|
INPATIENT MS-DRG 811: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
IP
|
$36,941.35
|
|
|
Service Code
|
MS-DRG 811
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$36,941.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,941.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,636.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,033.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,290.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,834.36
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,877.30
|
| Rate for Payer: IEHP Medicare Advantage |
$19,877.30
|
| Rate for Payer: Innovage PACE Commercial |
$29,815.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,877.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,635.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,635.58
|
| Rate for Payer: Multiplan WC |
$29,290.92
|
| Rate for Payer: Preferred Health Network WC |
$29,888.69
|
| Rate for Payer: Prime Health Services Medicare |
$21,069.94
|
| Rate for Payer: Prime Health Services WC |
$28,260.51
|
| 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 812: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
IP
|
$23,705.52
|
|
|
Service Code
|
MS-DRG 812
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,705.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,705.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,266.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,752.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,919.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,679.64
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,096.03
|
| Rate for Payer: IEHP Medicare Advantage |
$13,096.03
|
| Rate for Payer: Innovage PACE Commercial |
$19,644.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,096.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,548.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,548.68
|
| Rate for Payer: Multiplan WC |
$18,919.11
|
| Rate for Payer: Preferred Health Network WC |
$19,305.21
|
| Rate for Payer: Prime Health Services Medicare |
$13,881.79
|
| Rate for Payer: Prime Health Services WC |
$18,253.58
|
| 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 813: COAGULATION DISORDERS
|
Facility
IP
|
$41,057.64
|
|
|
Service Code
|
MS-DRG 813
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$41,057.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,057.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,608.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,683.98
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,973.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,681.45
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,986.26
|
| Rate for Payer: IEHP Medicare Advantage |
$21,986.26
|
| Rate for Payer: Innovage PACE Commercial |
$32,979.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,986.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,461.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,461.59
|
| Rate for Payer: Multiplan WC |
$32,973.61
|
| Rate for Payer: Preferred Health Network WC |
$33,646.54
|
| Rate for Payer: Prime Health Services Medicare |
$23,305.44
|
| Rate for Payer: Prime Health Services WC |
$31,813.66
|
| 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 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
IP
|
$56,009.46
|
|
|
Service Code
|
MS-DRG 814
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$56,009.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,009.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,946.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,241.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,588.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,023.06
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,646.71
|
| Rate for Payer: IEHP Medicare Advantage |
$29,646.71
|
| Rate for Payer: Innovage PACE Commercial |
$44,470.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,646.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,726.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,726.59
|
| Rate for Payer: Multiplan WC |
$39,588.97
|
| Rate for Payer: Preferred Health Network WC |
$40,396.91
|
| Rate for Payer: Prime Health Services Medicare |
$31,425.51
|
| Rate for Payer: Prime Health Services WC |
$38,196.32
|
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
IP
|
$26,166.35
|
|
|
Service Code
|
MS-DRG 815
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$26,166.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,166.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,529.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,532.46
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,723.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,381.72
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,356.83
|
| Rate for Payer: IEHP Medicare Advantage |
$14,356.83
|
| Rate for Payer: Innovage PACE Commercial |
$21,535.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,356.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,238.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,238.15
|
| Rate for Payer: Multiplan WC |
$21,723.27
|
| Rate for Payer: Preferred Health Network WC |
$22,166.60
|
| Rate for Payer: Prime Health Services Medicare |
$15,218.24
|
| Rate for Payer: Prime Health Services WC |
$20,959.09
|
| 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 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$18,691.75
|
|
|
Service Code
|
MS-DRG 816
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$18,691.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,691.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,393.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,223.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,358.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,211.80
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,527.26
|
| Rate for Payer: IEHP Medicare Advantage |
$10,527.26
|
| Rate for Payer: Innovage PACE Commercial |
$15,790.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,527.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,106.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,106.53
|
| Rate for Payer: Multiplan WC |
$15,358.61
|
| Rate for Payer: Preferred Health Network WC |
$15,672.05
|
| Rate for Payer: Prime Health Services Medicare |
$11,158.90
|
| Rate for Payer: Prime Health Services WC |
$14,818.32
|
| 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 817: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$67,284.48
|
|
|
Service Code
|
MS-DRG 817
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$67,284.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,349.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,209.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,359.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,938.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,560.08
