|
INPATIENT MS-DRG 325: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
IP
|
$69,595.33
|
|
|
Service Code
|
MS-DRG 325
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$69,595.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,595.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,419.91
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$36,607.34
|
| Rate for Payer: IEHP Medicare Advantage |
$36,607.34
|
| Rate for Payer: Innovage PACE Commercial |
$54,911.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,607.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,053.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,053.84
|
| Rate for Payer: Prime Health Services Medicare |
$38,803.78
|
| 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 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
IP
|
$133,674.20
|
|
|
Service Code
|
MS-DRG 326
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$133,674.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$133,674.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$87,024.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$106,895.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$107,843.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$93,740.84
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$69,437.66
|
| Rate for Payer: IEHP Medicare Advantage |
$69,437.66
|
| Rate for Payer: Innovage PACE Commercial |
$104,156.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69,437.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$93,046.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$93,046.46
|
| Rate for Payer: Multiplan WC |
$107,843.14
|
| Rate for Payer: Preferred Health Network WC |
$110,044.02
|
| Rate for Payer: Prime Health Services Medicare |
$73,603.92
|
| Rate for Payer: Prime Health Services WC |
$104,049.44
|
| 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 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
IP
|
$65,729.07
|
|
|
Service Code
|
MS-DRG 327
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$65,729.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,729.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,544.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,487.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,961.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,745.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,626.49
|
| Rate for Payer: IEHP Medicare Advantage |
$34,626.49
|
| Rate for Payer: Innovage PACE Commercial |
$51,939.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,626.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,399.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,399.50
|
| Rate for Payer: Multiplan WC |
$53,961.60
|
| Rate for Payer: Preferred Health Network WC |
$55,062.86
|
| Rate for Payer: Prime Health Services Medicare |
$36,704.08
|
| Rate for Payer: Prime Health Services WC |
$52,063.34
|
| 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 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$42,039.34
|
|
|
Service Code
|
MS-DRG 328
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$42,039.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,039.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,182.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,617.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,924.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,360.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,489.23
|
| Rate for Payer: IEHP Medicare Advantage |
$22,489.23
|
| Rate for Payer: Innovage PACE Commercial |
$33,733.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,489.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,135.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,135.57
|
| Rate for Payer: Multiplan WC |
$34,924.50
|
| Rate for Payer: Preferred Health Network WC |
$35,637.25
|
| Rate for Payer: Prime Health Services Medicare |
$23,838.58
|
| Rate for Payer: Prime Health Services WC |
$33,695.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
IP
|
$118,877.66
|
|
|
Service Code
|
MS-DRG 329
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$118,877.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$118,877.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$78,600.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$96,548.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$97,403.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$83,506.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$61,856.77
|
| Rate for Payer: IEHP Medicare Advantage |
$61,856.77
|
| Rate for Payer: Innovage PACE Commercial |
$92,785.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,856.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$82,888.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,888.07
|
| Rate for Payer: Multiplan WC |
$97,403.92
|
| Rate for Payer: Preferred Health Network WC |
$99,391.76
|
| Rate for Payer: Prime Health Services Medicare |
$65,568.18
|
| Rate for Payer: Prime Health Services WC |
$93,977.45
|
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
IP
|
$62,431.30
|
|
|
Service Code
|
MS-DRG 330
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$62,431.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,431.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,744.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,276.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,730.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,464.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,936.90
|
| Rate for Payer: IEHP Medicare Advantage |
$32,936.90
|
| Rate for Payer: Innovage PACE Commercial |
$49,405.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,936.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,135.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,135.45
|
| Rate for Payer: Multiplan WC |
$51,730.50
|
| Rate for Payer: Preferred Health Network WC |
$52,786.22
|
| Rate for Payer: Prime Health Services Medicare |
$34,913.11
|
| Rate for Payer: Prime Health Services WC |
$49,910.72
|
| 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 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$44,005.37
|
|
|
Service Code
|
MS-DRG 331
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,005.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,005.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,051.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,684.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,001.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,720.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,496.51
|
| Rate for Payer: IEHP Medicare Advantage |
$23,496.51
|
