|
APR-DRG 41.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$0.88
|
|
|
Service Code
|
APR-DRG 9302
|
| Min. Negotiated Rate |
$0.88 |
| Max. Negotiated Rate |
$0.88 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.88
|
|
|
APR-DRG 41.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2.79
|
|
|
Service Code
|
APR-DRG 9304
|
| Min. Negotiated Rate |
$2.79 |
| Max. Negotiated Rate |
$2.79 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.79
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$1.98
|
|
|
Service Code
|
APR-DRG 9121
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$1.98 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.98
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$3.25
|
|
|
Service Code
|
APR-DRG 9123
|
| Min. Negotiated Rate |
$3.25 |
| Max. Negotiated Rate |
$3.25 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.25
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$2.08
|
|
|
Service Code
|
APR-DRG 9122
|
| Min. Negotiated Rate |
$2.08 |
| Max. Negotiated Rate |
$2.08 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.08
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$5.77
|
|
|
Service Code
|
APR-DRG 9124
|
| Min. Negotiated Rate |
$5.77 |
| Max. Negotiated Rate |
$5.77 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5.77
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$0.87
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$0.87 |
| Max. Negotiated Rate |
$0.87 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.87
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$0.73
|
|
|
Service Code
|
APR-DRG 3431
|
| Min. Negotiated Rate |
$0.73 |
| Max. Negotiated Rate |
$0.73 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.73
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$1.29
|
|
|
Service Code
|
APR-DRG 3433
|
| Min. Negotiated Rate |
$1.29 |
| Max. Negotiated Rate |
$1.29 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.29
|
|
|
APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY
|
Facility
|
IP
|
$2.14
|
|
|
Service Code
|
APR-DRG 3434
|
| Min. Negotiated Rate |
$2.14 |
| Max. Negotiated Rate |
$2.14 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.14
|
|
|
APR-DRG 41.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7.59
|
|
|
Service Code
|
APR-DRG 8634
|
| Min. Negotiated Rate |
$7.59 |
| Max. Negotiated Rate |
$7.59 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$7.59
|
|
|
APR-DRG 41.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$2.07
|
|
|
Service Code
|
APR-DRG 8632
|
| Min. Negotiated Rate |
$2.07 |
| Max. Negotiated Rate |
$2.07 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.07
|
|
|
APR-DRG 41.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$4.04
|
|
|
Service Code
|
APR-DRG 8633
|
| Min. Negotiated Rate |
$4.04 |
| Max. Negotiated Rate |
$4.04 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4.04
|
|
|
APR-DRG 41.00: NEONATAL AFTERCARE
|
Facility
|
IP
|
$0.84
|
|
|
Service Code
|
APR-DRG 8631
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$0.84 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.84
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$0.15
|
|
|
Service Code
|
APR-DRG 6031
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$0.15 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.15
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$6.16
|
|
|
Service Code
|
APR-DRG 6033
|
| Min. Negotiated Rate |
$6.16 |
| Max. Negotiated Rate |
$6.16 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$6.16
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$3.09
|
|
|
Service Code
|
APR-DRG 6032
|
| Min. Negotiated Rate |
$3.09 |
| Max. Negotiated Rate |
$3.09 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.09
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$12.75
|
|
|
Service Code
|
APR-DRG 6034
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$12.75
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$1.14
|
|
|
Service Code
|
APR-DRG 6021
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.14
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$9.26
|
|
|
Service Code
|
APR-DRG 6023
|
| Min. Negotiated Rate |
$9.26 |
| Max. Negotiated Rate |
$9.26 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$9.26
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$7.19
|
|
|
Service Code
|
APR-DRG 6022
|
| Min. Negotiated Rate |
$7.19 |
| Max. Negotiated Rate |
$7.19 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$7.19
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY
|
Facility
|
IP
|
$12.26
|
|
|
Service Code
|
APR-DRG 6024
|
| Min. Negotiated Rate |
$12.26 |
| Max. Negotiated Rate |
$12.26 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$12.26
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$5.21
|
|
|
Service Code
|
APR-DRG 6084
|
| Min. Negotiated Rate |
$5.21 |
| Max. Negotiated Rate |
$5.21 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5.21
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$0.73
|
|
|
Service Code
|
APR-DRG 6081
|
| Min. Negotiated Rate |
$0.73 |
| Max. Negotiated Rate |
$0.73 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.73
|
|
|
APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION
|
Facility
|
IP
|
$3.66
|
|
|
Service Code
|
APR-DRG 6082
|
| Min. Negotiated Rate |
$3.66 |
| Max. Negotiated Rate |
$3.66 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.66
|
|
