|
INPATIENT MS-DRG 711: TESTES PROCEDURES WITH CC/MCC
|
Facility
IP
|
$55,872.61
|
|
|
Service Code
|
MS-DRG 711
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$55,872.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,872.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,739.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,672.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,050.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,928.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,576.60
|
| Rate for Payer: IEHP Medicare Advantage |
$29,576.60
|
| Rate for Payer: Innovage PACE Commercial |
$44,364.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,576.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,632.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,632.64
|
| Rate for Payer: Multiplan WC |
$43,050.46
|
| Rate for Payer: Preferred Health Network WC |
$43,929.04
|
| Rate for Payer: Prime Health Services Medicare |
$31,351.20
|
| Rate for Payer: Prime Health Services WC |
$41,536.03
|
| 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 712: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$31,277.50
|
|
|
Service Code
|
MS-DRG 712
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$31,277.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,277.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,108.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,928.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,158.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,916.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$16,975.50
|
| Rate for Payer: IEHP Medicare Advantage |
$16,975.50
|
| Rate for Payer: Innovage PACE Commercial |
$25,463.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,975.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,747.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,747.17
|
| Rate for Payer: Multiplan WC |
$26,158.09
|
| Rate for Payer: Preferred Health Network WC |
$26,691.93
|
| Rate for Payer: Prime Health Services Medicare |
$17,994.03
|
| Rate for Payer: Prime Health Services WC |
$25,237.91
|
| 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 713: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
IP
|
$38,180.97
|
|
|
Service Code
|
MS-DRG 713
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$38,180.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,180.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,193.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,946.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,220.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,691.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,512.42
|
| Rate for Payer: IEHP Medicare Advantage |
$20,512.42
|
| Rate for Payer: Innovage PACE Commercial |
$30,768.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,512.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,486.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,486.64
|
| Rate for Payer: Multiplan WC |
$31,220.74
|
| Rate for Payer: Preferred Health Network WC |
$31,857.90
|
| Rate for Payer: Prime Health Services Medicare |
$21,743.17
|
| Rate for Payer: Prime Health Services WC |
$30,122.47
|
| 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 714: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
IP
|
$25,226.76
|
|
|
Service Code
|
MS-DRG 714
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$25,226.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,226.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,290.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,010.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,187.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,731.84
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,875.44
|
| Rate for Payer: IEHP Medicare Advantage |
$13,875.44
|
| Rate for Payer: Innovage PACE Commercial |
$20,813.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,875.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,593.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,593.09
|
| Rate for Payer: Multiplan WC |
$20,187.41
|
| Rate for Payer: Preferred Health Network WC |
$20,599.40
|
| Rate for Payer: Prime Health Services Medicare |
$14,707.97
|
| Rate for Payer: Prime Health Services WC |
$19,477.25
|
| 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 715: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
IP
|
$58,099.19
|
|
|
Service Code
|
MS-DRG 715
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$58,099.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,099.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,966.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,635.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,049.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,468.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,717.38
|
| Rate for Payer: IEHP Medicare Advantage |
$30,717.38
|
| Rate for Payer: Innovage PACE Commercial |
$46,076.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,717.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,161.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,161.29
|
| Rate for Payer: Multiplan WC |
$47,049.17
|
| Rate for Payer: Preferred Health Network WC |
$48,009.36
|
| Rate for Payer: Prime Health Services Medicare |
$32,560.42
|
| Rate for Payer: Prime Health Services WC |
$45,394.08
|
| 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 716: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$37,430.88
|
|
|
Service Code
|
MS-DRG 716
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$37,430.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,430.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,344.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,446.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,689.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,172.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,128.13
|
| Rate for Payer: IEHP Medicare Advantage |
$20,128.13
|
| Rate for Payer: Innovage PACE Commercial |
$30,192.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,128.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,971.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,971.69
|
| Rate for Payer: Multiplan WC |
$27,689.74
|
| Rate for Payer: Preferred Health Network WC |
$28,254.84
|
| Rate for Payer: Prime Health Services Medicare |
$21,335.82
|
| Rate for Payer: Prime Health Services WC |
$26,715.67
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
IP
|
$47,734.77
|
|
|
Service Code
|
MS-DRG 717
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$47,734.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,734.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,096.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,969.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,296.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,299.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,407.24
