|
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 |
$52,414.68
|
| Rate for Payer: EPIC Health Plan Senior |
$38,825.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,825.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,825.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,026.42
|
| 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
|
$45,909.81
|
|
|
Service Code
|
MSDRG 708
|
| Min. Negotiated Rate |
$22,398.00 |
| Max. Negotiated Rate |
$45,909.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,943.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,909.81
|
| Rate for Payer: EPIC Health Plan Senior |
$34,007.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,007.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,007.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,569.74
|
| 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 |
$52,380.61
|
| Rate for Payer: EPIC Health Plan Senior |
$38,800.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,800.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,800.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,992.60
|
| 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
|
$43,184.88
|
|
|
Service Code
|
MSDRG 508
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,184.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,125.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,184.88
|
| Rate for Payer: EPIC Health Plan Senior |
$31,988.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,988.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,988.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,864.99
|
| 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
|
|
|
MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC
|
Facility
|
IP
|
$64,121.37
|
|
|
Service Code
|
MSDRG 595
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$64,121.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,121.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,892.54
|
| Rate for Payer: EPIC Health Plan Senior |
$40,661.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,661.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,661.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,485.93
|
| Rate for Payer: Multiplan WC |
$39,513.14
|
| Rate for Payer: Prime Health Services WC |
$39,109.94
|
| 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 SKIN DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$40,210.05
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,210.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,774.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,210.05
|
| Rate for Payer: EPIC Health Plan Senior |
$29,785.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,785.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,785.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,912.19
|
| Rate for Payer: Multiplan WC |
$20,196.52
|
| Rate for Payer: Prime Health Services WC |
$19,990.43
|
| 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 SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$71,657.93
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$71,657.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,657.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,422.59
|
| Rate for Payer: EPIC Health Plan Senior |
$43,275.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,275.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,275.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,989.83
|
| Rate for Payer: Multiplan WC |
$44,157.35
|
| Rate for Payer: Prime Health Services WC |
$43,706.76
|
| 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 SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$139,208.04
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$139,208.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$139,208.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,062.40
|
| Rate for Payer: EPIC Health Plan Senior |
$66,712.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,712.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,712.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,395.27
|
| Rate for Payer: Multiplan WC |
$85,783.37
|
| Rate for Payer: Prime Health Services WC |
$84,908.03
|
| 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 SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$50,051.72
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$50,051.72 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,051.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,302.46
|
| Rate for Payer: EPIC Health Plan Senior |
$35,779.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,779.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,779.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,944.66
|
| Rate for Payer: Multiplan WC |
$30,843.08
|
| Rate for Payer: Prime Health Services WC |
$30,528.35
|
| 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 THUMB OR JOINT PROCEDURES
|
Facility
|
IP
|
$46,145.51
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,145.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,446.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,145.51
|
| Rate for Payer: EPIC Health Plan Senior |
$34,181.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,181.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,181.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,803.69
|
| Rate for Payer: Multiplan WC |
$28,005.37
|
| Rate for Payer: Prime Health Services WC |
$27,719.60
|
| 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: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$40,621.82
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,621.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,653.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,621.82
|
| Rate for Payer: EPIC Health Plan Senior |
$30,090.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,090.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,090.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,320.92
|
| Rate for Payer: Multiplan WC |
$20,738.28
|
| Rate for Payer: Prime Health Services WC |
$20,526.66
|
| 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: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$54,850.74
|
|
|
Service Code
|
MSDRG 754
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$54,850.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,850.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,550.28
|
| Rate for Payer: EPIC Health Plan Senior |
$37,444.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,444.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,444.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,175.83
|
| Rate for Payer: Multiplan WC |
$33,800.36
|
| Rate for Payer: Prime Health Services WC |
$33,455.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$38,419.46
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,419.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,951.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,419.46
|
| Rate for Payer: EPIC Health Plan Senior |
$28,458.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,458.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,458.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,134.87
|
| Rate for Payer: Multiplan WC |
$17,840.79
|
| Rate for Payer: Prime Health Services WC |
$17,658.74
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$40,803.57
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,803.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,041.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,803.57
