|
INPATIENT MS-DRG 836: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$33,726.08
|
|
|
Service Code
|
MS-DRG 836
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$33,726.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,511.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,671.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,761.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,051.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,985.46
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,989.23
|
| Rate for Payer: IEHP Medicare Advantage |
$19,989.23
|
| Rate for Payer: Innovage PACE Commercial |
$29,983.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,989.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,785.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,785.57
|
| Rate for Payer: Multiplan WC |
$33,051.56
|
| Rate for Payer: Preferred Health Network WC |
$33,726.08
|
| Rate for Payer: Prime Health Services Medicare |
$21,188.58
|
| Rate for Payer: Prime Health Services WC |
$31,888.88
|
| 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 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
IP
|
$125,188.96
|
|
|
Service Code
|
MS-DRG 837
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$125,188.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$125,188.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$91,502.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$112,396.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$113,392.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$89,462.96
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$66,268.86
|
| Rate for Payer: IEHP Medicare Advantage |
$66,268.86
|
| Rate for Payer: Innovage PACE Commercial |
$99,403.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,268.86
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$88,800.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$88,800.27
|
| Rate for Payer: Multiplan WC |
$113,392.47
|
| Rate for Payer: Preferred Health Network WC |
$115,706.60
|
| Rate for Payer: Prime Health Services Medicare |
$70,244.99
|
| Rate for Payer: Prime Health Services WC |
$109,403.55
|
| 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 838: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
IP
|
$51,385.22
|
|
|
Service Code
|
MS-DRG 838
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$51,385.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,385.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,811.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,445.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,857.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,722.09
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$27,942.29
|
| Rate for Payer: IEHP Medicare Advantage |
$27,942.29
|
| Rate for Payer: Innovage PACE Commercial |
$41,913.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,942.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,442.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,442.67
|
| Rate for Payer: Multiplan WC |
$46,857.46
|
| Rate for Payer: Preferred Health Network WC |
$47,813.73
|
| Rate for Payer: Prime Health Services Medicare |
$29,618.83
|
| Rate for Payer: Prime Health Services WC |
$45,209.10
|
| 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 839: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$34,296.29
|
|
|
Service Code
|
MS-DRG 839
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$34,296.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,296.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,371.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,707.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,962.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,004.89
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,522.14
|
| Rate for Payer: IEHP Medicare Advantage |
$18,522.14
|
| Rate for Payer: Innovage PACE Commercial |
$27,783.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,522.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,819.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,819.67
|
| Rate for Payer: Multiplan WC |
$28,962.25
|
| Rate for Payer: Preferred Health Network WC |
$29,553.32
|
| Rate for Payer: Prime Health Services Medicare |
$19,633.47
|
| Rate for Payer: Prime Health Services WC |
$27,943.42
|
| 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 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
IP
|
$82,252.14
|
|
|
Service Code
|
MS-DRG 840
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$82,252.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$82,252.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$52,822.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,883.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,458.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,174.13
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$43,091.95
|
| Rate for Payer: IEHP Medicare Advantage |
$43,091.95
|
| Rate for Payer: Innovage PACE Commercial |
$64,637.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,091.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57,743.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,743.21
|
| Rate for Payer: Multiplan WC |
$65,458.43
|
| Rate for Payer: Preferred Health Network WC |
$66,794.32
|
| Rate for Payer: Prime Health Services Medicare |
$45,677.47
|
| Rate for Payer: Prime Health Services WC |
$63,155.74
|
| 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 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
IP
|
$41,412.95
|
|
|
Service Code
|
MS-DRG 841
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$41,412.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,412.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,113.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,304.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,599.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,927.19
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$22,168.29
|
| Rate for Payer: IEHP Medicare Advantage |
$22,168.29
|
| Rate for Payer: Innovage PACE Commercial |
$33,252.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,168.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,705.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,705.51
|
| Rate for Payer: Multiplan WC |
$33,599.33
|
| Rate for Payer: Preferred Health Network WC |
$34,285.03
|
| Rate for Payer: Prime Health Services Medicare |
$23,498.39
|
| Rate for Payer: Prime Health Services WC |
$32,417.37
|
| 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 842: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
IP
|
$28,066.58
|
|
|
Service Code
|
MS-DRG 842
