|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$43,805.16
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,805.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,453.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,805.16
|
| Rate for Payer: EPIC Health Plan Senior |
$32,448.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,448.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,448.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,480.68
|
| Rate for Payer: Multiplan WC |
$24,928.53
|
| Rate for Payer: Prime Health Services WC |
$24,674.16
|
| 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: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$38,213.32
|
|
|
Service Code
|
MSDRG 158
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,213.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,515.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,213.32
|
| Rate for Payer: EPIC Health Plan Senior |
$28,306.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,306.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,306.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,930.25
|
| Rate for Payer: Multiplan WC |
$17,571.77
|
| Rate for Payer: Prime Health Services WC |
$17,392.47
|
| 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: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$49,642.45
|
|
|
Service Code
|
MSDRG 157
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,642.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,642.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,109.10
|
| Rate for Payer: EPIC Health Plan Senior |
$35,636.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,636.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,636.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,752.74
|
| Rate for Payer: Multiplan WC |
$30,590.88
|
| Rate for Payer: Prime Health Services WC |
$30,278.72
|
| 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: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,223.20
|
|
|
Service Code
|
MSDRG 159
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,223.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,996.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,223.20
|
| Rate for Payer: EPIC Health Plan Senior |
$25,350.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,350.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,350.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,969.70
|
| Rate for Payer: Multiplan WC |
$12,322.28
|
| Rate for Payer: Prime Health Services WC |
$12,196.55
|
| 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: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$37,837.03
|
|
|
Service Code
|
MSDRG 881
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,837.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,711.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,837.03
|
| Rate for Payer: EPIC Health Plan Senior |
$28,027.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,027.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,027.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,556.76
|
| Rate for Payer: Multiplan WC |
$17,076.72
|
| Rate for Payer: Prime Health Services WC |
$16,902.46
|
| 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: DIABETES WITH CC
|
Facility
|
IP
|
$37,881.04
|
|
|
Service Code
|
MSDRG 638
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,881.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,805.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,881.04
|
| Rate for Payer: EPIC Health Plan Senior |
$28,060.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,060.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,060.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,600.44
|
| Rate for Payer: Multiplan WC |
$17,134.63
|
| Rate for Payer: Prime Health Services WC |
$16,959.79
|
| 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: DIABETES WITH MCC
|
Facility
|
IP
|
$45,536.11
|
|
|
Service Code
|
MSDRG 637
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,536.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,149.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,536.11
|
| Rate for Payer: EPIC Health Plan Senior |
$33,730.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,730.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,730.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,198.80
|
| Rate for Payer: Multiplan WC |
$27,205.80
|
| Rate for Payer: Prime Health Services WC |
$26,928.19
|
| 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: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,754.59
|
|
|
Service Code
|
MSDRG 639
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,754.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,996.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,754.59
|
| Rate for Payer: EPIC Health Plan Senior |
$25,003.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,003.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,003.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,504.56
|
| Rate for Payer: Multiplan WC |
$11,705.80
|
| Rate for Payer: Prime Health Services WC |
$11,586.35
|
| 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: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$42,304.26
|
|
|
Service Code
|
MSDRG 375
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,304.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,249.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,304.26
|
| Rate for Payer: EPIC Health Plan Senior |
$31,336.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,336.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,336.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,990.90
|
| Rate for Payer: Multiplan WC |
$22,953.90
|
| Rate for Payer: Prime Health Services WC |
$22,719.68
|
| 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: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$64,009.20
|
|
|
Service Code
|
MSDRG 374
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$64,009.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,009.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,838.35
|
| Rate for Payer: EPIC Health Plan Senior |
$40,621.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,621.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,621.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,432.14
|
| Rate for Payer: Multiplan WC |
$39,444.02
|
| Rate for Payer: Prime Health Services WC |
$39,041.53
|
| 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: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$37,395.40
|
|
|
Service Code
|
MSDRG 376
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,395.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,769.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,395.40
|
| Rate for Payer: EPIC Health Plan Senior |
$27,700.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,700.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,700.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,118.40
|
| Rate for Payer: Multiplan WC |
$16,495.72
|
| Rate for Payer: Prime Health Services WC |
$16,327.40
|
| 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: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$38,576.82
|
|
|
Service Code
|
MSDRG 442
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,576.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,291.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,576.82
|
| Rate for Payer: EPIC Health Plan Senior |
$28,575.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,575.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,575.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,291.06
|
| Rate for Payer: Multiplan WC |
$18,050.02
|
| Rate for Payer: Prime Health Services WC |
$17,865.84
|
| 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: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$57,309.37
|
|
|
Service Code
|
MSDRG 441
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$57,309.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,309.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,700.22
|
| Rate for Payer: EPIC Health Plan Senior |
