|
MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$334,073.23
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$334,073.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$272,940.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$334,073.23
|
| Rate for Payer: Blue Distinction Transplant |
$247,615.00
|
| Rate for Payer: Blue Shield of California Transplant |
$140,000.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$210,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$181,333.69
|
| Rate for Payer: EPIC Health Plan Senior |
$134,321.25
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$125,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$242,950.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$134,321.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$134,321.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$179,990.48
|
| Rate for Payer: Multiplan WC |
$205,864.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$264,401.00
|
| Rate for Payer: Prime Health Services WC |
$203,763.36
|
| 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: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$49,645.48
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$49,645.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,645.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,110.52
|
| Rate for Payer: EPIC Health Plan Senior |
$35,637.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,637.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,637.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,754.14
|
| Rate for Payer: Multiplan WC |
$30,592.75
|
| Rate for Payer: Prime Health Services WC |
$30,280.58
|
| 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: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$107,000.32
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$107,000.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$107,000.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,974.95
|
| Rate for Payer: EPIC Health Plan Senior |
$55,537.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$55,537.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,537.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,419.58
|
| Rate for Payer: Multiplan WC |
$65,936.19
|
| Rate for Payer: Prime Health Services WC |
$65,263.38
|
| 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: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,722.12
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$45,722.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,546.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,722.12
|
| Rate for Payer: EPIC Health Plan Senior |
$33,868.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,868.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,868.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,383.44
|
| Rate for Payer: Multiplan WC |
$27,450.53
|
| Rate for Payer: Prime Health Services WC |
$27,170.42
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$51,570.55
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$51,570.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,570.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,012.20
|
| Rate for Payer: EPIC Health Plan Senior |
$36,305.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,305.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,305.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,649.14
|
| Rate for Payer: Multiplan WC |
$31,779.02
|
| Rate for Payer: Prime Health Services WC |
$31,454.74
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$88,916.83
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$88,916.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,916.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,504.83
|
| Rate for Payer: EPIC Health Plan Senior |
$49,262.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,262.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,262.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,012.21
|
| Rate for Payer: Multiplan WC |
$54,792.70
|
| Rate for Payer: Prime Health Services WC |
$54,233.59
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$43,788.13
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,788.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,417.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,788.13
|
| Rate for Payer: EPIC Health Plan Senior |
$32,435.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,435.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,435.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,463.77
|
| Rate for Payer: Multiplan WC |
$24,906.11
|
| Rate for Payer: Prime Health Services WC |
$24,651.97
|
| 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: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$74,534.00
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$21,830.00 |
| Max. Negotiated Rate |
$74,534.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,902.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,320.04
|
| Rate for Payer: EPIC Health Plan Senior |
$40,237.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,237.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,237.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,917.67
|
| Rate for Payer: Multiplan WC |
$38,762.15
|
| Rate for Payer: Prime Health Services WC |
$38,366.61
|
| Rate for Payer: United Healthcare All Other Commercial |
$74,534.00
|
| Rate for Payer: United Healthcare All Other HMO |
$31,364.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,828.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,830.00
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$89,159.36
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$24,564.00 |
| Max. Negotiated Rate |
$89,159.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$89,159.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,618.44
|
| Rate for Payer: EPIC Health Plan Senior |
$49,346.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,346.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,346.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,124.97
|
| Rate for Payer: Multiplan WC |
$54,942.15
|
| Rate for Payer: Prime Health Services WC |
$54,381.52
|
| Rate for Payer: United Healthcare All Other Commercial |
$56,679.00
|
| Rate for Payer: United Healthcare All Other HMO |
$40,772.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,970.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,371.00
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$60,760.00
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$18,472.00 |
| Max. Negotiated Rate |
$60,760.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,093.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,383.50
|
| Rate for Payer: EPIC Health Plan Senior |
$35,098.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,098.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,098.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,032.51
|
| Rate for Payer: Multiplan WC |
$29,636.26
|
| Rate for Payer: Prime Health Services WC |
$29,333.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$60,760.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,545.00
|
| Rate for Payer: United Healthcare HMO Rider |
$20,163.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18,472.00
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$88,362.05
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$49,070.36 |
| Max. Negotiated Rate |
$88,362.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,362.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,244.99
|
| Rate for Payer: EPIC Health Plan Senior |
$49,070.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,070.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,070.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,754.28
|
| Rate for Payer: Multiplan WC |
$54,450.84
|
| Rate for Payer: Prime Health Services WC |
$53,895.22
|
| Rate for Payer: United Healthcare All Other Commercial |
$59,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$57,548.00
|
| Rate for Payer: United Healthcare HMO Rider |
$54,441.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$52,540.00
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$75,160.00
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$32,854.00 |
| Max. Negotiated Rate |
$75,160.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,909.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,791.48
|
| Rate for Payer: EPIC Health Plan Senior |
