|
APR-DRG 41.00: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$3.79
|
|
|
Service Code
|
APR-DRG 2244
|
| Min. Negotiated Rate |
$3.79 |
| Max. Negotiated Rate |
$3.79 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.79
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$3.06
|
|
|
Service Code
|
APR-DRG 1703
|
| Min. Negotiated Rate |
$3.06 |
| Max. Negotiated Rate |
$3.06 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.06
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$4.29
|
|
|
Service Code
|
APR-DRG 1704
|
| Min. Negotiated Rate |
$4.29 |
| Max. Negotiated Rate |
$4.29 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$4.29
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$2.27
|
|
|
Service Code
|
APR-DRG 1702
|
| Min. Negotiated Rate |
$2.27 |
| Max. Negotiated Rate |
$2.27 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.27
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$2.20
|
|
|
Service Code
|
APR-DRG 1701
|
| Min. Negotiated Rate |
$2.20 |
| Max. Negotiated Rate |
$2.20 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.20
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$1.77
|
|
|
Service Code
|
APR-DRG 1712
|
| 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: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$1.56
|
|
|
Service Code
|
APR-DRG 1711
|
| Min. Negotiated Rate |
$1.56 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.56
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$2.30
|
|
|
Service Code
|
APR-DRG 1713
|
| Min. Negotiated Rate |
$2.30 |
| Max. Negotiated Rate |
$2.30 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.30
|
|
|
APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$3.60
|
|
|
Service Code
|
APR-DRG 1714
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$3.60 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.60
|
|
|
APR-DRG 41.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$0.34
|
|
|
Service Code
|
APR-DRG 8121
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.34
|
|
|
APR-DRG 41.00: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$1.41
|
|
|
Service Code
|
APR-DRG 8124
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$0.74
|
|
|
Service Code
|
APR-DRG 8123
|
| 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: POISONING OF MEDICINAL AGENTS
|
Facility
|
IP
|
$0.48
|
|
|
Service Code
|
APR-DRG 8122
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$1.02
|
|
|
Service Code
|
APR-DRG 7111
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$1.32
|
|
|
Service Code
|
APR-DRG 7112
|
| 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: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2.16
|
|
|
Service Code
|
APR-DRG 7113
|
| Min. Negotiated Rate |
$2.16 |
| Max. Negotiated Rate |
$2.16 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2.16
|
|
|
APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE
|
Facility
|
IP
|
$3.81
|
|
|
Service Code
|
APR-DRG 7114
|
| Min. Negotiated Rate |
$3.81 |
| Max. Negotiated Rate |
$3.81 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3.81
|
|
|
APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$1.98
|
|
|
Service Code
|
APR-DRG 7214
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$0.55
|
|
|
Service Code
|
APR-DRG 7211
|
| 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: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$0.72
|
|
|
Service Code
|
APR-DRG 7212
|
| Min. Negotiated Rate |
$0.72 |
| Max. Negotiated Rate |
$0.72 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.72
|
|
|
APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$1.13
|
|
|
Service Code
|
APR-DRG 7213
|
| 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: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$0.36
|
|
|
Service Code
|
APR-DRG 5612
|
| Min. Negotiated Rate |
$0.36 |
| Max. Negotiated Rate |
$0.36 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.36
|
|
|
APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$1.30
|
|
|
Service Code
|
APR-DRG 5614
|
| Min. Negotiated Rate |
$1.30 |
| Max. Negotiated Rate |
$1.30 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1.30
|
|
|
APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$0.24
|
|
|
Service Code
|
APR-DRG 5611
|
| Min. Negotiated Rate |
$0.24 |
| Max. Negotiated Rate |
$0.24 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.24
|
|
|
APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE
|
Facility
|
IP
|
$0.57
|
|
|
Service Code
|
APR-DRG 5613
|
| Min. Negotiated Rate |
$0.57 |
| Max. Negotiated Rate |
$0.57 |
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$0.57
|
|