|
MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC
|
Facility
|
IP
|
$30,616.89
|
|
|
Service Code
|
MSDRG 302
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,616.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,616.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,777.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,623.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,859.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,673.92
|
| Rate for Payer: EPIC Health Plan Senior |
$13,832.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,832.53
|
| Rate for Payer: InnovAge PACE Commercial |
$20,748.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,832.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,535.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,535.59
|
| Rate for Payer: Multiplan WC |
$24,859.04
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,832.53
|
| Rate for Payer: Preferred Health Network WC |
$25,366.37
|
| Rate for Payer: Prime Health Services Medicare |
$14,662.48
|
| Rate for Payer: Prime Health Services WC |
$24,605.38
|
| 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: ATHEROSCLEROSIS WITHOUT MCC
|
Facility
|
IP
|
$17,696.90
|
|
|
Service Code
|
MSDRG 303
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,696.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,696.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,431.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,388.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,368.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,655.94
|
| Rate for Payer: EPIC Health Plan Senior |
$8,634.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,634.03
|
| Rate for Payer: InnovAge PACE Commercial |
$12,951.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,634.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,569.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,569.60
|
| Rate for Payer: Multiplan WC |
$14,368.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,634.03
|
| Rate for Payer: Preferred Health Network WC |
$14,662.03
|
| Rate for Payer: Prime Health Services Medicare |
$9,152.07
|
| Rate for Payer: Prime Health Services WC |
$14,222.17
|
| 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: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
|
Facility
|
IP
|
$158,858.85
|
|
|
Service Code
|
MSDRG 016
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$158,858.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$158,858.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$102,616.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$138,137.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$128,983.64
|
| Rate for Payer: Caremore Medicare Advantage |
$65,644.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$120,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$88,620.37
|
| Rate for Payer: EPIC Health Plan Senior |
$65,644.72
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$90,244.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$158,516.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$65,644.72
|
| Rate for Payer: InnovAge PACE Commercial |
$98,467.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$65,644.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$87,963.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$87,963.92
|
| Rate for Payer: Multiplan WC |
$128,983.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$142,800.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$65,644.72
|
| Rate for Payer: Preferred Health Network WC |
$131,615.96
|
| Rate for Payer: Prime Health Services Medicare |
$69,583.40
|
| Rate for Payer: Prime Health Services WC |
$127,667.48
|
| 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: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
|
Facility
|
IP
|
$158,858.85
|
|
|
Service Code
|
MSDRG 017
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$158,858.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$158,858.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$102,616.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$138,137.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$128,983.64
|
| Rate for Payer: Caremore Medicare Advantage |
$65,644.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$120,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$88,620.37
|
| Rate for Payer: EPIC Health Plan Senior |
$65,644.72
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$90,244.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$158,516.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$65,644.72
|
| Rate for Payer: InnovAge PACE Commercial |
$98,467.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$65,644.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$87,963.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$87,963.92
|
| Rate for Payer: Multiplan WC |
$128,983.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$142,800.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$65,644.72
|
| Rate for Payer: Preferred Health Network WC |
$131,615.96
|
| Rate for Payer: Prime Health Services Medicare |
$69,583.40
|
| Rate for Payer: Prime Health Services WC |
$127,667.48
|
| 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: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
|
Facility
|
IP
|
$51,898.44
|
|
|
Service Code
|
MSDRG 519
|
| Min. Negotiated Rate |
$14,908.00 |
| Max. Negotiated Rate |
$51,898.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,898.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,524.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,128.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,138.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,278.91
|
| Rate for Payer: EPIC Health Plan Senior |
$22,428.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,428.82
|
| Rate for Payer: InnovAge PACE Commercial |
$33,643.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,428.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,054.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,054.62
|
| Rate for Payer: Multiplan WC |
$42,138.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,428.82
|
| Rate for Payer: Preferred Health Network WC |
$42,998.31
|
| Rate for Payer: Prime Health Services Medicare |
$23,774.55
|
| Rate for Payer: Prime Health Services WC |
$41,708.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$18,257.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,273.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,908.00
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
|
Facility
|
IP
|
$94,327.30
|
|
|
Service Code
|
MSDRG 518
|
| Min. Negotiated Rate |
$14,908.00 |
| Max. Negotiated Rate |
$94,327.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$94,327.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,931.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$82,023.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,587.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,421.70
|
| Rate for Payer: EPIC Health Plan Senior |
$39,571.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,571.63
|
| Rate for Payer: InnovAge PACE Commercial |
$59,357.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,571.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,025.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,025.98
|
| Rate for Payer: Multiplan WC |
$76,587.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,571.63
|
| Rate for Payer: Preferred Health Network WC |
