|
INPATIENT MS-DRG 947: SIGNS AND SYMPTOMS WITH MCC
|
Facility
IP
|
$32,940.86
|
|
|
Service Code
|
MS-DRG 947
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$32,940.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,940.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,666.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,385.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,610.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,067.37
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$17,827.68
|
| Rate for Payer: IEHP Medicare Advantage |
$17,827.68
|
| Rate for Payer: Innovage PACE Commercial |
$26,741.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,827.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,889.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,889.09
|
| Rate for Payer: Multiplan WC |
$25,610.32
|
| Rate for Payer: Preferred Health Network WC |
$26,132.98
|
| Rate for Payer: Prime Health Services Medicare |
$18,897.34
|
| Rate for Payer: Prime Health Services WC |
$24,709.40
|
| 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 948: SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
IP
|
$21,081.52
|
|
|
Service Code
|
MS-DRG 948
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$21,081.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,081.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,219.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,238.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,382.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,864.73
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11,751.65
|
| Rate for Payer: IEHP Medicare Advantage |
$11,751.65
|
| Rate for Payer: Innovage PACE Commercial |
$17,627.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,751.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,747.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,747.21
|
| Rate for Payer: Multiplan WC |
$16,382.51
|
| Rate for Payer: Preferred Health Network WC |
$16,716.85
|
| Rate for Payer: Prime Health Services Medicare |
$12,456.75
|
| Rate for Payer: Prime Health Services WC |
$15,806.22
|
| 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 949: AFTERCARE WITH CC/MCC
|
Facility
IP
|
$27,269.12
|
|
|
Service Code
|
MS-DRG 949
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$27,269.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,269.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,265.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,892.54
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,113.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,812.53
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,416.69
|
| Rate for Payer: IEHP Medicare Advantage |
$15,416.69
|
| Rate for Payer: Innovage PACE Commercial |
$23,125.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,416.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,658.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,658.36
|
| Rate for Payer: Multiplan WC |
$25,113.12
|
| Rate for Payer: Preferred Health Network WC |
$25,625.63
|
| Rate for Payer: Prime Health Services Medicare |
$16,341.69
|
| Rate for Payer: Prime Health Services WC |
$24,229.69
|
| 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 950: AFTERCARE WITHOUT CC/MCC
|
Facility
IP
|
$16,533.60
|
|
|
Service Code
|
MS-DRG 950
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$16,533.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,533.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,062.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,816.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,947.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,908.42
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,561.79
|
| Rate for Payer: IEHP Medicare Advantage |
$9,561.79
|
| Rate for Payer: Innovage PACE Commercial |
$14,342.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,561.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,812.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,812.80
|
| Rate for Payer: Multiplan WC |
$14,947.78
|
| Rate for Payer: Preferred Health Network WC |
$15,252.84
|
| Rate for Payer: Prime Health Services Medicare |
$10,135.50
|
| Rate for Payer: Prime Health Services WC |
$14,421.95
|
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
IP
|
$15,528.21
|
|
|
Service Code
|
MS-DRG 951
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$15,528.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$15,528.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,676.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11,886.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,991.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,023.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$8,906.45
|
| Rate for Payer: IEHP Medicare Advantage |
$8,906.45
|
| Rate for Payer: Innovage PACE Commercial |
$13,359.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,906.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,934.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,934.64
|
| Rate for Payer: Multiplan WC |
$11,991.94
|
| Rate for Payer: Preferred Health Network WC |
$12,236.67
|
| Rate for Payer: Prime Health Services Medicare |
$9,440.84
|
| Rate for Payer: Prime Health Services WC |
$11,570.08
|
| 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 955: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
IP
|
$160,287.97
|
|
|
Service Code
|
MS-DRG 955
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$160,287.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$160,287.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$114,518.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$140,667.89
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$141,914.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$112,148.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$83,073.05
|
| Rate for Payer: IEHP Medicare Advantage |
$83,073.05
|
| Rate for Payer: Innovage PACE Commercial |
$124,609.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,073.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$111,317.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,317.89
|
| Rate for Payer: Multiplan WC |
$141,914.40
|
| Rate for Payer: Preferred Health Network WC |
$144,810.61
|
| Rate for Payer: Prime Health Services Medicare |
$88,057.43
|
| Rate for Payer: Prime Health Services WC |
$136,922.13
|
| 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 956: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
IP
|
$102,070.35
|
|
|
Service Code
|
MS-DRG 956
|
| Min. Negotiated Rate |
$25,608.00 |
| Max. Negotiated Rate |
$102,070.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$102,070.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,675.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$79,443.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$80,147.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$71,881.65
