|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
|
IP
|
$0.82
|
|
|
Service Code
|
APR-DRG 0981
|
| Min. Negotiated Rate |
$0.82 |
| Max. Negotiated Rate |
$0.82 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.82
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
|
IP
|
$1.12
|
|
|
Service Code
|
APR-DRG 0982
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$1.12 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.12
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
|
IP
|
$1.89
|
|
|
Service Code
|
APR-DRG 0983
|
| Min. Negotiated Rate |
$1.89 |
| Max. Negotiated Rate |
$1.89 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.89
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES
|
Facility
|
IP
|
$3.61
|
|
|
Service Code
|
APR-DRG 0984
|
| Min. Negotiated Rate |
$3.61 |
| Max. Negotiated Rate |
$3.61 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.61
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$0.62
|
|
|
Service Code
|
APR-DRG 1152
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$0.62 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.62
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$1.70
|
|
|
Service Code
|
APR-DRG 1154
|
| Min. Negotiated Rate |
$1.70 |
| Max. Negotiated Rate |
$1.70 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.70
|
|
|
APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$0.95
|
|
|
Service Code
|
APR-DRG 1153
|
| 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 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES
|
Facility
|
IP
|
$0.45
|
|
|
Service Code
|
APR-DRG 1151
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$0.45 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.45
|
|
|
APR-DRG 41.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$0.99
|
|
|
Service Code
|
APR-DRG 4243
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$0.99 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.99
|
|
|
APR-DRG 41.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$1.77
|
|
|
Service Code
|
APR-DRG 4244
|
| Min. Negotiated Rate |
$1.77 |
| Max. Negotiated Rate |
$1.77 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.77
|
|
|
APR-DRG 41.00: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$0.66
|
|
|
Service Code
|
APR-DRG 4242
|
| 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 ENDOCRINE DISORDERS
|
Facility
|
IP
|
$0.48
|
|
|
Service Code
|
APR-DRG 4241
|
| 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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$0.52
|
|
|
Service Code
|
APR-DRG 2431
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$0.52 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.52
|
|
|
APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$0.96
|
|
|
Service Code
|
APR-DRG 2433
|
| 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 ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$1.75
|
|
|
Service Code
|
APR-DRG 2434
|
| Min. Negotiated Rate |
$1.75 |
| Max. Negotiated Rate |
$1.75 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.75
|
|
|
APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$0.65
|
|
|
Service Code
|
APR-DRG 2432
|
| 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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$1.94
|
|
|
Service Code
|
APR-DRG 5183
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$1.94 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.94
|
|
|
APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$3.66
|
|
|
Service Code
|
APR-DRG 5184
|
| Min. Negotiated Rate |
$3.66 |
| Max. Negotiated Rate |
$3.66 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.66
|
|
|
APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$0.81
|
|
|
Service Code
|
APR-DRG 5181
|
| Min. Negotiated Rate |
$0.81 |
| Max. Negotiated Rate |
$0.81 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.81
|
|
|
APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$1.15
|
|
|
Service Code
|
APR-DRG 5182
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$0.55
|
|
|
Service Code
|
APR-DRG 2492
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$0.44
|
|
|
Service Code
|
APR-DRG 2491
|
| 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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$1.46
|
|
|
Service Code
|
APR-DRG 2494
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$1.46 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.46
|
|
|
APR-DRG 41.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING
|
Facility
|
IP
|
$0.80
|
|
|
Service Code
|
APR-DRG 2493
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$0.80 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.80
|
|
|
APR-DRG 41.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$1.37
|
|
|
Service Code
|
APR-DRG 2642
|
| Min. Negotiated Rate |
$1.37 |
| Max. Negotiated Rate |
$1.37 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.37
|
|