MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$86,754.11
|
|
Service Code
|
APR-DRG 2204
|
Min. Negotiated Rate |
$66,549.54 |
Max. Negotiated Rate |
$86,754.11 |
Rate for Payer: IEHP Medi-Cal |
$66,549.54
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$86,754.11
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$48,571.52
|
|
Service Code
|
APR-DRG 2203
|
Min. Negotiated Rate |
$37,259.47 |
Max. Negotiated Rate |
$48,571.52 |
Rate for Payer: IEHP Medi-Cal |
$37,259.47
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$48,571.52
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$13,951.81
|
|
Service Code
|
APR-DRG 5013
|
Min. Negotiated Rate |
$10,702.51 |
Max. Negotiated Rate |
$13,951.81 |
Rate for Payer: IEHP Medi-Cal |
$10,702.51
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13,951.81
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$7,081.43
|
|
Service Code
|
APR-DRG 5011
|
Min. Negotiated Rate |
$5,432.20 |
Max. Negotiated Rate |
$7,081.43 |
Rate for Payer: IEHP Medi-Cal |
$5,432.20
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,081.43
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$28,479.99
|
|
Service Code
|
APR-DRG 5014
|
Min. Negotiated Rate |
$21,847.15 |
Max. Negotiated Rate |
$28,479.99 |
Rate for Payer: IEHP Medi-Cal |
$21,847.15
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,479.99
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$9,503.97
|
|
Service Code
|
APR-DRG 5012
|
Min. Negotiated Rate |
$7,290.55 |
Max. Negotiated Rate |
$9,503.97 |
Rate for Payer: IEHP Medi-Cal |
$7,290.55
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,503.97
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$15,707.53
|
|
Service Code
|
APR-DRG 2523
|
Min. Negotiated Rate |
$12,049.33 |
Max. Negotiated Rate |
$15,707.53 |
Rate for Payer: IEHP Medi-Cal |
$12,049.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,707.53
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$8,925.82
|
|
Service Code
|
APR-DRG 2521
|
Min. Negotiated Rate |
$6,847.04 |
Max. Negotiated Rate |
$8,925.82 |
Rate for Payer: IEHP Medi-Cal |
$6,847.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,925.82
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$29,889.89
|
|
Service Code
|
APR-DRG 2524
|
Min. Negotiated Rate |
$22,928.69 |
Max. Negotiated Rate |
$29,889.89 |
Rate for Payer: IEHP Medi-Cal |
$22,928.69
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29,889.89
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$11,050.44
|
|
Service Code
|
APR-DRG 2522
|
Min. Negotiated Rate |
$8,476.85 |
Max. Negotiated Rate |
$11,050.44 |
Rate for Payer: IEHP Medi-Cal |
$8,476.85
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,050.44
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$30,187.83
|
|
Service Code
|
APR-DRG 2064
|
Min. Negotiated Rate |
$23,157.24 |
Max. Negotiated Rate |
$30,187.83 |
Rate for Payer: IEHP Medi-Cal |
$23,157.24
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$30,187.83
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$15,242.88
|
|
Service Code
|
APR-DRG 2063
|
Min. Negotiated Rate |
$11,692.90 |
Max. Negotiated Rate |
$15,242.88 |
Rate for Payer: IEHP Medi-Cal |
$11,692.90
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,242.88
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$9,970.38
|
|
Service Code
|
APR-DRG 2061
|
Min. Negotiated Rate |
$7,648.33 |
Max. Negotiated Rate |
$9,970.38 |
Rate for Payer: IEHP Medi-Cal |
$7,648.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,970.38
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$10,167.24
|
|
Service Code
|
APR-DRG 2062
|
Min. Negotiated Rate |
$7,799.34 |
Max. Negotiated Rate |
$10,167.24 |
Rate for Payer: IEHP Medi-Cal |
$7,799.34
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,167.24
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$22,769.45
|
|
Service Code
|
APR-DRG 4664
|
Min. Negotiated Rate |
$17,466.56 |
Max. Negotiated Rate |
$22,769.45 |
Rate for Payer: IEHP Medi-Cal |
$17,466.56
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$22,769.45
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$9,569.60
|
|
Service Code
|
APR-DRG 4662
|
Min. Negotiated Rate |
$7,340.89 |
Max. Negotiated Rate |
$9,569.60 |
Rate for Payer: IEHP Medi-Cal |
$7,340.89
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,569.60
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$13,598.89
|
|
Service Code
|
APR-DRG 4663
|
Min. Negotiated Rate |
$10,431.78 |
Max. Negotiated Rate |
$13,598.89 |
Rate for Payer: IEHP Medi-Cal |
$10,431.78
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13,598.89
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$6,680.63
|
|
Service Code
|
APR-DRG 4661
|
Min. Negotiated Rate |
$5,124.74 |
Max. Negotiated Rate |
$6,680.63 |
Rate for Payer: IEHP Medi-Cal |
$5,124.74
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,680.63
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$11,719.03
|
|
Service Code
|
APR-DRG 3492
|
Min. Negotiated Rate |
$8,989.73 |
Max. Negotiated Rate |
$11,719.03 |
Rate for Payer: IEHP Medi-Cal |
$8,989.73
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,719.03
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$16,833.68
|
|
Service Code
|
APR-DRG 3493
|
Min. Negotiated Rate |
$12,913.20 |
Max. Negotiated Rate |
$16,833.68 |
Rate for Payer: IEHP Medi-Cal |
$12,913.20
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,833.68
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$29,944.87
|
|
Service Code
|
APR-DRG 3494
|
Min. Negotiated Rate |
$22,970.87 |
Max. Negotiated Rate |
$29,944.87 |
Rate for Payer: IEHP Medi-Cal |
$22,970.87
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29,944.87
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$8,276.74
|
|
Service Code
|
APR-DRG 3491
|
Min. Negotiated Rate |
$6,349.13 |
Max. Negotiated Rate |
$8,276.74 |
Rate for Payer: IEHP Medi-Cal |
$6,349.13
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,276.74
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$7,783.71
|
|
Service Code
|
APR-DRG 5001
|
Min. Negotiated Rate |
$5,970.93 |
Max. Negotiated Rate |
$7,783.71 |
Rate for Payer: IEHP Medi-Cal |
$5,970.93
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,783.71
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$16,439.98
|
|
Service Code
|
APR-DRG 5003
|
Min. Negotiated Rate |
$12,611.19 |
Max. Negotiated Rate |
$16,439.98 |
Rate for Payer: IEHP Medi-Cal |
$12,611.19
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,439.98
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$10,667.36
|
|
Service Code
|
APR-DRG 5002
|
Min. Negotiated Rate |
$8,182.99 |
Max. Negotiated Rate |
$10,667.36 |
Rate for Payer: IEHP Medi-Cal |
$8,182.99
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,667.36
|
|