|
INPATIENT MS-DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
|
Facility
IP
|
$29,504.13
|
|
|
Service Code
|
MS-DRG 373
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,504.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,721.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,504.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,854.91
|
| Rate for Payer: IEHP Medicare Advantage |
$21,854.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,854.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,537.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,285.58
|
| Rate for Payer: Multiplan WC |
$14,909.48
|
| Rate for Payer: Prime Health Services WC |
$14,757.35
|
| 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 374: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
IP
|
$63,633.28
|
|
|
Service Code
|
MS-DRG 374
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$63,633.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,633.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,198.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,184.11
|
| Rate for Payer: IEHP Medicare Advantage |
$37,184.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,184.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,851.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,826.71
|
| Rate for Payer: Multiplan WC |
$40,935.35
|
| Rate for Payer: Prime Health Services WC |
$40,517.65
|
| 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 375: DIGESTIVE MALIGNANCY WITH CC
|
Facility
IP
|
$36,716.13
|
|
|
Service Code
|
MS-DRG 375
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,716.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,327.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,716.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,197.13
|
| Rate for Payer: IEHP Medicare Advantage |
$27,197.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,197.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,268.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,444.15
|
| Rate for Payer: Multiplan WC |
$24,738.24
|
| Rate for Payer: Prime Health Services WC |
$24,485.81
|
| 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
|
|
|
INPATIENT MS-DRG 376: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$32,122.18
|
|
|
Service Code
|
MS-DRG 376
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$32,122.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,023.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,122.18
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,794.21
|
| Rate for Payer: IEHP Medicare Advantage |
$23,794.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,794.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,980.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,884.24
|
| Rate for Payer: Multiplan WC |
$18,026.92
|
| Rate for Payer: Prime Health Services WC |
$17,842.98
|
| 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 377: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
IP
|
$54,274.73
|
|
|
Service Code
|
MS-DRG 377
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$54,274.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,274.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,577.66
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,761.23
|
| Rate for Payer: IEHP Medicare Advantage |
$33,761.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,761.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,539.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,240.05
|
| Rate for Payer: Multiplan WC |
$36,513.86
|
| Rate for Payer: Prime Health Services WC |
$36,141.27
|
| 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 378: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
IP
|
$33,505.30
|
|
|
Service Code
|
MS-DRG 378
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,505.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,824.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,505.30
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,818.74
|
| Rate for Payer: IEHP Medicare Advantage |
$24,818.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,818.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,271.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,257.11
|
| Rate for Payer: Multiplan WC |
$20,228.42
|
| Rate for Payer: Prime Health Services WC |
$20,022.01
|
| 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 379: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
IP
|
$28,257.23
|
|
|
Service Code
|
MS-DRG 379
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,257.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,196.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,257.23
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,931.28
|
| Rate for Payer: IEHP Medicare Advantage |
$20,931.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,931.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,373.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,047.92
|
| Rate for Payer: Multiplan WC |
$13,016.02
|
| Rate for Payer: Prime Health Services WC |
$12,883.20
|
| 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 380: COMPLICATED PEPTIC ULCER WITH MCC
|
Facility
IP
|
$59,070.73
|
|
|
Service Code
|
MS-DRG 380
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$59,070.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,070.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,945.72
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,515.35
|
| Rate for Payer: IEHP Medicare Advantage |
$35,515.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,515.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,749.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,590.57
|
| Rate for Payer: Multiplan WC |
$39,103.51
|
| Rate for Payer: Prime Health Services WC |
$38,704.49
|
| 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 381: COMPLICATED PEPTIC ULCER WITH CC
|
Facility
IP
|
$34,840.52
|
|
|
Service Code
|
MS-DRG 381
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,840.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,529.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,840.52
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,807.79
|
| Rate for Payer: IEHP Medicare Advantage |
$25,807.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,807.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,517.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,582.44
|
| Rate for Payer: Multiplan WC |
$21,676.25
|
| Rate for Payer: Prime Health Services WC |
$21,455.06
|
| 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 382: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
|
Facility
IP
|
$30,111.86
|
|
|
Service Code
|
MS-DRG 382
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,111.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,952.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,111.86
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,305.08
|
| Rate for Payer: IEHP Medicare Advantage |
$22,305.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,305.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,104.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,888.81
|
| Rate for Payer: Multiplan WC |
$15,808.98
|
| Rate for Payer: Prime Health Services WC |
$15,647.66
|
| 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 383: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
IP
|
$42,387.83
|
|
|
Service Code
|
MS-DRG 383
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$42,387.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,387.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,708.37
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,413.61
|
| Rate for Payer: IEHP Medicare Advantage |
$29,413.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,413.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,061.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,414.24
|
| Rate for Payer: Multiplan WC |
$27,929.61
|
| Rate for Payer: Prime Health Services WC |
$27,644.61
|
| 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 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
IP
|
$31,887.16
|
|
|
Service Code
|
MS-DRG 384
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,887.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,547.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,887.16
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,620.12
|
| Rate for Payer: IEHP Medicare Advantage |
$23,620.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,620.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,761.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,650.96
|
| Rate for Payer: Multiplan WC |
$18,515.69
|
| Rate for Payer: Prime Health Services WC |
$18,326.75
|
| 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 385: INFLAMMATORY BOWEL DISEASE WITH MCC
|
Facility
IP
|
$47,502.14
|
|
|
Service Code
|
MS-DRG 385
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$47,502.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,502.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,233.63
