|
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
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
IP
|
$14,461.80
|
|
|
Service Code
|
APR-DRG 3514
|
| Min. Negotiated Rate |
$14,461.80 |
| Max. Negotiated Rate |
$14,461.80 |
| Rate for Payer: IEHP Medi-Cal |
$14,461.80
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
IP
|
$4,194.48
|
|
|
Service Code
|
APR-DRG 3511
|
| Min. Negotiated Rate |
$4,194.48 |
| Max. Negotiated Rate |
$4,194.48 |
| Rate for Payer: IEHP Medi-Cal |
$4,194.48
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
IP
|
$5,317.71
|
|
|
Service Code
|
APR-DRG 3512
|
| Min. Negotiated Rate |
$5,317.71 |
| Max. Negotiated Rate |
$5,317.71 |
| Rate for Payer: IEHP Medi-Cal |
$5,317.71
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
IP
|
$8,232.76
|
|
|
Service Code
|
APR-DRG 3513
|
| Min. Negotiated Rate |
$8,232.76 |
| Max. Negotiated Rate |
$8,232.76 |
| Rate for Payer: IEHP Medi-Cal |
$8,232.76
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
IP
|
$32,147.07
|
|
|
Service Code
|
APR-DRG 3204
|
| Min. Negotiated Rate |
$32,147.07 |
| Max. Negotiated Rate |
$32,147.07 |
| Rate for Payer: IEHP Medi-Cal |
$32,147.07
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
IP
|
$9,336.10
|
|
|
Service Code
|
APR-DRG 3201
|
| Min. Negotiated Rate |
$9,336.10 |
| Max. Negotiated Rate |
$9,336.10 |
| Rate for Payer: IEHP Medi-Cal |
$9,336.10
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
IP
|
$12,934.64
|
|
|
Service Code
|
APR-DRG 3202
|
| Min. Negotiated Rate |
$12,934.64 |
| Max. Negotiated Rate |
$12,934.64 |
| Rate for Payer: IEHP Medi-Cal |
$12,934.64
|
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
IP
|
$18,842.34
|
|
|
Service Code
|
APR-DRG 3203
|
| Min. Negotiated Rate |
$18,842.34 |
| Max. Negotiated Rate |
$18,842.34 |
| Rate for Payer: IEHP Medi-Cal |
$18,842.34
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$21,157.46
|
|
|
Service Code
|
APR-DRG 0263
|
| Min. Negotiated Rate |
$21,157.46 |
| Max. Negotiated Rate |
$21,157.46 |
| Rate for Payer: IEHP Medi-Cal |
$21,157.46
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$10,922.96
|
|
|
Service Code
|
APR-DRG 0261
|
| Min. Negotiated Rate |
$10,922.96 |
| Max. Negotiated Rate |
$10,922.96 |
| Rate for Payer: IEHP Medi-Cal |
$10,922.96
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$39,501.35
|
|
|
Service Code
|
APR-DRG 0264
|
| Min. Negotiated Rate |
$39,501.35 |
| Max. Negotiated Rate |
$39,501.35 |
| Rate for Payer: IEHP Medi-Cal |
$39,501.35
|
|
|
OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
IP
|
$13,838.01
|
|
|
Service Code
|
APR-DRG 0262
|
| Min. Negotiated Rate |
$13,838.01 |
| Max. Negotiated Rate |
$13,838.01 |
| Rate for Payer: IEHP Medi-Cal |
$13,838.01
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
IP
|
$6,332.52
|
|
|
Service Code
|
APR-DRG 4253
|
| Min. Negotiated Rate |
$6,332.52 |
| Max. Negotiated Rate |
$6,332.52 |
| Rate for Payer: IEHP Medi-Cal |
$6,332.52
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
IP
|
$3,820.40
|
|
|
Service Code
|
APR-DRG 4251
|
| Min. Negotiated Rate |
$3,820.40 |
| Max. Negotiated Rate |
$3,820.40 |
| Rate for Payer: IEHP Medi-Cal |
$3,820.40
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
IP
|
$4,678.99
|
|
|
Service Code
|
APR-DRG 4252
|
| Min. Negotiated Rate |
$4,678.99 |
| Max. Negotiated Rate |
$4,678.99 |
| Rate for Payer: IEHP Medi-Cal |
$4,678.99
|
|
|
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
IP
|
$12,519.77
|
|
|
Service Code
|
APR-DRG 4254
|
| Min. Negotiated Rate |
$12,519.77 |
| Max. Negotiated Rate |
$12,519.77 |
| Rate for Payer: IEHP Medi-Cal |
$12,519.77
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
IP
|
$27,468.08
|
|
|
Service Code
|
APR-DRG 0273
|
| Min. Negotiated Rate |
$27,468.08 |
| Max. Negotiated Rate |
$27,468.08 |
| Rate for Payer: IEHP Medi-Cal |
$27,468.08
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
IP
|
$16,905.27
|
|
|
Service Code
|
APR-DRG 0272
|
| Min. Negotiated Rate |
$16,905.27 |
| Max. Negotiated Rate |
$16,905.27 |
| Rate for Payer: IEHP Medi-Cal |
$16,905.27
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
IP
|
$45,288.67
|
|
|
Service Code
|
APR-DRG 0274
|
| Min. Negotiated Rate |
$45,288.67 |
| Max. Negotiated Rate |
$45,288.67 |
| Rate for Payer: IEHP Medi-Cal |
$45,288.67
|
|
|
OTHER OPEN CRANIOTOMY
|
Facility
IP
|
$14,522.50
|
|
|
Service Code
|
APR-DRG 0271
|
| Min. Negotiated Rate |
$14,522.50 |
| Max. Negotiated Rate |
$14,522.50 |
| Rate for Payer: IEHP Medi-Cal |
$14,522.50
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$23,049.75
|
|
|
Service Code
|
APR-DRG 6813
|
| Min. Negotiated Rate |
$23,049.75 |
| Max. Negotiated Rate |
$23,049.75 |
| Rate for Payer: IEHP Medi-Cal |
$23,049.75
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$49,042.40
|
|
|
Service Code
|
APR-DRG 6814
|
| Min. Negotiated Rate |
$49,042.40 |
| Max. Negotiated Rate |
$49,042.40 |
| Rate for Payer: IEHP Medi-Cal |
$49,042.40
|
|
|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$13,429.11
|
|
|
Service Code
|
APR-DRG 6812
|
| Min. Negotiated Rate |
$13,429.11 |
| Max. Negotiated Rate |
$13,429.11 |
| Rate for Payer: IEHP Medi-Cal |
$13,429.11
|
|
