|
INPATIENT MS-DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
IP
|
$44,994.96
|
|
|
Service Code
|
MS-DRG 421
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,994.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,994.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,799.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,831.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,166.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,404.75
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,003.52
|
| Rate for Payer: IEHP Medicare Advantage |
$24,003.52
|
| Rate for Payer: Innovage PACE Commercial |
$36,005.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,003.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,164.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,164.72
|
| Rate for Payer: Multiplan WC |
$38,166.88
|
| Rate for Payer: Preferred Health Network WC |
$38,945.80
|
| Rate for Payer: Prime Health Services Medicare |
$25,443.73
|
| Rate for Payer: Prime Health Services WC |
$36,824.25
|
| 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 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$37,136.11
|
|
|
Service Code
|
MS-DRG 422
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$37,136.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,136.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,556.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,935.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,191.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,969.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,977.09
|
| Rate for Payer: IEHP Medicare Advantage |
$19,977.09
|
| Rate for Payer: Innovage PACE Commercial |
$29,965.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,977.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,769.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,769.30
|
| Rate for Payer: Multiplan WC |
$29,191.90
|
| Rate for Payer: Preferred Health Network WC |
$29,787.65
|
| Rate for Payer: Prime Health Services Medicare |
$21,175.72
|
| Rate for Payer: Prime Health Services WC |
$28,164.98
|
| 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 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$102,930.98
|
|
|
Service Code
|
MS-DRG 423
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$102,930.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$102,930.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66,846.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$82,109.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$82,837.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$72,476.91
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$53,686.60
|
| Rate for Payer: IEHP Medicare Advantage |
$53,686.60
|
| Rate for Payer: Innovage PACE Commercial |
$80,529.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,686.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,940.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,940.04
|
| Rate for Payer: Multiplan WC |
$82,837.47
|
| Rate for Payer: Preferred Health Network WC |
$84,528.03
|
| Rate for Payer: Prime Health Services Medicare |
$56,907.80
|
| Rate for Payer: Prime Health Services WC |
$79,923.42
|
| 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 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
IP
|
$54,935.65
|
|
|
Service Code
|
MS-DRG 424
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$54,935.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,935.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,268.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,463.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,901.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,088.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,695.27
|
| Rate for Payer: IEHP Medicare Advantage |
$29,695.27
|
| Rate for Payer: Innovage PACE Commercial |
$44,542.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,695.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,791.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,791.66
|
| Rate for Payer: Multiplan WC |
$49,901.79
|
| Rate for Payer: Preferred Health Network WC |
$50,920.19
|
| Rate for Payer: Prime Health Services Medicare |
$31,476.99
|
| Rate for Payer: Prime Health Services WC |
$48,146.35
|
| 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 425: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$42,160.41
|
|
|
Service Code
|
MS-DRG 425
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$42,160.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,160.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,321.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,875.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,139.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,444.19
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,551.25
|
| Rate for Payer: IEHP Medicare Advantage |
$22,551.25
|
| Rate for Payer: Innovage PACE Commercial |
$33,826.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,551.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,218.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,218.68
|
| Rate for Payer: Multiplan WC |
$30,139.96
|
| Rate for Payer: Preferred Health Network WC |
$30,755.06
|
| Rate for Payer: Prime Health Services Medicare |
$23,904.32
|
| Rate for Payer: Prime Health Services WC |
$29,079.69
|
| 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 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
|
Facility
IP
|
$50,427.20
|
|
|
Service Code
|
MS-DRG 432
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$50,427.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,427.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,101.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,431.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,780.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,162.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,786.68
|
| Rate for Payer: IEHP Medicare Advantage |
$26,786.68
|
| Rate for Payer: Innovage PACE Commercial |
$40,180.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,786.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,894.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,894.15
|
| Rate for Payer: Multiplan WC |
$39,780.70
|
| Rate for Payer: Preferred Health Network WC |
$40,592.55
|
| Rate for Payer: Prime Health Services Medicare |
$28,393.88
|
| Rate for Payer: Prime Health Services WC |
$38,381.29
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
|
Facility
IP
|
$27,134.89
|
|
|
Service Code
|
MS-DRG 433
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$27,134.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,134.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,677.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,714.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,906.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,051.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,853.05
|
| Rate for Payer: IEHP Medicare Advantage |
$14,853.05
|
| Rate for Payer: Innovage PACE Commercial |
