|
INPATIENT MS-DRG 483: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
|
Facility
IP
|
$65,381.66
|
|
|
Service Code
|
MS-DRG 483
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$65,381.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,381.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,081.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,233.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,670.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,505.48
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,448.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,506.00
|
| Rate for Payer: IEHP Medicare Advantage |
$34,448.50
|
| Rate for Payer: Innovage PACE Commercial |
$51,672.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,448.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,160.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,160.99
|
| Rate for Payer: Multiplan WC |
$49,670.04
|
| Rate for Payer: Preferred Health Network WC |
$50,683.71
|
| Rate for Payer: Prime Health Services Medicare |
$36,515.41
|
| Rate for Payer: Prime Health Services WC |
$47,922.74
|
| 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 485: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
IP
|
$86,694.79
|
|
|
Service Code
|
MS-DRG 485
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$86,694.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$86,694.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$55,270.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$67,890.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$68,492.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,246.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$45,368.13
|
| Rate for Payer: IEHP Medicare Advantage |
$45,368.13
|
| Rate for Payer: Innovage PACE Commercial |
$68,052.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,368.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$60,793.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,793.29
|
| Rate for Payer: Multiplan WC |
$68,492.24
|
| Rate for Payer: Preferred Health Network WC |
$69,890.04
|
| Rate for Payer: Prime Health Services Medicare |
$48,090.22
|
| Rate for Payer: Prime Health Services WC |
$66,082.82
|
| 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 486: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
IP
|
$52,856.45
|
|
|
Service Code
|
MS-DRG 486
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$52,856.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,856.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,464.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,561.94
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,947.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,842.27
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,031.31
|
| Rate for Payer: IEHP Medicare Advantage |
$28,031.31
|
| Rate for Payer: Innovage PACE Commercial |
$42,046.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,031.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,561.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,561.96
|
| Rate for Payer: Multiplan WC |
$43,947.95
|
| Rate for Payer: Preferred Health Network WC |
$44,844.85
|
| Rate for Payer: Prime Health Services Medicare |
$29,713.19
|
| Rate for Payer: Prime Health Services WC |
$42,401.96
|
| 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 487: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
IP
|
$40,660.22
|
|
|
Service Code
|
MS-DRG 487
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$40,660.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,660.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,269.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,496.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,793.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,406.58
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,782.65
|
| Rate for Payer: IEHP Medicare Advantage |
$21,782.65
|
| Rate for Payer: Innovage PACE Commercial |
$32,673.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,782.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,188.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,188.75
|
| Rate for Payer: Multiplan WC |
$33,793.15
|
| Rate for Payer: Preferred Health Network WC |
$34,482.81
|
| Rate for Payer: Prime Health Services Medicare |
$23,089.61
|
| Rate for Payer: Prime Health Services WC |
$32,604.38
|
| 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 488: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
IP
|
$55,443.61
|
|
|
Service Code
|
MS-DRG 488
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$55,443.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,443.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,578.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,387.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,807.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,631.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,356.82
|
| Rate for Payer: IEHP Medicare Advantage |
$29,356.82
|
| Rate for Payer: Innovage PACE Commercial |
$44,035.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,356.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,338.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,338.14
|
| Rate for Payer: Multiplan WC |
$47,807.62
|
| Rate for Payer: Preferred Health Network WC |
$48,783.29
|
| Rate for Payer: Prime Health Services Medicare |
$31,118.23
|
| Rate for Payer: Prime Health Services WC |
$46,125.85
|
| 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 489: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
IP
|
$32,575.03
|
|
|
Service Code
|
MS-DRG 489
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$32,575.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,575.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,602.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,763.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,009.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,814.34
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,640.25
|
| Rate for Payer: IEHP Medicare Advantage |
$17,640.25
|
| Rate for Payer: Innovage PACE Commercial |
$26,460.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,640.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,637.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,637.94
|
| Rate for Payer: Multiplan WC |
$28,009.98
|
| Rate for Payer: Preferred Health Network WC |
$28,581.61
|
| Rate for Payer: Prime Health Services Medicare |
$18,698.66
|
| Rate for Payer: Prime Health Services WC |
$27,024.64
|
| 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 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
IP
|
$91,119.01
|
|
|
Service Code
|
MS-DRG 492
|
| Min. Negotiated Rate |
$21,433.00 |
| Max. Negotiated Rate |
$91,119.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$91,119.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,263.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,796.05
