|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
|
Facility
|
IP
|
$41,497.17
|
|
|
Service Code
|
MSDRG 289
|
| Min. Negotiated Rate |
$18,226.32 |
| Max. Negotiated Rate |
$41,497.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,497.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,805.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,084.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,693.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,605.53
|
| Rate for Payer: EPIC Health Plan Senior |
$18,226.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,226.32
|
| Rate for Payer: InnovAge PACE Commercial |
$27,339.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,226.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,423.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,423.27
|
| Rate for Payer: Multiplan WC |
$33,693.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,226.32
|
| Rate for Payer: Preferred Health Network WC |
$34,380.77
|
| Rate for Payer: Prime Health Services Medicare |
$19,319.90
|
| Rate for Payer: Prime Health Services WC |
$33,349.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$33,040.00
|
| Rate for Payer: United Healthcare All Other HMO |
$39,155.00
|
| Rate for Payer: United Healthcare HMO Rider |
$29,741.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,248.00
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
|
Facility
|
IP
|
$71,890.35
|
|
|
Service Code
|
MSDRG 288
|
| Min. Negotiated Rate |
$30,506.28 |
| Max. Negotiated Rate |
$71,890.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$71,890.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$46,438.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$62,513.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$58,370.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$41,183.48
|
| Rate for Payer: EPIC Health Plan Senior |
$30,506.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,506.28
|
| Rate for Payer: InnovAge PACE Commercial |
$45,759.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,506.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,878.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,878.42
|
| Rate for Payer: Multiplan WC |
$58,370.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$30,506.28
|
| Rate for Payer: Preferred Health Network WC |
$59,561.79
|
| Rate for Payer: Prime Health Services Medicare |
$32,336.66
|
| Rate for Payer: Prime Health Services WC |
$57,774.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$37,549.00
|
| Rate for Payer: United Healthcare All Other HMO |
$49,452.00
|
| Rate for Payer: United Healthcare HMO Rider |
$37,563.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$34,413.00
|
|
|
MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$33,480.00
|
|
|
Service Code
|
MSDRG 290
|
| Min. Negotiated Rate |
$11,880.83 |
| Max. Negotiated Rate |
$33,480.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,766.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,643.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,405.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,920.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,039.12
|
| Rate for Payer: EPIC Health Plan Senior |
$11,880.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,880.83
|
| Rate for Payer: InnovAge PACE Commercial |
$17,821.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,880.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,920.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,920.31
|
| Rate for Payer: Multiplan WC |
$20,920.66
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,880.83
|
| Rate for Payer: Preferred Health Network WC |
$21,347.61
|
| Rate for Payer: Prime Health Services Medicare |
$12,593.68
|
| Rate for Payer: Prime Health Services WC |
$20,707.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$33,040.00
|
| Rate for Payer: United Healthcare All Other HMO |
$33,480.00
|
| Rate for Payer: United Healthcare HMO Rider |
$25,436.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$23,302.00
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$56,214.75
|
|
|
Service Code
|
MSDRG 835
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$56,214.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,214.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,312.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,882.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,642.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,633.23
|
| Rate for Payer: EPIC Health Plan Senior |
$24,172.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,172.76
|
| Rate for Payer: InnovAge PACE Commercial |
$36,259.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,172.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,391.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,391.50
|
| Rate for Payer: Multiplan WC |
$45,642.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,172.76
|
| Rate for Payer: Preferred Health Network WC |
$46,574.42
|
| Rate for Payer: Prime Health Services Medicare |
$25,623.13
|
| Rate for Payer: Prime Health Services WC |
$45,177.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$145,473.01
|
|
|
Service Code
|
MSDRG 834
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$145,473.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$145,473.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$93,969.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$126,497.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$118,115.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$81,319.09
|
| Rate for Payer: EPIC Health Plan Senior |
$60,236.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$60,236.36
|
| Rate for Payer: InnovAge PACE Commercial |
$90,354.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60,236.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$80,716.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$80,716.72
|
| Rate for Payer: Multiplan WC |
$118,115.16
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$60,236.36
|
| Rate for Payer: Preferred Health Network WC |
$120,525.67
|
| Rate for Payer: Prime Health Services Medicare |
$63,850.54
|
| Rate for Payer: Prime Health Services WC |
$116,909.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES
|
Facility
|
IP
|
$242,448.00
|
|
|
Service Code
|
MSDRG 850
|
| Min. Negotiated Rate |
$99,418.53 |
| Max. Negotiated Rate |
$242,448.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$242,448.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$156,611.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$210,823.54
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$196,852.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$134,215.02
|
| Rate for Payer: EPIC Health Plan Senior |
$99,418.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$99,418.53
|
| Rate for Payer: InnovAge PACE Commercial |
$149,127.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$99,418.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$133,220.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$133,220.83
|
| Rate for Payer: Multiplan WC |
$196,852.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$99,418.53
|
| Rate for Payer: Preferred Health Network WC |
$200,870.31
|
| Rate for Payer: Prime Health Services Medicare |
$105,383.64
|
| Rate for Payer: Prime Health Services WC |
$194,844.20
|
|
|
MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$33,443.55
|
|
|
Service Code
|
MSDRG 836
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,443.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,443.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,603.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,081.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,154.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,212.71
|
| Rate for Payer: EPIC Health Plan Senior |
$14,972.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,972.38
|
| Rate for Payer: InnovAge PACE Commercial |
$22,458.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,972.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,062.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,062.99
|
| Rate for Payer: Multiplan WC |
$27,154.11
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,972.38
|
| Rate for Payer: Preferred Health Network WC |
$27,708.28
|
| Rate for Payer: Prime Health Services Medicare |
$15,870.72
|
| Rate for Payer: Prime Health Services WC |
$26,877.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
|
Facility
|
IP
|
$30,614.26
|
|
|
Service Code
|
MSDRG 121
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,614.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,614.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,775.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,621.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,856.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,672.47
|
| Rate for Payer: EPIC Health Plan Senior |
$13,831.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,831.46
|
| Rate for Payer: InnovAge PACE Commercial |
$20,747.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,831.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,534.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,534.16
|
| Rate for Payer: Multiplan WC |
$24,856.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,831.46
|
| Rate for Payer: Preferred Health Network WC |
$25,364.19
|
| Rate for Payer: Prime Health Services Medicare |
$14,661.35
|
| Rate for Payer: Prime Health Services WC |
$24,603.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$17,852.18
|
|
|
Service Code
|
MSDRG 122
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,852.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,852.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,531.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,523.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,494.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,740.30
|
| Rate for Payer: EPIC Health Plan Senior |
$8,696.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,696.52
|
| Rate for Payer: InnovAge PACE Commercial |
$13,044.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,696.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,653.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,653.34
|
| Rate for Payer: Multiplan WC |
$14,494.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,696.52
|
| Rate for Payer: Preferred Health Network WC |
$14,790.69
|
| Rate for Payer: Prime Health Services Medicare |
$9,218.31
|
| Rate for Payer: Prime Health Services WC |
$14,346.97
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
|
Facility
|
IP
|
$26,466.00
|
|
|
Service Code
|
MSDRG 281
|
| Min. Negotiated Rate |
$11,275.11 |
| Max. Negotiated Rate |
$26,466.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,260.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,671.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,096.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,698.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,221.40
|
| Rate for Payer: EPIC Health Plan Senior |
$11,275.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,275.11
|
| Rate for Payer: InnovAge PACE Commercial |
$16,912.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,275.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,108.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,108.65
|
| Rate for Payer: Multiplan WC |
$19,698.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,275.11
|
| Rate for Payer: Preferred Health Network WC |
$20,100.33
|
| Rate for Payer: Prime Health Services Medicare |
$11,951.62
|
| Rate for Payer: Prime Health Services WC |
$19,497.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$26,466.00
|
| Rate for Payer: United Healthcare All Other HMO |
$22,273.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,920.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,502.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
|
Facility
|
IP
|
$43,200.01
|
|
|
Service Code
|
MSDRG 280
|
| Min. Negotiated Rate |
$18,914.34 |
| Max. Negotiated Rate |
$43,200.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,200.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,905.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,565.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,075.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,534.36
|
| Rate for Payer: EPIC Health Plan Senior |
$18,914.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,914.34
|
| Rate for Payer: InnovAge PACE Commercial |
$28,371.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,914.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,345.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,345.22
|
| Rate for Payer: Multiplan WC |
$35,075.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,914.34
|
| Rate for Payer: Preferred Health Network WC |
$35,791.59
|
| Rate for Payer: Prime Health Services Medicare |
$20,049.20
|
| Rate for Payer: Prime Health Services WC |
$34,717.84
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,038.00
|
| Rate for Payer: United Healthcare All Other HMO |
$29,511.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,413.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,535.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
|
Facility
|
IP
|
$28,087.00
|
|
|
Service Code
|
MSDRG 282
|
| Min. Negotiated Rate |
$9,192.11 |
| Max. Negotiated Rate |
$28,087.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,083.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,327.43
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,594.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,494.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,409.35
|
| Rate for Payer: EPIC Health Plan Senior |
$9,192.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,192.11
|
| Rate for Payer: InnovAge PACE Commercial |
$13,788.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,192.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,317.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,317.43
|
| Rate for Payer: Multiplan WC |
$15,494.97
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,192.11
|
| Rate for Payer: Preferred Health Network WC |
$15,811.19
|
| Rate for Payer: Prime Health Services Medicare |
$9,743.64
|
| Rate for Payer: Prime Health Services WC |
$15,336.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$28,087.00
|
| Rate for Payer: United Healthcare All Other HMO |
$18,018.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,685.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12,537.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
|
Facility
|
IP
|
$28,275.00
|
|
|
Service Code
|
MSDRG 284
|
| Min. Negotiated Rate |
$9,360.48 |
| Max. Negotiated Rate |
