|
MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
|
Facility
|
IP
|
$46,868.88
|
|
|
Service Code
|
MSDRG 896
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$46,868.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,868.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,275.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,755.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,054.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,535.53
|
| Rate for Payer: EPIC Health Plan Senior |
$20,396.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,396.69
|
| Rate for Payer: InnovAge PACE Commercial |
$30,595.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,396.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,331.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,331.56
|
| Rate for Payer: Multiplan WC |
$38,054.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,396.69
|
| Rate for Payer: Preferred Health Network WC |
$38,831.28
|
| Rate for Payer: Prime Health Services Medicare |
$21,620.49
|
| Rate for Payer: Prime Health Services WC |
$37,666.34
|
| 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: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
|
Facility
|
IP
|
$23,218.62
|
|
|
Service Code
|
MSDRG 897
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,218.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,218.62
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,998.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,190.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,852.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,655.26
|
| Rate for Payer: EPIC Health Plan Senior |
$10,855.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,855.75
|
| Rate for Payer: InnovAge PACE Commercial |
$16,283.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,855.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,546.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,546.70
|
| Rate for Payer: Multiplan WC |
$18,852.09
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,855.75
|
| Rate for Payer: Preferred Health Network WC |
$19,236.83
|
| Rate for Payer: Prime Health Services Medicare |
$11,507.09
|
| Rate for Payer: Prime Health Services WC |
$18,659.73
|
| 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: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
|
Facility
|
IP
|
$38,107.28
|
|
|
Service Code
|
MSDRG 895
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,107.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,107.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,615.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,136.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,940.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,756.52
|
| Rate for Payer: EPIC Health Plan Senior |
$16,856.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,856.68
|
| Rate for Payer: InnovAge PACE Commercial |
$25,285.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,856.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,587.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,587.95
|
| Rate for Payer: Multiplan WC |
$30,940.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,856.68
|
| Rate for Payer: Preferred Health Network WC |
$31,572.22
|
| Rate for Payer: Prime Health Services Medicare |
$17,868.08
|
| Rate for Payer: Prime Health Services WC |
$30,625.05
|
| 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: ALLERGIC REACTIONS WITH MCC
|
Facility
|
IP
|
$45,739.79
|
|
|
Service Code
|
MSDRG 915
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,739.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,739.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,546.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,773.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,137.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,919.67
|
| Rate for Payer: EPIC Health Plan Senior |
$19,940.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,940.50
|
| Rate for Payer: InnovAge PACE Commercial |
$29,910.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,940.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,720.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,720.27
|
| Rate for Payer: Multiplan WC |
$37,137.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,940.50
|
| Rate for Payer: Preferred Health Network WC |
$37,895.82
|
| Rate for Payer: Prime Health Services Medicare |
$21,136.93
|
| Rate for Payer: Prime Health Services WC |
$36,758.95
|
| 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: ALLERGIC REACTIONS WITHOUT MCC
|
Facility
|
IP
|
$17,478.45
|
|
|
Service Code
|
MSDRG 916
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,478.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,478.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,290.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,198.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,191.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,537.29
|
| Rate for Payer: EPIC Health Plan Senior |
$8,546.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,546.14
|
| Rate for Payer: InnovAge PACE Commercial |
$12,819.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,546.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,451.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,451.83
|
| Rate for Payer: Multiplan WC |
$14,191.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,546.14
|
| Rate for Payer: Preferred Health Network WC |
$14,481.05
|
| Rate for Payer: Prime Health Services Medicare |
$9,058.91
|
| Rate for Payer: Prime Health Services WC |
$14,046.62
|
| 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: ALLOGENEIC BONE MARROW TRANSPLANT
|
Facility
|
IP
|
$344,826.27
|
|
|
Service Code
|
MSDRG 014
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$344,826.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$344,826.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$222,743.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$299,847.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$279,977.78
|
| Rate for Payer: Caremore Medicare Advantage |
$140,799.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$160,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$190,078.74
|
| Rate for Payer: EPIC Health Plan Senior |
$140,799.07
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$165,000.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$140,799.07
|
| Rate for Payer: InnovAge PACE Commercial |
$211,198.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$140,799.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$188,670.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$188,670.75
|
| Rate for Payer: Multiplan WC |
$279,977.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$140,799.07
|
| Rate for Payer: Preferred Health Network WC |
$285,691.61
|
| Rate for Payer: Prime Health Services Medicare |
$149,247.01
|
| Rate for Payer: Prime Health Services WC |
$277,120.86
|
| 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: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
|
Facility
|
IP
|
$76,646.19
|
|
|
Service Code
|
MSDRG 240
