|
MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,308.55
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$48,308.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,308.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,485.98
|
| Rate for Payer: EPIC Health Plan Senior |
$35,174.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,174.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,174.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,134.23
|
| Rate for Payer: Multiplan WC |
$29,768.90
|
| Rate for Payer: Prime Health Services WC |
$29,465.14
|
| 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: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$37,230.95
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,230.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,414.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,230.95
|
| Rate for Payer: EPIC Health Plan Senior |
$27,578.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,578.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,578.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,955.16
|
| Rate for Payer: Multiplan WC |
$16,277.15
|
| Rate for Payer: Prime Health Services WC |
$16,111.06
|
| 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: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$46,980.71
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$46,980.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,980.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,864.02
|
| Rate for Payer: EPIC Health Plan Senior |
$34,714.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,714.09
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,714.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,516.88
|
| Rate for Payer: Multiplan WC |
$28,950.65
|
| Rate for Payer: Prime Health Services WC |
$28,655.24
|
| 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: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$37,124.43
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,124.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,186.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,124.43
|
| Rate for Payer: EPIC Health Plan Senior |
$27,499.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,499.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,499.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,849.44
|
| Rate for Payer: Multiplan WC |
$16,137.04
|
| Rate for Payer: Prime Health Services WC |
$15,972.38
|
| 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: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$57,921.75
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$57,921.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,921.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,988.70
|
| Rate for Payer: EPIC Health Plan Senior |
$38,510.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,510.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,510.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,603.60
|
| Rate for Payer: Multiplan WC |
$35,692.79
|
| Rate for Payer: Prime Health Services WC |
$35,328.57
|
| 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: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,046.76
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,046.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,425.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,046.76
|
| Rate for Payer: EPIC Health Plan Senior |
$29,664.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,664.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,664.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,750.12
|
| Rate for Payer: Multiplan WC |
$19,981.68
|
| Rate for Payer: Prime Health Services WC |
$19,777.79
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$46,290.35
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,290.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,755.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,290.35
|
| Rate for Payer: EPIC Health Plan Senior |
$34,289.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,289.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,289.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,947.46
|
| Rate for Payer: Multiplan WC |
$28,195.92
|
| Rate for Payer: Prime Health Services WC |
$27,908.21
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,919.00
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$86,919.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$86,919.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$65,570.73
|
| Rate for Payer: EPIC Health Plan Senior |
$48,570.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,570.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,570.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,085.02
|
| Rate for Payer: Multiplan WC |
$53,561.60
|
| Rate for Payer: Prime Health Services WC |
$53,015.05
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,848.35
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$42,848.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,407.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,848.35
|
| Rate for Payer: EPIC Health Plan Senior |
$31,739.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,739.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,739.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,530.96
|
| Rate for Payer: Multiplan WC |
$23,667.53
|
| Rate for Payer: Prime Health Services WC |
$23,426.02
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$124,407.77
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$124,407.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$124,407.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$83,130.10
|
| Rate for Payer: EPIC Health Plan Senior |
$61,577.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$61,577.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,577.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,514.32
|
| Rate for Payer: Multiplan WC |
$76,663.08
|
| Rate for Payer: Prime Health Services WC |
$75,880.80
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$163,582.10
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$163,582.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$163,582.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$101,478.97
|
| Rate for Payer: EPIC Health Plan Senior |
$75,169.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75,169.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75,169.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$100,727.28
|
| Rate for Payer: Multiplan WC |
$100,803.26
|
| Rate for Payer: Prime Health Services WC |
$99,774.66
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$80,337.40
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$80,337.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$80,337.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$62,487.98
|
| Rate for Payer: EPIC Health Plan Senior |
$46,287.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,287.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,287.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,025.10
|
| Rate for Payer: Multiplan WC |
$49,505.86
|
| Rate for Payer: Prime Health Services WC |
$49,000.69
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$428,365.08
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$428,365.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$428,365.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$225,500.72
|
| Rate for Payer: EPIC Health Plan Senior |
$167,037.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$167,037.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$167,037.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$223,830.34
