.40
|
|
INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$33,118.99
|
|
Service Code
|
APR-DRG 2604
|
Hospital Charge Code |
APRDRG 2604
|
Min. Negotiated Rate |
$33,118.99 |
Max. Negotiated Rate |
$33,118.99 |
Rate for Payer: Aetna CHP/Medicaid |
$33,118.99
|
Rate for Payer: Humana OH Medicaid |
$33,118.99
|
|
INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$7,810.59
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG 2611
|
Min. Negotiated Rate |
$7,810.59 |
Max. Negotiated Rate |
$7,810.59 |
Rate for Payer: Aetna CHP/Medicaid |
$7,810.59
|
Rate for Payer: Humana OH Medicaid |
$7,810.59
|
|
INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$12,061.46
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG 2612
|
Min. Negotiated Rate |
$12,061.46 |
Max. Negotiated Rate |
$12,061.46 |
Rate for Payer: Aetna CHP/Medicaid |
$12,061.46
|
Rate for Payer: Humana OH Medicaid |
$12,061.46
|
|
INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$23,774.74
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG 2613
|
Min. Negotiated Rate |
$23,774.74 |
Max. Negotiated Rate |
$23,774.74 |
Rate for Payer: Aetna CHP/Medicaid |
$23,774.74
|
Rate for Payer: Humana OH Medicaid |
$23,774.74
|
|
INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$24,367.16
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG 2614
|
Min. Negotiated Rate |
$24,367.16 |
Max. Negotiated Rate |
$24,367.16 |
Rate for Payer: Aetna CHP/Medicaid |
$24,367.16
|
Rate for Payer: Humana OH Medicaid |
$24,367.16
|
|
INPATIENT APRDRG 2631: CHOLECYSTECTOMY
|
Facility
|
IP
|
$5,361.01
|
|
Service Code
|
APR-DRG 2631
|
Hospital Charge Code |
APRDRG 2631
|
Min. Negotiated Rate |
$5,361.01 |
Max. Negotiated Rate |
$5,361.01 |
Rate for Payer: Aetna CHP/Medicaid |
$5,361.01
|
Rate for Payer: Humana OH Medicaid |
$5,361.01
|
|
INPATIENT APRDRG 2632: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,936.90
|
|
Service Code
|
APR-DRG 2632
|
Hospital Charge Code |
APRDRG 2632
|
Min. Negotiated Rate |
$6,936.90 |
Max. Negotiated Rate |
$6,936.90 |
Rate for Payer: Aetna CHP/Medicaid |
$6,936.90
|
Rate for Payer: Humana OH Medicaid |
$6,936.90
|
|
INPATIENT APRDRG 2633: CHOLECYSTECTOMY
|
Facility
|
IP
|
$8,617.37
|
|
Service Code
|
APR-DRG 2633
|
Hospital Charge Code |
APRDRG 2633
|
Min. Negotiated Rate |
$8,617.37 |
Max. Negotiated Rate |
$8,617.37 |
Rate for Payer: Aetna CHP/Medicaid |
$8,617.37
|
Rate for Payer: Humana OH Medicaid |
$8,617.37
|
|
INPATIENT APRDRG 2634: CHOLECYSTECTOMY
|
Facility
|
IP
|
$16,370.14
|
|
Service Code
|
APR-DRG 2634
|
Hospital Charge Code |
APRDRG 2634
|
Min. Negotiated Rate |
$16,370.14 |
Max. Negotiated Rate |
$16,370.14 |
Rate for Payer: Aetna CHP/Medicaid |
$16,370.14
|
Rate for Payer: Humana OH Medicaid |
$16,370.14
|
|
INPATIENT APRDRG 2641: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,575.79
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG 2641
|
Min. Negotiated Rate |
$8,575.79 |
Max. Negotiated Rate |
$8,575.79 |
Rate for Payer: Aetna CHP/Medicaid |
$8,575.79
|
Rate for Payer: Humana OH Medicaid |
$8,575.79
|
|
INPATIENT APRDRG 2642: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,575.79
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG 2642
|
Min. Negotiated Rate |
$8,575.79 |
Max. Negotiated Rate |
$8,575.79 |
Rate for Payer: Aetna CHP/Medicaid |
$8,575.79
|
Rate for Payer: Humana OH Medicaid |
$8,575.79
|
|
INPATIENT APRDRG 2643: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$12,717.54
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG 2643
|
Min. Negotiated Rate |
$12,717.54 |
Max. Negotiated Rate |
$12,717.54 |
Rate for Payer: Aetna CHP/Medicaid |
$12,717.54
|
Rate for Payer: Humana OH Medicaid |
$12,717.54
|
|
INPATIENT APRDRG 2644: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$30,486.88
|
|
Service Code
|
APR-DRG 2644
|
Hospital Charge Code |
APRDRG 2644
|
Min. Negotiated Rate |
$30,486.88 |
Max. Negotiated Rate |
$30,486.88 |
Rate for Payer: Aetna CHP/Medicaid |
$30,486.88
|
Rate for Payer: Humana OH Medicaid |
$30,486.88
|
|
INPATIENT APRDRG 2791: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,741.24
|
|
Service Code
|
APR-DRG 2791
|
Hospital Charge Code |
APRDRG 2791
|
Min. Negotiated Rate |
$2,741.24 |
Max. Negotiated Rate |
$2,741.24 |
Rate for Payer: Aetna CHP/Medicaid |
$2,741.24
|
Rate for Payer: Humana OH Medicaid |
$2,741.24
|
|
INPATIENT APRDRG 2792: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,127.45
|
|
Service Code
|
APR-DRG 2792
|
Hospital Charge Code |
APRDRG 2792
|
Min. Negotiated Rate |
$4,127.45 |
Max. Negotiated Rate |
$4,127.45 |
Rate for Payer: Aetna CHP/Medicaid |
$4,127.45
|
Rate for Payer: Humana OH Medicaid |
$4,127.45
|
|
INPATIENT APRDRG 2793: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,869.99
|
|
Service Code
|
APR-DRG 2793
|
Hospital Charge Code |
APRDRG 2793
|
Min. Negotiated Rate |
$6,869.99 |
Max. Negotiated Rate |
$6,869.99 |
Rate for Payer: Aetna CHP/Medicaid |
$6,869.99
|
Rate for Payer: Humana OH Medicaid |
$6,869.99
|
|
INPATIENT APRDRG 2794: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$13,914.07
|
|
Service Code
|
APR-DRG 2794
|
Hospital Charge Code |
APRDRG 2794
|
Min. Negotiated Rate |
$13,914.07 |
Max. Negotiated Rate |
$13,914.07 |
Rate for Payer: Aetna CHP/Medicaid |
$13,914.07
|
Rate for Payer: Humana OH Medicaid |
$13,914.07
|
|