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$76,646.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,646.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,510.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,648.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,232.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,777.54
|
| Rate for Payer: EPIC Health Plan Senior |
$32,427.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,427.81
|
| Rate for Payer: InnovAge PACE Commercial |
$48,641.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,427.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,453.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,453.27
|
| Rate for Payer: Multiplan WC |
$62,232.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,427.81
|
| Rate for Payer: Preferred Health Network WC |
$63,502.05
|
| Rate for Payer: Prime Health Services Medicare |
$34,373.48
|
| Rate for Payer: Prime Health Services WC |
$61,596.99
|
| 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: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
|
Facility
|
IP
|
$132,566.17
|
|
|
Service Code
|
MSDRG 239
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$132,566.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$132,566.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$85,632.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$115,274.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$107,635.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,279.07
|
| Rate for Payer: EPIC Health Plan Senior |
$55,021.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$55,021.53
|
| Rate for Payer: InnovAge PACE Commercial |
$82,532.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,021.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$73,728.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$73,728.85
|
| Rate for Payer: Multiplan WC |
$107,635.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$55,021.53
|
| Rate for Payer: Preferred Health Network WC |
$109,832.24
|
| Rate for Payer: Prime Health Services Medicare |
$58,322.82
|
| Rate for Payer: Prime Health Services WC |
$106,537.27
|
| 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: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
|
Facility
|
IP
|
$39,739.06
|
|
|
Service Code
|
MSDRG 241
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,739.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,739.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,669.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,555.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,265.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,646.59
|
| Rate for Payer: EPIC Health Plan Senior |
$17,515.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,515.99
|
| Rate for Payer: InnovAge PACE Commercial |
$26,273.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,515.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,471.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,471.43
|
| Rate for Payer: Multiplan WC |
$32,265.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,515.99
|
| Rate for Payer: Preferred Health Network WC |
$32,924.16
|
| Rate for Payer: Prime Health Services Medicare |
$18,566.95
|
| Rate for Payer: Prime Health Services WC |
$31,936.44
|
| 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: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$56,777.98
|
|
|
Service Code
|
MSDRG 475
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$56,777.98 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,777.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,676.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,371.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,100.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,940.45
|
| Rate for Payer: EPIC Health Plan Senior |
$24,400.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,400.33
|
| Rate for Payer: InnovAge PACE Commercial |
$36,600.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,400.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,696.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,696.44
|
| Rate for Payer: Multiplan WC |
$46,100.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,400.33
|
| Rate for Payer: Preferred Health Network WC |
$47,041.06
|
| Rate for Payer: Prime Health Services Medicare |
$25,864.35
|
| Rate for Payer: Prime Health Services WC |
$45,629.83
|
| 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: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$118,032.82
|
|
|
Service Code
|
MSDRG 474
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$118,032.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$118,032.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$76,244.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$102,636.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$95,835.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,351.84
|
| Rate for Payer: EPIC Health Plan Senior |
$49,149.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,149.51
|
| Rate for Payer: InnovAge PACE Commercial |
$73,724.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,149.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,860.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,860.34
|
| Rate for Payer: Multiplan WC |
$95,835.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,149.51
|
| Rate for Payer: Preferred Health Network WC |
$97,791.23
|
| Rate for Payer: Prime Health Services Medicare |
$52,098.48
|
| Rate for Payer: Prime Health Services WC |
$94,857.49
|
| 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: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,611.63
|
|
|
Service Code
|
MSDRG 476
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$30,611.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,611.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,773.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,618.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,854.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,671.05
|
| Rate for Payer: EPIC Health Plan Senior |
$13,830.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,830.41
|
| Rate for Payer: InnovAge PACE Commercial |
$20,745.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,830.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,532.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,532.75
|
| Rate for Payer: Multiplan WC |
$24,854.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,830.41
|
| Rate for Payer: Preferred Health Network WC |
$25,362.00
|
| Rate for Payer: Prime Health Services Medicare |
$14,660.23
|
| Rate for Payer: Prime Health Services WC |
$24,601.14
|
| 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: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
|
Facility
|
IP
|
$50,837.78
|
|
|
Service Code
|
MSDRG 617
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$50,837.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,837.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,839.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,206.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,277.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,700.38
|
| Rate for Payer: EPIC Health Plan Senior |
$22,000.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,000.28
|
| Rate for Payer: InnovAge PACE Commercial |
