|
MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$53,835.15
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$53,835.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,835.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,074.58
|
| Rate for Payer: EPIC Health Plan Senior |
$37,092.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,092.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,092.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,703.66
|
| Rate for Payer: Multiplan WC |
$33,174.53
|
| Rate for Payer: Prime Health Services WC |
$32,836.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$43,403.57
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,403.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,592.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,403.57
|
| Rate for Payer: EPIC Health Plan Senior |
$32,150.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,150.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,150.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,082.06
|
| Rate for Payer: Multiplan WC |
$24,397.98
|
| Rate for Payer: Prime Health Services WC |
$24,149.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$36,709.79
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,709.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,301.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,709.79
|
| Rate for Payer: EPIC Health Plan Senior |
$27,192.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,192.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,192.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,437.87
|
| Rate for Payer: Multiplan WC |
$15,591.55
|
| Rate for Payer: Prime Health Services WC |
$15,432.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$62,068.98
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$62,068.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,068.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,931.23
|
| Rate for Payer: EPIC Health Plan Senior |
$39,949.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,949.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,949.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,531.74
|
| Rate for Payer: Multiplan WC |
$38,248.41
|
| Rate for Payer: Prime Health Services WC |
$37,858.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$60,180.29
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$60,180.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,180.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,046.58
|
| Rate for Payer: EPIC Health Plan Senior |
$39,293.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,293.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,293.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,653.64
|
| Rate for Payer: Multiplan WC |
$37,084.55
|
| Rate for Payer: Prime Health Services WC |
$36,706.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$38,585.58
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,585.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,306.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,585.58
|
| Rate for Payer: EPIC Health Plan Senior |
$28,581.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,581.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,581.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,299.76
|
| Rate for Payer: Multiplan WC |
$18,059.36
|
| Rate for Payer: Prime Health Services WC |
$17,875.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$34,750.26
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,750.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,118.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,750.26
|
| Rate for Payer: EPIC Health Plan Senior |
$25,740.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,740.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,740.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,492.85
|
| Rate for Payer: Multiplan WC |
$13,013.50
|
| Rate for Payer: Prime Health Services WC |
$12,880.71
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$34,861.01
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,861.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,354.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,861.01
|
| Rate for Payer: EPIC Health Plan Senior |
$25,822.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,822.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,822.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,602.78
|
| Rate for Payer: Multiplan WC |
$13,159.21
|
| Rate for Payer: Prime Health Services WC |
$13,024.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$49,669.73
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,669.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,669.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,123.56
|
| Rate for Payer: EPIC Health Plan Senior |
$35,647.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,647.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,647.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,767.09
|
| Rate for Payer: Multiplan WC |
$30,607.69
|
| Rate for Payer: Prime Health Services WC |
$30,295.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$31,130.74
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$31,130.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$13,390.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,130.74
|
| Rate for Payer: EPIC Health Plan Senior |
$23,059.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,059.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,059.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,900.15
|
| Rate for Payer: Multiplan WC |
$8,251.60
|
| Rate for Payer: Prime Health Services WC |
$8,167.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$35,356.57
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,356.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,412.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,356.57
|
| Rate for Payer: EPIC Health Plan Senior |
$26,190.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,190.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,190.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,094.67
|
| Rate for Payer: Multiplan WC |
$13,811.20
|
| Rate for Payer: Prime Health Services WC |
$13,670.27
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$41,982.15
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$41,982.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,558.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,982.15
|
| Rate for Payer: EPIC Health Plan Senior |
$31,097.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,097.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,097.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,671.17
|
| Rate for Payer: Multiplan WC |
$22,527.97
|
| Rate for Payer: Prime Health Services WC |
$22,298.09
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,803.47
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$32,803.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,961.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,803.47
|
| Rate for Payer: EPIC Health Plan Senior |
$24,298.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,298.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,298.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,560.49
|
| Rate for Payer: Multiplan WC |
$10,452.28
|
| Rate for Payer: Prime Health Services WC |
$10,345.62
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$46,121.37
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$46,121.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,395.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,121.37