|
| Rate for Payer: IEHP Medicare Advantage |
$25,407.24
|
| Rate for Payer: Innovage PACE Commercial |
$38,110.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,407.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,045.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,045.70
|
| Rate for Payer: Multiplan WC |
$37,296.77
|
| Rate for Payer: Preferred Health Network WC |
$38,057.93
|
| Rate for Payer: Prime Health Services Medicare |
$26,931.67
|
| Rate for Payer: Prime Health Services WC |
$35,984.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$30,945.88
|
|
|
Service Code
|
MS-DRG 718
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$30,945.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,945.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,574.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,500.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,735.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,687.55
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$16,805.59
|
| Rate for Payer: IEHP Medicare Advantage |
$16,805.59
|
| Rate for Payer: Innovage PACE Commercial |
$25,208.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,805.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,519.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,519.49
|
| Rate for Payer: Multiplan WC |
$26,735.36
|
| Rate for Payer: Preferred Health Network WC |
$27,280.98
|
| Rate for Payer: Prime Health Services Medicare |
$17,813.93
|
| Rate for Payer: Prime Health Services WC |
$25,794.86
|
| 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 722: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
IP
|
$49,342.86
|
|
|
Service Code
|
MS-DRG 722
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$49,342.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,342.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,862.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,453.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,767.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,412.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,231.14
|
| Rate for Payer: IEHP Medicare Advantage |
$26,231.14
|
| Rate for Payer: Innovage PACE Commercial |
$39,346.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,231.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,149.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,149.73
|
| Rate for Payer: Multiplan WC |
$35,767.23
|
| Rate for Payer: Preferred Health Network WC |
$36,497.17
|
| Rate for Payer: Prime Health Services Medicare |
$27,805.01
|
| Rate for Payer: Prime Health Services WC |
$34,509.01
|
| 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 723: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
IP
|
$29,327.26
|
|
|
Service Code
|
MS-DRG 723
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$29,327.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,327.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,591.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,065.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,278.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,567.99
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,976.29
|
| Rate for Payer: IEHP Medicare Advantage |
$15,976.29
|
| Rate for Payer: Innovage PACE Commercial |
$23,964.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,976.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,408.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,408.23
|
| Rate for Payer: Multiplan WC |
$24,278.82
|
| Rate for Payer: Preferred Health Network WC |
$24,774.31
|
| Rate for Payer: Prime Health Services Medicare |
$16,934.87
|
| Rate for Payer: Prime Health Services WC |
$23,424.74
|
| 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 724: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
|
Facility
IP
|
$21,305.23
|
|
|
Service Code
|
MS-DRG 724
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,305.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,305.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,007.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,977.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,119.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,019.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,866.25
|
| Rate for Payer: IEHP Medicare Advantage |
$11,866.25
|
| Rate for Payer: Innovage PACE Commercial |
$17,799.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,866.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,900.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,900.78
|
| Rate for Payer: Multiplan WC |
$16,119.17
|
| Rate for Payer: Preferred Health Network WC |
$16,448.13
|
| Rate for Payer: Prime Health Services Medicare |
$12,578.22
|
| Rate for Payer: Prime Health Services WC |
$15,552.13
|
| 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 725: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
IP
|
$32,659.25
|
|
|
Service Code
|
MS-DRG 725
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$32,659.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,659.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,239.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,089.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,320.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,872.60
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,683.41
|
| Rate for Payer: IEHP Medicare Advantage |
$17,683.41
|
| Rate for Payer: Innovage PACE Commercial |
$26,525.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,683.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,695.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,695.77
|
| Rate for Payer: Multiplan WC |
$26,320.32
|
| Rate for Payer: Preferred Health Network WC |
$26,857.47
|
| Rate for Payer: Prime Health Services Medicare |
$18,744.41
|
| Rate for Payer: Prime Health Services WC |
$25,394.43
|
| 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 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
IP
|
$19,236.56
|
|
|
Service Code
|
MS-DRG 726
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$19,236.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,236.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,117.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,113.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,256.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,588.63
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,806.39
|
| Rate for Payer: IEHP Medicare Advantage |
$10,806.39
|
| Rate for Payer: Innovage PACE Commercial |
$16,209.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,806.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,480.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,480.56
|
| Rate for Payer: Multiplan WC |