$78,151.00
|
| Rate for Payer: Prime Health Services Medicare |
$41,945.93
|
| Rate for Payer: Prime Health Services WC |
$75,806.47
|
| Rate for Payer: United Healthcare All Other Commercial |
$18,257.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,273.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,908.00
|
|
|
MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
|
Facility
|
IP
|
$37,720.39
|
|
|
Service Code
|
MSDRG 520
|
| Min. Negotiated Rate |
$11,314.00 |
| Max. Negotiated Rate |
$37,720.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,720.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,365.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,800.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,626.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,545.50
|
| Rate for Payer: EPIC Health Plan Senior |
$16,700.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,700.37
|
| Rate for Payer: InnovAge PACE Commercial |
$25,050.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,700.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,378.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,378.50
|
| Rate for Payer: Multiplan WC |
$30,626.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,700.37
|
| Rate for Payer: Preferred Health Network WC |
$31,251.68
|
| Rate for Payer: Prime Health Services Medicare |
$17,702.39
|
| Rate for Payer: Prime Health Services WC |
$30,314.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$21,329.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,260.00
|
| Rate for Payer: United Healthcare HMO Rider |
$12,349.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,314.00
|
|
|
MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$63,091.91
|
|
|
Service Code
|
MSDRG 095
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$63,091.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,091.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,754.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,862.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,226.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,384.38
|
| Rate for Payer: EPIC Health Plan Senior |
$26,951.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,951.39
|
| Rate for Payer: InnovAge PACE Commercial |
$40,427.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,951.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,114.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,114.86
|
| Rate for Payer: Multiplan WC |
$51,226.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,951.39
|
| Rate for Payer: Preferred Health Network WC |
$52,272.20
|
| Rate for Payer: Prime Health Services Medicare |
$28,568.47
|
| Rate for Payer: Prime Health Services WC |
$50,704.03
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$96,030.14
|
|
|
Service Code
|
MSDRG 094
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$96,030.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$96,030.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$62,031.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$83,504.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$77,970.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,350.50
|
| Rate for Payer: EPIC Health Plan Senior |
$40,259.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,259.63
|
| Rate for Payer: InnovAge PACE Commercial |
$60,389.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,259.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,947.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,947.90
|
| Rate for Payer: Multiplan WC |
$77,970.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,259.63
|
| Rate for Payer: Preferred Health Network WC |
$79,561.82
|
| Rate for Payer: Prime Health Services Medicare |
$42,675.21
|
| Rate for Payer: Prime Health Services WC |
$77,174.97
|
| 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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$63,091.91
|
|
|
Service Code
|
MSDRG 096
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$63,091.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,091.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,754.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,862.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,226.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,384.38
|
| Rate for Payer: EPIC Health Plan Senior |
$26,951.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,951.39
|
| Rate for Payer: InnovAge PACE Commercial |
$40,427.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,951.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,114.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,114.86
|
| Rate for Payer: Multiplan WC |
$51,226.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,951.39
|
| Rate for Payer: Preferred Health Network WC |
$52,272.20
|
| Rate for Payer: Prime Health Services Medicare |
$28,568.47
|
| Rate for Payer: Prime Health Services WC |
$50,704.03
|
| 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: BEHAVIORAL AND DEVELOPMENTAL DISORDERS
|
Facility
|
IP
|
$47,282.08
|
|
|
Service Code
|
MSDRG 886
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$47,282.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,282.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,542.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,114.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,390.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,760.91
|
| Rate for Payer: EPIC Health Plan Senior |
$20,563.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,563.64
|
| Rate for Payer: InnovAge PACE Commercial |
$30,845.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,563.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,555.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,555.28
|
| Rate for Payer: Multiplan WC |
$38,390.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,563.64
|
| Rate for Payer: Preferred Health Network WC |
$39,173.62
|
| Rate for Payer: Prime Health Services Medicare |
$21,797.46
|
| Rate for Payer: Prime Health Services WC |
$37,998.41
|
| 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: BENIGN PROSTATIC HYPERTROPHY WITH MCC
|
Facility
|
IP
|
$33,230.37
|
|
|
Service Code
|
MSDRG 725
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,230.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,230.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,465.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,895.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,981.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,096.42
|
| Rate for Payer: EPIC Health Plan Senior |
$14,886.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,886.24
|
| Rate for Payer: InnovAge PACE Commercial |
$22,329.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,886.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,947.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,947.56
|
| Rate for Payer: Multiplan WC |
$26,981.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,886.24
|
| Rate for Payer: Preferred Health Network WC |
$27,531.65
|
| Rate for Payer: Prime Health Services Medicare |
$15,779.41
|
| Rate for Payer: Prime Health Services WC |
$26,705.70
|
| 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: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
|
Facility
|
IP
|
$19,591.86
|
|
|
Service Code
|
MSDRG 726
