|
INTESTINAL OBSTRUCTION
|
Facility
IP
|
$10,875.64
|
|
|
Service Code
|
APR-DRG 2473
|
| Min. Negotiated Rate |
$9,126.41 |
| Max. Negotiated Rate |
$10,875.64 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,126.41
|
| Rate for Payer: IEHP medi-cal |
$10,875.64
|
|
|
INTESTINAL OBSTRUCTION
|
Facility
IP
|
$7,275.78
|
|
|
Service Code
|
APR-DRG 2472
|
| Min. Negotiated Rate |
$6,105.55 |
| Max. Negotiated Rate |
$7,275.78 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,105.55
|
| Rate for Payer: IEHP medi-cal |
$7,275.78
|
|
|
INTESTINAL OBSTRUCTION
|
Facility
IP
|
$5,615.34
|
|
|
Service Code
|
APR-DRG 2471
|
| Min. Negotiated Rate |
$4,712.17 |
| Max. Negotiated Rate |
$5,615.34 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,712.17
|
| Rate for Payer: IEHP medi-cal |
$5,615.34
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02593ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025G3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$12,866.00
|
|
|
Service Code
|
ICD 00580ZZ
|
| Min. Negotiated Rate |
$10,000.00 |
| Max. Negotiated Rate |
$12,866.00 |
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,866.00
|
| Rate for Payer: Networks By Design Commercial |
$10,000.00
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025F3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02583ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02563ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02553ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02573ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02B53ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02B63ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02B73ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02B83ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025H3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02B93ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025J3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02BG3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025K3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025L3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 025M3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02BF3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02BH3ZZ
|
| 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
|
|
|
Intracardiac Ablation (EPS Studies Included)
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 02BJ3ZZ
|
| 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
|
|
