INPATIENT APRDRG 8602: REHABILITATION
|
Facility
|
IP
|
$13,251.49
|
|
Service Code
|
APR-DRG 8602
|
Hospital Charge Code |
APRDRG 8602
|
Min. Negotiated Rate |
$13,251.49 |
Max. Negotiated Rate |
$13,251.49 |
Rate for Payer: Aetna CHP/Medicaid |
$13,251.49
|
Rate for Payer: Humana OH Medicaid |
$13,251.49
|
|
INPATIENT APRDRG 8603: REHABILITATION
|
Facility
|
IP
|
$17,173.03
|
|
Service Code
|
APR-DRG 8603
|
Hospital Charge Code |
APRDRG 8603
|
Min. Negotiated Rate |
$17,173.03 |
Max. Negotiated Rate |
$17,173.03 |
Rate for Payer: Aetna CHP/Medicaid |
$17,173.03
|
Rate for Payer: Humana OH Medicaid |
$17,173.03
|
|
INPATIENT APRDRG 8604: REHABILITATION
|
Facility
|
IP
|
$20,813.29
|
|
Service Code
|
APR-DRG 8604
|
Hospital Charge Code |
APRDRG 8604
|
Min. Negotiated Rate |
$20,813.29 |
Max. Negotiated Rate |
$20,813.29 |
Rate for Payer: Aetna CHP/Medicaid |
$20,813.29
|
Rate for Payer: Humana OH Medicaid |
$20,813.29
|
|
INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,679.89
|
|
Service Code
|
APR-DRG 8611
|
Hospital Charge Code |
APRDRG 8611
|
Min. Negotiated Rate |
$3,679.89 |
Max. Negotiated Rate |
$3,679.89 |
Rate for Payer: Aetna CHP/Medicaid |
$3,679.89
|
Rate for Payer: Humana OH Medicaid |
$3,679.89
|
|
INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$4,525.64
|
|
Service Code
|
APR-DRG 8612
|
Hospital Charge Code |
APRDRG 8612
|
Min. Negotiated Rate |
$4,525.64 |
Max. Negotiated Rate |
$4,525.64 |
Rate for Payer: Aetna CHP/Medicaid |
$4,525.64
|
Rate for Payer: Humana OH Medicaid |
$4,525.64
|
|
INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$7,319.50
|
|
Service Code
|
APR-DRG 8613
|
Hospital Charge Code |
APRDRG 8613
|
Min. Negotiated Rate |
$7,319.50 |
Max. Negotiated Rate |
$7,319.50 |
Rate for Payer: Aetna CHP/Medicaid |
$7,319.50
|
Rate for Payer: Humana OH Medicaid |
$7,319.50
|
|
INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$8,801.20
|
|
Service Code
|
APR-DRG 8614
|
Hospital Charge Code |
APRDRG 8614
|
Min. Negotiated Rate |
$8,801.20 |
Max. Negotiated Rate |
$8,801.20 |
Rate for Payer: Aetna CHP/Medicaid |
$8,801.20
|
Rate for Payer: Humana OH Medicaid |
$8,801.20
|
|
INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$7,895.68
|
|
Service Code
|
APR-DRG 8621
|
Hospital Charge Code |
APRDRG 8621
|
Min. Negotiated Rate |
$7,895.68 |
Max. Negotiated Rate |
$7,895.68 |
Rate for Payer: Aetna CHP/Medicaid |
$7,895.68
|
Rate for Payer: Humana OH Medicaid |
$7,895.68
|
|
INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$9,738.55
|
|
Service Code
|
APR-DRG 8622
|
Hospital Charge Code |
APRDRG 8622
|
Min. Negotiated Rate |
$9,738.55 |
Max. Negotiated Rate |
$9,738.55 |
Rate for Payer: Aetna CHP/Medicaid |
$9,738.55
|
Rate for Payer: Humana OH Medicaid |
$9,738.55
|
|
INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$13,702.30
|
|
Service Code
|
APR-DRG 8623
|
Hospital Charge Code |
APRDRG 8623
|
Min. Negotiated Rate |
$13,702.30 |
Max. Negotiated Rate |
$13,702.30 |
Rate for Payer: Aetna CHP/Medicaid |
$13,702.30
|
Rate for Payer: Humana OH Medicaid |
$13,702.30
|
|
INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$26,229.51
|
|
Service Code
|
APR-DRG 8624
|
Hospital Charge Code |
APRDRG 8624
|
Min. Negotiated Rate |
$26,229.51 |
Max. Negotiated Rate |
$26,229.51 |
Rate for Payer: Aetna CHP/Medicaid |
$26,229.51
|
Rate for Payer: Humana OH Medicaid |
$26,229.51
|
|
INPATIENT APRDRG 8631: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,071.00
|
|
Service Code
|
APR-DRG 8631
|
Hospital Charge Code |
APRDRG 8631
|
Min. Negotiated Rate |
$6,071.00 |
Max. Negotiated Rate |
$6,071.00 |
Rate for Payer: Aetna CHP/Medicaid |
$6,071.00
|
Rate for Payer: Humana OH Medicaid |
$6,071.00
|
|
INPATIENT APRDRG 8632: NEONATAL AFTERCARE
|
Facility
|
IP
|
$24,560.08
|
|
Service Code
|
APR-DRG 8632
|
Hospital Charge Code |
APRDRG 8632
|
Min. Negotiated Rate |
$24,560.08 |
