|
INPATIENT MS-DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$45,789.80
|
|
|
Service Code
|
MS-DRG 042
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,789.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,789.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,446.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,627.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,969.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,954.51
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,410.75
|
| Rate for Payer: IEHP Medicare Advantage |
$24,410.75
|
| Rate for Payer: Innovage PACE Commercial |
$36,616.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,410.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,710.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,710.40
|
| Rate for Payer: Multiplan WC |
$38,969.57
|
| Rate for Payer: Preferred Health Network WC |
$39,764.87
|
| Rate for Payer: Prime Health Services Medicare |
$25,875.40
|
| Rate for Payer: Prime Health Services WC |
$37,598.70
|
| 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 052: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
IP
|
$51,177.30
|
|
|
Service Code
|
MS-DRG 052
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$51,177.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,177.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,266.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,178.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,507.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,680.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,171.00
|
| Rate for Payer: IEHP Medicare Advantage |
$27,171.00
|
| Rate for Payer: Innovage PACE Commercial |
$40,756.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,171.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,409.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,409.14
|
| Rate for Payer: Multiplan WC |
$37,507.45
|
| Rate for Payer: Preferred Health Network WC |
$38,272.91
|
| Rate for Payer: Prime Health Services Medicare |
$28,801.26
|
| Rate for Payer: Prime Health Services WC |
$36,188.01
|
| 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 053: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
IP
|
$25,892.63
|
|
|
Service Code
|
MS-DRG 053
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$25,892.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,892.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,388.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,359.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,548.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,192.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,216.59
|
| Rate for Payer: IEHP Medicare Advantage |
$14,216.59
|
| Rate for Payer: Innovage PACE Commercial |
$21,324.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,216.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,050.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,050.23
|
| Rate for Payer: Multiplan WC |
$21,548.41
|
| Rate for Payer: Preferred Health Network WC |
$21,988.17
|
| Rate for Payer: Prime Health Services Medicare |
$15,069.59
|
| Rate for Payer: Prime Health Services WC |
$20,790.38
|
| 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 054: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
IP
|
$38,781.05
|
|
|
Service Code
|
MS-DRG 054
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$38,781.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,781.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,580.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,964.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,221.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,106.84
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,819.88
|
| Rate for Payer: IEHP Medicare Advantage |
$20,819.88
|
| Rate for Payer: Innovage PACE Commercial |
$31,229.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,819.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,898.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,898.64
|
| Rate for Payer: Multiplan WC |
$29,221.39
|
| Rate for Payer: Preferred Health Network WC |
$29,817.74
|
| Rate for Payer: Prime Health Services Medicare |
$22,069.07
|
| Rate for Payer: Prime Health Services WC |
$28,193.44
|
| 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 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
IP
|
$28,245.55
|
|
|
Service Code
|
MS-DRG 055
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,245.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,245.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,142.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,056.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,242.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,819.81
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,422.08
|
| Rate for Payer: IEHP Medicare Advantage |
$15,422.08
|
| Rate for Payer: Innovage PACE Commercial |
$23,133.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,422.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,665.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,665.59
|
| Rate for Payer: Multiplan WC |
$21,242.92
|
| Rate for Payer: Preferred Health Network WC |
$21,676.45
|
| Rate for Payer: Prime Health Services Medicare |
$16,347.40
|
| Rate for Payer: Prime Health Services WC |
$20,495.63
|
| 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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
IP
|
$63,007.69
|
|
|
Service Code
|
MS-DRG 056
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$63,007.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,007.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,925.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,585.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,998.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,863.48
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,232.21
|
| Rate for Payer: IEHP Medicare Advantage |
$33,232.21
|
| Rate for Payer: Innovage PACE Commercial |
$49,848.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,232.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,531.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,531.16
|
| Rate for Payer: Multiplan WC |
$46,998.61
|
| Rate for Payer: Preferred Health Network WC |
$47,957.77
|
| Rate for Payer: Prime Health Services Medicare |
$35,226.14
|
| Rate for Payer: Prime Health Services WC |
$45,345.30
|
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
IP
|
$35,878.06
|
|
|
Service Code
|
MS-DRG 057
