|
MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC
|
Facility
|
IP
|
$25,442.58
|
|
|
Service Code
|
MSDRG 202
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$25,442.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,442.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,434.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,123.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,657.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,863.28
|
| Rate for Payer: EPIC Health Plan Senior |
$11,750.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,750.58
|
| Rate for Payer: InnovAge PACE Commercial |
$17,625.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,750.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,745.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,745.78
|
| Rate for Payer: Multiplan WC |
$20,657.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,750.58
|
| Rate for Payer: Preferred Health Network WC |
$21,079.40
|
| Rate for Payer: Prime Health Services Medicare |
$12,455.61
|
| Rate for Payer: Prime Health Services WC |
$20,447.02
|
| 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: BRONCHITIS AND ASTHMA WITHOUT CC/MCC
|
Facility
|
IP
|
$18,333.82
|
|
|
Service Code
|
MSDRG 203
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,333.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,333.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,842.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,942.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,885.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,001.92
|
| Rate for Payer: EPIC Health Plan Senior |
$8,890.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,890.31
|
| Rate for Payer: InnovAge PACE Commercial |
$13,335.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,890.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,913.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,913.02
|
| Rate for Payer: Multiplan WC |
$14,885.94
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,890.31
|
| Rate for Payer: Preferred Health Network WC |
$15,189.73
|
| Rate for Payer: Prime Health Services Medicare |
$9,423.73
|
| Rate for Payer: Prime Health Services WC |
$14,734.04
|
| 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: CARDIAC ARREST, UNEXPLAINED WITH CC
|
Facility
|
IP
|
$18,539.10
|
|
|
Service Code
|
MSDRG 297
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,539.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,539.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,975.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,120.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,052.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,113.43
|
| Rate for Payer: EPIC Health Plan Senior |
$8,972.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,972.91
|
| Rate for Payer: InnovAge PACE Commercial |
$13,459.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,972.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,023.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,023.70
|
| Rate for Payer: Multiplan WC |
$15,052.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,972.91
|
| Rate for Payer: Preferred Health Network WC |
$15,359.81
|
| Rate for Payer: Prime Health Services Medicare |
$9,511.28
|
| Rate for Payer: Prime Health Services WC |
$14,899.02
|
| 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: CARDIAC ARREST, UNEXPLAINED WITH MCC
|
Facility
|
IP
|
$43,121.05
|
|
|
Service Code
|
MSDRG 296
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,121.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,121.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,854.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,496.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,011.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,491.28
|
| Rate for Payer: EPIC Health Plan Senior |
$18,882.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,882.43
|
| Rate for Payer: InnovAge PACE Commercial |
$28,323.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,882.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,302.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,302.46
|
| Rate for Payer: Multiplan WC |
$35,011.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,882.43
|
| Rate for Payer: Preferred Health Network WC |
$35,726.17
|
| Rate for Payer: Prime Health Services Medicare |
$20,015.38
|
| Rate for Payer: Prime Health Services WC |
$34,654.38
|
| 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: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
|
Facility
|
IP
|
$11,625.10
|
|
|
Service Code
|
MSDRG 298
|
| Min. Negotiated Rate |
$6,190.99 |
| Max. Negotiated Rate |
$11,625.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$11,625.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$7,509.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,108.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$9,438.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,357.84
|
| Rate for Payer: EPIC Health Plan Senior |
$6,190.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$6,190.99
|
| Rate for Payer: InnovAge PACE Commercial |
$9,286.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,190.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,295.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,295.93
|
| Rate for Payer: Multiplan WC |
$9,438.87
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$6,190.99
|
| Rate for Payer: Preferred Health Network WC |
$9,631.50
|
| Rate for Payer: Prime Health Services Medicare |
$6,562.45
|
| Rate for Payer: Prime Health Services WC |
$9,342.56
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
|
Facility
|
IP
|
$19,457.64
|
|
|
Service Code
|
MSDRG 309
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,457.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,457.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,568.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,919.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,798.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,612.36
|
| Rate for Payer: EPIC Health Plan Senior |
$9,342.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,342.49
|
| Rate for Payer: InnovAge PACE Commercial |
$14,013.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,342.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,518.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,518.94
|
| Rate for Payer: Multiplan WC |
$15,798.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,342.49
|
| Rate for Payer: Preferred Health Network WC |
$16,120.82
|
| Rate for Payer: Prime Health Services Medicare |
$9,903.04
|
| Rate for Payer: Prime Health Services WC |
$15,637.20
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
|
Facility
|
IP
|
$31,738.08
|
|
|
Service Code
|
MSDRG 308
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$31,738.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,738.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,501.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,598.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,769.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,282.91
|
| Rate for Payer: EPIC Health Plan Senior |
$14,283.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,283.64
|
| Rate for Payer: InnovAge PACE Commercial |
$21,425.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,283.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,140.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,140.08
