|
INPATIENT MS-DRG 333: RECTAL RESECTION WITH CC
|
Facility
IP
|
$63,042.12
|
|
|
Service Code
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
MS-DRG 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: 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
|
|
|
INPATIENT MS-DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
IP
|
$41,308.58
|
|
|
Service Code
|
MS-DRG 355
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$41,308.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,308.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,175.50
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,018.89
|
| Rate for Payer: IEHP Medicare Advantage |
$29,018.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,018.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,563.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,885.31
|
| Rate for Payer: Multiplan WC |
$28,182.20
|
| Rate for Payer: Prime Health Services WC |
$27,894.63
|
| 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 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$129,713.07
|
|
|
Service Code
|
MS-DRG 356
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$129,713.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129,713.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$82,826.12
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$61,352.68
|
| Rate for Payer: IEHP Medicare Advantage |
$61,352.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,352.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$77,304.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,212.59
|
| Rate for Payer: Multiplan WC |
$86,715.27
|
| Rate for Payer: Prime Health Services WC |
$85,830.42
|
| 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 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
IP
|
$66,598.19
|
|
|
Service Code
|
MS-DRG 357
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$66,598.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,598.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,662.50
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,268.52
|
| Rate for Payer: IEHP Medicare Advantage |
$38,268.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,268.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,218.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,279.82
|
| Rate for Payer: Multiplan WC |
$46,129.03
|
| Rate for Payer: Prime Health Services WC |
$45,658.33
|
| 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 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$38,837.83
|
|
|
Service Code
|
MS-DRG 358
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,837.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,837.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,955.52
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,115.20
|
| Rate for Payer: IEHP Medicare Advantage |
$28,115.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,115.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,425.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,674.37
|
| Rate for Payer: Multiplan WC |
$28,488.20
|
| Rate for Payer: Prime Health Services WC |
$28,197.50
|
| 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 368: MAJOR ESOPHAGEAL DISORDERS WITH MCC
|
Facility
IP
|
$50,082.03
|
|
|
Service Code
|
MS-DRG 368
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$50,082.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,082.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,507.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,227.75
|
| Rate for Payer: IEHP Medicare Advantage |
$32,227.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,227.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,606.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,185.18
|
| Rate for Payer: Multiplan WC |
$36,025.08
|
| Rate for Payer: Prime Health Services WC |
$35,657.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 369: MAJOR ESOPHAGEAL DISORDERS WITH CC
|
Facility
IP
|
$33,572.65
|
|
|
Service Code
|
MS-DRG 369
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,572.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,961.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,572.65
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,868.63
|
| Rate for Payer: IEHP Medicare Advantage |
$24,868.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,868.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,334.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,323.96
|
| Rate for Payer: Multiplan WC |
$20,990.34
|
| Rate for Payer: Prime Health Services WC |
$20,776.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$29,911.28
|
|
|
Service Code
|
MS-DRG 370
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,911.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,546.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,911.28
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,156.50
|
| Rate for Payer: IEHP Medicare Advantage |
$22,156.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,156.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,917.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,689.71
|
| Rate for Payer: Multiplan WC |
$15,375.66
|
| Rate for Payer: Prime Health Services WC |
$15,218.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
|
Facility
IP
|
$52,983.27
|
|
|
Service Code
|
MS-DRG 371
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$52,983.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,983.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,939.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,288.88
|
| Rate for Payer: IEHP Medicare Advantage |
$33,288.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,288.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,943.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,607.10
|
| Rate for Payer: Multiplan WC |
$34,743.61
|
| Rate for Payer: Prime Health Services WC |
$34,389.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
|
Facility
IP
|
$34,380.98
|
|
|
Service Code
|
MS-DRG 372
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,380.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,598.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,380.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,467.39
|
| Rate for Payer: IEHP Medicare Advantage |
$25,467.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,467.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,088.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,126.30
|
| Rate for Payer: Multiplan WC |
$20,906.13
|
| Rate for Payer: Prime Health Services WC |
$20,692.81
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