$33,000.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,000.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,480.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,480.38
|
| Rate for Payer: Multiplan WC |
$41,277.16
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,000.28
|
| Rate for Payer: Preferred Health Network WC |
$42,119.55
|
| Rate for Payer: Prime Health Services Medicare |
$23,320.30
|
| Rate for Payer: Prime Health Services WC |
$40,855.96
|
| 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: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
|
Facility
|
IP
|
$101,722.93
|
|
|
Service Code
|
MSDRG 616
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$101,722.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$101,722.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$65,708.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$88,454.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$82,592.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$57,455.62
|
| Rate for Payer: EPIC Health Plan Senior |
$42,559.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,559.72
|
| Rate for Payer: InnovAge PACE Commercial |
$63,839.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,559.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57,030.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,030.02
|
| Rate for Payer: Multiplan WC |
$82,592.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$42,559.72
|
| Rate for Payer: Preferred Health Network WC |
$84,278.35
|
| Rate for Payer: Prime Health Services Medicare |
$45,113.30
|
| Rate for Payer: Prime Health Services WC |
$81,750.00
|
| 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: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$32,769.79
|
|
|
Service Code
|
MSDRG 618
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$32,769.79 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,769.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,167.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,495.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,607.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,845.22
|
| Rate for Payer: EPIC Health Plan Senior |
$14,700.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,700.16
|
| Rate for Payer: InnovAge PACE Commercial |
$22,050.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,700.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,698.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,698.21
|
| Rate for Payer: Multiplan WC |
$26,607.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,700.16
|
| Rate for Payer: Preferred Health Network WC |
$27,150.06
|
| Rate for Payer: Prime Health Services Medicare |
$15,582.17
|
| Rate for Payer: Prime Health Services WC |
$26,335.56
|
| 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: ANAL AND STOMAL PROCEDURES WITH CC
|
Facility
|
IP
|
$33,132.99
|
|
|
Service Code
|
MSDRG 348
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$33,132.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,132.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,402.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,811.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,901.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,043.30
|
| Rate for Payer: EPIC Health Plan Senior |
$14,846.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,846.89
|
| Rate for Payer: InnovAge PACE Commercial |
$22,270.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,846.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,894.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,894.83
|
| Rate for Payer: Multiplan WC |
$26,901.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,846.89
|
| Rate for Payer: Preferred Health Network WC |
$27,450.97
|
| Rate for Payer: Prime Health Services Medicare |
$15,737.70
|
| Rate for Payer: Prime Health Services WC |
$26,627.44
|
| 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: ANAL AND STOMAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$62,291.81
|
|
|
Service Code
|
MSDRG 347
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$62,291.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,291.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,237.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,166.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$50,577.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,947.96
|
| Rate for Payer: EPIC Health Plan Senior |
$26,628.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,628.12
|
| Rate for Payer: InnovAge PACE Commercial |
$39,942.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,628.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,681.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,681.68
|
| Rate for Payer: Multiplan WC |
$50,577.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,628.12
|
| Rate for Payer: Preferred Health Network WC |
$51,609.31
|
| Rate for Payer: Prime Health Services Medicare |
$28,225.81
|
| Rate for Payer: Prime Health Services WC |
$50,061.03
|
| 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: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,184.41
|
|
|
Service Code
|
MSDRG 349
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$23,184.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,184.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,976.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,160.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,824.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,636.69
|
| Rate for Payer: EPIC Health Plan Senior |
$10,841.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,841.99
|
| Rate for Payer: InnovAge PACE Commercial |
$16,262.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,841.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,528.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,528.27
|
| Rate for Payer: Multiplan WC |
$18,824.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,841.99
|
| Rate for Payer: Preferred Health Network WC |
$19,208.49
|
| Rate for Payer: Prime Health Services Medicare |
$11,492.51
|
| Rate for Payer: Prime Health Services WC |
$18,632.24
|
| 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: ANGINA PECTORIS
|
Facility
|
IP
|
$18,378.56
|
|
|
Service Code
|
MSDRG 311
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,378.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,378.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,871.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,981.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,922.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,026.22
|
| Rate for Payer: EPIC Health Plan Senior |
$8,908.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,908.31
|
| Rate for Payer: InnovAge PACE Commercial |
$13,362.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,908.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,937.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,937.14
|
| Rate for Payer: Multiplan WC |
$14,922.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,908.31
|
| Rate for Payer: Preferred Health Network WC |
$15,226.80
|
| Rate for Payer: Prime Health Services Medicare |
$9,442.81
|
| Rate for Payer: Prime Health Services WC |
$14,770.00
|
