INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,192.77
|
|
Service Code
|
APR-DRG 4231
|
Hospital Charge Code |
APRDRG 4231
|
Min. Negotiated Rate |
$5,192.77 |
Max. Negotiated Rate |
$5,192.77 |
Rate for Payer: Aetna CHP/Medicaid |
$5,192.77
|
Rate for Payer: Humana OH Medicaid |
$5,192.77
|
|
INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,641.63
|
|
Service Code
|
APR-DRG 4232
|
Hospital Charge Code |
APRDRG 4232
|
Min. Negotiated Rate |
$5,641.63 |
Max. Negotiated Rate |
$5,641.63 |
Rate for Payer: Aetna CHP/Medicaid |
$5,641.63
|
Rate for Payer: Humana OH Medicaid |
$5,641.63
|
|
INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$11,769.79
|
|
Service Code
|
APR-DRG 4233
|
Hospital Charge Code |
APRDRG 4233
|
Min. Negotiated Rate |
$11,769.79 |
Max. Negotiated Rate |
$11,769.79 |
Rate for Payer: Aetna CHP/Medicaid |
$11,769.79
|
Rate for Payer: Humana OH Medicaid |
$11,769.79
|
|
INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$11,769.79
|
|
Service Code
|
APR-DRG 4234
|
Hospital Charge Code |
APRDRG 4234
|
Min. Negotiated Rate |
$11,769.79 |
Max. Negotiated Rate |
$11,769.79 |
Rate for Payer: Aetna CHP/Medicaid |
$11,769.79
|
Rate for Payer: Humana OH Medicaid |
$11,769.79
|
|
INPATIENT APRDRG 4241: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,641.56
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG 4241
|
Min. Negotiated Rate |
$3,641.56 |
Max. Negotiated Rate |
$3,641.56 |
Rate for Payer: Aetna CHP/Medicaid |
$3,641.56
|
Rate for Payer: Humana OH Medicaid |
$3,641.56
|
|
INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,537.34
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG 4242
|
Min. Negotiated Rate |
$4,537.34 |
Max. Negotiated Rate |
$4,537.34 |
Rate for Payer: Aetna CHP/Medicaid |
$4,537.34
|
Rate for Payer: Humana OH Medicaid |
$4,537.34
|
|
INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$7,937.25
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG 4243
|
Min. Negotiated Rate |
$7,937.25 |
Max. Negotiated Rate |
$7,937.25 |
Rate for Payer: Aetna CHP/Medicaid |
$7,937.25
|
Rate for Payer: Humana OH Medicaid |
$7,937.25
|
|
INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$12,345.97
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG 4244
|
Min. Negotiated Rate |
$12,345.97 |
Max. Negotiated Rate |
$12,345.97 |
Rate for Payer: Aetna CHP/Medicaid |
$12,345.97
|
Rate for Payer: Humana OH Medicaid |
$12,345.97
|
|
INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,526.88
|
|
Service Code
|
APR-DRG 4251
|
Hospital Charge Code |
APRDRG 4251
|
Min. Negotiated Rate |
$2,526.88 |
Max. Negotiated Rate |
$2,526.88 |
Rate for Payer: Aetna CHP/Medicaid |
$2,526.88
|
Rate for Payer: Humana OH Medicaid |
$2,526.88
|
|
INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,456.43
|
|
Service Code
|
APR-DRG 4252
|
Hospital Charge Code |
APRDRG 4252
|
Min. Negotiated Rate |
$3,456.43 |
Max. Negotiated Rate |
$3,456.43 |
Rate for Payer: Aetna CHP/Medicaid |
$3,456.43
|
Rate for Payer: Humana OH Medicaid |
$3,456.43
|
|
INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,208.36
|
|
Service Code
|
APR-DRG 4253
|
Hospital Charge Code |
APRDRG 4253
|
Min. Negotiated Rate |
$5,208.36 |
Max. Negotiated Rate |
$5,208.36 |
Rate for Payer: Aetna CHP/Medicaid |
$5,208.36
|
Rate for Payer: Humana OH Medicaid |
$5,208.36
|
|
INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$8,847.32
|
|
Service Code
|
APR-DRG 4254
|
Hospital Charge Code |
APRDRG 4254
|
Min. Negotiated Rate |
$8,847.32 |
Max. Negotiated Rate |
$8,847.32 |
Rate for Payer: Aetna CHP/Medicaid |
$8,847.32
|
Rate for Payer: Humana OH Medicaid |
$8,847.32
|
|
INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,809.45
|
|
Service Code
|
APR-DRG 4261
|
Hospital Charge Code |
APRDRG 4261
|
Min. Negotiated Rate |
$2,809.45 |
Max. Negotiated Rate |
$2,809.45 |