$22,279.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,853.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,903.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,903.09
|
| Rate for Payer: Multiplan WC |
$21,906.56
|
| Rate for Payer: Preferred Health Network WC |
$22,353.63
|
| Rate for Payer: Prime Health Services Medicare |
$15,744.23
|
| Rate for Payer: Prime Health Services WC |
$21,135.93
|
| 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 434: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
IP
|
$17,620.57
|
|
|
Service Code
|
MS-DRG 434
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$17,620.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,620.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,671.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,108.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$13,224.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,470.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,978.46
|
| Rate for Payer: IEHP Medicare Advantage |
$9,978.46
|
| Rate for Payer: Innovage PACE Commercial |
$14,967.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,978.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,371.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,371.14
|
| Rate for Payer: Multiplan WC |
$13,224.41
|
| Rate for Payer: Preferred Health Network WC |
$13,494.30
|
| Rate for Payer: Prime Health Services Medicare |
$10,577.17
|
| Rate for Payer: Prime Health Services WC |
$12,759.21
|
| 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
|
Facility
IP
|
$46,318.81
|
|
|
Service Code
|
MS-DRG 435
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$46,318.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,318.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,721.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,507.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,831.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,320.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,681.78
|
| Rate for Payer: IEHP Medicare Advantage |
$24,681.78
|
| Rate for Payer: Innovage PACE Commercial |
$37,022.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,681.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,073.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,073.59
|
| Rate for Payer: Multiplan WC |
$36,831.16
|
| Rate for Payer: Preferred Health Network WC |
$37,582.82
|
| Rate for Payer: Prime Health Services Medicare |
$26,162.69
|
| Rate for Payer: Prime Health Services WC |
$35,535.52
|
| 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 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
|
Facility
IP
|
$28,969.32
|
|
|
Service Code
|
MS-DRG 436
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,969.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,969.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,707.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,979.65
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,183.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,320.43
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,792.91
|
| Rate for Payer: IEHP Medicare Advantage |
$15,792.91
|
| Rate for Payer: Innovage PACE Commercial |
$23,689.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,792.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,162.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,162.50
|
| Rate for Payer: Multiplan WC |
$23,183.28
|
| Rate for Payer: Preferred Health Network WC |
$23,656.41
|
| Rate for Payer: Prime Health Services Medicare |
$16,740.48
|
| Rate for Payer: Prime Health Services WC |
$22,367.74
|
| 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 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
|
Facility
IP
|
$21,873.72
|
|
|
Service Code
|
MS-DRG 437
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,873.72 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,873.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,381.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,664.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,821.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,412.67
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,157.53
|
| Rate for Payer: IEHP Medicare Advantage |
$12,157.53
|
| Rate for Payer: Innovage PACE Commercial |
$18,236.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,157.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,291.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,291.09
|
| Rate for Payer: Multiplan WC |
$17,821.47
|
| Rate for Payer: Preferred Health Network WC |
$18,185.17
|
| Rate for Payer: Prime Health Services Medicare |
$12,886.98
|
| Rate for Payer: Prime Health Services WC |
$17,194.54
|
| 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 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
IP
|
$43,921.15
|
|
|
Service Code
|
MS-DRG 438
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$43,921.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,921.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,177.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,611.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,918.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,662.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,453.35
|
| Rate for Payer: IEHP Medicare Advantage |
$23,453.35
|
| Rate for Payer: Innovage PACE Commercial |
$35,180.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,453.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,427.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,427.49
|
| Rate for Payer: Multiplan WC |
$34,918.19
|
| Rate for Payer: Preferred Health Network WC |
$35,630.81
|
| Rate for Payer: Prime Health Services Medicare |
$24,860.55
|
| Rate for Payer: Prime Health Services WC |
$33,689.84
|
| 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 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
IP
|
$22,508.01
|
|
|
Service Code
|
MS-DRG 439
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$22,508.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,508.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,787.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,164.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,324.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,851.38
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,482.50
|
| Rate for Payer: IEHP Medicare Advantage |
$12,482.50
|
| Rate for Payer: Innovage PACE Commercial |
$18,723.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,482.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,726.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,726.55
|
| Rate for Payer: Multiplan WC |
$18,324.99
|
| Rate for Payer: Preferred Health Network WC |
$18,698.97
|
| Rate for Payer: Prime Health Services Medicare |
$13,231.45
|
| Rate for Payer: Prime Health Services WC |
$17,680.35
|
| 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 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$16,201.98
|
|
|
Service Code
|
MS-DRG 440
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$16,201.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,201.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,309.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,663.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,775.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,489.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,251.65