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$28,066.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,066.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,764.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,048.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,252.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,696.03
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,330.39
|
| Rate for Payer: IEHP Medicare Advantage |
$15,330.39
|
| Rate for Payer: Innovage PACE Commercial |
$22,995.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,330.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,542.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,542.72
|
| Rate for Payer: Multiplan WC |
$23,252.81
|
| Rate for Payer: Preferred Health Network WC |
$23,727.36
|
| Rate for Payer: Prime Health Services Medicare |
$16,250.21
|
| Rate for Payer: Prime Health Services WC |
$22,434.82
|
| 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 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
IP
|
$48,969.13
|
|
|
Service Code
|
MS-DRG 843
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$48,969.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,969.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,937.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,458.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,817.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,153.54
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$26,039.66
|
| Rate for Payer: IEHP Medicare Advantage |
$26,039.66
|
| Rate for Payer: Innovage PACE Commercial |
$39,059.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,039.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,893.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,893.14
|
| Rate for Payer: Multiplan WC |
$40,817.24
|
| Rate for Payer: Preferred Health Network WC |
$41,650.25
|
| Rate for Payer: Prime Health Services Medicare |
$27,602.04
|
| Rate for Payer: Prime Health Services WC |
$39,381.38
|
| 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 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
IP
|
$30,456.35
|
|
|
Service Code
|
MS-DRG 844
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$30,456.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,456.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,391.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,819.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,030.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,348.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$16,554.77
|
| Rate for Payer: IEHP Medicare Advantage |
$16,554.77
|
| Rate for Payer: Innovage PACE Commercial |
$24,832.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,554.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,183.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,183.39
|
| Rate for Payer: Multiplan WC |
$24,030.22
|
| Rate for Payer: Preferred Health Network WC |
$24,520.63
|
| Rate for Payer: Prime Health Services Medicare |
$17,548.06
|
| Rate for Payer: Prime Health Services WC |
$23,184.88
|
| 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 845: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$22,763.30
|
|
|
Service Code
|
MS-DRG 845
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$22,763.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,763.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,374.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,656.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,813.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,027.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,613.29
|
| Rate for Payer: IEHP Medicare Advantage |
$12,613.29
|
| Rate for Payer: Innovage PACE Commercial |
$18,919.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,613.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,901.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,901.81
|
| Rate for Payer: Multiplan WC |
$17,813.04
|
| Rate for Payer: Preferred Health Network WC |
$18,176.57
|
| Rate for Payer: Prime Health Services Medicare |
$13,370.09
|
| Rate for Payer: Prime Health Services WC |
$17,186.41
|
| 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 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
IP
|
$64,323.64
|
|
|
Service Code
|
MS-DRG 846
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$64,323.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,323.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,955.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,307.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$50,752.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,773.67
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$33,906.42
|
| Rate for Payer: IEHP Medicare Advantage |
$33,906.42
|
| Rate for Payer: Innovage PACE Commercial |
$50,859.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,906.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,434.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,434.60
|
| Rate for Payer: Multiplan WC |
$50,752.94
|
| Rate for Payer: Preferred Health Network WC |
$51,788.71
|
| Rate for Payer: Prime Health Services Medicare |
$35,940.81
|
| Rate for Payer: Prime Health Services WC |
$48,967.55
|
| 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 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
|
Facility
IP
|
$31,914.42
|
|
|
Service Code
|
MS-DRG 847
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$31,914.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,914.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,708.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,437.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,663.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,357.43
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,301.80
|
| Rate for Payer: IEHP Medicare Advantage |
$17,301.80
|
| Rate for Payer: Innovage PACE Commercial |
$25,952.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,301.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,184.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,184.41
|
| Rate for Payer: Multiplan WC |
$25,663.00
|
| Rate for Payer: Preferred Health Network WC |
$26,186.73
|
| Rate for Payer: Prime Health Services Medicare |
$18,339.91
|
| Rate for Payer: Prime Health Services WC |
$24,760.22
|
| 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 848: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$19,989.28
|
|
|
Service Code
|
MS-DRG 848
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$19,989.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,989.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,795.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,402.40