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$53,245.67
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$25,608.00
|
| Rate for Payer: IEHP Medicare Advantage |
$53,245.67
|
| Rate for Payer: Innovage PACE Commercial |
$79,868.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,245.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,349.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,349.20
|
| Rate for Payer: Multiplan WC |
$80,147.09
|
| Rate for Payer: Preferred Health Network WC |
$81,782.74
|
| Rate for Payer: Prime Health Services Medicare |
$56,440.41
|
| Rate for Payer: Prime Health Services WC |
$77,327.67
|
| Rate for Payer: United Healthcare All Other Commercial |
$86,845.00
|
| Rate for Payer: United Healthcare All Other HMO |
$56,323.00
|
| Rate for Payer: United Healthcare HMO Rider |
$42,781.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$39,121.00
|
|
|
INPATIENT MS-DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
IP
|
$190,352.17
|
|
|
Service Code
|
MS-DRG 957
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$190,352.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$190,352.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$125,985.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$154,753.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$156,124.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$132,942.87
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$98,476.20
|
| Rate for Payer: IEHP Medicare Advantage |
$98,476.20
|
| Rate for Payer: Innovage PACE Commercial |
$147,714.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$98,476.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$131,958.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$131,958.11
|
| Rate for Payer: Multiplan WC |
$156,124.80
|
| Rate for Payer: Preferred Health Network WC |
$159,311.02
|
| Rate for Payer: Prime Health Services Medicare |
$104,384.77
|
| Rate for Payer: Prime Health Services WC |
$150,632.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
IP
|
$106,455.09
|
|
|
Service Code
|
MS-DRG 958
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$106,455.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$106,455.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$70,902.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$87,092.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$87,864.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,914.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$55,492.15
|
| Rate for Payer: IEHP Medicare Advantage |
$55,492.15
|
| Rate for Payer: Innovage PACE Commercial |
$83,238.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,492.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$74,359.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,359.48
|
| Rate for Payer: Multiplan WC |
$87,864.31
|
| Rate for Payer: Preferred Health Network WC |
$89,657.46
|
| Rate for Payer: Prime Health Services Medicare |
$58,821.68
|
| Rate for Payer: Prime Health Services WC |
$84,773.42
|
| 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 959: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
IP
|
$66,650.24
|
|
|
Service Code
|
MS-DRG 959
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$66,650.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,650.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,670.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,642.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,117.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,382.88
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$35,098.43
|
| Rate for Payer: IEHP Medicare Advantage |
$35,098.43
|
| Rate for Payer: Innovage PACE Commercial |
$52,647.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,098.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,031.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,031.90
|
| Rate for Payer: Multiplan WC |
$54,117.50
|
| Rate for Payer: Preferred Health Network WC |
$55,221.94
|
| Rate for Payer: Prime Health Services Medicare |
$37,204.34
|
| Rate for Payer: Prime Health Services WC |
$52,213.76
|
| 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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
IP
|
$71,964.04
|
|
|
Service Code
|
MS-DRG 963
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$71,964.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,964.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,147.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$57,912.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$58,425.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,058.26
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$37,820.93
|
| Rate for Payer: IEHP Medicare Advantage |
$37,820.93
|
| Rate for Payer: Innovage PACE Commercial |
$56,731.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,820.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,680.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,680.05
|
| Rate for Payer: Multiplan WC |
$58,425.92
|
| Rate for Payer: Preferred Health Network WC |
$59,618.29
|
| Rate for Payer: Prime Health Services Medicare |
$40,090.19
|
| Rate for Payer: Prime Health Services WC |
$56,370.62
|
| 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 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
IP
|
$39,504.82
|
|
|
Service Code
|
MS-DRG 964
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$39,504.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,504.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,897.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,583.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,854.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,607.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$21,190.70
|
| Rate for Payer: IEHP Medicare Advantage |
$21,190.70
|
| Rate for Payer: Innovage PACE Commercial |
$31,786.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,190.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,395.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,395.54
|
| Rate for Payer: Multiplan WC |
$30,854.16
|
| Rate for Payer: Preferred Health Network WC |
$31,483.84
|
| Rate for Payer: Prime Health Services Medicare |
$22,462.14
|
| Rate for Payer: Prime Health Services WC |
$29,768.78
|
| 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 965: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
IP
|
$25,158.33
|
|
|
Service Code
|
MS-DRG 965
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$25,158.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,158.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,469.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,001.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,169.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,684.51
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,840.38
|