|
| Rate for Payer: IEHP Medicare Advantage |
$9,251.65
|
| Rate for Payer: Innovage PACE Commercial |
$13,877.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,251.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,397.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,397.21
|
| Rate for Payer: Multiplan WC |
$12,775.66
|
| Rate for Payer: Preferred Health Network WC |
$13,036.39
|
| Rate for Payer: Prime Health Services Medicare |
$9,806.75
|
| Rate for Payer: Prime Health Services WC |
$12,326.25
|
| 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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
IP
|
$48,116.40
|
|
|
Service Code
|
MS-DRG 441
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$48,116.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,116.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,213.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,569.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,919.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,563.74
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,602.77
|
| Rate for Payer: IEHP Medicare Advantage |
$25,602.77
|
| Rate for Payer: Innovage PACE Commercial |
$38,404.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,602.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,307.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,307.71
|
| Rate for Payer: Multiplan WC |
$39,919.74
|
| Rate for Payer: Preferred Health Network WC |
$40,734.43
|
| Rate for Payer: Prime Health Services Medicare |
$27,138.94
|
| Rate for Payer: Prime Health Services WC |
$38,515.45
|
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
IP
|
$25,042.53
|
|
|
Service Code
|
MS-DRG 442
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$25,042.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,042.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,082.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,755.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,930.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,604.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,781.05
|
| Rate for Payer: IEHP Medicare Advantage |
$13,781.05
|
| Rate for Payer: Innovage PACE Commercial |
$20,671.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,781.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,466.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,466.61
|
| Rate for Payer: Multiplan WC |
$19,930.38
|
| Rate for Payer: Preferred Health Network WC |
$20,337.12
|
| Rate for Payer: Prime Health Services Medicare |
$14,607.91
|
| Rate for Payer: Prime Health Services WC |
$19,229.27
|
| 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 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
IP
|
$18,810.19
|
|
|
Service Code
|
MS-DRG 443
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$18,810.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,810.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,082.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,613.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$13,734.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,293.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,587.97
|
| Rate for Payer: IEHP Medicare Advantage |
$10,587.97
|
| Rate for Payer: Innovage PACE Commercial |
$15,881.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,587.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,187.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,187.88
|
| Rate for Payer: Multiplan WC |
$13,734.26
|
| Rate for Payer: Preferred Health Network WC |
$14,014.55
|
| Rate for Payer: Prime Health Services Medicare |
$11,223.25
|
| Rate for Payer: Prime Health Services WC |
$13,251.12
|
| 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 444: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
IP
|
$42,984.19
|
|
|
Service Code
|
MS-DRG 444
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$42,984.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,984.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,301.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,763.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,071.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,013.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,973.31
|
| Rate for Payer: IEHP Medicare Advantage |
$22,973.31
|
| Rate for Payer: Innovage PACE Commercial |
$34,459.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,973.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,784.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,784.24
|
| Rate for Payer: Multiplan WC |
$35,071.99
|
| Rate for Payer: Preferred Health Network WC |
$35,787.74
|
| Rate for Payer: Prime Health Services Medicare |
$24,351.71
|
| Rate for Payer: Prime Health Services WC |
$33,838.23
|
| 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 445: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
IP
|
$28,603.49
|
|
|
Service Code
|
MS-DRG 445
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,603.49 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,603.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,694.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,962.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,166.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,067.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,605.48
|
| Rate for Payer: IEHP Medicare Advantage |
$15,605.48
|
| Rate for Payer: Innovage PACE Commercial |
$23,408.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,605.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,911.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,911.34
|
| Rate for Payer: Multiplan WC |
$23,166.43
|
| Rate for Payer: Preferred Health Network WC |
$23,639.21
|
| Rate for Payer: Prime Health Services Medicare |
$16,541.81
|
| Rate for Payer: Prime Health Services WC |
$22,351.48
|
| 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 446: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
IP
|
$21,094.68
|
|
|
Service Code
|
MS-DRG 446
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,094.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,094.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,799.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,950.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,100.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,873.84
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,758.40
|
| Rate for Payer: IEHP Medicare Advantage |
$11,758.40
|
| Rate for Payer: Innovage PACE Commercial |
$17,637.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,758.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,756.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,756.26
|
| Rate for Payer: Multiplan WC |
$17,100.94
|
| Rate for Payer: Preferred Health Network WC |
$17,449.94
|
| Rate for Payer: Prime Health Services Medicare |
$12,463.90
|
| Rate for Payer: Prime Health Services WC |
