|
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 |
$37,602.10
|
| Rate for Payer: EPIC Health Plan Senior |
$27,853.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,853.41
|
| Rate for Payer: InnovAge PACE Commercial |
$41,780.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,853.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,323.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,323.57
|
| Rate for Payer: Multiplan WC |
$42,420.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,853.41
|
| Rate for Payer: Preferred Health Network WC |
$43,286.15
|
| Rate for Payer: Prime Health Services Medicare |
$29,524.61
|
| 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
|
|
|
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 |
$18,855.61
|
| Rate for Payer: EPIC Health Plan Senior |
$13,967.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,967.12
|
| Rate for Payer: InnovAge PACE Commercial |
$20,950.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,967.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,715.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,715.94
|
| Rate for Payer: Multiplan WC |
$20,657.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,967.12
|
| Rate for Payer: Preferred Health Network WC |
$21,079.40
|
| Rate for Payer: Prime Health Services Medicare |
$14,805.15
|
| 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 |
$13,883.68
|
| Rate for Payer: EPIC Health Plan Senior |
$10,284.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,284.21
|
| Rate for Payer: InnovAge PACE Commercial |
$15,426.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,284.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,780.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,780.84
|
| Rate for Payer: Multiplan WC |
$14,885.94
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,284.21
|
| Rate for Payer: Preferred Health Network WC |
$15,189.73
|
| Rate for Payer: Prime Health Services Medicare |
$10,901.26
|
| 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 |
$14,027.26
|
| Rate for Payer: EPIC Health Plan Senior |
$10,390.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,390.56
|
| Rate for Payer: InnovAge PACE Commercial |
$15,585.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,390.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,923.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,923.35
|
| Rate for Payer: Multiplan WC |
$15,052.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,390.56
|
| Rate for Payer: Preferred Health Network WC |
$15,359.81
|
| Rate for Payer: Prime Health Services Medicare |
$11,013.99
|
| 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 |
$31,220.14
|
| Rate for Payer: EPIC Health Plan Senior |
$23,126.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,126.03
|
| Rate for Payer: InnovAge PACE Commercial |
$34,689.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,126.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,988.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,988.88
|
| Rate for Payer: Multiplan WC |
$35,011.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,126.03
|
| Rate for Payer: Preferred Health Network WC |
$35,726.17
|
| Rate for Payer: Prime Health Services Medicare |
$24,513.59
|
| 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 |
$6,808.56 |
| 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 |
$9,191.56
|
| Rate for Payer: EPIC Health Plan Senior |
$6,808.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$6,808.56
|
| Rate for Payer: InnovAge PACE Commercial |
$10,212.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,808.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,123.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,123.47
|
| Rate for Payer: Multiplan WC |
$9,438.87
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$6,808.56
|
| Rate for Payer: Preferred Health Network WC |
$9,631.50
|
| Rate for Payer: Prime Health Services Medicare |
$7,217.07
|
| 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 |
$14,669.69
|
| Rate for Payer: EPIC Health Plan Senior |
$10,866.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,866.44
|
| Rate for Payer: InnovAge PACE Commercial |
$16,299.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,866.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,561.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,561.03
|
| Rate for Payer: Multiplan WC |
$15,798.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,866.44
|
| Rate for Payer: Preferred Health Network WC |
$16,120.82
|
| Rate for Payer: Prime Health Services Medicare |
$11,518.43
|
| 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 |
$23,258.79
|
| Rate for Payer: EPIC Health Plan Senior |
$17,228.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,228.73
|
| Rate for Payer: InnovAge PACE Commercial |
$25,843.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,228.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,086.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,086.50
|
| Rate for Payer: Multiplan WC |
$25,769.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,228.73
|
| Rate for Payer: Preferred Health Network WC |
$26,295.28
|
| Rate for Payer: Prime Health Services Medicare |
$18,262.45
|
| 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 |
$11,359.97
|
| Rate for Payer: EPIC Health Plan Senior |
$8,414.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,414.79
|
