|
INPATIENT MS-DRG 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
IP
|
$36,100.89
|
|
|
Service Code
|
MS-DRG 844
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,100.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,081.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,100.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,741.40
|
| Rate for Payer: IEHP Medicare Advantage |
$26,741.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,741.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,694.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,833.48
|
| Rate for Payer: Multiplan WC |
$23,423.90
|
| Rate for Payer: Prime Health Services WC |
$23,184.88
|
| 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 845: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$31,725.50
|
|
|
Service Code
|
MS-DRG 845
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,725.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,220.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,725.50
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,500.37
|
| Rate for Payer: IEHP Medicare Advantage |
$23,500.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,500.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,610.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,490.50
|
| Rate for Payer: Multiplan WC |
$17,363.59
|
| Rate for Payer: Prime Health Services WC |
$17,186.41
|
| 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 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
IP
|
$74,092.30
|
|
|
Service Code
|
MS-DRG 846
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$74,092.30 |
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$74,092.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,362.81
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,009.49
|
| Rate for Payer: IEHP Medicare Advantage |
$41,009.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,009.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,671.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,952.72
|
| Rate for Payer: Multiplan WC |
$49,472.37
|
| Rate for Payer: Prime Health Services WC |
$48,967.55
|
| 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 Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
IP
|
$36,930.15
|
|
|
Service Code
|
MS-DRG 847
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,930.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,761.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,930.15
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,355.67
|
| Rate for Payer: IEHP Medicare Advantage |
$27,355.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,355.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,468.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,656.60
|
| Rate for Payer: Multiplan WC |
$25,015.48
|
| Rate for Payer: Prime Health Services WC |
$24,760.22
|
| 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 848: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$31,295.89
|
|
|
Service Code
|
MS-DRG 848
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,295.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,025.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,295.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,182.14
|
| Rate for Payer: IEHP Medicare Advantage |
$23,182.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,182.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,209.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,064.07
|
| Rate for Payer: Multiplan WC |
$19,080.44
|
| Rate for Payer: Prime Health Services WC |
$18,885.74
|
| 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 849: RADIOTHERAPY
|
Facility
IP
|
$81,592.48
|
|
|
Service Code
|
MS-DRG 849
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$81,592.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$81,592.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$59,066.08
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$43,752.65
|
| Rate for Payer: IEHP Medicare Advantage |
$43,752.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,752.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,128.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,628.55
|
| Rate for Payer: Multiplan WC |
$48,032.76
|
| Rate for Payer: Prime Health Services WC |
$47,542.63
|
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$151,558.78
|
|
|
Service Code
|
MS-DRG 853
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$151,558.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$151,558.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$93,612.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$69,342.70
|
| Rate for Payer: IEHP Medicare Advantage |
$69,342.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69,342.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$87,371.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$92,919.22
|
| Rate for Payer: Multiplan WC |
$100,649.27
|
| Rate for Payer: Prime Health Services WC |
$99,622.24
|
| 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 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
IP
|
$61,790.07
|
|
|
Service Code
|
MS-DRG 854
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$61,790.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$61,790.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,288.43
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$36,509.95
|
| Rate for Payer: IEHP Medicare Advantage |
$36,509.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,509.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,002.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,923.33
|
| Rate for Payer: Multiplan WC |
$42,214.78
|
| Rate for Payer: Prime Health Services WC |
$41,784.02
|
| 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 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$51,591.77
|
|
|
Service Code
|
MS-DRG 855
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$51,591.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,591.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,252.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,779.94
|
| Rate for Payer: IEHP Medicare Advantage |
$32,779.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,779.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,302.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,925.12
|
| Rate for Payer: Multiplan WC |
$31,373.57
|
| Rate for Payer: Prime Health Services WC |
$31,053.43
|
| 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 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$134,251.37
|
|
|
Service Code
|
MS-DRG 856
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$134,251.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$134,251.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$85,066.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$63,012.55
|
| Rate for Payer: IEHP Medicare Advantage |
$63,012.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,012.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$79,395.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,436.82
|
| Rate for Payer: Multiplan WC |
$90,621.31
|
| Rate for Payer: Prime Health Services WC |
$89,696.60
|
| 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 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
IP
|
$64,745.88
|
|
|
Service Code
|
MS-DRG 857
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$64,745.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,745.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,747.90
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,591.04
|
| Rate for Payer: IEHP Medicare Advantage |
$37,591.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,591.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,364.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,371.99
|
| Rate for Payer: Multiplan WC |
$43,311.43
|
| Rate for Payer: Prime Health Services WC |
$42,869.48
|
| 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 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$38,907.55
|
|
|
Service Code
|
MS-DRG 858
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,907.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,907.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,989.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,140.70
|
| Rate for Payer: IEHP Medicare Advantage |
$28,140.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,140.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,457.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,708.54
|
| Rate for Payer: Multiplan WC |
$29,050.89
|
| Rate for Payer: Prime Health Services WC |
$28,754.46
|
| 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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
IP
|
$55,842.07
|
|
|
Service Code
|
MS-DRG 862
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$55,842.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,842.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,351.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,334.48