$16,256.11
|
| Rate for Payer: Preferred Health Network WC |
$16,587.87
|
| Rate for Payer: Prime Health Services Medicare |
$11,454.77
|
| Rate for Payer: Prime Health Services WC |
$15,684.25
|
| 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 727: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
IP
|
$42,663.10
|
|
|
Service Code
|
MS-DRG 727
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$42,663.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,663.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,427.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,004.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,270.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,791.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,808.81
|
| Rate for Payer: IEHP Medicare Advantage |
$22,808.81
|
| Rate for Payer: Innovage PACE Commercial |
$34,213.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,808.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,563.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,563.81
|
| Rate for Payer: Multiplan WC |
$30,270.57
|
| Rate for Payer: Preferred Health Network WC |
$30,888.34
|
| Rate for Payer: Prime Health Services Medicare |
$24,177.34
|
| Rate for Payer: Prime Health Services WC |
$29,205.72
|
| 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 728: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
|
Facility
IP
|
$21,057.83
|
|
|
Service Code
|
MS-DRG 728
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,057.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,057.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,969.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,159.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,311.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,848.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,739.52
|
| Rate for Payer: IEHP Medicare Advantage |
$11,739.52
|
| Rate for Payer: Innovage PACE Commercial |
$17,609.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,739.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,730.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,730.96
|
| Rate for Payer: Multiplan WC |
$17,311.62
|
| Rate for Payer: Preferred Health Network WC |
$17,664.92
|
| Rate for Payer: Prime Health Services Medicare |
$12,443.89
|
| Rate for Payer: Prime Health Services WC |
$16,702.63
|
| 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 729: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
|
Facility
IP
|
$26,421.64
|
|
|
Service Code
|
MS-DRG 729
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$26,421.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,421.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,323.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,507.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,707.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,558.30
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,487.63
|
| Rate for Payer: IEHP Medicare Advantage |
$14,487.63
|
| Rate for Payer: Innovage PACE Commercial |
$21,731.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,487.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,413.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,413.42
|
| Rate for Payer: Multiplan WC |
$22,707.15
|
| Rate for Payer: Preferred Health Network WC |
$23,170.56
|
| Rate for Payer: Prime Health Services Medicare |
$15,356.89
|
| Rate for Payer: Prime Health Services WC |
$21,908.35
|
| 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 730: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$16,359.89
|
|
|
Service Code
|
MS-DRG 730
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$16,359.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,359.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,149.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,695.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$13,816.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,598.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,332.55
|
| Rate for Payer: IEHP Medicare Advantage |
$9,332.55
|
| Rate for Payer: Innovage PACE Commercial |
$13,998.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,332.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,505.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,505.62
|
| Rate for Payer: Multiplan WC |
$13,816.43
|
| Rate for Payer: Preferred Health Network WC |
$14,098.40
|
| Rate for Payer: Prime Health Services Medicare |
$9,892.50
|
| Rate for Payer: Prime Health Services WC |
$13,330.39
|
| 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 734: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
IP
|
$57,206.98
|
|
|
Service Code
|
MS-DRG 734
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$57,206.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,206.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,150.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,633.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,037.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,851.34
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$30,260.25
|
| Rate for Payer: IEHP Medicare Advantage |
$30,260.25
|
| Rate for Payer: Innovage PACE Commercial |
$45,390.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,260.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,548.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,548.74
|
| Rate for Payer: Multiplan WC |
$46,037.91
|
| Rate for Payer: Preferred Health Network WC |
$46,977.46
|
| Rate for Payer: Prime Health Services Medicare |
$32,075.86
|
| Rate for Payer: Prime Health Services WC |
$44,418.39
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 735: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
IP
|
$33,167.20
|
|
|
Service Code
|
MS-DRG 735
|
| Min. Negotiated Rate |
$17,943.67 |
| Max. Negotiated Rate |
$33,167.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,167.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,628.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,567.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,802.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,223.95
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,943.67
|
| Rate for Payer: IEHP Medicare Advantage |
$17,943.67
|
| Rate for Payer: Innovage PACE Commercial |
$26,915.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,943.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,044.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,044.52
|
| Rate for Payer: Multiplan WC |
$26,802.77
|
| Rate for Payer: Preferred Health Network WC |
$27,349.77
|
| Rate for Payer: Prime Health Services Medicare |
$19,020.29
|
| Rate for Payer: Prime Health Services WC |
$25,859.91
|
| Rate for Payer: United Healthcare All Other Commercial |
$23,727.00
|
| Rate for Payer: United Healthcare All Other HMO |
