INPATIENT APRDRG 7204: SEPTICEMIA & DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$13,258.64
|
|
Service Code
|
APR-DRG 7204
|
Hospital Charge Code |
APRDRG 7204
|
Min. Negotiated Rate |
$13,258.64 |
Max. Negotiated Rate |
$13,258.64 |
Rate for Payer: Aetna CHP/Medicaid |
$13,258.64
|
Rate for Payer: Humana OH Medicaid |
$13,258.64
|
|
INPATIENT APRDRG 7211: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$4,127.45
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG 7211
|
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 7212: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$4,997.89
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG 7212
|
Min. Negotiated Rate |
$4,997.89 |
Max. Negotiated Rate |
$4,997.89 |
Rate for Payer: Aetna CHP/Medicaid |
$4,997.89
|
Rate for Payer: Humana OH Medicaid |
$4,997.89
|
|
INPATIENT APRDRG 7213: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$8,236.06
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG 7213
|
Min. Negotiated Rate |
$8,236.06 |
Max. Negotiated Rate |
$8,236.06 |
Rate for Payer: Aetna CHP/Medicaid |
$8,236.06
|
Rate for Payer: Humana OH Medicaid |
$8,236.06
|
|
INPATIENT APRDRG 7214: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$15,750.44
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG 7214
|
Min. Negotiated Rate |
$15,750.44 |
Max. Negotiated Rate |
$15,750.44 |
Rate for Payer: Aetna CHP/Medicaid |
$15,750.44
|
Rate for Payer: Humana OH Medicaid |
$15,750.44
|
|
INPATIENT APRDRG 7221: FEVER
|
Facility
|
IP
|
$3,153.73
|
|
Service Code
|
APR-DRG 7221
|
Hospital Charge Code |
APRDRG 7221
|
Min. Negotiated Rate |
$3,153.73 |
Max. Negotiated Rate |
$3,153.73 |
Rate for Payer: Aetna CHP/Medicaid |
$3,153.73
|
Rate for Payer: Humana OH Medicaid |
$3,153.73
|
|
INPATIENT APRDRG 7222: FEVER
|
Facility
|
IP
|
$4,167.72
|
|
Service Code
|
APR-DRG 7222
|
Hospital Charge Code |
APRDRG 7222
|
Min. Negotiated Rate |
$4,167.72 |
Max. Negotiated Rate |
$4,167.72 |
Rate for Payer: Aetna CHP/Medicaid |
$4,167.72
|
Rate for Payer: Humana OH Medicaid |
$4,167.72
|
|
INPATIENT APRDRG 7223: FEVER
|
Facility
|
IP
|
$6,313.95
|
|
Service Code
|
APR-DRG 7223
|
Hospital Charge Code |
APRDRG 7223
|
Min. Negotiated Rate |
$6,313.95 |
Max. Negotiated Rate |
$6,313.95 |
Rate for Payer: Aetna CHP/Medicaid |
$6,313.95
|
Rate for Payer: Humana OH Medicaid |
$6,313.95
|
|
INPATIENT APRDRG 7224: FEVER
|
Facility
|
IP
|
$9,759.33
|
|
Service Code
|
APR-DRG 7224
|
Hospital Charge Code |
APRDRG 7224
|
Min. Negotiated Rate |
$9,759.33 |
Max. Negotiated Rate |
$9,759.33 |
Rate for Payer: Aetna CHP/Medicaid |
$9,759.33
|
Rate for Payer: Humana OH Medicaid |
$9,759.33
|
|
INPATIENT APRDRG 7231: VIRAL ILLNESS
|
Facility
|
IP
|
$3,403.81
|
|
Service Code
|
APR-DRG 7231
|
Hospital Charge Code |
APRDRG 7231
|
Min. Negotiated Rate |
$3,403.81 |
Max. Negotiated Rate |
$3,403.81 |
Rate for Payer: Aetna CHP/Medicaid |
$3,403.81
|
Rate for Payer: Humana OH Medicaid |
$3,403.81
|
|
INPATIENT APRDRG 7232: VIRAL ILLNESS
|
Facility
|
IP
|
$4,018.97
|
|
Service Code
|
APR-DRG 7232
|
Hospital Charge Code |
APRDRG 7232
|
Min. Negotiated Rate |
$4,018.97 |
Max. Negotiated Rate |
$4,018.97 |
Rate for Payer: Aetna CHP/Medicaid |
$4,018.97
|
Rate for Payer: Humana OH Medicaid |
$4,018.97
|
|
INPATIENT APRDRG 7233: VIRAL ILLNESS
|
Facility
|
IP
|
$10,275.10
|
|
Service Code
|
APR-DRG 7233
|
Hospital Charge Code |
APRDRG 7233
|
Min. Negotiated Rate |
$10,275.10 |
Max. Negotiated Rate |
$10,275.10 |
Rate for Payer: Aetna CHP/Medicaid |
$10,275.10
|
Rate for Payer: Humana OH Medicaid |
$10,275.10
|
|
INPATIENT APRDRG 7234: VIRAL ILLNESS
|
Facility
|
IP
|
$10,275.10
|
|
Service Code
|
APR-DRG 7234
|
Hospital Charge Code |
APRDRG 7234
|
Min. Negotiated Rate |
$10,275.10 |
Max. Negotiated Rate |
$10,275.10 |
Rate for Payer: Aetna CHP/Medicaid |
$10,275.10
|
Rate for Payer: Humana OH Medicaid |
