|
INPATIENT MS-DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
IP
|
$23,918.71
|
|
|
Service Code
|
MS-DRG 605
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,918.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,918.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,477.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,011.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,180.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,827.11
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,205.27
|
| Rate for Payer: IEHP Medicare Advantage |
$13,205.27
|
| Rate for Payer: Innovage PACE Commercial |
$19,807.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,205.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,695.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,695.06
|
| Rate for Payer: Multiplan WC |
$19,180.35
|
| Rate for Payer: Preferred Health Network WC |
$19,571.79
|
| Rate for Payer: Prime Health Services Medicare |
$13,997.59
|
| Rate for Payer: Prime Health Services WC |
$18,505.63
|
| 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 606: MINOR SKIN DISORDERS WITH MCC
|
Facility
IP
|
$41,736.67
|
|
|
Service Code
|
MS-DRG 606
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$41,736.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,736.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,094.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,053.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,337.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,151.10
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,334.15
|
| Rate for Payer: IEHP Medicare Advantage |
$22,334.15
|
| Rate for Payer: Innovage PACE Commercial |
$33,501.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,334.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,927.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,927.76
|
| Rate for Payer: Multiplan WC |
$32,337.35
|
| Rate for Payer: Preferred Health Network WC |
$32,997.30
|
| Rate for Payer: Prime Health Services Medicare |
$23,674.20
|
| Rate for Payer: Prime Health Services WC |
$31,199.79
|
| 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 607: MINOR SKIN DISORDERS WITHOUT MCC
|
Facility
IP
|
$23,516.03
|
|
|
Service Code
|
MS-DRG 607
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,516.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,516.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,420.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,712.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,869.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,548.58
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,998.95
|
| Rate for Payer: IEHP Medicare Advantage |
$12,998.95
|
| Rate for Payer: Innovage PACE Commercial |
$19,498.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,998.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,418.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,418.59
|
| Rate for Payer: Multiplan WC |
$17,869.92
|
| Rate for Payer: Preferred Health Network WC |
$18,234.61
|
| Rate for Payer: Prime Health Services Medicare |
$13,778.89
|
| Rate for Payer: Prime Health Services WC |
$17,241.29
|
| 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 614: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
IP
|
$59,280.92
|
|
|
Service Code
|
MS-DRG 614
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$59,280.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,280.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,950.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,072.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,507.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,285.81
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,322.82
|
| Rate for Payer: IEHP Medicare Advantage |
$31,322.82
|
| Rate for Payer: Innovage PACE Commercial |
$46,984.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,322.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,972.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,972.58
|
| Rate for Payer: Multiplan WC |
$49,507.82
|
| Rate for Payer: Preferred Health Network WC |
$50,518.18
|
| Rate for Payer: Prime Health Services Medicare |
$33,202.19
|
| Rate for Payer: Prime Health Services WC |
$47,766.23
|
| 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 615: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$38,717.88
|
|
|
Service Code
|
MS-DRG 615
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,717.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,717.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,090.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,819.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,092.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,063.12
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,787.50
|
| Rate for Payer: IEHP Medicare Advantage |
$20,787.50
|
| Rate for Payer: Innovage PACE Commercial |
$31,181.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,787.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,855.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,855.25
|
| Rate for Payer: Multiplan WC |
$31,092.23
|
| Rate for Payer: Preferred Health Network WC |
$31,726.77
|
| Rate for Payer: Prime Health Services Medicare |
$22,034.75
|
| Rate for Payer: Prime Health Services WC |
$29,998.47
|
| 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 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
IP
|
$104,162.71
|
|
|
Service Code
|
MS-DRG 616
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$104,162.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$104,162.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,000.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,614.05
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$79,310.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$73,328.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$54,317.67
|
| Rate for Payer: IEHP Medicare Advantage |
$54,317.67
|
| Rate for Payer: Innovage PACE Commercial |
$81,476.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$54,317.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$72,785.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$72,785.68
|
| Rate for Payer: Multiplan WC |
$79,310.68
|
| Rate for Payer: Preferred Health Network WC |
$80,929.27
|
| Rate for Payer: Prime Health Services Medicare |
$57,576.73
|
| Rate for Payer: Prime Health Services WC |
$76,520.69
|
| 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
IP
|
$52,230.06
|
|
|
Service Code
|
MS-DRG 617
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$52,230.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,230.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,049.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,596.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,956.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,408.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,710.36
|