| Rate for Payer: IEHP Medicare Advantage |
$13,840.38
|
| Rate for Payer: Innovage PACE Commercial |
$20,760.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,840.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,546.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,546.11
|
| Rate for Payer: Multiplan WC |
$19,169.82
|
| Rate for Payer: Preferred Health Network WC |
$19,561.04
|
| Rate for Payer: Prime Health Services Medicare |
$14,670.80
|
| Rate for Payer: Prime Health Services WC |
$18,495.47
|
| 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 969: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$180,879.96
|
|
|
Service Code
|
MS-DRG 969
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$180,879.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$180,879.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$123,216.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$151,351.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$152,692.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$126,391.32
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$93,623.20
|
| Rate for Payer: IEHP Medicare Advantage |
$93,623.20
|
| Rate for Payer: Innovage PACE Commercial |
$140,434.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$93,623.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$125,455.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$125,455.09
|
| Rate for Payer: Multiplan WC |
$152,692.81
|
| Rate for Payer: Preferred Health Network WC |
$155,808.99
|
| Rate for Payer: Prime Health Services Medicare |
$99,240.59
|
| Rate for Payer: Prime Health Services WC |
$147,321.39
|
| 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 970: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
IP
|
$66,394.46
|
|
|
Service Code
|
MS-DRG 970
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$66,394.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,281.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$52,505.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,495.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,066.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,882.90
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$38,431.78
|
| Rate for Payer: IEHP Medicare Advantage |
$38,431.78
|
| Rate for Payer: Innovage PACE Commercial |
$57,647.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,431.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,498.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,498.59
|
| Rate for Payer: Multiplan WC |
$65,066.57
|
| Rate for Payer: Preferred Health Network WC |
$66,394.46
|
| Rate for Payer: Prime Health Services Medicare |
$40,737.69
|
| Rate for Payer: Prime Health Services WC |
$62,777.66
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
IP
|
$76,759.36
|
|
|
Service Code
|
MS-DRG 974
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$76,759.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,759.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,843.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,996.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,528.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,375.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$40,277.78
|
| Rate for Payer: IEHP Medicare Advantage |
$40,277.78
|
| Rate for Payer: Innovage PACE Commercial |
$60,416.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,277.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,972.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,972.23
|
| Rate for Payer: Multiplan WC |
$60,528.51
|
| Rate for Payer: Preferred Health Network WC |
$61,763.79
|
| Rate for Payer: Prime Health Services Medicare |
$42,694.45
|
| Rate for Payer: Prime Health Services WC |
$58,399.24
|
| 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 975: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
IP
|
$35,880.69
|
|
|
Service Code
|
MS-DRG 975
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$35,880.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,880.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,388.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,728.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,983.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,100.75
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19,333.89
|
| Rate for Payer: IEHP Medicare Advantage |
$19,333.89
|
| Rate for Payer: Innovage PACE Commercial |
$29,000.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,333.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,907.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,907.41
|
| Rate for Payer: Multiplan WC |
$28,983.32
|
| Rate for Payer: Preferred Health Network WC |
$29,574.82
|
| Rate for Payer: Prime Health Services Medicare |
$20,493.92
|
| Rate for Payer: Prime Health Services WC |
$27,963.74
|
| 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 976: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
IP
|
$22,247.45
|
|
|
Service Code
|
MS-DRG 976
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$22,247.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,247.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,688.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,270.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,441.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,671.18
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$12,349.02
|
| Rate for Payer: IEHP Medicare Advantage |
$12,349.02
|
| Rate for Payer: Innovage PACE Commercial |
$18,523.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,349.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,547.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,547.69
|
| Rate for Payer: Multiplan WC |
$19,441.60
|
| Rate for Payer: Preferred Health Network WC |
$19,838.37
|
| Rate for Payer: Prime Health Services Medicare |
$13,089.96
|
| Rate for Payer: Prime Health Services WC |
$18,757.69
|
| 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 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
IP
|
$37,270.34
|
|
|
Service Code
|
MS-DRG 977
|
| Min. Negotiated Rate |
$6,486.00 |
| Max. Negotiated Rate |
$37,270.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,270.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,099.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,145.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,386.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,061.94
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20,045.88
|
| Rate for Payer: IEHP Medicare Advantage |
$20,045.88
|
| Rate for Payer: Innovage PACE Commercial |
$30,068.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,045.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,861.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,861.48
|
| Rate for Payer: Multiplan WC |
$27,386.36
|
| Rate for Payer: Preferred Health Network WC |
$27,945.27
|
