|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$17,603.70
|
|
|
Service Code
|
APR-DRG 7524
|
| Min. Negotiated Rate |
$17,603.70 |
| Max. Negotiated Rate |
$17,603.70 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,603.70
|
| Rate for Payer: Humana OH Medicaid |
$17,603.70
|
|
|
APR-DRG 42.00: PERSONALITY DISORDERS
|
Facility
|
IP
|
$7,405.25
|
|
|
Service Code
|
APR-DRG 7523
|
| Min. Negotiated Rate |
$7,405.25 |
| Max. Negotiated Rate |
$7,405.25 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,405.25
|
| Rate for Payer: Humana OH Medicaid |
$7,405.25
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$12,601.91
|
|
|
Service Code
|
APR-DRG 8124
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$6,430.87
|
|
|
Service Code
|
APR-DRG 8123
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$4,027.41
|
|
|
Service Code
|
APR-DRG 8122
|
| Min. Negotiated Rate |
$4,027.41 |
| Max. Negotiated Rate |
$4,027.41 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,027.41
|
| Rate for Payer: Humana OH Medicaid |
$4,027.41
|
|
|
APR-DRG 42.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$2,728.25
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$2,728.25 |
| Max. Negotiated Rate |
$2,728.25 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,728.25
|
| Rate for Payer: Humana OH Medicaid |
$2,728.25
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$10,588.20
|
|
|
Service Code
|
APR-DRG 7112
|
| Min. Negotiated Rate |
$10,588.20 |
| Max. Negotiated Rate |
$10,588.20 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,588.20
|
| Rate for Payer: Humana OH Medicaid |
$10,588.20
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,405.25
|
|
|
Service Code
|
APR-DRG 7111
|
| Min. Negotiated Rate |
$7,405.25 |
| Max. Negotiated Rate |
$7,405.25 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,405.25
|
| Rate for Payer: Humana OH Medicaid |
$7,405.25
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$17,084.03
|
|
|
Service Code
|
APR-DRG 7113
|
| Min. Negotiated Rate |
$17,084.03 |
| Max. Negotiated Rate |
$17,084.03 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,084.03
|
| Rate for Payer: Humana OH Medicaid |
$17,084.03
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$28,711.57
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$28,711.57 |
| Max. Negotiated Rate |
$28,711.57 |
| Rate for Payer: Aetna CHP/Medicaid |
$28,711.57
|
| Rate for Payer: Humana OH Medicaid |
$28,711.57
|
|
|
APR-DRG 42.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$5,911.21
|
|
|
Service Code
|
APR-DRG 7212
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$16,629.32
|
|
|
Service Code
|
APR-DRG 7214
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$4,222.29
|
|
|
Service Code
|
APR-DRG 7211
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$9,743.75
|
|
|
Service Code
|
APR-DRG 7213
|
| Min. Negotiated Rate |
$9,743.75 |
| Max. Negotiated Rate |
$9,743.75 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,743.75
|
| Rate for Payer: Humana OH Medicaid |
$9,743.75
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$1,818.83
|
|
|
Service Code
|
APR-DRG 5611
|
| Min. Negotiated Rate |
$1,818.83 |
| Max. Negotiated Rate |
$1,818.83 |
| Rate for Payer: Aetna CHP/Medicaid |
$1,818.83
|
| Rate for Payer: Humana OH Medicaid |
$1,818.83
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$2,923.12
|
|
|
Service Code
|
APR-DRG 5612
|
| Min. Negotiated Rate |
$2,923.12 |
| Max. Negotiated Rate |
$2,923.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,923.12
|
| Rate for Payer: Humana OH Medicaid |
$2,923.12
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$5,261.62
|
|
|
Service Code
|
APR-DRG 5613
|
| 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: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$11,042.91
|
|
|
Service Code
|
APR-DRG 5614
|
| Min. Negotiated Rate |
$11,042.91 |
| Max. Negotiated Rate |
$11,042.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,042.91
|
| Rate for Payer: Humana OH Medicaid |
$11,042.91
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,145.41
|
|
|
Service Code
|
APR-DRG 5482
|
| Min. Negotiated Rate |
$7,145.41 |
| Max. Negotiated Rate |
$7,145.41 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,145.41
|
| Rate for Payer: Humana OH Medicaid |
$7,145.41
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,923.12
|
|
|
Service Code
|
APR-DRG 5481
|
| Min. Negotiated Rate |
$2,923.12 |
| Max. Negotiated Rate |
$2,923.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$2,923.12
|
| Rate for Payer: Humana OH Medicaid |
$2,923.12
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$21,371.28
|
|
|
Service Code
|
APR-DRG 5484
|
| Min. Negotiated Rate |
$21,371.28 |
| Max. Negotiated Rate |
$21,371.28 |
| Rate for Payer: Aetna CHP/Medicaid |
$21,371.28
|
| Rate for Payer: Humana OH Medicaid |
$21,371.28
|
|
|
APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$11,237.79
|
|
|
Service Code
|
APR-DRG 5483
|
| Min. Negotiated Rate |
$11,237.79 |
| Max. Negotiated Rate |
$11,237.79 |
| Rate for Payer: Aetna CHP/Medicaid |
$11,237.79
|
| Rate for Payer: Humana OH Medicaid |
$11,237.79
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$14,680.58
|
|
|
Service Code
|
APR-DRG 4033
|
| Min. Negotiated Rate |
$14,680.58 |
| Max. Negotiated Rate |
$14,680.58 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,680.58
|
| Rate for Payer: Humana OH Medicaid |
$14,680.58
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$8,899.29
|
|
|
Service Code
|
APR-DRG 4032
|
| Min. Negotiated Rate |
$8,899.29 |
| Max. Negotiated Rate |
$8,899.29 |
| Rate for Payer: Aetna CHP/Medicaid |
$8,899.29
|
| Rate for Payer: Humana OH Medicaid |
$8,899.29
|
|
|
APR-DRG 42.00: PROCEDURES FOR OBESITY
|
Facility
|
IP
|
$7,210.37
|
|
|
Service Code
|
APR-DRG 4031
|
| Min. Negotiated Rate |
$7,210.37 |
| Max. Negotiated Rate |
$7,210.37 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,210.37
|
| Rate for Payer: Humana OH Medicaid |
$7,210.37
|
|