|
APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE
|
Facility
|
IP
|
$14,664.09
|
|
|
Service Code
|
APR-DRG 0552
|
| Min. Negotiated Rate |
$9,261.53 |
| Max. Negotiated Rate |
$14,664.09 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,261.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,036.65
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14,664.09
|
|
|
APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$146,848.15
|
|
|
Service Code
|
APR-DRG 0021
|
| Min. Negotiated Rate |
$92,746.20 |
| Max. Negotiated Rate |
$146,848.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$92,746.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$110,522.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$146,848.15
|
|
|
APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$178,625.73
|
|
|
Service Code
|
APR-DRG 0022
|
| Min. Negotiated Rate |
$112,816.25 |
| Max. Negotiated Rate |
$178,625.73 |
| Rate for Payer: Adventist Health Medi-Cal |
$112,816.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$134,439.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$178,625.73
|
|
|
APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$248,184.57
|
|
|
Service Code
|
APR-DRG 0023
|
| Min. Negotiated Rate |
$156,748.15 |
| Max. Negotiated Rate |
$248,184.57 |
| Rate for Payer: Adventist Health Medi-Cal |
$156,748.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$186,791.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$248,184.57
|
|
|
APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT
|
Facility
|
IP
|
$392,134.50
|
|
|
Service Code
|
APR-DRG 0024
|
| Min. Negotiated Rate |
$247,663.90 |
| Max. Negotiated Rate |
$392,134.50 |
| Rate for Payer: Adventist Health Medi-Cal |
$247,663.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$295,132.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$392,134.50
|
|
|
APR-DRG 41.00: HEART FAILURE
|
Facility
|
IP
|
$15,742.35
|
|
|
Service Code
|
APR-DRG 1943
|
| Min. Negotiated Rate |
$9,942.54 |
| Max. Negotiated Rate |
$15,742.35 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,942.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,848.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,742.35
|
|
|
APR-DRG 41.00: HEART FAILURE
|
Facility
|
IP
|
$27,825.82
|
|
|
Service Code
|
APR-DRG 1944
|
| Min. Negotiated Rate |
$17,574.20 |
| Max. Negotiated Rate |
$27,825.82 |
| Rate for Payer: Adventist Health Medi-Cal |
$17,574.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$20,942.59
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$27,825.82
|
|
|
APR-DRG 41.00: HEART FAILURE
|
Facility
|
IP
|
$8,466.42
|
|
|
Service Code
|
APR-DRG 1941
|
| Min. Negotiated Rate |
$5,347.21 |
| Max. Negotiated Rate |
$8,466.42 |
| Rate for Payer: Adventist Health Medi-Cal |
$5,347.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,372.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,466.42
|
|
|
APR-DRG 41.00: HEART FAILURE
|
Facility
|
IP
|
$11,067.96
|
|
|
Service Code
|
APR-DRG 1942
|
| Min. Negotiated Rate |
$6,990.29 |
| Max. Negotiated Rate |
$11,067.96 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,990.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8,330.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,067.96
|
|
|
APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$7,553.58
|
|
|
Service Code
|
APR-DRG 8101
|
| Min. Negotiated Rate |
$4,770.68 |
| Max. Negotiated Rate |
$7,553.58 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,770.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$5,685.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,553.58
|
|
|
APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$10,387.15
|
|
|
Service Code
|
APR-DRG 8102
|
| Min. Negotiated Rate |
$6,560.30 |
| Max. Negotiated Rate |
$10,387.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,560.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,817.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,387.15
|
|
|
APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$32,891.98
|
|
|
Service Code
|
APR-DRG 8104
|
| Min. Negotiated Rate |
$20,773.88 |
| Max. Negotiated Rate |
$32,891.98 |
| Rate for Payer: Adventist Health Medi-Cal |
$20,773.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$24,755.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$32,891.98
|
|
|
APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$16,331.89
|
|
|
Service Code
|
APR-DRG 8103
|
| Min. Negotiated Rate |
$10,314.88 |
| Max. Negotiated Rate |
$16,331.89 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,314.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12,291.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,331.89
|
|
|
APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$10,221.70
|
|
|
Service Code
|
APR-DRG 2792
|
| Min. Negotiated Rate |
$6,455.81 |
| Max. Negotiated Rate |
$10,221.70 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,455.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,693.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,221.70
|
|
|
APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$32,812.11
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$20,723.44 |
| Max. Negotiated Rate |
$32,812.11 |
| Rate for Payer: Adventist Health Medi-Cal |
$20,723.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$24,695.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$32,812.11
|
|
|
APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$15,632.06
|
|
|
Service Code
|
APR-DRG 2793
|
| Min. Negotiated Rate |
$9,872.88 |
| Max. Negotiated Rate |
$15,632.06 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,872.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,765.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,632.06
|
|
|
APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$8,118.40
|
|
|
Service Code
|
APR-DRG 2791
|
| Min. Negotiated Rate |
$5,127.41 |
| Max. Negotiated Rate |
$8,118.40 |
| Rate for Payer: Adventist Health Medi-Cal |
$5,127.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$6,110.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,118.40
|
|
|
APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$31,865.05
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$20,125.30 |
| Max. Negotiated Rate |
$31,865.05 |
| Rate for Payer: Adventist Health Medi-Cal |
$20,125.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$23,982.64
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$31,865.05
|
|
|
APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$18,821.23
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$11,887.09 |
| Max. Negotiated Rate |
$18,821.23 |
| Rate for Payer: Adventist Health Medi-Cal |
$11,887.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,165.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$18,821.23
|
|
|
APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$60,769.14
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$38,380.51 |
| Max. Negotiated Rate |
$60,769.14 |
| Rate for Payer: Adventist Health Medi-Cal |
$38,380.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$45,736.78
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$60,769.14
|
|
|
APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$22,959.35
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$14,500.64 |
| Max. Negotiated Rate |
$22,959.35 |
| Rate for Payer: Adventist Health Medi-Cal |
$14,500.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$17,279.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$22,959.35
|
|
|
APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$23,295.96
|
|
|
Service Code
|
APR-DRG 3081
|
| Min. Negotiated Rate |
$14,713.24 |
| Max. Negotiated Rate |
$23,295.96 |
| Rate for Payer: Adventist Health Medi-Cal |
$14,713.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$17,533.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$23,295.96
|
|
|
APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$52,394.02
|
|
|
Service Code
|
APR-DRG 3084
|
| Min. Negotiated Rate |
$33,090.96 |
| Max. Negotiated Rate |
$52,394.02 |
| Rate for Payer: Adventist Health Medi-Cal |
$33,090.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$39,433.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$52,394.02
|
|
|
APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$35,280.53
|
|
|
Service Code
|
APR-DRG 3083
|
| Min. Negotiated Rate |
$22,282.44 |
| Max. Negotiated Rate |
$35,280.53 |
| Rate for Payer: Adventist Health Medi-Cal |
$22,282.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$26,553.24
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35,280.53
|
|
|
APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$27,474.00
|
|
|
Service Code
|
APR-DRG 3082
|
| Min. Negotiated Rate |
$17,352.00 |
| Max. Negotiated Rate |
$27,474.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$17,352.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$20,677.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$27,474.00
|
|