$16,499.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,972.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,986.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,486.00
|
|
|
INPATIENT MS-DRG 453: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC
|
Facility
IP
|
$233,223.19
|
|
|
Service Code
|
MS-DRG 453
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$233,223.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$233,223.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$155,640.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$191,179.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$192,873.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$162,595.15
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$120,440.85
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29,434.00
|
| Rate for Payer: IEHP Medicare Advantage |
$120,440.85
|
| Rate for Payer: Innovage PACE Commercial |
$180,661.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$120,440.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$161,390.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$161,390.74
|
| Rate for Payer: Multiplan WC |
$192,873.80
|
| Rate for Payer: Preferred Health Network WC |
$196,810.00
|
| Rate for Payer: Prime Health Services Medicare |
$127,667.30
|
| Rate for Payer: Prime Health Services WC |
$186,088.89
|
| Rate for Payer: United Healthcare All Other Commercial |
$145,048.00
|
| Rate for Payer: United Healthcare All Other HMO |
$121,204.00
|
| Rate for Payer: United Healthcare HMO Rider |
$92,062.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$84,184.00
|
|
|
INPATIENT MS-DRG 454: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC
|
Facility
IP
|
$160,974.90
|
|
|
Service Code
|
MS-DRG 454
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$160,974.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$160,974.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103,551.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$127,196.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$128,323.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$112,623.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$83,424.97
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29,434.00
|
| Rate for Payer: IEHP Medicare Advantage |
$83,424.97
|
| Rate for Payer: Innovage PACE Commercial |
$125,137.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,424.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$111,789.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,789.46
|
| Rate for Payer: Multiplan WC |
$128,323.40
|
| Rate for Payer: Preferred Health Network WC |
$130,942.24
|
| Rate for Payer: Prime Health Services Medicare |
$88,430.47
|
| Rate for Payer: Prime Health Services WC |
$123,809.24
|
| Rate for Payer: United Healthcare All Other Commercial |
$122,371.00
|
| Rate for Payer: United Healthcare All Other HMO |
$94,605.00
|
| Rate for Payer: United Healthcare HMO Rider |
$71,860.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$65,709.00
|
|
|
INPATIENT MS-DRG 455: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC
|
Facility
IP
|
$121,214.79
|
|
|
Service Code
|
MS-DRG 455
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$121,214.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$121,214.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$81,400.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$99,987.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$100,873.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$85,123.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$63,054.17
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29,434.00
|
| Rate for Payer: IEHP Medicare Advantage |
$63,054.17
|
| Rate for Payer: Innovage PACE Commercial |
$94,581.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,054.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$84,492.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,492.59
|
| Rate for Payer: Multiplan WC |
$100,873.83
|
| Rate for Payer: Preferred Health Network WC |
$102,932.48
|
| Rate for Payer: Prime Health Services Medicare |
$66,837.42
|
| Rate for Payer: Prime Health Services WC |
$97,325.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$106,035.00
|
| Rate for Payer: United Healthcare All Other HMO |
$79,476.00
|
| Rate for Payer: United Healthcare HMO Rider |
$60,371.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$55,204.00
|
|
|
INPATIENT MS-DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
IP
|
$221,853.38
|
|
|
Service Code
|
MS-DRG 456
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$221,853.38 |
| Rate for Payer: Aetna of CA HMO/PPO |
$221,853.38
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$143,644.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$176,444.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$178,008.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$154,731.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$114,615.61
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29,434.00
|
| Rate for Payer: IEHP Medicare Advantage |
$114,615.61
|
| Rate for Payer: Innovage PACE Commercial |
$171,923.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$114,615.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$153,584.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$153,584.92
|
| Rate for Payer: Multiplan WC |
$178,008.18
|
| Rate for Payer: Preferred Health Network WC |
$181,641.00
|
| Rate for Payer: Prime Health Services Medicare |
$121,492.55
|
| Rate for Payer: Prime Health Services WC |
$171,746.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$106,453.00
|
| Rate for Payer: United Healthcare All Other HMO |
$94,833.00
|
| Rate for Payer: United Healthcare HMO Rider |
$72,034.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$65,869.00
|
|
|
INPATIENT MS-DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
IP
|
$159,895.82
|
|
|
Service Code
|
MS-DRG 457
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$159,895.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$159,895.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$102,631.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$126,066.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$127,183.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$111,877.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$82,872.11
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29,434.00
|
| Rate for Payer: IEHP Medicare Advantage |
$82,872.11
|
| Rate for Payer: Innovage PACE Commercial |
$124,308.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$82,872.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$111,048.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,048.63
|
| Rate for Payer: Multiplan WC |
$127,183.62
|
| Rate for Payer: Preferred Health Network WC |
$129,779.20
|
| Rate for Payer: Prime Health Services Medicare |
$87,844.44
|
| Rate for Payer: Prime Health Services WC |
$122,709.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$85,975.00
|
| Rate for Payer: United Healthcare All Other HMO |
$78,109.00
|
| Rate for Payer: United Healthcare HMO Rider |
$59,327.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$54,251.00
|
|
