|
INPATIENT MS-DRG 244: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
|
Facility
IP
|
$48,150.61
|
|
|
Service Code
|
MS-DRG 244
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$48,150.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,150.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,320.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,700.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,052.47
|
| 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 |
$34,587.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,620.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$25,620.30
|
| Rate for Payer: Innovage PACE Commercial |
$38,430.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,620.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,331.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,331.20
|
| Rate for Payer: Multiplan WC |
$40,052.47
|
| Rate for Payer: Preferred Health Network WC |
$40,869.87
|
| Rate for Payer: Prime Health Services Medicare |
$27,157.52
|
| Rate for Payer: Prime Health Services WC |
$38,643.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$23,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$22,125.00
|
| Rate for Payer: United Healthcare HMO Rider |
$19,630.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17,951.00
|
|
|
INPATIENT MS-DRG 245: AICD GENERATOR PROCEDURES
|
Facility
IP
|
$119,261.92
|
|
|
Service Code
|
MS-DRG 245
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$119,261.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$119,261.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$82,896.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$101,825.51
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$102,727.82
|
| 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 |
$83,772.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$62,053.64
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$9,547.00
|
| Rate for Payer: IEHP Medicare Advantage |
$62,053.64
|
| Rate for Payer: Innovage PACE Commercial |
$93,080.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$62,053.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$83,151.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$83,151.88
|
| Rate for Payer: Multiplan WC |
$102,727.82
|
| Rate for Payer: Preferred Health Network WC |
$104,824.31
|
| Rate for Payer: Prime Health Services Medicare |
$65,776.86
|
| Rate for Payer: Prime Health Services WC |
$99,114.07
|
| 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 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
IP
|
$61,870.71
|
|
|
Service Code
|
MS-DRG 250
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$61,870.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$61,870.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,137.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,530.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$50,978.37
|
| 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 |
$44,077.08
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,649.69
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$32,649.69
|
| Rate for Payer: Innovage PACE Commercial |
$48,974.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,649.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,750.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,750.58
|
| Rate for Payer: Multiplan WC |
$50,978.37
|
| Rate for Payer: Preferred Health Network WC |
$52,018.74
|
| Rate for Payer: Prime Health Services Medicare |
$34,608.67
|
| Rate for Payer: Prime Health Services WC |
$49,185.05
|
| Rate for Payer: United Healthcare All Other Commercial |
$30,903.00
|
| Rate for Payer: United Healthcare All Other HMO |
$33,938.00
|
| Rate for Payer: United Healthcare HMO Rider |
$25,777.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$23,570.00
|
|
|
INPATIENT MS-DRG 251: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
IP
|
$41,765.62
|
|
|
Service Code
|
MS-DRG 251
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$41,765.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,765.62
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,631.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,941.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,241.91
|
| 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 |
$30,171.14
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,348.99
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$22,348.99
|
| Rate for Payer: Innovage PACE Commercial |
$33,523.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,348.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,947.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,947.65
|
| Rate for Payer: Multiplan WC |
$34,241.91
|
| Rate for Payer: Preferred Health Network WC |
$34,940.72
|
| Rate for Payer: Prime Health Services Medicare |
$23,689.93
|
| Rate for Payer: Prime Health Services WC |
$33,037.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$39,303.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,244.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,458.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19,621.00
|
|
|
INPATIENT MS-DRG 252: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
IP
|
$88,268.66
|
|
|
Service Code
|
MS-DRG 252
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$88,268.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,268.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,839.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$69,818.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$70,436.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$62,335.53
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$46,174.47
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$46,174.47
|
| Rate for Payer: Innovage PACE Commercial |
$69,261.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,174.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$61,873.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$61,873.79
|
| Rate for Payer: Multiplan WC |
$70,436.81
|
| Rate for Payer: Preferred Health Network WC |
$71,874.30
|
| Rate for Payer: Prime Health Services Medicare |
$48,944.94
|
| Rate for Payer: Prime Health Services WC |
$67,959.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$40,038.00
|
| Rate for Payer: United Healthcare All Other HMO |
