|
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 |
$33,397.79
|
| Rate for Payer: EPIC Health Plan Senior |
$24,739.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,739.10
|
| Rate for Payer: InnovAge PACE Commercial |
$37,108.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,739.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,150.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,150.39
|
| Rate for Payer: Multiplan WC |
$37,539.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,739.10
|
| Rate for Payer: Preferred Health Network WC |
$38,305.76
|
| Rate for Payer: Prime Health Services Medicare |
$26,223.45
|
| 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
|
|
|
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 |
$22,474.62
|
| Rate for Payer: EPIC Health Plan Senior |
$16,647.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,647.87
|
| Rate for Payer: InnovAge PACE Commercial |
$24,971.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,647.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,308.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,308.15
|
| Rate for Payer: Multiplan WC |
$24,859.04
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,647.87
|
| Rate for Payer: Preferred Health Network WC |
$25,366.37
|
| Rate for Payer: Prime Health Services Medicare |
$17,646.74
|
| 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 |
$13,438.21
|
| Rate for Payer: EPIC Health Plan Senior |
$9,954.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,954.23
|
| Rate for Payer: InnovAge PACE Commercial |
$14,931.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,954.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,338.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,338.67
|
| Rate for Payer: Multiplan WC |
$14,368.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,954.23
|
| Rate for Payer: Preferred Health Network WC |
$14,662.03
|
| Rate for Payer: Prime Health Services Medicare |
$10,551.48
|
| 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 |
$83,087.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$120,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$112,168.42
|
| Rate for Payer: EPIC Health Plan Senior |
$83,087.72
|
| 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 |
$83,087.72
|
| Rate for Payer: InnovAge PACE Commercial |
$124,631.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,087.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$111,337.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,337.54
|
| 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 |
$83,087.72
|
| Rate for Payer: Preferred Health Network WC |
$131,615.96
|
| Rate for Payer: Prime Health Services Medicare |
$88,072.98
|
| 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 |
$83,087.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$120,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$112,168.42
|
| Rate for Payer: EPIC Health Plan Senior |
$83,087.72
|
| 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 |
$83,087.72
|
| Rate for Payer: InnovAge PACE Commercial |
$124,631.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,087.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$111,337.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$111,337.54
|
| 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 |
$83,087.72
|
| Rate for Payer: Preferred Health Network WC |
$131,615.96
|
| Rate for Payer: Prime Health Services Medicare |
$88,072.98
|
| 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 |
$37,359.14
|
| Rate for Payer: EPIC Health Plan Senior |
$27,673.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,673.44
|
| Rate for Payer: InnovAge PACE Commercial |
$41,510.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,673.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,082.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,082.41
|
| Rate for Payer: Multiplan WC |
$42,138.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,673.44
|
| Rate for Payer: Preferred Health Network WC |
$42,998.31
|
| Rate for Payer: Prime Health Services Medicare |
$29,333.85
|
| 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 |
$67,034.36
|
| Rate for Payer: EPIC Health Plan Senior |
$49,655.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,655.08
|
| Rate for Payer: InnovAge PACE Commercial |
$74,482.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,655.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$66,537.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,537.81
|
| Rate for Payer: Multiplan WC |
$76,587.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,655.08
|
| Rate for Payer: Preferred Health Network WC |
$78,151.00
|
| Rate for Payer: Prime Health Services Medicare |
$52,634.38
|
| 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 |
$27,442.84
|
| Rate for Payer: EPIC Health Plan Senior |
$20,328.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,328.03
|
| Rate for Payer: InnovAge PACE Commercial |
$30,492.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,328.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,239.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,239.56
|
| Rate for Payer: Multiplan WC |
$30,626.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,328.03
|
| Rate for Payer: Preferred Health Network WC |
$31,251.68
|
| Rate for Payer: Prime Health Services Medicare |
$21,547.71
|
| 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 |
$45,188.00
|
