|
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 |
$51,987.04
|
| Rate for Payer: EPIC Health Plan Senior |
$38,508.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,508.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,508.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,601.95
|
| 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
|
$40,045.10
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,045.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,425.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,045.10
|
| Rate for Payer: EPIC Health Plan Senior |
$29,663.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,663.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,663.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,748.47
|
| 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
|
$46,288.69
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,288.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,755.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,288.69
|
| Rate for Payer: EPIC Health Plan Senior |
$34,287.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,287.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,287.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,945.81
|
| 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 |
$65,569.07
|
| Rate for Payer: EPIC Health Plan Senior |
$48,569.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,569.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,569.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,083.37
|
| 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
|
$42,846.69
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$42,846.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,407.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,846.69
|
| Rate for Payer: EPIC Health Plan Senior |
$31,738.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,738.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,738.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,529.31
|
| 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 |
$83,128.44
|
| Rate for Payer: EPIC Health Plan Senior |
$61,576.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$61,576.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,576.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,512.67
|
| 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 |
$101,477.31
|
| Rate for Payer: EPIC Health Plan Senior |
$75,168.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75,168.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75,168.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$100,725.63
|
| 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 |
$62,486.32
|
| Rate for Payer: EPIC Health Plan Senior |
$46,286.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,286.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,286.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,023.45
|
| 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 |
$225,499.06
|
| Rate for Payer: EPIC Health Plan Senior |
$167,036.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$167,036.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$167,036.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$223,828.70
|
| 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
|
$36,218.26
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,218.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,255.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,218.26
|
| Rate for Payer: EPIC Health Plan Senior |
$26,828.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,828.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,828.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,949.98
|
| 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 |
$46,831.14
|
| Rate for Payer: EPIC Health Plan Senior |
$34,689.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,689.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,689.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,484.24
|
| 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 |
$66,267.71
|
| Rate for Payer: EPIC Health Plan Senior |
$49,087.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,087.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,087.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,776.83
|
| 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
|
$38,427.74
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,427.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,973.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,427.74
|
| Rate for Payer: EPIC Health Plan Senior |
$28,464.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,464.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,464.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,143.09
|
| 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
|
$45,389.85
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$45,389.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,836.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,389.85
|
| Rate for Payer: EPIC Health Plan Senior |
$33,622.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,622.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,622.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,053.63
|
| 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
|
$38,200.53
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,200.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,487.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,200.53
|
| Rate for Payer: EPIC Health Plan Senior |
$28,296.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,296.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,296.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,917.56
|
| 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 |
$47,836.47
|
| Rate for Payer: EPIC Health Plan Senior |
$35,434.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,434.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,434.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,482.12
|
| 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
|
$37,869.67
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,869.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,781.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,869.67
|
| Rate for Payer: EPIC Health Plan Senior |
$28,051.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,051.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,051.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,589.16
|
| 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
|
$43,481.42
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,481.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,762.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,481.42
|
| Rate for Payer: EPIC Health Plan Senior |
$32,208.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,208.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,208.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,159.34
|
| 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
|
$44,600.36
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$44,600.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,151.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,600.36
|
| Rate for Payer: EPIC Health Plan Senior |
$33,037.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,037.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,037.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,269.98
|
| 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 |
$57,033.63
|
| Rate for Payer: EPIC Health Plan Senior |
$42,247.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,247.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,247.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,611.15
|
| 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 |
$57,803.23
|
| Rate for Payer: EPIC Health Plan Senior |
$42,817.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,817.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,817.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,375.06
|
| 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
|
|
|
MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$37,409.61
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,409.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,799.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,409.61
|
| Rate for Payer: EPIC Health Plan Senior |
$27,710.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,710.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,710.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,132.50
|
| Rate for Payer: Multiplan WC |
$16,514.40
|
| Rate for Payer: Prime Health Services WC |
$16,345.89
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$38,433.41
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,433.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,985.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,433.41
|
| Rate for Payer: EPIC Health Plan Senior |
$28,469.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,469.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,469.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,148.71
|
| Rate for Payer: Multiplan WC |
$17,861.34
|
| Rate for Payer: Prime Health Services WC |
$17,679.08
|
| 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: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$45,953.58
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,953.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,040.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,953.58
|
| Rate for Payer: EPIC Health Plan Senior |
$34,039.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,039.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,039.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,613.18
|
| Rate for Payer: Multiplan WC |
$27,755.04
|
| Rate for Payer: Prime Health Services WC |
$27,471.83
|
| 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: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$37,973.35
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,973.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,002.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,973.35
|
| Rate for Payer: EPIC Health Plan Senior |
$28,128.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,128.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,128.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,692.07
|
| Rate for Payer: Multiplan WC |
$17,256.06
|
| Rate for Payer: Prime Health Services WC |
$17,079.97
|
| 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
|
|