|
| Rate for Payer: Multiplan WC |
$25,769.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,283.64
|
| Rate for Payer: Preferred Health Network WC |
$26,295.28
|
| Rate for Payer: Prime Health Services Medicare |
$15,140.66
|
| Rate for Payer: Prime Health Services WC |
$25,506.42
|
| 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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$14,725.48
|
|
|
Service Code
|
MSDRG 310
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$14,725.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14,725.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,512.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,804.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,956.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,041.92
|
| Rate for Payer: EPIC Health Plan Senior |
$7,438.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,438.46
|
| Rate for Payer: InnovAge PACE Commercial |
$11,157.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,438.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,967.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,967.54
|
| Rate for Payer: Multiplan WC |
$11,956.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,438.46
|
| Rate for Payer: Preferred Health Network WC |
$12,200.19
|
| Rate for Payer: Prime Health Services Medicare |
$7,884.77
|
| Rate for Payer: Prime Health Services WC |
$11,834.18
|
| 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: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$39,410.07
|
|
|
Service Code
|
MSDRG 306
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,410.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,410.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,457.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,269.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,998.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,467.14
|
| Rate for Payer: EPIC Health Plan Senior |
$17,383.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,383.07
|
| Rate for Payer: InnovAge PACE Commercial |
$26,074.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,383.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,293.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,293.31
|
| Rate for Payer: Multiplan WC |
$31,998.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,383.07
|
| Rate for Payer: Preferred Health Network WC |
$32,651.59
|
| Rate for Payer: Prime Health Services Medicare |
$18,426.05
|
| Rate for Payer: Prime Health Services WC |
$31,672.04
|
| 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: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$24,381.92
|
|
|
Service Code
|
MSDRG 307
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,381.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,381.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,749.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,201.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,796.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,287.16
|
| Rate for Payer: EPIC Health Plan Senior |
$11,323.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,323.82
|
| Rate for Payer: InnovAge PACE Commercial |
$16,985.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,323.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,173.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,173.92
|
| Rate for Payer: Multiplan WC |
$19,796.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,323.82
|
| Rate for Payer: Preferred Health Network WC |
$20,200.64
|
| Rate for Payer: Prime Health Services Medicare |
$12,003.25
|
| Rate for Payer: Prime Health Services WC |
$19,594.62
|
| 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: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
|
Facility
|
IP
|
$185,996.37
|
|
|
Service Code
|
MSDRG 275
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$185,996.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$185,996.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$120,146.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$161,735.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$151,017.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$103,422.51
|
| Rate for Payer: EPIC Health Plan Senior |
$76,609.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$76,609.27
|
| Rate for Payer: InnovAge PACE Commercial |
$114,913.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$76,609.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$102,656.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$102,656.42
|
| Rate for Payer: Multiplan WC |
$151,017.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$76,609.27
|
| Rate for Payer: Preferred Health Network WC |
$154,099.64
|
| Rate for Payer: Prime Health Services Medicare |
$81,205.83
|
| Rate for Payer: Prime Health Services WC |
$149,476.65
|
| 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: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
|
Facility
|
IP
|
$163,030.41
|
|
|
Service Code
|
MSDRG 276
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$163,030.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$163,030.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$105,310.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$141,765.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$132,370.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,895.74
|
| Rate for Payer: EPIC Health Plan Senior |
$67,330.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$67,330.18
|
| Rate for Payer: InnovAge PACE Commercial |
$100,995.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$67,330.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$90,222.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$90,222.44
|
| Rate for Payer: Multiplan WC |
$132,370.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$67,330.18
|
| Rate for Payer: Preferred Health Network WC |
$135,072.14
|
| Rate for Payer: Prime Health Services Medicare |
$71,369.99
|
| Rate for Payer: Prime Health Services WC |
$131,019.98
|
| 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: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
|
Facility
|
IP
|
$122,433.36
|
|
|
Service Code
|
MSDRG 277
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$122,433.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$122,433.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79,086.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$106,463.38
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$99,408.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$68,752.11
|
| Rate for Payer: EPIC Health Plan Senior |
$50,927.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$50,927.49
|
| Rate for Payer: InnovAge PACE Commercial |
$76,391.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,927.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$68,242.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$68,242.84
|
| Rate for Payer: Multiplan WC |
$99,408.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$50,927.49
|
| Rate for Payer: Preferred Health Network WC |
$101,437.12
|
| Rate for Payer: Prime Health Services Medicare |
$53,983.14
|
| Rate for Payer: Prime Health Services WC |
$98,394.01
|
| 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: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$73,837.95
|
|
|
Service Code
|
MSDRG 258