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,933.39
|
| Rate for Payer: IEHP Medicare Advantage |
$38,933.39
|
| Rate for Payer: Innovage PACE Commercial |
$58,400.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,933.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,170.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,170.74
|
| Rate for Payer: Multiplan WC |
$65,938.79
|
| Rate for Payer: Preferred Health Network WC |
$67,284.48
|
| Rate for Payer: Prime Health Services Medicare |
$41,269.39
|
| Rate for Payer: Prime Health Services WC |
$63,619.20
|
| 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 818: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
|
Facility
IP
|
$34,183.99
|
|
|
Service Code
|
MS-DRG 818
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$34,183.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,874.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,033.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,206.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,500.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,334.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,248.12
|
| Rate for Payer: IEHP Medicare Advantage |
$20,248.12
|
| Rate for Payer: Innovage PACE Commercial |
$30,372.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,248.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,132.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,132.48
|
| Rate for Payer: Multiplan WC |
$33,500.31
|
| Rate for Payer: Preferred Health Network WC |
$34,183.99
|
| Rate for Payer: Prime Health Services Medicare |
$21,463.01
|
| Rate for Payer: Prime Health Services WC |
$32,321.84
|
| 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 819: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$23,876.60
|
|
|
Service Code
|
MS-DRG 819
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$23,876.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,876.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,105.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,554.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,718.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,797.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,183.69
|
| Rate for Payer: IEHP Medicare Advantage |
$13,183.69
|
| Rate for Payer: Innovage PACE Commercial |
$19,775.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,183.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,666.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,666.14
|
| Rate for Payer: Multiplan WC |
$18,718.96
|
| Rate for Payer: Preferred Health Network WC |
$19,100.98
|
| Rate for Payer: Prime Health Services Medicare |
$13,974.71
|
| Rate for Payer: Prime Health Services WC |
$18,060.47
|
| 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 820: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$159,143.10
|
|
|
Service Code
|
MS-DRG 820
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$159,143.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$159,143.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$90,404.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$111,047.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$112,031.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$111,356.75
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$82,486.48
|
| Rate for Payer: IEHP Medicare Advantage |
$82,486.48
|
| Rate for Payer: Innovage PACE Commercial |
$123,729.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$82,486.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$110,531.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$110,531.88
|
| Rate for Payer: Multiplan WC |
$112,031.47
|
| Rate for Payer: Preferred Health Network WC |
$114,317.83
|
| Rate for Payer: Prime Health Services Medicare |
$87,435.67
|
| Rate for Payer: Prime Health Services WC |
$108,090.43
|
| 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 821: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
IP
|
$58,746.64
|
|
|
Service Code
|
MS-DRG 821
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$58,746.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,746.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,762.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,157.40
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,557.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,916.28
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,049.10
|
| Rate for Payer: IEHP Medicare Advantage |
$31,049.10
|
| Rate for Payer: Innovage PACE Commercial |
$46,573.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,049.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,605.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,605.79
|
| Rate for Payer: Multiplan WC |
$45,557.55
|
| Rate for Payer: Preferred Health Network WC |
$46,487.30
|
| Rate for Payer: Prime Health Services Medicare |
$32,912.05
|
| Rate for Payer: Prime Health Services WC |
$43,954.93
|
| 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 822: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$32,603.98
|
|
|
Service Code
|
MS-DRG 822
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$32,603.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,603.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,486.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,164.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,387.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,834.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,655.11
|
| Rate for Payer: IEHP Medicare Advantage |
$17,655.11
|
| Rate for Payer: Innovage PACE Commercial |
$26,482.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,655.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,657.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,657.85
|
| Rate for Payer: Multiplan WC |
$25,387.00
|
| Rate for Payer: Preferred Health Network WC |
$25,905.10
|
| Rate for Payer: Prime Health Services Medicare |
$18,714.42
|
| Rate for Payer: Prime Health Services WC |
$24,493.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
IP
|
$118,485.51
|
|
|
Service Code
|
MS-DRG 823
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$118,485.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$118,485.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$73,553.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$90,348.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$91,148.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$83,235.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$61,655.85
|
| Rate for Payer: IEHP Medicare Advantage |
$61,655.85
|
| Rate for Payer: Innovage PACE Commercial |
