|
APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$14,875.45
|
|
|
Service Code
|
APR-DRG 2612
|
| 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: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$13,901.08
|
|
|
Service Code
|
APR-DRG 4411
|
| 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: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$17,278.91
|
|
|
Service Code
|
APR-DRG 4412
|
| Min. Negotiated Rate |
$17,278.91 |
| Max. Negotiated Rate |
$17,278.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,278.91
|
| Rate for Payer: Humana OH Medicaid |
$17,278.91
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$32,544.11
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$32,544.11 |
| Max. Negotiated Rate |
$32,544.11 |
| Rate for Payer: Aetna CHP/Medicaid |
$32,544.11
|
| Rate for Payer: Humana OH Medicaid |
$32,544.11
|
|
|
APR-DRG 42.00: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$22,345.66
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$22,345.66 |
| Max. Negotiated Rate |
$22,345.66 |
| Rate for Payer: Aetna CHP/Medicaid |
$22,345.66
|
| Rate for Payer: Humana OH Medicaid |
$22,345.66
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$40,793.81
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$40,793.81 |
| Max. Negotiated Rate |
$40,793.81 |
| Rate for Payer: Aetna CHP/Medicaid |
$40,793.81
|
| Rate for Payer: Humana OH Medicaid |
$40,793.81
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$30,530.40
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$30,530.40 |
| Max. Negotiated Rate |
$30,530.40 |
| Rate for Payer: Aetna CHP/Medicaid |
$30,530.40
|
| Rate for Payer: Humana OH Medicaid |
$30,530.40
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$88,018.50
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$88,018.50 |
| Max. Negotiated Rate |
$88,018.50 |
| Rate for Payer: Aetna CHP/Medicaid |
$88,018.50
|
| Rate for Payer: Humana OH Medicaid |
$88,018.50
|
|
|
APR-DRG 42.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$21,631.11
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$21,631.11 |
| Max. Negotiated Rate |
$21,631.11 |
| Rate for Payer: Aetna CHP/Medicaid |
$21,631.11
|
| Rate for Payer: Humana OH Medicaid |
$21,631.11
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$14,615.62
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$14,615.62 |
| Max. Negotiated Rate |
$14,615.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,615.62
|
| Rate for Payer: Humana OH Medicaid |
$14,615.62
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$4,482.12
|
|
|
Service Code
|
APR-DRG 1351
|
| 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: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,651.37
|
|
|
Service Code
|
APR-DRG 1352
|
| Min. Negotiated Rate |
$5,651.37 |
| Max. Negotiated Rate |
$5,651.37 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,651.37
|
| Rate for Payer: Humana OH Medicaid |
$5,651.37
|
|
|
APR-DRG 42.00: MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
|
IP
|
$8,249.70
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$8,249.70 |
| Max. Negotiated Rate |
$8,249.70 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,249.70
|
| Rate for Payer: Humana OH Medicaid |
$8,249.70
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$34,882.61
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$34,882.61 |
| Max. Negotiated Rate |
$34,882.61 |
| Rate for Payer: Aetna CHP/Medicaid |
$34,882.61
|
| Rate for Payer: Humana OH Medicaid |
$34,882.61
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$26,048.28
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$26,048.28 |
| Max. Negotiated Rate |
$26,048.28 |
| Rate for Payer: Aetna CHP/Medicaid |
$26,048.28
|
| Rate for Payer: Humana OH Medicaid |
$26,048.28
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,627.54
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$11,627.54 |
| Max. Negotiated Rate |
$11,627.54 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,627.54
|
| Rate for Payer: Humana OH Medicaid |
$11,627.54
|
|
|
APR-DRG 42.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,200.24
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$15,200.24 |
| Max. Negotiated Rate |
$15,200.24 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,200.24
|
| Rate for Payer: Humana OH Medicaid |
$15,200.24
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$15,914.78
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$15,914.78 |
| Max. Negotiated Rate |
$15,914.78 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,914.78
|
| Rate for Payer: Humana OH Medicaid |
$15,914.78
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,287.25
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$4,287.25 |
| Max. Negotiated Rate |
$4,287.25 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,287.25
|
| Rate for Payer: Humana OH Medicaid |
$4,287.25
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$8,184.75
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$8,184.75 |
| Max. Negotiated Rate |
$8,184.75 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,184.75
|
| Rate for Payer: Humana OH Medicaid |
$8,184.75
|
|
|
APR-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,456.50
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$5,456.50 |
| Max. Negotiated Rate |
$5,456.50 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,456.50
|
| Rate for Payer: Humana OH Medicaid |
$5,456.50
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,637.66
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$3,637.66 |
| Max. Negotiated Rate |
$3,637.66 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,637.66
|
| Rate for Payer: Humana OH Medicaid |
$3,637.66
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,001.79
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$5,001.79 |
| Max. Negotiated Rate |
$5,001.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,001.79
|
| Rate for Payer: Humana OH Medicaid |
$5,001.79
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$7,535.16
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$7,535.16 |
| Max. Negotiated Rate |
$7,535.16 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,535.16
|
| Rate for Payer: Humana OH Medicaid |
$7,535.16
|
|
|
APR-DRG 42.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
|
IP
|
$13,186.53
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$13,186.53 |
| Max. Negotiated Rate |
$13,186.53 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,186.53
|
| Rate for Payer: Humana OH Medicaid |
$13,186.53
|
|