|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
IP
|
$8,348.17
|
|
|
Service Code
|
APR-DRG 1153
|
| Min. Negotiated Rate |
$8,348.17 |
| Max. Negotiated Rate |
$8,348.17 |
| Rate for Payer: IEHP Medi-Cal |
$8,348.17
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
IP
|
$15,269.67
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$15,269.67 |
| Max. Negotiated Rate |
$15,269.67 |
| Rate for Payer: IEHP Medi-Cal |
$15,269.67
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
IP
|
$3,991.52
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$3,991.52 |
| Max. Negotiated Rate |
$3,991.52 |
| Rate for Payer: IEHP Medi-Cal |
$3,991.52
|
|
|
OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
IP
|
$5,515.70
|
|
|
Service Code
|
APR-DRG 1152
|
| Min. Negotiated Rate |
$5,515.70 |
| Max. Negotiated Rate |
$5,515.70 |
| Rate for Payer: IEHP Medi-Cal |
$5,515.70
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
IP
|
$8,793.89
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$8,793.89 |
| Max. Negotiated Rate |
$8,793.89 |
| Rate for Payer: IEHP Medi-Cal |
$8,793.89
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
IP
|
$15,542.27
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$15,542.27 |
| Max. Negotiated Rate |
$15,542.27 |
| Rate for Payer: IEHP Medi-Cal |
$15,542.27
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
IP
|
$5,980.32
|
|
|
Service Code
|
APR-DRG 4242
|
| Min. Negotiated Rate |
$5,980.32 |
| Max. Negotiated Rate |
$5,980.32 |
| Rate for Payer: IEHP Medi-Cal |
$5,980.32
|
|
|
OTHER ENDOCRINE DISORDERS
|
Facility
IP
|
$4,296.95
|
|
|
Service Code
|
APR-DRG 4241
|
| Min. Negotiated Rate |
$4,296.95 |
| Max. Negotiated Rate |
$4,296.95 |
| Rate for Payer: IEHP Medi-Cal |
$4,296.95
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
IP
|
$4,583.49
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$4,583.49 |
| Max. Negotiated Rate |
$4,583.49 |
| Rate for Payer: IEHP Medi-Cal |
$4,583.49
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
IP
|
$15,476.61
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$15,476.61 |
| Max. Negotiated Rate |
$15,476.61 |
| Rate for Payer: IEHP Medi-Cal |
$15,476.61
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
IP
|
$8,592.91
|
|
|
Service Code
|
APR-DRG 2433
|
| Min. Negotiated Rate |
$8,592.91 |
| Max. Negotiated Rate |
$8,592.91 |
| Rate for Payer: IEHP Medi-Cal |
$8,592.91
|
|
|
OTHER ESOPHAGEAL DISORDERS
|
Facility
IP
|
$5,894.76
|
|
|
Service Code
|
APR-DRG 2432
|
| Min. Negotiated Rate |
$5,894.76 |
| Max. Negotiated Rate |
$5,894.76 |
| Rate for Payer: IEHP Medi-Cal |
$5,894.76
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$10,437.45
|
|
|
Service Code
|
APR-DRG 5182
|
| Min. Negotiated Rate |
$10,437.45 |
| Max. Negotiated Rate |
$10,437.45 |
| Rate for Payer: IEHP Medi-Cal |
$10,437.45
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$7,192.10
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$7,192.10 |
| Max. Negotiated Rate |
$7,192.10 |
| Rate for Payer: IEHP Medi-Cal |
$7,192.10
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$17,553.94
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$17,553.94 |
| Max. Negotiated Rate |
$17,553.94 |
| Rate for Payer: IEHP Medi-Cal |
$17,553.94
|
|
|
OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$32,193.84
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$32,193.84 |
| Max. Negotiated Rate |
$32,193.84 |
| Rate for Payer: IEHP Medi-Cal |
$32,193.84
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
IP
|
$7,069.73
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$7,069.73 |
| Max. Negotiated Rate |
$7,069.73 |
| Rate for Payer: IEHP Medi-Cal |
$7,069.73
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
IP
|
$13,013.24
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$13,013.24 |
| Max. Negotiated Rate |
$13,013.24 |
| Rate for Payer: IEHP Medi-Cal |
$13,013.24
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
IP
|
$3,910.94
|
|
|
Service Code
|
APR-DRG 2491
|
| Min. Negotiated Rate |
$3,910.94 |
| Max. Negotiated Rate |
$3,910.94 |
| Rate for Payer: IEHP Medi-Cal |
$3,910.94
|
|
|
OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
IP
|
$4,888.92
|
|
|
Service Code
|
APR-DRG 2492
|
| Min. Negotiated Rate |
$4,888.92 |
| Max. Negotiated Rate |
$4,888.92 |
| Rate for Payer: IEHP Medi-Cal |
$4,888.92
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$12,821.22
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$12,821.22 |
| Max. Negotiated Rate |
$12,821.22 |
| Rate for Payer: IEHP Medi-Cal |
$12,821.22
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$11,718.87
|
|
|
Service Code
|
APR-DRG 2641
|
| Min. Negotiated Rate |
$11,718.87 |
| Max. Negotiated Rate |
$11,718.87 |
| Rate for Payer: IEHP Medi-Cal |
$11,718.87
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$39,605.81
|
|
|
Service Code
|
APR-DRG 2644
|
| Min. Negotiated Rate |
$39,605.81 |
| Max. Negotiated Rate |
$39,605.81 |
| Rate for Payer: IEHP Medi-Cal |
$39,605.81
|
|
|
OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
IP
|
$18,634.41
|
|
|
Service Code
|
APR-DRG 2643
|
| Min. Negotiated Rate |
$18,634.41 |
| Max. Negotiated Rate |
$18,634.41 |
| Rate for Payer: IEHP Medi-Cal |
$18,634.41
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
IP
|
$5,893.77
|
|
|
Service Code
|
APR-DRG 7242
|
| Min. Negotiated Rate |
$5,893.77 |
| Max. Negotiated Rate |
$5,893.77 |
| Rate for Payer: IEHP Medi-Cal |
$5,893.77
|
|
