APR-DRG 41.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$1.58
|
|
Service Code
|
APR-DRG 1964
|
Min. Negotiated Rate |
$1.58 |
Max. Negotiated Rate |
$1.58 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.58
|
|
APR-DRG 41.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$0.39
|
|
Service Code
|
APR-DRG 1961
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$0.39 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.39
|
|
APR-DRG 41.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$0.55
|
|
Service Code
|
APR-DRG 1962
|
Min. Negotiated Rate |
$0.55 |
Max. Negotiated Rate |
$0.55 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.55
|
|
APR-DRG 41.00: CARDIAC ARREST AND SHOCK
|
Facility
|
IP
|
$0.86
|
|
Service Code
|
APR-DRG 1963
|
Min. Negotiated Rate |
$0.86 |
Max. Negotiated Rate |
$0.86 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.86
|
|
APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$0.56
|
|
Service Code
|
APR-DRG 2012
|
Min. Negotiated Rate |
$0.56 |
Max. Negotiated Rate |
$0.56 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.56
|
|
APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$0.85
|
|
Service Code
|
APR-DRG 2013
|
Min. Negotiated Rate |
$0.85 |
Max. Negotiated Rate |
$0.85 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.85
|
|
APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$1.55
|
|
Service Code
|
APR-DRG 2014
|
Min. Negotiated Rate |
$1.55 |
Max. Negotiated Rate |
$1.55 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.55
|
|
APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
|
Facility
|
IP
|
$0.44
|
|
Service Code
|
APR-DRG 2011
|
Min. Negotiated Rate |
$0.44 |
Max. Negotiated Rate |
$0.44 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.44
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$0.90
|
|
Service Code
|
APR-DRG 1911
|
Min. Negotiated Rate |
$0.90 |
Max. Negotiated Rate |
$0.90 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.90
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$1.05
|
|
Service Code
|
APR-DRG 1912
|
Min. Negotiated Rate |
$1.05 |
Max. Negotiated Rate |
$1.05 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.05
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$1.37
|
|
Service Code
|
APR-DRG 1913
|
Min. Negotiated Rate |
$1.37 |
Max. Negotiated Rate |
$1.37 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.37
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$2.25
|
|
Service Code
|
APR-DRG 1914
|
Min. Negotiated Rate |
$2.25 |
Max. Negotiated Rate |
$2.25 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.25
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$0.96
|
|
Service Code
|
APR-DRG 1921
|
Min. Negotiated Rate |
$0.96 |
Max. Negotiated Rate |
$0.96 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.96
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$1.19
|
|
Service Code
|
APR-DRG 1922
|
Min. Negotiated Rate |
$1.19 |
Max. Negotiated Rate |
$1.19 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.19
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$1.68
|
|
Service Code
|
APR-DRG 1923
|
Min. Negotiated Rate |
$1.68 |
Max. Negotiated Rate |
$1.68 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.68
|
|
APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$2.92
|
|
Service Code
|
APR-DRG 1924
|
Min. Negotiated Rate |
$2.92 |
Max. Negotiated Rate |
$2.92 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.92
|
|
APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$1.15
|
|
Service Code
|
APR-DRG 1771
|
Min. Negotiated Rate |
$1.15 |
Max. Negotiated Rate |
$1.15 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.15
|
|
APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$1.66
|
|
Service Code
|
APR-DRG 1772
|
Min. Negotiated Rate |
$1.66 |
Max. Negotiated Rate |
$1.66 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.66
|
|
APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$2.27
|
|
Service Code
|
APR-DRG 1773
|
Min. Negotiated Rate |
$2.27 |
Max. Negotiated Rate |
$2.27 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.27
|
|
APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$3.17
|
|
Service Code
|
APR-DRG 1774
|
Min. Negotiated Rate |
$3.17 |
Max. Negotiated Rate |
$3.17 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.17
|
|
APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$0.44
|
|
Service Code
|
APR-DRG 2001
|
Min. Negotiated Rate |
$0.44 |
Max. Negotiated Rate |
$0.44 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.44
|
|
APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$0.63
|
|
Service Code
|
APR-DRG 2002
|
Min. Negotiated Rate |
$0.63 |
Max. Negotiated Rate |
$0.63 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.63
|
|
APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$0.91
|
|
Service Code
|
APR-DRG 2003
|
Min. Negotiated Rate |
$0.91 |
Max. Negotiated Rate |
$0.91 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.91
|
|
APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$1.61
|
|
Service Code
|
APR-DRG 2004
|
Min. Negotiated Rate |
$1.61 |
Max. Negotiated Rate |
$1.61 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.61
|
|
APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$4.27
|
|
Service Code
|
APR-DRG 1621
|
Min. Negotiated Rate |
$4.27 |
Max. Negotiated Rate |
$4.27 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4.27
|
|