|
APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$28,126.94
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$28,126.94 |
| Max. Negotiated Rate |
$28,126.94 |
| Rate for Payer: Aetna CHP/Medicaid |
$28,126.94
|
| Rate for Payer: Humana OH Medicaid |
$28,126.94
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$24,099.53
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$24,099.53 |
| Max. Negotiated Rate |
$24,099.53 |
| Rate for Payer: Aetna CHP/Medicaid |
$24,099.53
|
| Rate for Payer: Humana OH Medicaid |
$24,099.53
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$34,947.57
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$34,947.57 |
| Max. Negotiated Rate |
$34,947.57 |
| Rate for Payer: Aetna CHP/Medicaid |
$34,947.57
|
| Rate for Payer: Humana OH Medicaid |
$34,947.57
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$16,889.16
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$16,889.16 |
| Max. Negotiated Rate |
$16,889.16 |
| Rate for Payer: Aetna CHP/Medicaid |
$16,889.16
|
| Rate for Payer: Humana OH Medicaid |
$16,889.16
|
|
|
APR-DRG 42.00: OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$13,056.62
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$13,056.62 |
| Max. Negotiated Rate |
$13,056.62 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,056.62
|
| Rate for Payer: Humana OH Medicaid |
$13,056.62
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$6,560.79
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$6,560.79 |
| Max. Negotiated Rate |
$6,560.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,560.79
|
| Rate for Payer: Humana OH Medicaid |
$6,560.79
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,704.41
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$8,704.41 |
| Max. Negotiated Rate |
$8,704.41 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,704.41
|
| Rate for Payer: Humana OH Medicaid |
$8,704.41
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,229.45
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$24,229.45 |
| Max. Negotiated Rate |
$24,229.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$24,229.45
|
| Rate for Payer: Humana OH Medicaid |
$24,229.45
|
|
|
APR-DRG 42.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,525.03
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$15,525.03 |
| Max. Negotiated Rate |
$15,525.03 |
| Rate for Payer: Aetna CHP/Medicaid |
$15,525.03
|
| Rate for Payer: Humana OH Medicaid |
$15,525.03
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,053.04
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,053.04 |
| Max. Negotiated Rate |
$3,053.04 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,053.04
|
| Rate for Payer: Humana OH Medicaid |
$3,053.04
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,078.67
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$2,078.67 |
| Max. Negotiated Rate |
$2,078.67 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,078.67
|
| Rate for Payer: Humana OH Medicaid |
$2,078.67
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,601.91
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$12,601.91 |
| Max. Negotiated Rate |
$12,601.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$12,601.91
|
| Rate for Payer: Humana OH Medicaid |
$12,601.91
|
|
|
APR-DRG 42.00: OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$5,911.21
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$5,911.21 |
| Max. Negotiated Rate |
$5,911.21 |
| Rate for Payer: Aetna CHP/Medicaid |
$5,911.21
|
| Rate for Payer: Humana OH Medicaid |
$5,911.21
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,690.70
|
|
|
Service Code
|
APR-DRG 0731
|
| 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: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$9,029.20
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$9,029.20 |
| Max. Negotiated Rate |
$9,029.20 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,029.20
|
| Rate for Payer: Humana OH Medicaid |
$9,029.20
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$13,511.33
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$13,511.33 |
| Max. Negotiated Rate |
$13,511.33 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,511.33
|
| Rate for Payer: Humana OH Medicaid |
$13,511.33
|
|
|
APR-DRG 42.00: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$23,969.61
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$23,969.61 |
| Max. Negotiated Rate |
$23,969.61 |
| Rate for Payer: Aetna CHP/Medicaid |
$23,969.61
|
| Rate for Payer: Humana OH Medicaid |
$23,969.61
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$3,572.71
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$3,572.71 |
| Max. Negotiated Rate |
$3,572.71 |
| Rate for Payer: Aetna CHP/Medicaid |
$3,572.71
|
| Rate for Payer: Humana OH Medicaid |
$3,572.71
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$18,837.91
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$18,837.91 |
| Max. Negotiated Rate |
$18,837.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$18,837.91
|
| Rate for Payer: Humana OH Medicaid |
$18,837.91
|
|
|
APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$5,326.58
|
|
|
Service Code
|
APR-DRG 7572
|
| 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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$7,665.08
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$7,665.08 |
| Max. Negotiated Rate |
$7,665.08 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,665.08
|
| Rate for Payer: Humana OH Medicaid |
$7,665.08
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$4,806.91
|
|
|
Service Code
|
APR-DRG 3441
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$9,548.87
|
|
|
Service Code
|
APR-DRG 3443
|
| Min. Negotiated Rate |
$9,548.87 |
| Max. Negotiated Rate |
$9,548.87 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,548.87
|
| Rate for Payer: Humana OH Medicaid |
$9,548.87
|
|
|
APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,430.87
|
|
|
Service Code
|
APR-DRG 3442
|
| 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: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$15,200.24
|
|
|
Service Code
|
APR-DRG 3444
|
| 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
|
|