|
INPATIENT MS-DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
IP
|
$47,645.29
|
|
|
Service Code
|
MS-DRG 205
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$47,645.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,645.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,278.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,192.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,522.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,237.88
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,361.39
|
| Rate for Payer: IEHP Medicare Advantage |
$25,361.39
|
| Rate for Payer: Innovage PACE Commercial |
$38,042.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,361.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,984.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,984.26
|
| Rate for Payer: Multiplan WC |
$37,522.20
|
| Rate for Payer: Preferred Health Network WC |
$38,287.96
|
| Rate for Payer: Prime Health Services Medicare |
$26,883.07
|
| Rate for Payer: Prime Health Services WC |
$36,202.24
|
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
|
Facility
IP
|
$24,042.41
|
|
|
Service Code
|
MS-DRG 206
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$24,042.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,042.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,188.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,656.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,822.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,912.66
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,268.64
|
| Rate for Payer: IEHP Medicare Advantage |
$13,268.64
|
| Rate for Payer: Innovage PACE Commercial |
$19,902.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,268.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,779.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,779.98
|
| Rate for Payer: Multiplan WC |
$18,822.19
|
| Rate for Payer: Preferred Health Network WC |
$19,206.32
|
| Rate for Payer: Prime Health Services Medicare |
$14,064.76
|
| Rate for Payer: Prime Health Services WC |
$18,160.07
|
| 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
IP
|
$181,811.65
|
|
|
Service Code
|
MS-DRG 207
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$181,811.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$181,811.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$111,626.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$137,115.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$138,330.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$127,035.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$94,100.54
|
| Rate for Payer: IEHP Medicare Advantage |
$94,100.54
|
| Rate for Payer: Innovage PACE Commercial |
$141,150.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$94,100.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$126,094.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$126,094.72
|
| Rate for Payer: Multiplan WC |
$138,330.72
|
| Rate for Payer: Preferred Health Network WC |
$141,153.80
|
| Rate for Payer: Prime Health Services Medicare |
$99,746.57
|
| Rate for Payer: Prime Health Services WC |
$133,464.53
|
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
IP
|
$71,161.31
|
|
|
Service Code
|
MS-DRG 208
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$71,161.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,161.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,204.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,297.89
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,779.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,503.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,409.66
|
| Rate for Payer: IEHP Medicare Advantage |
$37,409.66
|
| Rate for Payer: Innovage PACE Commercial |
$56,114.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,409.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,128.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,128.94
|
| Rate for Payer: Multiplan WC |
$54,779.04
|
| Rate for Payer: Preferred Health Network WC |
$55,896.98
|
| Rate for Payer: Prime Health Services Medicare |
$39,654.24
|
| Rate for Payer: Prime Health Services WC |
$52,852.02
|
| 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 212: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
|
Facility
IP
|
$283,474.05
|
|
|
Service Code
|
MS-DRG 212
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$283,474.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$283,474.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$197,351.79
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$146,186.51
|
| Rate for Payer: IEHP Medicare Advantage |
$146,186.51
|
| Rate for Payer: Innovage PACE Commercial |
$219,279.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$146,186.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$195,889.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$195,889.92
|
| Rate for Payer: Prime Health Services Medicare |
$154,957.70
|
| 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 215: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
IP
|
$268,843.32
|
|
|
Service Code
|
MS-DRG 215
|
| Min. Negotiated Rate |
$137,500.00 |
| Max. Negotiated Rate |
$268,843.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$268,843.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$175,164.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$215,161.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$217,068.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$187,232.26
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$138,690.56
|
| Rate for Payer: IEHP Medicare Advantage |
$138,690.56
|
| Rate for Payer: Innovage PACE Commercial |
$208,035.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$138,690.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$185,845.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$185,845.35
|
| Rate for Payer: Multiplan WC |
$217,068.35
|
| Rate for Payer: Preferred Health Network WC |
$221,498.32
|
| Rate for Payer: Prime Health Services Medicare |
$147,011.99
|
| Rate for Payer: Prime Health Services WC |
$209,432.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$190,538.00
|
| Rate for Payer: United Healthcare All Other HMO |
$197,963.00
|
