MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$28,797.44
|
|
Service Code
|
APR-DRG 7514
|
Min. Negotiated Rate |
$22,090.67 |
Max. Negotiated Rate |
$28,797.44 |
Rate for Payer: IEHP Medi-Cal |
$22,090.67
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,797.44
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$5,717.63
|
|
Service Code
|
APR-DRG 7511
|
Min. Negotiated Rate |
$4,386.03 |
Max. Negotiated Rate |
$5,717.63 |
Rate for Payer: IEHP Medi-Cal |
$4,386.03
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,717.63
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$14,159.31
|
|
Service Code
|
APR-DRG 7513
|
Min. Negotiated Rate |
$10,861.68 |
Max. Negotiated Rate |
$14,159.31 |
Rate for Payer: IEHP Medi-Cal |
$10,861.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14,159.31
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$7,700.36
|
|
Service Code
|
APR-DRG 7512
|
Min. Negotiated Rate |
$5,906.99 |
Max. Negotiated Rate |
$7,700.36 |
Rate for Payer: IEHP Medi-Cal |
$5,906.99
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,700.36
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$11,222.46
|
|
Service Code
|
APR-DRG 2422
|
Min. Negotiated Rate |
$8,608.81 |
Max. Negotiated Rate |
$11,222.46 |
Rate for Payer: IEHP Medi-Cal |
$8,608.81
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,222.46
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$16,094.16
|
|
Service Code
|
APR-DRG 2423
|
Min. Negotiated Rate |
$12,345.91 |
Max. Negotiated Rate |
$16,094.16 |
Rate for Payer: IEHP Medi-Cal |
$12,345.91
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,094.16
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$8,675.76
|
|
Service Code
|
APR-DRG 2421
|
Min. Negotiated Rate |
$6,655.22 |
Max. Negotiated Rate |
$8,675.76 |
Rate for Payer: IEHP Medi-Cal |
$6,655.22
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,675.76
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$33,027.15
|
|
Service Code
|
APR-DRG 2424
|
Min. Negotiated Rate |
$25,335.30 |
Max. Negotiated Rate |
$33,027.15 |
Rate for Payer: IEHP Medi-Cal |
$25,335.30
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$33,027.15
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$10,819.87
|
|
Service Code
|
APR-DRG 2482
|
Min. Negotiated Rate |
$8,299.98 |
Max. Negotiated Rate |
$10,819.87 |
Rate for Payer: IEHP Medi-Cal |
$8,299.98
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,819.87
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$15,893.75
|
|
Service Code
|
APR-DRG 2483
|
Min. Negotiated Rate |
$12,192.18 |
Max. Negotiated Rate |
$15,893.75 |
Rate for Payer: IEHP Medi-Cal |
$12,192.18
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,893.75
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$8,218.22
|
|
Service Code
|
APR-DRG 2481
|
Min. Negotiated Rate |
$6,304.24 |
Max. Negotiated Rate |
$8,218.22 |
Rate for Payer: IEHP Medi-Cal |
$6,304.24
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,218.22
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$28,889.67
|
|
Service Code
|
APR-DRG 2484
|
Min. Negotiated Rate |
$22,161.42 |
Max. Negotiated Rate |
$28,889.67 |
Rate for Payer: IEHP Medi-Cal |
$22,161.42
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,889.67
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$11,172.80
|
|
Service Code
|
APR-DRG 6602
|
Min. Negotiated Rate |
$8,570.71 |
Max. Negotiated Rate |
$11,172.80 |
Rate for Payer: IEHP Medi-Cal |
$8,570.71
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,172.80
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$17,417.15
|
|
Service Code
|
APR-DRG 6603
|
Min. Negotiated Rate |
$13,360.79 |
Max. Negotiated Rate |
$17,417.15 |
Rate for Payer: IEHP Medi-Cal |
$13,360.79
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17,417.15
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$38,001.71
|
|
Service Code
|
APR-DRG 6604
|
Min. Negotiated Rate |
$29,151.31 |
Max. Negotiated Rate |
$38,001.71 |
Rate for Payer: IEHP Medi-Cal |
$29,151.31
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$38,001.71
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$9,507.52
|
|
Service Code
|
APR-DRG 6601
|
Min. Negotiated Rate |
$7,293.27 |
Max. Negotiated Rate |
$9,507.52 |
Rate for Payer: IEHP Medi-Cal |
$7,293.27
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,507.52
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$29,191.14
|
|
Service Code
|
APR-DRG 2312
|
Min. Negotiated Rate |
$22,392.68 |
Max. Negotiated Rate |
$29,191.14 |
Rate for Payer: IEHP Medi-Cal |
$22,392.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29,191.14
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$68,414.76
|
|
Service Code
|
APR-DRG 2314
|
Min. Negotiated Rate |
$52,481.32 |
Max. Negotiated Rate |
$68,414.76 |
Rate for Payer: IEHP Medi-Cal |
$52,481.32
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$68,414.76
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$23,773.24
|
|
Service Code
|
APR-DRG 2311
|
Min. Negotiated Rate |
$18,236.58 |
Max. Negotiated Rate |
$23,773.24 |
Rate for Payer: IEHP Medi-Cal |
$18,236.58
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$23,773.24
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$41,727.74
|
|
Service Code
|
APR-DRG 2313
|
Min. Negotiated Rate |
$32,009.57 |
Max. Negotiated Rate |
$41,727.74 |
Rate for Payer: IEHP Medi-Cal |
$32,009.57
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$41,727.74
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$35,208.50
|
|
Service Code
|
APR-DRG 4803
|
Min. Negotiated Rate |
$27,008.63 |
Max. Negotiated Rate |
$35,208.50 |
Rate for Payer: IEHP Medi-Cal |
$27,008.63
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35,208.50
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$57,827.20
|
|
Service Code
|
APR-DRG 4804
|
Min. Negotiated Rate |
$44,359.55 |
Max. Negotiated Rate |
$57,827.20 |
Rate for Payer: IEHP Medi-Cal |
$44,359.55
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$57,827.20
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$20,541.98
|
|
Service Code
|
APR-DRG 4801
|
Min. Negotiated Rate |
$15,757.86 |
Max. Negotiated Rate |
$20,541.98 |
Rate for Payer: IEHP Medi-Cal |
$15,757.86
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20,541.98
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$23,610.06
|
|
Service Code
|
APR-DRG 4802
|
Min. Negotiated Rate |
$18,111.41 |
Max. Negotiated Rate |
$23,610.06 |
Rate for Payer: IEHP Medi-Cal |
$18,111.41
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$23,610.06
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$102,521.95
|
|
Service Code
|
APR-DRG 6804
|
Min. Negotiated Rate |
$78,645.13 |
Max. Negotiated Rate |
$102,521.95 |
Rate for Payer: IEHP Medi-Cal |
$78,645.13
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$102,521.95
|
|