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$73,837.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$73,837.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,696.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,206.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$59,951.89
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,245.79
|
| Rate for Payer: EPIC Health Plan Senior |
$31,293.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,293.18
|
| Rate for Payer: InnovAge PACE Commercial |
$46,939.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,293.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,932.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,932.86
|
| Rate for Payer: Multiplan WC |
$59,951.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,293.18
|
| Rate for Payer: Preferred Health Network WC |
$61,175.40
|
| Rate for Payer: Prime Health Services Medicare |
$33,170.77
|
| Rate for Payer: Prime Health Services WC |
$59,340.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$31,946.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
|
Facility
|
IP
|
$46,260.91
|
|
|
Service Code
|
MSDRG 259
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$46,260.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,260.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,882.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,226.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,561.02
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,203.92
|
| Rate for Payer: EPIC Health Plan Senior |
$20,151.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,151.05
|
| Rate for Payer: InnovAge PACE Commercial |
$30,226.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,151.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,002.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,002.41
|
| Rate for Payer: Multiplan WC |
$37,561.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,151.05
|
| Rate for Payer: Preferred Health Network WC |
$38,327.57
|
| Rate for Payer: Prime Health Services Medicare |
$21,360.11
|
| Rate for Payer: Prime Health Services WC |
$37,177.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,532.00
|
| Rate for Payer: United Healthcare All Other HMO |
$30,540.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,768.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,774.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
|
Facility
|
IP
|
$51,377.00
|
|
|
Service Code
|
MSDRG 261
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$51,377.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,942.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,261.10
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,428.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,550.60
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,212.29
|
| Rate for Payer: EPIC Health Plan Senior |
$21,638.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,638.73
|
| Rate for Payer: InnovAge PACE Commercial |
$32,458.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,638.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,995.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,995.90
|
| Rate for Payer: Multiplan WC |
$40,550.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,638.73
|
| Rate for Payer: Preferred Health Network WC |
$41,378.16
|
| Rate for Payer: Prime Health Services Medicare |
$22,937.05
|
| Rate for Payer: Prime Health Services WC |
$40,136.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$42,600.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$89,647.78
|
|
|
Service Code
|
MSDRG 260
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$89,647.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$89,647.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$57,908.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$77,954.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$72,788.50
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,869.26
|
| Rate for Payer: EPIC Health Plan Senior |
$37,680.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,680.93
|
| Rate for Payer: InnovAge PACE Commercial |
$56,521.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,680.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,492.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,492.45
|
| Rate for Payer: Multiplan WC |
$72,788.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,680.93
|
| Rate for Payer: Preferred Health Network WC |
$74,273.98
|
| Rate for Payer: Prime Health Services Medicare |
$39,941.79
|
| Rate for Payer: Prime Health Services WC |
$72,045.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,266.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$51,377.00
|
|
|
Service Code
|
MSDRG 262
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$51,377.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,946.98
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,804.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,736.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,434.49
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,760.00
|
| Rate for Payer: EPIC Health Plan Senior |
$17,600.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,600.00
|
| Rate for Payer: InnovAge PACE Commercial |
$26,400.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,600.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,584.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,584.00
|
| Rate for Payer: Multiplan WC |
$32,434.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,600.00
|
| Rate for Payer: Preferred Health Network WC |
$33,096.42
|
| Rate for Payer: Prime Health Services Medicare |
$18,656.00
|
| Rate for Payer: Prime Health Services WC |
$32,103.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$51,377.00
|
| Rate for Payer: United Healthcare All Other HMO |
$42,600.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,691.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,035.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$169,965.47
|
|
|
Service Code
|
MSDRG 217
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$169,965.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$169,965.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$109,790.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$147,795.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$138,001.53
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$94,678.46
|
| Rate for Payer: EPIC Health Plan Senior |
$70,132.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$70,132.19
|
| Rate for Payer: InnovAge PACE Commercial |
$105,198.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$70,132.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$93,977.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$93,977.13
|
| Rate for Payer: Multiplan WC |
$138,001.53
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$70,132.19
|
| Rate for Payer: Preferred Health Network WC |
$140,817.89
|
| Rate for Payer: Prime Health Services Medicare |
$74,340.12
|
| Rate for Payer: Prime Health Services WC |
$136,593.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$126,798.00
|
| Rate for Payer: United Healthcare All Other HMO |
$128,643.00
|
| Rate for Payer: United Healthcare HMO Rider |
$97,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$89,522.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$254,007.30
|
|
|
Service Code
|
MSDRG 216
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$254,007.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$254,007.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$164,078.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$220,875.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$206,238.34
