|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$7,470.20
|
|
|
Service Code
|
APR-DRG 4282
|
| Min. Negotiated Rate |
$7,470.20 |
| Max. Negotiated Rate |
$7,470.20 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,470.20
|
| Rate for Payer: Humana OH Medicaid |
$7,470.20
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$4,806.91
|
|
|
Service Code
|
APR-DRG 4281
|
| Min. Negotiated Rate |
$4,806.91 |
| Max. Negotiated Rate |
$4,806.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,806.91
|
| Rate for Payer: Humana OH Medicaid |
$4,806.91
|
|
|
APR-DRG 42.00: GENETIC DISORDERS
|
Facility
|
IP
|
$34,817.65
|
|
|
Service Code
|
APR-DRG 4284
|
| Min. Negotiated Rate |
$34,817.65 |
| Max. Negotiated Rate |
$34,817.65 |
| Rate for Payer: Aetna CHP/Medicaid |
$34,817.65
|
| Rate for Payer: Humana OH Medicaid |
$34,817.65
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$6,430.87
|
|
|
Service Code
|
APR-DRG 3161
|
| Min. Negotiated Rate |
$6,430.87 |
| Max. Negotiated Rate |
$6,430.87 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,430.87
|
| Rate for Payer: Humana OH Medicaid |
$6,430.87
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$12,926.70
|
|
|
Service Code
|
APR-DRG 3163
|
| Min. Negotiated Rate |
$12,926.70 |
| Max. Negotiated Rate |
$12,926.70 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,926.70
|
| Rate for Payer: Humana OH Medicaid |
$12,926.70
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$8,639.45
|
|
|
Service Code
|
APR-DRG 3162
|
| Min. Negotiated Rate |
$8,639.45 |
| Max. Negotiated Rate |
$8,639.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,639.45
|
| Rate for Payer: Humana OH Medicaid |
$8,639.45
|
|
|
APR-DRG 42.00: HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$20,526.82
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$20,526.82 |
| Max. Negotiated Rate |
$20,526.82 |
| Rate for Payer: Aetna CHP/Medicaid |
$20,526.82
|
| Rate for Payer: Humana OH Medicaid |
$20,526.82
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$17,993.45
|
|
|
Service Code
|
APR-DRG 0554
|
| Min. Negotiated Rate |
$17,993.45 |
| Max. Negotiated Rate |
$17,993.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,993.45
|
| Rate for Payer: Humana OH Medicaid |
$17,993.45
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$10,393.33
|
|
|
Service Code
|
APR-DRG 0553
|
| Min. Negotiated Rate |
$10,393.33 |
| Max. Negotiated Rate |
$10,393.33 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,393.33
|
| Rate for Payer: Humana OH Medicaid |
$10,393.33
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$6,690.70
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$6,690.70 |
| Max. Negotiated Rate |
$6,690.70 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,690.70
|
| Rate for Payer: Humana OH Medicaid |
$6,690.70
|
|
|
APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$4,806.91
|
|
|
Service Code
|
APR-DRG 0551
|
| Min. Negotiated Rate |
$4,806.91 |
| Max. Negotiated Rate |
$4,806.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,806.91
|
| Rate for Payer: Humana OH Medicaid |
$4,806.91
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$205,398.14
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$205,398.14 |
| Max. Negotiated Rate |
$205,398.14 |
| Rate for Payer: Aetna CHP/Medicaid |
$205,398.14
|
| Rate for Payer: Humana OH Medicaid |
$205,398.14
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$111,858.19
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$111,858.19 |
| Max. Negotiated Rate |
$111,858.19 |
| Rate for Payer: Aetna CHP/Medicaid |
$111,858.19
|
| Rate for Payer: Humana OH Medicaid |
$111,858.19
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$74,896.92
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$74,896.92 |
| Max. Negotiated Rate |
$74,896.92 |
| Rate for Payer: Aetna CHP/Medicaid |
$74,896.92
|
| Rate for Payer: Humana OH Medicaid |
$74,896.92
|
|
|
APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$84,705.62
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$84,705.62 |
| Max. Negotiated Rate |
$84,705.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$84,705.62
|
| Rate for Payer: Humana OH Medicaid |
$84,705.62
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$15,135.28
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$15,135.28 |
| Max. Negotiated Rate |
$15,135.28 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,135.28
|
| Rate for Payer: Humana OH Medicaid |
$15,135.28
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$3,442.79
|
|
|
Service Code
|
APR-DRG 1941
|
| 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: HEART FAILURE
|
Facility
|
IP
|
$4,806.91
|
|
|
Service Code
|
APR-DRG 1942
|
| Min. Negotiated Rate |
$4,806.91 |
| Max. Negotiated Rate |
$4,806.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,806.91
|
| Rate for Payer: Humana OH Medicaid |
$4,806.91
|
|
|
APR-DRG 42.00: HEART FAILURE
|
Facility
|
IP
|
$7,859.95
|
|
|
Service Code
|
APR-DRG 1943
|
| 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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,507.75
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$3,507.75 |
| Max. Negotiated Rate |
$3,507.75 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,507.75
|
| Rate for Payer: Humana OH Medicaid |
$3,507.75
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$7,730.04
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$7,730.04 |
| Max. Negotiated Rate |
$7,730.04 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,730.04
|
| Rate for Payer: Humana OH Medicaid |
$7,730.04
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$14,875.45
|
|
|
Service Code
|
APR-DRG 8104
|
| Min. Negotiated Rate |
$14,875.45 |
| Max. Negotiated Rate |
$14,875.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,875.45
|
| Rate for Payer: Humana OH Medicaid |
$14,875.45
|
|
|
APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$4,871.87
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$4,871.87 |
| Max. Negotiated Rate |
$4,871.87 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,871.87
|
| Rate for Payer: Humana OH Medicaid |
$4,871.87
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,871.87
|
|
|
Service Code
|
APR-DRG 2792
|
| Min. Negotiated Rate |
$4,871.87 |
| Max. Negotiated Rate |
$4,871.87 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,871.87
|
| Rate for Payer: Humana OH Medicaid |
$4,871.87
|
|
|
APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$15,979.74
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$15,979.74 |
| Max. Negotiated Rate |
$15,979.74 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,979.74
|
| Rate for Payer: Humana OH Medicaid |
$15,979.74
|
|