$10,275.10
|
|
INPATIENT APRDRG 7241: OTHER INFECTIOUS & PARASITIC DISEASES
|
Facility
|
IP
|
$4,483.42
|
|
Service Code
|
APR-DRG 7241
|
Hospital Charge Code |
APRDRG 7241
|
Min. Negotiated Rate |
$4,483.42 |
Max. Negotiated Rate |
$4,483.42 |
Rate for Payer: Aetna CHP/Medicaid |
$4,483.42
|
Rate for Payer: Humana OH Medicaid |
$4,483.42
|
|
INPATIENT APRDRG 7242: OTHER INFECTIOUS & PARASITIC DISEASES
|
Facility
|
IP
|
$5,405.18
|
|
Service Code
|
APR-DRG 7242
|
Hospital Charge Code |
APRDRG 7242
|
Min. Negotiated Rate |
$5,405.18 |
Max. Negotiated Rate |
$5,405.18 |
Rate for Payer: Aetna CHP/Medicaid |
$5,405.18
|
Rate for Payer: Humana OH Medicaid |
$5,405.18
|
|
INPATIENT APRDRG 7243: OTHER INFECTIOUS & PARASITIC DISEASES
|
Facility
|
IP
|
$8,970.74
|
|
Service Code
|
APR-DRG 7243
|
Hospital Charge Code |
APRDRG 7243
|
Min. Negotiated Rate |
$8,970.74 |
Max. Negotiated Rate |
$8,970.74 |
Rate for Payer: Aetna CHP/Medicaid |
$8,970.74
|
Rate for Payer: Humana OH Medicaid |
$8,970.74
|
|
INPATIENT APRDRG 7244: OTHER INFECTIOUS & PARASITIC DISEASES
|
Facility
|
IP
|
$13,750.37
|
|
Service Code
|
APR-DRG 7244
|
Hospital Charge Code |
APRDRG 7244
|
Min. Negotiated Rate |
$13,750.37 |
Max. Negotiated Rate |
$13,750.37 |
Rate for Payer: Aetna CHP/Medicaid |
$13,750.37
|
Rate for Payer: Humana OH Medicaid |
$13,750.37
|
|
INPATIENT APRDRG 7401: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$10,095.17
|
|
Service Code
|
APR-DRG 7401
|
Hospital Charge Code |
APRDRG 7401
|
Min. Negotiated Rate |
$10,095.17 |
Max. Negotiated Rate |
$10,095.17 |
Rate for Payer: Aetna CHP/Medicaid |
$10,095.17
|
Rate for Payer: Humana OH Medicaid |
$10,095.17
|
|
INPATIENT APRDRG 7402: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$15,790.71
|
|
Service Code
|
APR-DRG 7402
|
Hospital Charge Code |
APRDRG 7402
|
Min. Negotiated Rate |
$15,790.71 |
Max. Negotiated Rate |
$15,790.71 |
Rate for Payer: Aetna CHP/Medicaid |
$15,790.71
|
Rate for Payer: Humana OH Medicaid |
$15,790.71
|
|
INPATIENT APRDRG 7403: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$15,790.71
|
|
Service Code
|
APR-DRG 7403
|
Hospital Charge Code |
APRDRG 7403
|
Min. Negotiated Rate |
$15,790.71 |
Max. Negotiated Rate |
$15,790.71 |
Rate for Payer: Aetna CHP/Medicaid |
$15,790.71
|
Rate for Payer: Humana OH Medicaid |
$15,790.71
|
|
INPATIENT APRDRG 7404: MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$15,790.71
|
|
Service Code
|
APR-DRG 7404
|
Hospital Charge Code |
APRDRG 7404
|
Min. Negotiated Rate |
$15,790.71 |
Max. Negotiated Rate |
$15,790.71 |
Rate for Payer: Aetna CHP/Medicaid |
$15,790.71
|
Rate for Payer: Humana OH Medicaid |
$15,790.71
|
|
INPATIENT APRDRG 7501: SCHIZOPHRENIA
|
Facility
|
IP
|
$7,096.04
|
|
Service Code
|
APR-DRG 7501
|
Hospital Charge Code |
APRDRG 7501
|
Min. Negotiated Rate |
$7,096.04 |
Max. Negotiated Rate |
$7,096.04 |
Rate for Payer: Aetna CHP/Medicaid |
$7,096.04
|
Rate for Payer: Humana OH Medicaid |
$7,096.04
|
|
INPATIENT APRDRG 7502: SCHIZOPHRENIA
|
Facility
|
IP
|
$7,096.04
|
|
Service Code
|
APR-DRG 7502
|
Hospital Charge Code |
APRDRG 7502
|
Min. Negotiated Rate |
$7,096.04 |
Max. Negotiated Rate |
$7,096.04 |
Rate for Payer: Aetna CHP/Medicaid |
$7,096.04
|
Rate for Payer: Humana OH Medicaid |
$7,096.04
|
|
INPATIENT APRDRG 7503: SCHIZOPHRENIA
|
Facility
|
IP
|
$11,501.52
|
|
Service Code
|
APR-DRG 7503
|
Hospital Charge Code |
APRDRG 7503
|
Min. Negotiated Rate |
$11,501.52 |
Max. Negotiated Rate |
$11,501.52 |
Rate for Payer: Aetna CHP/Medicaid |
$11,501.52
|
Rate for Payer: Humana OH Medicaid |
$11,501.52
|
|
INPATIENT APRDRG 7504: SCHIZOPHRENIA
|
Facility
|
IP
|
$27,044.09
|
|
Service Code
|
APR-DRG 7504
|
Hospital Charge Code |
APRDRG 7504
|
Min. Negotiated Rate |
$27,044.09 |
Max. Negotiated Rate |
$27,044.09 |
Rate for Payer: Aetna CHP/Medicaid |
$27,044.09
|
Rate for Payer: Humana OH Medicaid |
$27,044.09
|
|