|
INPATIENT MS-DRG 686: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
IP
|
$55,763.25
|
|
|
Service Code
|
MS-DRG 686
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$55,763.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,763.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,312.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,305.66
|
| Rate for Payer: IEHP Medicare Advantage |
$34,305.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,305.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,225.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,969.58
|
| Rate for Payer: Multiplan WC |
$34,866.83
|
| Rate for Payer: Prime Health Services WC |
$34,511.05
|
| 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 687: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
IP
|
$34,425.89
|
|
|
Service Code
|
MS-DRG 687
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,425.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,689.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,425.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,500.66
|
| Rate for Payer: IEHP Medicare Advantage |
$25,500.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,500.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,130.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,170.88
|
| Rate for Payer: Multiplan WC |
$21,353.83
|
| Rate for Payer: Prime Health Services WC |
$21,135.93
|
| 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 688: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
IP
|
$30,468.14
|
|
|
Service Code
|
MS-DRG 688
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,468.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,673.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,468.14
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,568.99
|
| Rate for Payer: IEHP Medicare Advantage |
$22,568.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,568.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,436.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,242.45
|
| Rate for Payer: Multiplan WC |
$17,792.80
|
| Rate for Payer: Prime Health Services WC |
$17,611.24
|
| 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
IP
|
$36,358.36
|
|
|
Service Code
|
MS-DRG 689
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,358.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,603.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,358.36
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,932.12
|
| Rate for Payer: IEHP Medicare Advantage |
$26,932.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,932.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,934.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,089.04
|
| Rate for Payer: Multiplan WC |
$23,557.39
|
| Rate for Payer: Prime Health Services WC |
$23,317.01
|
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
IP
|
$30,857.31
|
|
|
Service Code
|
MS-DRG 690
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,857.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,461.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,857.31
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,857.27
|
| Rate for Payer: IEHP Medicare Advantage |
$22,857.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,857.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,800.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,628.74
|
| Rate for Payer: Multiplan WC |
$16,338.82
|
| Rate for Payer: Prime Health Services WC |
$16,172.10
|
| 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 693: URINARY STONES WITH MCC
|
Facility
IP
|
$42,936.55
|
|
|
Service Code
|
MS-DRG 693
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$42,936.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,936.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,979.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,614.31
|
| Rate for Payer: IEHP Medicare Advantage |
$29,614.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,614.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,314.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,683.18
|
| Rate for Payer: Multiplan WC |
$29,383.59
|
| Rate for Payer: Prime Health Services WC |
$29,083.76
|
| 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 694: URINARY STONES WITHOUT MCC
|
Facility
IP
|
$30,495.07
|
|
|
Service Code
|
MS-DRG 694
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,495.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,728.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,495.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,588.94
|
| Rate for Payer: IEHP Medicare Advantage |
$22,588.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,588.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,462.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,269.18
|
| Rate for Payer: Multiplan WC |
$16,369.63
|
| Rate for Payer: Prime Health Services WC |
$16,202.59
|
| 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 695: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
IP
|
$36,681.69
|
|
|
Service Code
|
MS-DRG 695
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,681.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,257.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,681.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,171.62
|
| Rate for Payer: IEHP Medicare Advantage |
$27,171.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,171.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,236.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,409.97
|
| Rate for Payer: Multiplan WC |
$23,582.03
|
| Rate for Payer: Prime Health Services WC |
$23,341.40
|
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
IP
|
$29,138.89
|
|
|
Service Code
|
MS-DRG 696
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,138.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,981.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,138.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,584.36
|
| Rate for Payer: IEHP Medicare Advantage |
$21,584.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,584.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,196.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,923.04
|
| Rate for Payer: Multiplan WC |
$14,231.78
|
| Rate for Payer: Prime Health Services WC |
$14,086.55
|
| 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 697: URETHRAL STRICTURE
|
Facility
IP
|
$35,440.77
|
|
|
Service Code
|
MS-DRG 697
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$35,440.77 |
| Rate for Payer: IEHP Medicare Advantage |
$26,252.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$33,744.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,440.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,252.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,252.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,078.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,178.24
|
| Rate for Payer: Multiplan WC |
$20,380.40
|
| Rate for Payer: Prime Health Services WC |
$20,172.44
|
| 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
|
Facility
IP
|
$50,154.79
|
|
|
Service Code
|
MS-DRG 698
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$50,154.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,154.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,543.39
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,254.36
|
| Rate for Payer: IEHP Medicare Advantage |
$32,254.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,254.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,640.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,220.84
|
| Rate for Payer: Multiplan WC |
$32,909.70
|
| Rate for Payer: Prime Health Services WC |
$32,573.89
|
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
|
Facility
IP
|
$34,059.14
|
|
|
Service Code
|
MS-DRG 699
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,059.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,946.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,059.14
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,228.99
|
| Rate for Payer: IEHP Medicare Advantage |
$25,228.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,228.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,788.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,806.85
|
| Rate for Payer: Multiplan WC |
$20,784.97
|
| Rate for Payer: Prime Health Services WC |
$20,572.88
|
| 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 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$29,381.39
|
|
|
Service Code
|
MS-DRG 700
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,381.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,472.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,381.39
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,763.99
|
| Rate for Payer: IEHP Medicare Advantage |
$21,763.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,763.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,422.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,163.75
|
| Rate for Payer: Multiplan WC |
$15,213.42
|
| Rate for Payer: Prime Health Services WC |
$15,058.18
|
