INPATIENT APRDRG 7944: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$20,771.72
|
|
Service Code
|
APR-DRG 7944
|
Hospital Charge Code |
APRDRG 7944
|
Min. Negotiated Rate |
$20,771.72 |
Max. Negotiated Rate |
$20,771.72 |
Rate for Payer: Aetna CHP/Medicaid |
$20,771.72
|
Rate for Payer: Humana OH Medicaid |
$20,771.72
|
|
INPATIENT APRDRG 8101: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,125.79
|
|
Service Code
|
APR-DRG 8101
|
Hospital Charge Code |
APRDRG 8101
|
Min. Negotiated Rate |
$3,125.79 |
Max. Negotiated Rate |
$3,125.79 |
Rate for Payer: Aetna CHP/Medicaid |
$3,125.79
|
Rate for Payer: Humana OH Medicaid |
$3,125.79
|
|
INPATIENT APRDRG 8102: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,399.63
|
|
Service Code
|
APR-DRG 8102
|
Hospital Charge Code |
APRDRG 8102
|
Min. Negotiated Rate |
$4,399.63 |
Max. Negotiated Rate |
$4,399.63 |
Rate for Payer: Aetna CHP/Medicaid |
$4,399.63
|
Rate for Payer: Humana OH Medicaid |
$4,399.63
|
|
INPATIENT APRDRG 8103: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$6,965.48
|
|
Service Code
|
APR-DRG 8103
|
Hospital Charge Code |
APRDRG 8103
|
Min. Negotiated Rate |
$6,965.48 |
Max. Negotiated Rate |
$6,965.48 |
Rate for Payer: Aetna CHP/Medicaid |
$6,965.48
|
Rate for Payer: Humana OH Medicaid |
$6,965.48
|
|
INPATIENT APRDRG 8104: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$13,721.79
|
|
Service Code
|
APR-DRG 8104
|
Hospital Charge Code |
APRDRG 8104
|
Min. Negotiated Rate |
$13,721.79 |
Max. Negotiated Rate |
$13,721.79 |
Rate for Payer: Aetna CHP/Medicaid |
$13,721.79
|
Rate for Payer: Humana OH Medicaid |
$13,721.79
|
|
INPATIENT APRDRG 8111: ALLERGIC REACTIONS
|
Facility
|
IP
|
$2,486.60
|
|
Service Code
|
APR-DRG 8111
|
Hospital Charge Code |
APRDRG 8111
|
Min. Negotiated Rate |
$2,486.60 |
Max. Negotiated Rate |
$2,486.60 |
Rate for Payer: Aetna CHP/Medicaid |
$2,486.60
|
Rate for Payer: Humana OH Medicaid |
$2,486.60
|
|
INPATIENT APRDRG 8112: ALLERGIC REACTIONS
|
Facility
|
IP
|
$3,151.13
|
|
Service Code
|
APR-DRG 8112
|
Hospital Charge Code |
APRDRG 8112
|
Min. Negotiated Rate |
$3,151.13 |
Max. Negotiated Rate |
$3,151.13 |
Rate for Payer: Aetna CHP/Medicaid |
$3,151.13
|
Rate for Payer: Humana OH Medicaid |
$3,151.13
|
|
INPATIENT APRDRG 8113: ALLERGIC REACTIONS
|
Facility
|
IP
|
$5,427.92
|
|
Service Code
|
APR-DRG 8113
|
Hospital Charge Code |
APRDRG 8113
|
Min. Negotiated Rate |
$5,427.92 |
Max. Negotiated Rate |
$5,427.92 |
Rate for Payer: Aetna CHP/Medicaid |
$5,427.92
|
Rate for Payer: Humana OH Medicaid |
$5,427.92
|
|
INPATIENT APRDRG 8114: ALLERGIC REACTIONS
|
Facility
|
IP
|
$10,134.14
|
|
Service Code
|
APR-DRG 8114
|
Hospital Charge Code |
APRDRG 8114
|
Min. Negotiated Rate |
$10,134.14 |
Max. Negotiated Rate |
$10,134.14 |
Rate for Payer: Aetna CHP/Medicaid |
$10,134.14
|
Rate for Payer: Humana OH Medicaid |
$10,134.14
|
|
INPATIENT APRDRG 8121: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,382.67
|
|
Service Code
|
APR-DRG 8121
|
Hospital Charge Code |
APRDRG 8121
|
Min. Negotiated Rate |
$2,382.67 |
Max. Negotiated Rate |
$2,382.67 |
Rate for Payer: Aetna CHP/Medicaid |
$2,382.67
|
Rate for Payer: Humana OH Medicaid |
$2,382.67
|
|
INPATIENT APRDRG 8122: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$3,072.53
|
|
Service Code
|
APR-DRG 8122
|
Hospital Charge Code |
APRDRG 8122
|
Min. Negotiated Rate |
$3,072.53 |
Max. Negotiated Rate |
$3,072.53 |
Rate for Payer: Aetna CHP/Medicaid |
$3,072.53
|
Rate for Payer: Humana OH Medicaid |
$3,072.53
|
|
INPATIENT APRDRG 8123: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$4,102.12
|
|
Service Code
|
APR-DRG 8123
|
Hospital Charge Code |
APRDRG 8123
|
Min. Negotiated Rate |
$4,102.12 |
Max. Negotiated Rate |
$4,102.12 |
Rate for Payer: Aetna CHP/Medicaid |
$4,102.12
|
Rate for Payer: Humana OH Medicaid |
$4,102.12
|
|
INPATIENT APRDRG 8124: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$7,237.00
|
|
Service Code
|
APR-DRG 8124
|
Hospital Charge Code |
