MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$10,500.58
|
|
Service Code
|
APR-DRG 5013
|
Min. Negotiated Rate |
$8,811.67 |
Max. Negotiated Rate |
$10,500.58 |
Rate for Payer: Adventist Health Medi-Cal |
$8,811.67
|
Rate for Payer: IEHP medi-cal |
$10,500.58
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$5,329.71
|
|
Service Code
|
APR-DRG 5011
|
Min. Negotiated Rate |
$4,472.48 |
Max. Negotiated Rate |
$5,329.71 |
Rate for Payer: Adventist Health Medi-Cal |
$4,472.48
|
Rate for Payer: IEHP medi-cal |
$5,329.71
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$7,152.99
|
|
Service Code
|
APR-DRG 5012
|
Min. Negotiated Rate |
$6,002.51 |
Max. Negotiated Rate |
$7,152.99 |
Rate for Payer: Adventist Health Medi-Cal |
$6,002.51
|
Rate for Payer: IEHP medi-cal |
$7,152.99
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$21,434.94
|
|
Service Code
|
APR-DRG 5014
|
Min. Negotiated Rate |
$17,987.36 |
Max. Negotiated Rate |
$21,434.94 |
Rate for Payer: Adventist Health Medi-Cal |
$17,987.36
|
Rate for Payer: IEHP medi-cal |
$21,434.94
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$6,717.85
|
|
Service Code
|
APR-DRG 2521
|
Min. Negotiated Rate |
$5,637.36 |
Max. Negotiated Rate |
$6,717.85 |
Rate for Payer: Adventist Health Medi-Cal |
$5,637.36
|
Rate for Payer: IEHP medi-cal |
$6,717.85
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$8,316.91
|
|
Service Code
|
APR-DRG 2522
|
Min. Negotiated Rate |
$6,979.22 |
Max. Negotiated Rate |
$8,316.91 |
Rate for Payer: Adventist Health Medi-Cal |
$6,979.22
|
Rate for Payer: IEHP medi-cal |
$8,316.91
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$11,821.98
|
|
Service Code
|
APR-DRG 2523
|
Min. Negotiated Rate |
$9,920.54 |
Max. Negotiated Rate |
$11,821.98 |
Rate for Payer: Adventist Health Medi-Cal |
$9,920.54
|
Rate for Payer: IEHP medi-cal |
$11,821.98
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$22,496.07
|
|
Service Code
|
APR-DRG 2524
|
Min. Negotiated Rate |
$18,877.82 |
Max. Negotiated Rate |
$22,496.07 |
Rate for Payer: Adventist Health Medi-Cal |
$18,877.82
|
Rate for Payer: IEHP medi-cal |
$22,496.07
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$7,504.03
|
|
Service Code
|
APR-DRG 2061
|
Min. Negotiated Rate |
$6,297.08 |
Max. Negotiated Rate |
$7,504.03 |
Rate for Payer: Adventist Health Medi-Cal |
$6,297.08
|
Rate for Payer: IEHP medi-cal |
$7,504.03
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$7,652.19
|
|
Service Code
|
APR-DRG 2062
|
Min. Negotiated Rate |
$6,421.42 |
Max. Negotiated Rate |
$7,652.19 |
Rate for Payer: Adventist Health Medi-Cal |
$6,421.42
|
Rate for Payer: IEHP medi-cal |
$7,652.19
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$22,720.31
|
|
Service Code
|
APR-DRG 2064
|
Min. Negotiated Rate |
$19,066.00 |
Max. Negotiated Rate |
$22,720.31 |
Rate for Payer: Adventist Health Medi-Cal |
$19,066.00
|
Rate for Payer: IEHP medi-cal |
$22,720.31
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$11,472.28
|
|
Service Code
|
APR-DRG 2063
|
Min. Negotiated Rate |
$9,627.08 |
Max. Negotiated Rate |
$11,472.28 |
Rate for Payer: Adventist Health Medi-Cal |
$9,627.08
|
Rate for Payer: IEHP medi-cal |
$11,472.28
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$7,202.38
|
|
Service Code
|
APR-DRG 4662
|
Min. Negotiated Rate |
$6,043.96 |