|
| Rate for Payer: EPIC Health Plan Senior |
$34,163.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,163.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,163.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,779.73
|
| Rate for Payer: Multiplan WC |
$27,973.61
|
| Rate for Payer: Prime Health Services WC |
$27,688.17
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$38,013.34
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,013.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,084.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,013.34
|
| Rate for Payer: EPIC Health Plan Senior |
$28,158.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,158.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,158.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,731.76
|
| Rate for Payer: Multiplan WC |
$17,306.50
|
| Rate for Payer: Prime Health Services WC |
$17,129.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$214,243.17
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$214,243.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$214,243.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$125,208.11
|
| Rate for Payer: EPIC Health Plan Senior |
$92,746.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$92,746.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$92,746.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$124,280.65
|
| Rate for Payer: Multiplan WC |
$132,021.84
|
| Rate for Payer: Prime Health Services WC |
$130,674.68
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$187,789.43
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$187,789.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$187,789.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$112,817.45
|
| Rate for Payer: EPIC Health Plan Senior |
$83,568.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$83,568.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,568.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,981.76
|
| Rate for Payer: Multiplan WC |
$115,720.40
|
| Rate for Payer: Prime Health Services WC |
$114,539.58
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$141,027.00
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$141,027.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$141,027.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,914.39
|
| Rate for Payer: EPIC Health Plan Senior |
$67,343.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$67,343.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$67,343.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$90,240.95
|
| Rate for Payer: Multiplan WC |
$86,904.25
|
| Rate for Payer: Prime Health Services WC |
$86,017.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$85,051.54
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$85,051.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,051.54
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,696.04
|
| Rate for Payer: EPIC Health Plan Senior |
$47,922.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,922.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,922.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$64,216.81
|
| Rate for Payer: Multiplan WC |
$52,410.82
|
| Rate for Payer: Prime Health Services WC |
$51,876.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$31,946.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$53,286.43
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$53,286.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,286.43
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,817.57
|
| Rate for Payer: EPIC Health Plan Senior |
$36,901.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,901.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,901.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,448.55
|
| Rate for Payer: Multiplan WC |
$32,836.39
|
| Rate for Payer: Prime Health Services WC |
$32,501.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$30,540.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$57,527.64
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$57,527.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,527.64
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,804.10
|
| Rate for Payer: EPIC Health Plan Senior |
$38,373.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,373.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,373.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,420.37
|
| Rate for Payer: Multiplan WC |
$35,449.92
|
| Rate for Payer: Prime Health Services WC |
$35,088.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$42,600.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$103,262.36
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$103,262.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$103,262.36
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$73,225.81
|
| Rate for Payer: EPIC Health Plan Senior |
$54,241.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$54,241.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$54,241.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$72,683.40
|
| Rate for Payer: Multiplan WC |
$63,632.77
|
| Rate for Payer: Prime Health Services WC |
$62,983.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,266.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$51,377.00
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$51,377.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,013.62
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,411.06
|
| Rate for Payer: EPIC Health Plan Senior |
$34,378.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,378.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,378.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,067.27
|
| Rate for Payer: Multiplan WC |
$28,354.71
|
| Rate for Payer: Prime Health Services WC |
$28,065.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$42,600.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$195,777.70
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$195,777.70 |
| Rate for Payer: Aetna of CA HMO/PPO |
$195,777.70
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$116,559.07
|
| Rate for Payer: EPIC Health Plan Senior |
$86,340.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$86,340.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$86,340.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$115,695.67
|
| Rate for Payer: Multiplan WC |
$120,642.96
|
| Rate for Payer: Prime Health Services WC |
$119,411.91
|
| Rate for Payer: United Healthcare All Other Commercial |
$126,798.00
|
| Rate for Payer: United Healthcare All Other HMO |
$128,643.00
|
| Rate for Payer: United Healthcare HMO Rider |
$97,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$89,522.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$292,582.75
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$292,582.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$292,582.75
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$161,901.60
|
| Rate for Payer: EPIC Health Plan Senior |
$119,927.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$119,927.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$119,927.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$160,702.33
|
| Rate for Payer: Multiplan WC |
$180,296.58
|
| Rate for Payer: Prime Health Services WC |
$178,456.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$155,615.00
|
| Rate for Payer: United Healthcare All Other HMO |
$157,872.00
|
| Rate for Payer: United Healthcare HMO Rider |
$119,917.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$109,864.00
|
|