$23,328.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,284.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,291.00
|
|
|
INPATIENT MS-DRG 736: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
IP
|
$102,307.22
|
|
|
Service Code
|
MS-DRG 736
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$102,307.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$102,307.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$72,512.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$89,070.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$89,859.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$72,045.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$53,367.01
|
| Rate for Payer: IEHP Medicare Advantage |
$53,367.01
|
| Rate for Payer: Innovage PACE Commercial |
$80,050.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,367.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,511.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,511.79
|
| Rate for Payer: Multiplan WC |
$89,859.45
|
| Rate for Payer: Preferred Health Network WC |
$91,693.32
|
| Rate for Payer: Prime Health Services Medicare |
$56,569.03
|
| Rate for Payer: Prime Health Services WC |
$86,698.38
|
| 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 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
IP
|
$51,948.44
|
|
|
Service Code
|
MS-DRG 737
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$51,948.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,948.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,401.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,256.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,631.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,214.22
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,566.09
|
| Rate for Payer: IEHP Medicare Advantage |
$27,566.09
|
| Rate for Payer: Innovage PACE Commercial |
$41,349.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,566.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,938.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,938.56
|
| Rate for Payer: Multiplan WC |
$42,631.21
|
| Rate for Payer: Preferred Health Network WC |
$43,501.23
|
| Rate for Payer: Prime Health Services Medicare |
$29,220.06
|
| Rate for Payer: Prime Health Services WC |
$41,131.52
|
| 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 738: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$35,914.91
|
|
|
Service Code
|
MS-DRG 738
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$35,914.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,914.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,866.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,315.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,575.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,124.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,351.42
|
| Rate for Payer: IEHP Medicare Advantage |
$19,351.42
|
| Rate for Payer: Innovage PACE Commercial |
$29,027.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,351.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,930.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,930.90
|
| Rate for Payer: Multiplan WC |
$29,575.33
|
| Rate for Payer: Preferred Health Network WC |
$30,178.91
|
| Rate for Payer: Prime Health Services Medicare |
$20,512.51
|
| Rate for Payer: Prime Health Services WC |
$28,534.93
|
| 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 739: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
IP
|
$95,177.40
|
|
|
Service Code
|
MS-DRG 739
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$95,177.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$95,177.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66,343.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$81,491.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$82,213.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$67,114.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$49,714.10
|
| Rate for Payer: IEHP Medicare Advantage |
$49,714.10
|
| Rate for Payer: Innovage PACE Commercial |
$74,571.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,714.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$66,616.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,616.89
|
| Rate for Payer: Multiplan WC |
$82,213.86
|
| Rate for Payer: Preferred Health Network WC |
$83,891.69
|
| Rate for Payer: Prime Health Services Medicare |
$52,696.95
|
| Rate for Payer: Prime Health Services WC |
$79,321.74
|
| 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 740: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
IP
|
$47,032.05
|
|
|
Service Code
|
MS-DRG 740
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$47,032.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,032.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,642.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,639.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,973.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,813.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,047.21
|
| Rate for Payer: IEHP Medicare Advantage |
$25,047.21
|
| Rate for Payer: Innovage PACE Commercial |
$37,570.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,047.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,563.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,563.26
|
| Rate for Payer: Multiplan WC |
$37,973.06
|
| Rate for Payer: Preferred Health Network WC |
$38,748.02
|
| Rate for Payer: Prime Health Services Medicare |
$26,550.04
|
| Rate for Payer: Prime Health Services WC |
$36,637.24
|
| 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 741: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$34,196.28
|
|
|
Service Code
|
MS-DRG 741
|
| Min. Negotiated Rate |
$18,470.91 |
| Max. Negotiated Rate |
$34,196.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,196.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,320.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,417.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,660.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,935.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,470.91
|
| Rate for Payer: IEHP Medicare Advantage |
$18,470.91
|
| Rate for Payer: Innovage PACE Commercial |
$27,706.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,470.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,751.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,751.02
|
| Rate for Payer: Multiplan WC |
$27,660.25
|
| Rate for Payer: Preferred Health Network WC |
$28,224.74
|
| Rate for Payer: Prime Health Services Medicare |
$19,579.16
|
| Rate for Payer: Prime Health Services WC |
$26,687.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$23,727.00
|
| Rate for Payer: United Healthcare All Other HMO |
$23,328.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,284.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,291.00
|
|