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,441.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,307.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$47,634.83
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,433.00
|
| Rate for Payer: IEHP Medicare Advantage |
$47,634.83
|
| Rate for Payer: Innovage PACE Commercial |
$71,452.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,634.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,830.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,830.67
|
| Rate for Payer: Multiplan WC |
$73,441.12
|
| Rate for Payer: Preferred Health Network WC |
$74,939.92
|
| Rate for Payer: Prime Health Services Medicare |
$50,492.92
|
| Rate for Payer: Prime Health Services WC |
$70,857.61
|
| Rate for Payer: United Healthcare All Other Commercial |
$35,472.00
|
| Rate for Payer: United Healthcare All Other HMO |
$36,220.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,513.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$25,159.00
|
|
|
INPATIENT MS-DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
IP
|
$63,210.34
|
|
|
Service Code
|
MS-DRG 493
|
| Min. Negotiated Rate |
$16,835.00 |
| Max. Negotiated Rate |
$63,210.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,210.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,390.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,613.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$50,053.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,003.65
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,336.04
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,433.00
|
| Rate for Payer: IEHP Medicare Advantage |
$33,336.04
|
| Rate for Payer: Innovage PACE Commercial |
$50,004.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,336.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,670.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,670.29
|
| Rate for Payer: Multiplan WC |
$50,053.48
|
| Rate for Payer: Preferred Health Network WC |
$51,074.98
|
| Rate for Payer: Prime Health Services Medicare |
$35,336.20
|
| Rate for Payer: Prime Health Services WC |
$48,292.70
|
| Rate for Payer: United Healthcare All Other Commercial |
$34,314.00
|
| Rate for Payer: United Healthcare All Other HMO |
$24,243.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,411.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,835.00
|
|
|
INPATIENT MS-DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
IP
|
$49,195.47
|
|
|
Service Code
|
MS-DRG 494
|
| Min. Negotiated Rate |
$14,312.00 |
| Max. Negotiated Rate |
$49,195.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,195.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,111.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,443.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,793.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,310.09
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,155.62
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,433.00
|
| Rate for Payer: IEHP Medicare Advantage |
$26,155.62
|
| Rate for Payer: Innovage PACE Commercial |
$39,233.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,155.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,048.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,048.53
|
| Rate for Payer: Multiplan WC |
$39,793.34
|
| Rate for Payer: Preferred Health Network WC |
$40,605.45
|
| Rate for Payer: Prime Health Services Medicare |
$27,724.96
|
| Rate for Payer: Prime Health Services WC |
$38,393.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,968.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$15,651.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,312.00
|
|
|
INPATIENT MS-DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
IP
|
$94,253.60
|
|
|
Service Code
|
MS-DRG 495
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$94,253.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$94,253.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$63,148.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$77,567.82
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$78,255.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,475.11
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$49,240.82
|
| Rate for Payer: IEHP Medicare Advantage |
$49,240.82
|
| Rate for Payer: Innovage PACE Commercial |
$73,861.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,240.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,982.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,982.70
|
| Rate for Payer: Multiplan WC |
$78,255.18
|
| Rate for Payer: Preferred Health Network WC |
$79,852.22
|
| Rate for Payer: Prime Health Services Medicare |
$52,195.27
|
| Rate for Payer: Prime Health Services WC |
$75,502.32
|
| 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 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
IP
|
$52,309.01
|
|
|
Service Code
|
MS-DRG 496
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$52,309.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,309.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,697.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,848.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,236.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,463.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,750.82
|
| Rate for Payer: IEHP Medicare Advantage |
$27,750.82
|
| Rate for Payer: Innovage PACE Commercial |
$41,626.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,750.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,186.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,186.10
|
| Rate for Payer: Multiplan WC |
$44,236.59
|
| Rate for Payer: Preferred Health Network WC |
$45,139.38
|
| Rate for Payer: Prime Health Services Medicare |
$29,415.87
|
| Rate for Payer: Prime Health Services WC |
$42,680.44
|
| 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 497: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
IP
|
$37,567.74
|
|
|
Service Code
|
MS-DRG 497
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$37,567.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,567.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,870.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,777.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,059.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,267.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,198.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$13,083.00
|
| Rate for Payer: IEHP Medicare Advantage |
$20,198.25
|
| Rate for Payer: Innovage PACE Commercial |
$30,297.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,198.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,065.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,065.66
|
| Rate for Payer: Multiplan WC |
$32,059.25
|
| Rate for Payer: Preferred Health Network WC |