| Rate for Payer: InnovAge PACE Commercial |
$12,622.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,414.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,275.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,275.82
|
| Rate for Payer: Multiplan WC |
$11,956.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,414.79
|
| Rate for Payer: Preferred Health Network WC |
$12,200.19
|
| Rate for Payer: Prime Health Services Medicare |
$8,919.68
|
| 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 |
$28,624.67
|
| Rate for Payer: EPIC Health Plan Senior |
$21,203.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,203.46
|
| Rate for Payer: InnovAge PACE Commercial |
$31,805.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,203.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,412.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,412.64
|
| Rate for Payer: Multiplan WC |
$31,998.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,203.46
|
| Rate for Payer: Preferred Health Network WC |
$32,651.59
|
| Rate for Payer: Prime Health Services Medicare |
$22,475.67
|
| 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 |
$18,113.80
|
| Rate for Payer: EPIC Health Plan Senior |
$13,417.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,417.63
|
| Rate for Payer: InnovAge PACE Commercial |
$20,126.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,417.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,979.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,979.62
|
| Rate for Payer: Multiplan WC |
$19,796.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,417.63
|
| Rate for Payer: Preferred Health Network WC |
$20,200.64
|
| Rate for Payer: Prime Health Services Medicare |
$14,222.69
|
| 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 |
$131,148.67
|
| Rate for Payer: EPIC Health Plan Senior |
$97,147.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$97,147.16
|
| Rate for Payer: InnovAge PACE Commercial |
$145,720.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$97,147.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$130,177.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$130,177.19
|
| Rate for Payer: Multiplan WC |
$151,017.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$97,147.16
|
| Rate for Payer: Preferred Health Network WC |
$154,099.64
|
| Rate for Payer: Prime Health Services Medicare |
$102,975.99
|
| 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 |
$115,086.04
|
| Rate for Payer: EPIC Health Plan Senior |
$85,248.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$85,248.92
|
| Rate for Payer: InnovAge PACE Commercial |
$127,873.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$85,248.92
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$114,233.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$114,233.55
|
| Rate for Payer: Multiplan WC |
$132,370.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$85,248.92
|
| Rate for Payer: Preferred Health Network WC |
$135,072.14
|
| Rate for Payer: Prime Health Services Medicare |
$90,363.86
|
| 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 |
$86,692.01
|
| Rate for Payer: EPIC Health Plan Senior |
$64,216.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,216.30
|
| Rate for Payer: InnovAge PACE Commercial |
$96,324.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,216.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,049.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$86,049.84
|
| Rate for Payer: Multiplan WC |
$99,408.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,216.30
|
| Rate for Payer: Preferred Health Network WC |
$101,437.12
|
| Rate for Payer: Prime Health Services Medicare |
$68,069.28
|
| 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 |
$52,703.86
|
| Rate for Payer: EPIC Health Plan Senior |
$39,039.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,039.90
|
| Rate for Payer: InnovAge PACE Commercial |
$58,559.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,039.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,313.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,313.47
|
| Rate for Payer: Multiplan WC |
$59,951.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,039.90
|
| Rate for Payer: Preferred Health Network WC |
$61,175.40
|
| Rate for Payer: Prime Health Services Medicare |
$41,382.29
|
| 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 |
$33,416.17
|
| Rate for Payer: EPIC Health Plan Senior |
$24,752.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,752.72
|
| Rate for Payer: InnovAge PACE Commercial |
$37,129.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,752.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,168.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,168.64
|
| Rate for Payer: Multiplan WC |
$37,561.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,752.72
|
| Rate for Payer: Preferred Health Network WC |
$38,327.57
|
| Rate for Payer: Prime Health Services Medicare |
$26,237.88
|
| 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 |
$35,991.43
|
| Rate for Payer: EPIC Health Plan Senior |
$26,660.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,660.32
|
| Rate for Payer: InnovAge PACE Commercial |
$39,990.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,660.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,724.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,724.83
|
| Rate for Payer: Multiplan WC |
$40,550.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,660.32