Max. Negotiated Rate |
$7,202.38 |
Rate for Payer: Adventist Health Medi-Cal |
$6,043.96
|
Rate for Payer: IEHP medi-cal |
$7,202.38
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$5,028.05
|
|
Service Code
|
APR-DRG 4661
|
Min. Negotiated Rate |
$4,219.34 |
Max. Negotiated Rate |
$5,028.05 |
Rate for Payer: Adventist Health Medi-Cal |
$4,219.34
|
Rate for Payer: IEHP medi-cal |
$5,028.05
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$17,137.01
|
|
Service Code
|
APR-DRG 4664
|
Min. Negotiated Rate |
$14,380.70 |
Max. Negotiated Rate |
$17,137.01 |
Rate for Payer: Adventist Health Medi-Cal |
$14,380.70
|
Rate for Payer: IEHP medi-cal |
$17,137.01
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$10,234.95
|
|
Service Code
|
APR-DRG 4663
|
Min. Negotiated Rate |
$8,588.77 |
Max. Negotiated Rate |
$10,234.95 |
Rate for Payer: Adventist Health Medi-Cal |
$8,588.77
|
Rate for Payer: IEHP medi-cal |
$10,234.95
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$12,669.56
|
|
Service Code
|
APR-DRG 3493
|
Min. Negotiated Rate |
$10,631.80 |
Max. Negotiated Rate |
$12,669.56 |
Rate for Payer: Adventist Health Medi-Cal |
$10,631.80
|
Rate for Payer: IEHP medi-cal |
$12,669.56
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$8,820.11
|
|
Service Code
|
APR-DRG 3492
|
Min. Negotiated Rate |
$7,401.49 |
Max. Negotiated Rate |
$8,820.11 |
Rate for Payer: Adventist Health Medi-Cal |
$7,401.49
|
Rate for Payer: IEHP medi-cal |
$8,820.11
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$6,229.34
|
|
Service Code
|
APR-DRG 3491
|
Min. Negotiated Rate |
$5,227.42 |
Max. Negotiated Rate |
$6,229.34 |
Rate for Payer: Adventist Health Medi-Cal |
$5,227.42
|
Rate for Payer: IEHP medi-cal |
$6,229.34
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$22,537.46
|
|
Service Code
|
APR-DRG 3494
|
Min. Negotiated Rate |
$18,912.55 |
Max. Negotiated Rate |
$22,537.46 |
Rate for Payer: Adventist Health Medi-Cal |
$18,912.55
|
Rate for Payer: IEHP medi-cal |
$22,537.46
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$21,994.22
|
|
Service Code
|
APR-DRG 5004
|
Min. Negotiated Rate |
$18,456.68 |
Max. Negotiated Rate |
$21,994.22 |
Rate for Payer: Adventist Health Medi-Cal |
$18,456.68
|
Rate for Payer: IEHP medi-cal |
$21,994.22
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$12,373.25
|
|
Service Code
|
APR-DRG 5003
|
Min. Negotiated Rate |
$10,383.14 |
Max. Negotiated Rate |
$12,373.25 |
Rate for Payer: Adventist Health Medi-Cal |
$10,383.14
|
Rate for Payer: IEHP medi-cal |
$12,373.25
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$5,858.27
|
|
Service Code
|
APR-DRG 5001
|
Min. Negotiated Rate |
$4,916.03 |
Max. Negotiated Rate |
$5,858.27 |
Rate for Payer: Adventist Health Medi-Cal |
$4,916.03
|
Rate for Payer: IEHP medi-cal |
$5,858.27
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$8,028.59
|
|
Service Code
|
APR-DRG 5002
|
Min. Negotiated Rate |
$6,737.28 |
Max. Negotiated Rate |
$8,028.59 |
Rate for Payer: Adventist Health Medi-Cal |
$6,737.28
|
Rate for Payer: IEHP medi-cal |
$8,028.59
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
IP
|
$12,741.64
|
|
Service Code
|
APR-DRG 2813
|
Min. Negotiated Rate |
$10,692.29 |
Max. Negotiated Rate |
$12,741.64 |
Rate for Payer: Adventist Health Medi-Cal |
$10,692.29
|
Rate for Payer: IEHP medi-cal |
$12,741.64
|
|