| Rate for Payer: Innovage PACE Commercial |
$35,244.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,496.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,485.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,485.32
|
| Rate for Payer: Multiplan WC |
$36,001.08
|
| Rate for Payer: Preferred Health Network WC |
$36,735.80
|
| Rate for Payer: Prime Health Services Medicare |
$24,906.30
|
| Rate for Payer: Prime Health Services WC |
$34,734.64
|
| 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 332: RECTAL RESECTION WITH MCC
|
Facility
IP
|
$95,474.80
|
|
|
Service Code
|
MS-DRG 332
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$95,474.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$95,474.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,029.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$84,791.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$85,542.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$67,805.80
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$50,226.52
|
| Rate for Payer: IEHP Medicare Advantage |
$50,226.52
|
| Rate for Payer: Innovage PACE Commercial |
$75,339.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,226.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$67,303.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$67,303.54
|
| Rate for Payer: Multiplan WC |
$85,542.61
|
| Rate for Payer: Preferred Health Network WC |
$87,288.38
|
| Rate for Payer: Prime Health Services Medicare |
$53,240.11
|
| Rate for Payer: Prime Health Services WC |
$82,533.39
|
| 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 333: RECTAL RESECTION WITH CC
|
Facility
IP
|
$54,730.36
|
|
|
Service Code
|
MS-DRG 333
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$54,730.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,730.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,964.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,633.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,047.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,138.36
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,991.38
|
| Rate for Payer: IEHP Medicare Advantage |
$28,991.38
|
| Rate for Payer: Innovage PACE Commercial |
$43,487.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,991.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,848.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,848.45
|
| Rate for Payer: Multiplan WC |
$47,047.07
|
| Rate for Payer: Preferred Health Network WC |
$48,007.21
|
| Rate for Payer: Prime Health Services Medicare |
$30,730.86
|
| Rate for Payer: Prime Health Services WC |
$45,392.04
|
| 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 334: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
IP
|
$42,244.63
|
|
|
Service Code
|
MS-DRG 334
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$42,244.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,244.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,148.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,803.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,121.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,502.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,594.40
|
| Rate for Payer: IEHP Medicare Advantage |
$22,594.40
|
| Rate for Payer: Innovage PACE Commercial |
$33,891.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,594.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,276.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,276.50
|
| Rate for Payer: Multiplan WC |
$36,121.17
|
| Rate for Payer: Preferred Health Network WC |
$36,858.34
|
| Rate for Payer: Prime Health Services Medicare |
$23,950.06
|
| Rate for Payer: Prime Health Services WC |
$34,850.51
|
| 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 335: PERITONEAL ADHESIOLYSIS WITH MCC
|
Facility
IP
|
$94,090.42
|
|
|
Service Code
|
MS-DRG 335
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$94,090.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$94,090.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$62,628.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$76,928.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$77,610.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,362.22
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$49,157.20
|
| Rate for Payer: IEHP Medicare Advantage |
$49,157.20
|
| Rate for Payer: Innovage PACE Commercial |
$73,735.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,157.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,870.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,870.65
|
| Rate for Payer: Multiplan WC |
$77,610.49
|
| Rate for Payer: Preferred Health Network WC |
$79,194.38
|
| Rate for Payer: Prime Health Services Medicare |
$52,106.63
|
| Rate for Payer: Prime Health Services WC |
$74,880.31
|
| 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 336: PERITONEAL ADHESIOLYSIS WITH CC
|
Facility
IP
|
$55,409.39
|
|
|
Service Code
|
MS-DRG 336
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$55,409.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,409.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,161.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,418.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,811.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,608.03
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,339.28
|
| Rate for Payer: IEHP Medicare Advantage |
$29,339.28
|
| Rate for Payer: Innovage PACE Commercial |
$44,008.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,339.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,314.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,314.64
|
| Rate for Payer: Multiplan WC |
$44,811.74
|
| Rate for Payer: Preferred Health Network WC |
$45,726.27
|
| Rate for Payer: Prime Health Services Medicare |
$31,099.64
|
| Rate for Payer: Prime Health Services WC |
$43,235.36
|
| 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 337: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
|
Facility
IP
|
$39,383.75
|
|
|
Service Code
|
MS-DRG 337
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$39,383.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,383.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,785.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,901.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,192.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,523.68
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,128.65
|
| Rate for Payer: IEHP Medicare Advantage |
$21,128.65
|
| Rate for Payer: Innovage PACE Commercial |
$31,692.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,128.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,312.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,312.39
