|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$10,142.86
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$8,511.49 |
| Max. Negotiated Rate |
$10,142.86 |
| Rate for Payer: Adventist Health Medi-Cal |
$8,511.49
|
| Rate for Payer: IEHP medi-cal |
$10,142.86
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$18,240.85
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$15,307.01 |
| Max. Negotiated Rate |
$18,240.85 |
| Rate for Payer: Adventist Health Medi-Cal |
$15,307.01
|
| Rate for Payer: IEHP medi-cal |
$18,240.85
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$5,292.33
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$4,441.12 |
| Max. Negotiated Rate |
$5,292.33 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,441.12
|
| Rate for Payer: IEHP medi-cal |
$5,292.33
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$6,860.68
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$5,757.22 |
| Max. Negotiated Rate |
$6,860.68 |
| Rate for Payer: Adventist Health Medi-Cal |
$5,757.22
|
| Rate for Payer: IEHP medi-cal |
$6,860.68
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$10,248.31
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$8,599.98 |
| Max. Negotiated Rate |
$10,248.31 |
| Rate for Payer: Adventist Health Medi-Cal |
$8,599.98
|
| Rate for Payer: IEHP medi-cal |
$10,248.31
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$16,832.69
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$14,125.33 |
| Max. Negotiated Rate |
$16,832.69 |
| Rate for Payer: Adventist Health Medi-Cal |
$14,125.33
|
| Rate for Payer: IEHP medi-cal |
$16,832.69
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2151ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B204YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2080ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 4A020N8
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2180ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B218YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B21F0ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B212YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 4A020N7
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B207YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B217YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2000ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2060ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2141ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B210YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B211YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B20F1ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2160ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B215YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