|
| Rate for Payer: Multiplan WC |
$263,968.94
|
| Rate for Payer: Prime Health Services WC |
$261,275.38
|
| 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: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$36,219.92
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,219.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,255.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,219.92
|
| Rate for Payer: EPIC Health Plan Senior |
$26,829.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,829.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,829.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,951.62
|
| Rate for Payer: Multiplan WC |
$14,947.03
|
| Rate for Payer: Prime Health Services WC |
$14,794.51
|
| 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: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$46,914.01
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,914.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,914.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,832.80
|
| Rate for Payer: EPIC Health Plan Senior |
$34,690.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,690.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,690.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,485.89
|
| Rate for Payer: Multiplan WC |
$28,909.55
|
| Rate for Payer: Prime Health Services WC |
$28,614.55
|
| 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: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$88,410.55
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$88,410.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,410.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,269.37
|
| Rate for Payer: EPIC Health Plan Senior |
$49,088.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,088.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,088.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,778.48
|
| Rate for Payer: Multiplan WC |
$54,480.73
|
| Rate for Payer: Prime Health Services WC |
$53,924.80
|
| 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: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,429.40
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,429.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,973.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,429.40
|
| Rate for Payer: EPIC Health Plan Senior |
$28,466.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,466.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,466.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,144.73
|
| Rate for Payer: Multiplan WC |
$17,853.87
|
| Rate for Payer: Prime Health Services WC |
$17,671.68
|
| 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: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$45,391.51
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$45,391.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,836.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,391.51
|
| Rate for Payer: EPIC Health Plan Senior |
$33,623.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,623.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,623.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,055.28
|
| Rate for Payer: Multiplan WC |
$27,013.39
|
| Rate for Payer: Prime Health Services WC |
$26,737.74
|
| 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: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$38,202.19
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,202.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,487.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,202.19
|
| Rate for Payer: EPIC Health Plan Senior |
$28,297.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,297.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,297.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,919.21
|
| Rate for Payer: Multiplan WC |
$17,554.97
|
| Rate for Payer: Prime Health Services WC |
$17,375.83
|
| 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: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$49,060.38
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,060.38 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,060.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,838.13
|
| Rate for Payer: EPIC Health Plan Senior |
$35,435.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,435.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,435.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,483.77
|
| Rate for Payer: Multiplan WC |
$30,232.20
|
| Rate for Payer: Prime Health Services WC |
$29,923.70
|
| 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: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$37,871.33
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,871.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,781.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,871.33
|
| Rate for Payer: EPIC Health Plan Senior |
$28,052.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,052.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,052.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,590.81
|
| Rate for Payer: Multiplan WC |
$17,119.69
|
| Rate for Payer: Prime Health Services WC |
$16,945.00
|
| 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: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$43,483.08
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,483.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,762.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,483.08
|
| Rate for Payer: EPIC Health Plan Senior |
$32,209.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,209.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,209.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,160.98
|
| Rate for Payer: Multiplan WC |
$24,502.60
|
| Rate for Payer: Prime Health Services WC |
$24,252.57
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$44,602.02
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$44,602.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,151.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,602.02
|
| Rate for Payer: EPIC Health Plan Senior |
$33,038.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,038.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,038.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,271.63
|
| Rate for Payer: Multiplan WC |
$25,974.69
|
| Rate for Payer: Prime Health Services WC |
$25,709.65
|
| 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: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$68,696.06
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$68,696.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,696.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,035.29
|
| Rate for Payer: EPIC Health Plan Senior |
$42,248.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,248.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,248.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,612.80
|
| Rate for Payer: Multiplan WC |
$42,332.18
|
| Rate for Payer: Prime Health Services WC |
$41,900.22
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$70,339.18
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$70,339.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$70,339.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,804.89
|
| Rate for Payer: EPIC Health Plan Senior |
$42,818.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,818.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,818.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,376.71
|
| Rate for Payer: Multiplan WC |
$43,344.71
|
| Rate for Payer: Prime Health Services WC |
$42,902.42
|
| 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
|
|