APRDRG 8124
|
Min. Negotiated Rate |
$7,237.00 |
Max. Negotiated Rate |
$7,237.00 |
Rate for Payer: Aetna CHP/Medicaid |
$7,237.00
|
Rate for Payer: Humana OH Medicaid |
$7,237.00
|
|
INPATIENT APRDRG 8131: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$3,769.53
|
|
Service Code
|
APR-DRG 8131
|
Hospital Charge Code |
APRDRG 8131
|
Min. Negotiated Rate |
$3,769.53 |
Max. Negotiated Rate |
$3,769.53 |
Rate for Payer: Aetna CHP/Medicaid |
$3,769.53
|
Rate for Payer: Humana OH Medicaid |
$3,769.53
|
|
INPATIENT APRDRG 8132: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,618.54
|
|
Service Code
|
APR-DRG 8132
|
Hospital Charge Code |
APRDRG 8132
|
Min. Negotiated Rate |
$4,618.54 |
Max. Negotiated Rate |
$4,618.54 |
Rate for Payer: Aetna CHP/Medicaid |
$4,618.54
|
Rate for Payer: Humana OH Medicaid |
$4,618.54
|
|
INPATIENT APRDRG 8133: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,617.95
|
|
Service Code
|
APR-DRG 8133
|
Hospital Charge Code |
APRDRG 8133
|
Min. Negotiated Rate |
$6,617.95 |
Max. Negotiated Rate |
$6,617.95 |
Rate for Payer: Aetna CHP/Medicaid |
$6,617.95
|
Rate for Payer: Humana OH Medicaid |
$6,617.95
|
|
INPATIENT APRDRG 8134: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$11,564.53
|
|
Service Code
|
APR-DRG 8134
|
Hospital Charge Code |
APRDRG 8134
|
Min. Negotiated Rate |
$11,564.53 |
Max. Negotiated Rate |
$11,564.53 |
Rate for Payer: Aetna CHP/Medicaid |
$11,564.53
|
Rate for Payer: Humana OH Medicaid |
$11,564.53
|
|
INPATIENT APRDRG 8151: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$3,470.72
|
|
Service Code
|
APR-DRG 8151
|
Hospital Charge Code |
APRDRG 8151
|
Min. Negotiated Rate |
$3,470.72 |
Max. Negotiated Rate |
$3,470.72 |
Rate for Payer: Aetna CHP/Medicaid |
$3,470.72
|
Rate for Payer: Humana OH Medicaid |
$3,470.72
|
|
INPATIENT APRDRG 8152: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$5,375.30
|
|
Service Code
|
APR-DRG 8152
|
Hospital Charge Code |
APRDRG 8152
|
Min. Negotiated Rate |
$5,375.30 |
Max. Negotiated Rate |
$5,375.30 |
Rate for Payer: Aetna CHP/Medicaid |
$5,375.30
|
Rate for Payer: Humana OH Medicaid |
$5,375.30
|
|
INPATIENT APRDRG 8153: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$10,684.99
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG 8153
|
Min. Negotiated Rate |
$10,684.99 |
Max. Negotiated Rate |
$10,684.99 |
Rate for Payer: Aetna CHP/Medicaid |
$10,684.99
|
Rate for Payer: Humana OH Medicaid |
$10,684.99
|
|
INPATIENT APRDRG 8154: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$23,557.13
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG 8154
|
Min. Negotiated Rate |
$23,557.13 |
Max. Negotiated Rate |
$23,557.13 |
Rate for Payer: Aetna CHP/Medicaid |
$23,557.13
|
Rate for Payer: Humana OH Medicaid |
$23,557.13
|
|
INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,473.61
|
|
Service Code
|
APR-DRG 8161
|
Hospital Charge Code |
APRDRG 8161
|
Min. Negotiated Rate |
$2,473.61 |
Max. Negotiated Rate |
$2,473.61 |
Rate for Payer: Aetna CHP/Medicaid |
$2,473.61
|
Rate for Payer: Humana OH Medicaid |
$2,473.61
|
|
INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,358.34
|
|
Service Code
|
APR-DRG 8162
|
Hospital Charge Code |
APRDRG 8162
|
Min. Negotiated Rate |
$3,358.34 |
Max. Negotiated Rate |
$3,358.34 |
Rate for Payer: Aetna CHP/Medicaid |
$3,358.34
|
Rate for Payer: Humana OH Medicaid |
$3,358.34
|
|
INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,995.59
|
|
Service Code
|
APR-DRG 8163
|
Hospital Charge Code |
APRDRG 8163
|
Min. Negotiated Rate |
$3,995.59 |
Max. Negotiated Rate |
$3,995.59 |
Rate for Payer: Aetna CHP/Medicaid |
$3,995.59
|
Rate for Payer: Humana OH Medicaid |
$3,995.59
|
|
INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$7,667.03
|
|
Service Code
|
APR-DRG 8164
|
Hospital Charge Code |
APRDRG 8164
|
Min. Negotiated Rate |
$7,667.03 |
Max. Negotiated Rate |
$7,667.03 |
Rate for Payer: Aetna CHP/Medicaid |
$7,667.03
|
Rate for Payer: Humana OH Medicaid |
$7,667.03
|
|