APR-DRG 41.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$84,704.07
|
|
Service Code
|
APR-DRG 0274
|
Min. Negotiated Rate |
$53,497.31 |
Max. Negotiated Rate |
$84,704.07 |
Rate for Payer: Adventist Health Medi-Cal |
$53,497.31
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$63,750.96
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$84,704.07
|
|
APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$19,220.59
|
|
Service Code
|
APR-DRG 6811
|
Min. Negotiated Rate |
$12,139.32 |
Max. Negotiated Rate |
$19,220.59 |
Rate for Payer: Adventist Health Medi-Cal |
$12,139.32
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14,466.02
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$19,220.59
|
|
APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$40,664.26
|
|
Service Code
|
APR-DRG 6813
|
Min. Negotiated Rate |
$25,682.69 |
Max. Negotiated Rate |
$40,664.26 |
Rate for Payer: Adventist Health Medi-Cal |
$25,682.69
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$30,605.20
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$40,664.26
|
|
APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$92,056.08
|
|
Service Code
|
APR-DRG 6814
|
Min. Negotiated Rate |
$58,140.68 |
Max. Negotiated Rate |
$92,056.08 |
Rate for Payer: Adventist Health Medi-Cal |
$58,140.68
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$69,284.32
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$92,056.08
|
|
APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$24,872.46
|
|
Service Code
|
APR-DRG 6812
|
Min. Negotiated Rate |
$15,708.92 |
Max. Negotiated Rate |
$24,872.46 |
Rate for Payer: Adventist Health Medi-Cal |
$15,708.92
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$18,719.80
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,872.46
|
|
APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$65,968.42
|
|
Service Code
|
APR-DRG 0294
|
Min. Negotiated Rate |
$41,664.26 |
Max. Negotiated Rate |
$65,968.42 |
Rate for Payer: Adventist Health Medi-Cal |
$41,664.26
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$49,649.91
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$65,968.42
|
|
APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$41,767.26
|
|
Service Code
|
APR-DRG 0293
|
Min. Negotiated Rate |
$26,379.32 |
Max. Negotiated Rate |
$41,767.26 |
Rate for Payer: Adventist Health Medi-Cal |
$26,379.32
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$31,435.36
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$41,767.26
|
|
APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$33,068.83
|
|
Service Code
|
APR-DRG 0291
|
Min. Negotiated Rate |
$20,885.58 |
Max. Negotiated Rate |
$33,068.83 |
Rate for Payer: Adventist Health Medi-Cal |
$20,885.58
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$24,888.65
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$33,068.83
|
|
APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$37,418.05
|
|
Service Code
|
APR-DRG 0292
|
Min. Negotiated Rate |
$23,632.45 |
Max. Negotiated Rate |
$37,418.05 |
Rate for Payer: Adventist Health Medi-Cal |
$23,632.45
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$28,162.01
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$37,418.05
|
|
APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$33,363.60
|
|
Service Code
|
APR-DRG 1822
|
Min. Negotiated Rate |
$21,071.75 |
Max. Negotiated Rate |
$33,363.60 |
Rate for Payer: Adventist Health Medi-Cal |
$21,071.75
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25,110.50
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$33,363.60
|
|
APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$70,443.15
|
|
Service Code
|
APR-DRG 1824
|
Min. Negotiated Rate |
$44,490.41 |
Max. Negotiated Rate |
$70,443.15 |
Rate for Payer: Adventist Health Medi-Cal |
$44,490.41
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$53,017.74
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$70,443.15
|
|
APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$40,097.56
|
|
Service Code
|
APR-DRG 1823
|
Min. Negotiated Rate |
$25,324.78 |
Max. Negotiated Rate |
$40,097.56 |
Rate for Payer: Adventist Health Medi-Cal |
$25,324.78
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$30,178.69
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$40,097.56
|
|
APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
|
IP
|
$30,229.59
|
|
Service Code
|
APR-DRG 1821
|
Min. Negotiated Rate |
$19,092.37 |
Max. Negotiated Rate |
$30,229.59 |