|
| Rate for Payer: IEHP Medicare Advantage |
$34,334.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,334.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,261.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,008.20
|
| Rate for Payer: Multiplan WC |
$37,563.27
|
| Rate for Payer: Prime Health Services WC |
$37,179.97
|
| 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 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
IP
|
$33,830.12
|
|
|
Service Code
|
MS-DRG 863
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,830.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,482.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,830.12
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,059.35
|
| Rate for Payer: IEHP Medicare Advantage |
$25,059.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,059.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,574.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,579.53
|
| Rate for Payer: Multiplan WC |
$20,657.65
|
| Rate for Payer: Prime Health Services WC |
$20,446.85
|
| 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 864: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
IP
|
$31,993.45
|
|
|
Service Code
|
MS-DRG 864
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,993.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,762.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,993.45
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,698.85
|
| Rate for Payer: IEHP Medicare Advantage |
$23,698.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,698.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,860.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,756.46
|
| Rate for Payer: Multiplan WC |
$17,419.04
|
| Rate for Payer: Prime Health Services WC |
$17,241.29
|
| 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 865: VIRAL ILLNESS WITH MCC
|
Facility
IP
|
$49,715.21
|
|
|
Service Code
|
MS-DRG 865
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$49,715.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,715.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,326.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,093.59
|
| Rate for Payer: IEHP Medicare Advantage |
$32,093.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,093.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,437.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,005.41
|
| Rate for Payer: Multiplan WC |
$34,353.42
|
| Rate for Payer: Prime Health Services WC |
$34,002.87
|
| 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 866: VIRAL ILLNESS WITHOUT MCC
|
Facility
IP
|
$32,515.86
|
|
|
Service Code
|
MS-DRG 866
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$32,515.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,820.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,515.86
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,085.82
|
| Rate for Payer: IEHP Medicare Advantage |
$24,085.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,085.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,348.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,275.00
|
| Rate for Payer: Multiplan WC |
$18,476.67
|
| Rate for Payer: Prime Health Services WC |
$18,288.13
|
| 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 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
|
Facility
IP
|
$63,430.17
|
|
|
Service Code
|
MS-DRG 867
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$63,430.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,430.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,098.23
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,109.80
|
| Rate for Payer: IEHP Medicare Advantage |
$37,109.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,109.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,758.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,727.13
|
| Rate for Payer: Multiplan WC |
$43,401.79
|
| Rate for Payer: Prime Health Services WC |
$42,958.91
|
| 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 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
|
Facility
IP
|
$35,027.63
|
|
|
Service Code
|
MS-DRG 868
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$35,027.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,908.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,027.63
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,946.39
|
| Rate for Payer: IEHP Medicare Advantage |
$25,946.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,946.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,692.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,768.16
|
| Rate for Payer: Multiplan WC |
$21,680.35
|
| Rate for Payer: Prime Health Services WC |
$21,459.13
|
| 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 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$29,117.93
|
|
|
Service Code
|
MS-DRG 869
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,117.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,939.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,117.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,568.84
|
| Rate for Payer: IEHP Medicare Advantage |
$21,568.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,568.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,176.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,902.25
|
| 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
|
Facility
IP
|
$211,147.91
|
|
|
Service Code
|
MS-DRG 870
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$211,147.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$211,147.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$123,035.38
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$91,137.32
|
| Rate for Payer: IEHP Medicare Advantage |
$91,137.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$91,137.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$114,833.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$122,124.01
|
| Rate for Payer: Multiplan WC |
$139,461.15
|
| Rate for Payer: Prime Health Services WC |
$138,038.08
|
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
|
Facility
IP
|
$60,104.50
|
|
|
Service Code
|
MS-DRG 871
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$60,104.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,104.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,456.17
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,893.46
|
| Rate for Payer: IEHP Medicare Advantage |
$35,893.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,893.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,225.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,097.24
|
| Rate for Payer: Multiplan WC |
$40,193.99
|
| Rate for Payer: Prime Health Services WC |
$39,783.85
|
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
|
Facility
IP
|
$34,195.35
|
|
|
Service Code
|
MS-DRG 872
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,195.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,222.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,195.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,329.89
|
| Rate for Payer: IEHP Medicare Advantage |
$25,329.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,329.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,915.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,942.05
|
| Rate for Payer: Multiplan WC |
$21,111.49
|
| Rate for Payer: Prime Health Services WC |
$20,896.07
|
| 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 876: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
IP
|
$113,124.15
|
|
|
Service Code
|
MS-DRG 876
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$113,124.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$113,124.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,635.17
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$55,285.31
|
| Rate for Payer: IEHP Medicare Advantage |
$55,285.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,285.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$69,659.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,082.32
|
| Rate for Payer: Multiplan WC |
$65,640.74
|
| Rate for Payer: Prime Health Services WC |
$64,970.94
|
| 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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
|
Facility
IP
|
$33,068.21
|
|
|
Service Code
|
MS-DRG 880
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,068.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,939.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,068.21
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,494.97
|
| Rate for Payer: IEHP Medicare Advantage |
$24,494.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,494.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,863.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,823.26
|
| Rate for Payer: Multiplan WC |
$18,610.15
|
| Rate for Payer: Prime Health Services WC |
$18,420.25
|
| 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
|
|
