INPATIENT APRDRG 7572: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$11,329.38
|
|
Service Code
|
APR-DRG 7572
|
Hospital Charge Code |
APRDRG 7572
|
Min. Negotiated Rate |
$11,329.38 |
Max. Negotiated Rate |
$11,329.38 |
Rate for Payer: Aetna CHP/Medicaid |
$11,329.38
|
Rate for Payer: Humana OH Medicaid |
$11,329.38
|
|
INPATIENT APRDRG 7573: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$11,329.38
|
|
Service Code
|
APR-DRG 7573
|
Hospital Charge Code |
APRDRG 7573
|
Min. Negotiated Rate |
$11,329.38 |
Max. Negotiated Rate |
$11,329.38 |
Rate for Payer: Aetna CHP/Medicaid |
$11,329.38
|
Rate for Payer: Humana OH Medicaid |
$11,329.38
|
|
INPATIENT APRDRG 7574: ORGANIC MENTAL HEALTH DISTURBANCES
|
Facility
|
IP
|
$11,329.38
|
|
Service Code
|
APR-DRG 7574
|
Hospital Charge Code |
APRDRG 7574
|
Min. Negotiated Rate |
$11,329.38 |
Max. Negotiated Rate |
$11,329.38 |
Rate for Payer: Aetna CHP/Medicaid |
$11,329.38
|
Rate for Payer: Humana OH Medicaid |
$11,329.38
|
|
INPATIENT APRDRG 7581: BEHAVIORAL DISORDERS
|
Facility
|
IP
|
$8,753.13
|
|
Service Code
|
APR-DRG 7581
|
Hospital Charge Code |
APRDRG 7581
|
Min. Negotiated Rate |
$8,753.13 |
Max. Negotiated Rate |
$8,753.13 |
Rate for Payer: Aetna CHP/Medicaid |
$8,753.13
|
Rate for Payer: Humana OH Medicaid |
$8,753.13
|
|
INPATIENT APRDRG 7582: BEHAVIORAL DISORDERS
|
Facility
|
IP
|
$12,897.47
|
|
Service Code
|
APR-DRG 7582
|
Hospital Charge Code |
APRDRG 7582
|
Min. Negotiated Rate |
$12,897.47 |
Max. Negotiated Rate |
$12,897.47 |
Rate for Payer: Aetna CHP/Medicaid |
$12,897.47
|
Rate for Payer: Humana OH Medicaid |
$12,897.47
|
|
INPATIENT APRDRG 7583: BEHAVIORAL DISORDERS
|
Facility
|
IP
|
$20,709.36
|
|
Service Code
|
APR-DRG 7583
|
Hospital Charge Code |
APRDRG 7583
|
Min. Negotiated Rate |
$20,709.36 |
Max. Negotiated Rate |
$20,709.36 |
Rate for Payer: Aetna CHP/Medicaid |
$20,709.36
|
Rate for Payer: Humana OH Medicaid |
$20,709.36
|
|
INPATIENT APRDRG 7584: BEHAVIORAL DISORDERS
|
Facility
|
IP
|
$20,868.50
|
|
Service Code
|
APR-DRG 7584
|
Hospital Charge Code |
APRDRG 7584
|
Min. Negotiated Rate |
$20,868.50 |
Max. Negotiated Rate |
$20,868.50 |
Rate for Payer: Aetna CHP/Medicaid |
$20,868.50
|
Rate for Payer: Humana OH Medicaid |
$20,868.50
|
|
INPATIENT APRDRG 7591: EATING DISORDERS
|
Facility
|
IP
|
$11,146.19
|
|
Service Code
|
APR-DRG 7591
|
Hospital Charge Code |
APRDRG 7591
|
Min. Negotiated Rate |
$11,146.19 |
Max. Negotiated Rate |
$11,146.19 |
Rate for Payer: Aetna CHP/Medicaid |
$11,146.19
|
Rate for Payer: Humana OH Medicaid |
$11,146.19
|
|
INPATIENT APRDRG 7592: EATING DISORDERS
|
Facility
|
IP
|
$11,146.19
|
|
Service Code
|
APR-DRG 7592
|
Hospital Charge Code |
APRDRG 7592
|
Min. Negotiated Rate |