| Rate for Payer: EPIC Health Plan Senior |
$33,472.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,472.59
|
| Rate for Payer: InnovAge PACE Commercial |
$50,208.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,472.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,853.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,853.27
|
| Rate for Payer: Multiplan WC |
$51,226.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$33,472.59
|
| Rate for Payer: Preferred Health Network WC |
$52,272.20
|
| Rate for Payer: Prime Health Services Medicare |
$35,480.95
|
| 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 |
$68,225.33
|
| Rate for Payer: EPIC Health Plan Senior |
$50,537.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$50,537.28
|
| Rate for Payer: InnovAge PACE Commercial |
$75,805.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,537.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$67,719.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$67,719.96
|
| Rate for Payer: Multiplan WC |
$77,970.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$50,537.28
|
| Rate for Payer: Preferred Health Network WC |
$79,561.82
|
| Rate for Payer: Prime Health Services Medicare |
$53,569.52
|
| 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 |
$45,188.00
|
| Rate for Payer: EPIC Health Plan Senior |
$33,472.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,472.59
|
| Rate for Payer: InnovAge PACE Commercial |
$50,208.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,472.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,853.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,853.27
|
| Rate for Payer: Multiplan WC |
$51,226.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$33,472.59
|
| Rate for Payer: Preferred Health Network WC |
$52,272.20
|
| Rate for Payer: Prime Health Services Medicare |
$35,480.95
|
| 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 |
$34,130.40
|
| Rate for Payer: EPIC Health Plan Senior |
$25,281.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,281.78
|
| Rate for Payer: InnovAge PACE Commercial |
$37,922.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,281.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,877.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,877.59
|
| Rate for Payer: Multiplan WC |
$38,390.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,281.78
|
| Rate for Payer: Preferred Health Network WC |
$39,173.62
|
| Rate for Payer: Prime Health Services Medicare |
$26,798.69
|
| 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 |
$24,302.50
|
| Rate for Payer: EPIC Health Plan Senior |
$18,001.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,001.85
|
| Rate for Payer: InnovAge PACE Commercial |
$27,002.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,001.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,122.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,122.48
|
| Rate for Payer: Multiplan WC |
$26,981.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,001.85
|
| Rate for Payer: Preferred Health Network WC |
$27,531.65
|
| Rate for Payer: Prime Health Services Medicare |
$19,081.96
|
| 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 |
$14,763.56
|
| Rate for Payer: EPIC Health Plan Senior |
$10,935.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,935.97
|
| Rate for Payer: InnovAge PACE Commercial |
$16,403.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,935.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,654.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,654.20
|
| Rate for Payer: Multiplan WC |
$15,907.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,935.97
|
| Rate for Payer: Preferred Health Network WC |
$16,232.03
|
| Rate for Payer: Prime Health Services Medicare |
$11,592.13
|
| 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 |
$114,023.90
|
| Rate for Payer: EPIC Health Plan Senior |
$84,462.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$84,462.15
|
| Rate for Payer: InnovAge PACE Commercial |
$126,693.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$84,462.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$113,179.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$113,179.28
|
| Rate for Payer: Multiplan WC |
$131,137.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$84,462.15
|
| Rate for Payer: Preferred Health Network WC |
$133,813.96
|
| Rate for Payer: Prime Health Services Medicare |
$89,529.88
|
| 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 |
$36,596.00 |
| 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 |
$53,777.05
|
| Rate for Payer: EPIC Health Plan Senior |
$39,834.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,834.85
|
| Rate for Payer: InnovAge PACE Commercial |
$59,752.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,834.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,378.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,378.70
|
| Rate for Payer: Multiplan WC |
$61,197.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,834.85
|
| Rate for Payer: Preferred Health Network WC |
$62,446.66
|
| Rate for Payer: Prime Health Services Medicare |
$42,224.94
|
| 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 |
$39,652.74
|
| Rate for Payer: EPIC Health Plan Senior |
$29,372.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,372.40
|
| Rate for Payer: InnovAge PACE Commercial |
$44,058.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,372.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,359.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,359.02