|
| Rate for Payer: Multiplan WC |
$33,192.72
|
| Rate for Payer: Preferred Health Network WC |
$33,870.12
|
| Rate for Payer: Prime Health Services Medicare |
$22,396.37
|
| Rate for Payer: Prime Health Services WC |
$32,025.06
|
| 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 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
|
Facility
IP
|
$72,124.59
|
|
|
Service Code
|
MS-DRG 344
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$72,124.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$72,124.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,755.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,974.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$55,461.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,169.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,903.18
|
| Rate for Payer: IEHP Medicare Advantage |
$37,903.18
|
| Rate for Payer: Innovage PACE Commercial |
$56,854.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,903.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,790.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,790.26
|
| Rate for Payer: Multiplan WC |
$55,461.65
|
| Rate for Payer: Preferred Health Network WC |
$56,593.52
|
| Rate for Payer: Prime Health Services Medicare |
$40,177.37
|
| Rate for Payer: Prime Health Services WC |
$53,510.62
|
| 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 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
|
Facility
IP
|
$40,547.05
|
|
|
Service Code
|
MS-DRG 345
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$40,547.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,547.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,377.05
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,399.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,687.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,328.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,724.66
|
| Rate for Payer: IEHP Medicare Advantage |
$21,724.66
|
| Rate for Payer: Innovage PACE Commercial |
$32,586.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,724.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,111.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,111.04
|
| Rate for Payer: Multiplan WC |
$32,687.09
|
| Rate for Payer: Preferred Health Network WC |
$33,354.17
|
| Rate for Payer: Prime Health Services Medicare |
$23,028.14
|
| Rate for Payer: Prime Health Services WC |
$31,537.21
|
| 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 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$33,893.61
|
|
|
Service Code
|
MS-DRG 346
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,893.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,893.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,263.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,118.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,349.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,726.37
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,315.83
|
| Rate for Payer: IEHP Medicare Advantage |
$18,315.83
|
| Rate for Payer: Innovage PACE Commercial |
$27,473.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,315.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,543.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,543.21
|
| Rate for Payer: Multiplan WC |
$26,349.81
|
| Rate for Payer: Preferred Health Network WC |
$26,887.56
|
| Rate for Payer: Prime Health Services Medicare |
$19,414.78
|
| Rate for Payer: Prime Health Services WC |
$25,422.88
|
| 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 347: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
IP
|
$67,089.76
|
|
|
Service Code
|
MS-DRG 347
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$67,089.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$67,089.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,151.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,005.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,474.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,686.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,323.62
|
| Rate for Payer: IEHP Medicare Advantage |
$35,323.62
|
| Rate for Payer: Innovage PACE Commercial |
$52,985.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,323.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,333.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,333.65
|
| Rate for Payer: Multiplan WC |
$53,474.92
|
| Rate for Payer: Preferred Health Network WC |
$54,566.25
|
| Rate for Payer: Prime Health Services Medicare |
$37,443.04
|
| Rate for Payer: Prime Health Services WC |
$51,593.79
|
| 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 348: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
IP
|
$34,251.55
|
|
|
Service Code
|
MS-DRG 348
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$34,251.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,251.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,478.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,839.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,094.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,973.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,499.23
|
| Rate for Payer: IEHP Medicare Advantage |
$18,499.23
|
| Rate for Payer: Innovage PACE Commercial |
$27,748.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,499.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,788.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,788.97
|
| Rate for Payer: Multiplan WC |
$29,094.98
|
| Rate for Payer: Preferred Health Network WC |
$29,688.75
|
| Rate for Payer: Prime Health Services Medicare |
$19,609.18
|
| Rate for Payer: Prime Health Services WC |
$28,071.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 349: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$25,682.08
|
|
|
Service Code
|
MS-DRG 349
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$25,682.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,682.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,953.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,824.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,009.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,046.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,108.72
|
| Rate for Payer: IEHP Medicare Advantage |
$14,108.72
|
| Rate for Payer: Innovage PACE Commercial |
$21,163.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,108.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,905.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,905.68
|
| Rate for Payer: Multiplan WC |
$21,009.06
|
| Rate for Payer: Preferred Health Network WC |
$21,437.82
|