| Rate for Payer: IEHP Medicare Advantage |
$27,710.36
|
| Rate for Payer: Innovage PACE Commercial |
$41,565.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,710.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,131.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,131.88
|
| Rate for Payer: Multiplan WC |
$40,956.30
|
| Rate for Payer: Preferred Health Network WC |
$41,792.14
|
| Rate for Payer: Prime Health Services Medicare |
$29,372.98
|
| Rate for Payer: Prime Health Services WC |
$39,515.53
|
| 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 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$30,569.52
|
|
|
Service Code
|
MS-DRG 618
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$30,569.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,569.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,940.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,493.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,710.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,427.20
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$16,612.74
|
| Rate for Payer: IEHP Medicare Advantage |
$16,612.74
|
| Rate for Payer: Innovage PACE Commercial |
$24,919.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,612.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,261.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,261.07
|
| Rate for Payer: Multiplan WC |
$24,710.72
|
| Rate for Payer: Preferred Health Network WC |
$25,215.02
|
| Rate for Payer: Prime Health Services Medicare |
$17,609.50
|
| Rate for Payer: Prime Health Services WC |
$23,841.45
|
| 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 619: O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
IP
|
$68,126.73
|
|
|
Service Code
|
MS-DRG 619
|
| Min. Negotiated Rate |
$12,116.00 |
| Max. Negotiated Rate |
$68,126.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,126.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,161.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,387.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,922.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,658.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$36,043.69
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,116.00
|
| Rate for Payer: IEHP Medicare Advantage |
$36,043.69
|
| Rate for Payer: Innovage PACE Commercial |
$54,065.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,043.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,298.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,298.54
|
| Rate for Payer: Multiplan WC |
$60,922.48
|
| Rate for Payer: Networks By Design Commercial |
$20,000.00
|
| Rate for Payer: Preferred Health Network WC |
$62,165.80
|
| Rate for Payer: Prime Health Services Medicare |
$38,206.31
|
| Rate for Payer: Prime Health Services WC |
$58,779.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,450.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,988.00
|
| Rate for Payer: United Healthcare HMO Rider |
$26,936.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24,631.00
|
|
|
INPATIENT MS-DRG 620: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
IP
|
$42,694.68
|
|
|
Service Code
|
MS-DRG 620
|
| Min. Negotiated Rate |
$12,116.00 |
| Max. Negotiated Rate |
$42,694.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,694.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,656.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,200.38
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,512.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,813.74
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,824.99
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,116.00
|
| Rate for Payer: IEHP Medicare Advantage |
$22,824.99
|
| Rate for Payer: Innovage PACE Commercial |
$34,237.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,824.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,585.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,585.49
|
| Rate for Payer: Multiplan WC |
$35,512.31
|
| Rate for Payer: Networks By Design Commercial |
$20,000.00
|
| Rate for Payer: Preferred Health Network WC |
$36,237.05
|
| Rate for Payer: Prime Health Services Medicare |
$24,194.49
|
| Rate for Payer: Prime Health Services WC |
$34,263.06
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,450.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,988.00
|
| Rate for Payer: United Healthcare HMO Rider |
$26,936.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24,631.00
|
|
|
INPATIENT MS-DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
IP
|
$39,933.82
|
|
|
Service Code
|
MS-DRG 621
|
| Min. Negotiated Rate |
$12,116.00 |
| Max. Negotiated Rate |
$39,933.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,933.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,436.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,473.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,760.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,904.15
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,410.48
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,116.00
|
| Rate for Payer: IEHP Medicare Advantage |
$21,410.48
|
| Rate for Payer: Innovage PACE Commercial |
$32,115.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,410.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,690.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,690.04
|
| Rate for Payer: Multiplan WC |
$32,760.82
|
| Rate for Payer: Networks By Design Commercial |
$20,000.00
|
| Rate for Payer: Preferred Health Network WC |
$33,429.41
|
| Rate for Payer: Prime Health Services Medicare |
$22,695.11
|
| Rate for Payer: Prime Health Services WC |
$31,608.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,450.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,988.00
|
| Rate for Payer: United Healthcare HMO Rider |
$26,936.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24,631.00
|
|
|
INPATIENT MS-DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
IP
|
$100,685.97
|
|
|
Service Code
|
MS-DRG 622
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$100,685.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$100,685.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$61,562.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$75,619.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,289.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$70,924.11
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$52,536.38
|
| Rate for Payer: IEHP Medicare Advantage |
$52,536.38
|
| Rate for Payer: Innovage PACE Commercial |
$78,804.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,536.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$70,398.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,398.75
|
| Rate for Payer: Multiplan WC |
$76,289.52
|
| Rate for Payer: Preferred Health Network WC |
$77,846.45
|
| Rate for Payer: Prime Health Services Medicare |
$55,688.56
|
| Rate for Payer: Prime Health Services WC |
$73,605.81
|