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,591.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,591.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,655.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,036.34
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,907.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,685.26
|
| Rate for Payer: EPIC Health Plan Senior |
$9,396.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,396.49
|
| Rate for Payer: InnovAge PACE Commercial |
$14,094.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,396.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,591.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,591.30
|
| Rate for Payer: Multiplan WC |
$15,907.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,396.49
|
| Rate for Payer: Preferred Health Network WC |
$16,232.03
|
| Rate for Payer: Prime Health Services Medicare |
$9,960.28
|
| Rate for Payer: Prime Health Services WC |
$15,745.07
|
| 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: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
|
IP
|
$161,511.81
|
|
|
Service Code
|
MSDRG 461
|
| Min. Negotiated Rate |
$45,279.00 |
| Max. Negotiated Rate |
$161,511.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$161,511.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$104,330.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$140,444.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$131,137.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,067.42
|
| Rate for Payer: EPIC Health Plan Senior |
$66,716.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,716.61
|
| Rate for Payer: InnovAge PACE Commercial |
$100,074.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,716.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$89,400.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,400.26
|
| Rate for Payer: Multiplan WC |
$131,137.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$66,716.61
|
| Rate for Payer: Preferred Health Network WC |
$133,813.96
|
| Rate for Payer: Prime Health Services Medicare |
$70,719.61
|
| Rate for Payer: Prime Health Services WC |
$129,799.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$64,494.00
|
| Rate for Payer: United Healthcare All Other HMO |
$65,063.00
|
| Rate for Payer: United Healthcare HMO Rider |
$49,424.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45,279.00
|
|
|
MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
|
IP
|
$75,372.35
|
|
|
Service Code
|
MSDRG 462
|
| Min. Negotiated Rate |
$31,913.13 |
| Max. Negotiated Rate |
$75,372.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$75,372.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,687.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,540.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$61,197.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,082.73
|
| Rate for Payer: EPIC Health Plan Senior |
$31,913.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,913.13
|
| Rate for Payer: InnovAge PACE Commercial |
$47,869.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,913.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,763.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,763.59
|
| Rate for Payer: Multiplan WC |
$61,197.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,913.13
|
| Rate for Payer: Preferred Health Network WC |
$62,446.66
|
| Rate for Payer: Prime Health Services Medicare |
$33,827.92
|
| Rate for Payer: Prime Health Services WC |
$60,573.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$52,127.00
|
| Rate for Payer: United Healthcare All Other HMO |
$52,587.00
|
| Rate for Payer: United Healthcare HMO Rider |
$39,944.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$36,596.00
|
|
|
MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$55,177.78
|
|
|
Service Code
|
MSDRG 409
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,177.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,177.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,642.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,980.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,800.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,067.60
|
| Rate for Payer: EPIC Health Plan Senior |
$23,753.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,753.78
|
| Rate for Payer: InnovAge PACE Commercial |
$35,630.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,753.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,830.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,830.07
|
| Rate for Payer: Multiplan WC |
$44,800.97
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,753.78
|
| Rate for Payer: Preferred Health Network WC |
$45,715.28
|
| Rate for Payer: Prime Health Services Medicare |
$25,179.01
|
| Rate for Payer: Prime Health Services WC |
$44,343.82
|
| 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: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$92,150.71
|
|
|
Service Code
|
MSDRG 408
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$92,150.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$92,150.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,525.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80,130.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$74,820.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,234.47
|
| Rate for Payer: EPIC Health Plan Senior |
$38,692.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,692.20
|
| Rate for Payer: InnovAge PACE Commercial |
$58,038.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,692.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,847.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,847.55
|
| Rate for Payer: Multiplan WC |
$74,820.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,692.20
|
| Rate for Payer: Preferred Health Network WC |
$76,347.68
|
| Rate for Payer: Prime Health Services Medicare |
$41,013.73
|
| Rate for Payer: Prime Health Services WC |
$74,057.25
|
| 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: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$40,823.40
|
|
|
Service Code
|
MSDRG 410
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,823.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,823.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,370.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,498.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,146.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,238.03
|
| Rate for Payer: EPIC Health Plan Senior |
$17,954.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,954.10
|
| Rate for Payer: InnovAge PACE Commercial |
$26,931.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,954.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,058.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,058.49
|
| Rate for Payer: Multiplan WC |
$33,146.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,954.10
|
| Rate for Payer: Preferred Health Network WC |
$33,822.55
|
| Rate for Payer: Prime Health Services Medicare |
$19,031.35
|
| Rate for Payer: Prime Health Services WC |
$32,807.87
|
| 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: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
|
IP
|
$61,549.61
|
|
|
Service Code
|
MSDRG 478
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$61,549.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$61,549.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,758.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,521.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,974.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,543.14
|
