3535 OLENTANGY RIVER ROAD, COLUMBUS, OH, 43214
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $12,058 | $12,058 | $31,194 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $16,828 | $16,828 | $44,021 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $9,056.4 | $9,056.4 | $22,507 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $6,525.52 | $6,525.52 | $15,233 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $13,346 | $13,346 | $35,775 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $9,812.79 | $9,812.79 | $24,860 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $7,757.18 | $7,757.18 | $19,013 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $6,196.25 | $6,196.25 | $14,323 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $7,469.07 | $7,469.07 | $18,147 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $6,091.41 | $6,091.41 | $13,783 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $13,668 | $13,668 | $36,328 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $8,348.16 | $8,348.16 | $20,400 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $6,826.06 | $6,826.06 | $16,047 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $11,180 | $11,180 | $28,879 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $7,803.77 | $7,803.77 | $19,061 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $5,606.05 | $5,606.05 | $12,150 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $10,561 | $10,561 | $26,690 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $6,923.91 | $6,923.91 | $16,361 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $5,606.83 | $5,606.83 | $12,382 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $8,826.53 | $8,826.53 | $21,819 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $6,106.17 | $6,106.17 | $14,089 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $7,264.83 | $7,264.83 | $17,269 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $13,385 | $13,385 | $33,745 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $10,221 | $10,221 | $25,902 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $7,497.03 | $7,497.03 | $17,762 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $16,296 | $16,296 | $43,428 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $9,157.36 | $9,157.36 | $22,817 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $36,906 | $36,906 | $101,619 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $19,827 | $19,827 | $52,311 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $14,280 | $14,280 | $36,538 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $14,347 | $14,347 | $36,704 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $11,817 | $11,817 | $29,160 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $27,670 | $27,670 | $78,105 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 5 | — | — | $63,845 | $70,208 | $85,609 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $24,766 | $24,766 | $72,335 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $16,190 | $16,190 | $41,728 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $23,827 | $23,827 | $65,087 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $17,476 | $17,476 | $45,920 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $13,877 | $13,877 | $35,109 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $23,634 | $23,634 | $60,338 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $13,638 | $13,638 | $35,341 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $12,925 | $12,925 | $32,349 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $10,846 | $10,846 | $26,526 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $17,124 | $17,124 | $43,242 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 44 | $17,124 |
| Blue Cross Blue Shield | 44 | $16,221 |
| Cigna | 44 | $16,574 |
| medical mutual of ohio | 44 | $15,984 |
| UnitedHealthcare | 44 | $17,476 |
| devoted health | 43 | $11,180 |
| Humana | 43 | $11,180 |
| the health plan | 43 | $11,180 |
| allwell | 43 | $11,180 |
| medigold | 43 | $11,180 |
| CareSource | 43 | $11,180 |
| Molina | 43 | $11,180 |
