|
APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,677.00
|
|
|
Service Code
|
APR-DRG 5432
|
| Min. Negotiated Rate |
$4,677.00 |
| Max. Negotiated Rate |
$4,677.00 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,677.00
|
| Rate for Payer: Humana OH Medicaid |
$4,677.00
|
|
|
APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$7,600.12
|
|
|
Service Code
|
APR-DRG 5433
|
| Min. Negotiated Rate |
$7,600.12 |
| Max. Negotiated Rate |
$7,600.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,600.12
|
| Rate for Payer: Humana OH Medicaid |
$7,600.12
|
|
|
APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$14,680.58
|
|
|
Service Code
|
APR-DRG 5434
|
| Min. Negotiated Rate |
$14,680.58 |
| Max. Negotiated Rate |
$14,680.58 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,680.58
|
| Rate for Payer: Humana OH Medicaid |
$14,680.58
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,182.96
|
|
|
Service Code
|
APR-DRG 5642
|
| Min. Negotiated Rate |
$3,182.96 |
| Max. Negotiated Rate |
$3,182.96 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,182.96
|
| Rate for Payer: Humana OH Medicaid |
$3,182.96
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$5,326.58
|
|
|
Service Code
|
APR-DRG 5643
|
| Min. Negotiated Rate |
$5,326.58 |
| Max. Negotiated Rate |
$5,326.58 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,326.58
|
| Rate for Payer: Humana OH Medicaid |
$5,326.58
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,273.54
|
|
|
Service Code
|
APR-DRG 5641
|
| Min. Negotiated Rate |
$2,273.54 |
| Max. Negotiated Rate |
$2,273.54 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,273.54
|
| Rate for Payer: Humana OH Medicaid |
$2,273.54
|
|
|
APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$11,562.58
|
|
|
Service Code
|
APR-DRG 5644
|
| Min. Negotiated Rate |
$11,562.58 |
| Max. Negotiated Rate |
$11,562.58 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,562.58
|
| Rate for Payer: Humana OH Medicaid |
$11,562.58
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$10,783.08
|
|
|
Service Code
|
APR-DRG 1933
|
| Min. Negotiated Rate |
$10,783.08 |
| Max. Negotiated Rate |
$10,783.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,783.08
|
| Rate for Payer: Humana OH Medicaid |
$10,783.08
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$7,210.37
|
|
|
Service Code
|
APR-DRG 1931
|
| Min. Negotiated Rate |
$7,210.37 |
| Max. Negotiated Rate |
$7,210.37 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,210.37
|
| Rate for Payer: Humana OH Medicaid |
$7,210.37
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$15,849.83
|
|
|
Service Code
|
APR-DRG 1934
|
| Min. Negotiated Rate |
$15,849.83 |
| Max. Negotiated Rate |
$15,849.83 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,849.83
|
| Rate for Payer: Humana OH Medicaid |
$15,849.83
|
|
|
APR-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$7,859.95
|
|
|
Service Code
|
APR-DRG 1932
|
| Min. Negotiated Rate |
$7,859.95 |
| Max. Negotiated Rate |
$7,859.95 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,859.95
|
| Rate for Payer: Humana OH Medicaid |
$7,859.95
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$4,547.08
|
|
|
Service Code
|
APR-DRG 7562
|
| Min. Negotiated Rate |
$4,547.08 |
| Max. Negotiated Rate |
$4,547.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,547.08
|
| Rate for Payer: Humana OH Medicaid |
$4,547.08
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$2,988.08
|
|
|
Service Code
|
APR-DRG 7561
|
| Min. Negotiated Rate |
$2,988.08 |
| Max. Negotiated Rate |
$2,988.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,988.08
|
| Rate for Payer: Humana OH Medicaid |
$2,988.08
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$6,365.91
|
|
|
Service Code
|
APR-DRG 7563
|
| Min. Negotiated Rate |
$6,365.91 |
| Max. Negotiated Rate |
$6,365.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,365.91
|
| Rate for Payer: Humana OH Medicaid |
$6,365.91
|
|
|
APR-DRG 42.00: ACUTE ANXIETY AND STRESS SYNDROMES
|
Facility
|
IP
|
$11,302.74
|
|
|
Service Code
|
APR-DRG 7564
|
| Min. Negotiated Rate |
$11,302.74 |
| Max. Negotiated Rate |
$11,302.74 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,302.74
|
| Rate for Payer: Humana OH Medicaid |
$11,302.74
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,442.79
|
|
|
Service Code
|
APR-DRG 1451
|
| Min. Negotiated Rate |
$3,442.79 |
| Max. Negotiated Rate |
$3,442.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,442.79
|
| Rate for Payer: Humana OH Medicaid |
$3,442.79
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$9,483.91
|
|
|
Service Code
|
APR-DRG 1454
|
| Min. Negotiated Rate |
$9,483.91 |
| Max. Negotiated Rate |
$9,483.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,483.91
|
| Rate for Payer: Humana OH Medicaid |
$9,483.91
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,222.29
|
|
|
Service Code
|
APR-DRG 1452
|
| Min. Negotiated Rate |
$4,222.29 |
| Max. Negotiated Rate |
$4,222.29 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,222.29
|
| Rate for Payer: Humana OH Medicaid |
$4,222.29
|
|
|
APR-DRG 42.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$5,781.29
|
|
|
Service Code
|
APR-DRG 1453
|
| Min. Negotiated Rate |
$5,781.29 |
| Max. Negotiated Rate |
$5,781.29 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,781.29
|
| Rate for Payer: Humana OH Medicaid |
$5,781.29
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$4,547.08
|
|
|
Service Code
|
APR-DRG 4692
|
| Min. Negotiated Rate |
$4,547.08 |
| Max. Negotiated Rate |
$4,547.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,547.08
|
| Rate for Payer: Humana OH Medicaid |
$4,547.08
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$15,070.33
|
|
|
Service Code
|
APR-DRG 4694
|
| Min. Negotiated Rate |
$15,070.33 |
| Max. Negotiated Rate |
$15,070.33 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,070.33
|
| Rate for Payer: Humana OH Medicaid |
$15,070.33
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,247.91
|
|
|
Service Code
|
APR-DRG 4691
|
| Min. Negotiated Rate |
$3,247.91 |
| Max. Negotiated Rate |
$3,247.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,247.91
|
| Rate for Payer: Humana OH Medicaid |
$3,247.91
|
|
|
APR-DRG 42.00: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$7,859.95
|
|
|
Service Code
|
APR-DRG 4693
|
| Min. Negotiated Rate |
$7,859.95 |
| Max. Negotiated Rate |
$7,859.95 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,859.95
|
| Rate for Payer: Humana OH Medicaid |
$7,859.95
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$9,289.04
|
|
|
Service Code
|
APR-DRG 6901
|
| Min. Negotiated Rate |
$9,289.04 |
| Max. Negotiated Rate |
$9,289.04 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,289.04
|
| Rate for Payer: Humana OH Medicaid |
$9,289.04
|
|
|
APR-DRG 42.00: ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,694.28
|
|
|
Service Code
|
APR-DRG 6902
|
| Min. Negotiated Rate |
$16,694.28 |
| Max. Negotiated Rate |
$16,694.28 |
| Rate for Payer: Aetna CHP/Medicaid |
$16,694.28
|
| Rate for Payer: Humana OH Medicaid |
$16,694.28
|
|