$32,713.52
|
| Rate for Payer: Prime Health Services Medicare |
$21,410.14
|
| Rate for Payer: Prime Health Services WC |
$30,931.48
|
| 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 498: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
IP
|
$68,718.91
|
|
|
Service Code
|
MS-DRG 498
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$68,718.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,718.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,575.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,525.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,999.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,813.72
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$36,158.31
|
| Rate for Payer: IEHP Medicare Advantage |
$36,158.31
|
| Rate for Payer: Innovage PACE Commercial |
$54,237.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,158.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,452.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,452.14
|
| Rate for Payer: Multiplan WC |
$53,999.52
|
| Rate for Payer: Preferred Health Network WC |
$55,101.55
|
| Rate for Payer: Prime Health Services Medicare |
$38,327.81
|
| Rate for Payer: Prime Health Services WC |
$52,099.93
|
| 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 499: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
IP
|
$33,946.25
|
|
|
Service Code
|
MS-DRG 499
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,946.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,946.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,419.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,538.41
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,782.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,762.79
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,342.81
|
| Rate for Payer: IEHP Medicare Advantage |
$18,342.81
|
| Rate for Payer: Innovage PACE Commercial |
$27,514.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,342.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,579.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,579.37
|
| Rate for Payer: Multiplan WC |
$27,782.44
|
| Rate for Payer: Preferred Health Network WC |
$28,349.43
|
| Rate for Payer: Prime Health Services Medicare |
$19,443.38
|
| Rate for Payer: Prime Health Services WC |
$26,805.11
|
| 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 500: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
IP
|
$85,347.25
|
|
|
Service Code
|
MS-DRG 500
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$85,347.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,347.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,479.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,919.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$67,512.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$60,314.90
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$44,677.70
|
| Rate for Payer: IEHP Medicare Advantage |
$44,677.70
|
| Rate for Payer: Innovage PACE Commercial |
$67,016.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,677.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$59,868.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$59,868.12
|
| Rate for Payer: Multiplan WC |
$67,512.57
|
| Rate for Payer: Preferred Health Network WC |
$68,890.38
|
| Rate for Payer: Prime Health Services Medicare |
$47,358.36
|
| Rate for Payer: Prime Health Services WC |
$65,137.61
|
| 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 501: SOFT TISSUE PROCEDURES WITH CC
|
Facility
IP
|
$45,681.89
|
|
|
Service Code
|
MS-DRG 501
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,681.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,681.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,884.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,708.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,033.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,879.88
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,355.47
|
| Rate for Payer: IEHP Medicare Advantage |
$24,355.47
|
| Rate for Payer: Innovage PACE Commercial |
$36,533.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,355.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,636.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,636.33
|
| Rate for Payer: Multiplan WC |
$37,033.43
|
| Rate for Payer: Preferred Health Network WC |
$37,789.21
|
| Rate for Payer: Prime Health Services Medicare |
$25,816.80
|
| Rate for Payer: Prime Health Services WC |
$35,730.66
|
| 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 502: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$36,391.28
|
|
|
Service Code
|
MS-DRG 502
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$36,391.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,391.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,367.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,703.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,958.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,453.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,595.50
|
| Rate for Payer: IEHP Medicare Advantage |
$19,595.50
|
| Rate for Payer: Innovage PACE Commercial |
$29,393.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,595.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,257.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,257.97
|
| Rate for Payer: Multiplan WC |
$28,958.04
|
| Rate for Payer: Preferred Health Network WC |
$29,549.02
|
| Rate for Payer: Prime Health Services Medicare |
$20,771.23
|
| Rate for Payer: Prime Health Services WC |
$27,939.36
|
| 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 503: FOOT PROCEDURES WITH MCC
|
Facility
IP
|
$70,584.93
|
|
|
Service Code
|
MS-DRG 503
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$70,584.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$70,584.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,068.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,902.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,371.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,104.37
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,114.35
|
| Rate for Payer: IEHP Medicare Advantage |
$37,114.35
|
| Rate for Payer: Innovage PACE Commercial |
$55,671.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,114.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,733.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,733.23
|
| Rate for Payer: Multiplan WC |
$53,371.69
|
| Rate for Payer: Preferred Health Network WC |
$54,460.91
|
| Rate for Payer: Prime Health Services Medicare |
$39,341.21
|
| Rate for Payer: Prime Health Services WC |
$51,494.19
|
| 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 504: FOOT PROCEDURES WITH CC
|
Facility
IP
|
$45,455.54
|
|
|
Service Code
|
MS-DRG 504
