INPATIENT APRDRG 2801: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$2,927.67
|
|
Service Code
|
APR-DRG 2801
|
Hospital Charge Code |
APRDRG 2801
|
Min. Negotiated Rate |
$2,927.67 |
Max. Negotiated Rate |
$2,927.67 |
Rate for Payer: Aetna CHP/Medicaid |
$2,927.67
|
Rate for Payer: Humana OH Medicaid |
$2,927.67
|
|
INPATIENT APRDRG 2802: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,883.86
|
|
Service Code
|
APR-DRG 2802
|
Hospital Charge Code |
APRDRG 2802
|
Min. Negotiated Rate |
$3,883.86 |
Max. Negotiated Rate |
$3,883.86 |
Rate for Payer: Aetna CHP/Medicaid |
$3,883.86
|
Rate for Payer: Humana OH Medicaid |
$3,883.86
|
|
INPATIENT APRDRG 2803: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$5,963.82
|
|
Service Code
|
APR-DRG 2803
|
Hospital Charge Code |
APRDRG 2803
|
Min. Negotiated Rate |
$5,963.82 |
Max. Negotiated Rate |
$5,963.82 |
Rate for Payer: Aetna CHP/Medicaid |
$5,963.82
|
Rate for Payer: Humana OH Medicaid |
$5,963.82
|
|
INPATIENT APRDRG 2804: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$14,349.94
|
|
Service Code
|
APR-DRG 2804
|
Hospital Charge Code |
APRDRG 2804
|
Min. Negotiated Rate |
$14,349.94 |
Max. Negotiated Rate |
$14,349.94 |
Rate for Payer: Aetna CHP/Medicaid |
$14,349.94
|
Rate for Payer: Humana OH Medicaid |
$14,349.94
|
|
INPATIENT APRDRG 2811: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$3,809.15
|
|
Service Code
|
APR-DRG 2811
|
Hospital Charge Code |
APRDRG 2811
|
Min. Negotiated Rate |
$3,809.15 |
Max. Negotiated Rate |
$3,809.15 |
Rate for Payer: Aetna CHP/Medicaid |
$3,809.15
|
Rate for Payer: Humana OH Medicaid |
$3,809.15
|
|
INPATIENT APRDRG 2812: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$4,834.20
|
|
Service Code
|
APR-DRG 2812
|
Hospital Charge Code |
APRDRG 2812
|
Min. Negotiated Rate |
$4,834.20 |
Max. Negotiated Rate |
$4,834.20 |
Rate for Payer: Aetna CHP/Medicaid |
$4,834.20
|
Rate for Payer: Humana OH Medicaid |
$4,834.20
|
|
INPATIENT APRDRG 2813: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$6,399.69
|
|
Service Code
|
APR-DRG 2813
|
Hospital Charge Code |
APRDRG 2813
|
Min. Negotiated Rate |
$6,399.69 |
Max. Negotiated Rate |
$6,399.69 |
Rate for Payer: Aetna CHP/Medicaid |
$6,399.69
|
Rate for Payer: Humana OH Medicaid |
$6,399.69
|
|
INPATIENT APRDRG 2814: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$9,298.78
|
|
Service Code
|
APR-DRG 2814
|
Hospital Charge Code |
APRDRG 2814
|
Min. Negotiated Rate |
$9,298.78 |
Max. Negotiated Rate |
$9,298.78 |
Rate for Payer: Aetna CHP/Medicaid |
$9,298.78
|
Rate for Payer: Humana OH Medicaid |
$9,298.78
|
|
INPATIENT APRDRG 2821: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,987.43
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG 2821
|
Min. Negotiated Rate |
$2,987.43 |
Max. Negotiated Rate |
$2,987.43 |
Rate for Payer: Aetna CHP/Medicaid |
$2,987.43
|
Rate for Payer: Humana OH Medicaid |
$2,987.43
|
|
INPATIENT APRDRG 2822: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,849.43
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG 2822
|
Min. Negotiated Rate |
$3,849.43 |
Max. Negotiated Rate |
$3,849.43 |
Rate for Payer: Aetna CHP/Medicaid |
$3,849.43
|
Rate for Payer: Humana OH Medicaid |
$3,849.43
|
|
INPATIENT APRDRG 2823: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$6,117.77
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG 2823
|
Min. Negotiated Rate |
$6,117.77 |
Max. Negotiated Rate |
$6,117.77 |
Rate for Payer: Aetna CHP/Medicaid |
$6,117.77
|
Rate for Payer: Humana OH Medicaid |
$6,117.77
|
|
INPATIENT APRDRG 2824: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$15,074.87
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG 2824
|
Min. Negotiated Rate |
$15,074.87 |
Max. Negotiated Rate |
$15,074.87 |
Rate for Payer: Aetna CHP/Medicaid |
$15,074.87
|
Rate for Payer: Humana OH Medicaid |
$15,074.87
|
|
INPATIENT APRDRG 2831: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$2,664.59