$92,483.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,655.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$82,618.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,618.84
|
| Rate for Payer: Multiplan WC |
$91,148.82
|
| Rate for Payer: Preferred Health Network WC |
$93,009.00
|
| Rate for Payer: Prime Health Services Medicare |
$65,355.20
|
| Rate for Payer: Prime Health Services WC |
$87,942.39
|
| 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 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
IP
|
$58,767.70
|
|
|
Service Code
|
MS-DRG 824
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$58,767.70 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,767.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,937.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,828.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,252.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,930.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,059.87
|
| Rate for Payer: IEHP Medicare Advantage |
$31,059.87
|
| Rate for Payer: Innovage PACE Commercial |
$46,589.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,059.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,620.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,620.23
|
| Rate for Payer: Multiplan WC |
$48,252.16
|
| Rate for Payer: Preferred Health Network WC |
$49,236.90
|
| Rate for Payer: Prime Health Services Medicare |
$32,923.46
|
| Rate for Payer: Prime Health Services WC |
$46,554.74
|
| 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 825: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$33,988.36
|
|
|
Service Code
|
MS-DRG 825
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,988.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,988.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,383.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,494.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,738.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,791.90
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,364.37
|
| Rate for Payer: IEHP Medicare Advantage |
$18,364.37
|
| Rate for Payer: Innovage PACE Commercial |
$27,546.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,364.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,608.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,608.26
|
| Rate for Payer: Multiplan WC |
$27,738.19
|
| Rate for Payer: Preferred Health Network WC |
$28,304.28
|
| Rate for Payer: Prime Health Services Medicare |
$19,466.23
|
| Rate for Payer: Prime Health Services WC |
$26,762.43
|
| 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 826: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$115,508.83
|
|
|
Service Code
|
MS-DRG 826
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$115,508.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$115,508.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$87,417.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107,378.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$108,329.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$85,525.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$63,352.19
|
| Rate for Payer: IEHP Medicare Advantage |
$63,352.19
|
| Rate for Payer: Innovage PACE Commercial |
$95,028.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,352.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$84,891.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,891.93
|
| Rate for Payer: Multiplan WC |
$108,329.82
|
| Rate for Payer: Preferred Health Network WC |
$110,540.63
|
| Rate for Payer: Prime Health Services Medicare |
$67,153.32
|
| Rate for Payer: Prime Health Services WC |
$104,518.99
|
| 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 827: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
IP
|
$60,986.39
|
|
|
Service Code
|
MS-DRG 827
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$60,986.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,986.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,392.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,843.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,294.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,465.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$32,196.61
|
| Rate for Payer: IEHP Medicare Advantage |
$32,196.61
|
| Rate for Payer: Innovage PACE Commercial |
$48,294.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,196.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,143.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,143.46
|
| Rate for Payer: Multiplan WC |
$51,294.39
|
| Rate for Payer: Preferred Health Network WC |
$52,341.21
|
| Rate for Payer: Prime Health Services Medicare |
$34,128.41
|
| Rate for Payer: Prime Health Services WC |
$49,489.95
|
| 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 828: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$43,173.69
|
|
|
Service Code
|
MS-DRG 828
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$43,173.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,173.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,566.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,317.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,639.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,145.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,070.40
|
| Rate for Payer: IEHP Medicare Advantage |
$23,070.40
|
| Rate for Payer: Innovage PACE Commercial |
$34,605.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,070.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,914.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,914.34
|
| Rate for Payer: Multiplan WC |
$36,639.45
|
| Rate for Payer: Preferred Health Network WC |
$37,387.19
|
| Rate for Payer: Prime Health Services Medicare |
$24,454.62
|
| Rate for Payer: Prime Health Services WC |
$35,350.54
|
| 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 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
IP
|
$83,004.86
|
|
|
Service Code
|
MS-DRG 829
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$83,004.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,004.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,803.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,088.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$66,674.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,694.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$43,477.61
|
| Rate for Payer: IEHP Medicare Advantage |
$43,477.61
|
| Rate for Payer: Innovage PACE Commercial |
$65,216.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,477.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,260.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,260.00
|
| Rate for Payer: Multiplan WC |
$66,674.06
|
