CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$17,878.28
|
|
Service Code
|
APR-DRG 1914
|
Min. Negotiated Rate |
$17,878.28 |
Max. Negotiated Rate |
$17,878.28 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$17,878.28
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$12,466.05
|
|
Service Code
|
APR-DRG 1913
|
Min. Negotiated Rate |
$12,466.05 |
Max. Negotiated Rate |
$12,466.05 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$12,466.05
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$8,188.99
|
|
Service Code
|
APR-DRG 1911
|
Min. Negotiated Rate |
$8,188.99 |
Max. Negotiated Rate |
$8,188.99 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8,188.99
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$10,930.92
|
|
Service Code
|
APR-DRG 1922
|
Min. Negotiated Rate |
$10,930.92 |
Max. Negotiated Rate |
$10,930.92 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$10,930.92
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$8,784.94
|
|
Service Code
|
APR-DRG 1921
|
Min. Negotiated Rate |
$8,784.94 |
Max. Negotiated Rate |
$8,784.94 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8,784.94
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$23,820.79
|
|
Service Code
|
APR-DRG 1924
|
Min. Negotiated Rate |
$23,820.79 |
Max. Negotiated Rate |
$23,820.79 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$23,820.79
|
|
CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$15,330.35
|
|
Service Code
|
APR-DRG 1923
|
Min. Negotiated Rate |
$15,330.35 |
Max. Negotiated Rate |
$15,330.35 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$15,330.35
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$28,170.48
|
|
Service Code
|
APR-DRG 1774
|
Min. Negotiated Rate |
$28,170.48 |
Max. Negotiated Rate |
$28,170.48 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$28,170.48
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,526.00
|
|
Service Code
|
APR-DRG 1771
|
Min. Negotiated Rate |
$10,526.00 |
Max. Negotiated Rate |
$10,526.00 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$10,526.00
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$20,417.26
|
|
Service Code
|
APR-DRG 1773
|
Min. Negotiated Rate |
$20,417.26 |
Max. Negotiated Rate |
$20,417.26 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$20,417.26
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$15,195.05
|
|
Service Code
|
APR-DRG 1772
|
Min. Negotiated Rate |
$15,195.05 |
Max. Negotiated Rate |
$15,195.05 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$15,195.05
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$5,644.05
|
|
Service Code
|
APR-DRG 2002
|
Min. Negotiated Rate |
$5,644.05 |
Max. Negotiated Rate |
$5,644.05 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5,644.05
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$3,811.45
|
|
Service Code
|
APR-DRG 2001
|
Min. Negotiated Rate |
$3,811.45 |
Max. Negotiated Rate |
$3,811.45 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3,811.45
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$8,162.12
|
|
Service Code
|
APR-DRG 2003
|
Min. Negotiated Rate |
$8,162.12 |
Max. Negotiated Rate |
$8,162.12 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8,162.12
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$12,666.02
|
|
Service Code
|
APR-DRG 2004
|
Min. Negotiated Rate |
$12,666.02 |
Max. Negotiated Rate |
$12,666.02 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$12,666.02
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$57,440.32
|
|
Service Code
|
APR-DRG 1623
|
Min. Negotiated Rate |
$57,440.32 |
Max. Negotiated Rate |
$57,440.32 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$57,440.32
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$83,863.76
|
|
Service Code
|
APR-DRG 1624
|
Min. Negotiated Rate |
$83,863.76 |
Max. Negotiated Rate |
$83,863.76 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$83,863.76
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$45,523.46
|
|
Service Code
|
APR-DRG 1622
|
Min. Negotiated Rate |
$45,523.46 |
Max. Negotiated Rate |
$45,523.46 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$45,523.46
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$38,847.71
|
|
Service Code
|
APR-DRG 1621
|
Min. Negotiated Rate |
$38,847.71 |
Max. Negotiated Rate |
$38,847.71 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$38,847.71
|
|
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$33,977.69
|
|
Service Code
|
APR-DRG 1631
|
Min. Negotiated Rate |
$33,977.69 |
Max. Negotiated Rate |
$33,977.69 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$33,977.69
|
|
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$71,362.89
|
|
Service Code
|
APR-DRG 1634
|
Min. Negotiated Rate |
$71,362.89 |
Max. Negotiated Rate |
$71,362.89 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$71,362.89
|
|
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$37,598.12
|
|
Service Code
|
APR-DRG 1632
|
Min. Negotiated Rate |
$37,598.12 |
Max. Negotiated Rate |
$37,598.12 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$37,598.12
|
|
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$47,508.27
|
|
Service Code
|
APR-DRG 1633
|
Min. Negotiated Rate |
$47,508.27 |
Max. Negotiated Rate |
$47,508.27 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$47,508.27
|
|
CARDIOMYOPATHY
|
Facility
|
IP
|
$4,364.60
|
|
Service Code
|
APR-DRG 2051
|
Min. Negotiated Rate |
$4,364.60 |
Max. Negotiated Rate |
$4,364.60 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4,364.60
|
|
CARDIOMYOPATHY
|
Facility
|
IP
|
$8,049.70
|
|
Service Code
|
APR-DRG 2053
|
Min. Negotiated Rate |
$8,049.70 |
Max. Negotiated Rate |
$8,049.70 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8,049.70
|
|