|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$9,094.16
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$9,094.16 |
| Max. Negotiated Rate |
$9,094.16 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,094.16
|
| Rate for Payer: Humana OH Medicaid |
$9,094.16
|
|
|
APR-DRG 42.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$17,278.91
|
|
|
Service Code
|
APR-DRG 6604
|
| 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 HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$5,781.29
|
|
|
Service Code
|
APR-DRG 6602
|
| 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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
|
IP
|
$4,547.08
|
|
|
Service Code
|
APR-DRG 6601
|
| 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: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$26,438.03
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$26,438.03 |
| Max. Negotiated Rate |
$26,438.03 |
| Rate for Payer: Aetna CHP/Medicaid |
$26,438.03
|
| Rate for Payer: Humana OH Medicaid |
$26,438.03
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,678.79
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$9,678.79 |
| Max. Negotiated Rate |
$9,678.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,678.79
|
| Rate for Payer: Humana OH Medicaid |
$9,678.79
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$12,407.04
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$12,407.04 |
| Max. Negotiated Rate |
$12,407.04 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,407.04
|
| Rate for Payer: Humana OH Medicaid |
$12,407.04
|
|
|
APR-DRG 42.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$17,798.57
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$17,798.57 |
| Max. Negotiated Rate |
$17,798.57 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,798.57
|
| Rate for Payer: Humana OH Medicaid |
$17,798.57
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$23,384.99
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$23,384.99 |
| Max. Negotiated Rate |
$23,384.99 |
| Rate for Payer: Aetna CHP/Medicaid |
$23,384.99
|
| Rate for Payer: Humana OH Medicaid |
$23,384.99
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$42,937.44
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$42,937.44 |
| Max. Negotiated Rate |
$42,937.44 |
| Rate for Payer: Aetna CHP/Medicaid |
$42,937.44
|
| Rate for Payer: Humana OH Medicaid |
$42,937.44
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$14,745.53
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$14,745.53 |
| Max. Negotiated Rate |
$14,745.53 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,745.53
|
| Rate for Payer: Humana OH Medicaid |
$14,745.53
|
|
|
APR-DRG 42.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$10,718.12
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$10,718.12 |
| Max. Negotiated Rate |
$10,718.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,718.12
|
| Rate for Payer: Humana OH Medicaid |
$10,718.12
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$22,085.82
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$22,085.82 |
| Max. Negotiated Rate |
$22,085.82 |
| Rate for Payer: Aetna CHP/Medicaid |
$22,085.82
|
| Rate for Payer: Humana OH Medicaid |
$22,085.82
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$37,286.06
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$37,286.06 |
| Max. Negotiated Rate |
$37,286.06 |
| Rate for Payer: Aetna CHP/Medicaid |
$37,286.06
|
| Rate for Payer: Humana OH Medicaid |
$37,286.06
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$12,212.16
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$12,212.16 |
| Max. Negotiated Rate |
$12,212.16 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,212.16
|
| Rate for Payer: Humana OH Medicaid |
$12,212.16
|
|
|
APR-DRG 42.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$16,629.32
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$16,629.32 |
| Max. Negotiated Rate |
$16,629.32 |
| Rate for Payer: Aetna CHP/Medicaid |
$16,629.32
|
| Rate for Payer: Humana OH Medicaid |
$16,629.32
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$22,670.45
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$22,670.45 |
| Max. Negotiated Rate |
$22,670.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$22,670.45
|
| Rate for Payer: Humana OH Medicaid |
$22,670.45
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$35,986.90
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$35,986.90 |
| Max. Negotiated Rate |
$35,986.90 |
| Rate for Payer: Aetna CHP/Medicaid |
$35,986.90
|
| Rate for Payer: Humana OH Medicaid |
$35,986.90
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$12,147.20
|
|
|
Service Code
|
APR-DRG 1201
|
| 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: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$15,070.33
|
|
|
Service Code
|
APR-DRG 1202
|
| 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: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$6,820.62
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$6,820.62 |
| Max. Negotiated Rate |
$6,820.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,820.62
|
| Rate for Payer: Humana OH Medicaid |
$6,820.62
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$12,861.74
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$12,861.74 |
| Max. Negotiated Rate |
$12,861.74 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,861.74
|
| Rate for Payer: Humana OH Medicaid |
$12,861.74
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$3,767.58
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$3,767.58 |
| Max. Negotiated Rate |
$3,767.58 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,767.58
|
| Rate for Payer: Humana OH Medicaid |
$3,767.58
|
|
|
APR-DRG 42.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$4,612.04
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$4,612.04 |
| Max. Negotiated Rate |
$4,612.04 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,612.04
|
| Rate for Payer: Humana OH Medicaid |
$4,612.04
|
|
|
APR-DRG 42.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$3,118.00
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$3,118.00 |
| Max. Negotiated Rate |
$3,118.00 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,118.00
|
| Rate for Payer: Humana OH Medicaid |
$3,118.00
|
|