APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$28,035.01
|
|
Service Code
|
APR-DRG 5314
|
Min. Negotiated Rate |
$17,706.32 |
Max. Negotiated Rate |
$28,035.01 |
Rate for Payer: Adventist Health Medi-Cal |
$17,706.32
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$21,100.04
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,035.01
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$16,430.78
|
|
Service Code
|
APR-DRG 5313
|
Min. Negotiated Rate |
$10,377.34 |
Max. Negotiated Rate |
$16,430.78 |
Rate for Payer: Adventist Health Medi-Cal |
$10,377.34
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12,366.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,430.78
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$10,628.66
|
|
Service Code
|
APR-DRG 5312
|
Min. Negotiated Rate |
$6,712.84 |
Max. Negotiated Rate |
$10,628.66 |
Rate for Payer: Adventist Health Medi-Cal |
$6,712.84
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,999.46
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,628.66
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$17,737.24
|
|
Service Code
|
APR-DRG 5303
|
Min. Negotiated Rate |
$11,202.47 |
Max. Negotiated Rate |
$17,737.24 |
Rate for Payer: Adventist Health Medi-Cal |
$11,202.47
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$13,349.61
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17,737.24
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$9,004.59
|
|
Service Code
|
APR-DRG 5301
|
Min. Negotiated Rate |
$5,687.11 |
Max. Negotiated Rate |
$9,004.59 |
Rate for Payer: Adventist Health Medi-Cal |
$5,687.11
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,777.14
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,004.59
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$28,228.98
|
|
Service Code
|
APR-DRG 5304
|
Min. Negotiated Rate |
$17,828.83 |
Max. Negotiated Rate |
$28,228.98 |
Rate for Payer: Adventist Health Medi-Cal |
$17,828.83
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$21,246.02
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,228.98
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$11,864.78
|
|
Service Code
|
APR-DRG 5302
|
Min. Negotiated Rate |
$7,493.54 |
Max. Negotiated Rate |
$11,864.78 |
Rate for Payer: Adventist Health Medi-Cal |
$7,493.54
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8,929.81
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,864.78
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$19,754.97
|
|
Service Code
|
APR-DRG 5142
|
Min. Negotiated Rate |
$12,476.82 |
Max. Negotiated Rate |
$19,754.97 |
Rate for Payer: Adventist Health Medi-Cal |
$12,476.82
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,868.21
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,754.97
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$13,237.79
|
|
Service Code
|
APR-DRG 5141
|
Min. Negotiated Rate |
$8,360.71 |
Max. Negotiated Rate |
$13,237.79 |
Rate for Payer: Adventist Health Medi-Cal |
$8,360.71
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$9,963.18
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13,237.79
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$67,959.50
|
|
Service Code
|
APR-DRG 5144
|
Min. Negotiated Rate |
$42,921.79 |
Max. Negotiated Rate |
$67,959.50 |
Rate for Payer: Adventist Health Medi-Cal |
$42,921.79
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$51,148.47
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$67,959.50
|
|
APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$33,325.56
|
|
Service Code
|
APR-DRG 5143
|
Min. Negotiated Rate |
$21,047.72 |
Max. Negotiated Rate |
$33,325.56 |
Rate for Payer: Adventist Health Medi-Cal |
$21,047.72
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25,081.87
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$33,325.56
|
|
APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$12,838.45
|
|
Service Code
|
APR-DRG 7223
|
Min. Negotiated Rate |
$8,108.50 |
Max. Negotiated Rate |
$12,838.45 |
Rate for Payer: Adventist Health Medi-Cal |
$8,108.50
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$9,662.62
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12,838.45
|
|
APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$9,206.18
|
|
Service Code
|
APR-DRG 7222
|
Min. Negotiated Rate |
$5,814.43 |
Max. Negotiated Rate |
$9,206.18 |
Rate for Payer: Adventist Health Medi-Cal |
$5,814.43
