|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$8,119.79
|
|
|
Service Code
|
APR-DRG 2453
|
| Min. Negotiated Rate |
$8,119.79 |
| Max. Negotiated Rate |
$8,119.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,119.79
|
| Rate for Payer: Humana OH Medicaid |
$8,119.79
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$13,901.08
|
|
|
Service Code
|
APR-DRG 2454
|
| Min. Negotiated Rate |
$13,901.08 |
| Max. Negotiated Rate |
$13,901.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,901.08
|
| Rate for Payer: Humana OH Medicaid |
$13,901.08
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$5,261.62
|
|
|
Service Code
|
APR-DRG 2452
|
| Min. Negotiated Rate |
$5,261.62 |
| Max. Negotiated Rate |
$5,261.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,261.62
|
| Rate for Payer: Humana OH Medicaid |
$5,261.62
|
|
|
APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,897.50
|
|
|
Service Code
|
APR-DRG 2451
|
| Min. Negotiated Rate |
$3,897.50 |
| Max. Negotiated Rate |
$3,897.50 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,897.50
|
| Rate for Payer: Humana OH Medicaid |
$3,897.50
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$11,692.49
|
|
|
Service Code
|
APR-DRG 2283
|
| Min. Negotiated Rate |
$11,692.49 |
| Max. Negotiated Rate |
$11,692.49 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,692.49
|
| Rate for Payer: Humana OH Medicaid |
$11,692.49
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$8,379.62
|
|
|
Service Code
|
APR-DRG 2282
|
| Min. Negotiated Rate |
$8,379.62 |
| Max. Negotiated Rate |
$8,379.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,379.62
|
| Rate for Payer: Humana OH Medicaid |
$8,379.62
|
|
|
APR-DRG 42.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$6,690.70
|
|
|
Service Code
|
APR-DRG 2281
|
| 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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$20,851.61
|
|
|
Service Code
|
APR-DRG 2284
|
| Min. Negotiated Rate |
$20,851.61 |
| Max. Negotiated Rate |
$20,851.61 |
| Rate for Payer: Aetna CHP/Medicaid |
$20,851.61
|
| Rate for Payer: Humana OH Medicaid |
$20,851.61
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$20,786.66
|
|
|
Service Code
|
APR-DRG 1763
|
| Min. Negotiated Rate |
$20,786.66 |
| Max. Negotiated Rate |
$20,786.66 |
| Rate for Payer: Aetna CHP/Medicaid |
$20,786.66
|
| Rate for Payer: Humana OH Medicaid |
$20,786.66
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$29,361.15
|
|
|
Service Code
|
APR-DRG 1764
|
| Min. Negotiated Rate |
$29,361.15 |
| Max. Negotiated Rate |
$29,361.15 |
| Rate for Payer: Aetna CHP/Medicaid |
$29,361.15
|
| Rate for Payer: Humana OH Medicaid |
$29,361.15
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$15,460.08
|
|
|
Service Code
|
APR-DRG 1762
|
| Min. Negotiated Rate |
$15,460.08 |
| Max. Negotiated Rate |
$15,460.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,460.08
|
| Rate for Payer: Humana OH Medicaid |
$15,460.08
|
|
|
APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES
|
Facility
|
IP
|
$11,367.70
|
|
|
Service Code
|
APR-DRG 1761
|
| Min. Negotiated Rate |
$11,367.70 |
| Max. Negotiated Rate |
$11,367.70 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,367.70
|
| Rate for Payer: Humana OH Medicaid |
$11,367.70
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$2,663.29
|
|
|
Service Code
|
APR-DRG 8171
|
| Min. Negotiated Rate |
$2,663.29 |
| Max. Negotiated Rate |
$2,663.29 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,663.29
|
| Rate for Payer: Humana OH Medicaid |
$2,663.29
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$14,940.41
|
|
|
Service Code
|
APR-DRG 8174
|
| Min. Negotiated Rate |
$14,940.41 |
| Max. Negotiated Rate |
$14,940.41 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,940.41
|
| Rate for Payer: Humana OH Medicaid |
$14,940.41
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$3,897.50
|
|
|
Service Code
|
APR-DRG 8172
|
| Min. Negotiated Rate |
$3,897.50 |
| Max. Negotiated Rate |
$3,897.50 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,897.50
|
| Rate for Payer: Humana OH Medicaid |
$3,897.50
|
|
|
APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE
|
Facility
|
IP
|
$7,340.29
|
|
|
Service Code
|
APR-DRG 8173
|
| Min. Negotiated Rate |
$7,340.29 |
| Max. Negotiated Rate |
$7,340.29 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,340.29
|
| Rate for Payer: Humana OH Medicaid |
$7,340.29
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,781.29
|
|
|
Service Code
|
APR-DRG 1422
|
| 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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$13,641.24
|
|
|
Service Code
|
APR-DRG 1424
|
| Min. Negotiated Rate |
$13,641.24 |
| Max. Negotiated Rate |
$13,641.24 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,641.24
|
| Rate for Payer: Humana OH Medicaid |
$13,641.24
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,482.12
|
|
|
Service Code
|
APR-DRG 1421
|
| Min. Negotiated Rate |
$4,482.12 |
| Max. Negotiated Rate |
$4,482.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,482.12
|
| Rate for Payer: Humana OH Medicaid |
$4,482.12
|
|
|
APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$8,769.37
|
|
|
Service Code
|
APR-DRG 1423
|
| Min. Negotiated Rate |
$8,769.37 |
| Max. Negotiated Rate |
$8,769.37 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,769.37
|
| Rate for Payer: Humana OH Medicaid |
$8,769.37
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,182.96
|
|
|
Service Code
|
APR-DRG 2471
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$6,755.66
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$6,755.66 |
| Max. Negotiated Rate |
$6,755.66 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,755.66
|
| Rate for Payer: Humana OH Medicaid |
$6,755.66
|
|
|
APR-DRG 42.00: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$4,222.29
|
|
|
Service Code
|
APR-DRG 2472
|
| 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: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$12,147.20
|
|
|
Service Code
|
APR-DRG 2474
|
| Min. Negotiated Rate |
$12,147.20 |
| Max. Negotiated Rate |
$12,147.20 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,147.20
|
| Rate for Payer: Humana OH Medicaid |
$12,147.20
|
|
|
APR-DRG 42.00: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$10,393.33
|
|
|
Service Code
|
APR-DRG 0443
|
| 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
|
|