|
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 |
$60,597.75
|
| Rate for Payer: EPIC Health Plan Senior |
$44,887.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,887.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,887.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,148.87
|
| 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 |
$90,306.40
|
| Rate for Payer: EPIC Health Plan Senior |
$66,893.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,893.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,893.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,637.46
|
| 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 |
$51,325.34
|
| Rate for Payer: EPIC Health Plan Senior |
$38,018.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,018.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,018.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,945.15
|
| 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
|
$40,023.79
|
|
|
Service Code
|
MSDRG 184
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,023.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,380.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,023.79
|
| Rate for Payer: EPIC Health Plan Senior |
$29,647.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,647.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,647.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,727.32
|
| 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 |
$47,396.27
|
| Rate for Payer: EPIC Health Plan Senior |
$35,108.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,108.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,108.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,045.19
|
| 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
|
$35,900.20
|
|
|
Service Code
|
MSDRG 185
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,900.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,576.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,900.20
|
| Rate for Payer: EPIC Health Plan Senior |
$26,592.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,592.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,592.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,634.27
|
| 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
|
$39,306.71
|
|
|
Service Code
|
MSDRG 369
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,306.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,849.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,306.71
|
| Rate for Payer: EPIC Health Plan Senior |
$29,116.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,116.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,116.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,015.55
|
| 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 |
$48,570.58
|
| Rate for Payer: EPIC Health Plan Senior |
$35,978.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,978.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,978.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,210.80
|
| 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
|
$34,768.47
|
|
|
Service Code
|
MSDRG 370
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,768.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,160.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,768.47
|
| Rate for Payer: EPIC Health Plan Senior |
$25,754.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,754.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,754.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,510.92
|
| 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
|
$39,472.81
|
|
|
Service Code
|
MSDRG 372
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,472.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,204.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,472.81
|
| Rate for Payer: EPIC Health Plan Senior |
$29,239.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,239.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,239.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,180.42
|
| 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 |
$49,678.16
|
| Rate for Payer: EPIC Health Plan Senior |
$36,798.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,798.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,798.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,310.18
|
| 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
|
$35,157.55
|
|
|
Service Code
|
MSDRG 373
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,157.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,991.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,157.55
|
| Rate for Payer: EPIC Health Plan Senior |
$26,042.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,042.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,042.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,897.12
|
| 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 |
$55,365.16
|
| Rate for Payer: EPIC Health Plan Senior |
$41,011.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$41,011.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,011.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,955.05
|
| 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 |
$84,910.50
|
| Rate for Payer: EPIC Health Plan Senior |
$62,896.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$62,896.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$62,896.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,281.54
|
| 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 |
$47,184.70
|
| Rate for Payer: EPIC Health Plan Senior |
$34,951.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,951.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,951.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,835.18
|
| 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
|
$42,443.42
|
|
|
Service Code
|
MSDRG 809
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,443.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,546.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,443.42
|
| Rate for Payer: EPIC Health Plan Senior |
$31,439.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,439.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,439.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,129.02
|
| 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 |
$57,378.66
|
| Rate for Payer: EPIC Health Plan Senior |
$42,502.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,502.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,502.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,953.63
|
| 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
|
$38,372.36
|
|
|
Service Code
|
MSDRG 810
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,372.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,854.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,372.36
|
| Rate for Payer: EPIC Health Plan Senior |
$28,423.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,423.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,423.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,088.12
|
| 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 |
$71,271.68
|
| Rate for Payer: EPIC Health Plan Senior |
$52,793.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,793.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,793.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,743.75
|
| 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 |
$51,630.64
|
| Rate for Payer: EPIC Health Plan Senior |
$38,244.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,244.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,244.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,248.19
|
| 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 |
$61,040.78
|
| Rate for Payer: EPIC Health Plan Senior |
$45,215.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,215.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,215.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,588.62
|
| 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
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$58,831.23
|
|
|
Service Code
|
MSDRG 707
|
| Min. Negotiated Rate |
$22,398.00 |
| Max. Negotiated Rate |
$58,831.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,831.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,413.02
|
| Rate for Payer: EPIC Health Plan Senior |
$38,824.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,824.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,824.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,024.78
|
| Rate for Payer: Multiplan WC |
$36,253.23
|
| Rate for Payer: Prime Health Services WC |
$35,883.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$24,996.00
|
| Rate for Payer: United Healthcare All Other HMO |
$24,494.00
|
| Rate for Payer: United Healthcare HMO Rider |
$24,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,398.00
|
|
|
MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$45,908.15
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$22,398.00 |
| Max. Negotiated Rate |
$45,908.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,943.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,908.15
|
| Rate for Payer: EPIC Health Plan Senior |
$34,006.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,006.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,006.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,568.09
|
| Rate for Payer: Multiplan WC |
$27,695.25
|
| Rate for Payer: Prime Health Services WC |
$27,412.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$24,996.00
|
| Rate for Payer: United Healthcare All Other HMO |
$24,494.00
|
| Rate for Payer: United Healthcare HMO Rider |
$24,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,398.00
|
|
|
MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$58,758.47
|
|
|
Service Code
|
MSDRG 507
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$58,758.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,758.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,378.95
|
| Rate for Payer: EPIC Health Plan Senior |
$38,799.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,799.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,799.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,990.95
|
| Rate for Payer: Multiplan WC |
$36,208.39
|
| Rate for Payer: Prime Health Services WC |
$35,838.92
|
| 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 SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,183.22
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,183.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,125.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,183.22
|
| Rate for Payer: EPIC Health Plan Senior |
$31,987.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,987.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,987.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,863.34
|
| Rate for Payer: Multiplan WC |
$24,110.28
|
| Rate for Payer: Prime Health Services WC |
$23,864.26
|
| 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
|
|
