INPATIENT APRDRG 7511: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$4,068.34
|
|
Service Code
|
APR-DRG 7511
|
Hospital Charge Code |
APRDRG 7511
|
Min. Negotiated Rate |
$4,068.34 |
Max. Negotiated Rate |
$4,068.34 |
Rate for Payer: Aetna CHP/Medicaid |
$4,068.34
|
Rate for Payer: Humana OH Medicaid |
$4,068.34
|
|
INPATIENT APRDRG 7512: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$4,601.00
|
|
Service Code
|
APR-DRG 7512
|
Hospital Charge Code |
APRDRG 7512
|
Min. Negotiated Rate |
$4,601.00 |
Max. Negotiated Rate |
$4,601.00 |
Rate for Payer: Aetna CHP/Medicaid |
$4,601.00
|
Rate for Payer: Humana OH Medicaid |
$4,601.00
|
|
INPATIENT APRDRG 7513: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$7,511.78
|
|
Service Code
|
APR-DRG 7513
|
Hospital Charge Code |
APRDRG 7513
|
Min. Negotiated Rate |
$7,511.78 |
Max. Negotiated Rate |
$7,511.78 |
Rate for Payer: Aetna CHP/Medicaid |
$7,511.78
|
Rate for Payer: Humana OH Medicaid |
$7,511.78
|
|
INPATIENT APRDRG 7514: MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES
|
Facility
|
IP
|
$19,487.49
|
|
Service Code
|
APR-DRG 7514
|
Hospital Charge Code |
APRDRG 7514
|
Min. Negotiated Rate |
$19,487.49 |
Max. Negotiated Rate |
$19,487.49 |
Rate for Payer: Aetna CHP/Medicaid |
$19,487.49
|
Rate for Payer: Humana OH Medicaid |
$19,487.49
|
|
INPATIENT APRDRG 7521: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$5,922.90
|
|
Service Code
|
APR-DRG 7521
|
Hospital Charge Code |
APRDRG 7521
|
Min. Negotiated Rate |
$5,922.90 |
Max. Negotiated Rate |
$5,922.90 |
Rate for Payer: Aetna CHP/Medicaid |
$5,922.90
|
Rate for Payer: Humana OH Medicaid |
$5,922.90
|
|
INPATIENT APRDRG 7522: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$5,922.90
|
|
Service Code
|
APR-DRG 7522
|
Hospital Charge Code |
APRDRG 7522
|
Min. Negotiated Rate |
$5,922.90 |
Max. Negotiated Rate |
$5,922.90 |
Rate for Payer: Aetna CHP/Medicaid |
$5,922.90
|
Rate for Payer: Humana OH Medicaid |
$5,922.90
|
|
INPATIENT APRDRG 7523: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$5,922.90
|
|
Service Code
|
APR-DRG 7523
|
Hospital Charge Code |
APRDRG 7523
|
Min. Negotiated Rate |
$5,922.90 |
Max. Negotiated Rate |
$5,922.90 |
Rate for Payer: Aetna CHP/Medicaid |
$5,922.90
|
Rate for Payer: Humana OH Medicaid |
$5,922.90
|
|
INPATIENT APRDRG 7524: DISORDERS OF PERSONALITY & IMPULSE CONTROL
|
Facility
|
IP
|
$5,922.90
|
|
Service Code
|
APR-DRG 7524
|
Hospital Charge Code |
APRDRG 7524
|
Min. Negotiated Rate |
$5,922.90 |
Max. Negotiated Rate |
$5,922.90 |
Rate for Payer: Aetna CHP/Medicaid |
$5,922.90
|
Rate for Payer: Humana OH Medicaid |
$5,922.90
|
|
INPATIENT APRDRG 7531: BIPOLAR DISORDERS
|
Facility
|
IP
|
$4,424.31
|
|
Service Code
|
APR-DRG 7531
|
Hospital Charge Code |
APRDRG 7531
|
Min. Negotiated Rate |
$4,424.31 |
Max. Negotiated Rate |
$4,424.31 |
Rate for Payer: Aetna CHP/Medicaid |
$4,424.31
|
Rate for Payer: Humana OH Medicaid |
$4,424.31
|
|
INPATIENT APRDRG 7532: BIPOLAR DISORDERS
|
Facility
|
IP
|
$4,960.22
|
|
Service Code
|
APR-DRG 7532
|
Hospital Charge Code |
APRDRG 7532
|
Min. Negotiated Rate |
$4,960.22 |
Max. Negotiated Rate |
$4,960.22 |
Rate for Payer: Aetna CHP/Medicaid |
$4,960.22
|
Rate for Payer: Humana OH Medicaid |
$4,960.22
|
|
INPATIENT APRDRG 7533: BIPOLAR DISORDERS
|
Facility
|
IP
|
$7,390.31
|
|
Service Code
|
APR-DRG 7533
|
Hospital Charge Code |
APRDRG 7533
|
Min. Negotiated Rate |
$7,390.31 |
Max. Negotiated Rate |
$7,390.31 |
Rate for Payer: Aetna CHP/Medicaid |
$7,390.31
|
Rate for Payer: Humana OH Medicaid |
$7,390.31
|
|
INPATIENT APRDRG 7534: BIPOLAR DISORDERS
|
Facility
|
IP
|
$19,234.15
|
|
Service Code
|
APR-DRG 7534
|
Hospital Charge Code |
APRDRG 7534
|
Min. Negotiated Rate |
$19,234.15 |
Max. Negotiated Rate |
$19,234.15 |
Rate for Payer: Aetna CHP/Medicaid |
$19,234.15
|
Rate for Payer: Humana OH Medicaid |
$19,234.15
|
|
INPATIENT APRDRG 7541: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$4,841.34
|
|
Service Code
|
APR-DRG 7541
|
Hospital Charge Code |
APRDRG 7541
|
Min. Negotiated Rate |
$4,841.34 |