$28,275.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,502.38
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,597.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,958.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,834.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,636.65
|
| Rate for Payer: EPIC Health Plan Senior |
$9,360.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,360.48
|
| Rate for Payer: InnovAge PACE Commercial |
$14,040.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,360.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,543.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,543.04
|
| Rate for Payer: Multiplan WC |
$15,834.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,360.48
|
| Rate for Payer: Preferred Health Network WC |
$16,157.89
|
| Rate for Payer: Prime Health Services Medicare |
$9,922.11
|
| Rate for Payer: Prime Health Services WC |
$15,673.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$28,275.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,489.00
|
| Rate for Payer: United Healthcare HMO Rider |
$15,558.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,254.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
|
Facility
|
IP
|
$51,464.17
|
|
|
Service Code
|
MSDRG 283
|
| Min. Negotiated Rate |
$18,641.00 |
| Max. Negotiated Rate |
$51,464.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,464.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,243.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,751.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,785.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,042.04
|
| Rate for Payer: EPIC Health Plan Senior |
$22,253.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,253.36
|
| Rate for Payer: InnovAge PACE Commercial |
$33,380.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,253.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,819.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,819.50
|
| Rate for Payer: Multiplan WC |
$41,785.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,253.36
|
| Rate for Payer: Preferred Health Network WC |
$42,638.52
|
| Rate for Payer: Prime Health Services Medicare |
$23,588.56
|
| Rate for Payer: Prime Health Services WC |
$41,359.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,007.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,787.00
|
| Rate for Payer: United Healthcare HMO Rider |
$20,346.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18,641.00
|
|
|
MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
|
Facility
|
IP
|
$27,865.00
|
|
|
Service Code
|
MSDRG 285
|
| Min. Negotiated Rate |
$7,458.58 |
| Max. Negotiated Rate |
$27,865.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14,775.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,544.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,848.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,996.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,069.08
|
| Rate for Payer: EPIC Health Plan Senior |
$7,458.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,458.58
|
| Rate for Payer: InnovAge PACE Commercial |
$11,187.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,458.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,994.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,994.50
|
| Rate for Payer: Multiplan WC |
$11,996.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,458.58
|
| Rate for Payer: Preferred Health Network WC |
$12,241.62
|
| Rate for Payer: Prime Health Services Medicare |
$7,906.09
|
| Rate for Payer: Prime Health Services WC |
$11,874.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,865.00
|
| Rate for Payer: United Healthcare All Other HMO |
$17,683.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,432.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12,305.00
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$59,981.00
|
|
|
Service Code
|
MSDRG 614
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,981.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,981.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,745.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,157.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,700.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,687.53
|
| Rate for Payer: EPIC Health Plan Senior |
$25,694.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,694.47
|
| Rate for Payer: InnovAge PACE Commercial |
$38,541.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,694.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,430.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,430.59
|
| Rate for Payer: Multiplan WC |
$48,700.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,694.47
|
| Rate for Payer: Preferred Health Network WC |
$49,694.79
|
| Rate for Payer: Prime Health Services Medicare |
$27,236.14
|
| Rate for Payer: Prime Health Services WC |
$48,203.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,715.13
|
|
|
Service Code
|
MSDRG 615
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$37,715.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,715.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,362.43
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,795.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,622.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,542.62
|
| Rate for Payer: EPIC Health Plan Senior |
$16,698.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,698.24
|
| Rate for Payer: InnovAge PACE Commercial |
$25,047.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,698.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,375.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,375.64
|
| Rate for Payer: Multiplan WC |
$30,622.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,698.24
|
| Rate for Payer: Preferred Health Network WC |
$31,247.32
|
| Rate for Payer: Prime Health Services Medicare |
$17,700.13
|
| Rate for Payer: Prime Health Services WC |
$30,309.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$29,969.45
|
|
|
Service Code
|
MSDRG 560
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,969.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,969.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,359.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,060.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,333.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,322.21
|
| Rate for Payer: EPIC Health Plan Senior |
$13,572.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,572.01
|
| Rate for Payer: InnovAge PACE Commercial |
$20,358.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,572.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,186.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,186.49
|
| Rate for Payer: Multiplan WC |
$24,333.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,572.01
|
| Rate for Payer: Preferred Health Network WC |
$24,829.95
|
| Rate for Payer: Prime Health Services Medicare |
$14,386.33
|
| Rate for Payer: Prime Health Services WC |
$24,085.05
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$48,855.96
|
|
|
Service Code
|
MSDRG 559
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$48,855.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,855.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,558.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,483.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,668.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,619.38