Rate for Payer: Adventist Health Medi-Cal |
$19,092.37
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$22,751.74
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$30,229.59
|
|
APR-DRG 41.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$14,677.41
|
|
Service Code
|
APR-DRG 1393
|
Min. Negotiated Rate |
$9,269.94 |
Max. Negotiated Rate |
$14,677.41 |
Rate for Payer: Adventist Health Medi-Cal |
$9,269.94
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,046.68
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14,677.41
|
|
APR-DRG 41.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$25,330.78
|
|
Service Code
|
APR-DRG 1394
|
Min. Negotiated Rate |
$15,998.39 |
Max. Negotiated Rate |
$25,330.78 |
Rate for Payer: Adventist Health Medi-Cal |
$15,998.39
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,064.75
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,330.78
|
|
APR-DRG 41.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$10,290.15
|
|
Service Code
|
APR-DRG 1392
|
Min. Negotiated Rate |
$6,499.04 |
Max. Negotiated Rate |
$10,290.15 |
Rate for Payer: Adventist Health Medi-Cal |
$6,499.04
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,744.69
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,290.15
|
|
APR-DRG 41.00: OTHER PNEUMONIA
|
Facility
|
IP
|
$7,542.18
|
|
Service Code
|
APR-DRG 1391
|
Min. Negotiated Rate |
$4,763.48 |
Max. Negotiated Rate |
$7,542.18 |
Rate for Payer: Adventist Health Medi-Cal |
$4,763.48
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$5,676.49
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,542.18
|
|
APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$24,068.04
|
|
Service Code
|
APR-DRG 4052
|
Min. Negotiated Rate |
$15,200.87 |
Max. Negotiated Rate |
$24,068.04 |
Rate for Payer: Adventist Health Medi-Cal |
$15,200.87
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$18,114.37
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,068.04
|
|
APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$71,336.94
|
|
Service Code
|
APR-DRG 4054
|
Min. Negotiated Rate |
$45,054.91 |
Max. Negotiated Rate |
$71,336.94 |
Rate for Payer: Adventist Health Medi-Cal |
$45,054.91
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$53,690.44
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$71,336.94
|
|
APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$36,324.56
|
|
Service Code
|
APR-DRG 4053
|
Min. Negotiated Rate |
$22,941.83 |
Max. Negotiated Rate |
$36,324.56 |
Rate for Payer: Adventist Health Medi-Cal |
$22,941.83
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$27,339.01
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$36,324.56
|
|
APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
|
IP
|
$21,086.16
|
|
Service Code
|
APR-DRG 4051
|
Min. Negotiated Rate |
$13,317.58 |
Max. Negotiated Rate |
$21,086.16 |
Rate for Payer: Adventist Health Medi-Cal |
$13,317.58
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$15,870.11
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,086.16
|
|
APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$17,440.58
|
|
Service Code
|
APR-DRG 6511
|
Min. Negotiated Rate |
$11,015.10 |
Max. Negotiated Rate |
$17,440.58 |
Rate for Payer: Adventist Health Medi-Cal |
$11,015.10
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$13,126.33
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17,440.58
|
|
APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$25,287.04
|
|
Service Code
|
APR-DRG 6512
|
Min. Negotiated Rate |
$15,970.76 |
Max. Negotiated Rate |
$25,287.04 |
Rate for Payer: Adventist Health Medi-Cal |
$15,970.76
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19,031.83
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,287.04
|
|
APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$35,554.38
|
|
Service Code
|
APR-DRG 6513
|
Min. Negotiated Rate |
$22,455.40 |
Max. Negotiated Rate |
$35,554.38 |
Rate for Payer: Adventist Health Medi-Cal |
$22,455.40
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$26,759.35
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35,554.38
|
|
APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$70,745.51
|
|
Service Code
|
APR-DRG 6514
|
Min. Negotiated Rate |
$44,681.38 |
Max. Negotiated Rate |
$70,745.51 |
Rate for Payer: Adventist Health Medi-Cal |
$44,681.38
|
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$53,245.31
|
Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$70,745.51
|
|