|
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$121,554.30
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$121,554.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$121,554.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$78,519.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$109,929.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$106,590.30
|
| Rate for Payer: EPIC Health Plan Senior |
$71,060.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,600.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$90,440.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$86,564.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,600.18
|
| Rate for Payer: Prime Health Services Medicare |
$68,476.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,506.38
|
|
|
Service Code
|
APR-DRG 1771
|
| Min. Negotiated Rate |
$11,688.24 |
| Max. Negotiated Rate |
$18,506.38 |
| Rate for Payer: Adventist Health Medi-Cal |
$11,688.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$13,928.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$18,506.38
|
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$35,171.79
|
|
|
Service Code
|
APR-DRG 1773
|
| Min. Negotiated Rate |
$22,213.76 |
| Max. Negotiated Rate |
$35,171.79 |
| Rate for Payer: Adventist Health Medi-Cal |
$22,213.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$26,471.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$35,171.79
|
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$27,813.95
|
|
|
Service Code
|
APR-DRG 1772
|
| Min. Negotiated Rate |
$17,566.70 |
| Max. Negotiated Rate |
$27,813.95 |
| Rate for Payer: Adventist Health Medi-Cal |
$17,566.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$20,933.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$27,813.95
|
|
|
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$53,962.17
|
|
|
Service Code
|
APR-DRG 1774
|
| Min. Negotiated Rate |
$34,081.37 |
| Max. Negotiated Rate |
$53,962.17 |
| Rate for Payer: Adventist Health Medi-Cal |
$34,081.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$40,613.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$53,962.17
|
|
|
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$82,696.93
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$82,696.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$82,696.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,418.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$74,788.26
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$72,992.06
|
| Rate for Payer: EPIC Health Plan Senior |
$48,661.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,237.61
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$61,932.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$59,278.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$44,237.61
|
| Rate for Payer: Prime Health Services Medicare |
$46,891.87
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,532.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$53,219.65
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$53,219.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,219.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,377.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,130.02
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,504.31
|
| Rate for Payer: EPIC Health Plan Senior |
$31,669.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,790.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,306.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38,579.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,790.49
|
| Rate for Payer: Prime Health Services Medicare |
$30,517.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,532.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$51,377.00
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$51,377.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,756.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,140.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,997.68
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,509.53
|
| Rate for Payer: EPIC Health Plan Senior |
$29,673.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,975.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$37,765.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$36,147.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,975.47
|
| Rate for Payer: Prime Health Services Medicare |
$28,594.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,377.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$85,610.44
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$85,610.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,610.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$55,300.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$77,423.15
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$75,511.21
|
| Rate for Payer: EPIC Health Plan Senior |
$50,340.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,764.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$64,070.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$61,324.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$45,764.37
|
| Rate for Payer: Prime Health Services Medicare |
$48,510.23
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,377.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$51,377.00
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$51,377.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,897.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,709.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,794.88
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,579.06
|
| Rate for Payer: EPIC Health Plan Senior |
$25,719.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,381.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32,733.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$31,330.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,381.25
|
| Rate for Payer: Prime Health Services Medicare |
$24,784.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,377.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$10,755.77
|
|
|
Service Code
|
APR-DRG 2002
|
| Min. Negotiated Rate |
$6,793.12 |
| Max. Negotiated Rate |
$10,755.77 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,793.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8,095.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$10,755.77
|
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$28,982.18
|
|
|
Service Code
|
APR-DRG 2004
|
| Min. Negotiated Rate |
$18,304.54 |
| Max. Negotiated Rate |
$28,982.18 |
| Rate for Payer: Adventist Health Medi-Cal |
$18,304.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$21,812.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$28,982.18
|
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$16,383.42
|
|
|
Service Code
|
APR-DRG 2003
|
| Min. Negotiated Rate |
$10,347.42 |
| Max. Negotiated Rate |
$16,383.42 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,347.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12,330.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16,383.42
|
|
|
CARDIAC STRUCTURAL AND VALVULAR DISORDERS
|
Facility
|
IP
|
$7,347.76
|
|
|
Service Code
|
APR-DRG 2001
|
| Min. Negotiated Rate |
$4,640.69 |
| Max. Negotiated Rate |
$7,347.76 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,640.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$5,530.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$7,347.76
