|
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 |
$54,890.88
|
| Rate for Payer: EPIC Health Plan Senior |
$40,659.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,659.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,659.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,484.28
|
| 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
|
$40,208.39
|
|
|
Service Code
|
MSDRG 596
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,208.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,774.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,208.39
|
| Rate for Payer: EPIC Health Plan Senior |
$29,783.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,783.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,783.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,910.55
|
| 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 |
$58,420.93
|
| Rate for Payer: EPIC Health Plan Senior |
$43,274.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,274.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,274.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,988.18
|
| 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 |
$90,060.74
|
| Rate for Payer: EPIC Health Plan Senior |
$66,711.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,711.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,711.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,393.62
|
| 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 |
$48,300.80
|
| Rate for Payer: EPIC Health Plan Senior |
$35,778.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,778.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,778.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,943.02
|
| 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
|
$46,143.85
|
|
|
Service Code
|
MSDRG 506
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,143.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,446.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,143.85
|
| Rate for Payer: EPIC Health Plan Senior |
$34,180.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,180.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,180.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,802.04
|
| 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
|
$40,620.16
|
|
|
Service Code
|
MSDRG 755
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,620.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,653.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,620.16
|
| Rate for Payer: EPIC Health Plan Senior |
$30,089.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,089.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,089.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,319.27
|
| 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 |
$50,548.62
|
| Rate for Payer: EPIC Health Plan Senior |
$37,443.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,443.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,443.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,174.18
|
| 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
|
$38,417.80
|
|
|
Service Code
|
MSDRG 756
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,417.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,951.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,417.80
|
| Rate for Payer: EPIC Health Plan Senior |
$28,457.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,457.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,457.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,133.22
|
| 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
|
$40,801.91
|
|
|
Service Code
|
MSDRG 723
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,801.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,041.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,801.91
|
| Rate for Payer: EPIC Health Plan Senior |
$30,223.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,223.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,223.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,499.68
|
| 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 |
$49,406.96
|
| Rate for Payer: EPIC Health Plan Senior |
$36,597.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,597.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,597.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,040.99
|
| 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
|
$35,202.96
|
|
|
Service Code
|
MSDRG 724
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,202.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,088.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,202.96
|
| Rate for Payer: EPIC Health Plan Senior |
$26,076.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,076.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,076.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,942.20
|
| 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
|
$40,870.09
|
|
|
Service Code
|
MSDRG 436
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,870.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,187.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,870.09
|
| Rate for Payer: EPIC Health Plan Senior |
$30,274.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,274.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,274.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,567.35
|
| 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 |
$50,765.87
|
| Rate for Payer: EPIC Health Plan Senior |
$37,604.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,604.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,604.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,389.83
|
| 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
|
$36,006.69
|
|
|
Service Code
|
MSDRG 437
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,006.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,804.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,006.69
|
| Rate for Payer: EPIC Health Plan Senior |
$26,671.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,671.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,671.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,739.97
|
| 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
|
$40,177.13
|
|
|
Service Code
|
MSDRG 598
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,177.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,707.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,177.13
|
| Rate for Payer: EPIC Health Plan Senior |
$29,760.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,760.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,760.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,879.53
|
| 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 |
$49,801.70
|
| Rate for Payer: EPIC Health Plan Senior |
$36,890.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,890.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,890.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,432.80
|
| 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
|
$36,996.41
|
|
|
Service Code
|
MSDRG 599
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,996.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,917.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,996.41
|
| Rate for Payer: EPIC Health Plan Senior |
$27,404.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,404.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,404.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,722.36
|
| 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 |
$49,723.62
|
| Rate for Payer: EPIC Health Plan Senior |
$36,832.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,832.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,832.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,355.30
|
| 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 |
$48,182.93
|
| Rate for Payer: EPIC Health Plan Senior |
$35,691.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,691.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,691.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,826.02
|
| 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 |
$49,087.46
|
| Rate for Payer: EPIC Health Plan Senior |
$36,361.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,361.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,361.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,723.85
|
| 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
|
|
|
MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC
|
Facility
|
IP
|
$59,884.00
|
|
|
Service Code
|
MSDRG 552
|
| Min. Negotiated Rate |
$13,778.00 |
| Max. Negotiated Rate |
$59,884.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,218.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,542.76
|
| Rate for Payer: EPIC Health Plan Senior |
$28,550.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,550.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,550.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,257.25
|
| Rate for Payer: Multiplan WC |
$18,005.19
|
| Rate for Payer: Prime Health Services WC |
$17,821.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$59,884.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$15,038.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,778.00
|
|
|
MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$38,852.30
|
|
|
Service Code
|
MSDRG 760
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,852.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,879.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,852.30
|
| Rate for Payer: EPIC Health Plan Senior |
$28,779.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,779.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,779.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,564.50
|
| Rate for Payer: Multiplan WC |
$18,412.45
|
| Rate for Payer: Prime Health Services WC |
$18,224.56
|
| 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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$33,858.27
|
|
|
Service Code
|
MSDRG 761
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,858.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,217.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,858.27
|
| Rate for Payer: EPIC Health Plan Senior |
$25,080.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,080.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,080.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,607.47
|
| Rate for Payer: Multiplan WC |
$11,842.17
|
| Rate for Payer: Prime Health Services WC |
$11,721.33
|
| 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: MINOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$46,545.71
|
|
|
Service Code
|
MSDRG 663
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,545.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,304.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,545.71
|
| Rate for Payer: EPIC Health Plan Senior |
$34,478.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,478.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,478.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,200.92
|
| Rate for Payer: Multiplan WC |
$28,534.05
|
| Rate for Payer: Prime Health Services WC |
$28,242.89
|
| 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
|
|