Max. Negotiated Rate |
$4,841.34 |
Rate for Payer: Aetna CHP/Medicaid |
$4,841.34
|
Rate for Payer: Humana OH Medicaid |
$4,841.34
|
|
INPATIENT APRDRG 7542: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$5,830.01
|
|
Service Code
|
APR-DRG 7542
|
Hospital Charge Code |
APRDRG 7542
|
Min. Negotiated Rate |
$5,830.01 |
Max. Negotiated Rate |
$5,830.01 |
Rate for Payer: Aetna CHP/Medicaid |
$5,830.01
|
Rate for Payer: Humana OH Medicaid |
$5,830.01
|
|
INPATIENT APRDRG 7543: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$8,375.07
|
|
Service Code
|
APR-DRG 7543
|
Hospital Charge Code |
APRDRG 7543
|
Min. Negotiated Rate |
$8,375.07 |
Max. Negotiated Rate |
$8,375.07 |
Rate for Payer: Aetna CHP/Medicaid |
$8,375.07
|
Rate for Payer: Humana OH Medicaid |
$8,375.07
|
|
INPATIENT APRDRG 7544: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER
|
Facility
|
IP
|
$8,375.07
|
|
Service Code
|
APR-DRG 7544
|
Hospital Charge Code |
APRDRG 7544
|
Min. Negotiated Rate |
$8,375.07 |
Max. Negotiated Rate |
$8,375.07 |
Rate for Payer: Aetna CHP/Medicaid |
$8,375.07
|
Rate for Payer: Humana OH Medicaid |
$8,375.07
|
|
INPATIENT APRDRG 7551: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$4,734.81
|
|
Service Code
|
APR-DRG 7551
|
Hospital Charge Code |
APRDRG 7551
|
Min. Negotiated Rate |
$4,734.81 |
Max. Negotiated Rate |
$4,734.81 |
Rate for Payer: Aetna CHP/Medicaid |
$4,734.81
|
Rate for Payer: Humana OH Medicaid |
$4,734.81
|
|
INPATIENT APRDRG 7552: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$6,310.70
|
|
Service Code
|
APR-DRG 7552
|
Hospital Charge Code |
APRDRG 7552
|
Min. Negotiated Rate |
$6,310.70 |
Max. Negotiated Rate |
$6,310.70 |
Rate for Payer: Aetna CHP/Medicaid |
$6,310.70
|
Rate for Payer: Humana OH Medicaid |
$6,310.70
|
|
INPATIENT APRDRG 7553: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$8,740.14
|
|
Service Code
|
APR-DRG 7553
|
Hospital Charge Code |
APRDRG 7553
|
Min. Negotiated Rate |
$8,740.14 |
Max. Negotiated Rate |
$8,740.14 |
Rate for Payer: Aetna CHP/Medicaid |
$8,740.14
|
Rate for Payer: Humana OH Medicaid |
$8,740.14
|
|
INPATIENT APRDRG 7554: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES
|
Facility
|
IP
|
$8,740.14
|
|
Service Code
|
APR-DRG 7554
|
Hospital Charge Code |
APRDRG 7554
|
Min. Negotiated Rate |
$8,740.14 |
Max. Negotiated Rate |
$8,740.14 |
Rate for Payer: Aetna CHP/Medicaid |
$8,740.14
|
Rate for Payer: Humana OH Medicaid |
$8,740.14
|
|
INPATIENT APRDRG 7561: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$4,858.23
|
|
Service Code
|
APR-DRG 7561
|
Hospital Charge Code |
APRDRG 7561
|
Min. Negotiated Rate |
$4,858.23 |
Max. Negotiated Rate |
$4,858.23 |
Rate for Payer: Aetna CHP/Medicaid |
$4,858.23
|
Rate for Payer: Humana OH Medicaid |
$4,858.23
|
|
INPATIENT APRDRG 7562: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$5,579.92
|
|
Service Code
|
APR-DRG 7562
|
Hospital Charge Code |
APRDRG 7562
|
Min. Negotiated Rate |
$5,579.92 |
Max. Negotiated Rate |
$5,579.92 |
Rate for Payer: Aetna CHP/Medicaid |
$5,579.92
|
Rate for Payer: Humana OH Medicaid |
$5,579.92
|
|
INPATIENT APRDRG 7563: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$6,325.64
|
|
Service Code
|
APR-DRG 7563
|
Hospital Charge Code |
APRDRG 7563
|
Min. Negotiated Rate |
$6,325.64 |
Max. Negotiated Rate |
$6,325.64 |
Rate for Payer: Aetna CHP/Medicaid |
$6,325.64
|
Rate for Payer: Humana OH Medicaid |
$6,325.64
|
|
INPATIENT APRDRG 7564: ACUTE ANXIETY & DELIRIUM STATES
|
Facility
|
IP
|
$8,147.72
|
|
Service Code
|
APR-DRG 7564
|
Hospital Charge Code |
APRDRG 7564
|
Min. Negotiated Rate |
$8,147.72 |
Max. Negotiated Rate |
$8,147.72 |
Rate for Payer: Aetna CHP/Medicaid |
$8,147.72
|
Rate for Payer: Humana OH Medicaid |
$8,147.72
|
|
INPATIENT APRDRG 7571: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$9,504.70
|
|
Service Code
|
APR-DRG 7571
|
Hospital Charge Code |
APRDRG 7571
|
Min. Negotiated Rate |
$9,504.70 |
Max. Negotiated Rate |
$9,504.70 |
Rate for Payer: Aetna CHP/Medicaid |
$9,504.70
|
Rate for Payer: Humana OH Medicaid |
$9,504.70
|
|