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$140,522.47
|
| Rate for Payer: EPIC Health Plan Senior |
$104,090.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$104,090.72
|
| Rate for Payer: InnovAge PACE Commercial |
$156,136.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$104,090.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$139,481.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$139,481.56
|
| Rate for Payer: Multiplan WC |
$206,238.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$104,090.72
|
| Rate for Payer: Preferred Health Network WC |
$210,447.29
|
| Rate for Payer: Prime Health Services Medicare |
$110,336.16
|
| Rate for Payer: Prime Health Services WC |
$204,133.87
|
| Rate for Payer: United Healthcare All Other Commercial |
$155,615.00
|
| Rate for Payer: United Healthcare All Other HMO |
$157,872.00
|
| Rate for Payer: United Healthcare HMO Rider |
$119,917.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$109,864.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$164,634.00
|
|
|
Service Code
|
MSDRG 218
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$164,634.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$156,579.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$101,144.05
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$136,155.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$127,133.05
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$87,377.16
|
| Rate for Payer: EPIC Health Plan Senior |
$64,723.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,723.82
|
| Rate for Payer: InnovAge PACE Commercial |
$97,085.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,723.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,729.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$86,729.92
|
| Rate for Payer: Multiplan WC |
$127,133.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,723.82
|
| Rate for Payer: Preferred Health Network WC |
$129,727.60
|
| Rate for Payer: Prime Health Services Medicare |
$68,607.25
|
| Rate for Payer: Prime Health Services WC |
$125,835.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$164,634.00
|
| Rate for Payer: United Healthcare All Other HMO |
$116,390.00
|
| Rate for Payer: United Healthcare HMO Rider |
$88,410.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$80,997.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
|
Facility
|
IP
|
$146,353.00
|
|
|
Service Code
|
MSDRG 220
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$146,353.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$139,403.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$90,049.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$121,220.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$113,187.37
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$78,008.66
|
| Rate for Payer: EPIC Health Plan Senior |
$57,784.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$57,784.19
|
| Rate for Payer: InnovAge PACE Commercial |
$86,676.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$57,784.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$77,430.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$77,430.81
|
| Rate for Payer: Multiplan WC |
$113,187.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$57,784.19
|
| Rate for Payer: Preferred Health Network WC |
$115,497.32
|
| Rate for Payer: Prime Health Services Medicare |
$61,251.24
|
| Rate for Payer: Prime Health Services WC |
$112,032.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$117,371.00
|
| Rate for Payer: United Healthcare All Other HMO |
$146,353.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$203,643.26
|
|
|
Service Code
|
MSDRG 219
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$203,643.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$203,643.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$131,545.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$177,080.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$165,345.84
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$113,047.99
|
| Rate for Payer: EPIC Health Plan Senior |
$83,739.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$83,739.25
|
| Rate for Payer: InnovAge PACE Commercial |
$125,608.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$83,739.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$112,210.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$112,210.60
|
| Rate for Payer: Multiplan WC |
$165,345.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$83,739.25
|
| Rate for Payer: Preferred Health Network WC |
$168,720.24
|
| Rate for Payer: Prime Health Services Medicare |
$88,763.60
|
| Rate for Payer: Prime Health Services WC |
$163,658.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$147,690.00
|
| Rate for Payer: United Healthcare All Other HMO |
$146,353.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
|
Facility
|
IP
|
$171,252.00
|
|
|
Service Code
|
MSDRG 221
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$171,252.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,872.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$78,078.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$105,106.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$98,141.17
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$67,900.82
|
| Rate for Payer: EPIC Health Plan Senior |
$50,296.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$50,296.90
|
| Rate for Payer: InnovAge PACE Commercial |
$75,445.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,296.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$67,397.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$67,397.85
|
| Rate for Payer: Multiplan WC |
$98,141.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$50,296.90
|
| Rate for Payer: Preferred Health Network WC |
$100,144.05
|
| Rate for Payer: Prime Health Services Medicare |
$53,314.71
|
| Rate for Payer: Prime Health Services WC |
$97,139.73
|
| Rate for Payer: United Healthcare All Other Commercial |
$171,252.00
|
| Rate for Payer: United Healthcare All Other HMO |
$146,353.00
|
| Rate for Payer: United Healthcare HMO Rider |
$111,169.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$101,848.00
|
|
|
MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC
|
Facility
|
IP
|
$59,870.46
|
|
|
Service Code
|
MSDRG 035
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,870.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,870.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,673.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,061.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,611.15
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,627.24
|
| Rate for Payer: EPIC Health Plan Senior |
$25,649.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,649.81
|
| Rate for Payer: InnovAge PACE Commercial |
$38,474.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,649.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,370.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,370.75
|
| Rate for Payer: Multiplan WC |
$48,611.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,649.81
|
| Rate for Payer: Preferred Health Network WC |
$49,603.21
|
| Rate for Payer: Prime Health Services Medicare |
$27,188.80
|
| Rate for Payer: Prime Health Services WC |
$48,115.11
|
| 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
|
|
