|
APR-DRG 42.00: SPINAL PROCEDURES
|
Facility
|
IP
|
$36,441.61
|
|
|
Service Code
|
APR-DRG 0234
|
| Min. Negotiated Rate |
$36,441.61 |
| Max. Negotiated Rate |
$36,441.61 |
| Rate for Payer: Aetna CHP/Medicaid |
$36,441.61
|
| Rate for Payer: Humana OH Medicaid |
$36,441.61
|
|
|
APR-DRG 42.00: SPLENIC PROCEDURES
|
Facility
|
IP
|
$9,548.87
|
|
|
Service Code
|
APR-DRG 6501
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$17,278.91
|
|
|
Service Code
|
APR-DRG 6503
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$13,901.08
|
|
|
Service Code
|
APR-DRG 6502
|
| 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: SPLENIC PROCEDURES
|
Facility
|
IP
|
$27,412.40
|
|
|
Service Code
|
APR-DRG 6504
|
| Min. Negotiated Rate |
$27,412.40 |
| Max. Negotiated Rate |
$27,412.40 |
| Rate for Payer: Aetna CHP/Medicaid |
$27,412.40
|
| Rate for Payer: Humana OH Medicaid |
$27,412.40
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,352.21
|
|
|
Service Code
|
APR-DRG 2041
|
| Min. Negotiated Rate |
$4,352.21 |
| Max. Negotiated Rate |
$4,352.21 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,352.21
|
| Rate for Payer: Humana OH Medicaid |
$4,352.21
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$6,300.96
|
|
|
Service Code
|
APR-DRG 2043
|
| Min. Negotiated Rate |
$6,300.96 |
| Max. Negotiated Rate |
$6,300.96 |
| Rate for Payer: Aetna CHP/Medicaid |
$6,300.96
|
| Rate for Payer: Humana OH Medicaid |
$6,300.96
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$10,133.49
|
|
|
Service Code
|
APR-DRG 2044
|
| Min. Negotiated Rate |
$10,133.49 |
| Max. Negotiated Rate |
$10,133.49 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,133.49
|
| Rate for Payer: Humana OH Medicaid |
$10,133.49
|
|
|
APR-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$4,936.83
|
|
|
Service Code
|
APR-DRG 2042
|
| Min. Negotiated Rate |
$4,936.83 |
| Max. Negotiated Rate |
$4,936.83 |
| Rate for Payer: Aetna CHP/Medicaid |
$4,936.83
|
| Rate for Payer: Humana OH Medicaid |
$4,936.83
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$13,446.37
|
|
|
Service Code
|
APR-DRG 3173
|
| Min. Negotiated Rate |
$13,446.37 |
| Max. Negotiated Rate |
$13,446.37 |
| Rate for Payer: Aetna CHP/Medicaid |
$13,446.37
|
| Rate for Payer: Humana OH Medicaid |
$13,446.37
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$9,418.95
|
|
|
Service Code
|
APR-DRG 3172
|
| Min. Negotiated Rate |
$9,418.95 |
| Max. Negotiated Rate |
$9,418.95 |
| Rate for Payer: Aetna CHP/Medicaid |
$9,418.95
|
| Rate for Payer: Humana OH Medicaid |
$9,418.95
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$22,930.28
|
|
|
Service Code
|
APR-DRG 3174
|
| Min. Negotiated Rate |
$22,930.28 |
| Max. Negotiated Rate |
$22,930.28 |
| Rate for Payer: Aetna CHP/Medicaid |
$22,930.28
|
| Rate for Payer: Humana OH Medicaid |
$22,930.28
|
|
|
APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,080.45
|
|
|
Service Code
|
APR-DRG 3171
|
| Min. Negotiated Rate |
$7,080.45 |
| Max. Negotiated Rate |
$7,080.45 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,080.45
|
| Rate for Payer: Humana OH Medicaid |
$7,080.45
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$14,160.91
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$14,160.91 |
| Max. Negotiated Rate |
$14,160.91 |
| Rate for Payer: Aetna CHP/Medicaid |
$14,160.91
|
| Rate for Payer: Humana OH Medicaid |
$14,160.91
|
|
|
APR-DRG 42.00: THYROID DISORDERS
|
Facility
|
IP
|
$3,572.71
|
|
|
Service Code
|
APR-DRG 4271
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$4,806.91
|
|
|
Service Code
|
APR-DRG 4272
|
| 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: THYROID DISORDERS
|
Facility
|
IP
|
$7,859.95
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$7,859.95 |
| Max. Negotiated Rate |
$7,859.95 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,859.95
|
| Rate for Payer: Humana OH Medicaid |
$7,859.95
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$29,296.19
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$29,296.19 |
| Max. Negotiated Rate |
$29,296.19 |
| Rate for Payer: Aetna CHP/Medicaid |
$29,296.19
|
| Rate for Payer: Humana OH Medicaid |
$29,296.19
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$10,263.41
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$10,263.41 |
| Max. Negotiated Rate |
$10,263.41 |
| Rate for Payer: Aetna CHP/Medicaid |
$10,263.41
|
| Rate for Payer: Humana OH Medicaid |
$10,263.41
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$7,275.33
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$7,275.33 |
| Max. Negotiated Rate |
$7,275.33 |
| Rate for Payer: Aetna CHP/Medicaid |
$7,275.33
|
| Rate for Payer: Humana OH Medicaid |
$7,275.33
|
|
|
APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
|
IP
|
$16,954.12
|
|
|
Service Code
|
APR-DRG 4043
|
| Min. Negotiated Rate |
$16,954.12 |
| Max. Negotiated Rate |
$16,954.12 |
| Rate for Payer: Aetna CHP/Medicaid |
$16,954.12
|
| Rate for Payer: Humana OH Medicaid |
$16,954.12
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$17,148.99
|
|
|
Service Code
|
APR-DRG 0974
|
| Min. Negotiated Rate |
$17,148.99 |
| Max. Negotiated Rate |
$17,148.99 |
| Rate for Payer: Aetna CHP/Medicaid |
$17,148.99
|
| Rate for Payer: Humana OH Medicaid |
$17,148.99
|
|
|
APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$6,690.70
|
|
|
Service Code
|
APR-DRG 0972
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$4,287.25
|
|
|
Service Code
|
APR-DRG 0971
|
| 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: TONSIL AND ADENOID PROCEDURES
|
Facility
|
IP
|
$10,588.20
|
|
|
Service Code
|
APR-DRG 0973
|
| 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
|
|