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$45,455.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,455.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,173.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,063.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,391.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,723.34
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,239.51
|
| Rate for Payer: IEHP Medicare Advantage |
$24,239.51
|
| Rate for Payer: Innovage PACE Commercial |
$36,359.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,239.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,480.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,480.94
|
| Rate for Payer: Multiplan WC |
$37,391.58
|
| Rate for Payer: Preferred Health Network WC |
$38,154.67
|
| Rate for Payer: Prime Health Services Medicare |
$25,693.88
|
| Rate for Payer: Prime Health Services WC |
$36,076.22
|
| 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 505: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$44,892.32
|
|
|
Service Code
|
MS-DRG 505
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,892.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,892.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,037.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,896.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,223.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,333.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,950.93
|
| Rate for Payer: IEHP Medicare Advantage |
$23,950.93
|
| Rate for Payer: Innovage PACE Commercial |
$35,926.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,950.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,094.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,094.25
|
| Rate for Payer: Multiplan WC |
$37,223.04
|
| Rate for Payer: Preferred Health Network WC |
$37,982.69
|
| Rate for Payer: Prime Health Services Medicare |
$25,387.99
|
| Rate for Payer: Prime Health Services WC |
$35,913.60
|
| 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 506: MAJOR THUMB OR JOINT PROCEDURES
|
Facility
IP
|
$38,494.17
|
|
|
Service Code
|
MS-DRG 506
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,494.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,494.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,968.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,440.85
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,701.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,908.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,672.89
|
| Rate for Payer: IEHP Medicare Advantage |
$20,672.89
|
| Rate for Payer: Innovage PACE Commercial |
$31,009.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,672.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,701.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,701.67
|
| Rate for Payer: Multiplan WC |
$29,701.74
|
| Rate for Payer: Preferred Health Network WC |
$30,307.90
|
| Rate for Payer: Prime Health Services Medicare |
$21,913.26
|
| Rate for Payer: Prime Health Services WC |
$28,656.89
|
| 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 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
|
Facility
IP
|
$56,104.21
|
|
|
Service Code
|
MS-DRG 507
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$56,104.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,104.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,533.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,733.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,077.02
|
| 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 |
$39,077.02
|
| Rate for Payer: Preferred Health Network WC |
$39,874.51
|
| Rate for Payer: Prime Health Services Medicare |
$31,476.99
|
| Rate for Payer: Prime Health Services WC |
$37,702.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$37,741.45
|
|
|
Service Code
|
MS-DRG 508
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$37,741.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,741.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,620.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,242.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,510.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,387.79
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,287.25
|
| Rate for Payer: IEHP Medicare Advantage |
$20,287.25
|
| Rate for Payer: Innovage PACE Commercial |
$30,430.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,287.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,184.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,184.92
|
| Rate for Payer: Multiplan WC |
$30,510.75
|
| Rate for Payer: Preferred Health Network WC |
$31,133.42
|
| Rate for Payer: Prime Health Services Medicare |
$21,504.48
|
| Rate for Payer: Prime Health Services WC |
$29,437.44
|
| 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 509: ARTHROSCOPY
|
Facility
IP
|
$34,904.26
|
|
|
Service Code
|
MS-DRG 509
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$34,904.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,904.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,805.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,698.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,979.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,151.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,371.64
|
| Rate for Payer: IEHP Medicare Advantage |
$19,371.64
|
| Rate for Payer: Innovage PACE Commercial |
$29,057.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,371.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,958.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,958.00
|
| Rate for Payer: Multiplan WC |
$31,979.19
|
| Rate for Payer: Preferred Health Network WC |
$32,631.83
|
| Rate for Payer: Prime Health Services Medicare |
$20,533.94
|
| Rate for Payer: Prime Health Services WC |
$30,854.24
|
| 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 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
|
Facility
IP
|
$71,603.47
|
|
|
Service Code
|
MS-DRG 510
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$71,603.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,603.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,100.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,312.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,846.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,808.87
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,636.20
|
| Rate for Payer: IEHP Medicare Advantage |
$37,636.20
|
| Rate for Payer: Innovage PACE Commercial |
$56,454.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,636.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,432.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,432.51
|
| Rate for Payer: Multiplan WC |
$60,846.64
|
| Rate for Payer: Preferred Health Network WC |
$62,088.41
|
| Rate for Payer: Prime Health Services Medicare |
$39,894.37
|
| Rate for Payer: Prime Health Services WC |
$58,706.18
|
| 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
|
|