| Rate for Payer: United Healthcare HMO Rider |
$150,369.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$137,500.00
|
|
|
INPATIENT MS-DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
IP
|
$255,433.79
|
|
|
Service Code
|
MS-DRG 216
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$255,433.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$255,433.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$165,622.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$203,440.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$205,242.85
|
| 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 |
$177,957.39
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$131,820.29
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$131,820.29
|
| Rate for Payer: Innovage PACE Commercial |
$197,730.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$131,820.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$176,639.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$176,639.19
|
| Rate for Payer: Multiplan WC |
$205,242.85
|
| Rate for Payer: Preferred Health Network WC |
$209,431.48
|
| Rate for Payer: Prime Health Services Medicare |
$139,729.51
|
| Rate for Payer: Prime Health Services WC |
$198,022.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$147,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$150,354.00
|
| Rate for Payer: United Healthcare HMO Rider |
$114,207.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$104,433.00
|
|
|
INPATIENT MS-DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
IP
|
$167,528.33
|
|
|
Service Code
|
MS-DRG 217
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$167,528.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$167,528.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$107,935.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$132,581.99
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$133,756.85
|
| 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 |
$117,156.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$86,782.57
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$86,782.57
|
| Rate for Payer: Innovage PACE Commercial |
$130,173.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$86,782.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$116,288.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$116,288.64
|
| Rate for Payer: Multiplan WC |
$133,756.85
|
| Rate for Payer: Preferred Health Network WC |
$136,486.58
|
| Rate for Payer: Prime Health Services Medicare |
$91,989.52
|
| Rate for Payer: Prime Health Services WC |
$129,051.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$120,359.00
|
| Rate for Payer: United Healthcare All Other HMO |
$122,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$93,062.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$85,097.00
|
|
|
INPATIENT MS-DRG 218: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
IP
|
$156,273.00
|
|
|
Service Code
|
MS-DRG 218
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$156,273.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$149,931.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$100,963.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$124,017.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$125,116.84
|
| 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 |
$104,985.37
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$77,766.94
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$77,766.94
|
| Rate for Payer: Innovage PACE Commercial |
$116,650.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$77,766.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$104,207.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$104,207.70
|
| Rate for Payer: Multiplan WC |
$125,116.84
|
| Rate for Payer: Preferred Health Network WC |
$127,670.24
|
| Rate for Payer: Prime Health Services Medicare |
$82,432.96
|
| Rate for Payer: Prime Health Services WC |
$120,715.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$156,273.00
|
| Rate for Payer: United Healthcare All Other HMO |
$110,848.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,200.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$76,993.00
|
|
|
INPATIENT MS-DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
IP
|
$202,951.07
|
|
|
Service Code
|
MS-DRG 219
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$202,951.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$202,951.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$138,189.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$169,743.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$171,247.44
|
| 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 |
$141,657.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$104,931.14
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$104,931.14
|
| Rate for Payer: Innovage PACE Commercial |
$157,396.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$104,931.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$140,607.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$140,607.73
|
| Rate for Payer: Multiplan WC |
$171,247.44
|
| Rate for Payer: Preferred Health Network WC |
$174,742.29
|
| Rate for Payer: Prime Health Services Medicare |
$111,227.01
|
| Rate for Payer: Prime Health Services WC |
$165,223.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$140,190.00
|
| Rate for Payer: United Healthcare All Other HMO |
$139,384.00
|
| Rate for Payer: United Healthcare HMO Rider |
$105,875.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$96,814.00
|
|
|
INPATIENT MS-DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
IP
|
$139,384.00
|
|
|
Service Code
|
MS-DRG 220
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$139,384.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$138,032.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$92,402.14
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$113,501.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$114,506.97
|
| 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 |
$96,755.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$71,670.68
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$71,670.68
|
| Rate for Payer: Innovage PACE Commercial |