| Rate for Payer: EPIC Health Plan Senior |
$26,328.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,328.25
|
| Rate for Payer: InnovAge PACE Commercial |
$39,492.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,328.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,279.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,279.86
|
| Rate for Payer: Multiplan WC |
$49,974.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,328.25
|
| Rate for Payer: Preferred Health Network WC |
$50,994.40
|
| Rate for Payer: Prime Health Services Medicare |
$27,907.94
|
| Rate for Payer: Prime Health Services WC |
$49,464.57
|
| 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: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$90,511.04
|
|
|
Service Code
|
MSDRG 477
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$90,511.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,511.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,466.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,704.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,489.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,340.12
|
| Rate for Payer: EPIC Health Plan Senior |
$38,029.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,029.72
|
| Rate for Payer: InnovAge PACE Commercial |
$57,044.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,029.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,959.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,959.82
|
| Rate for Payer: Multiplan WC |
$73,489.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,029.72
|
| Rate for Payer: Preferred Health Network WC |
$74,989.20
|
| Rate for Payer: Prime Health Services Medicare |
$40,311.50
|
| Rate for Payer: Prime Health Services WC |
$72,739.52
|
| 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: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
|
Facility
|
IP
|
$46,737.28
|
|
|
Service Code
|
MSDRG 479
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,737.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,737.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,190.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,640.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,947.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,463.75
|
| Rate for Payer: EPIC Health Plan Senior |
$20,343.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,343.52
|
| Rate for Payer: InnovAge PACE Commercial |
$30,515.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,343.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,260.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,260.32
|
| Rate for Payer: Multiplan WC |
$37,947.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,343.52
|
| Rate for Payer: Preferred Health Network WC |
$38,722.25
|
| Rate for Payer: Prime Health Services Medicare |
$21,564.13
|
| Rate for Payer: Prime Health Services WC |
$37,560.58
|
| 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: BONE DISEASES AND ARTHROPATHIES WITH MCC
|
Facility
|
IP
|
$34,372.61
|
|
|
Service Code
|
MSDRG 553
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,372.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,372.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,203.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,889.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,908.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,719.48
|
| Rate for Payer: EPIC Health Plan Senior |
$15,347.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,347.76
|
| Rate for Payer: InnovAge PACE Commercial |
$23,021.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,347.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,566.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,566.00
|
| Rate for Payer: Multiplan WC |
$27,908.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,347.76
|
| Rate for Payer: Preferred Health Network WC |
$28,478.01
|
| Rate for Payer: Prime Health Services Medicare |
$16,268.63
|
| Rate for Payer: Prime Health Services WC |
$27,623.67
|
| 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: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
|
Facility
|
IP
|
$21,965.84
|
|
|
Service Code
|
MSDRG 554
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,965.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,965.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,189.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,100.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,834.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,974.77
|
| Rate for Payer: EPIC Health Plan Senior |
$10,351.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,351.68
|
| Rate for Payer: InnovAge PACE Commercial |
$15,527.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,351.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,871.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,871.25
|
| Rate for Payer: Multiplan WC |
$17,834.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,351.68
|
| Rate for Payer: Preferred Health Network WC |
$18,198.89
|
| Rate for Payer: Prime Health Services Medicare |
$10,972.78
|
| Rate for Payer: Prime Health Services WC |
$17,652.92
|
| 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: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$53,885.52
|
|
|
Service Code
|
MSDRG 584
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$53,885.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,885.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,807.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,856.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,751.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,362.75
|
| Rate for Payer: EPIC Health Plan Senior |
$23,231.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,231.67
|
| Rate for Payer: InnovAge PACE Commercial |
$34,847.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,231.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,130.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,130.44
|
| Rate for Payer: Multiplan WC |
$43,751.74
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,231.67
|
| Rate for Payer: Preferred Health Network WC |
$44,644.63
|
| Rate for Payer: Prime Health Services Medicare |
$24,625.57
|
| Rate for Payer: Prime Health Services WC |
$43,305.29
|
| 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: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$52,245.85
|
|
|
Service Code
|
MSDRG 585
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$52,245.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,245.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,748.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,431.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,420.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,468.39
|
| Rate for Payer: EPIC Health Plan Senior |
$22,569.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,569.18
|
| Rate for Payer: InnovAge PACE Commercial |
$33,853.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,569.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,242.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,242.70
|
| Rate for Payer: Multiplan WC |
$42,420.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,569.18
|
| Rate for Payer: Preferred Health Network WC |
$43,286.15
|
| Rate for Payer: Prime Health Services Medicare |
$23,923.33
|
| Rate for Payer: Prime Health Services WC |
$41,987.57
|
| 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
|
|
