|
OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
IP
|
$10,232.50
|
|
|
Service Code
|
APR-DRG 6811
|
| Min. Negotiated Rate |
$10,232.50 |
| Max. Negotiated Rate |
$10,232.50 |
| Rate for Payer: IEHP Medi-Cal |
$10,232.50
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
IP
|
$36,716.64
|
|
|
Service Code
|
APR-DRG 0294
|
| Min. Negotiated Rate |
$36,716.64 |
| Max. Negotiated Rate |
$36,716.64 |
| Rate for Payer: IEHP Medi-Cal |
$36,716.64
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
IP
|
$22,229.95
|
|
|
Service Code
|
APR-DRG 0293
|
| Min. Negotiated Rate |
$22,229.95 |
| Max. Negotiated Rate |
$22,229.95 |
| Rate for Payer: IEHP Medi-Cal |
$22,229.95
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
IP
|
$17,276.37
|
|
|
Service Code
|
APR-DRG 0292
|
| Min. Negotiated Rate |
$17,276.37 |
| Max. Negotiated Rate |
$17,276.37 |
| Rate for Payer: IEHP Medi-Cal |
$17,276.37
|
|
|
OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
IP
|
$16,453.59
|
|
|
Service Code
|
APR-DRG 0291
|
| Min. Negotiated Rate |
$16,453.59 |
| Max. Negotiated Rate |
$16,453.59 |
| Rate for Payer: IEHP Medi-Cal |
$16,453.59
|
|
|
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
IP
|
$38,676.58
|
|
|
Service Code
|
APR-DRG 1824
|
| Min. Negotiated Rate |
$38,676.58 |
| Max. Negotiated Rate |
$38,676.58 |
| Rate for Payer: IEHP Medi-Cal |
$38,676.58
|
|
|
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
IP
|
$16,430.71
|
|
|
Service Code
|
APR-DRG 1821
|
| Min. Negotiated Rate |
$16,430.71 |
| Max. Negotiated Rate |
$16,430.71 |
| Rate for Payer: IEHP Medi-Cal |
$16,430.71
|
|
|
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
IP
|
$17,841.47
|
|
|
Service Code
|
APR-DRG 1822
|
| Min. Negotiated Rate |
$17,841.47 |
| Max. Negotiated Rate |
$17,841.47 |
| Rate for Payer: IEHP Medi-Cal |
$17,841.47
|
|
|
OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES
|
Facility
IP
|
$21,592.22
|
|
|
Service Code
|
APR-DRG 1823
|
| Min. Negotiated Rate |
$21,592.22 |
| Max. Negotiated Rate |
$21,592.22 |
| Rate for Payer: IEHP Medi-Cal |
$21,592.22
|
|
|
OTHER PNEUMONIA
|
Facility
IP
|
$11,511.95
|
|
|
Service Code
|
APR-DRG 1394
|
| Min. Negotiated Rate |
$11,511.95 |
| Max. Negotiated Rate |
$11,511.95 |
| Rate for Payer: IEHP Medi-Cal |
$11,511.95
|
|
|
OTHER PNEUMONIA
|
Facility
IP
|
$7,654.73
|
|
|
Service Code
|
APR-DRG 1393
|
| Min. Negotiated Rate |
$7,654.73 |
| Max. Negotiated Rate |
$7,654.73 |
| Rate for Payer: IEHP Medi-Cal |
$7,654.73
|
|
|
OTHER PNEUMONIA
|
Facility
IP
|
$5,522.67
|
|
|
Service Code
|
APR-DRG 1392
|
| Min. Negotiated Rate |
$5,522.67 |
| Max. Negotiated Rate |
$5,522.67 |
| Rate for Payer: IEHP Medi-Cal |
$5,522.67
|
|
|
OTHER PNEUMONIA
|
Facility
IP
|
$3,981.57
|
|
|
Service Code
|
APR-DRG 1391
|
| Min. Negotiated Rate |
$3,981.57 |
| Max. Negotiated Rate |
$3,981.57 |
| Rate for Payer: IEHP Medi-Cal |
$3,981.57
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
IP
|
$39,176.02
|
|
|
Service Code
|
APR-DRG 4054
|
| Min. Negotiated Rate |
$39,176.02 |
| Max. Negotiated Rate |
$39,176.02 |
| Rate for Payer: IEHP Medi-Cal |
$39,176.02
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
IP
|
$12,997.32
|
|
|
Service Code
|
APR-DRG 4052
|
| Min. Negotiated Rate |
$12,997.32 |
| Max. Negotiated Rate |
$12,997.32 |
| Rate for Payer: IEHP Medi-Cal |
$12,997.32
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
IP
|
$11,527.86
|
|
|
Service Code
|
APR-DRG 4051
|
| Min. Negotiated Rate |
$11,527.86 |
| Max. Negotiated Rate |
$11,527.86 |
| Rate for Payer: IEHP Medi-Cal |
$11,527.86
|
|
|
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
|
Facility
IP
|
$19,742.71
|
|
|
Service Code
|
APR-DRG 4053
|
| Min. Negotiated Rate |
$19,742.71 |
| Max. Negotiated Rate |
$19,742.71 |
| Rate for Payer: IEHP Medi-Cal |
$19,742.71
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
IP
|
$9,334.12
|
|
|
Service Code
|
APR-DRG 6511
|
| Min. Negotiated Rate |
$9,334.12 |
| Max. Negotiated Rate |
$9,334.12 |
| Rate for Payer: IEHP Medi-Cal |
$9,334.12
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
IP
|
$13,663.90
|
|
|
Service Code
|
APR-DRG 6512
|
| Min. Negotiated Rate |
$13,663.90 |
| Max. Negotiated Rate |
$13,663.90 |
| Rate for Payer: IEHP Medi-Cal |
$13,663.90
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
IP
|
$18,475.21
|
|
|
Service Code
|
APR-DRG 6513
|
| Min. Negotiated Rate |
$18,475.21 |
| Max. Negotiated Rate |
$18,475.21 |
| Rate for Payer: IEHP Medi-Cal |
$18,475.21
|
|
|
OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS
|
Facility
IP
|
$42,450.22
|
|
|
Service Code
|
APR-DRG 6514
|
| Min. Negotiated Rate |
$42,450.22 |
| Max. Negotiated Rate |
$42,450.22 |
| Rate for Payer: IEHP Medi-Cal |
$42,450.22
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$11,814.39
|
|
|
Service Code
|
APR-DRG 1211
|
| Min. Negotiated Rate |
$11,814.39 |
| Max. Negotiated Rate |
$11,814.39 |
| Rate for Payer: IEHP Medi-Cal |
$11,814.39
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$23,231.82
|
|
|
Service Code
|
APR-DRG 1213
|
| Min. Negotiated Rate |
$23,231.82 |
| Max. Negotiated Rate |
$23,231.82 |
| Rate for Payer: IEHP Medi-Cal |
$23,231.82
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$15,273.64
|
|
|
Service Code
|
APR-DRG 1212
|
| Min. Negotiated Rate |
$15,273.64 |
| Max. Negotiated Rate |
$15,273.64 |
| Rate for Payer: IEHP Medi-Cal |
$15,273.64
|
|
|
OTHER RESPIRATORY AND CHEST PROCEDURES
|
Facility
IP
|
$38,579.08
|
|
|
Service Code
|
APR-DRG 1214
|
| Min. Negotiated Rate |
$38,579.08 |
| Max. Negotiated Rate |
$38,579.08 |
| Rate for Payer: IEHP Medi-Cal |
$38,579.08
|
|
