|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$5,447.06
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$5,447.06 |
| Max. Negotiated Rate |
$5,447.06 |
| Rate for Payer: IEHP Medi-Cal |
$5,447.06
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$6,942.38
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$6,942.38 |
| Max. Negotiated Rate |
$6,942.38 |
| Rate for Payer: IEHP Medi-Cal |
$6,942.38
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$13,668.88
|
|
|
Service Code
|
APR-DRG 1374
|
| Min. Negotiated Rate |
$13,668.88 |
| Max. Negotiated Rate |
$13,668.88 |
| Rate for Payer: IEHP Medi-Cal |
$13,668.88
|
|
|
MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
IP
|
$9,462.45
|
|
|
Service Code
|
APR-DRG 1373
|
| Min. Negotiated Rate |
$9,462.45 |
| Max. Negotiated Rate |
$9,462.45 |
| Rate for Payer: IEHP Medi-Cal |
$9,462.45
|
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$21,345.50
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$21,345.50 |
| Max. Negotiated Rate |
$21,345.50 |
| Rate for Payer: IEHP Medi-Cal |
$21,345.50
|
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$5,391.34
|
|
|
Service Code
|
APR-DRG 3812
|
| Min. Negotiated Rate |
$5,391.34 |
| Max. Negotiated Rate |
$5,391.34 |
| Rate for Payer: IEHP Medi-Cal |
$5,391.34
|
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$10,840.39
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$10,840.39 |
| Max. Negotiated Rate |
$10,840.39 |
| Rate for Payer: IEHP Medi-Cal |
$10,840.39
|
|
|
MAJOR SKIN DISORDERS
|
Facility
IP
|
$3,272.22
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$3,272.22 |
| Max. Negotiated Rate |
$3,272.22 |
| Rate for Payer: IEHP Medi-Cal |
$3,272.22
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$43,620.22
|
|
|
Service Code
|
APR-DRG 2304
|
| Min. Negotiated Rate |
$43,620.22 |
| Max. Negotiated Rate |
$43,620.22 |
| Rate for Payer: IEHP Medi-Cal |
$43,620.22
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$16,008.87
|
|
|
Service Code
|
APR-DRG 2302
|
| Min. Negotiated Rate |
$16,008.87 |
| Max. Negotiated Rate |
$16,008.87 |
| Rate for Payer: IEHP Medi-Cal |
$16,008.87
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$11,676.10
|
|
|
Service Code
|
APR-DRG 2301
|
| Min. Negotiated Rate |
$11,676.10 |
| Max. Negotiated Rate |
$11,676.10 |
| Rate for Payer: IEHP Medi-Cal |
$11,676.10
|
|
|
MAJOR SMALL BOWEL PROCEDURES
|
Facility
IP
|
$23,708.38
|
|
|
Service Code
|
APR-DRG 2303
|
| Min. Negotiated Rate |
$23,708.38 |
| Max. Negotiated Rate |
$23,708.38 |
| Rate for Payer: IEHP Medi-Cal |
$23,708.38
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$12,468.04
|
|
|
Service Code
|
APR-DRG 2201
|
| Min. Negotiated Rate |
$12,468.04 |
| Max. Negotiated Rate |
$12,468.04 |
| Rate for Payer: IEHP Medi-Cal |
$12,468.04
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$48,668.32
|
|
|
Service Code
|
APR-DRG 2204
|
| Min. Negotiated Rate |
$48,668.32 |
| Max. Negotiated Rate |
$48,668.32 |
| Rate for Payer: IEHP Medi-Cal |
$48,668.32
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$17,892.21
|
|
|
Service Code
|
APR-DRG 2202
|
| Min. Negotiated Rate |
$17,892.21 |
| Max. Negotiated Rate |
$17,892.21 |
| Rate for Payer: IEHP Medi-Cal |
$17,892.21
|
|
|
MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
|
Facility
IP
|
$27,248.22
|
|
|
Service Code
|
APR-DRG 2203
|
| Min. Negotiated Rate |
$27,248.22 |
| Max. Negotiated Rate |
$27,248.22 |
| Rate for Payer: IEHP Medi-Cal |
$27,248.22
|
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$3,972.62
|
|
|
Service Code
|
APR-DRG 5011
|
| Min. Negotiated Rate |
$3,972.62 |
| Max. Negotiated Rate |
$3,972.62 |
| Rate for Payer: IEHP Medi-Cal |
$3,972.62
|
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$5,331.65
|
|
|
Service Code
|
APR-DRG 5012
|
| Min. Negotiated Rate |
$5,331.65 |
| Max. Negotiated Rate |
$5,331.65 |
| Rate for Payer: IEHP Medi-Cal |
$5,331.65
|
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$7,826.85
|
|
|
Service Code
|
APR-DRG 5013
|
| Min. Negotiated Rate |
$7,826.85 |
| Max. Negotiated Rate |
$7,826.85 |
| Rate for Payer: IEHP Medi-Cal |
$7,826.85
|
|
|
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
IP
|
$15,977.03
|
|
|
Service Code
|
APR-DRG 5014
|
| Min. Negotiated Rate |
$15,977.03 |
| Max. Negotiated Rate |
$15,977.03 |
| Rate for Payer: IEHP Medi-Cal |
$15,977.03
|
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$5,007.31
|
|
|
Service Code
|
APR-DRG 2521
|
| Min. Negotiated Rate |
$5,007.31 |
| Max. Negotiated Rate |
$5,007.31 |
| Rate for Payer: IEHP Medi-Cal |
$5,007.31
|
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$16,767.97
|
|
|
Service Code
|
APR-DRG 2524
|
| Min. Negotiated Rate |
$16,767.97 |
| Max. Negotiated Rate |
$16,767.97 |
| Rate for Payer: IEHP Medi-Cal |
$16,767.97
|
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$8,811.80
|
|
|
Service Code
|
APR-DRG 2523
|
| Min. Negotiated Rate |
$8,811.80 |
| Max. Negotiated Rate |
$8,811.80 |
| Rate for Payer: IEHP Medi-Cal |
$8,811.80
|
|
|
MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE
|
Facility
IP
|
$6,199.20
|
|
|
Service Code
|
APR-DRG 2522
|
| Min. Negotiated Rate |
$6,199.20 |
| Max. Negotiated Rate |
$6,199.20 |
| Rate for Payer: IEHP Medi-Cal |
$6,199.20
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$5,593.31
|
|
|
Service Code
|
APR-DRG 2061
|
| Min. Negotiated Rate |
$5,593.31 |
| Max. Negotiated Rate |
$5,593.31 |
| Rate for Payer: IEHP Medi-Cal |
$5,593.31
|
|