$107,506.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$71,670.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$96,038.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$96,038.71
|
| Rate for Payer: Multiplan WC |
$114,506.97
|
| Rate for Payer: Preferred Health Network WC |
$116,843.85
|
| Rate for Payer: Prime Health Services Medicare |
$75,970.92
|
| Rate for Payer: Prime Health Services WC |
$110,478.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$111,411.00
|
| Rate for Payer: United Healthcare All Other HMO |
$139,384.00
|
| Rate for Payer: United Healthcare HMO Rider |
$105,875.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$96,814.00
|
|
|
INPATIENT MS-DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
IP
|
$162,555.00
|
|
|
Service Code
|
MS-DRG 221
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$162,555.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$122,346.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$80,441.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$98,810.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$99,685.59
|
| 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 |
$85,905.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$63,634.02
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$30,123.00
|
| Rate for Payer: IEHP Medicare Advantage |
$63,634.02
|
| Rate for Payer: Innovage PACE Commercial |
$95,451.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,634.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$85,269.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$85,269.59
|
| Rate for Payer: Multiplan WC |
$99,685.59
|
| Rate for Payer: Preferred Health Network WC |
$101,719.99
|
| Rate for Payer: Prime Health Services Medicare |
$67,452.06
|
| Rate for Payer: Prime Health Services WC |
$96,178.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$162,555.00
|
| Rate for Payer: United Healthcare All Other HMO |
$139,384.00
|
| Rate for Payer: United Healthcare HMO Rider |
$105,875.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$96,814.00
|
|
|
INPATIENT MS-DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MCC
|
Facility
IP
|
$132,613.55
|
|
|
Service Code
|
MS-DRG 228
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$132,613.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$132,613.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$83,786.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$102,917.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$103,829.68
|
| 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 |
$93,007.25
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$68,894.26
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$68,894.26
|
| Rate for Payer: Innovage PACE Commercial |
$103,341.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$68,894.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$92,318.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$92,318.31
|
| Rate for Payer: Multiplan WC |
$103,829.68
|
| Rate for Payer: Preferred Health Network WC |
$105,948.65
|
| Rate for Payer: Prime Health Services Medicare |
$73,027.92
|
| Rate for Payer: Prime Health Services WC |
$100,177.16
|
| Rate for Payer: United Healthcare All Other Commercial |
$114,283.00
|
| Rate for Payer: United Healthcare All Other HMO |
$79,615.00
|
| Rate for Payer: United Healthcare HMO Rider |
$82,735.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$75,655.00
|
|
|
INPATIENT MS-DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
IP
|
$83,683.89
|
|
|
Service Code
|
MS-DRG 229
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$83,683.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,683.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,118.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$68,932.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$69,543.53
|
| 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 |
$59,164.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$43,825.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$43,825.50
|
| Rate for Payer: Innovage PACE Commercial |
$65,738.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,825.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,726.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,726.17
|
| Rate for Payer: Multiplan WC |
$69,543.53
|
| Rate for Payer: Preferred Health Network WC |
$70,962.79
|
| Rate for Payer: Prime Health Services Medicare |
$46,455.03
|
| Rate for Payer: Prime Health Services WC |
$67,097.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$67,625.00
|
| Rate for Payer: United Healthcare All Other HMO |
$62,832.00
|
| Rate for Payer: United Healthcare HMO Rider |
$65,291.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$59,704.00
|
|
|
INPATIENT MS-DRG 231: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
IP
|
$213,583.95
|
|
|
Service Code
|
MS-DRG 231
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$213,583.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$213,583.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$142,692.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$175,275.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$176,828.37
|
| 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 |
$149,011.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$110,378.83
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$110,378.83
|
| Rate for Payer: Innovage PACE Commercial |
$165,568.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$110,378.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$147,907.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$147,907.63
|
| Rate for Payer: Multiplan WC |
$176,828.37
|
| Rate for Payer: Preferred Health Network WC |
$180,437.11
|
| Rate for Payer: Prime Health Services Medicare |
$117,001.56
|
| Rate for Payer: Prime Health Services WC |
$170,607.91
|
| Rate for Payer: United Healthcare All Other Commercial |
$101,973.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,744.00
|
| Rate for Payer: United Healthcare HMO Rider |
$89,600.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$81,931.00
|
|
|
INPATIENT MS-DRG 232: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
IP
|
$156,561.20
|
|
|
Service Code
|
MS-DRG 232
