|
APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$1.41
|
|
|
Service Code
|
APR-DRG 1802
|
| Min. Negotiated Rate |
$1.41 |
| Max. Negotiated Rate |
$1.41 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.41
|
|
|
APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$0.95
|
|
|
Service Code
|
APR-DRG 8133
|
| Min. Negotiated Rate |
$0.95 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.95
|
|
|
APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$0.54
|
|
|
Service Code
|
APR-DRG 8131
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$0.54 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.54
|
|
|
APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$0.65
|
|
|
Service Code
|
APR-DRG 8132
|
| Min. Negotiated Rate |
$0.65 |
| Max. Negotiated Rate |
$0.65 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.65
|
|
|
APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$1.69
|
|
|
Service Code
|
APR-DRG 8134
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.69
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$2.26
|
|
|
Service Code
|
APR-DRG 2293
|
| Min. Negotiated Rate |
$2.26 |
| Max. Negotiated Rate |
$2.26 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.26
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$1.50
|
|
|
Service Code
|
APR-DRG 2292
|
| Min. Negotiated Rate |
$1.50 |
| Max. Negotiated Rate |
$1.50 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.50
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$3.86
|
|
|
Service Code
|
APR-DRG 2294
|
| Min. Negotiated Rate |
$3.86 |
| Max. Negotiated Rate |
$3.86 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.86
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$1.10
|
|
|
Service Code
|
APR-DRG 2291
|
| Min. Negotiated Rate |
$1.10 |
| Max. Negotiated Rate |
$1.10 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.10
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$1.68
|
|
|
Service Code
|
APR-DRG 2544
|
| 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: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$0.66
|
|
|
Service Code
|
APR-DRG 2542
|
| Min. Negotiated Rate |
$0.66 |
| Max. Negotiated Rate |
$0.66 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.66
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$0.48
|
|
|
Service Code
|
APR-DRG 2541
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$0.48 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.48
|
|
|
APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$0.96
|
|
|
Service Code
|
APR-DRG 2543
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$1.02
|
|
|
Service Code
|
APR-DRG 0582
|
| Min. Negotiated Rate |
$1.02 |
| Max. Negotiated Rate |
$1.02 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.02
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$0.76
|
|
|
Service Code
|
APR-DRG 0581
|
| Min. Negotiated Rate |
$0.76 |
| Max. Negotiated Rate |
$0.76 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.76
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$1.84
|
|
|
Service Code
|
APR-DRG 0584
|
| Min. Negotiated Rate |
$1.84 |
| Max. Negotiated Rate |
$1.84 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.84
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$1.32
|
|
|
Service Code
|
APR-DRG 0583
|
| Min. Negotiated Rate |
$1.32 |
| Max. Negotiated Rate |
$1.32 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.32
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$0.92
|
|
|
Service Code
|
APR-DRG 2833
|
| Min. Negotiated Rate |
$0.92 |
| Max. Negotiated Rate |
$0.92 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.92
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$1.69
|
|
|
Service Code
|
APR-DRG 2834
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.69
|
|
|
APR-DRG 41.00: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$0.63
|
|
|
Service Code
|
APR-DRG 2832
|
| 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: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$0.48
|
|
|
Service Code
|
APR-DRG 2831
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$0.48 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.48
|
|
|
APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$0.41
|
|
|
Service Code
|
APR-DRG 7762
|
| Min. Negotiated Rate |
$0.41 |
| Max. Negotiated Rate |
$0.41 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.41
|
|
|
APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$0.37
|
|
|
Service Code
|
APR-DRG 7761
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$0.37 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.37
|
|
|
APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$0.74
|
|
|
Service Code
|
APR-DRG 7763
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$0.74 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.74
|
|
|
APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1.38
|
|
|
Service Code
|
APR-DRG 7764
|
| Min. Negotiated Rate |
$1.38 |
| Max. Negotiated Rate |
$1.38 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.38
|
|