Rate for Payer: Aetna CHP/Medicaid |
$2,809.45
|
Rate for Payer: Humana OH Medicaid |
$2,809.45
|
|
INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,746.15
|
|
Service Code
|
APR-DRG 4262
|
Hospital Charge Code |
APRDRG 4262
|
Min. Negotiated Rate |
$3,746.15 |
Max. Negotiated Rate |
$3,746.15 |
Rate for Payer: Aetna CHP/Medicaid |
$3,746.15
|
Rate for Payer: Humana OH Medicaid |
$3,746.15
|
|
INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$6,067.75
|
|
Service Code
|
APR-DRG 4263
|
Hospital Charge Code |
APRDRG 4263
|
Min. Negotiated Rate |
$6,067.75 |
Max. Negotiated Rate |
$6,067.75 |
Rate for Payer: Aetna CHP/Medicaid |
$6,067.75
|
Rate for Payer: Humana OH Medicaid |
$6,067.75
|
|
INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,963.01
|
|
Service Code
|
APR-DRG 4264
|
Hospital Charge Code |
APRDRG 4264
|
Min. Negotiated Rate |
$10,963.01 |
Max. Negotiated Rate |
$10,963.01 |
Rate for Payer: Aetna CHP/Medicaid |
$10,963.01
|
Rate for Payer: Humana OH Medicaid |
$10,963.01
|
|
INPATIENT APRDRG 4271: THYROID DISORDERS
|
Facility
|
IP
|
$2,973.14
|
|
Service Code
|
APR-DRG 4271
|
Hospital Charge Code |
APRDRG 4271
|
Min. Negotiated Rate |
$2,973.14 |
Max. Negotiated Rate |
$2,973.14 |
Rate for Payer: Aetna CHP/Medicaid |
$2,973.14
|
Rate for Payer: Humana OH Medicaid |
$2,973.14
|
|
INPATIENT APRDRG 4272: THYROID DISORDERS
|
Facility
|
IP
|
$3,745.50
|
|
Service Code
|
APR-DRG 4272
|
Hospital Charge Code |
APRDRG 4272
|
Min. Negotiated Rate |
$3,745.50 |
Max. Negotiated Rate |
$3,745.50 |
Rate for Payer: Aetna CHP/Medicaid |
$3,745.50
|
Rate for Payer: Humana OH Medicaid |
$3,745.50
|
|
INPATIENT APRDRG 4273: THYROID DISORDERS
|
Facility
|
IP
|
$6,898.57
|
|
Service Code
|
APR-DRG 4273
|
Hospital Charge Code |
APRDRG 4273
|
Min. Negotiated Rate |
$6,898.57 |
Max. Negotiated Rate |
$6,898.57 |
Rate for Payer: Aetna CHP/Medicaid |
$6,898.57
|
Rate for Payer: Humana OH Medicaid |
$6,898.57
|
|
INPATIENT APRDRG 4274: THYROID DISORDERS
|
Facility
|
IP
|
$8,717.40
|
|
Service Code
|
APR-DRG 4274
|
Hospital Charge Code |
APRDRG 4274
|
Min. Negotiated Rate |
$8,717.40 |
Max. Negotiated Rate |
$8,717.40 |
Rate for Payer: Aetna CHP/Medicaid |
$8,717.40
|
Rate for Payer: Humana OH Medicaid |
$8,717.40
|
|
INPATIENT APRDRG 4401: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$13,623.05
|
|
Service Code
|
APR-DRG 4401
|
Hospital Charge Code |
APRDRG 4401
|
Min. Negotiated Rate |
$13,623.05 |
Max. Negotiated Rate |
$13,623.05 |
Rate for Payer: Aetna CHP/Medicaid |
$13,623.05
|
Rate for Payer: Humana OH Medicaid |
$13,623.05
|
|
INPATIENT APRDRG 4402: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$13,623.05
|
|
Service Code
|
APR-DRG 4402
|
Hospital Charge Code |
APRDRG 4402
|
Min. Negotiated Rate |
$13,623.05 |
Max. Negotiated Rate |
$13,623.05 |
Rate for Payer: Aetna CHP/Medicaid |
$13,623.05
|
Rate for Payer: Humana OH Medicaid |
$13,623.05
|
|
INPATIENT APRDRG 4403: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$24,827.06
|
|
Service Code
|
APR-DRG 4403
|
Hospital Charge Code |
APRDRG 4403
|
Min. Negotiated Rate |
$24,827.06 |
Max. Negotiated Rate |
$24,827.06 |
Rate for Payer: Aetna CHP/Medicaid |
$24,827.06
|
Rate for Payer: Humana OH Medicaid |
$24,827.06
|
|
INPATIENT APRDRG 4404: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$24,827.06
|
|
Service Code
|
APR-DRG 4404
|
Hospital Charge Code |
APRDRG 4404
|
Min. Negotiated Rate |
$24,827.06 |
Max. Negotiated Rate |
$24,827.06 |
Rate for Payer: Aetna CHP/Medicaid |
$24,827.06
|
Rate for Payer: Humana OH Medicaid |
$24,827.06
|
|
INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,364.52
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG 4411
|
Min. Negotiated Rate |
$13,364.52 |
Max. Negotiated Rate |
$13,364.52 |
Rate for Payer: Aetna CHP/Medicaid |
$13,364.52
|
Rate for Payer: Humana OH Medicaid |
$13,364.52
|
|