|
| Rate for Payer: EPIC Health Plan Senior |
$21,199.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,199.54
|
| Rate for Payer: InnovAge PACE Commercial |
$31,799.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,199.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,407.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,407.38
|
| Rate for Payer: Multiplan WC |
$39,668.04
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,199.54
|
| Rate for Payer: Preferred Health Network WC |
$40,477.59
|
| Rate for Payer: Prime Health Services Medicare |
$22,471.51
|
| Rate for Payer: Prime Health Services WC |
$39,263.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$21,518.41
|
|
|
Service Code
|
MSDRG 561
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,518.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,518.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,900.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,711.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,471.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,731.74
|
| Rate for Payer: EPIC Health Plan Senior |
$10,171.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,171.66
|
| Rate for Payer: InnovAge PACE Commercial |
$15,257.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,171.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,630.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,630.02
|
| Rate for Payer: Multiplan WC |
$17,471.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,171.66
|
| Rate for Payer: Preferred Health Network WC |
$17,828.20
|
| Rate for Payer: Prime Health Services Medicare |
$10,781.96
|
| Rate for Payer: Prime Health Services WC |
$17,293.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: AFTERCARE WITH CC/MCC
|
Facility
|
IP
|
$28,398.20
|
|
|
Service Code
|
MSDRG 949
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$28,398.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,398.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,344.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,693.99
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,057.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,468.76
|
| Rate for Payer: EPIC Health Plan Senior |
$12,939.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,939.82
|
| Rate for Payer: InnovAge PACE Commercial |
$19,409.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,939.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,339.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,339.36
|
| Rate for Payer: Multiplan WC |
$23,057.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,939.82
|
| Rate for Payer: Preferred Health Network WC |
$23,528.16
|
| Rate for Payer: Prime Health Services Medicare |
$13,716.21
|
| Rate for Payer: Prime Health Services WC |
$22,822.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC
|
Facility
|
IP
|
$15,425.57
|
|
|
Service Code
|
MSDRG 950
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$15,425.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$15,425.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,964.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,413.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,524.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,422.20
|
| Rate for Payer: EPIC Health Plan Senior |
$7,720.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,720.15
|
| Rate for Payer: InnovAge PACE Commercial |
$11,580.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,720.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,345.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,345.00
|
| Rate for Payer: Multiplan WC |
$12,524.62
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,720.15
|
| Rate for Payer: Preferred Health Network WC |
$12,780.22
|
| Rate for Payer: Prime Health Services Medicare |
$8,183.36
|
| Rate for Payer: Prime Health Services WC |
$12,396.81
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: AICD GENERATOR PROCEDURES
|
Facility
|
IP
|
$128,615.69
|
|
|
Service Code
|
MSDRG 245
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$128,615.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$128,615.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$83,080.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$111,839.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$104,428.05
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$72,124.26
|
| Rate for Payer: EPIC Health Plan Senior |
$53,425.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$53,425.38
|
| Rate for Payer: InnovAge PACE Commercial |
$80,138.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,425.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,590.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,590.01
|
| Rate for Payer: Multiplan WC |
$104,428.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$53,425.38
|
| Rate for Payer: Preferred Health Network WC |
$106,559.23
|
| Rate for Payer: Prime Health Services Medicare |
$56,630.90
|
| Rate for Payer: Prime Health Services WC |
$103,362.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: AICD LEAD PROCEDURES
|
Facility
|
IP
|
$93,885.14
|
|
|
Service Code
|
MSDRG 265
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$93,885.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$93,885.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,645.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$81,638.94
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,228.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,180.52
|
| Rate for Payer: EPIC Health Plan Senior |
$39,392.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,392.98
|
| Rate for Payer: InnovAge PACE Commercial |
$59,089.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,392.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,786.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,786.59
|
| Rate for Payer: Multiplan WC |
$76,228.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,392.98
|
| Rate for Payer: Preferred Health Network WC |
$77,784.67
|
| Rate for Payer: Prime Health Services Medicare |
$41,756.56
|
| Rate for Payer: Prime Health Services WC |
$75,451.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
|
Facility
|
IP
|
$16,425.69
|
|
|
Service Code
|
MSDRG 894
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$16,425.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,425.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,610.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,283.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$13,336.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,965.46
|
| Rate for Payer: EPIC Health Plan Senior |
$8,122.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,122.56
|
| Rate for Payer: InnovAge PACE Commercial |
$12,183.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,122.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,884.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,884.23
|
| Rate for Payer: Multiplan WC |
$13,336.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,122.56
|
| Rate for Payer: Preferred Health Network WC |
$13,608.83
|
| Rate for Payer: Prime Health Services Medicare |
$8,609.91
|
| Rate for Payer: Prime Health Services WC |
$13,200.57
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
