|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$5,703.74
|
|
|
Service Code
|
APR-DRG 2062
|
| Min. Negotiated Rate |
$5,703.74 |
| Max. Negotiated Rate |
$5,703.74 |
| Rate for Payer: IEHP Medi-Cal |
$5,703.74
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$8,551.13
|
|
|
Service Code
|
APR-DRG 2063
|
| Min. Negotiated Rate |
$8,551.13 |
| Max. Negotiated Rate |
$8,551.13 |
| Rate for Payer: IEHP Medi-Cal |
$8,551.13
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE
|
Facility
IP
|
$16,935.12
|
|
|
Service Code
|
APR-DRG 2064
|
| Min. Negotiated Rate |
$16,935.12 |
| Max. Negotiated Rate |
$16,935.12 |
| Rate for Payer: IEHP Medi-Cal |
$16,935.12
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$12,773.47
|
|
|
Service Code
|
APR-DRG 4664
|
| Min. Negotiated Rate |
$12,773.47 |
| Max. Negotiated Rate |
$12,773.47 |
| Rate for Payer: IEHP Medi-Cal |
$12,773.47
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$5,368.46
|
|
|
Service Code
|
APR-DRG 4662
|
| Min. Negotiated Rate |
$5,368.46 |
| Max. Negotiated Rate |
$5,368.46 |
| Rate for Payer: IEHP Medi-Cal |
$5,368.46
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$7,628.86
|
|
|
Service Code
|
APR-DRG 4663
|
| Min. Negotiated Rate |
$7,628.86 |
| Max. Negotiated Rate |
$7,628.86 |
| Rate for Payer: IEHP Medi-Cal |
$7,628.86
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE
|
Facility
IP
|
$3,747.77
|
|
|
Service Code
|
APR-DRG 4661
|
| Min. Negotiated Rate |
$3,747.77 |
| Max. Negotiated Rate |
$3,747.77 |
| Rate for Payer: IEHP Medi-Cal |
$3,747.77
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$9,443.55
|
|
|
Service Code
|
APR-DRG 3493
|
| Min. Negotiated Rate |
$9,443.55 |
| Max. Negotiated Rate |
$9,443.55 |
| Rate for Payer: IEHP Medi-Cal |
$9,443.55
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$4,643.18
|
|
|
Service Code
|
APR-DRG 3491
|
| Min. Negotiated Rate |
$4,643.18 |
| Max. Negotiated Rate |
$4,643.18 |
| Rate for Payer: IEHP Medi-Cal |
$4,643.18
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$6,574.27
|
|
|
Service Code
|
APR-DRG 3492
|
| Min. Negotiated Rate |
$6,574.27 |
| Max. Negotiated Rate |
$6,574.27 |
| Rate for Payer: IEHP Medi-Cal |
$6,574.27
|
|
|
MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
IP
|
$16,798.82
|
|
|
Service Code
|
APR-DRG 3494
|
| Min. Negotiated Rate |
$16,798.82 |
| Max. Negotiated Rate |
$16,798.82 |
| Rate for Payer: IEHP Medi-Cal |
$16,798.82
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$16,393.89
|
|
|
Service Code
|
APR-DRG 5004
|
| Min. Negotiated Rate |
$16,393.89 |
| Max. Negotiated Rate |
$16,393.89 |
| Rate for Payer: IEHP Medi-Cal |
$16,393.89
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$4,366.60
|
|
|
Service Code
|
APR-DRG 5001
|
| Min. Negotiated Rate |
$4,366.60 |
| Max. Negotiated Rate |
$4,366.60 |
| Rate for Payer: IEHP Medi-Cal |
$4,366.60
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$9,222.68
|
|
|
Service Code
|
APR-DRG 5003
|
| Min. Negotiated Rate |
$9,222.68 |
| Max. Negotiated Rate |
$9,222.68 |
| Rate for Payer: IEHP Medi-Cal |
$9,222.68
|
|
|
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
IP
|
$5,984.30
|
|
|
Service Code
|
APR-DRG 5002
|
| Min. Negotiated Rate |
$5,984.30 |
| Max. Negotiated Rate |
$5,984.30 |
| Rate for Payer: IEHP Medi-Cal |
$5,984.30
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
IP
|
$9,497.28
|
|
|
Service Code
|
APR-DRG 2813
|
| Min. Negotiated Rate |
$9,497.28 |
| Max. Negotiated Rate |
$9,497.28 |
| Rate for Payer: IEHP Medi-Cal |
$9,497.28
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
IP
|
$13,962.37
|
|
|
Service Code
|
APR-DRG 2814
|
| Min. Negotiated Rate |
$13,962.37 |
| Max. Negotiated Rate |
$13,962.37 |
| Rate for Payer: IEHP Medi-Cal |
$13,962.37
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
IP
|
$5,502.77
|
|
|
Service Code
|
APR-DRG 2811
|
| Min. Negotiated Rate |
$5,502.77 |
| Max. Negotiated Rate |
$5,502.77 |
| Rate for Payer: IEHP Medi-Cal |
$5,502.77
|
|
|
MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS
|
Facility
IP
|
$7,297.56
|
|
|
Service Code
|
APR-DRG 2812
|
| Min. Negotiated Rate |
$7,297.56 |
| Max. Negotiated Rate |
$7,297.56 |
| Rate for Payer: IEHP Medi-Cal |
$7,297.56
|
|
|
MALIGNANT BREAST DISORDERS
|
Facility
IP
|
$5,200.32
|
|
|
Service Code
|
APR-DRG 3821
|
| Min. Negotiated Rate |
$5,200.32 |
| Max. Negotiated Rate |
$5,200.32 |
| Rate for Payer: IEHP Medi-Cal |
$5,200.32
|
|
|
MALIGNANT BREAST DISORDERS
|
Facility
IP
|
$6,123.59
|
|
|
Service Code
|
APR-DRG 3822
|
| Min. Negotiated Rate |
$6,123.59 |
| Max. Negotiated Rate |
$6,123.59 |
| Rate for Payer: IEHP Medi-Cal |
$6,123.59
|
|
|
MALIGNANT BREAST DISORDERS
|
Facility
IP
|
$8,673.50
|
|
|
Service Code
|
APR-DRG 3823
|
| Min. Negotiated Rate |
$8,673.50 |
| Max. Negotiated Rate |
$8,673.50 |
| Rate for Payer: IEHP Medi-Cal |
$8,673.50
|
|
|
MALIGNANT BREAST DISORDERS
|
Facility
IP
|
$12,845.10
|
|
|
Service Code
|
APR-DRG 3824
|
| Min. Negotiated Rate |
$12,845.10 |
| Max. Negotiated Rate |
$12,845.10 |
| Rate for Payer: IEHP Medi-Cal |
$12,845.10
|
|
|
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
IP
|
$3,508.00
|
|
|
Service Code
|
APR-DRG 4211
|
| Min. Negotiated Rate |
$3,508.00 |
| Max. Negotiated Rate |
$3,508.00 |
| Rate for Payer: IEHP Medi-Cal |
$3,508.00
|
|
|
MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS
|
Facility
IP
|
$15,334.34
|
|
|
Service Code
|
APR-DRG 4214
|
| Min. Negotiated Rate |
$15,334.34 |
| Max. Negotiated Rate |
$15,334.34 |
| Rate for Payer: IEHP Medi-Cal |
$15,334.34
|
|
