|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
|
IP
|
$81,956.27
|
|
|
Service Code
|
MSDRG 061
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$81,956.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$81,956.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$63,244.57
|
| Rate for Payer: EPIC Health Plan Senior |
$46,847.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,847.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,847.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,776.09
|
| Rate for Payer: Multiplan WC |
$50,503.44
|
| Rate for Payer: Prime Health Services WC |
$49,988.10
|
| 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: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$44,804.81
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$44,804.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,587.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,804.81
|
| Rate for Payer: EPIC Health Plan Senior |
$33,188.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,188.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,188.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,472.93
|
| Rate for Payer: Multiplan WC |
$26,243.70
|
| Rate for Payer: Prime Health Services WC |
$25,975.91
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$55,420.68
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,420.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,420.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,815.57
|
| Rate for Payer: EPIC Health Plan Senior |
$37,641.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,641.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,641.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,439.15
|
| Rate for Payer: Multiplan WC |
$34,151.57
|
| Rate for Payer: Prime Health Services WC |
$33,803.08
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$98,769.53
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$98,769.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$98,769.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$71,119.74
|
| Rate for Payer: EPIC Health Plan Senior |
$52,681.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,681.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,681.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,592.93
|
| Rate for Payer: Multiplan WC |
$60,864.17
|
| Rate for Payer: Prime Health Services WC |
$60,243.11
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$46,213.43
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,213.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,595.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,213.43
|
| Rate for Payer: EPIC Health Plan Senior |
$34,232.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,232.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,232.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,871.11
|
| Rate for Payer: Multiplan WC |
$28,096.90
|
| Rate for Payer: Prime Health Services WC |
$27,810.20
|
| 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: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$43,884.68
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,884.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,623.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,884.68
|
| Rate for Payer: EPIC Health Plan Senior |
$32,507.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,507.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,507.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,559.61
|
| Rate for Payer: Multiplan WC |
$25,033.15
|
| Rate for Payer: Prime Health Services WC |
$24,777.71
|
| 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: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$78,345.64
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$78,345.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$78,345.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,553.41
|
| Rate for Payer: EPIC Health Plan Senior |
$45,595.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,595.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,595.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$61,097.46
|
| Rate for Payer: Multiplan WC |
$48,278.48
|
| Rate for Payer: Prime Health Services WC |
$47,785.85
|
| 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: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$39,434.50
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,434.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,122.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,434.50
|
| Rate for Payer: EPIC Health Plan Senior |
$29,210.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,210.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,210.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,142.39
|
| Rate for Payer: Multiplan WC |
$19,178.38
|
| Rate for Payer: Prime Health Services WC |
$18,982.69
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$41,475.01
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$41,475.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,478.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,475.01
|
| Rate for Payer: EPIC Health Plan Senior |
$30,722.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,722.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,722.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,167.79
|
| Rate for Payer: Multiplan WC |
$21,862.91
|
| Rate for Payer: Prime Health Services WC |
$21,639.82
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$36,253.75
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,253.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,331.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,253.75
|
| Rate for Payer: EPIC Health Plan Senior |
$26,854.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,854.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,854.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,985.20
|
| Rate for Payer: Multiplan WC |
$14,993.74
|
| Rate for Payer: Prime Health Services WC |
$14,840.74
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$39,805.10
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,805.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,913.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,805.10
|
| Rate for Payer: EPIC Health Plan Senior |
$29,485.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,485.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,485.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,510.25
|
| Rate for Payer: Multiplan WC |
$19,665.96
|
| Rate for Payer: Prime Health Services WC |
$19,465.29
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$57,166.88
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$57,166.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,166.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,633.48
|
| Rate for Payer: EPIC Health Plan Senior |
$38,247.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,247.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,247.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,251.01
|
| Rate for Payer: Multiplan WC |
$35,227.62
|
| Rate for Payer: Prime Health Services WC |
$34,868.15
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$35,140.50
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,140.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,954.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,140.50
|
| Rate for Payer: EPIC Health Plan Senior |
$26,030.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,030.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,030.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,880.20
|
| Rate for Payer: Multiplan WC |
$13,529.11
|
| Rate for Payer: Prime Health Services WC |