$39,861.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,281.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,688.00
|
|
|
INPATIENT MS-DRG 253: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
IP
|
$67,142.40
|
|
|
Service Code
|
MS-DRG 253
|
| Min. Negotiated Rate |
$25,295.00 |
| Max. Negotiated Rate |
$67,142.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$67,142.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$45,460.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$55,841.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,335.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,723.31
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,350.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$35,350.60
|
| Rate for Payer: Innovage PACE Commercial |
$53,025.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,350.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,369.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,369.80
|
| Rate for Payer: Multiplan WC |
$56,335.97
|
| Rate for Payer: Preferred Health Network WC |
$57,485.68
|
| Rate for Payer: Prime Health Services Medicare |
$37,471.64
|
| Rate for Payer: Prime Health Services WC |
$54,354.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,705.00
|
| Rate for Payer: United Healthcare All Other HMO |
$36,415.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,663.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$25,295.00
|
|
|
INPATIENT MS-DRG 254: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$53,818.00
|
|
|
Service Code
|
MS-DRG 254
|
| Min. Negotiated Rate |
$18,843.00 |
| Max. Negotiated Rate |
$53,818.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,666.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,086.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,184.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,522.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,868.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,347.38
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$24,347.38
|
| Rate for Payer: Innovage PACE Commercial |
$36,521.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,347.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,625.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,625.49
|
| Rate for Payer: Multiplan WC |
$38,522.93
|
| Rate for Payer: Preferred Health Network WC |
$39,309.11
|
| Rate for Payer: Prime Health Services Medicare |
$25,808.22
|
| Rate for Payer: Prime Health Services WC |
$37,167.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$53,818.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,125.00
|
| Rate for Payer: United Healthcare HMO Rider |
$20,606.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18,843.00
|
|
|
INPATIENT MS-DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
IP
|
$72,308.82
|
|
|
Service Code
|
MS-DRG 255
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$72,308.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$72,308.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,617.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,577.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,052.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,296.72
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,997.57
|
| Rate for Payer: IEHP Medicare Advantage |
$37,997.57
|
| Rate for Payer: Innovage PACE Commercial |
$56,996.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,997.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,916.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,916.74
|
| Rate for Payer: Multiplan WC |
$54,052.19
|
| Rate for Payer: Preferred Health Network WC |
$55,155.30
|
| Rate for Payer: Prime Health Services Medicare |
$40,277.42
|
| Rate for Payer: Prime Health Services WC |
$52,150.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
IP
|
$43,155.26
|
|
|
Service Code
|
MS-DRG 256
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$43,155.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,155.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,749.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,085.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,387.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,132.31
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,060.97
|
| Rate for Payer: IEHP Medicare Advantage |
$23,060.97
|
| Rate for Payer: Innovage PACE Commercial |
$34,591.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,060.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,901.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,901.70
|
| Rate for Payer: Multiplan WC |
$34,387.28
|
| Rate for Payer: Preferred Health Network WC |
$35,089.06
|
| Rate for Payer: Prime Health Services Medicare |
$24,444.63
|
| Rate for Payer: Prime Health Services WC |
$33,177.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 257: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$26,082.13
|
|
|
Service Code
|
MS-DRG 257
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$26,082.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,082.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,828.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,900.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,094.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,323.45
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,313.67
|
| Rate for Payer: IEHP Medicare Advantage |
$14,313.67
|
| Rate for Payer: Innovage PACE Commercial |
$21,470.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,313.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,180.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,180.32
|
| Rate for Payer: Multiplan WC |
$22,094.07
|
| Rate for Payer: Preferred Health Network WC |
$22,544.97
|
| Rate for Payer: Prime Health Services Medicare |
$15,172.49
|
| Rate for Payer: Prime Health Services WC |
$21,316.85
|
| 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 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
IP
|
$71,287.64
|
|
|
Service Code
|
MS-DRG 258
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$71,287.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,287.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,474.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,543.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,071.33
