|
MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$39,795.41
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,795.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,889.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,795.41
|
| Rate for Payer: EPIC Health Plan Senior |
$29,478.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,478.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,478.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,500.63
|
| Rate for Payer: Multiplan WC |
$19,651.02
|
| Rate for Payer: Prime Health Services WC |
$19,450.50
|
| 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: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$85,554.78
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$85,554.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,554.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,931.75
|
| Rate for Payer: EPIC Health Plan Senior |
$48,097.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,097.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,097.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$64,450.77
|
| Rate for Payer: Multiplan WC |
$52,720.93
|
| Rate for Payer: Prime Health Services WC |
$52,182.96
|
| 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: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$168,999.57
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$168,999.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$168,999.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$104,016.47
|
| Rate for Payer: EPIC Health Plan Senior |
$77,049.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$77,049.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$77,049.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$103,245.98
|
| Rate for Payer: Multiplan WC |
$104,141.63
|
| Rate for Payer: Prime Health Services WC |
$103,078.96
|
| 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: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$62,975.43
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$62,975.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,975.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,355.81
|
| Rate for Payer: EPIC Health Plan Senior |
$40,263.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,263.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,263.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,953.17
|
| Rate for Payer: Multiplan WC |
$38,806.98
|
| Rate for Payer: Prime Health Services WC |
$38,410.99
|
| 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: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$76,305.37
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$76,305.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,305.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$60,599.41
|
| Rate for Payer: EPIC Health Plan Senior |
$44,888.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,888.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,888.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,150.52
|
| Rate for Payer: Multiplan WC |
$47,021.22
|
| Rate for Payer: Prime Health Services WC |
$46,541.41
|
| 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: MAJOR CHEST PROCEDURES WITH MCC
|
Facility
|
IP
|
$139,732.51
|
|
|
Service Code
|
MSDRG 163
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$139,732.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$139,732.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,308.06
|
| Rate for Payer: EPIC Health Plan Senior |
$66,894.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,894.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,894.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,639.11
|
| Rate for Payer: Multiplan WC |
$86,106.55
|
| Rate for Payer: Prime Health Services WC |
$85,227.92
|
| 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: MAJOR CHEST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,509.02
|
|
|
Service Code
|
MSDRG 165
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$56,509.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,509.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,327.00
|
| Rate for Payer: EPIC Health Plan Senior |
$38,020.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,020.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,020.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,946.80
|
| Rate for Payer: Multiplan WC |
$34,822.23
|
| Rate for Payer: Prime Health Services WC |
$34,466.90
|
| 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: MAJOR CHEST TRAUMA WITH CC
|
Facility
|
IP
|
$40,025.45
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,025.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,380.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,025.45
|
| Rate for Payer: EPIC Health Plan Senior |
$29,648.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,648.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,648.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,728.96
|
| Rate for Payer: Multiplan WC |
$19,953.66
|
| Rate for Payer: Prime Health Services WC |
$19,750.05
|
| 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: MAJOR CHEST TRAUMA WITH MCC
|
Facility
|
IP
|
$48,120.59
|
|
|
Service Code
|
MSDRG 183
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$48,120.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,120.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,397.93
|
| Rate for Payer: EPIC Health Plan Senior |
$35,109.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,109.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,109.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,046.84
|
| Rate for Payer: Multiplan WC |
$29,653.08
|
| Rate for Payer: Prime Health Services WC |
$29,350.49
|
| 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: MAJOR CHEST TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$35,901.86
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,901.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,576.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,901.86
|
| Rate for Payer: EPIC Health Plan Senior |
$26,593.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,593.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,593.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,635.92
|
| Rate for Payer: Multiplan WC |
$14,528.57
|
| Rate for Payer: Prime Health Services WC |
$14,380.32
|
| 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: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
|
IP
|
$39,308.37
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,308.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,849.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,308.37
|
| Rate for Payer: EPIC Health Plan Senior |
$29,117.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,117.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,117.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,017.20
|
| Rate for Payer: Multiplan WC |
$19,010.25
|
| Rate for Payer: Prime Health Services WC |
$18,816.26
|
| 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: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
|
IP
|
$50,627.72
|
|
|
Service Code
|
MSDRG 368
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$50,627.72 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,627.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,572.24
|
| Rate for Payer: EPIC Health Plan Senior |
$35,979.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,979.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,979.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,212.45
|
| Rate for Payer: Multiplan WC |
$31,198.03
|
| Rate for Payer: Prime Health Services WC |
$30,879.68
|
| 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: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$34,770.13
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,770.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,160.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,770.13
|
| Rate for Payer: EPIC Health Plan Senior |
$25,755.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,755.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,755.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,512.57
|
| Rate for Payer: Multiplan WC |
$13,039.65
|
| Rate for Payer: Prime Health Services WC |
$12,906.60
|
| 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
