MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$24,661.73
|
|
Service Code
|
APR-DRG 6801
|
Min. Negotiated Rate |
$18,918.15 |
Max. Negotiated Rate |
$24,661.73 |
Rate for Payer: IEHP Medi-Cal |
$18,918.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,661.73
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$32,539.44
|
|
Service Code
|
APR-DRG 6802
|
Min. Negotiated Rate |
$24,961.17 |
Max. Negotiated Rate |
$32,539.44 |
Rate for Payer: IEHP Medi-Cal |
$24,961.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$32,539.44
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$53,514.16
|
|
Service Code
|
APR-DRG 6803
|
Min. Negotiated Rate |
$41,051.00 |
Max. Negotiated Rate |
$53,514.16 |
Rate for Payer: IEHP Medi-Cal |
$41,051.00
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$53,514.16
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$90,423.41
|
|
Service Code
|
APR-DRG 2604
|
Min. Negotiated Rate |
$69,364.28 |
Max. Negotiated Rate |
$90,423.41 |
Rate for Payer: IEHP Medi-Cal |
$69,364.28
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$90,423.41
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$47,894.06
|
|
Service Code
|
APR-DRG 2603
|
Min. Negotiated Rate |
$36,739.79 |
Max. Negotiated Rate |
$47,894.06 |
Rate for Payer: IEHP Medi-Cal |
$36,739.79
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$47,894.06
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$27,566.66
|
|
Service Code
|
APR-DRG 2601
|
Min. Negotiated Rate |
$21,146.53 |
Max. Negotiated Rate |
$27,566.66 |
Rate for Payer: IEHP Medi-Cal |
$21,146.53
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$27,566.66
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$34,944.25
|
|
Service Code
|
APR-DRG 2602
|
Min. Negotiated Rate |
$26,805.92 |
Max. Negotiated Rate |
$34,944.25 |
Rate for Payer: IEHP Medi-Cal |
$26,805.92
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$34,944.25
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$48,218.60
|
|
Service Code
|
APR-DRG 1203
|
Min. Negotiated Rate |
$36,988.74 |
Max. Negotiated Rate |
$48,218.60 |
Rate for Payer: IEHP Medi-Cal |
$36,988.74
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$48,218.60
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$84,108.12
|
|
Service Code
|
APR-DRG 1204
|
Min. Negotiated Rate |
$64,519.78 |
Max. Negotiated Rate |
$84,108.12 |
Rate for Payer: IEHP Medi-Cal |
$64,519.78
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$84,108.12
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$35,502.89
|
|
Service Code
|
APR-DRG 1202
|
Min. Negotiated Rate |
$27,234.45 |
Max. Negotiated Rate |
$35,502.89 |
Rate for Payer: IEHP Medi-Cal |
$27,234.45
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35,502.89
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$28,914.48
|
|
Service Code
|
APR-DRG 1201
|
Min. Negotiated Rate |
$22,180.45 |
Max. Negotiated Rate |
$28,914.48 |
Rate for Payer: IEHP Medi-Cal |
$22,180.45
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,914.48
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$12,375.21
|
|
Service Code
|
APR-DRG 1372
|
Min. Negotiated Rate |
$9,493.09 |
Max. Negotiated Rate |
$12,375.21 |
Rate for Payer: IEHP Medi-Cal |
$9,493.09
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12,375.21
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$24,365.56
|
|
Service Code
|
APR-DRG 1374
|
Min. Negotiated Rate |
$18,690.95 |
Max. Negotiated Rate |
$24,365.56 |
Rate for Payer: IEHP Medi-Cal |
$18,690.95
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,365.56
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$9,709.70
|
|
Service Code
|
APR-DRG 1371
|
Min. Negotiated Rate |
$7,448.36 |
Max. Negotiated Rate |
$9,709.70 |
Rate for Payer: IEHP Medi-Cal |
$7,448.36
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,709.70
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$16,867.38
|
|
Service Code
|
APR-DRG 1373
|
Min. Negotiated Rate |
$12,939.06 |
Max. Negotiated Rate |
$16,867.38 |
Rate for Payer: IEHP Medi-Cal |
$12,939.06
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,867.38
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$19,323.63
|
|
Service Code
|
APR-DRG 3813
|
Min. Negotiated Rate |
$14,823.26 |
Max. Negotiated Rate |
$19,323.63 |
Rate for Payer: IEHP Medi-Cal |
$14,823.26
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,323.63
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$38,049.59
|
|
Service Code
|
APR-DRG 3814
|
Min. Negotiated Rate |
$29,188.04 |
Max. Negotiated Rate |
$38,049.59 |
Rate for Payer: IEHP Medi-Cal |
$29,188.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$38,049.59
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$9,610.37
|
|
Service Code
|
APR-DRG 3812
|
Min. Negotiated Rate |
$7,372.17 |
Max. Negotiated Rate |
$9,610.37 |
Rate for Payer: IEHP Medi-Cal |
$7,372.17
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,610.37
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$5,832.90
|
|
Service Code
|
APR-DRG 3811
|
Min. Negotiated Rate |
$4,474.45 |
Max. Negotiated Rate |
$5,832.90 |
Rate for Payer: IEHP Medi-Cal |
$4,474.45
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,832.90
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$28,536.75
|
|
Service Code
|
APR-DRG 2302
|
Min. Negotiated Rate |
$21,890.69 |
Max. Negotiated Rate |
$28,536.75 |
Rate for Payer: IEHP Medi-Cal |
$21,890.69
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,536.75
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$77,755.58
|
|
Service Code
|
APR-DRG 2304
|
Min. Negotiated Rate |
$59,646.72 |
Max. Negotiated Rate |
$77,755.58 |
Rate for Payer: IEHP Medi-Cal |
$59,646.72
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$77,755.58
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$20,813.32
|
|
Service Code
|
APR-DRG 2301
|
Min. Negotiated Rate |
$15,966.01 |
Max. Negotiated Rate |
$20,813.32 |
Rate for Payer: IEHP Medi-Cal |
$15,966.01
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20,813.32
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$42,261.55
|
|
Service Code
|
APR-DRG 2303
|
Min. Negotiated Rate |
$32,419.06 |
Max. Negotiated Rate |
$42,261.55 |
Rate for Payer: IEHP Medi-Cal |
$32,419.06
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$42,261.55
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$22,225.00
|
|
Service Code
|
APR-DRG 2201
|
Min. Negotiated Rate |
$17,048.92 |
Max. Negotiated Rate |
$22,225.00 |
Rate for Payer: IEHP Medi-Cal |
$17,048.92
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$22,225.00
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$31,893.91
|
|
Service Code
|
APR-DRG 2202
|
Min. Negotiated Rate |
$24,465.99 |
Max. Negotiated Rate |
$31,893.91 |
Rate for Payer: IEHP Medi-Cal |
$24,465.99
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$31,893.91
|
|