$38,296.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,296.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,296.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,317.26
|
| Rate for Payer: Multiplan WC |
$35,315.42
|
| Rate for Payer: Prime Health Services WC |
$34,955.06
|
| 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: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$34,835.20
|
|
|
Service Code
|
MSDRG 443
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,835.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,303.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,835.20
|
| Rate for Payer: EPIC Health Plan Senior |
$25,803.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,803.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,803.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,577.16
|
| Rate for Payer: Multiplan WC |
$13,127.45
|
| Rate for Payer: Prime Health Services WC |
$12,993.50
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$37,071.66
|
|
|
Service Code
|
MSDRG 439
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,071.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,077.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,071.66
|
| Rate for Payer: EPIC Health Plan Senior |
$27,460.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,460.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,460.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,797.06
|
| Rate for Payer: Multiplan WC |
$16,069.79
|
| Rate for Payer: Prime Health Services WC |
$15,905.81
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$50,436.73
|
|
|
Service Code
|
MSDRG 438
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$50,436.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,436.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,481.13
|
| Rate for Payer: EPIC Health Plan Senior |
$35,911.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,911.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,911.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,122.01
|
| Rate for Payer: Multiplan WC |
$31,080.34
|
| Rate for Payer: Prime Health Services WC |
$30,763.19
|
| 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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$33,591.29
|
|
|
Service Code
|
MSDRG 440
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,591.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,647.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,591.29
|
| Rate for Payer: EPIC Health Plan Senior |
$24,882.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,882.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,882.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,342.47
|
| Rate for Payer: Multiplan WC |
$11,490.96
|
| Rate for Payer: Prime Health Services WC |
$11,373.71
|
| 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: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$56,202.83
|
|
|
Service Code
|
MSDRG 883
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$56,202.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,202.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,181.93
|
| Rate for Payer: EPIC Health Plan Senior |
$37,912.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,912.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,912.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,802.80
|
| Rate for Payer: Multiplan WC |
$34,633.54
|
| Rate for Payer: Prime Health Services WC |
$34,280.14
|
| 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: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$40,256.65
|
|
|
Service Code
|
MSDRG 445
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,256.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,877.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,256.65
|
| Rate for Payer: EPIC Health Plan Senior |
$29,819.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,819.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,819.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,958.45
|
| Rate for Payer: Multiplan WC |
$20,260.04
|
| Rate for Payer: Prime Health Services WC |
$20,053.30
|
| 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: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$51,064.27
|
|
|
Service Code
|
MSDRG 444
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$51,064.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,064.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,775.07
|
| Rate for Payer: EPIC Health Plan Senior |
$36,129.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,129.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,129.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,413.77
|
| Rate for Payer: Multiplan WC |
$31,467.05
|
| Rate for Payer: Prime Health Services WC |
$31,145.95
|
| 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: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$36,178.50
|
|
|
Service Code
|
MSDRG 446
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,178.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,170.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,178.50
|
| Rate for Payer: EPIC Health Plan Senior |
$26,798.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,798.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,798.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,910.51
|
| Rate for Payer: Multiplan WC |
$14,894.73
|
| Rate for Payer: Prime Health Services WC |
$14,742.74
|
| 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: DYSEQUILIBRIUM
|
Facility
|
IP
|
$35,471.36
|
|
|
Service Code
|
MSDRG 149
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,471.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,661.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,471.36
|
| Rate for Payer: EPIC Health Plan Senior |
$26,275.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,275.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,275.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,208.61
|
| Rate for Payer: Multiplan WC |
$13,964.38
|
| Rate for Payer: Prime Health Services WC |
$13,821.89
|
| 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: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$42,532.88
|
|
|
Service Code
|
MSDRG 147
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,532.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,737.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,532.88
|
| Rate for Payer: EPIC Health Plan Senior |
$31,505.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,505.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,505.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,217.83
|
| Rate for Payer: Multiplan WC |
$23,254.67
|
| Rate for Payer: Prime Health Services WC |
$23,017.38
|
| 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: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$69,547.94
|
|
|
Service Code
|
MSDRG 146
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$69,547.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,547.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,432.63
|
| Rate for Payer: EPIC Health Plan Senior |
$42,542.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,542.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,542.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,007.20
|
| Rate for Payer: Multiplan WC |
$42,857.12
|
| Rate for Payer: Prime Health Services WC |
$42,419.81
|
| 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: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$36,226.76
|
|
|
Service Code
|
MSDRG 148
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,226.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,274.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,226.76
|
| Rate for Payer: EPIC Health Plan Senior |
$26,834.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,834.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,834.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,958.42
|
| Rate for Payer: Multiplan WC |
$14,958.24
|
| Rate for Payer: Prime Health Services WC |
$14,805.60
|
| 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
|
|