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$156,561.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$156,561.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$99,588.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$122,328.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$123,412.43
|
| 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 |
$109,570.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$81,163.65
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$81,163.65
|
| Rate for Payer: Innovage PACE Commercial |
$121,745.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$81,163.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$108,759.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$108,759.29
|
| Rate for Payer: Multiplan WC |
$123,412.43
|
| Rate for Payer: Preferred Health Network WC |
$125,931.05
|
| Rate for Payer: Prime Health Services Medicare |
$86,033.47
|
| Rate for Payer: Prime Health Services WC |
$119,071.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$89,284.00
|
| Rate for Payer: United Healthcare All Other HMO |
$82,953.00
|
| Rate for Payer: United Healthcare HMO Rider |
$76,039.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$69,531.00
|
|
|
INPATIENT MS-DRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
IP
|
$205,277.67
|
|
|
Service Code
|
MS-DRG 233
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$205,277.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$205,277.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$131,671.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$161,736.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$163,169.95
|
| 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 |
$143,266.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$106,123.18
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$106,123.18
|
| Rate for Payer: Innovage PACE Commercial |
$159,184.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$106,123.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$142,205.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$142,205.06
|
| Rate for Payer: Multiplan WC |
$163,169.95
|
| Rate for Payer: Preferred Health Network WC |
$166,499.95
|
| Rate for Payer: Prime Health Services Medicare |
$112,490.57
|
| Rate for Payer: Prime Health Services WC |
$157,429.96
|
| Rate for Payer: United Healthcare All Other Commercial |
$135,867.00
|
| Rate for Payer: United Healthcare All Other HMO |
$101,161.00
|
| Rate for Payer: United Healthcare HMO Rider |
$76,840.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$70,265.00
|
|
|
INPATIENT MS-DRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
IP
|
$136,803.53
|
|
|
Service Code
|
MS-DRG 234
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$136,803.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$136,803.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$88,172.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$108,305.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$109,265.24
|
| 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 |
$95,905.30
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$71,040.96
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$71,040.96
|
| Rate for Payer: Innovage PACE Commercial |
$106,561.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$71,040.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$95,194.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$95,194.89
|
| Rate for Payer: Multiplan WC |
$109,265.24
|
| Rate for Payer: Preferred Health Network WC |
$111,495.14
|
| Rate for Payer: Prime Health Services Medicare |
$75,303.42
|
| Rate for Payer: Prime Health Services WC |
$105,421.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$97,821.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,922.00
|
| Rate for Payer: United Healthcare HMO Rider |
$70,582.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$64,541.00
|
|
|
INPATIENT MS-DRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
IP
|
$154,771.51
|
|
|
Service Code
|
MS-DRG 235
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$154,771.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$154,771.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$101,835.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$125,089.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$126,197.63
|
| 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 |
$108,333.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$80,246.72
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$80,246.72
|
| Rate for Payer: Innovage PACE Commercial |
$120,370.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$80,246.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$107,530.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$107,530.60
|
| Rate for Payer: Multiplan WC |
$126,197.63
|
| Rate for Payer: Preferred Health Network WC |
$128,773.09
|
| Rate for Payer: Prime Health Services Medicare |
$85,061.52
|
| Rate for Payer: Prime Health Services WC |
$121,758.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$79,536.00
|
| Rate for Payer: United Healthcare All Other HMO |
$70,702.00
|
| Rate for Payer: United Healthcare HMO Rider |
$53,703.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$49,106.00
|
|
|
INPATIENT MS-DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
IP
|
$106,360.34
|
|
|
Service Code
|
MS-DRG 236
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$106,360.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$106,360.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,336.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$85,169.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$85,923.94
|
| 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 |
$74,848.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$55,443.62
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$33,409.00
|
| Rate for Payer: IEHP Medicare Advantage |
$55,443.62
|
| Rate for Payer: Innovage PACE Commercial |
$83,165.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,443.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$74,294.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,294.45
|
| Rate for Payer: Multiplan WC |
$85,923.94
|
| Rate for Payer: Preferred Health Network WC |
$87,677.49
|
| Rate for Payer: Prime Health Services Medicare |