| Rate for Payer: Prime Health Services Medicare |
$21,248.63
|
| Rate for Payer: Prime Health Services WC |
$26,422.96
|
| 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 981: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
IP
|
$124,762.59
|
|
|
Service Code
|
MS-DRG 981
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$124,762.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$124,762.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$77,871.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$95,652.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$96,500.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$87,577.02
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$64,871.87
|
| Rate for Payer: IEHP Medicare Advantage |
$64,871.87
|
| Rate for Payer: Innovage PACE Commercial |
$97,307.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,871.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,928.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$86,928.31
|
| Rate for Payer: Multiplan WC |
$96,500.10
|
| Rate for Payer: Preferred Health Network WC |
$98,469.49
|
| Rate for Payer: Prime Health Services Medicare |
$68,764.18
|
| Rate for Payer: Prime Health Services WC |
$93,105.43
|
| 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 982: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
IP
|
$65,429.03
|
|
|
Service Code
|
MS-DRG 982
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$65,429.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,429.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,641.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,378.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$52,842.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,538.23
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$34,472.76
|
| Rate for Payer: IEHP Medicare Advantage |
$34,472.76
|
| Rate for Payer: Innovage PACE Commercial |
$51,709.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,472.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,193.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,193.50
|
| Rate for Payer: Multiplan WC |
$52,842.88
|
| Rate for Payer: Preferred Health Network WC |
$53,921.31
|
| Rate for Payer: Prime Health Services Medicare |
$36,541.13
|
| Rate for Payer: Prime Health Services WC |
$50,983.99
|
| 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 983: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$43,036.83
|
|
|
Service Code
|
MS-DRG 983
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$43,036.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,036.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,395.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,878.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,187.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,050.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,000.26
|
| Rate for Payer: IEHP Medicare Advantage |
$23,000.26
|
| Rate for Payer: Innovage PACE Commercial |
$34,500.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,000.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,820.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,820.35
|
| Rate for Payer: Multiplan WC |
$35,187.86
|
| Rate for Payer: Preferred Health Network WC |
$35,905.98
|
| Rate for Payer: Prime Health Services Medicare |
$24,380.28
|
| Rate for Payer: Prime Health Services WC |
$33,950.02
|
| 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 987: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
IP
|
$88,871.37
|
|
|
Service Code
|
MS-DRG 987
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$88,871.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,871.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,416.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$69,298.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$69,912.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$62,752.43
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$46,483.28
|
| Rate for Payer: IEHP Medicare Advantage |
$46,483.28
|
| Rate for Payer: Innovage PACE Commercial |
$69,724.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,483.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$62,287.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,287.60
|
| Rate for Payer: Multiplan WC |
$69,912.22
|
| Rate for Payer: Preferred Health Network WC |
$71,339.00
|
| Rate for Payer: Prime Health Services Medicare |
$49,272.28
|
| Rate for Payer: Prime Health Services WC |
$67,452.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,192.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,308.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,911.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,235.00
|
|
|
INPATIENT MS-DRG 988: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
IP
|
$44,663.34
|
|
|
Service Code
|
MS-DRG 988
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$44,663.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,663.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,840.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,425.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,739.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,175.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$23,833.64
|
| Rate for Payer: IEHP Medicare Advantage |
$23,833.64
|
| Rate for Payer: Innovage PACE Commercial |
$35,750.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,833.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,937.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,937.08
|
| Rate for Payer: Multiplan WC |
$35,739.85
|
| Rate for Payer: Preferred Health Network WC |
$36,469.23
|
| Rate for Payer: Prime Health Services Medicare |
$25,263.66
|
| Rate for Payer: Prime Health Services WC |
$34,482.59
|
| 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 989: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$28,432.42
|
|
|
Service Code
|
MS-DRG 989
|
| Min. Negotiated Rate |
$7,235.00 |
| Max. Negotiated Rate |
$28,432.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,432.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,741.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,021.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,225.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,949.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$15,517.83
|
| Rate for Payer: IEHP Medicare Advantage |
$15,517.83
|
| Rate for Payer: Innovage PACE Commercial |
$23,276.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,517.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,793.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,793.89
|
| Rate for Payer: Multiplan WC |
$23,225.42
|
| Rate for Payer: Preferred Health Network WC |
$23,699.41
|
| Rate for Payer: Prime Health Services Medicare |
$16,448.90
|
| Rate for Payer: Prime Health Services WC |
$22,408.40
|
| 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
|
|