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,928.86
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,206.18
|
|
APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$6,471.51
|
|
Service Code
|
APR-DRG 7221
|
Min. Negotiated Rate |
$4,087.27 |
Max. Negotiated Rate |
$6,471.51 |
Rate for Payer: Adventist Health Medi-Cal |
$4,087.27
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$4,870.67
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,471.51
|
|
APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$19,606.63
|
|
Service Code
|
APR-DRG 7224
|
Min. Negotiated Rate |
$12,383.14 |
Max. Negotiated Rate |
$19,606.63 |
Rate for Payer: Adventist Health Medi-Cal |
$12,383.14
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,756.57
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,606.63
|
|
APR-DRG 41.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$25,694.00
|
|
Service Code
|
APR-DRG 3143
|
Min. Negotiated Rate |
$16,227.79 |
Max. Negotiated Rate |
$25,694.00 |
Rate for Payer: Adventist Health Medi-Cal |
$16,227.79
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,338.12
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,694.00
|
|
APR-DRG 41.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$19,467.80
|
|
Service Code
|
APR-DRG 3142
|
Min. Negotiated Rate |
$12,295.45 |
Max. Negotiated Rate |
$19,467.80 |
Rate for Payer: Adventist Health Medi-Cal |
$12,295.45
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,652.08
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,467.80
|
|
APR-DRG 41.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$46,344.67
|
|
Service Code
|
APR-DRG 3144
|
Min. Negotiated Rate |
$29,270.32 |
Max. Negotiated Rate |
$46,344.67 |
Rate for Payer: Adventist Health Medi-Cal |
$29,270.32
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$34,880.46
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$46,344.67
|
|
APR-DRG 41.00: FOOT AND TOE PROCEDURES
|
Facility
|
IP
|
$18,174.64
|
|
Service Code
|
APR-DRG 3141
|
Min. Negotiated Rate |
$11,478.72 |
Max. Negotiated Rate |
$18,174.64 |
Rate for Payer: Adventist Health Medi-Cal |
$11,478.72
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$13,678.81
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$18,174.64
|
|
APR-DRG 41.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$9,814.72
|
|
Service Code
|
APR-DRG 3402
|
Min. Negotiated Rate |
$6,198.77 |
Max. Negotiated Rate |
$9,814.72 |
Rate for Payer: Adventist Health Medi-Cal |
$6,198.77
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,386.87
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,814.72
|
|
APR-DRG 41.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$22,366.00
|
|
Service Code
|
APR-DRG 3404
|
Min. Negotiated Rate |
$14,125.90 |
Max. Negotiated Rate |
$22,366.00 |
Rate for Payer: Adventist Health Medi-Cal |
$14,125.90
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$16,833.36
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$22,366.00
|
|
APR-DRG 41.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$13,914.82
|
|
Service Code
|
APR-DRG 3403
|
Min. Negotiated Rate |
$8,788.31 |
Max. Negotiated Rate |
$13,914.82 |
Rate for Payer: Adventist Health Medi-Cal |
$8,788.31
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$10,472.73
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13,914.82
|
|
APR-DRG 41.00: FRACTURE OF FEMUR
|
Facility
|
IP
|
$7,783.69
|
|
Service Code
|
APR-DRG 3401
|
Min. Negotiated Rate |
$4,916.02 |
Max. Negotiated Rate |
$7,783.69 |
Rate for Payer: Adventist Health Medi-Cal |
$4,916.02
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$5,858.25
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,783.69
|
|
APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$8,443.60
|
|
Service Code
|
APR-DRG 3411
|
Min. Negotiated Rate |
$5,332.80 |
Max. Negotiated Rate |
$8,443.60 |
Rate for Payer: Adventist Health Medi-Cal |
$5,332.80
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,354.92
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,443.60
|
|
APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$13,374.73
|
|
Service Code
|
APR-DRG 3413
|
Min. Negotiated Rate |
$8,447.20 |
Max. Negotiated Rate |
$13,374.73 |
Rate for Payer: Adventist Health Medi-Cal |
$8,447.20
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$10,066.24
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13,374.73
|
|