|
|
|
MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
|
IP
|
$39,474.47
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,474.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,204.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,474.47
|
| Rate for Payer: EPIC Health Plan Senior |
$29,240.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,240.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,240.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,182.07
|
| Rate for Payer: Multiplan WC |
$19,228.83
|
| Rate for Payer: Prime Health Services WC |
$19,032.61
|
| 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: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
|
IP
|
$52,992.37
|
|
|
Service Code
|
MSDRG 371
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$52,992.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,992.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,679.82
|
| Rate for Payer: EPIC Health Plan Senior |
$36,799.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,799.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,799.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,311.83
|
| Rate for Payer: Multiplan WC |
$32,655.18
|
| Rate for Payer: Prime Health Services WC |
$32,321.96
|
| 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: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$35,159.21
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,159.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,991.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,159.21
|
| Rate for Payer: EPIC Health Plan Senior |
$26,043.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,043.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,043.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,898.77
|
| Rate for Payer: Multiplan WC |
$13,551.53
|
| Rate for Payer: Prime Health Services WC |
$13,413.25
|
| 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: MAJOR HEAD AND NECK PROCEDURES WITH CC
|
Facility
|
IP
|
$65,133.93
|
|
|
Service Code
|
MSDRG 141
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$65,133.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,133.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,366.82
|
| Rate for Payer: EPIC Health Plan Senior |
$41,012.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$41,012.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,012.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,956.70
|
| Rate for Payer: Multiplan WC |
$40,137.11
|
| Rate for Payer: Prime Health Services WC |
$39,727.54
|
| 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: MAJOR HEAD AND NECK PROCEDURES WITH MCC
|
Facility
|
IP
|
$128,212.43
|
|
|
Service Code
|
MSDRG 140
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$128,212.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$128,212.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$84,912.16
|
| Rate for Payer: EPIC Health Plan Senior |
$62,897.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$62,897.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$62,897.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,283.19
|
| Rate for Payer: Multiplan WC |
$79,007.60
|
| Rate for Payer: Prime Health Services WC |
$78,201.40
|
| 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: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$47,668.88
|
|
|
Service Code
|
MSDRG 142
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$47,668.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,668.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,186.36
|
| Rate for Payer: EPIC Health Plan Senior |
$34,952.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,952.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,952.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,836.83
|
| Rate for Payer: Multiplan WC |
$29,374.72
|
| Rate for Payer: Prime Health Services WC |
$29,074.97
|
| 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: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
|
Facility
|
IP
|
$42,445.08
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,445.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,546.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,445.08
|
| Rate for Payer: EPIC Health Plan Senior |
$31,440.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,440.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,440.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,130.67
|
| Rate for Payer: Multiplan WC |
$23,136.98
|
| Rate for Payer: Prime Health Services WC |
$22,900.89
|
| 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: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
|
Facility
|
IP
|
$69,432.73
|
|
|
Service Code
|
MSDRG 808
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$69,432.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,432.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,380.32
|
| Rate for Payer: EPIC Health Plan Senior |
$42,503.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,503.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,503.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,955.28
|
| Rate for Payer: Multiplan WC |
$42,786.13
|
| Rate for Payer: Prime Health Services WC |
$42,349.54
|
| 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: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$38,374.02
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,374.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,854.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,374.02
|
| Rate for Payer: EPIC Health Plan Senior |
$28,425.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,425.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,425.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,089.77
|
| Rate for Payer: Multiplan WC |
$17,781.01
|
| Rate for Payer: Prime Health Services WC |
$17,599.57
|
| 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: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
|
Facility
|
IP
|
$99,093.91
|
|
|
Service Code
|
MSDRG 469
|
| Min. Negotiated Rate |
$23,506.00 |
| Max. Negotiated Rate |
$99,093.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$99,093.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$71,273.34
|
| Rate for Payer: EPIC Health Plan Senior |
$52,795.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,795.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,795.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,745.39
|
| Rate for Payer: Multiplan WC |
$61,064.06
|
| Rate for Payer: Prime Health Services WC |
$60,440.96
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,904.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,803.00
|
| Rate for Payer: United Healthcare HMO Rider |
$34,363.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$31,483.00
|
|
|
MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$57,160.82
|
|
|
Service Code
|
MSDRG 470
|
| Min. Negotiated Rate |
$23,467.00 |
| Max. Negotiated Rate |
$57,160.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,160.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,632.30
|
| Rate for Payer: EPIC Health Plan Senior |
$38,246.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,246.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,246.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,249.84
|
| Rate for Payer: Multiplan WC |
$35,223.89
|
| Rate for Payer: Prime Health Services WC |
$34,864.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$53,685.00
|
| Rate for Payer: United Healthcare All Other HMO |
$33,721.00
|
| Rate for Payer: United Healthcare HMO Rider |
$25,615.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$23,467.00
|
|
|
MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
|
IP
|
$77,251.23
|
|
|
Service Code
|
MSDRG 483
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$77,251.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$77,251.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,042.44
|
| Rate for Payer: EPIC Health Plan Senior |
$45,216.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,216.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,216.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,590.27
|
| Rate for Payer: Multiplan WC |
$47,604.08
|
| Rate for Payer: Prime Health Services WC |
$47,118.32
|
| 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
|
|