$40,586.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,586.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,586.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,385.62
|
| Rate for Payer: Multiplan WC |
$39,382.37
|
| Rate for Payer: Prime Health Services WC |
$38,980.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$75,160.00
|
| Rate for Payer: United Healthcare All Other HMO |
$47,209.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,860.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,854.00
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$191,727.48
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$191,727.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$191,727.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$114,660.33
|
| Rate for Payer: EPIC Health Plan Senior |
$84,933.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$84,933.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$84,933.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$113,811.00
|
| Rate for Payer: Multiplan WC |
$118,147.11
|
| Rate for Payer: Prime Health Services WC |
$116,941.53
|
| 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: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$80,437.44
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$80,437.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$80,437.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$62,533.17
|
| Rate for Payer: EPIC Health Plan Senior |
$46,320.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,320.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,320.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,069.97
|
| Rate for Payer: Multiplan WC |
$49,567.50
|
| Rate for Payer: Prime Health Services WC |
$49,061.71
|
| 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: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$45,040.54
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,040.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,091.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,040.54
|
| Rate for Payer: EPIC Health Plan Senior |
$33,363.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,363.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,363.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,706.90
|
| Rate for Payer: Multiplan WC |
$26,553.82
|
| Rate for Payer: Prime Health Services WC |
$26,282.86
|
| 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: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$90,529.64
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$90,529.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,529.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$67,260.25
|
| Rate for Payer: EPIC Health Plan Senior |
$49,822.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,822.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,822.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,762.03
|
| Rate for Payer: Multiplan WC |
$55,786.56
|
| Rate for Payer: Prime Health Services WC |
$55,217.31
|
| 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: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$39,099.38
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,099.38 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,406.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,099.38
|
| Rate for Payer: EPIC Health Plan Senior |
$28,962.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,962.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,962.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,809.75
|
| Rate for Payer: Multiplan WC |
$18,737.50
|
| Rate for Payer: Prime Health Services WC |
$18,546.30
|
| 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: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$45,331.64
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,331.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,712.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,331.64
|
| Rate for Payer: EPIC Health Plan Senior |
$33,578.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,578.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,578.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,995.85
|
| Rate for Payer: Multiplan WC |
$26,936.79
|
| Rate for Payer: Prime Health Services WC |
$26,661.92
|
| 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: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$41,538.89
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$41,538.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,615.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,538.89
|
| Rate for Payer: EPIC Health Plan Senior |
$30,769.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,769.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,769.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,231.20
|
| Rate for Payer: Multiplan WC |
$21,946.97
|
| Rate for Payer: Prime Health Services WC |
$21,723.02
|
| 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: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$35,516.79
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,516.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,758.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,516.79
|
| Rate for Payer: EPIC Health Plan Senior |
$26,308.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,308.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,308.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,253.70
|
| Rate for Payer: Multiplan WC |
$14,024.16
|
| Rate for Payer: Prime Health Services WC |
$13,881.06
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$39,026.95
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,026.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,252.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,026.95
|
| Rate for Payer: EPIC Health Plan Senior |
$28,908.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,908.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,908.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,737.86
|
| Rate for Payer: Multiplan WC |
$18,642.23
|
| Rate for Payer: Prime Health Services WC |
$18,452.00
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$46,877.63
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$46,877.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,877.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,814.07
|
| Rate for Payer: EPIC Health Plan Senior |
$34,677.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,677.09
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,677.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,467.30
|
| Rate for Payer: Multiplan WC |
$28,887.14
|
| Rate for Payer: Prime Health Services WC |
$28,592.37
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
|
Facility
|
IP
|
$34,324.02
|
|
|
Service Code
|
MSDRG 079
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,324.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,211.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,324.02
|
| Rate for Payer: EPIC Health Plan Senior |
$25,425.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,425.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,425.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,069.77
|
| Rate for Payer: Multiplan WC |
$12,454.93
|
| Rate for Payer: Prime Health Services WC |
$12,327.84
|
| 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: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$42,480.34
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,480.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,625.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,480.34
|
| Rate for Payer: EPIC Health Plan Senior |
$31,466.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,466.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,466.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,165.67
|
| Rate for Payer: Multiplan WC |
$23,185.56
|
| Rate for Payer: Prime Health Services WC |
$22,948.97
|
| 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: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$39,330.83
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,330.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,901.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,330.83
|
| Rate for Payer: EPIC Health Plan Senior |
$29,133.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,133.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,133.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,039.49
|
| Rate for Payer: Multiplan WC |
$19,042.01
|
| Rate for Payer: Prime Health Services WC |
$18,847.70
|
| 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
|
|