Max. Negotiated Rate |
$24,560.08 |
Rate for Payer: Aetna CHP/Medicaid |
$24,560.08
|
Rate for Payer: Humana OH Medicaid |
$24,560.08
|
|
INPATIENT APRDRG 8633: NEONATAL AFTERCARE
|
Facility
|
IP
|
$44,070.31
|
|
Service Code
|
APR-DRG 8633
|
Hospital Charge Code |
APRDRG 8633
|
Min. Negotiated Rate |
$44,070.31 |
Max. Negotiated Rate |
$44,070.31 |
Rate for Payer: Aetna CHP/Medicaid |
$44,070.31
|
Rate for Payer: Humana OH Medicaid |
$44,070.31
|
|
INPATIENT APRDRG 8634: NEONATAL AFTERCARE
|
Facility
|
IP
|
$58,331.90
|
|
Service Code
|
APR-DRG 8634
|
Hospital Charge Code |
APRDRG 8634
|
Min. Negotiated Rate |
$58,331.90 |
Max. Negotiated Rate |
$58,331.90 |
Rate for Payer: Aetna CHP/Medicaid |
$58,331.90
|
Rate for Payer: Humana OH Medicaid |
$58,331.90
|
|
INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,704.28
|
|
Service Code
|
APR-DRG 8901
|
Hospital Charge Code |
APRDRG 8901
|
Min. Negotiated Rate |
$4,704.28 |
Max. Negotiated Rate |
$4,704.28 |
Rate for Payer: Aetna CHP/Medicaid |
$4,704.28
|
Rate for Payer: Humana OH Medicaid |
$4,704.28
|
|
INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,704.28
|
|
Service Code
|
APR-DRG 8902
|
Hospital Charge Code |
APRDRG 8902
|
Min. Negotiated Rate |
$4,704.28 |
Max. Negotiated Rate |
$4,704.28 |
Rate for Payer: Aetna CHP/Medicaid |
$4,704.28
|
Rate for Payer: Humana OH Medicaid |
$4,704.28
|
|
INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$8,340.65
|
|
Service Code
|
APR-DRG 8903
|
Hospital Charge Code |
APRDRG 8903
|
Min. Negotiated Rate |
$8,340.65 |
Max. Negotiated Rate |
$8,340.65 |
Rate for Payer: Aetna CHP/Medicaid |
$8,340.65
|
Rate for Payer: Humana OH Medicaid |
$8,340.65
|
|
INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$14,696.17
|
|
Service Code
|
APR-DRG 8904
|
Hospital Charge Code |
APRDRG 8904
|
Min. Negotiated Rate |
$14,696.17 |
Max. Negotiated Rate |
$14,696.17 |
Rate for Payer: Aetna CHP/Medicaid |
$14,696.17
|
Rate for Payer: Humana OH Medicaid |
$14,696.17
|
|
INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,080.03
|
|
Service Code
|
APR-DRG 8921
|
Hospital Charge Code |
APRDRG 8921
|
Min. Negotiated Rate |
$4,080.03 |
Max. Negotiated Rate |
$4,080.03 |
Rate for Payer: Aetna CHP/Medicaid |
$4,080.03
|
Rate for Payer: Humana OH Medicaid |
$4,080.03
|
|
INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,080.03
|
|
Service Code
|
APR-DRG 8922
|
Hospital Charge Code |
APRDRG 8922
|
Min. Negotiated Rate |
$4,080.03 |
Max. Negotiated Rate |
$4,080.03 |
Rate for Payer: Aetna CHP/Medicaid |
$4,080.03
|
Rate for Payer: Humana OH Medicaid |
$4,080.03
|
|
INPATIENT APRDRG 8923: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$6,601.06
|
|
Service Code
|
APR-DRG 8923
|
Hospital Charge Code |
APRDRG 8923
|
Min. Negotiated Rate |
$6,601.06 |
Max. Negotiated Rate |
$6,601.06 |
Rate for Payer: Aetna CHP/Medicaid |
$6,601.06
|
Rate for Payer: Humana OH Medicaid |
$6,601.06
|
|
INPATIENT APRDRG 8924: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$8,182.80
|
|
Service Code
|
APR-DRG 8924
|
Hospital Charge Code |
APRDRG 8924
|
Min. Negotiated Rate |
$8,182.80 |
Max. Negotiated Rate |
$8,182.80 |
Rate for Payer: Aetna CHP/Medicaid |
$8,182.80
|
Rate for Payer: Humana OH Medicaid |
$8,182.80
|
|
INPATIENT APRDRG 8931: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,127.16
|
|
Service Code
|
APR-DRG 8931
|
Hospital Charge Code |
APRDRG 8931
|
Min. Negotiated Rate |
$5,127.16 |
Max. Negotiated Rate |
$5,127.16 |
Rate for Payer: Aetna CHP/Medicaid |
$5,127.16
|
Rate for Payer: Humana OH Medicaid |
$5,127.16
|
|
INPATIENT APRDRG 8932: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,127.16
|
|
Service Code
|
APR-DRG 8932
|
Hospital Charge Code |
APRDRG 8932
|
Min. Negotiated Rate |
$5,127.16 |
Max. Negotiated Rate |
$5,127.16 |
Rate for Payer: Aetna CHP/Medicaid |
$5,127.16
|
Rate for Payer: Humana OH Medicaid |
$5,127.16
|
|