|
| 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 |
$50,590.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,474.38
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$37,474.38
|
| Rate for Payer: Innovage PACE Commercial |
$56,211.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,474.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,215.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,215.67
|
| Rate for Payer: Multiplan WC |
$60,071.33
|
| Rate for Payer: Preferred Health Network WC |
$61,297.28
|
| Rate for Payer: Prime Health Services Medicare |
$39,722.84
|
| Rate for Payer: Prime Health Services WC |
$57,958.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$36,575.00
|
| Rate for Payer: United Healthcare All Other HMO |
$30,425.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,636.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,698.00
|
|
|
INPATIENT MS-DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
IP
|
$49,127.05
|
|
|
Service Code
|
MS-DRG 259
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$49,127.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,127.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,901.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,642.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,011.81
|
| 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 |
$35,262.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,120.57
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$26,120.57
|
| Rate for Payer: Innovage PACE Commercial |
$39,180.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,120.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,001.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,001.56
|
| Rate for Payer: Multiplan WC |
$42,011.81
|
| Rate for Payer: Preferred Health Network WC |
$42,869.19
|
| Rate for Payer: Prime Health Services Medicare |
$27,687.80
|
| Rate for Payer: Prime Health Services WC |
$40,533.91
|
| Rate for Payer: United Healthcare All Other Commercial |
$36,575.00
|
| Rate for Payer: United Healthcare All Other HMO |
$29,086.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,636.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,698.00
|
|
|
INPATIENT MS-DRG 260: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
IP
|
$87,252.75
|
|
|
Service Code
|
MS-DRG 260
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$87,252.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$87,252.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,479.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$73,061.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,708.68
|
| 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 |
$61,632.87
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$45,653.98
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$45,653.98
|
| Rate for Payer: Innovage PACE Commercial |
$68,480.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,653.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$61,176.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$61,176.33
|
| Rate for Payer: Multiplan WC |
$73,708.68
|
| Rate for Payer: Preferred Health Network WC |
$75,212.94
|
| Rate for Payer: Prime Health Services Medicare |
$48,393.22
|
| Rate for Payer: Prime Health Services WC |
$71,115.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$48,768.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,253.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,600.00
|
|
|
INPATIENT MS-DRG 261: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
IP
|
$49,527.09
|
|
|
Service Code
|
MS-DRG 261
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$49,527.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,527.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,485.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,903.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,256.83
|
| 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 |
$35,539.45
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,325.52
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$26,325.52
|
| Rate for Payer: Innovage PACE Commercial |
$39,488.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,325.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,276.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,276.20
|
| Rate for Payer: Multiplan WC |
$40,256.83
|
| Rate for Payer: Preferred Health Network WC |
$41,078.40
|
| Rate for Payer: Prime Health Services Medicare |
$27,905.05
|
| Rate for Payer: Prime Health Services WC |
$38,840.68
|
| Rate for Payer: United Healthcare All Other Commercial |
$48,768.00
|
| Rate for Payer: United Healthcare All Other HMO |
$40,571.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,600.00
|
|
|
INPATIENT MS-DRG 262: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
IP
|
$48,768.00
|
|
|
Service Code
|
MS-DRG 262
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$48,768.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,302.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,507.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,016.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,326.91
|
| 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 |
$31,234.26
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,136.49
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,978.00
|
| Rate for Payer: IEHP Medicare Advantage |
$23,136.49
|
| Rate for Payer: Innovage PACE Commercial |
$34,704.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,136.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,002.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,002.90
|
| Rate for Payer: Multiplan WC |
$35,326.91
|
| Rate for Payer: Preferred Health Network WC |
$36,047.87
|
| Rate for Payer: Prime Health Services Medicare |
$24,524.68
|
| Rate for Payer: Prime Health Services WC |
$34,084.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$48,768.00
|
| Rate for Payer: United Healthcare All Other HMO |
$40,571.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,600.00
|
|
|
INPATIENT MS-DRG 263: VEIN LIGATION AND STRIPPING
|
Facility
IP
|
$74,356.44
|
|
|
Service Code
|
MS-DRG 263