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,284.17
|
| Rate for Payer: IEHP Medicare Advantage |
$31,284.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,284.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,418.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,920.79
|
| Rate for Payer: Multiplan WC |
$33,447.76
|
| Rate for Payer: Prime Health Services WC |
$33,106.46
|
| 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 386: INFLAMMATORY BOWEL DISEASE WITH CC
|
Facility
IP
|
$33,322.68
|
|
|
Service Code
|
MS-DRG 386
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,322.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,455.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,322.68
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,683.47
|
| Rate for Payer: IEHP Medicare Advantage |
$24,683.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,683.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,101.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,075.85
|
| Rate for Payer: Multiplan WC |
$20,327.00
|
| Rate for Payer: Prime Health Services WC |
$20,119.58
|
| 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 387: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
|
Facility
IP
|
$29,019.13
|
|
|
Service Code
|
MS-DRG 387
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,019.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,739.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,019.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,495.65
|
| Rate for Payer: IEHP Medicare Advantage |
$21,495.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,495.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,084.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,804.17
|
| Rate for Payer: Multiplan WC |
$14,203.02
|
| Rate for Payer: Prime Health Services WC |
$14,058.09
|
| 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 388: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
IP
|
$44,064.31
|
|
|
Service Code
|
MS-DRG 388
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$44,064.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,064.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,536.17
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,026.79
|
| Rate for Payer: IEHP Medicare Advantage |
$30,026.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,026.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,833.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,235.90
|
| Rate for Payer: Multiplan WC |
$30,135.23
|
| Rate for Payer: Prime Health Services WC |
$29,827.72
|
| 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 389: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
IP
|
$30,700.15
|
|
|
Service Code
|
MS-DRG 389
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,700.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,143.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,700.15
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,740.85
|
| Rate for Payer: IEHP Medicare Advantage |
$22,740.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,740.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,653.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,472.74
|
| Rate for Payer: Multiplan WC |
$16,574.99
|
| Rate for Payer: Prime Health Services WC |
$16,405.86
|
| 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 390: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
IP
|
$27,146.53
|
|
|
Service Code
|
MS-DRG 390
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$27,146.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,946.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,146.53
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,108.54
|
| Rate for Payer: IEHP Medicare Advantage |
$20,108.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,108.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,336.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,945.44
|
| Rate for Payer: Multiplan WC |
$11,613.38
|
| Rate for Payer: Prime Health Services WC |
$11,494.88
|
| 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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
IP
|
$38,674.12
|
|
|
Service Code
|
MS-DRG 391
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$38,674.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,674.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,874.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,055.34
|
| Rate for Payer: IEHP Medicare Advantage |
$28,055.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,055.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,349.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,594.16
|
| Rate for Payer: Multiplan WC |
$26,368.83
|
| Rate for Payer: Prime Health Services WC |
$26,099.76
|
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
IP
|
$30,538.48
|
|
|
Service Code
|
MS-DRG 392
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,538.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,816.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,538.48
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,621.10
|
| Rate for Payer: IEHP Medicare Advantage |
$22,621.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,621.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,502.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,312.27
|
| Rate for Payer: Multiplan WC |
$16,174.53
|
| Rate for Payer: Prime Health Services WC |
$16,009.48
|
| 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 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
IP
|
$49,099.79
|
|
|
Service Code
|
MS-DRG 393
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$49,099.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,099.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,022.49
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,868.51
|
| Rate for Payer: IEHP Medicare Advantage |
$31,868.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,868.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,154.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,703.80
|
| Rate for Payer: Multiplan WC |
$33,090.43
|
| Rate for Payer: Prime Health Services WC |
$32,752.77
|
| 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 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
IP
|
$32,803.26
|
|
|
Service Code
|
MS-DRG 394
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$32,803.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,403.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,803.26
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,298.71
|
| Rate for Payer: IEHP Medicare Advantage |
$24,298.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,298.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,616.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,560.27
|
| Rate for Payer: Multiplan WC |
$19,365.90
|
| Rate for Payer: Prime Health Services WC |
$19,168.29
|
| 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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$28,471.28
|
|
|
Service Code
|
MS-DRG 395
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,471.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,629.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,471.28
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,089.84
|
| Rate for Payer: IEHP Medicare Advantage |
$21,089.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,089.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,573.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,260.39
|
| Rate for Payer: Multiplan WC |
$13,243.97
|
| Rate for Payer: Prime Health Services WC |
$13,108.83
|
| 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 397: APPENDIX PROCEDURES WITH MCC
|
Facility
IP
|
$68,107.93
|
|
|
Service Code
|
MS-DRG 397
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$68,107.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,107.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,407.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,820.69
|
| Rate for Payer: IEHP Medicare Advantage |
$38,820.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,820.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,914.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,019.72
|
| 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 398: APPENDIX PROCEDURES WITH CC
|
Facility
IP
|
$45,877.20
|
|
|
Service Code
|
MS-DRG 398
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,877.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,877.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,431.28
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,689.84
|
| Rate for Payer: IEHP Medicare Advantage |
$30,689.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,689.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,669.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,124.39
|
| 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
|
|