$11,146.19 |
Max. Negotiated Rate |
$11,146.19 |
Rate for Payer: Aetna CHP/Medicaid |
$11,146.19
|
Rate for Payer: Humana OH Medicaid |
$11,146.19
|
|
INPATIENT APRDRG 7593: EATING DISORDERS
|
Facility
|
IP
|
$13,608.11
|
|
Service Code
|
APR-DRG 7593
|
Hospital Charge Code |
APRDRG 7593
|
Min. Negotiated Rate |
$13,608.11 |
Max. Negotiated Rate |
$13,608.11 |
Rate for Payer: Aetna CHP/Medicaid |
$13,608.11
|
Rate for Payer: Humana OH Medicaid |
$13,608.11
|
|
INPATIENT APRDRG 7594: EATING DISORDERS
|
Facility
|
IP
|
$13,608.11
|
|
Service Code
|
APR-DRG 7594
|
Hospital Charge Code |
APRDRG 7594
|
Min. Negotiated Rate |
$13,608.11 |
Max. Negotiated Rate |
$13,608.11 |
Rate for Payer: Aetna CHP/Medicaid |
$13,608.11
|
Rate for Payer: Humana OH Medicaid |
$13,608.11
|
|
INPATIENT APRDRG 7601: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$7,607.92
|
|
Service Code
|
APR-DRG 7601
|
Hospital Charge Code |
APRDRG 7601
|
Min. Negotiated Rate |
$7,607.92 |
Max. Negotiated Rate |
$7,607.92 |
Rate for Payer: Aetna CHP/Medicaid |
$7,607.92
|
Rate for Payer: Humana OH Medicaid |
$7,607.92
|
|
INPATIENT APRDRG 7602: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$8,475.11
|
|
Service Code
|
APR-DRG 7602
|
Hospital Charge Code |
APRDRG 7602
|
Min. Negotiated Rate |
$8,475.11 |
Max. Negotiated Rate |
$8,475.11 |
Rate for Payer: Aetna CHP/Medicaid |
$8,475.11
|
Rate for Payer: Humana OH Medicaid |
$8,475.11
|
|
INPATIENT APRDRG 7603: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$13,967.33
|
|
Service Code
|
APR-DRG 7603
|
Hospital Charge Code |
APRDRG 7603
|
Min. Negotiated Rate |
$13,967.33 |
Max. Negotiated Rate |
$13,967.33 |
Rate for Payer: Aetna CHP/Medicaid |
$13,967.33
|
Rate for Payer: Humana OH Medicaid |
$13,967.33
|
|
INPATIENT APRDRG 7604: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$13,967.33
|
|
Service Code
|
APR-DRG 7604
|
Hospital Charge Code |
APRDRG 7604
|
Min. Negotiated Rate |
$13,967.33 |
Max. Negotiated Rate |
$13,967.33 |
Rate for Payer: Aetna CHP/Medicaid |
$13,967.33
|
Rate for Payer: Humana OH Medicaid |
$13,967.33
|
|
INPATIENT APRDRG 7701: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,201.44
|
|
Service Code
|
APR-DRG 7701
|
Hospital Charge Code |
APRDRG 7701
|
Min. Negotiated Rate |
$2,201.44 |
Max. Negotiated Rate |
$2,201.44 |
Rate for Payer: Aetna CHP/Medicaid |
$2,201.44
|
Rate for Payer: Humana OH Medicaid |
$2,201.44
|
|
INPATIENT APRDRG 7702: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$2,993.93
|
|
Service Code
|
APR-DRG 7702
|
Hospital Charge Code |
APRDRG 7702
|
Min. Negotiated Rate |
$2,993.93 |
Max. Negotiated Rate |
$2,993.93 |
Rate for Payer: Aetna CHP/Medicaid |
$2,993.93
|
Rate for Payer: Humana OH Medicaid |