| 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: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
|
Facility
|
IP
|
$175,484.56
|
|
|
Service Code
|
MSDRG 268
|
| Min. Negotiated Rate |
$25,661.00 |
| Max. Negotiated Rate |
$175,484.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$175,484.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$113,355.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$152,594.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$142,482.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$97,688.85
|
| Rate for Payer: EPIC Health Plan Senior |
$72,362.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$72,362.11
|
| Rate for Payer: InnovAge PACE Commercial |
$108,543.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$72,362.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$96,965.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$96,965.23
|
| Rate for Payer: Multiplan WC |
$142,482.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$72,362.11
|
| Rate for Payer: Preferred Health Network WC |
$145,390.51
|
| Rate for Payer: Prime Health Services Medicare |
$76,703.84
|
| Rate for Payer: Prime Health Services WC |
$141,028.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$127,168.00
|
| Rate for Payer: United Healthcare All Other HMO |
$111,805.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,927.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,806.00
|
|
|
MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
|
Facility
|
IP
|
$109,505.46
|
|
|
Service Code
|
MSDRG 269
|
| Min. Negotiated Rate |
$25,661.00 |
| Max. Negotiated Rate |
$109,505.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$109,505.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$70,736.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$95,221.78
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$88,911.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,700.60
|
| Rate for Payer: EPIC Health Plan Senior |
$45,704.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,704.15
|
| Rate for Payer: InnovAge PACE Commercial |
$68,556.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,704.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$61,243.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$61,243.56
|
| Rate for Payer: Multiplan WC |
$88,911.72
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$45,704.15
|
| Rate for Payer: Preferred Health Network WC |
$90,726.24
|
| Rate for Payer: Prime Health Services Medicare |
$48,446.40
|
| Rate for Payer: Prime Health Services WC |
$88,004.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$79,046.00
|
| Rate for Payer: United Healthcare All Other HMO |
$69,501.00
|
| Rate for Payer: United Healthcare HMO Rider |
$52,792.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$48,365.00
|
|
|
MS-DRG 42.00: APPENDIX PROCEDURES WITH CC
|
Facility
|
IP
|
$39,825.91
|
|
|
Service Code
|
MSDRG 398
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,825.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,825.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,725.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,631.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,336.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,693.94
|
| Rate for Payer: EPIC Health Plan Senior |
$17,551.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,551.07
|
| Rate for Payer: InnovAge PACE Commercial |
$26,326.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,551.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,518.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,518.43
|
| Rate for Payer: Multiplan WC |
$32,336.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,551.07
|
| Rate for Payer: Preferred Health Network WC |
$32,996.12
|
| Rate for Payer: Prime Health Services Medicare |
$18,604.13
|
| Rate for Payer: Prime Health Services WC |
$32,006.24
|
| 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: APPENDIX PROCEDURES WITH MCC
|
Facility
|
IP
|
$65,213.22
|
|
|
Service Code
|
MSDRG 397
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$65,213.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,213.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,125.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$56,706.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$52,949.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,541.42
|
| Rate for Payer: EPIC Health Plan Senior |
$27,808.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,808.46
|
| Rate for Payer: InnovAge PACE Commercial |
$41,712.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,808.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,263.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,263.34
|
| Rate for Payer: Multiplan WC |
$52,949.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,808.46
|
| Rate for Payer: Preferred Health Network WC |
$54,029.73
|
| Rate for Payer: Prime Health Services Medicare |
$29,476.97
|
| Rate for Payer: Prime Health Services WC |
$52,408.84
|
| 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: APPENDIX PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,577.29
|
|
|
Service Code
|
MSDRG 399
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$29,577.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,577.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,105.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,719.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,014.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,109.22
|
| Rate for Payer: EPIC Health Plan Senior |
$13,414.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,414.24
|
| Rate for Payer: InnovAge PACE Commercial |
$20,121.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,414.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,975.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,975.08
|
| Rate for Payer: Multiplan WC |
$24,014.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,414.24
|
| Rate for Payer: Preferred Health Network WC |
$24,505.05
|
| Rate for Payer: Prime Health Services Medicare |
$14,219.09
|
| Rate for Payer: Prime Health Services WC |
$23,769.90
|
| 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: ARTHROSCOPY
|
Facility
|
IP
|
$46,234.59
|
|
|
Service Code
|
MSDRG 509
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,234.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,234.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,865.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,203.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,539.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,189.57
|
| Rate for Payer: EPIC Health Plan Senior |
$20,140.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,140.42
|
| Rate for Payer: InnovAge PACE Commercial |
$30,210.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,140.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,988.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,988.16
|
| Rate for Payer: Multiplan WC |
$37,539.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,140.42
|
| Rate for Payer: Preferred Health Network WC |
$38,305.76
|
| Rate for Payer: Prime Health Services Medicare |
$21,348.85
|
| Rate for Payer: Prime Health Services WC |
$37,156.59
|
| 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
|
|