| 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 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
IP
|
$48,990.19
|
|
|
Service Code
|
MS-DRG 623
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$48,990.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,990.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,040.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,356.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,704.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,168.09
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,050.44
|
| Rate for Payer: IEHP Medicare Advantage |
$26,050.44
|
| Rate for Payer: Innovage PACE Commercial |
$39,075.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,050.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,907.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,907.59
|
| Rate for Payer: Multiplan WC |
$39,704.85
|
| Rate for Payer: Preferred Health Network WC |
$40,515.15
|
| Rate for Payer: Prime Health Services Medicare |
$27,613.47
|
| Rate for Payer: Prime Health Services WC |
$38,308.11
|
| 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 624: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$29,332.53
|
|
|
Service Code
|
MS-DRG 624
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$29,332.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,332.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,813.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,653.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,836.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,571.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,978.99
|
| Rate for Payer: IEHP Medicare Advantage |
$15,978.99
|
| Rate for Payer: Innovage PACE Commercial |
$23,968.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,978.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,411.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,411.85
|
| Rate for Payer: Multiplan WC |
$20,836.30
|
| Rate for Payer: Preferred Health Network WC |
$21,261.53
|
| Rate for Payer: Prime Health Services Medicare |
$16,937.73
|
| Rate for Payer: Prime Health Services WC |
$20,103.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 625: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
IP
|
$76,883.06
|
|
|
Service Code
|
MS-DRG 625
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$76,883.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,883.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,915.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,084.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,617.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,460.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$40,341.15
|
| Rate for Payer: IEHP Medicare Advantage |
$40,341.15
|
| Rate for Payer: Innovage PACE Commercial |
$60,511.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,341.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,057.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,057.14
|
| Rate for Payer: Multiplan WC |
$60,617.00
|
| Rate for Payer: Preferred Health Network WC |
$61,854.08
|
| Rate for Payer: Prime Health Services Medicare |
$42,761.62
|
| Rate for Payer: Prime Health Services WC |
$58,484.62
|
| 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 626: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
IP
|
$39,265.32
|
|
|
Service Code
|
MS-DRG 626
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$39,265.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,265.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,528.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,813.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,113.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,441.80
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,068.00
|
| Rate for Payer: IEHP Medicare Advantage |
$21,068.00
|
| Rate for Payer: Innovage PACE Commercial |
$31,602.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,068.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,231.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,231.12
|
| Rate for Payer: Multiplan WC |
$34,113.39
|
| Rate for Payer: Preferred Health Network WC |
$34,809.58
|
| Rate for Payer: Prime Health Services Medicare |
$22,332.08
|
| Rate for Payer: Prime Health Services WC |
$32,913.35
|
| 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 627: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$32,530.28
|
|
|
Service Code
|
MS-DRG 627
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$32,530.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,530.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,691.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,644.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,880.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,783.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,617.34
|
| Rate for Payer: IEHP Medicare Advantage |
$17,617.34
|
| Rate for Payer: Innovage PACE Commercial |
$26,426.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,617.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,607.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,607.24
|
| Rate for Payer: Multiplan WC |
$26,880.72
|
| Rate for Payer: Preferred Health Network WC |
$27,429.31
|
| Rate for Payer: Prime Health Services Medicare |
$18,674.38
|
| Rate for Payer: Prime Health Services WC |
$25,935.11
|
| 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 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$105,657.63
|
|
|
Service Code
|
MS-DRG 628
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$105,657.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$105,657.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$61,965.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$76,114.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,788.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,362.83
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$55,083.58
|
| Rate for Payer: IEHP Medicare Advantage |
$55,083.58
|
| Rate for Payer: Innovage PACE Commercial |
$82,625.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,083.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$73,812.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$73,812.00
|
| Rate for Payer: Multiplan WC |
$76,788.83
|
| Rate for Payer: Preferred Health Network WC |
$78,355.95
|
| Rate for Payer: Prime Health Services Medicare |
$58,388.59
|
| Rate for Payer: Prime Health Services WC |
$74,087.56
|
| 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 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
IP
|
$59,554.63
|
|
|
Service Code
|
MS-DRG 629
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$59,554.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,554.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,146.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,857.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,272.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,475.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,463.06
