|
APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$1.48
|
|
|
Service Code
|
APR-DRG 2311
|
| Min. Negotiated Rate |
$1.48 |
| Max. Negotiated Rate |
$1.48 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.48
|
|
|
APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$1.80
|
|
|
Service Code
|
APR-DRG 2312
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$1.80 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.80
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$1.28
|
|
|
Service Code
|
APR-DRG 4801
|
| Min. Negotiated Rate |
$1.28 |
| Max. Negotiated Rate |
$1.28 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.28
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$1.47
|
|
|
Service Code
|
APR-DRG 4802
|
| Min. Negotiated Rate |
$1.47 |
| Max. Negotiated Rate |
$1.47 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.47
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$3.84
|
|
|
Service Code
|
APR-DRG 4804
|
| Min. Negotiated Rate |
$3.84 |
| Max. Negotiated Rate |
$3.84 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.84
|
|
|
APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$2.24
|
|
|
Service Code
|
APR-DRG 4803
|
| Min. Negotiated Rate |
$2.24 |
| Max. Negotiated Rate |
$2.24 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.24
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$1.51
|
|
|
Service Code
|
APR-DRG 6801
|
| Min. Negotiated Rate |
$1.51 |
| Max. Negotiated Rate |
$1.51 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.51
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$1.99
|
|
|
Service Code
|
APR-DRG 6802
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1.99 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.99
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$6.33
|
|
|
Service Code
|
APR-DRG 6804
|
| Min. Negotiated Rate |
$6.33 |
| Max. Negotiated Rate |
$6.33 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$6.33
|
|
|
APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS
|
Facility
|
IP
|
$3.16
|
|
|
Service Code
|
APR-DRG 6803
|
| Min. Negotiated Rate |
$3.16 |
| Max. Negotiated Rate |
$3.16 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.16
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$1.74
|
|
|
Service Code
|
APR-DRG 2601
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$1.74 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.74
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$2.93
|
|
|
Service Code
|
APR-DRG 2603
|
| Min. Negotiated Rate |
$2.93 |
| Max. Negotiated Rate |
$2.93 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.93
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$2.18
|
|
|
Service Code
|
APR-DRG 2602
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$2.18 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.18
|
|
|
APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES
|
Facility
|
IP
|
$5.38
|
|
|
Service Code
|
APR-DRG 2604
|
| Min. Negotiated Rate |
$5.38 |
| Max. Negotiated Rate |
$5.38 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5.38
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$1.81
|
|
|
Service Code
|
APR-DRG 1201
|
| Min. Negotiated Rate |
$1.81 |
| Max. Negotiated Rate |
$1.81 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.81
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$2.21
|
|
|
Service Code
|
APR-DRG 1202
|
| Min. Negotiated Rate |
$2.21 |
| Max. Negotiated Rate |
$2.21 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.21
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$3.10
|
|
|
Service Code
|
APR-DRG 1203
|
| Min. Negotiated Rate |
$3.10 |
| Max. Negotiated Rate |
$3.10 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.10
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES
|
Facility
|
IP
|
$5.52
|
|
|
Service Code
|
APR-DRG 1204
|
| Min. Negotiated Rate |
$5.52 |
| Max. Negotiated Rate |
$5.52 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5.52
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$0.75
|
|
|
Service Code
|
APR-DRG 1372
|
| Min. Negotiated Rate |
$0.75 |
| Max. Negotiated Rate |
$0.75 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.75
|
|
|
APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$0.91
|
|
|
Service Code
|
APR-DRG 1373
|
| 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: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$1.68
|
|
|
Service Code
|
APR-DRG 1374
|
| 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: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS
|
Facility
|
IP
|
$0.59
|
|
|
Service Code
|
APR-DRG 1371
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$0.59 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.59
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$1.13
|
|
|
Service Code
|
APR-DRG 3813
|
| Min. Negotiated Rate |
$1.13 |
| Max. Negotiated Rate |
$1.13 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.13
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2.35
|
|
|
Service Code
|
APR-DRG 3814
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$2.35 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.35
|
|
|
APR-DRG 41.00: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$0.36
|
|
|
Service Code
|
APR-DRG 3811
|
| Min. Negotiated Rate |
$0.36 |
| Max. Negotiated Rate |
$0.36 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.36
|
|