| Rate for Payer: Prime Health Services Medicare |
$14,955.24
|
| Rate for Payer: Prime Health Services WC |
$20,270.00
|
| 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 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
|
Facility
IP
|
$63,165.60
|
|
|
Service Code
|
MS-DRG 350
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$63,165.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,165.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,071.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,221.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,657.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,972.70
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,313.11
|
| Rate for Payer: IEHP Medicare Advantage |
$33,313.11
|
| Rate for Payer: Innovage PACE Commercial |
$49,969.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,313.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,639.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,639.57
|
| Rate for Payer: Multiplan WC |
$49,657.39
|
| Rate for Payer: Preferred Health Network WC |
$50,670.81
|
| Rate for Payer: Prime Health Services Medicare |
$35,311.90
|
| Rate for Payer: Prime Health Services WC |
$47,910.55
|
| 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 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
|
Facility
IP
|
$38,309.94
|
|
|
Service Code
|
MS-DRG 351
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,309.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,309.94
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,994.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,702.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,974.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,780.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,578.51
|
| Rate for Payer: IEHP Medicare Advantage |
$20,578.51
|
| Rate for Payer: Innovage PACE Commercial |
$30,867.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,578.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,575.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,575.20
|
| Rate for Payer: Multiplan WC |
$30,974.25
|
| Rate for Payer: Preferred Health Network WC |
$31,606.38
|
| Rate for Payer: Prime Health Services Medicare |
$21,813.22
|
| Rate for Payer: Prime Health Services WC |
$29,884.64
|
| 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 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$29,187.77
|
|
|
Service Code
|
MS-DRG 352
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$29,187.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,187.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,736.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,015.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,219.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,471.52
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,904.83
|
| Rate for Payer: IEHP Medicare Advantage |
$15,904.83
|
| Rate for Payer: Innovage PACE Commercial |
$23,857.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,904.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,312.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,312.47
|
| Rate for Payer: Multiplan WC |
$23,219.10
|
| Rate for Payer: Preferred Health Network WC |
$23,692.96
|
| Rate for Payer: Prime Health Services Medicare |
$16,859.12
|
| Rate for Payer: Prime Health Services WC |
$22,402.30
|
| 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 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
IP
|
$76,964.65
|
|
|
Service Code
|
MS-DRG 353
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$76,964.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,964.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,755.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,888.27
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,418.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,517.01
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$40,382.97
|
| Rate for Payer: IEHP Medicare Advantage |
$40,382.97
|
| Rate for Payer: Innovage PACE Commercial |
$60,574.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,382.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,113.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,113.18
|
| Rate for Payer: Multiplan WC |
$60,418.96
|
| Rate for Payer: Preferred Health Network WC |
$61,652.00
|
| Rate for Payer: Prime Health Services Medicare |
$42,805.95
|
| Rate for Payer: Prime Health Services WC |
$58,293.55
|
| 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 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
IP
|
$45,210.78
|
|
|
Service Code
|
MS-DRG 354
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,210.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,210.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,785.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,587.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,911.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,554.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,114.10
|
| Rate for Payer: IEHP Medicare Advantage |
$24,114.10
|
| Rate for Payer: Innovage PACE Commercial |
$36,171.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,114.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,312.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,312.89
|
| Rate for Payer: Multiplan WC |
$36,911.23
|
| Rate for Payer: Preferred Health Network WC |
$37,664.52
|
| Rate for Payer: Prime Health Services Medicare |
$25,560.95
|
| Rate for Payer: Prime Health Services WC |
$35,612.76
|
| 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 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
IP
|
$35,862.27
|
|
|
Service Code
|
MS-DRG 355
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$35,862.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,862.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,330.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,657.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,911.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,088.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,324.46
|
| Rate for Payer: IEHP Medicare Advantage |
$19,324.46
|
| Rate for Payer: Innovage PACE Commercial |
$28,986.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,324.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,894.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,894.78
|
| Rate for Payer: Multiplan WC |
$28,911.69
|
| Rate for Payer: Preferred Health Network WC |
$29,501.72
|
| Rate for Payer: Prime Health Services Medicare |
$20,483.93
|
| Rate for Payer: Prime Health Services WC |
$27,894.63
|
| 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
|
|
