|
INPATIENT MS-DRG 324: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$89,996.08
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$89,996.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$89,996.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$63,215.45
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$46,826.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,826.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,826.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$59,001.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,747.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 325: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$80,164.60
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$80,164.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$80,164.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,361.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$43,230.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,230.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,230.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,470.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,928.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$153,974.96
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$153,974.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$153,974.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$94,805.67
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$70,226.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$70,226.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$70,226.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$88,485.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$94,103.40
|
| Rate for Payer: Multiplan WC |
$105,122.11
|
| Rate for Payer: Prime Health Services WC |
$104,049.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$75,711.18
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$75,711.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$75,711.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$56,162.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,601.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$41,601.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,601.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,417.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,746.12
|
| Rate for Payer: Multiplan WC |
$52,600.08
|
| Rate for Payer: Prime Health Services WC |
$52,063.34
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$48,423.75
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$48,423.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,423.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,688.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,621.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,621.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,621.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,842.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,372.48
|
| Rate for Payer: Multiplan WC |
$34,043.32
|
| Rate for Payer: Prime Health Services WC |
$33,695.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$136,931.31
|
|
|
Service Code
|
MSDRG 329
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$136,931.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$136,931.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$86,390.20
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$63,992.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$63,992.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,992.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$80,630.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$85,750.27
|
| Rate for Payer: Multiplan WC |
$94,946.29
|
| Rate for Payer: Prime Health Services WC |
$93,977.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$71,912.58
|
|
|
Service Code
|
MSDRG 330
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$71,912.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,912.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,286.54
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$40,212.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,212.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,212.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,667.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,884.42
|
| Rate for Payer: Multiplan WC |
$50,425.26
|
| Rate for Payer: Prime Health Services WC |
$49,910.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$50,688.35
|
|
|
Service Code
|
MSDRG 331
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$50,688.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,688.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,806.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,449.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,449.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,449.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,886.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,482.36
|
| Rate for Payer: Multiplan WC |
$35,092.73
|
| Rate for Payer: Prime Health Services WC |
$34,734.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 332: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$109,974.32
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$109,974.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$109,974.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$73,479.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$54,429.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$54,429.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$54,429.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$68,580.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$72,935.28
|
| Rate for Payer: Multiplan WC |
$83,384.25
|
| Rate for Payer: Prime Health Services WC |
$82,533.39
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 333: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$63,042.12
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$63,042.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,042.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,906.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$36,967.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,967.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,967.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,579.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,536.96
|
| Rate for Payer: Multiplan WC |
$45,860.00
|
| Rate for Payer: Prime Health Services WC |
$45,392.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 334: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$48,660.21
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$48,660.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,660.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,805.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,707.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,707.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,707.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,951.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,488.36
|
| Rate for Payer: Multiplan WC |
$35,209.79
|
| Rate for Payer: Prime Health Services WC |
$34,850.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 335: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
|
IP
|
$108,379.70
|
|
|
Service Code
|
MSDRG 335
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$108,379.70 |
| Rate for Payer: Aetna of CA HMO/PPO |
$108,379.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$72,292.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$53,550.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$53,550.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,550.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$67,473.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,757.05
|
| Rate for Payer: Multiplan WC |
$75,652.28
|
| Rate for Payer: Prime Health Services WC |
$74,880.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 336: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
|
IP
|
$63,824.27
|
|
|
Service Code
|
MSDRG 336
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$63,824.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,824.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,292.86
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,253.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,253.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,253.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,940.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,920.32
|
| Rate for Payer: Multiplan WC |
$43,681.09
|
| Rate for Payer: Prime Health Services WC |
$43,235.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$45,364.86
|
|
|
Service Code
|
MSDRG 337
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,364.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,364.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,178.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,502.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,502.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,502.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,433.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,873.30
|
| Rate for Payer: Multiplan WC |
$32,355.22
|
| Rate for Payer: Prime Health Services WC |
$32,025.06
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
|
IP
|
$83,077.97
|
|
|
Service Code
|
MSDRG 344
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$83,077.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,077.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$59,799.56
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$44,295.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,295.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,295.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,812.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$59,356.60
|
| Rate for Payer: Multiplan WC |
$54,062.28
|
| Rate for Payer: Prime Health Services WC |
$53,510.62
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
|
IP
|
$46,704.83
|
|
|
Service Code
|
MSDRG 345
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$46,704.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,704.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,839.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,992.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,992.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,992.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,050.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,530.00
|
| Rate for Payer: Multiplan WC |
$31,862.34
|
| Rate for Payer: Prime Health Services WC |
$31,537.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,040.94
|
|
|
Service Code
|
MSDRG 346
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$39,040.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,040.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,055.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,189.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,189.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,189.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,518.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,773.93
|
| Rate for Payer: Multiplan WC |
$25,684.97
|
| Rate for Payer: Prime Health Services WC |
$25,422.88
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 347: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$77,278.52
|
|
|
Service Code
|
MSDRG 347
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$77,278.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$77,278.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$56,936.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$42,174.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,174.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,174.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,140.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,514.27
|
| Rate for Payer: Multiplan WC |
$52,125.68
|
| Rate for Payer: Prime Health Services WC |
$51,593.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 348: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
|
IP
|
$39,453.24
|
|
|
Service Code
|
MSDRG 348
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$39,453.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,453.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,259.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,340.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,340.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,340.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,708.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,976.00
|
| Rate for Payer: Multiplan WC |
$28,360.88
|
| Rate for Payer: Prime Health Services WC |
$28,071.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,385.55
|
|
|
Service Code
|
MSDRG 349
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,385.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,582.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,385.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,730.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,730.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,730.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,159.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,138.25
|
| Rate for Payer: Multiplan WC |
$20,478.97
|
| Rate for Payer: Prime Health Services WC |
$20,270.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
|
IP
|
$72,758.40
|
|
|
Service Code
|
MSDRG 350
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$72,758.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$72,758.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,704.17
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$40,521.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,521.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,521.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,057.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,298.96
|
| Rate for Payer: Multiplan WC |
$48,404.47
|
| Rate for Payer: Prime Health Services WC |
$47,910.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
|
IP
|
$44,127.97
|
|
|
Service Code
|
MSDRG 351
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,127.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,127.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,567.59
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,050.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,050.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,050.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,863.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,267.09
|
| Rate for Payer: Multiplan WC |
$30,192.73
|
| Rate for Payer: Prime Health Services WC |
$29,884.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,379.40
|
|
|
Service Code
|
MSDRG 352
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$35,379.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,620.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,379.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,206.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,206.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,206.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,020.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,117.33
|
| Rate for Payer: Multiplan WC |
$22,633.25
|
| Rate for Payer: Prime Health Services WC |
$22,402.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$88,653.08
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$88,653.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,653.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$62,552.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$46,335.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,335.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,335.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,382.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,088.97
|
| Rate for Payer: Multiplan WC |
$58,894.51
|
| Rate for Payer: Prime Health Services WC |
$58,293.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$52,076.82
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$52,076.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,076.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,492.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,957.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,957.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,957.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,526.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,162.85
|
| Rate for Payer: Multiplan WC |
$35,979.91
|
| Rate for Payer: Prime Health Services WC |
$35,612.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
