|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$3,281.17
|
|
|
Service Code
|
APR-DRG 1961
|
| Min. Negotiated Rate |
$3,281.17 |
| Max. Negotiated Rate |
$3,281.17 |
| Rate for Payer: IEHP Medi-Cal |
$3,281.17
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$7,560.22
|
|
|
Service Code
|
APR-DRG 1963
|
| Min. Negotiated Rate |
$7,560.22 |
| Max. Negotiated Rate |
$7,560.22 |
| Rate for Payer: IEHP Medi-Cal |
$7,560.22
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$13,596.25
|
|
|
Service Code
|
APR-DRG 1964
|
| Min. Negotiated Rate |
$13,596.25 |
| Max. Negotiated Rate |
$13,596.25 |
| Rate for Payer: IEHP Medi-Cal |
$13,596.25
|
|
|
CARDIAC ARREST AND SHOCK
|
Facility
IP
|
$4,854.09
|
|
|
Service Code
|
APR-DRG 1962
|
| Min. Negotiated Rate |
$4,854.09 |
| Max. Negotiated Rate |
$4,854.09 |
| Rate for Payer: IEHP Medi-Cal |
$4,854.09
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$12,546.63
|
|
|
Service Code
|
APR-DRG 2014
|
| Min. Negotiated Rate |
$12,546.63 |
| Max. Negotiated Rate |
$12,546.63 |
| Rate for Payer: IEHP Medi-Cal |
$12,546.63
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$7,638.81
|
|
|
Service Code
|
APR-DRG 2013
|
| Min. Negotiated Rate |
$7,638.81 |
| Max. Negotiated Rate |
$7,638.81 |
| Rate for Payer: IEHP Medi-Cal |
$7,638.81
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$5,113.77
|
|
|
Service Code
|
APR-DRG 2012
|
| Min. Negotiated Rate |
$5,113.77 |
| Max. Negotiated Rate |
$5,113.77 |
| Rate for Payer: IEHP Medi-Cal |
$5,113.77
|
|
|
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
IP
|
$3,944.76
|
|
|
Service Code
|
APR-DRG 2011
|
| Min. Negotiated Rate |
$3,944.76 |
| Max. Negotiated Rate |
$3,944.76 |
| Rate for Payer: IEHP Medi-Cal |
$3,944.76
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$7,918.00
|
|
|
Service Code
|
ICD 4A027N8
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B204YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2031ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2181ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A023N8
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2021ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$7,918.00
|
|
|
Service Code
|
ICD 4A028N6
|
| Min. Negotiated Rate |
$7,918.00 |
| Max. Negotiated Rate |
$7,918.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2040ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A020N8
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD 4A023N7
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,918.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2100ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B203YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B218YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2041ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B2010ZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B20FYZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$12,471.00
|
|
|
Service Code
|
ICD B217YZZ
|
| Min. Negotiated Rate |
$4,982.00 |
| Max. Negotiated Rate |
$12,471.00 |
| Rate for Payer: Blue Shield of California Commercial |
$12,471.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,688.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,478.00
|
| Rate for Payer: Heritage Provider Network Senior |
$4,982.00
|
|