$13,391.05
|
| 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: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$40,871.51
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,871.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,190.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,871.51
|
| Rate for Payer: EPIC Health Plan Senior |
$30,275.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,275.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,275.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,568.75
|
| Rate for Payer: Multiplan WC |
$21,068.94
|
| Rate for Payer: Prime Health Services WC |
$20,853.95
|
| 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: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$34,680.43
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,680.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,972.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,680.43
|
| Rate for Payer: EPIC Health Plan Senior |
$25,689.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,689.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,689.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,423.54
|
| Rate for Payer: Multiplan WC |
$12,923.83
|
| Rate for Payer: Prime Health Services WC |
$12,791.95
|
| 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: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$322,497.00
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$322,497.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$93,112.56
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$68,470.08
|
| Rate for Payer: EPIC Health Plan Senior |
$50,718.58
|
| Rate for Payer: EPIC Health Plan Transplant |
$322,497.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$50,718.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,718.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$67,962.90
|
| Rate for Payer: Multiplan WC |
$57,378.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: Prime Health Services WC |
$56,792.72
|
| 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: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$139,674.91
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$139,674.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$139,674.91
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,279.41
|
| Rate for Payer: EPIC Health Plan Senior |
$66,873.64
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,873.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,873.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,610.68
|
| Rate for Payer: Multiplan WC |
$86,071.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: Prime Health Services WC |
$85,192.78
|
| 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: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$122,356.00
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$122,356.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$105,272.31
|
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,165.57
|
| Rate for Payer: EPIC Health Plan Senior |
$54,937.46
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$54,937.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$54,937.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$73,616.20
|
| Rate for Payer: Multiplan WC |
$64,871.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: Prime Health Services WC |
$64,209.39
|
| 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: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$59,583.07
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,583.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,583.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,765.18
|
| Rate for Payer: EPIC Health Plan Senior |
$39,085.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,085.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,085.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,374.33
|
| Rate for Payer: Multiplan WC |
$36,716.53
|
| Rate for Payer: Prime Health Services WC |
$36,341.87
|
| 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: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$42,441.99
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$42,441.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,543.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,441.99
|
| Rate for Payer: EPIC Health Plan Senior |
$31,438.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,438.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,438.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,127.60
|
| Rate for Payer: Multiplan WC |
$23,135.11
|
| Rate for Payer: Prime Health Services WC |
$22,899.04
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$64,297.20
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$64,297.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,297.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,973.26
|
| Rate for Payer: EPIC Health Plan Senior |
$40,720.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,720.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,720.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,566.05
|
| Rate for Payer: Multiplan WC |
$39,621.50
|
| Rate for Payer: Prime Health Services WC |
$39,217.20
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$97,596.30
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$97,596.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$97,596.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$70,570.22
|
| Rate for Payer: EPIC Health Plan Senior |
$52,274.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,274.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,274.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,047.48
|
| Rate for Payer: Multiplan WC |
$60,141.21
|
| Rate for Payer: Prime Health Services WC |
$59,527.52
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$47,905.34
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$47,905.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,905.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,295.45
|
| Rate for Payer: EPIC Health Plan Senior |
$35,033.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,033.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,033.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,945.12
|
| Rate for Payer: Multiplan WC |
$29,520.43
|
| Rate for Payer: Prime Health Services WC |
$29,219.20
|
| 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: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$50,276.05
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$50,276.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,276.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,405.87
|
| Rate for Payer: EPIC Health Plan Senior |
$35,856.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,856.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,856.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,047.31
|
| Rate for Payer: Multiplan WC |
$30,981.32
|
| Rate for Payer: Prime Health Services WC |
$30,665.18
|
| 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: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$72,045.97
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$72,045.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$72,045.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,602.69
|
| Rate for Payer: EPIC Health Plan Senior |
$43,409.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,409.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,409.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,168.60
|
| Rate for Payer: Multiplan WC |
$44,396.48
|
| Rate for Payer: Prime Health Services WC |
$43,943.45
|
| 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
|
|