|
| Rate for Payer: Preferred Health Network WC |
$41,378.16
|
| Rate for Payer: Prime Health Services Medicare |
$28,259.94
|
| 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 |
$63,761.42
|
| Rate for Payer: EPIC Health Plan Senior |
$47,230.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,230.68
|
| Rate for Payer: InnovAge PACE Commercial |
$70,846.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,230.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,289.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,289.11
|
| Rate for Payer: Multiplan WC |
$72,788.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,230.68
|
| Rate for Payer: Preferred Health Network WC |
$74,273.98
|
| Rate for Payer: Prime Health Services Medicare |
$50,064.52
|
| 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 |
$29,000.17
|
| Rate for Payer: EPIC Health Plan Senior |
$21,481.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,481.61
|
| Rate for Payer: InnovAge PACE Commercial |
$32,222.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,481.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,785.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,785.36
|
| Rate for Payer: Multiplan WC |
$32,434.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,481.61
|
| Rate for Payer: Preferred Health Network WC |
$33,096.42
|
| Rate for Payer: Prime Health Services Medicare |
$22,770.51
|
| 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 |
$119,936.48
|
| Rate for Payer: EPIC Health Plan Senior |
$88,841.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$88,841.84
|
| Rate for Payer: InnovAge PACE Commercial |
$133,262.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$88,841.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$119,048.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$119,048.07
|
| Rate for Payer: Multiplan WC |
$138,001.53
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$88,841.84
|
| Rate for Payer: Preferred Health Network WC |
$140,817.89
|
| Rate for Payer: Prime Health Services Medicare |
$94,172.35
|
| 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 |
$178,716.24
|
| Rate for Payer: EPIC Health Plan Senior |
$132,382.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$132,382.40
|
| Rate for Payer: InnovAge PACE Commercial |
$198,573.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$132,382.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$177,392.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$177,392.42
|
| Rate for Payer: Multiplan WC |
$206,238.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$132,382.40
|
| Rate for Payer: Preferred Health Network WC |
$210,447.29
|
| Rate for Payer: Prime Health Services Medicare |
$140,325.34
|
| 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 |
$110,574.27
|
| Rate for Payer: EPIC Health Plan Senior |
$81,906.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$81,906.87
|
| Rate for Payer: InnovAge PACE Commercial |
$122,860.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$81,906.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$109,755.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$109,755.21
|
| Rate for Payer: Multiplan WC |
$127,133.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$81,906.87
|
| Rate for Payer: Preferred Health Network WC |
$129,727.60
|
| Rate for Payer: Prime Health Services Medicare |
$86,821.28
|
| 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 |
$98,561.35
|
| Rate for Payer: EPIC Health Plan Senior |
$73,008.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$73,008.41
|
| Rate for Payer: InnovAge PACE Commercial |
$109,512.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$73,008.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$97,831.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$97,831.27
|
| Rate for Payer: Multiplan WC |
$113,187.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$73,008.41
|
| Rate for Payer: Preferred Health Network WC |
$115,497.32
|
| Rate for Payer: Prime Health Services Medicare |
$77,388.91
|
| 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 |
$143,491.10
|
| Rate for Payer: EPIC Health Plan Senior |
$106,289.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$106,289.70
|
| Rate for Payer: InnovAge PACE Commercial |
$159,434.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$106,289.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$142,428.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$142,428.20
|
| Rate for Payer: Multiplan WC |
$165,345.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$106,289.70
|
| Rate for Payer: Preferred Health Network WC |
$168,720.24
|
| Rate for Payer: Prime Health Services Medicare |
$112,667.08
|
| 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 |
$85,600.44
|
| Rate for Payer: EPIC Health Plan Senior |
$63,407.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$63,407.73
|
| Rate for Payer: InnovAge PACE Commercial |
$95,111.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,407.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$84,966.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,966.36
|
| Rate for Payer: Multiplan WC |
$98,141.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$63,407.73
|
| Rate for Payer: Preferred Health Network WC |
$100,144.05
|
| Rate for Payer: Prime Health Services Medicare |
$67,212.19
|
| 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
|
|