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$173,055.32
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$173,055.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$173,055.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$111,786.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156,505.29
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$151,120.96
|
| Rate for Payer: EPIC Health Plan Senior |
$100,747.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$91,588.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$128,223.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$122,728.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$91,588.46
|
| Rate for Payer: Prime Health Services Medicare |
$97,083.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$126,798.00
|
| Rate for Payer: United Healthcare All Other HMO |
$126,798.00
|
| Rate for Payer: United Healthcare HMO Rider |
$97,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$89,522.00
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$257,473.51
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$257,473.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$257,473.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$166,317.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$232,850.21
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$224,113.64
|
| Rate for Payer: EPIC Health Plan Senior |
$149,409.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$135,826.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$190,157.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$182,007.44
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$135,826.45
|
| Rate for Payer: Prime Health Services Medicare |
$143,976.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$155,615.00
|
| Rate for Payer: United Healthcare All Other HMO |
$155,615.00
|
| Rate for Payer: United Healthcare HMO Rider |
$119,917.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$109,864.00
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$173,055.32
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$173,055.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$173,055.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$111,786.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156,505.29
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$151,120.96
|
| Rate for Payer: EPIC Health Plan Senior |
$100,747.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$91,588.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$128,223.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$122,728.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$91,588.46
|
| Rate for Payer: Prime Health Services Medicare |
$97,083.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$164,634.00
|
| Rate for Payer: United Healthcare All Other HMO |
$164,634.00
|
| Rate for Payer: United Healthcare HMO Rider |
$88,410.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$80,997.00
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$140,353.96
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$140,353.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$140,353.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$90,662.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$126,931.31
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$122,845.54
|
| Rate for Payer: EPIC Health Plan Senior |
$81,897.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$74,451.84
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$104,232.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$99,765.47
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$74,451.84
|
| Rate for Payer: Prime Health Services Medicare |
$78,918.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$117,371.00
|
| Rate for Payer: United Healthcare All Other HMO |
$117,371.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$202,085.18
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$202,085.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$202,085.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$130,538.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$182,758.90
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$176,221.77
|
| Rate for Payer: EPIC Health Plan Senior |
$117,481.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$106,801.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$149,521.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$143,113.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$106,801.07
|
| Rate for Payer: Prime Health Services Medicare |
$113,209.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$147,690.00
|
| Rate for Payer: United Healthcare All Other HMO |
$147,690.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$171,252.00
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$171,252.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$132,653.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$85,688.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$119,966.84
|
| Rate for Payer: Cigna of CA HMO |
$11,745.00
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$116,186.88
|
| Rate for Payer: EPIC Health Plan Senior |
$77,457.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$70,416.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$98,582.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$94,357.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$70,416.29
|
| Rate for Payer: Prime Health Services Medicare |
$74,641.27
|
| Rate for Payer: United Healthcare All Other Commercial |
$171,252.00
|
| Rate for Payer: United Healthcare All Other HMO |
$171,252.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$153,465.17
|
|
|
Service Code
|
APR-DRG 1624
|
| Min. Negotiated Rate |
$96,925.37 |
| Max. Negotiated Rate |
$153,465.17 |
| Rate for Payer: Adventist Health Medi-Cal |
$96,925.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$115,502.73
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$153,465.17
|
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$84,124.67
|
|
|
Service Code
|
APR-DRG 1622
|
| Min. Negotiated Rate |
$53,131.37 |
| Max. Negotiated Rate |
$84,124.67 |
| Rate for Payer: Adventist Health Medi-Cal |
$53,131.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$63,314.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$84,124.67
|
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$109,922.41
|
|
|
Service Code
|
APR-DRG 1623
|
| Min. Negotiated Rate |
$69,424.68 |
| Max. Negotiated Rate |
$109,922.41 |
| Rate for Payer: Adventist Health Medi-Cal |
$69,424.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$82,731.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$109,922.41
|
|
|
CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$72,281.23
|
|
|
Service Code
|
APR-DRG 1621
|
| Min. Negotiated Rate |
$45,651.30 |
| Max. Negotiated Rate |
$72,281.23 |
| Rate for Payer: Adventist Health Medi-Cal |
$45,651.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$54,401.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$72,281.23
|
|
|
CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$134,910.45
|
|
|
Service Code
|
APR-DRG 1634
|
| Min. Negotiated Rate |
$85,206.60 |
| Max. Negotiated Rate |
$134,910.45 |
| Rate for Payer: Adventist Health Medi-Cal |
$85,206.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$101,537.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$134,910.45
|
|