|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
IP
|
$8,946.10
|
|
|
Service Code
|
APR-DRG 3473
|
| Min. Negotiated Rate |
$8,946.10 |
| Max. Negotiated Rate |
$8,946.10 |
| Rate for Payer: IEHP Medi-Cal |
$8,946.10
|
|
|
OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES
|
Facility
IP
|
$6,610.09
|
|
|
Service Code
|
APR-DRG 3472
|
| Min. Negotiated Rate |
$6,610.09 |
| Max. Negotiated Rate |
$6,610.09 |
| Rate for Payer: IEHP Medi-Cal |
$6,610.09
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
IP
|
$15,084.61
|
|
|
Service Code
|
APR-DRG 4453
|
| Min. Negotiated Rate |
$15,084.61 |
| Max. Negotiated Rate |
$15,084.61 |
| Rate for Payer: IEHP Medi-Cal |
$15,084.61
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
IP
|
$28,169.49
|
|
|
Service Code
|
APR-DRG 4454
|
| Min. Negotiated Rate |
$28,169.49 |
| Max. Negotiated Rate |
$28,169.49 |
| Rate for Payer: IEHP Medi-Cal |
$28,169.49
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
IP
|
$8,441.69
|
|
|
Service Code
|
APR-DRG 4451
|
| Min. Negotiated Rate |
$8,441.69 |
| Max. Negotiated Rate |
$8,441.69 |
| Rate for Payer: IEHP Medi-Cal |
$8,441.69
|
|
|
OTHER BLADDER PROCEDURES
|
Facility
IP
|
$10,740.90
|
|
|
Service Code
|
APR-DRG 4452
|
| Min. Negotiated Rate |
$10,740.90 |
| Max. Negotiated Rate |
$10,740.90 |
| Rate for Payer: IEHP Medi-Cal |
$10,740.90
|
|
|
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES
|
Facility
IP
|
$25,478.29
|
|
|
Service Code
|
APR-DRG 1671
|
| Min. Negotiated Rate |
$25,478.29 |
| Max. Negotiated Rate |
$25,478.29 |
| Rate for Payer: IEHP Medi-Cal |
$25,478.29
|
|
|
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES
|
Facility
IP
|
$26,483.13
|
|
|
Service Code
|
APR-DRG 1672
|
| Min. Negotiated Rate |
$26,483.13 |
| Max. Negotiated Rate |
$26,483.13 |
| Rate for Payer: IEHP Medi-Cal |
$26,483.13
|
|
|
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES
|
Facility
IP
|
$64,191.69
|
|
|
Service Code
|
APR-DRG 1674
|
| Min. Negotiated Rate |
$64,191.69 |
| Max. Negotiated Rate |
$64,191.69 |
| Rate for Payer: IEHP Medi-Cal |
$64,191.69
|
|
|
OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES
|
Facility
IP
|
$39,980.89
|
|
|
Service Code
|
APR-DRG 1673
|
| Min. Negotiated Rate |
$39,980.89 |
| Max. Negotiated Rate |
$39,980.89 |
| Rate for Payer: IEHP Medi-Cal |
$39,980.89
|
|
|
OTHER CHEMOTHERAPY
|
Facility
IP
|
$10,819.49
|
|
|
Service Code
|
APR-DRG 6963
|
| Min. Negotiated Rate |
$10,819.49 |
| Max. Negotiated Rate |
$10,819.49 |
| Rate for Payer: IEHP Medi-Cal |
$10,819.49
|
|
|
OTHER CHEMOTHERAPY
|
Facility
IP
|
$21,505.67
|
|
|
Service Code
|
APR-DRG 6964
|
| Min. Negotiated Rate |
$21,505.67 |
| Max. Negotiated Rate |
$21,505.67 |
| Rate for Payer: IEHP Medi-Cal |
$21,505.67
|
|
|
OTHER CHEMOTHERAPY
|
Facility
IP
|
$5,707.71
|
|
|
Service Code
|
APR-DRG 6961
|
| Min. Negotiated Rate |
$5,707.71 |
| Max. Negotiated Rate |
$5,707.71 |
| Rate for Payer: IEHP Medi-Cal |
$5,707.71
|
|
|
OTHER CHEMOTHERAPY
|
Facility
IP
|
$7,267.72
|
|
|
Service Code
|
APR-DRG 6962
|
| Min. Negotiated Rate |
$7,267.72 |
| Max. Negotiated Rate |
$7,267.72 |
| Rate for Payer: IEHP Medi-Cal |
$7,267.72
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
IP
|
$13,771.35
|
|
|
Service Code
|
APR-DRG 2074
|
| Min. Negotiated Rate |
$13,771.35 |
| Max. Negotiated Rate |
$13,771.35 |
| Rate for Payer: IEHP Medi-Cal |
$13,771.35
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
IP
|
$8,126.31
|
|
|
Service Code
|
APR-DRG 2073
|
| Min. Negotiated Rate |
$8,126.31 |
| Max. Negotiated Rate |
$8,126.31 |
| Rate for Payer: IEHP Medi-Cal |
$8,126.31
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
IP
|
$4,663.07
|
|
|
Service Code
|
APR-DRG 2071
|
| Min. Negotiated Rate |
$4,663.07 |
| Max. Negotiated Rate |
$4,663.07 |
| Rate for Payer: IEHP Medi-Cal |
$4,663.07
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
IP
|
$5,843.03
|
|
|
Service Code
|
APR-DRG 2072
|
| Min. Negotiated Rate |
$5,843.03 |
| Max. Negotiated Rate |
$5,843.03 |
| Rate for Payer: IEHP Medi-Cal |
$5,843.03
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
IP
|
$17,798.69
|
|
|
Service Code
|
APR-DRG 1803
|
| Min. Negotiated Rate |
$17,798.69 |
| Max. Negotiated Rate |
$17,798.69 |
| Rate for Payer: IEHP Medi-Cal |
$17,798.69
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
IP
|
$10,318.07
|
|
|
Service Code
|
APR-DRG 1801
|
| Min. Negotiated Rate |
$10,318.07 |
| Max. Negotiated Rate |
$10,318.07 |
| Rate for Payer: IEHP Medi-Cal |
$10,318.07
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
IP
|
$32,759.93
|
|
|
Service Code
|
APR-DRG 1804
|
| Min. Negotiated Rate |
$32,759.93 |
| Max. Negotiated Rate |
$32,759.93 |
| Rate for Payer: IEHP Medi-Cal |
$32,759.93
|
|
|
OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
IP
|
$12,880.92
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$12,880.92 |
| Max. Negotiated Rate |
$12,880.92 |
| Rate for Payer: IEHP Medi-Cal |
$12,880.92
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
IP
|
$8,663.55
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$8,663.55 |
| Max. Negotiated Rate |
$8,663.55 |
| Rate for Payer: IEHP Medi-Cal |
$8,663.55
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
IP
|
$4,849.12
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$4,849.12 |
| Max. Negotiated Rate |
$4,849.12 |
| Rate for Payer: IEHP Medi-Cal |
$4,849.12
|
|
|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
IP
|
$5,973.35
|
|
|
Service Code
|
APR-DRG 8132
|
| Min. Negotiated Rate |
$5,973.35 |
| Max. Negotiated Rate |
$5,973.35 |
| Rate for Payer: IEHP Medi-Cal |
$5,973.35
|
|