| 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 707: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
|
Facility
IP
|
$59,476.96
|
|
|
Service Code
|
MS-DRG 707
|
| Min. Negotiated Rate |
$21,291.00 |
| Max. Negotiated Rate |
$59,476.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,476.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,146.31
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,663.93
|
| Rate for Payer: IEHP Medicare Advantage |
$35,663.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,663.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,936.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,789.67
|
| Rate for Payer: Multiplan WC |
$40,976.43
|
| Rate for Payer: Prime Health Services WC |
$40,558.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$23,727.00
|
| Rate for Payer: United Healthcare All Other HMO |
$23,328.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,284.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,291.00
|
|
|
INPATIENT MS-DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$44,215.89
|
|
|
Service Code
|
MS-DRG 708
|
| Min. Negotiated Rate |
$21,291.00 |
| Max. Negotiated Rate |
$44,215.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,215.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,611.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,082.22
|
| Rate for Payer: IEHP Medicare Advantage |
$30,082.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,082.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,903.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,310.17
|
| Rate for Payer: Multiplan WC |
$30,490.50
|
| Rate for Payer: Prime Health Services WC |
$30,179.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$23,727.00
|
| Rate for Payer: United Healthcare All Other HMO |
$23,328.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,284.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,291.00
|
|
|
INPATIENT MS-DRG 709: PENIS PROCEDURES WITH CC/MCC
|
Facility
IP
|
$64,269.92
|
|
|
Service Code
|
MS-DRG 709
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$64,269.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,269.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,273.30
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,980.22
|
| Rate for Payer: IEHP Medicare Advantage |
$37,980.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,980.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,855.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,893.49
|
| Rate for Payer: Multiplan WC |
$49,533.98
|
| Rate for Payer: Prime Health Services WC |
$49,028.53
|
| 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 710: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$38,198.03
|
|
|
Service Code
|
MS-DRG 710
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,198.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,419.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,198.03
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,294.84
|
| Rate for Payer: IEHP Medicare Advantage |
$28,294.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,294.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,651.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,915.09
|
| Rate for Payer: Multiplan WC |
$29,601.27
|
| Rate for Payer: Prime Health Services WC |
$29,299.22
|
| 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 711: TESTES PROCEDURES WITH CC/MCC
|
Facility
IP
|
$64,357.84
|
|
|
Service Code
|
MS-DRG 711
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$64,357.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,357.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,556.30
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,449.11
|
| Rate for Payer: IEHP Medicare Advantage |
$37,449.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,449.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,185.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,181.81
|
| Rate for Payer: Multiplan WC |
$41,964.24
|
| Rate for Payer: Prime Health Services WC |
$41,536.03
|
| 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 712: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$36,567.94
|
|
|
Service Code
|
MS-DRG 712
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$36,567.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,027.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,567.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,087.36
|
| Rate for Payer: IEHP Medicare Advantage |
$27,087.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,087.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,130.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,297.06
|
| Rate for Payer: Multiplan WC |
$25,498.09
|
| Rate for Payer: Prime Health Services WC |
$25,237.91
|
| 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 713: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
IP
|
$43,979.42
|
|
|
Service Code
|
MS-DRG 713
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$43,979.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,979.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,494.25
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,995.74
|
| Rate for Payer: IEHP Medicare Advantage |
$29,995.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,995.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,794.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,194.29
|
| Rate for Payer: Multiplan WC |
$30,433.01
|
| Rate for Payer: Prime Health Services WC |
$30,122.47
|
| 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 714: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
IP
|
$33,126.60
|
|
|
Service Code
|
MS-DRG 714
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,126.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,057.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,126.60
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,538.22
|
| Rate for Payer: IEHP Medicare Advantage |
$24,538.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,538.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,918.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,881.21
|
| Rate for Payer: Multiplan WC |
$19,678.05
|
| Rate for Payer: Prime Health Services WC |
$19,477.25
|
| 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 715: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
IP
|
$66,922.57
|
|
|
Service Code
|
MS-DRG 715
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$66,922.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,922.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,822.67
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,387.16
|
| Rate for Payer: IEHP Medicare Advantage |
$38,387.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,387.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,367.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,438.79
|
| Rate for Payer: Multiplan WC |
$45,862.06
|
| Rate for Payer: Prime Health Services WC |
$45,394.08
|
| 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 716: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$43,115.42
|
|
|
Service Code
|
MS-DRG 716
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$43,115.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,115.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,067.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,679.73
|
| Rate for Payer: IEHP Medicare Advantage |
$29,679.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,679.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,396.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,770.84
|
| Rate for Payer: Multiplan WC |
$26,991.09
|
| Rate for Payer: Prime Health Services WC |
$26,715.67
|
| 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 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
IP
|
$54,984.13
|
|
|
Service Code
|
MS-DRG 717
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$54,984.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,984.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,927.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,020.69
|
| Rate for Payer: IEHP Medicare Advantage |
$34,020.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,020.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,866.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,587.72
|
| Rate for Payer: Multiplan WC |
$36,355.73
|
| Rate for Payer: Prime Health Services WC |
$35,984.75
|
| 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 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$36,379.31
|
|
|
Service Code
|
MS-DRG 718
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$36,379.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,645.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,379.31
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,947.64
|
| Rate for Payer: IEHP Medicare Advantage |
$26,947.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,947.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,954.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,109.84
|
| Rate for Payer: Multiplan WC |
$26,060.79
|
| Rate for Payer: Prime Health Services WC |
$25,794.86
|
| 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
|
|
