|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
IP
|
$9,693.72
|
|
|
Service Code
|
APR-DRG 4611
|
| Min. Negotiated Rate |
$7,436.11 |
| Max. Negotiated Rate |
$9,693.72 |
| Rate for Payer: IEHP Medi-Cal |
$7,436.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,693.72
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
IP
|
$16,920.58
|
|
|
Service Code
|
APR-DRG 4613
|
| Min. Negotiated Rate |
$12,979.87 |
| Max. Negotiated Rate |
$16,920.58 |
| Rate for Payer: IEHP Medi-Cal |
$12,979.87
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,920.58
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
IP
|
$24,493.26
|
|
|
Service Code
|
APR-DRG 4614
|
| Min. Negotiated Rate |
$18,788.91 |
| Max. Negotiated Rate |
$24,493.26 |
| Rate for Payer: IEHP Medi-Cal |
$18,788.91
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,493.26
|
|
|
KIDNEY AND URINARY TRACT MALIGNANCY
|
Facility
IP
|
$11,692.43
|
|
|
Service Code
|
APR-DRG 4612
|
| Min. Negotiated Rate |
$8,969.32 |
| Max. Negotiated Rate |
$11,692.43 |
| Rate for Payer: IEHP Medi-Cal |
$8,969.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,692.43
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
IP
|
$25,371.12
|
|
|
Service Code
|
APR-DRG 4422
|
| Min. Negotiated Rate |
$19,462.32 |
| Max. Negotiated Rate |
$25,371.12 |
| Rate for Payer: IEHP Medi-Cal |
$19,462.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,371.12
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
IP
|
$64,578.78
|
|
|
Service Code
|
APR-DRG 4424
|
| Min. Negotiated Rate |
$49,538.72 |
| Max. Negotiated Rate |
$64,578.78 |
| Rate for Payer: IEHP Medi-Cal |
$49,538.72
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$64,578.78
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
IP
|
$36,861.37
|
|
|
Service Code
|
APR-DRG 4423
|
| Min. Negotiated Rate |
$28,276.55 |
| Max. Negotiated Rate |
$36,861.37 |
| Rate for Payer: IEHP Medi-Cal |
$28,276.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$36,861.37
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
IP
|
$21,847.24
|
|
|
Service Code
|
APR-DRG 4421
|
| Min. Negotiated Rate |
$16,759.14 |
| Max. Negotiated Rate |
$21,847.24 |
| Rate for Payer: IEHP Medi-Cal |
$16,759.14
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,847.24
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
IP
|
$21,295.71
|
|
|
Service Code
|
APR-DRG 4432
|
| Min. Negotiated Rate |
$16,336.05 |
| Max. Negotiated Rate |
$21,295.71 |
| Rate for Payer: IEHP Medi-Cal |
$16,336.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,295.71
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
IP
|
$18,390.78
|
|
|
Service Code
|
APR-DRG 4431
|
| Min. Negotiated Rate |
$14,107.67 |
| Max. Negotiated Rate |
$18,390.78 |
| Rate for Payer: IEHP Medi-Cal |
$14,107.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$18,390.78
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
IP
|
$52,478.46
|
|
|
Service Code
|
APR-DRG 4434
|
| Min. Negotiated Rate |
$40,256.50 |
| Max. Negotiated Rate |
$52,478.46 |
| Rate for Payer: IEHP Medi-Cal |
$40,256.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$52,478.46
|
|
|
KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
|
Facility
IP
|
$31,313.98
|
|
|
Service Code
|
APR-DRG 4433
|
| Min. Negotiated Rate |
$24,021.12 |
| Max. Negotiated Rate |
$31,313.98 |
| Rate for Payer: IEHP Medi-Cal |
$24,021.12
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$31,313.98
|
|
|
Kidney-Heart Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 651
|
| Min. Negotiated Rate |
$282,500.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$282,500.00
|
|
|
Kidney-Heart Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 650
|
| Min. Negotiated Rate |
$282,500.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$282,500.00
|
|
|
Kidney-Heart Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 002
|
| Min. Negotiated Rate |
$282,500.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$282,500.00
|
|
|
Kidney-Heart Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 001
|
| Min. Negotiated Rate |
$282,500.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$282,500.00
|
|
|
Kidney-Heart Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 652
|
| Min. Negotiated Rate |
$282,500.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$282,500.00
|
|
|
Kidney-Liver Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 650
|
| Min. Negotiated Rate |
$226,000.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: BCBS Transplant Transplant |
$258,280.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$226,000.00
|
|
|
Kidney-Liver Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 652
|
| Min. Negotiated Rate |
$226,000.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: BCBS Transplant Transplant |
$258,280.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$226,000.00
|
|
|
Kidney-Liver Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 651
|
| Min. Negotiated Rate |
$226,000.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: BCBS Transplant Transplant |
$258,280.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$226,000.00
|
|
|
Kidney-Liver Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 005
|
| Min. Negotiated Rate |
$226,000.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: BCBS Transplant Transplant |
$258,280.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$226,000.00
|
|
|
Kidney-Liver Transplant
|
Facility
IP
|
$285,000.00
|
|
|
Service Code
|
MS-DRG 006
|
| Min. Negotiated Rate |
$226,000.00 |
| Max. Negotiated Rate |
$285,000.00 |
| Rate for Payer: BCBS Transplant Transplant |
$258,280.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$285,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$226,000.00
|
|
|
KIDNEY TRANSPLANT
|
Facility
IP
|
$76,812.10
|
|
|
Service Code
|
APR-DRG 4402
|
| Min. Negotiated Rate |
$58,922.96 |
| Max. Negotiated Rate |
$76,812.10 |
| Rate for Payer: IEHP Medi-Cal |
$58,922.96
|
| Rate for Payer: IEHP Medi-Cal Transplant |
$66,705.24
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$76,812.10
|
|
|
KIDNEY TRANSPLANT
|
Facility
IP
|
$135,868.32
|
|
|
Service Code
|
APR-DRG 4404
|
| Min. Negotiated Rate |
$104,225.30 |
| Max. Negotiated Rate |
$135,868.32 |
| Rate for Payer: IEHP Medi-Cal |
$104,225.30
|
| Rate for Payer: IEHP Medi-Cal Transplant |
$117,990.91
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$135,868.32
|
|
|
KIDNEY TRANSPLANT
|
Facility
IP
|
$89,559.73
|
|
|
Service Code
|
APR-DRG 4403
|
| Min. Negotiated Rate |
$68,701.74 |
| Max. Negotiated Rate |
$89,559.73 |
| Rate for Payer: IEHP Medi-Cal |
$68,701.74
|
| Rate for Payer: IEHP Medi-Cal Transplant |
$77,775.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$89,559.73
|
|