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$74,356.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$74,356.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,364.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$58,180.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$58,695.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,712.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$39,046.64
|
| Rate for Payer: IEHP Medicare Advantage |
$39,046.64
|
| Rate for Payer: Innovage PACE Commercial |
$58,569.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,046.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,322.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,322.50
|
| Rate for Payer: Multiplan WC |
$58,695.59
|
| Rate for Payer: Preferred Health Network WC |
$59,893.46
|
| Rate for Payer: Prime Health Services Medicare |
$41,389.44
|
| Rate for Payer: Prime Health Services WC |
$56,630.80
|
| 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 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
IP
|
$85,957.85
|
|
|
Service Code
|
MS-DRG 264
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$85,957.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,957.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,268.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$69,116.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$69,728.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$60,737.24
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$44,990.55
|
| Rate for Payer: IEHP Medicare Advantage |
$44,990.55
|
| Rate for Payer: Innovage PACE Commercial |
$67,485.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,990.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$60,287.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,287.34
|
| Rate for Payer: Multiplan WC |
$69,728.93
|
| Rate for Payer: Preferred Health Network WC |
$71,151.97
|
| Rate for Payer: Prime Health Services Medicare |
$47,689.98
|
| Rate for Payer: Prime Health Services WC |
$67,276.01
|
| 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 265: AICD LEAD PROCEDURES
|
Facility
IP
|
$93,013.98
|
|
|
Service Code
|
MS-DRG 265
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$93,013.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$93,013.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$57,499.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$70,628.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$71,254.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$65,617.68
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$48,605.69
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$9,547.00
|
| Rate for Payer: IEHP Medicare Advantage |
$48,605.69
|
| Rate for Payer: Innovage PACE Commercial |
$72,908.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,605.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,131.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,131.62
|
| Rate for Payer: Multiplan WC |
$71,254.26
|
| Rate for Payer: Preferred Health Network WC |
$72,708.43
|
| Rate for Payer: Prime Health Services Medicare |
$51,522.03
|
| Rate for Payer: Prime Health Services WC |
$68,747.67
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
IP
|
$205,698.00
|
|
|
Service Code
|
MS-DRG 266
|
| Min. Negotiated Rate |
$25,551.00 |
| Max. Negotiated Rate |
$205,698.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$164,391.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$112,218.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$137,842.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$139,063.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$114,986.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$85,175.24
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,551.00
|
| Rate for Payer: IEHP Medicare Advantage |
$85,175.24
|
| Rate for Payer: Innovage PACE Commercial |
$127,762.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$85,175.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$114,134.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$114,134.82
|
| Rate for Payer: Multiplan WC |
$139,063.89
|
| Rate for Payer: Preferred Health Network WC |
$141,901.93
|
| Rate for Payer: Prime Health Services Medicare |
$90,285.75
|
| Rate for Payer: Prime Health Services WC |
$134,171.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$205,698.00
|
| Rate for Payer: United Healthcare All Other HMO |
$194,804.00
|
| Rate for Payer: United Healthcare HMO Rider |
$147,969.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$135,306.00
|
|
|
INPATIENT MS-DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
IP
|
$154,449.00
|
|
|
Service Code
|
MS-DRG 267
|
| Min. Negotiated Rate |
$25,551.00 |
| Max. Negotiated Rate |
$154,449.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$128,441.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$87,735.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107,768.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$108,723.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,121.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$66,756.98
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,551.00
|
| Rate for Payer: IEHP Medicare Advantage |
$66,756.98
|
| Rate for Payer: Innovage PACE Commercial |
$100,135.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,756.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$89,454.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,454.35
|
| Rate for Payer: Multiplan WC |
$108,723.79
|
| Rate for Payer: Preferred Health Network WC |
$110,942.64
|
| Rate for Payer: Prime Health Services Medicare |
$70,762.40
|
| Rate for Payer: Prime Health Services WC |
$104,899.11
|
| Rate for Payer: United Healthcare All Other Commercial |
$154,449.00
|
| Rate for Payer: United Healthcare All Other HMO |
$146,267.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,104.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,596.00
|
|
|
INPATIENT MS-DRG 268: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
|
Facility
IP
|
$180,408.85
|
|
|
Service Code
|
MS-DRG 268
|
| Min. Negotiated Rate |
$25,661.00 |
| Max. Negotiated Rate |
$180,408.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$180,408.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$117,660.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$144,527.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$145,807.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$126,065.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$93,381.82
