INPATIENT APRDRG 4014: ADRENAL PROCEDURES
|
Facility
|
IP
|
$9,059.08
|
|
Service Code
|
APR-DRG 4014
|
Hospital Charge Code |
APRDRG 4014
|
Min. Negotiated Rate |
$9,059.08 |
Max. Negotiated Rate |
$9,059.08 |
Rate for Payer: Aetna CHP/Medicaid |
$9,059.08
|
Rate for Payer: Humana OH Medicaid |
$9,059.08
|
|
INPATIENT APRDRG 4031: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$7,522.82
|
|
Service Code
|
APR-DRG 4031
|
Hospital Charge Code |
APRDRG 4031
|
Min. Negotiated Rate |
$7,522.82 |
Max. Negotiated Rate |
$7,522.82 |
Rate for Payer: Aetna CHP/Medicaid |
$7,522.82
|
Rate for Payer: Humana OH Medicaid |
$7,522.82
|
|
INPATIENT APRDRG 4032: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$8,324.41
|
|
Service Code
|
APR-DRG 4032
|
Hospital Charge Code |
APRDRG 4032
|
Min. Negotiated Rate |
$8,324.41 |
Max. Negotiated Rate |
$8,324.41 |
Rate for Payer: Aetna CHP/Medicaid |
$8,324.41
|
Rate for Payer: Humana OH Medicaid |
$8,324.41
|
|
INPATIENT APRDRG 4033: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$11,814.62
|
|
Service Code
|
APR-DRG 4033
|
Hospital Charge Code |
APRDRG 4033
|
Min. Negotiated Rate |
$11,814.62 |
Max. Negotiated Rate |
$11,814.62 |
Rate for Payer: Aetna CHP/Medicaid |
$11,814.62
|
Rate for Payer: Humana OH Medicaid |
$11,814.62
|
|
INPATIENT APRDRG 4034: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$23,416.17
|
|
Service Code
|
APR-DRG 4034
|
Hospital Charge Code |
APRDRG 4034
|
Min. Negotiated Rate |
$23,416.17 |
Max. Negotiated Rate |
$23,416.17 |
Rate for Payer: Aetna CHP/Medicaid |
$23,416.17
|
Rate for Payer: Humana OH Medicaid |
$23,416.17
|
|
INPATIENT APRDRG 4041: THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$6,478.29
|
|
Service Code
|
APR-DRG 4041
|
Hospital Charge Code |
APRDRG 4041
|
Min. Negotiated Rate |
$6,478.29 |
Max. Negotiated Rate |
$6,478.29 |
Rate for Payer: Aetna CHP/Medicaid |
$6,478.29
|
Rate for Payer: Humana OH Medicaid |
$6,478.29
|
|
INPATIENT APRDRG 4042: THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$8,291.28
|
|
Service Code
|
APR-DRG 4042
|
Hospital Charge Code |
APRDRG 4042
|
Min. Negotiated Rate |
$8,291.28 |
Max. Negotiated Rate |
$8,291.28 |
Rate for Payer: Aetna CHP/Medicaid |
$8,291.28
|
Rate for Payer: Humana OH Medicaid |
$8,291.28
|
|
INPATIENT APRDRG 4043: THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$14,257.70
|
|
Service Code
|
APR-DRG 4043
|
Hospital Charge Code |
APRDRG 4043
|
Min. Negotiated Rate |
$14,257.70 |
Max. Negotiated Rate |
$14,257.70 |
Rate for Payer: Aetna CHP/Medicaid |
$14,257.70
|
Rate for Payer: Humana OH Medicaid |
$14,257.70
|
|
INPATIENT APRDRG 4044: THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$14,257.70
|
|
Service Code
|
APR-DRG 4044
|
Hospital Charge Code |
APRDRG 4044
|
Min. Negotiated Rate |
$14,257.70 |
Max. Negotiated Rate |
$14,257.70 |
Rate for Payer: Aetna CHP/Medicaid |
$14,257.70
|
Rate for Payer: Humana OH Medicaid |
$14,257.70
|
|
INPATIENT APRDRG 4051: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS
|
Facility
|
IP
|
$7,602.07
|
|
Service Code
|
APR-DRG 4051
|
Hospital Charge Code |
APRDRG 4051
|
Min. Negotiated Rate |
$7,602.07 |
Max. Negotiated Rate |
$7,602.07 |
Rate for Payer: Aetna CHP/Medicaid |
$7,602.07
|
Rate for Payer: Humana OH Medicaid |
$7,602.07
|
|
INPATIENT APRDRG 4052: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS
|
Facility
|
IP
|
$8,005.46
|
|
Service Code
|
APR-DRG 4052
|
Hospital Charge Code |
APRDRG 4052
|
Min. Negotiated Rate |
$8,005.46 |
Max. Negotiated Rate |
$8,005.46 |
Rate for Payer: Aetna CHP/Medicaid |
$8,005.46
|
Rate for Payer: Humana OH Medicaid |
$8,005.46
|
|
INPATIENT APRDRG 4053: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS
|
Facility
|
IP
|
$13,824.43
|
|
Service Code
|
APR-DRG 4053
|
Hospital Charge Code |
APRDRG 4053
|
Min. Negotiated Rate |
$13,824.43 |
Max. Negotiated Rate |
$13,824.43 |
Rate for Payer: Aetna CHP/Medicaid |
$13,824.43
|
Rate for Payer: Humana OH Medicaid |
$13,824.43
|
|
INPATIENT APRDRG 4054: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS
|
Facility
|
IP
|
$31,315.10
|
|
Service Code
|
APR-DRG 4054
|
Hospital Charge Code |
APRDRG 4054
|
Min. Negotiated Rate |
$31,315.10 |
Max. Negotiated Rate |
$31,315.10 |
Rate for Payer: Aetna CHP/Medicaid |
$31,315.10
|
Rate for Payer: Humana OH Medicaid |
$31,315.10
|
|
INPATIENT APRDRG 4201: DIABETES
|
Facility
|
IP
|
$3,175.16
|
|
Service Code
|
APR-DRG 4201
|
Hospital Charge Code |
APRDRG 4201
|
Min. Negotiated Rate |
$3,175.16 |
Max. Negotiated Rate |
$3,175.16 |
Rate for Payer: Aetna CHP/Medicaid |
$3,175.16
|
Rate for Payer: Humana OH Medicaid |
$3,175.16
|
|
INPATIENT APRDRG 4202: DIABETES
|
Facility
|
IP
|
$3,388.22
|
|
Service Code
|
APR-DRG 4202
|
Hospital Charge Code |
APRDRG 4202
|
Min. Negotiated Rate |
$3,388.22 |
Max. Negotiated Rate |
$3,388.22 |
Rate for Payer: Aetna CHP/Medicaid |
$3,388.22
|
Rate for Payer: Humana OH Medicaid |
$3,388.22
|
|
INPATIENT APRDRG 4203: DIABETES
|
Facility
|
IP
|
$5,016.08
|
|
Service Code
|
APR-DRG 4203
|
Hospital Charge Code |
APRDRG 4203
|
Min. Negotiated Rate |
$5,016.08 |
Max. Negotiated Rate |
$5,016.08 |
Rate for Payer: Aetna CHP/Medicaid |
$5,016.08
|
Rate for Payer: Humana OH Medicaid |
$5,016.08
|
|
INPATIENT APRDRG 4204: DIABETES
|
Facility
|
IP
|
$9,444.29
|
|
Service Code
|
APR-DRG 4204
|
Hospital Charge Code |
APRDRG 4204
|
Min. Negotiated Rate |
$9,444.29 |
Max. Negotiated Rate |
$9,444.29 |
Rate for Payer: Aetna CHP/Medicaid |
$9,444.29
|
Rate for Payer: Humana OH Medicaid |
$9,444.29
|
|
INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,278.15
|
|
Service Code
|
APR-DRG 4211
|
Hospital Charge Code |
APRDRG 4211
|
Min. Negotiated Rate |
$4,278.15 |
Max. Negotiated Rate |
$4,278.15 |
Rate for Payer: Aetna CHP/Medicaid |
$4,278.15
|
Rate for Payer: Humana OH Medicaid |
$4,278.15
|
|
INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,652.38
|
|
Service Code
|
APR-DRG 4212
|
Hospital Charge Code |
APRDRG 4212
|
Min. Negotiated Rate |
$6,652.38 |
Max. Negotiated Rate |
$6,652.38 |
Rate for Payer: Aetna CHP/Medicaid |
$6,652.38
|
Rate for Payer: Humana OH Medicaid |
$6,652.38
|
|
INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,441.40
|
|
Service Code
|
APR-DRG 4213
|
Hospital Charge Code |
APRDRG 4213
|
Min. Negotiated Rate |
$10,441.40 |
Max. Negotiated Rate |
$10,441.40 |
Rate for Payer: Aetna CHP/Medicaid |
$10,441.40
|
Rate for Payer: Humana OH Medicaid |
$10,441.40
|
|
INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$20,307.26
|
|
Service Code
|
APR-DRG 4214
|
Hospital Charge Code |
APRDRG 4214
|
Min. Negotiated Rate |
$20,307.26 |
Max. Negotiated Rate |
$20,307.26 |
Rate for Payer: Aetna CHP/Medicaid |
$20,307.26
|
Rate for Payer: Humana OH Medicaid |
$20,307.26
|
|
INPATIENT APRDRG 4221: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,893.89
|
|
Service Code
|
APR-DRG 4221
|
Hospital Charge Code |
APRDRG 4221
|
Min. Negotiated Rate |
$2,893.89 |
Max. Negotiated Rate |
$2,893.89 |
Rate for Payer: Aetna CHP/Medicaid |
$2,893.89
|
Rate for Payer: Humana OH Medicaid |
$2,893.89
|
|
INPATIENT APRDRG 4222: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,746.79
|
|
Service Code
|
APR-DRG 4222
|
Hospital Charge Code |
APRDRG 4222
|
Min. Negotiated Rate |
$3,746.79 |
Max. Negotiated Rate |
$3,746.79 |
Rate for Payer: Aetna CHP/Medicaid |
$3,746.79
|
Rate for Payer: Humana OH Medicaid |
$3,746.79
|
|
INPATIENT APRDRG 4223: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,242.13
|
|
Service Code
|
APR-DRG 4223
|
Hospital Charge Code |
APRDRG 4223
|
Min. Negotiated Rate |
$5,242.13 |
Max. Negotiated Rate |
$5,242.13 |
Rate for Payer: Aetna CHP/Medicaid |
$5,242.13
|
Rate for Payer: Humana OH Medicaid |
$5,242.13
|
|
INPATIENT APRDRG 4224: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,100.37
|
|
Service Code
|
APR-DRG 4224
|
Hospital Charge Code |
APRDRG 4224
|
Min. Negotiated Rate |
$10,100.37 |
Max. Negotiated Rate |
$10,100.37 |
Rate for Payer: Aetna CHP/Medicaid |
$10,100.37
|
Rate for Payer: Humana OH Medicaid |
$10,100.37
|
|