|
MAJOR BLADDER PROCEDURES
|
Facility
IP
|
$26,075.23
|
|
|
Service Code
|
APR-DRG 4413
|
| Min. Negotiated Rate |
$26,075.23 |
| Max. Negotiated Rate |
$26,075.23 |
| Rate for Payer: IEHP Medi-Cal |
$26,075.23
|
|
|
MAJOR BLADDER PROCEDURES
|
Facility
IP
|
$51,371.45
|
|
|
Service Code
|
APR-DRG 4414
|
| Min. Negotiated Rate |
$51,371.45 |
| Max. Negotiated Rate |
$51,371.45 |
| Rate for Payer: IEHP Medi-Cal |
$51,371.45
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
IP
|
$47,765.95
|
|
|
Service Code
|
APR-DRG 1603
|
| Min. Negotiated Rate |
$47,765.95 |
| Max. Negotiated Rate |
$47,765.95 |
| Rate for Payer: IEHP Medi-Cal |
$47,765.95
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
IP
|
$25,133.06
|
|
|
Service Code
|
APR-DRG 1601
|
| Min. Negotiated Rate |
$25,133.06 |
| Max. Negotiated Rate |
$25,133.06 |
| Rate for Payer: IEHP Medi-Cal |
$25,133.06
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
IP
|
$30,958.18
|
|
|
Service Code
|
APR-DRG 1602
|
| Min. Negotiated Rate |
$30,958.18 |
| Max. Negotiated Rate |
$30,958.18 |
| Rate for Payer: IEHP Medi-Cal |
$30,958.18
|
|
|
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
IP
|
$88,981.51
|
|
|
Service Code
|
APR-DRG 1604
|
| Min. Negotiated Rate |
$88,981.51 |
| Max. Negotiated Rate |
$88,981.51 |
| Rate for Payer: IEHP Medi-Cal |
$88,981.51
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
IP
|
$6,134.53
|
|
|
Service Code
|
APR-DRG 1351
|
| Min. Negotiated Rate |
$6,134.53 |
| Max. Negotiated Rate |
$6,134.53 |
| Rate for Payer: IEHP Medi-Cal |
$6,134.53
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
IP
|
$7,138.38
|
|
|
Service Code
|
APR-DRG 1352
|
| Min. Negotiated Rate |
$7,138.38 |
| Max. Negotiated Rate |
$7,138.38 |
| Rate for Payer: IEHP Medi-Cal |
$7,138.38
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
IP
|
$17,251.50
|
|
|
Service Code
|
APR-DRG 1354
|
| Min. Negotiated Rate |
$17,251.50 |
| Max. Negotiated Rate |
$17,251.50 |
| Rate for Payer: IEHP Medi-Cal |
$17,251.50
|
|
|
MAJOR CHEST AND RESPIRATORY TRAUMA
|
Facility
IP
|
$10,240.46
|
|
|
Service Code
|
APR-DRG 1353
|
| Min. Negotiated Rate |
$10,240.46 |
| Max. Negotiated Rate |
$10,240.46 |
| Rate for Payer: IEHP Medi-Cal |
$10,240.46
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
IP
|
$48,338.01
|
|
|
Service Code
|
APR-DRG 0894
|
| Min. Negotiated Rate |
$48,338.01 |
| Max. Negotiated Rate |
$48,338.01 |
| Rate for Payer: IEHP Medi-Cal |
$48,338.01
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
IP
|
$13,729.56
|
|
|
Service Code
|
APR-DRG 0891
|
| Min. Negotiated Rate |
$13,729.56 |
| Max. Negotiated Rate |
$13,729.56 |
| Rate for Payer: IEHP Medi-Cal |
$13,729.56
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
IP
|
$18,377.72
|
|
|
Service Code
|
APR-DRG 0892
|
| Min. Negotiated Rate |
$18,377.72 |
| Max. Negotiated Rate |
$18,377.72 |
| Rate for Payer: IEHP Medi-Cal |
$18,377.72
|
|
|
MAJOR CRANIAL OR FACIAL BONE PROCEDURES
|
Facility
IP
|
$33,570.77
|
|
|
Service Code
|
APR-DRG 0893
|
| Min. Negotiated Rate |
$33,570.77 |
| Max. Negotiated Rate |
$33,570.77 |
| Rate for Payer: IEHP Medi-Cal |
$33,570.77
|
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$4,319.84
|
|
|
Service Code
|
APR-DRG 7512
|
| Min. Negotiated Rate |
$4,319.84 |
| Max. Negotiated Rate |
$4,319.84 |
| Rate for Payer: IEHP Medi-Cal |
$4,319.84
|
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$3,207.55
|
|
|
Service Code
|
APR-DRG 7511
|
| Min. Negotiated Rate |
$3,207.55 |
| Max. Negotiated Rate |
$3,207.55 |
| Rate for Payer: IEHP Medi-Cal |
$3,207.55
|
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$7,943.25
|
|
|
Service Code
|
APR-DRG 7513
|
| Min. Negotiated Rate |
$7,943.25 |
| Max. Negotiated Rate |
$7,943.25 |
| Rate for Payer: IEHP Medi-Cal |
$7,943.25
|
|
|
MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES
|
Facility
IP
|
$16,155.13
|
|
|
Service Code
|
APR-DRG 7514
|
| Min. Negotiated Rate |
$16,155.13 |
| Max. Negotiated Rate |
$16,155.13 |
| Rate for Payer: IEHP Medi-Cal |
$16,155.13
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$18,527.95
|
|
|
Service Code
|
APR-DRG 2424
|
| Min. Negotiated Rate |
$18,527.95 |
| Max. Negotiated Rate |
$18,527.95 |
| Rate for Payer: IEHP Medi-Cal |
$18,527.95
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$4,867.03
|
|
|
Service Code
|
APR-DRG 2421
|
| Min. Negotiated Rate |
$4,867.03 |
| Max. Negotiated Rate |
$4,867.03 |
| Rate for Payer: IEHP Medi-Cal |
$4,867.03
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$9,028.68
|
|
|
Service Code
|
APR-DRG 2423
|
| Min. Negotiated Rate |
$9,028.68 |
| Max. Negotiated Rate |
$9,028.68 |
| Rate for Payer: IEHP Medi-Cal |
$9,028.68
|
|
|
MAJOR ESOPHAGEAL DISORDERS
|
Facility
IP
|
$6,295.70
|
|
|
Service Code
|
APR-DRG 2422
|
| Min. Negotiated Rate |
$6,295.70 |
| Max. Negotiated Rate |
$6,295.70 |
| Rate for Payer: IEHP Medi-Cal |
$6,295.70
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$4,610.35
|
|
|
Service Code
|
APR-DRG 2481
|
| Min. Negotiated Rate |
$4,610.35 |
| Max. Negotiated Rate |
$4,610.35 |
| Rate for Payer: IEHP Medi-Cal |
$4,610.35
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$6,069.86
|
|
|
Service Code
|
APR-DRG 2482
|
| Min. Negotiated Rate |
$6,069.86 |
| Max. Negotiated Rate |
$6,069.86 |
| Rate for Payer: IEHP Medi-Cal |
$6,069.86
|
|
|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$16,206.86
|
|
|
Service Code
|
APR-DRG 2484
|
| Min. Negotiated Rate |
$16,206.86 |
| Max. Negotiated Rate |
$16,206.86 |
| Rate for Payer: IEHP Medi-Cal |
$16,206.86
|
|