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,574.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,505.52
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,226.31
|
| Rate for Payer: IEHP Medicare Advantage |
$12,226.31
|
| Rate for Payer: Innovage PACE Commercial |
$18,339.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,226.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,383.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,383.26
|
| Rate for Payer: Multiplan WC |
$19,574.32
|
| Rate for Payer: Preferred Health Network WC |
$19,973.80
|
| Rate for Payer: Prime Health Services Medicare |
$12,959.89
|
| Rate for Payer: Prime Health Services WC |
$18,885.74
|
| 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 849: RADIOTHERAPY
|
Facility
IP
|
$70,834.96
|
|
|
Service Code
|
MS-DRG 849
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$70,834.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$70,834.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,763.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,843.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,276.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,277.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,242.46
|
| Rate for Payer: IEHP Medicare Advantage |
$37,242.46
|
| Rate for Payer: Innovage PACE Commercial |
$55,863.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,242.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,904.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,904.90
|
| Rate for Payer: Multiplan WC |
$49,276.07
|
| Rate for Payer: Preferred Health Network WC |
$50,281.70
|
| Rate for Payer: Prime Health Services Medicare |
$39,477.01
|
| Rate for Payer: Prime Health Services WC |
$47,542.63
|
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$131,576.58
|
|
|
Service Code
|
MS-DRG 853
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$131,576.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$131,576.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$83,321.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$102,347.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$103,254.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$92,289.98
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$68,362.95
|
| Rate for Payer: IEHP Medicare Advantage |
$68,362.95
|
| Rate for Payer: Innovage PACE Commercial |
$102,544.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$68,362.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$91,606.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$91,606.35
|
| Rate for Payer: Multiplan WC |
$103,254.52
|
| Rate for Payer: Preferred Health Network WC |
$105,361.76
|
| Rate for Payer: Prime Health Services Medicare |
$72,464.73
|
| Rate for Payer: Prime Health Services WC |
$99,622.24
|
| 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 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
|
Facility
IP
|
$53,643.39
|
|
|
Service Code
|
MS-DRG 854
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$53,643.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,643.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,947.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,927.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,307.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,386.52
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$28,434.46
|
| Rate for Payer: IEHP Medicare Advantage |
$28,434.46
|
| Rate for Payer: Innovage PACE Commercial |
$42,651.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,434.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,102.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,102.18
|
| Rate for Payer: Multiplan WC |
$43,307.48
|
| Rate for Payer: Preferred Health Network WC |
$44,191.31
|
| Rate for Payer: Prime Health Services Medicare |
$30,140.53
|
| Rate for Payer: Prime Health Services WC |
$41,784.02
|
| 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 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$44,789.67
|
|
|
Service Code
|
MS-DRG 855
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,789.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,789.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,972.43
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,902.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,185.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,262.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,898.34
|
| Rate for Payer: IEHP Medicare Advantage |
$23,898.34
|
| Rate for Payer: Innovage PACE Commercial |
$35,847.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,898.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,023.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,023.78
|
| Rate for Payer: Multiplan WC |
$32,185.66
|
| Rate for Payer: Preferred Health Network WC |
$32,842.51
|
| Rate for Payer: Prime Health Services Medicare |
$25,332.24
|
| Rate for Payer: Prime Health Services WC |
$31,053.43
|
| 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 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$116,551.06
|
|
|
Service Code
|
MS-DRG 856
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$116,551.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$116,551.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$75,020.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$92,150.41
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$92,966.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$81,897.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$60,664.75
|
| Rate for Payer: IEHP Medicare Advantage |
$60,664.75
|
| Rate for Payer: Innovage PACE Commercial |
$90,997.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60,664.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$81,290.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$81,290.76
|
| Rate for Payer: Multiplan WC |
$92,966.99
|
| Rate for Payer: Preferred Health Network WC |
$94,864.28
|
| Rate for Payer: Prime Health Services Medicare |
$64,304.64
|
| Rate for Payer: Prime Health Services WC |
$89,696.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
|
Facility
IP
|
$56,209.49
|
|
|
Service Code
|
MS-DRG 857
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$56,209.49 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,209.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,855.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,042.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,432.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,161.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,749.20
|