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$35,878.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,878.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,126.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,179.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,420.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,098.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,332.54
|
| Rate for Payer: IEHP Medicare Advantage |
$19,332.54
|
| Rate for Payer: Innovage PACE Commercial |
$28,998.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,332.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,905.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,905.60
|
| Rate for Payer: Multiplan WC |
$27,420.07
|
| Rate for Payer: Preferred Health Network WC |
$27,979.66
|
| Rate for Payer: Prime Health Services Medicare |
$20,492.49
|
| Rate for Payer: Prime Health Services WC |
$26,455.49
|
| 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 058: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
|
Facility
IP
|
$45,476.60
|
|
|
Service Code
|
MS-DRG 058
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$45,476.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,476.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,331.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,029.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,348.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,737.90
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,250.30
|
| Rate for Payer: IEHP Medicare Advantage |
$24,250.30
|
| Rate for Payer: Innovage PACE Commercial |
$36,375.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,250.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,495.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,495.40
|
| Rate for Payer: Multiplan WC |
$36,348.71
|
| Rate for Payer: Preferred Health Network WC |
$37,090.52
|
| Rate for Payer: Prime Health Services Medicare |
$25,705.32
|
| Rate for Payer: Prime Health Services WC |
$35,070.04
|
| 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 059: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
|
Facility
IP
|
$31,245.92
|
|
|
Service Code
|
MS-DRG 059
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,245.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,245.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,440.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,879.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,091.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,895.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$16,959.29
|
| Rate for Payer: IEHP Medicare Advantage |
$16,959.29
|
| Rate for Payer: Innovage PACE Commercial |
$25,438.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,959.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,725.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,725.45
|
| Rate for Payer: Multiplan WC |
$24,091.32
|
| Rate for Payer: Preferred Health Network WC |
$24,582.98
|
| Rate for Payer: Prime Health Services Medicare |
$17,976.85
|
| Rate for Payer: Prime Health Services WC |
$23,243.83
|
| 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 060: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
|
Facility
IP
|
$23,618.67
|
|
|
Service Code
|
MS-DRG 060
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,618.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,618.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,408.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,926.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,093.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,619.59
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,051.55
|
| Rate for Payer: IEHP Medicare Advantage |
$13,051.55
|
| Rate for Payer: Innovage PACE Commercial |
$19,577.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,051.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,489.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,489.08
|
| Rate for Payer: Multiplan WC |
$19,093.98
|
| Rate for Payer: Preferred Health Network WC |
$19,483.65
|
| Rate for Payer: Prime Health Services Medicare |
$13,834.64
|
| Rate for Payer: Prime Health Services WC |
$18,422.29
|
| 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 061: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
|
Facility
IP
|
$73,766.89
|
|
|
Service Code
|
MS-DRG 061
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$73,766.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$73,766.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,857.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$61,241.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$61,784.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,305.22
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,744.61
|
| Rate for Payer: IEHP Medicare Advantage |
$38,744.61
|
| Rate for Payer: Innovage PACE Commercial |
$58,116.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,744.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,917.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,917.78
|
| Rate for Payer: Multiplan WC |
$61,784.17
|
| Rate for Payer: Preferred Health Network WC |
$63,045.07
|
| Rate for Payer: Prime Health Services Medicare |
$41,069.29
|
| Rate for Payer: Prime Health Services WC |
$59,610.73
|
| 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 062: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
|
Facility
IP
|
$49,261.27
|
|
|
Service Code
|
MS-DRG 062
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$49,261.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,261.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,594.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,036.89
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,391.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,355.60
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,189.33
|
| Rate for Payer: IEHP Medicare Advantage |
$26,189.33
|
| Rate for Payer: Innovage PACE Commercial |
$39,284.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,189.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,093.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,093.70
|
| Rate for Payer: Multiplan WC |
$40,391.67
|
| Rate for Payer: Preferred Health Network WC |
$41,215.99
|
| Rate for Payer: Prime Health Services Medicare |
$27,760.69
|
| Rate for Payer: Prime Health Services WC |
$38,970.77
|
| 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 063: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
IP
|
$39,131.09
|
|
|
Service Code
|
MS-DRG 063
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$39,131.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,131.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,878.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,016.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,308.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,348.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,999.23