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG 2831
|
Min. Negotiated Rate |
$2,664.59 |
Max. Negotiated Rate |
$2,664.59 |
Rate for Payer: Aetna CHP/Medicaid |
$2,664.59
|
Rate for Payer: Humana OH Medicaid |
$2,664.59
|
|
INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,513.59
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG 2832
|
Min. Negotiated Rate |
$3,513.59 |
Max. Negotiated Rate |
$3,513.59 |
Rate for Payer: Aetna CHP/Medicaid |
$3,513.59
|
Rate for Payer: Humana OH Medicaid |
$3,513.59
|
|
INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$5,709.83
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG 2833
|
Min. Negotiated Rate |
$5,709.83 |
Max. Negotiated Rate |
$5,709.83 |
Rate for Payer: Aetna CHP/Medicaid |
$5,709.83
|
Rate for Payer: Humana OH Medicaid |
$5,709.83
|
|
INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$13,650.34
|
|
Service Code
|
APR-DRG 2834
|
Hospital Charge Code |
APRDRG 2834
|
Min. Negotiated Rate |
$13,650.34 |
Max. Negotiated Rate |
$13,650.34 |
Rate for Payer: Aetna CHP/Medicaid |
$13,650.34
|
Rate for Payer: Humana OH Medicaid |
$13,650.34
|
|
INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$3,341.45
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG 2841
|
Min. Negotiated Rate |
$3,341.45 |
Max. Negotiated Rate |
$3,341.45 |
Rate for Payer: Aetna CHP/Medicaid |
$3,341.45
|
Rate for Payer: Humana OH Medicaid |
$3,341.45
|
|
INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$4,523.70
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG 2842
|
Min. Negotiated Rate |
$4,523.70 |
Max. Negotiated Rate |
$4,523.70 |
Rate for Payer: Aetna CHP/Medicaid |
$4,523.70
|
Rate for Payer: Humana OH Medicaid |
$4,523.70
|
|
INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$6,556.89
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG 2843
|
Min. Negotiated Rate |
$6,556.89 |
Max. Negotiated Rate |
$6,556.89 |
Rate for Payer: Aetna CHP/Medicaid |
$6,556.89
|
Rate for Payer: Humana OH Medicaid |
$6,556.89
|
|
INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$14,998.22
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG 2844
|
Min. Negotiated Rate |
$14,998.22 |
Max. Negotiated Rate |
$14,998.22 |
Rate for Payer: Aetna CHP/Medicaid |
$14,998.22
|
Rate for Payer: Humana OH Medicaid |
$14,998.22
|
|
INPATIENT APRDRG 3031: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$29,146.79
|
|
Service Code
|
APR-DRG 3031
|
Hospital Charge Code |
APRDRG 3031
|
Min. Negotiated Rate |
$29,146.79 |
Max. Negotiated Rate |
$29,146.79 |
Rate for Payer: Aetna CHP/Medicaid |
$29,146.79
|
Rate for Payer: Humana OH Medicaid |
$29,146.79
|
|
INPATIENT APRDRG 3032: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$36,352.61
|
|
Service Code
|
APR-DRG 3032
|
Hospital Charge Code |
APRDRG 3032
|
Min. Negotiated Rate |
$36,352.61 |
Max. Negotiated Rate |
$36,352.61 |
Rate for Payer: Aetna CHP/Medicaid |
$36,352.61
|
Rate for Payer: Humana OH Medicaid |
$36,352.61
|
|
INPATIENT APRDRG 3033: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$52,825.39
|
|
Service Code
|
APR-DRG 3033
|
Hospital Charge Code |
APRDRG 3033
|
Min. Negotiated Rate |
$52,825.39 |
Max. Negotiated Rate |
$52,825.39 |
Rate for Payer: Aetna CHP/Medicaid |
$52,825.39
|
Rate for Payer: Humana OH Medicaid |
$52,825.39
|
|
INPATIENT APRDRG 3034: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$70,430.39
|
|
Service Code
|
APR-DRG 3034
|
Hospital Charge Code |
APRDRG 3034
|
Min. Negotiated Rate |
$70,430.39 |
Max. Negotiated Rate |
$70,430.39 |
Rate for Payer: Aetna CHP/Medicaid |
$70,430.39
|
Rate for Payer: Humana OH Medicaid |
$70,430.39
|
|
INPATIENT APRDRG 3041: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$17,797.28
|
|
Service Code
|
APR-DRG 3041
|
Hospital Charge Code |
APRDRG 3041
|
Min. Negotiated Rate |
$17,797.28 |
Max. Negotiated Rate |
$17,797.28 |
Rate for Payer: Aetna CHP/Medicaid |
$17,797.28
|
Rate for Payer: Humana OH Medicaid |
$17,797.28
|
|