|
MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS
|
Facility
IP
|
$8,916.25
|
|
|
Service Code
|
APR-DRG 2483
|
| Min. Negotiated Rate |
$8,916.25 |
| Max. Negotiated Rate |
$8,916.25 |
| Rate for Payer: IEHP Medi-Cal |
$8,916.25
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$5,333.63
|
|
|
Service Code
|
APR-DRG 6601
|
| Min. Negotiated Rate |
$5,333.63 |
| Max. Negotiated Rate |
$5,333.63 |
| Rate for Payer: IEHP Medi-Cal |
$5,333.63
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$9,770.88
|
|
|
Service Code
|
APR-DRG 6603
|
| Min. Negotiated Rate |
$9,770.88 |
| Max. Negotiated Rate |
$9,770.88 |
| Rate for Payer: IEHP Medi-Cal |
$9,770.88
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$6,267.84
|
|
|
Service Code
|
APR-DRG 6602
|
| Min. Negotiated Rate |
$6,267.84 |
| Max. Negotiated Rate |
$6,267.84 |
| Rate for Payer: IEHP Medi-Cal |
$6,267.84
|
|
|
MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION
|
Facility
IP
|
$21,318.63
|
|
|
Service Code
|
APR-DRG 6604
|
| Min. Negotiated Rate |
$21,318.63 |
| Max. Negotiated Rate |
$21,318.63 |
| Rate for Payer: IEHP Medi-Cal |
$21,318.63
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$13,336.59
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$13,336.59 |
| Max. Negotiated Rate |
$13,336.59 |
| Rate for Payer: IEHP Medi-Cal |
$13,336.59
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$23,408.90
|
|
|
Service Code
|
APR-DRG 2313
|
| Min. Negotiated Rate |
$23,408.90 |
| Max. Negotiated Rate |
$23,408.90 |
| Rate for Payer: IEHP Medi-Cal |
$23,408.90
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$16,375.99
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$16,375.99 |
| Max. Negotiated Rate |
$16,375.99 |
| Rate for Payer: IEHP Medi-Cal |
$16,375.99
|
|
|
MAJOR LARGE BOWEL PROCEDURES
|
Facility
IP
|
$38,380.10
|
|
|
Service Code
|
APR-DRG 2314
|
| Min. Negotiated Rate |
$38,380.10 |
| Max. Negotiated Rate |
$38,380.10 |
| Rate for Payer: IEHP Medi-Cal |
$38,380.10
|
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$13,245.06
|
|
|
Service Code
|
APR-DRG 4802
|
| Min. Negotiated Rate |
$13,245.06 |
| Max. Negotiated Rate |
$13,245.06 |
| Rate for Payer: IEHP Medi-Cal |
$13,245.06
|
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$11,523.88
|
|
|
Service Code
|
APR-DRG 4801
|
| Min. Negotiated Rate |
$11,523.88 |
| Max. Negotiated Rate |
$11,523.88 |
| Rate for Payer: IEHP Medi-Cal |
$11,523.88
|
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$32,440.58
|
|
|
Service Code
|
APR-DRG 4804
|
| Min. Negotiated Rate |
$32,440.58 |
| Max. Negotiated Rate |
$32,440.58 |
| Rate for Payer: IEHP Medi-Cal |
$32,440.58
|
|
|
MAJOR MALE PELVIC PROCEDURES
|
Facility
IP
|
$19,751.67
|
|
|
Service Code
|
APR-DRG 4803
|
| Min. Negotiated Rate |
$19,751.67 |
| Max. Negotiated Rate |
$19,751.67 |
| Rate for Payer: IEHP Medi-Cal |
$19,751.67
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$18,254.35
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$18,254.35 |
| Max. Negotiated Rate |
$18,254.35 |
| Rate for Payer: IEHP Medi-Cal |
$18,254.35
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$30,020.99
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$30,020.99 |
| Max. Negotiated Rate |
$30,020.99 |
| Rate for Payer: IEHP Medi-Cal |
$30,020.99
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$57,513.94
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$57,513.94 |
| Max. Negotiated Rate |
$57,513.94 |
| Rate for Payer: IEHP Medi-Cal |
$57,513.94
|
|
|
MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$13,835.03
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$13,835.03 |
| Max. Negotiated Rate |
$13,835.03 |
| Rate for Payer: IEHP Medi-Cal |
$13,835.03
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$15,464.66
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$15,464.66 |
| Max. Negotiated Rate |
$15,464.66 |
| Rate for Payer: IEHP Medi-Cal |
$15,464.66
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$26,868.16
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$26,868.16 |
| Max. Negotiated Rate |
$26,868.16 |
| Rate for Payer: IEHP Medi-Cal |
$26,868.16
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$19,603.43
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$19,603.43 |
| Max. Negotiated Rate |
$19,603.43 |
| Rate for Payer: IEHP Medi-Cal |
$19,603.43
|
|
|
MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
IP
|
$50,726.76
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$50,726.76 |
| Max. Negotiated Rate |
$50,726.76 |
| Rate for Payer: IEHP Medi-Cal |
$50,726.76
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$27,050.23
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$27,050.23 |
| Max. Negotiated Rate |
$27,050.23 |
| Rate for Payer: IEHP Medi-Cal |
$27,050.23
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$16,220.78
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$16,220.78 |
| Max. Negotiated Rate |
$16,220.78 |
| Rate for Payer: IEHP Medi-Cal |
$16,220.78
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$19,916.82
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$19,916.82 |
| Max. Negotiated Rate |
$19,916.82 |
| Rate for Payer: IEHP Medi-Cal |
$19,916.82
|
|
|
MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$47,183.94
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$47,183.94 |
| Max. Negotiated Rate |
$47,183.94 |
| Rate for Payer: IEHP Medi-Cal |
$47,183.94
|
|
