|
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
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
IP
|
$4,918.76
|
|
|
Service Code
|
APR-DRG 7241
|
| Min. Negotiated Rate |
$4,918.76 |
| Max. Negotiated Rate |
$4,918.76 |
| Rate for Payer: IEHP Medi-Cal |
$4,918.76
|
|
|
OTHER INFECTIOUS AND PARASITIC DISEASES
|
Facility
IP
|
$19,812.36
|
|
|
Service Code
|
APR-DRG 7244
|
| Min. Negotiated Rate |
$19,812.36 |
| Max. Negotiated Rate |
$19,812.36 |
| Rate for Payer: IEHP Medi-Cal |
$19,812.36
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
IP
|
$7,910.42
|
|
|
Service Code
|
APR-DRG 8153
|
| Min. Negotiated Rate |
$7,910.42 |
| Max. Negotiated Rate |
$7,910.42 |
| Rate for Payer: IEHP Medi-Cal |
$7,910.42
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
IP
|
$4,828.23
|
|
|
Service Code
|
APR-DRG 8152
|
| Min. Negotiated Rate |
$4,828.23 |
| Max. Negotiated Rate |
$4,828.23 |
| Rate for Payer: IEHP Medi-Cal |
$4,828.23
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
IP
|
$3,390.61
|
|
|
Service Code
|
APR-DRG 8151
|
| Min. Negotiated Rate |
$3,390.61 |
| Max. Negotiated Rate |
$3,390.61 |
| Rate for Payer: IEHP Medi-Cal |
$3,390.61
|
|
|
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES
|
Facility
IP
|
$16,612.78
|
|
|
Service Code
|
APR-DRG 8154
|
| Min. Negotiated Rate |
$16,612.78 |
| Max. Negotiated Rate |
$16,612.78 |
| Rate for Payer: IEHP Medi-Cal |
$16,612.78
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
IP
|
$4,045.25
|
|
|
Service Code
|
APR-DRG 4681
|
| Min. Negotiated Rate |
$4,045.25 |
| Max. Negotiated Rate |
$4,045.25 |
| Rate for Payer: IEHP Medi-Cal |
$4,045.25
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
IP
|
$13,923.57
|
|
|
Service Code
|
APR-DRG 4684
|
| Min. Negotiated Rate |
$13,923.57 |
| Max. Negotiated Rate |
$13,923.57 |
| Rate for Payer: IEHP Medi-Cal |
$13,923.57
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
IP
|
$5,563.46
|
|
|
Service Code
|
APR-DRG 4682
|
| Min. Negotiated Rate |
$5,563.46 |
| Max. Negotiated Rate |
$5,563.46 |
| Rate for Payer: IEHP Medi-Cal |
$5,563.46
|
|
|
OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS
|
Facility
IP
|
$7,943.25
|
|
|
Service Code
|
APR-DRG 4683
|
| Min. Negotiated Rate |
$7,943.25 |
| Max. Negotiated Rate |
$7,943.25 |
| Rate for Payer: IEHP Medi-Cal |
$7,943.25
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES
|
Facility
IP
|
$18,610.53
|
|
|
Service Code
|
APR-DRG 4473
|
| Min. Negotiated Rate |
$18,610.53 |
| Max. Negotiated Rate |
$18,610.53 |
| Rate for Payer: IEHP Medi-Cal |
$18,610.53
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES
|
Facility
IP
|
$11,012.50
|
|
|
Service Code
|
APR-DRG 4471
|
| Min. Negotiated Rate |
$11,012.50 |
| Max. Negotiated Rate |
$11,012.50 |
| Rate for Payer: IEHP Medi-Cal |
$11,012.50
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES
|
Facility
IP
|
$37,939.36
|
|
|
Service Code
|
APR-DRG 4474
|
| Min. Negotiated Rate |
$37,939.36 |
| Max. Negotiated Rate |
$37,939.36 |
| Rate for Payer: IEHP Medi-Cal |
$37,939.36
|
|
|
OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES
|
Facility
IP
|
$13,332.60
|
|
|
Service Code
|
APR-DRG 4472
|
| Min. Negotiated Rate |
$13,332.60 |
| Max. Negotiated Rate |
$13,332.60 |
| Rate for Payer: IEHP Medi-Cal |
$13,332.60
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
IP
|
$12,986.37
|
|
|
Service Code
|
APR-DRG 0911
|
| Min. Negotiated Rate |
$12,986.37 |
| Max. Negotiated Rate |
$12,986.37 |
| Rate for Payer: IEHP Medi-Cal |
$12,986.37
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
IP
|
$19,494.98
|
|
|
Service Code
|
APR-DRG 0912
|
| Min. Negotiated Rate |
$19,494.98 |
| Max. Negotiated Rate |
$19,494.98 |
| Rate for Payer: IEHP Medi-Cal |
$19,494.98
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
IP
|
$34,707.94
|
|
|
Service Code
|
APR-DRG 0913
|
| Min. Negotiated Rate |
$34,707.94 |
| Max. Negotiated Rate |
$34,707.94 |
| Rate for Payer: IEHP Medi-Cal |
$34,707.94
|
|
|
OTHER MAJOR HEAD AND NECK PROCEDURES
|
Facility
IP
|
$54,377.04
|
|
|
Service Code
|
APR-DRG 0914
|
| Min. Negotiated Rate |
$54,377.04 |
| Max. Negotiated Rate |
$54,377.04 |
| Rate for Payer: IEHP Medi-Cal |
$54,377.04
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$32,904.20
|
|
|
Service Code
|
APR-DRG 4844
|
| Min. Negotiated Rate |
$32,904.20 |
| Max. Negotiated Rate |
$32,904.20 |
| Rate for Payer: IEHP Medi-Cal |
$32,904.20
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$12,448.13
|
|
|
Service Code
|
APR-DRG 4842
|
| Min. Negotiated Rate |
$12,448.13 |
| Max. Negotiated Rate |
$12,448.13 |
| Rate for Payer: IEHP Medi-Cal |
$12,448.13
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$9,740.03
|
|
|
Service Code
|
APR-DRG 4841
|
| Min. Negotiated Rate |
$9,740.03 |
| Max. Negotiated Rate |
$9,740.03 |
| Rate for Payer: IEHP Medi-Cal |
$9,740.03
|
|
|
OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$14,927.41
|
|
|
Service Code
|
APR-DRG 4843
|
| Min. Negotiated Rate |
$14,927.41 |
| Max. Negotiated Rate |
$14,927.41 |
| Rate for Payer: IEHP Medi-Cal |
$14,927.41
|
|
|
OTHER MENTAL HEALTH DISORDERS
|
Facility
IP
|
$4,555.62
|
|
|
Service Code
|
APR-DRG 7601
|
| Min. Negotiated Rate |
$4,555.62 |
| Max. Negotiated Rate |
$4,555.62 |
| Rate for Payer: IEHP Medi-Cal |
$4,555.62
|
|
|
OTHER MENTAL HEALTH DISORDERS
|
Facility
IP
|
$13,139.59
|
|
|
Service Code
|
APR-DRG 7604
|
| Min. Negotiated Rate |
$13,139.59 |
| Max. Negotiated Rate |
$13,139.59 |
| Rate for Payer: IEHP Medi-Cal |
$13,139.59
|
|
