|
APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$30,636.55
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$19,349.40 |
| Max. Negotiated Rate |
$30,636.55 |
| Rate for Payer: Adventist Health Medi-Cal |
$19,349.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$23,058.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$30,636.55
|
|
|
APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$25,066.43
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$15,831.43 |
| Max. Negotiated Rate |
$25,066.43 |
| Rate for Payer: Adventist Health Medi-Cal |
$15,831.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$18,865.79
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,066.43
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$65,289.51
|
|
|
Service Code
|
APR-DRG 4804
|
| Min. Negotiated Rate |
$41,235.48 |
| Max. Negotiated Rate |
$65,289.51 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,235.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$49,138.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$65,289.51
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$24,838.22
|
|
|
Service Code
|
APR-DRG 4802
|
| Min. Negotiated Rate |
$15,687.30 |
| Max. Negotiated Rate |
$24,838.22 |
| Rate for Payer: Adventist Health Medi-Cal |
$15,687.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$18,694.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,838.22
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$38,123.58
|
|
|
Service Code
|
APR-DRG 4803
|
| Min. Negotiated Rate |
$24,078.05 |
| Max. Negotiated Rate |
$38,123.58 |
| Rate for Payer: Adventist Health Medi-Cal |
$24,078.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$28,693.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$38,123.58
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$21,637.66
|
|
|
Service Code
|
APR-DRG 4801
|
| Min. Negotiated Rate |
$13,665.89 |
| Max. Negotiated Rate |
$21,637.66 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,665.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$16,285.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,637.66
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$53,711.90
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$33,923.30 |
| Max. Negotiated Rate |
$53,711.90 |
| Rate for Payer: Adventist Health Medi-Cal |
$33,923.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$40,425.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$53,711.90
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$33,934.11
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$21,432.07 |
| Max. Negotiated Rate |
$33,934.11 |
| Rate for Payer: Adventist Health Medi-Cal |
$21,432.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25,539.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$33,934.11
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$25,716.82
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$16,242.20 |
| Max. Negotiated Rate |
$25,716.82 |
| Rate for Payer: Adventist Health Medi-Cal |
$16,242.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,355.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,716.82
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$107,425.70
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$67,847.81 |
| Max. Negotiated Rate |
$107,425.70 |
| Rate for Payer: Adventist Health Medi-Cal |
$67,847.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$80,851.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$107,425.70
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$29,413.75
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$18,577.10 |
| Max. Negotiated Rate |
$29,413.75 |
| Rate for Payer: Adventist Health Medi-Cal |
$18,577.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$22,137.72
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29,413.75
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$49,872.34
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$31,498.32 |
| Max. Negotiated Rate |
$49,872.34 |
| Rate for Payer: Adventist Health Medi-Cal |
$31,498.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$37,535.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$49,872.34
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$91,337.24
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$57,686.68 |
| Max. Negotiated Rate |
$91,337.24 |
| Rate for Payer: Adventist Health Medi-Cal |
$57,686.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$68,743.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$91,337.24
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$37,073.85
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$23,415.06 |
| Max. Negotiated Rate |
$37,073.85 |
| Rate for Payer: Adventist Health Medi-Cal |
$23,415.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$27,902.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$37,073.85
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$30,889.48
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$19,509.14 |
| Max. Negotiated Rate |
$30,889.48 |
| Rate for Payer: Adventist Health Medi-Cal |
$19,509.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$23,248.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$30,889.48
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$93,714.37
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$59,188.02 |
| Max. Negotiated Rate |
$93,714.37 |
| Rate for Payer: Adventist Health Medi-Cal |
$59,188.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$70,532.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$93,714.37
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$37,492.21
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$23,679.29 |
| Max. Negotiated Rate |
$37,492.21 |
| Rate for Payer: Adventist Health Medi-Cal |
$23,679.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$28,217.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$37,492.21
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$52,645.03
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$33,249.49 |
| Max. Negotiated Rate |
$52,645.03 |
| Rate for Payer: Adventist Health Medi-Cal |
$33,249.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$39,622.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$52,645.03
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$28,594.11
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$18,059.44 |
| Max. Negotiated Rate |
$28,594.11 |
| Rate for Payer: Adventist Health Medi-Cal |
$18,059.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$21,520.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,594.11
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$10,035.33
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$6,338.10 |
| Max. Negotiated Rate |
$10,035.33 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,338.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,552.90
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,035.33
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$12,781.40
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$8,072.46 |
| Max. Negotiated Rate |
$12,781.40 |
| Rate for Payer: Adventist Health Medi-Cal |
$8,072.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$9,619.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12,781.40
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$15,344.89
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$9,691.51 |
| Max. Negotiated Rate |
$15,344.89 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,691.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,549.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15,344.89
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$6,159.65
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$3,890.30 |
| Max. Negotiated Rate |
$6,159.65 |
| Rate for Payer: Adventist Health Medi-Cal |
$3,890.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$4,635.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,159.65
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$10,002.99
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$6,317.68 |
| Max. Negotiated Rate |
$10,002.99 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,317.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,528.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,002.99
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$19,188.25
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$12,118.90 |
| Max. Negotiated Rate |
$19,188.25 |
| Rate for Payer: Adventist Health Medi-Cal |
$12,118.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,441.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,188.25
|
|