| Rate for Payer: IEHP Medicare Advantage |
$29,749.20
|
| Rate for Payer: Innovage PACE Commercial |
$44,623.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,749.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,863.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,863.93
|
| Rate for Payer: Multiplan WC |
$44,432.52
|
| Rate for Payer: Preferred Health Network WC |
$45,339.31
|
| Rate for Payer: Prime Health Services Medicare |
$31,534.15
|
| Rate for Payer: Prime Health Services WC |
$42,869.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$33,777.80
|
|
|
Service Code
|
MS-DRG 858
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$33,777.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,777.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,049.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,541.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,802.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,646.25
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$18,256.48
|
| Rate for Payer: IEHP Medicare Advantage |
$18,256.48
|
| Rate for Payer: Innovage PACE Commercial |
$27,384.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,256.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,463.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,463.68
|
| Rate for Payer: Multiplan WC |
$29,802.87
|
| Rate for Payer: Preferred Health Network WC |
$30,411.09
|
| Rate for Payer: Prime Health Services Medicare |
$19,351.87
|
| Rate for Payer: Prime Health Services WC |
$28,754.46
|
| 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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
|
Facility
IP
|
$48,479.60
|
|
|
Service Code
|
MS-DRG 862
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$48,479.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,479.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,096.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,197.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,535.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,814.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$25,788.84
|
| Rate for Payer: IEHP Medicare Advantage |
$25,788.84
|
| Rate for Payer: Innovage PACE Commercial |
$38,683.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,788.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,557.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,557.05
|
| Rate for Payer: Multiplan WC |
$38,535.57
|
| Rate for Payer: Preferred Health Network WC |
$39,322.01
|
| Rate for Payer: Prime Health Services Medicare |
$27,336.17
|
| Rate for Payer: Prime Health Services WC |
$37,179.97
|
| 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 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
|
Facility
IP
|
$26,463.75
|
|
|
Service Code
|
MS-DRG 863
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$26,463.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,463.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,101.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,006.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,192.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,587.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$14,509.20
|
| Rate for Payer: IEHP Medicare Advantage |
$14,509.20
|
| Rate for Payer: Innovage PACE Commercial |
$21,763.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,509.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,442.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,442.33
|
| Rate for Payer: Multiplan WC |
$21,192.35
|
| Rate for Payer: Preferred Health Network WC |
$21,624.85
|
| Rate for Payer: Prime Health Services Medicare |
$15,379.75
|
| Rate for Payer: Prime Health Services WC |
$20,446.85
|
| 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 864: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
IP
|
$23,234.41
|
|
|
Service Code
|
MS-DRG 864
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$23,234.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,234.41
|
| 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 |
$17,353.80
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,854.67
|
| Rate for Payer: IEHP Medicare Advantage |
$12,854.67
|
| Rate for Payer: Innovage PACE Commercial |
$19,282.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,854.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,225.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,225.26
|
| 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 |
$13,625.95
|
| 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 865: VIRAL ILLNESS WITH MCC
|
Facility
IP
|
$43,160.53
|
|
|
Service Code
|
MS-DRG 865
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$43,160.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,160.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,439.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,933.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,242.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,135.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,063.66
|
| Rate for Payer: IEHP Medicare Advantage |
$23,063.66
|
| Rate for Payer: Innovage PACE Commercial |
$34,595.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,063.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,905.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,905.30
|
| Rate for Payer: Multiplan WC |
$35,242.63
|
| Rate for Payer: Preferred Health Network WC |
$35,961.87
|
| Rate for Payer: Prime Health Services Medicare |
$24,447.48
|
| Rate for Payer: Prime Health Services WC |
$34,002.87
|
| 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 866: VIRAL ILLNESS WITHOUT MCC
|
Facility
IP
|
$24,152.95
|
|
|
Service Code
|
MS-DRG 866
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$24,152.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,152.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,295.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,788.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,954.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,989.10
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,325.26
|
| Rate for Payer: IEHP Medicare Advantage |
$13,325.26
|
| Rate for Payer: Innovage PACE Commercial |
$19,987.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,325.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,855.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,855.85
|
| Rate for Payer: Multiplan WC |
$18,954.92
|
| Rate for Payer: Preferred Health Network WC |
$19,341.76
|
| Rate for Payer: Prime Health Services Medicare |
$14,124.78
|
| Rate for Payer: Prime Health Services WC |
$18,288.13
|
| 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
|
|