| Rate for Payer: Preferred Health Network WC |
$68,034.76
|
| Rate for Payer: Prime Health Services Medicare |
$46,086.27
|
| Rate for Payer: Prime Health Services WC |
$64,328.61
|
| 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 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$41,615.60
|
|
|
Service Code
|
MS-DRG 830
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$41,615.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,615.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,999.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,708.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,980.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,067.36
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,272.12
|
| Rate for Payer: IEHP Medicare Advantage |
$22,272.12
|
| Rate for Payer: Innovage PACE Commercial |
$33,408.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,272.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,844.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,844.64
|
| Rate for Payer: Multiplan WC |
$30,980.57
|
| Rate for Payer: Preferred Health Network WC |
$31,612.83
|
| Rate for Payer: Prime Health Services Medicare |
$23,608.45
|
| Rate for Payer: Prime Health Services WC |
$29,890.73
|
| 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 831: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$26,576.93
|
|
|
Service Code
|
MS-DRG 831
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$26,576.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,576.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,312.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,951.01
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,172.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,858.04
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,450.40
|
| Rate for Payer: IEHP Medicare Advantage |
$15,450.40
|
| Rate for Payer: Innovage PACE Commercial |
$23,175.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,450.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,703.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,703.54
|
| Rate for Payer: Multiplan WC |
$25,172.10
|
| Rate for Payer: Preferred Health Network WC |
$25,685.82
|
| Rate for Payer: Prime Health Services Medicare |
$16,377.42
|
| Rate for Payer: Prime Health Services WC |
$24,286.61
|
| 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 832: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
IP
|
$19,415.53
|
|
|
Service Code
|
MS-DRG 832
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$19,415.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,415.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,909.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,628.54
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,758.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,712.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,898.09
|
| Rate for Payer: IEHP Medicare Advantage |
$10,898.09
|
| Rate for Payer: Innovage PACE Commercial |
$16,347.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,898.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,603.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,603.44
|
| Rate for Payer: Multiplan WC |
$14,758.17
|
| Rate for Payer: Preferred Health Network WC |
$15,059.36
|
| Rate for Payer: Prime Health Services Medicare |
$11,551.98
|
| Rate for Payer: Prime Health Services WC |
$14,239.01
|
| 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 833: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$13,470.06
|
|
|
Service Code
|
MS-DRG 833
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$13,470.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$13,470.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8,568.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,525.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$10,618.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,600.20
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,852.00
|
| Rate for Payer: IEHP Medicare Advantage |
$7,852.00
|
| Rate for Payer: Innovage PACE Commercial |
$11,778.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,852.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,521.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,521.68
|
| Rate for Payer: Multiplan WC |
$10,618.30
|
| Rate for Payer: Preferred Health Network WC |
$10,835.00
|
| Rate for Payer: Prime Health Services Medicare |
$8,323.12
|
| Rate for Payer: Prime Health Services WC |
$10,244.77
|
| 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 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$147,360.08
|
|
|
Service Code
|
MS-DRG 834
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$147,360.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$147,360.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$94,015.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$115,482.99
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$116,506.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$103,206.87
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$76,449.53
|
| Rate for Payer: IEHP Medicare Advantage |
$76,449.53
|
| Rate for Payer: Innovage PACE Commercial |
$114,674.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$76,449.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$102,442.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$102,442.37
|
| Rate for Payer: Multiplan WC |
$116,506.33
|
| Rate for Payer: Preferred Health Network WC |
$118,884.01
|
| Rate for Payer: Prime Health Services Medicare |
$81,036.50
|
| Rate for Payer: Prime Health Services WC |
$112,407.87
|
| 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 835: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC
|
Facility
IP
|
$58,836.12
|
|
|
Service Code
|
MS-DRG 835
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$58,836.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,836.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,652.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,793.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,181.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,978.18
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$31,094.95
|
| Rate for Payer: IEHP Medicare Advantage |
$31,094.95
|
| Rate for Payer: Innovage PACE Commercial |
$46,642.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,094.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,667.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,667.23
|
| Rate for Payer: Multiplan WC |
$44,181.81
|
| Rate for Payer: Preferred Health Network WC |
$45,083.48
|
| Rate for Payer: Prime Health Services Medicare |
$32,960.65
|
| Rate for Payer: Prime Health Services WC |
$42,627.58
|
| 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
|
|
