|
OTHER COMPLICATIONS OF TREATMENT
|
Facility
IP
|
$15,528.34
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$15,528.34 |
| Max. Negotiated Rate |
$15,528.34 |
| Rate for Payer: IEHP Medi-Cal |
$15,528.34
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$13,713.65
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$13,713.65 |
| Max. Negotiated Rate |
$13,713.65 |
| Rate for Payer: IEHP Medi-Cal |
$13,713.65
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$35,731.69
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$35,731.69 |
| Max. Negotiated Rate |
$35,731.69 |
| Rate for Payer: IEHP Medi-Cal |
$35,731.69
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$9,946.97
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$9,946.97 |
| Max. Negotiated Rate |
$9,946.97 |
| Rate for Payer: IEHP Medi-Cal |
$9,946.97
|
|
|
OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$20,706.78
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$20,706.78 |
| Max. Negotiated Rate |
$20,706.78 |
| Rate for Payer: IEHP Medi-Cal |
$20,706.78
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
IP
|
$8,653.61
|
|
|
Service Code
|
APR-DRG 2543
|
| Min. Negotiated Rate |
$8,653.61 |
| Max. Negotiated Rate |
$8,653.61 |
| Rate for Payer: IEHP Medi-Cal |
$8,653.61
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
IP
|
$15,205.99
|
|
|
Service Code
|
APR-DRG 2544
|
| Min. Negotiated Rate |
$15,205.99 |
| Max. Negotiated Rate |
$15,205.99 |
| Rate for Payer: IEHP Medi-Cal |
$15,205.99
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
IP
|
$6,018.13
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$6,018.13 |
| Max. Negotiated Rate |
$6,018.13 |
| Rate for Payer: IEHP Medi-Cal |
$6,018.13
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
IP
|
$4,310.88
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$4,310.88 |
| Max. Negotiated Rate |
$4,310.88 |
| Rate for Payer: IEHP Medi-Cal |
$4,310.88
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
IP
|
$6,820.02
|
|
|
Service Code
|
APR-DRG 0581
|
| Min. Negotiated Rate |
$6,820.02 |
| Max. Negotiated Rate |
$6,820.02 |
| Rate for Payer: IEHP Medi-Cal |
$6,820.02
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
IP
|
$11,989.49
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$11,989.49 |
| Max. Negotiated Rate |
$11,989.49 |
| Rate for Payer: IEHP Medi-Cal |
$11,989.49
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
IP
|
$9,152.05
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$9,152.05 |
| Max. Negotiated Rate |
$9,152.05 |
| Rate for Payer: IEHP Medi-Cal |
$9,152.05
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
IP
|
$16,684.40
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$16,684.40 |
| Max. Negotiated Rate |
$16,684.40 |
| Rate for Payer: IEHP Medi-Cal |
$16,684.40
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
IP
|
$8,177.05
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$8,177.05 |
| Max. Negotiated Rate |
$8,177.05 |
| Rate for Payer: IEHP Medi-Cal |
$8,177.05
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
IP
|
$5,620.17
|
|
|
Service Code
|
APR-DRG 2832
|
| Min. Negotiated Rate |
$5,620.17 |
| Max. Negotiated Rate |
$5,620.17 |
| Rate for Payer: IEHP Medi-Cal |
$5,620.17
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
IP
|
$4,391.47
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$4,391.47 |
| Max. Negotiated Rate |
$4,391.47 |
| Rate for Payer: IEHP Medi-Cal |
$4,391.47
|
|
|
OTHER DISORDERS OF THE LIVER
|
Facility
IP
|
$15,332.34
|
|
|
Service Code
|
APR-DRG 2834
|
| Min. Negotiated Rate |
$15,332.34 |
| Max. Negotiated Rate |
$15,332.34 |
| Rate for Payer: IEHP Medi-Cal |
$15,332.34
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
IP
|
$3,486.11
|
|
|
Service Code
|
APR-DRG 7761
|
| Min. Negotiated Rate |
$3,486.11 |
| Max. Negotiated Rate |
$3,486.11 |
| Rate for Payer: IEHP Medi-Cal |
$3,486.11
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
IP
|
$6,681.72
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$6,681.72 |
| Max. Negotiated Rate |
$6,681.72 |
| Rate for Payer: IEHP Medi-Cal |
$6,681.72
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
IP
|
$3,821.40
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$3,821.40 |
| Max. Negotiated Rate |
$3,821.40 |
| Rate for Payer: IEHP Medi-Cal |
$3,821.40
|
|
|
OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
IP
|
$11,553.73
|
|
|
Service Code
|
APR-DRG 7764
|
| Min. Negotiated Rate |
$11,553.73 |
| Max. Negotiated Rate |
$11,553.73 |
| Rate for Payer: IEHP Medi-Cal |
$11,553.73
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
IP
|
$10,176.79
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$10,176.79 |
| Max. Negotiated Rate |
$10,176.79 |
| Rate for Payer: IEHP Medi-Cal |
$10,176.79
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
IP
|
$29,198.21
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$29,198.21 |
| Max. Negotiated Rate |
$29,198.21 |
| Rate for Payer: IEHP Medi-Cal |
$29,198.21
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
IP
|
$17,114.20
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$17,114.20 |
| Max. Negotiated Rate |
$17,114.20 |
| Rate for Payer: IEHP Medi-Cal |
$17,114.20
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
IP
|
$7,350.30
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$7,350.30 |
| Max. Negotiated Rate |
$7,350.30 |
| Rate for Payer: IEHP Medi-Cal |
$7,350.30
|
|