|
| Rate for Payer: Multiplan WC |
$44,800.97
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,372.40
|
| Rate for Payer: Preferred Health Network WC |
$45,715.28
|
| Rate for Payer: Prime Health Services Medicare |
$31,134.74
|
| 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 |
$65,512.03
|
| Rate for Payer: EPIC Health Plan Senior |
$48,527.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,527.43
|
| Rate for Payer: InnovAge PACE Commercial |
$72,791.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,527.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,026.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,026.76
|
| Rate for Payer: Multiplan WC |
$74,820.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$48,527.43
|
| Rate for Payer: Preferred Health Network WC |
$76,347.68
|
| Rate for Payer: Prime Health Services Medicare |
$51,439.08
|
| 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 |
$29,613.17
|
| Rate for Payer: EPIC Health Plan Senior |
$21,935.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,935.68
|
| Rate for Payer: InnovAge PACE Commercial |
$32,903.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,935.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,393.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,393.81
|
| Rate for Payer: Multiplan WC |
$33,146.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,935.68
|
| Rate for Payer: Preferred Health Network WC |
$33,822.55
|
| Rate for Payer: Prime Health Services Medicare |
$23,251.82
|
| 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 |
$44,109.28
|
| Rate for Payer: EPIC Health Plan Senior |
$32,673.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,673.54
|
| Rate for Payer: InnovAge PACE Commercial |
$49,010.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,673.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,782.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,782.54
|
| Rate for Payer: Multiplan WC |
$49,974.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,673.54
|
| Rate for Payer: Preferred Health Network WC |
$50,994.40
|
| Rate for Payer: Prime Health Services Medicare |
$34,633.95
|
| 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 |
$64,365.22
|
| Rate for Payer: EPIC Health Plan Senior |
$47,677.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,677.94
|
| Rate for Payer: InnovAge PACE Commercial |
$71,516.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,677.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,888.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,888.44
|
| Rate for Payer: Multiplan WC |
$73,489.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,677.94
|
| Rate for Payer: Preferred Health Network WC |
$74,989.20
|
| Rate for Payer: Prime Health Services Medicare |
$50,538.62
|
| 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 |
$33,749.37
|
| Rate for Payer: EPIC Health Plan Senior |
$24,999.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,999.53
|
| Rate for Payer: InnovAge PACE Commercial |
$37,499.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,999.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,499.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,499.37
|
| Rate for Payer: Multiplan WC |
$37,947.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,999.53
|
| Rate for Payer: Preferred Health Network WC |
$38,722.25
|
| Rate for Payer: Prime Health Services Medicare |
$26,499.50
|
| 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 |
$25,101.40
|
| Rate for Payer: EPIC Health Plan Senior |
$18,593.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,593.63
|
| Rate for Payer: InnovAge PACE Commercial |
$27,890.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,593.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,915.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,915.46
|
| Rate for Payer: Multiplan WC |
$27,908.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,593.63
|
| Rate for Payer: Preferred Health Network WC |
$28,478.01
|
| Rate for Payer: Prime Health Services Medicare |
$19,709.25
|
| 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 |
$16,423.95
|
| Rate for Payer: EPIC Health Plan Senior |
$12,165.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,165.89
|
| Rate for Payer: InnovAge PACE Commercial |
$18,248.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,165.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,302.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,302.29
|
| Rate for Payer: Multiplan WC |
$17,834.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,165.89
|
| Rate for Payer: Preferred Health Network WC |
$18,198.89
|
| Rate for Payer: Prime Health Services Medicare |
$12,895.84
|
| 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 |
$38,748.93
|
| Rate for Payer: EPIC Health Plan Senior |
$28,702.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,702.91
|
| Rate for Payer: InnovAge PACE Commercial |
$43,054.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,702.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,461.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,461.90
|
| Rate for Payer: Multiplan WC |
$43,751.74
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,702.91
|
| Rate for Payer: Preferred Health Network WC |
$44,644.63
|
| Rate for Payer: Prime Health Services Medicare |
$30,425.08
|
| 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
|
|