$2,993.93
|
|
INPATIENT APRDRG 7703: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$5,197.96
|
|
Service Code
|
APR-DRG 7703
|
Hospital Charge Code |
APRDRG 7703
|
Min. Negotiated Rate |
$5,197.96 |
Max. Negotiated Rate |
$5,197.96 |
Rate for Payer: Aetna CHP/Medicaid |
$5,197.96
|
Rate for Payer: Humana OH Medicaid |
$5,197.96
|
|
INPATIENT APRDRG 7704: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
|
Facility
|
IP
|
$10,641.47
|
|
Service Code
|
APR-DRG 7704
|
Hospital Charge Code |
APRDRG 7704
|
Min. Negotiated Rate |
$10,641.47 |
Max. Negotiated Rate |
$10,641.47 |
Rate for Payer: Aetna CHP/Medicaid |
$10,641.47
|
Rate for Payer: Humana OH Medicaid |
$10,641.47
|
|
INPATIENT APRDRG 7721: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY
|
Facility
|
IP
|
$2,686.68
|
|
Service Code
|
APR-DRG 7721
|
Hospital Charge Code |
APRDRG 7721
|
Min. Negotiated Rate |
$2,686.68 |
Max. Negotiated Rate |
$2,686.68 |
Rate for Payer: Aetna CHP/Medicaid |
$2,686.68
|
Rate for Payer: Humana OH Medicaid |
$2,686.68
|
|
INPATIENT APRDRG 7722: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY
|
Facility
|
IP
|
$2,845.17
|
|
Service Code
|
APR-DRG 7722
|
Hospital Charge Code |
APRDRG 7722
|
Min. Negotiated Rate |
$2,845.17 |
Max. Negotiated Rate |
$2,845.17 |
Rate for Payer: Aetna CHP/Medicaid |
$2,845.17
|
Rate for Payer: Humana OH Medicaid |
$2,845.17
|
|
INPATIENT APRDRG 7723: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY
|
Facility
|
IP
|
$4,013.12
|
|
Service Code
|
APR-DRG 7723
|
Hospital Charge Code |
APRDRG 7723
|
Min. Negotiated Rate |
$4,013.12 |
Max. Negotiated Rate |
$4,013.12 |
Rate for Payer: Aetna CHP/Medicaid |
$4,013.12
|
Rate for Payer: Humana OH Medicaid |
$4,013.12
|
|
INPATIENT APRDRG 7724: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY
|
Facility
|
IP
|
$4,013.12
|
|
Service Code
|
APR-DRG 7724
|
Hospital Charge Code |
APRDRG 7724
|
Min. Negotiated Rate |
$4,013.12 |
Max. Negotiated Rate |
$4,013.12 |
Rate for Payer: Aetna CHP/Medicaid |
$4,013.12
|
Rate for Payer: Humana OH Medicaid |
$4,013.12
|
|
INPATIENT APRDRG 7731: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,377.18
|
|
Service Code
|
APR-DRG 7731
|
Hospital Charge Code |
APRDRG 7731
|
Min. Negotiated Rate |
$3,377.18 |
Max. Negotiated Rate |
$3,377.18 |
Rate for Payer: Aetna CHP/Medicaid |
$3,377.18
|
Rate for Payer: Humana OH Medicaid |
$3,377.18
|
|
INPATIENT APRDRG 7732: OPIOID ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,661.05
|
|
Service Code
|
APR-DRG 7732
|
Hospital Charge Code |
APRDRG 7732
|
Min. Negotiated Rate |
$3,661.05 |
Max. Negotiated Rate |
$3,661.05 |
Rate for Payer: Aetna CHP/Medicaid |
$3,661.05
|
Rate for Payer: Humana OH Medicaid |
$3,661.05
|
|