|
| Rate for Payer: IEHP Medicare Advantage |
$20,999.23
|
| Rate for Payer: Innovage PACE Commercial |
$31,498.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,999.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,138.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,138.97
|
| Rate for Payer: Multiplan WC |
$33,308.59
|
| Rate for Payer: Preferred Health Network WC |
$33,988.36
|
| Rate for Payer: Prime Health Services Medicare |
$22,259.18
|
| Rate for Payer: Prime Health Services WC |
$32,136.86
|
| 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
|
Facility
IP
|
$52,716.96
|
|
|
Service Code
|
MS-DRG 064
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$52,716.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,716.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,525.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,181.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,546.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,745.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,959.83
|
| Rate for Payer: IEHP Medicare Advantage |
$27,959.83
|
| Rate for Payer: Innovage PACE Commercial |
$41,939.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,959.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,466.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,466.17
|
| Rate for Payer: Multiplan WC |
$41,546.20
|
| Rate for Payer: Preferred Health Network WC |
$42,394.08
|
| Rate for Payer: Prime Health Services Medicare |
$29,637.42
|
| Rate for Payer: Prime Health Services WC |
$40,084.69
|
| 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
|
Facility
IP
|
$26,750.63
|
|
|
Service Code
|
MS-DRG 065
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$26,750.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,750.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,279.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,225.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,413.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,785.86
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,656.19
|
| Rate for Payer: IEHP Medicare Advantage |
$14,656.19
|
| Rate for Payer: Innovage PACE Commercial |
$21,984.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,656.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,639.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,639.29
|
| Rate for Payer: Multiplan WC |
$21,413.57
|
| Rate for Payer: Preferred Health Network WC |
$21,850.58
|
| Rate for Payer: Prime Health Services Medicare |
$15,535.56
|
| Rate for Payer: Prime Health Services WC |
$20,660.28
|
| 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 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
|
Facility
IP
|
$18,094.31
|
|
|
Service Code
|
MS-DRG 066
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$18,094.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,094.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,875.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,586.78
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,716.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,798.59
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,221.18
|
| Rate for Payer: IEHP Medicare Advantage |
$10,221.18
|
| Rate for Payer: Innovage PACE Commercial |
$15,331.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,221.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,696.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,696.38
|
| Rate for Payer: Multiplan WC |
$14,716.03
|
| Rate for Payer: Preferred Health Network WC |
$15,016.36
|
| Rate for Payer: Prime Health Services Medicare |
$10,834.45
|
| Rate for Payer: Prime Health Services WC |
$14,198.36
|
| 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 067: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
IP
|
$37,291.39
|
|
|
Service Code
|
MS-DRG 067
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$37,291.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,291.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,041.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,530.65
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,792.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,076.49
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,056.66
|
| Rate for Payer: IEHP Medicare Advantage |
$20,056.66
|
| Rate for Payer: Innovage PACE Commercial |
$30,084.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,056.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,875.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,875.92
|
| Rate for Payer: Multiplan WC |
$29,792.33
|
| Rate for Payer: Preferred Health Network WC |
$30,400.34
|
| Rate for Payer: Prime Health Services Medicare |
$21,260.06
|
| Rate for Payer: Prime Health Services WC |
$28,744.30
|
| 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 068: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
IP
|
$22,923.85
|
|
|
Service Code
|
MS-DRG 068
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$22,923.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,923.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,363.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,871.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,039.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,139.01
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,695.56
|
| Rate for Payer: IEHP Medicare Advantage |
$12,695.56
|
| Rate for Payer: Innovage PACE Commercial |
$19,043.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,695.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,012.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,012.05
|
| Rate for Payer: Multiplan WC |
$19,039.20
|
| Rate for Payer: Preferred Health Network WC |
$19,427.75
|
| Rate for Payer: Prime Health Services Medicare |
$13,457.29
|
| Rate for Payer: Prime Health Services WC |
$18,369.43
|
| 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 069: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
IP
|
$21,020.99
|
|
|
Service Code
|
MS-DRG 069
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,020.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,020.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,565.10
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,662.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,810.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,822.86
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,720.64
|
| Rate for Payer: IEHP Medicare Advantage |
$11,720.64
|
| Rate for Payer: Innovage PACE Commercial |
$17,580.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,720.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,705.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,705.66