$58,770.24
|
| Rate for Payer: Prime Health Services WC |
$82,901.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$72,566.00
|
| Rate for Payer: United Healthcare All Other HMO |
$65,316.00
|
| Rate for Payer: United Healthcare HMO Rider |
$49,615.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45,367.00
|
|
|
INPATIENT MS-DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
IP
|
$126,510.17
|
|
|
Service Code
|
MS-DRG 239
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$126,510.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$126,510.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79,056.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$97,108.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$97,968.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$88,785.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$65,767.21
|
| Rate for Payer: IEHP Medicare Advantage |
$65,767.21
|
| Rate for Payer: Innovage PACE Commercial |
$98,650.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$65,767.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$88,128.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$88,128.06
|
| Rate for Payer: Multiplan WC |
$97,968.55
|
| Rate for Payer: Preferred Health Network WC |
$99,967.91
|
| Rate for Payer: Prime Health Services Medicare |
$69,713.24
|
| Rate for Payer: Prime Health Services WC |
$94,522.21
|
| 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 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
IP
|
$73,935.33
|
|
|
Service Code
|
MS-DRG 240
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$73,935.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$73,935.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$46,144.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$56,680.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$57,182.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,421.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,830.91
|
| Rate for Payer: IEHP Medicare Advantage |
$38,830.91
|
| Rate for Payer: Innovage PACE Commercial |
$58,246.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,830.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,033.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,033.42
|
| Rate for Payer: Multiplan WC |
$57,182.90
|
| Rate for Payer: Preferred Health Network WC |
$58,349.90
|
| Rate for Payer: Prime Health Services Medicare |
$41,160.76
|
| Rate for Payer: Prime Health Services WC |
$55,171.33
|
| 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 241: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
IP
|
$36,578.15
|
|
|
Service Code
|
MS-DRG 241
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$36,578.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,578.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,332.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,345.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,632.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,659.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,747.87
|
| Rate for Payer: IEHP Medicare Advantage |
$19,747.87
|
| Rate for Payer: Innovage PACE Commercial |
$29,621.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,747.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,462.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,462.15
|
| Rate for Payer: Multiplan WC |
$32,632.30
|
| Rate for Payer: Preferred Health Network WC |
$33,298.27
|
| Rate for Payer: Prime Health Services Medicare |
$20,932.74
|
| Rate for Payer: Prime Health Services WC |
$31,484.37
|
| 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 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
|
Facility
IP
|
$90,934.78
|
|
|
Service Code
|
MS-DRG 242
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$90,934.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,934.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,052.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,537.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,179.87
|
| 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 |
$64,179.59
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$47,540.44
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$47,540.44
|
| Rate for Payer: Innovage PACE Commercial |
$71,310.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,540.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,704.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,704.19
|
| Rate for Payer: Multiplan WC |
$73,179.87
|
| Rate for Payer: Preferred Health Network WC |
$74,673.34
|
| Rate for Payer: Prime Health Services Medicare |
$50,392.87
|
| Rate for Payer: Prime Health Services WC |
$70,605.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$36,319.00
|
| Rate for Payer: United Healthcare All Other HMO |
$33,743.00
|
| Rate for Payer: United Healthcare HMO Rider |
$34,370.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$31,428.00
|
|
|
INPATIENT MS-DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
|
Facility
IP
|
$59,944.15
|
|
|
Service Code
|
MS-DRG 243
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$59,944.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,944.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,850.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,949.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,383.51
|
| 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 |
$42,744.54
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,662.62
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$31,662.62
|
| Rate for Payer: Innovage PACE Commercial |
$47,493.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,662.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,427.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,427.91
|
| Rate for Payer: Multiplan WC |
$49,383.51
|
| Rate for Payer: Preferred Health Network WC |
$50,391.34
|
| Rate for Payer: Prime Health Services Medicare |
$33,562.38
|
| Rate for Payer: Prime Health Services WC |
$47,646.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$28,403.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,388.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,412.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,408.00
|
|