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,661.00
|
| Rate for Payer: IEHP Medicare Advantage |
$93,381.82
|
| Rate for Payer: Innovage PACE Commercial |
$140,072.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$93,381.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$125,131.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$125,131.64
|
| Rate for Payer: Multiplan WC |
$145,807.77
|
| Rate for Payer: Preferred Health Network WC |
$148,783.44
|
| Rate for Payer: Prime Health Services Medicare |
$98,984.73
|
| Rate for Payer: Prime Health Services WC |
$140,678.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$120,710.00
|
| Rate for Payer: United Healthcare All Other HMO |
$106,481.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,883.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,960.00
|
|
|
INPATIENT MS-DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
|
Facility
IP
|
$109,450.19
|
|
|
Service Code
|
MS-DRG 269
|
| Min. Negotiated Rate |
$25,661.00 |
| Max. Negotiated Rate |
$109,450.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$109,450.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$72,701.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$89,301.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$90,093.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$76,986.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$57,026.67
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,661.00
|
| Rate for Payer: IEHP Medicare Advantage |
$57,026.67
|
| Rate for Payer: Innovage PACE Commercial |
$85,540.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$57,026.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$76,415.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$76,415.74
|
| Rate for Payer: Multiplan WC |
$90,093.31
|
| Rate for Payer: Preferred Health Network WC |
$91,931.95
|
| Rate for Payer: Prime Health Services Medicare |
$60,448.27
|
| Rate for Payer: Prime Health Services WC |
$86,924.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$75,032.00
|
| Rate for Payer: United Healthcare All Other HMO |
$66,191.00
|
| Rate for Payer: United Healthcare HMO Rider |
$50,278.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45,974.00
|
|
|
INPATIENT MS-DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
|
Facility
IP
|
$133,092.55
|
|
|
Service Code
|
MS-DRG 270
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$133,092.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$133,092.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$86,919.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$106,766.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$107,712.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$93,338.54
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$69,139.66
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$69,139.66
|
| Rate for Payer: Innovage PACE Commercial |
$103,709.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69,139.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$92,647.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$92,647.14
|
| Rate for Payer: Multiplan WC |
$107,712.53
|
| Rate for Payer: Preferred Health Network WC |
$109,910.74
|
| Rate for Payer: Prime Health Services Medicare |
$73,288.04
|
| Rate for Payer: Prime Health Services WC |
$103,923.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$91,000.00
|
| Rate for Payer: United Healthcare All Other HMO |
$80,275.00
|
| Rate for Payer: United Healthcare HMO Rider |
$60,976.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$55,758.00
|
|
|
INPATIENT MS-DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
|
Facility
IP
|
$90,963.73
|
|
|
Service Code
|
MS-DRG 271
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$90,963.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,963.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,228.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,752.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,396.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,199.63
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$47,555.28
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$47,555.28
|
| Rate for Payer: Innovage PACE Commercial |
$71,332.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,555.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,724.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,724.08
|
| Rate for Payer: Multiplan WC |
$73,396.87
|
| Rate for Payer: Preferred Health Network WC |
$74,894.77
|
| Rate for Payer: Prime Health Services Medicare |
$50,408.60
|
| Rate for Payer: Prime Health Services WC |
$70,814.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$60,398.00
|
| Rate for Payer: United Healthcare All Other HMO |
$53,280.00
|
| Rate for Payer: United Healthcare HMO Rider |
$40,470.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$50,192.00
|
|
|
INPATIENT MS-DRG 272: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$64,205.20
|
|
|
Service Code
|
MS-DRG 272
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$64,205.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,205.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,141.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,220.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,701.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,691.78
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,845.76
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,651.00
|
| Rate for Payer: IEHP Medicare Advantage |
$33,845.76
|
| Rate for Payer: Innovage PACE Commercial |
$50,768.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,845.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,353.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,353.32
|
| Rate for Payer: Multiplan WC |
$54,701.09
|
| Rate for Payer: Preferred Health Network WC |
$55,817.44
|
| Rate for Payer: Prime Health Services Medicare |
$35,876.51
|
| Rate for Payer: Prime Health Services WC |
$52,776.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$43,259.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,161.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28,986.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26,505.00
|
|