|
| Rate for Payer: Multiplan WC |
$16,810.19
|
| Rate for Payer: Preferred Health Network WC |
$17,153.26
|
| Rate for Payer: Prime Health Services Medicare |
$12,423.88
|
| Rate for Payer: Prime Health Services WC |
$16,218.85
|
| 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 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
IP
|
$47,097.85
|
|
|
Service Code
|
MS-DRG 070
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$47,097.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,097.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,313.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,006.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,325.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,859.26
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,080.93
|
| Rate for Payer: IEHP Medicare Advantage |
$25,080.93
|
| Rate for Payer: Innovage PACE Commercial |
$37,621.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,080.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,608.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,608.45
|
| Rate for Payer: Multiplan WC |
$36,325.53
|
| Rate for Payer: Preferred Health Network WC |
$37,066.87
|
| Rate for Payer: Prime Health Services Medicare |
$26,585.79
|
| Rate for Payer: Prime Health Services WC |
$35,047.67
|
| 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 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
IP
|
$27,945.51
|
|
|
Service Code
|
MS-DRG 071
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$27,945.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,945.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,174.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,323.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,521.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,612.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,268.36
|
| Rate for Payer: IEHP Medicare Advantage |
$15,268.36
|
| Rate for Payer: Innovage PACE Commercial |
$22,902.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,268.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,459.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,459.60
|
| Rate for Payer: Multiplan WC |
$22,521.74
|
| Rate for Payer: Preferred Health Network WC |
$22,981.37
|
| Rate for Payer: Prime Health Services Medicare |
$16,184.46
|
| Rate for Payer: Prime Health Services WC |
$21,729.47
|
| 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 072: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$20,607.78
|
|
|
Service Code
|
MS-DRG 072
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$20,607.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,607.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,124.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,121.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,264.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,537.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,508.94
|
| Rate for Payer: IEHP Medicare Advantage |
$11,508.94
|
| Rate for Payer: Innovage PACE Commercial |
$17,263.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,508.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,421.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,421.98
|
| Rate for Payer: Multiplan WC |
$16,264.54
|
| Rate for Payer: Preferred Health Network WC |
$16,596.47
|
| Rate for Payer: Prime Health Services Medicare |
$12,199.48
|
| Rate for Payer: Prime Health Services WC |
$15,692.38
|
| 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 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
IP
|
$39,820.65
|
|
|
Service Code
|
MS-DRG 073
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$39,820.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,820.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,489.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,309.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,587.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,825.88
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,352.50
|
| Rate for Payer: IEHP Medicare Advantage |
$21,352.50
|
| Rate for Payer: Innovage PACE Commercial |
$32,028.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,352.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,612.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,612.35
|
| Rate for Payer: Multiplan WC |
$31,587.33
|
| Rate for Payer: Preferred Health Network WC |
$32,231.97
|
| Rate for Payer: Prime Health Services Medicare |
$22,633.65
|
| Rate for Payer: Prime Health Services WC |
$30,476.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
IP
|
$27,008.56
|
|
|
Service Code
|
MS-DRG 074
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$27,008.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,008.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,402.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,375.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,565.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,964.22
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,788.31
|
| Rate for Payer: IEHP Medicare Advantage |
$14,788.31
|
| Rate for Payer: Innovage PACE Commercial |
$22,182.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,788.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,816.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,816.34
|
| Rate for Payer: Multiplan WC |
$21,565.26
|
| Rate for Payer: Preferred Health Network WC |
$22,005.37
|
| Rate for Payer: Prime Health Services Medicare |
$15,675.61
|
| Rate for Payer: Prime Health Services WC |
$20,806.64
|
| 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 075: VIRAL MENINGITIS WITH CC/MCC
|
Facility
IP
|
$50,369.30
|
|
|
Service Code
|
MS-DRG 075
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$50,369.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,369.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,026.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,111.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,449.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,121.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,757.03
|
| Rate for Payer: IEHP Medicare Advantage |
$26,757.03
|
| Rate for Payer: Innovage PACE Commercial |
$40,135.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,757.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,854.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,854.42
|
| Rate for Payer: Multiplan WC |
$38,449.19
|
| Rate for Payer: Preferred Health Network WC |
$39,233.87
|
| Rate for Payer: Prime Health Services Medicare |
$28,362.45
|
| Rate for Payer: Prime Health Services WC |
$37,096.63
|
| 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
|
|