|
| Rate for Payer: IEHP Medicare Advantage |
$31,463.06
|
| Rate for Payer: Innovage PACE Commercial |
$47,194.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,463.06
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,160.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,160.50
|
| Rate for Payer: Multiplan WC |
$47,272.50
|
| Rate for Payer: Preferred Health Network WC |
$48,237.24
|
| Rate for Payer: Prime Health Services Medicare |
$33,350.84
|
| Rate for Payer: Prime Health Services WC |
$45,609.55
|
| 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 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$36,749.22
|
|
|
Service Code
|
MS-DRG 630
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$36,749.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,749.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,872.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,323.91
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,583.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,701.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,778.87
|
| Rate for Payer: IEHP Medicare Advantage |
$19,778.87
|
| Rate for Payer: Innovage PACE Commercial |
$29,668.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,778.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,503.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,503.69
|
| Rate for Payer: Multiplan WC |
$29,583.76
|
| Rate for Payer: Preferred Health Network WC |
$30,187.51
|
| Rate for Payer: Prime Health Services Medicare |
$20,965.60
|
| Rate for Payer: Prime Health Services WC |
$28,543.06
|
| 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 637: DIABETES WITH MCC
|
Facility
IP
|
$38,144.13
|
|
|
Service Code
|
MS-DRG 637
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$38,144.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,144.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,728.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,146.40
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,404.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,666.29
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,493.55
|
| Rate for Payer: IEHP Medicare Advantage |
$20,493.55
|
| Rate for Payer: Innovage PACE Commercial |
$30,740.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,493.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,461.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,461.36
|
| Rate for Payer: Multiplan WC |
$29,404.68
|
| Rate for Payer: Preferred Health Network WC |
$30,004.78
|
| Rate for Payer: Prime Health Services Medicare |
$21,723.16
|
| Rate for Payer: Prime Health Services WC |
$28,370.28
|
| 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 638: DIABETES WITH CC
|
Facility
IP
|
$23,671.31
|
|
|
Service Code
|
MS-DRG 638
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,671.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,671.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,892.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,293.51
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,455.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,655.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,078.51
|
| Rate for Payer: IEHP Medicare Advantage |
$13,078.51
|
| Rate for Payer: Innovage PACE Commercial |
$19,617.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,078.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,525.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,525.20
|
| Rate for Payer: Multiplan WC |
$18,455.61
|
| Rate for Payer: Preferred Health Network WC |
$18,832.26
|
| Rate for Payer: Prime Health Services Medicare |
$13,863.22
|
| Rate for Payer: Prime Health Services WC |
$17,806.39
|
| 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 639: DIABETES WITHOUT CC/MCC
|
Facility
IP
|
$16,383.58
|
|
|
Service Code
|
MS-DRG 639
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$16,383.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,383.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,214.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,546.51
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,657.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,615.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,344.68
|
| Rate for Payer: IEHP Medicare Advantage |
$9,344.68
|
| Rate for Payer: Innovage PACE Commercial |
$14,017.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,344.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,521.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,521.87
|
| Rate for Payer: Multiplan WC |
$12,657.69
|
| Rate for Payer: Preferred Health Network WC |
$12,916.01
|
| Rate for Payer: Prime Health Services Medicare |
$9,905.36
|
| Rate for Payer: Prime Health Services WC |
$12,212.42
|
| 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
|
Facility
IP
|
$34,614.75
|
|
|
Service Code
|
MS-DRG 640
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,614.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,614.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,511.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,423.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,657.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,225.14
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,685.29
|
| Rate for Payer: IEHP Medicare Advantage |
$18,685.29
|
| Rate for Payer: Innovage PACE Commercial |
$28,027.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,685.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,038.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,038.29
|
| Rate for Payer: Multiplan WC |
$26,657.40
|
| Rate for Payer: Preferred Health Network WC |
$27,201.43
|
| Rate for Payer: Prime Health Services Medicare |
$19,806.41
|
| Rate for Payer: Prime Health Services WC |
$25,719.66
|
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
|
Facility
IP
|
$20,565.67
|
|
|
Service Code
|
MS-DRG 641
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$20,565.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,565.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,094.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,084.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,226.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,507.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,487.35
|
| Rate for Payer: IEHP Medicare Advantage |
$11,487.35
|
| Rate for Payer: Innovage PACE Commercial |
$17,231.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,487.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,393.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,393.05
|
| Rate for Payer: Multiplan WC |
$16,226.61
|
| Rate for Payer: Preferred Health Network WC |
$16,557.77
|
| Rate for Payer: Prime Health Services Medicare |
$12,176.59
|
| Rate for Payer: Prime Health Services WC |
$15,655.79
|
| 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
|
|
