APR-DRG 41.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$1.37
|
|
Service Code
|
APR-DRG 4842
|
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: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$3.66
|
|
Service Code
|
APR-DRG 4844
|
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 MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$0.62
|
|
Service Code
|
APR-DRG 7602
|
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 MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$0.44
|
|
Service Code
|
APR-DRG 7601
|
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 MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$1.67
|
|
Service Code
|
APR-DRG 7604
|
Min. Negotiated Rate |
$1.67 |
Max. Negotiated Rate |
$1.67 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.67
|
|
APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS
|
Facility
|
IP
|
$0.90
|
|
Service Code
|
APR-DRG 7603
|
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$1.71
|
|
Service Code
|
APR-DRG 3514
|
Min. Negotiated Rate |
$1.71 |
Max. Negotiated Rate |
$1.71 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.71
|
|
APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$0.47
|
|
Service Code
|
APR-DRG 3511
|
Min. Negotiated Rate |
$0.47 |
Max. Negotiated Rate |
$0.47 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.47
|
|
APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$0.59
|
|
Service Code
|
APR-DRG 3512
|
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$0.91
|
|
Service Code
|
APR-DRG 3513
|
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$2.07
|
|
Service Code
|
APR-DRG 3203
|
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$1.43
|
|
Service Code
|
APR-DRG 3202
|
Min. Negotiated Rate |
$1.43 |
Max. Negotiated Rate |
$1.43 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.43
|
|
APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$1.03
|
|
Service Code
|
APR-DRG 3201
|
Min. Negotiated Rate |
$1.03 |
Max. Negotiated Rate |
$1.03 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.03
|
|
APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$3.61
|
|
Service Code
|
APR-DRG 3204
|
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 NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$1.22
|
|
Service Code
|
APR-DRG 0261
|
Min. Negotiated Rate |
$1.22 |
Max. Negotiated Rate |
$1.22 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.22
|
|
APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$4.08
|
|
Service Code
|
APR-DRG 0264
|
Min. Negotiated Rate |
$4.08 |
Max. Negotiated Rate |
$4.08 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4.08
|
|
APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$1.51
|
|
Service Code
|
APR-DRG 0262
|
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: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES
|
Facility
|
IP
|
$2.33
|
|
Service Code
|
APR-DRG 0263
|
Min. Negotiated Rate |
$2.33 |
Max. Negotiated Rate |
$2.33 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.33
|
|
APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$0.73
|
|
Service Code
|
APR-DRG 4253
|
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: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$0.43
|
|
Service Code
|
APR-DRG 4251
|
Min. Negotiated Rate |
$0.43 |
Max. Negotiated Rate |
$0.43 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.43
|
|
APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$0.53
|
|
Service Code
|
APR-DRG 4252
|
Min. Negotiated Rate |
$0.53 |
Max. Negotiated Rate |
$0.53 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.53
|
|
APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$1.58
|
|
Service Code
|
APR-DRG 4254
|
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: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$4.98
|
|
Service Code
|
APR-DRG 0274
|
Min. Negotiated Rate |
$4.98 |
Max. Negotiated Rate |
$4.98 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4.98
|
|
APR-DRG 41.00: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$1.66
|
|
Service Code
|
APR-DRG 0271
|
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: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$1.85
|
|
Service Code
|
APR-DRG 0272
|
Min. Negotiated Rate |
$1.85 |
Max. Negotiated Rate |
$1.85 |
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.85
|
|