|
| Rate for Payer: EPIC Health Plan Senior |
$30,224.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,224.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,224.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,501.33
|
| Rate for Payer: Multiplan WC |
$20,977.40
|
| Rate for Payer: Prime Health Services WC |
$20,763.34
|
| 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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$52,413.33
|
|
|
Service Code
|
MSDRG 722
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$52,413.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,413.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,408.62
|
| Rate for Payer: EPIC Health Plan Senior |
$36,598.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,598.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,598.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,042.63
|
| Rate for Payer: Multiplan WC |
$32,298.37
|
| Rate for Payer: Prime Health Services WC |
$31,968.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$35,204.62
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,204.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,088.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,204.62
|
| Rate for Payer: EPIC Health Plan Senior |
$26,077.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,077.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,077.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,943.85
|
| Rate for Payer: Multiplan WC |
$13,611.31
|
| Rate for Payer: Prime Health Services WC |
$13,472.42
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
|
IP
|
$40,871.75
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,871.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,187.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,871.75
|
| Rate for Payer: EPIC Health Plan Senior |
$30,275.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,275.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,275.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,569.00
|
| Rate for Payer: Multiplan WC |
$21,067.08
|
| Rate for Payer: Prime Health Services WC |
$20,852.11
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
|
IP
|
$55,314.57
|
|
|
Service Code
|
MSDRG 435
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$55,314.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,314.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,767.53
|
| Rate for Payer: EPIC Health Plan Senior |
$37,605.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,605.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,605.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,391.48
|
| Rate for Payer: Multiplan WC |
$34,086.18
|
| Rate for Payer: Prime Health Services WC |
$33,738.37
|
| 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: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
|
IP
|
$36,008.35
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,008.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,804.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,008.35
|
| Rate for Payer: EPIC Health Plan Senior |
$26,672.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,672.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,672.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,741.62
|
| Rate for Payer: Multiplan WC |
$14,668.68
|
| Rate for Payer: Prime Health Services WC |
$14,519.00
|
| 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: MALIGNANT BREAST DISORDERS WITH CC
|
Facility
|
IP
|
$40,178.79
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,178.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,707.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,178.79
|
| Rate for Payer: EPIC Health Plan Senior |
$29,762.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,762.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,762.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,881.17
|
| Rate for Payer: Multiplan WC |
$20,155.42
|
| Rate for Payer: Prime Health Services WC |
$19,949.76
|
| 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: MALIGNANT BREAST DISORDERS WITH MCC
|
Facility
|
IP
|
$53,256.12
|
|
|
Service Code
|
MSDRG 597
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$53,256.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,256.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,803.36
|
| Rate for Payer: EPIC Health Plan Senior |
$36,891.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,891.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,891.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,434.45
|
| Rate for Payer: Multiplan WC |
$32,817.71
|
| Rate for Payer: Prime Health Services WC |
$32,482.84
|
| 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: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$36,998.07
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,998.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,917.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,998.07
|
| Rate for Payer: EPIC Health Plan Senior |
$27,405.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,405.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,405.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,724.01
|
| Rate for Payer: Multiplan WC |
$15,970.78
|
| Rate for Payer: Prime Health Services WC |
$15,807.81
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$53,089.38
|
|
|
Service Code
|
MSDRG 582
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$53,089.38 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,089.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,725.28
|
| Rate for Payer: EPIC Health Plan Senior |
$36,833.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,833.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,833.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,356.94
|
| Rate for Payer: Multiplan WC |
$32,714.96
|
| Rate for Payer: Prime Health Services WC |
$32,381.13
|
| 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: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$49,800.09
|
|
|
Service Code
|
MSDRG 583
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$49,800.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,800.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,184.59
|
| Rate for Payer: EPIC Health Plan Senior |
$35,692.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,692.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,692.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,827.67
|
| Rate for Payer: Multiplan WC |
$30,688.02
|
| Rate for Payer: Prime Health Services WC |
$30,374.88
|
| 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: MEDICAL BACK PROBLEMS WITH MCC
|
Facility
|
IP
|
$59,884.00
|
|
|
Service Code
|
MSDRG 551
|
| Min. Negotiated Rate |
$13,734.00 |
| Max. Negotiated Rate |
$59,884.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,731.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,089.12
|
| Rate for Payer: EPIC Health Plan Senior |
$36,362.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,362.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,362.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,725.50
|
| Rate for Payer: Multiplan WC |
$31,878.03
|
| Rate for Payer: Prime Health Services WC |
$31,552.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$59,884.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,739.00
|
| Rate for Payer: United Healthcare HMO Rider |
$14,990.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,734.00
|
|
