|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
|
IP
|
$66,505.48
|
|
|
Service Code
|
MSDRG 545
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$66,505.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,505.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,959.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$57,830.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,998.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,246.31
|
| Rate for Payer: EPIC Health Plan Senior |
$28,330.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,330.60
|
| Rate for Payer: InnovAge PACE Commercial |
$42,495.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,330.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,963.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,963.00
|
| Rate for Payer: Multiplan WC |
$53,998.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,330.60
|
| Rate for Payer: Preferred Health Network WC |
$55,100.38
|
| Rate for Payer: Prime Health Services Medicare |
$30,030.44
|
| Rate for Payer: Prime Health Services WC |
$53,447.37
|
| 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: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$19,639.24
|
|
|
Service Code
|
MSDRG 547
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,639.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,639.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,686.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,077.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,945.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,710.99
|
| Rate for Payer: EPIC Health Plan Senior |
$9,415.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,415.55
|
| Rate for Payer: InnovAge PACE Commercial |
$14,123.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,415.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,616.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,616.84
|
| Rate for Payer: Multiplan WC |
$15,945.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,415.55
|
| Rate for Payer: Preferred Health Network WC |
$16,271.28
|
| Rate for Payer: Prime Health Services Medicare |
$9,980.48
|
| Rate for Payer: Prime Health Services WC |
$15,783.14
|
| 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: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
|
Facility
|
IP
|
$205,719.83
|
|
|
Service Code
|
MSDRG 233
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$205,719.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$205,719.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$132,886.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$178,886.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$167,031.89
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$114,180.65
|
| Rate for Payer: EPIC Health Plan Senior |
$84,578.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$84,578.26
|
| Rate for Payer: InnovAge PACE Commercial |
$126,867.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$84,578.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$113,334.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$113,334.87
|
| Rate for Payer: Multiplan WC |
$167,031.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$84,578.26
|
| Rate for Payer: Preferred Health Network WC |
$170,440.70
|
| Rate for Payer: Prime Health Services Medicare |
$89,652.96
|
| Rate for Payer: Prime Health Services WC |
$165,327.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$143,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$106,219.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,682.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,919.00
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
|
Facility
|
IP
|
$140,022.34
|
|
|
Service Code
|
MSDRG 234
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$140,022.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$140,022.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$90,448.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$121,758.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$113,689.55
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$78,346.01
|
| Rate for Payer: EPIC Health Plan Senior |
$58,034.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$58,034.08
|
| Rate for Payer: InnovAge PACE Commercial |
$87,051.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$58,034.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$77,765.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$77,765.67
|
| Rate for Payer: Multiplan WC |
$113,689.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$58,034.08
|
| Rate for Payer: Preferred Health Network WC |
$116,009.75
|
| Rate for Payer: Prime Health Services Medicare |
$61,516.12
|
| Rate for Payer: Prime Health Services WC |
$112,529.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,054.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,568.00
|
| Rate for Payer: United Healthcare HMO Rider |
$74,111.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$67,897.00
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
|
Facility
|
IP
|
$154,866.26
|
|
|
Service Code
|
MSDRG 235
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$154,866.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$154,866.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$100,037.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$134,665.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$125,741.90
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$86,442.62
|
| Rate for Payer: EPIC Health Plan Senior |
$64,031.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,031.57
|
| Rate for Payer: InnovAge PACE Commercial |
$96,047.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,031.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$85,802.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$85,802.30
|
| Rate for Payer: Multiplan WC |
$125,741.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,031.57
|
| Rate for Payer: Preferred Health Network WC |
$128,308.06
|
| Rate for Payer: Prime Health Services Medicare |
$67,873.46
|
| Rate for Payer: Prime Health Services WC |
$124,458.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$83,791.00
|
| Rate for Payer: United Healthcare All Other HMO |
$74,237.00
|
| Rate for Payer: United Healthcare HMO Rider |
$56,388.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$51,660.00
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
|
Facility
|
IP
|
$108,226.36
|
|
|
Service Code
|
MSDRG 236
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$108,226.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$108,226.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,909.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$94,109.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$87,873.17
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,002.92
|
| Rate for Payer: EPIC Health Plan Senior |
$45,187.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,187.35
|
| Rate for Payer: InnovAge PACE Commercial |
$67,781.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,187.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$60,551.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$60,551.05
|
| Rate for Payer: Multiplan WC |
$87,873.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$45,187.35
|
| Rate for Payer: Preferred Health Network WC |
$89,666.50
|
| Rate for Payer: Prime Health Services Medicare |
$47,898.59
|
| Rate for Payer: Prime Health Services WC |
$86,976.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$76,448.00
|
| Rate for Payer: United Healthcare All Other HMO |
$68,582.00
|
| Rate for Payer: United Healthcare HMO Rider |
$52,096.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$47,726.00
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC
|
Facility
|
IP
|
$223,024.57
|
|
|
Service Code
|
MSDRG 231
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$223,024.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$223,024.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$144,064.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$193,933.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$181,082.27
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$123,619.51
|
| Rate for Payer: EPIC Health Plan Senior |
$91,570.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$91,570.01
|
| Rate for Payer: InnovAge PACE Commercial |
$137,355.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$91,570.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$122,703.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$122,703.81
|
| Rate for Payer: Multiplan WC |
$181,082.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$91,570.01
|
| Rate for Payer: Preferred Health Network WC |
$184,777.83
|
| Rate for Payer: Prime Health Services Medicare |
$97,064.21
|
| Rate for Payer: Prime Health Services WC |
$179,234.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$107,429.00
|
| Rate for Payer: United Healthcare All Other HMO |
$102,631.00
|
| Rate for Payer: United Healthcare HMO Rider |
$94,080.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$86,191.00
|
|
|
MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC
|
Facility
|
IP
|
$160,774.88
|
|
|
Service Code
|
MSDRG 232
|
| Min. Negotiated Rate |
$11,745.00 |
| Max. Negotiated Rate |
$160,774.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$160,774.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103,854.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$139,803.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$130,539.33
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$89,665.47
|
| Rate for Payer: EPIC Health Plan Senior |
$66,418.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,418.87
|
| Rate for Payer: InnovAge PACE Commercial |
$99,628.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,418.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$89,001.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,001.29
|
| Rate for Payer: Multiplan WC |
$130,539.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$66,418.87
|
| Rate for Payer: Preferred Health Network WC |
$133,203.40
|
| Rate for Payer: Prime Health Services Medicare |
$70,404.00
|
| Rate for Payer: Prime Health Services WC |
$129,207.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$94,061.00
|
| Rate for Payer: United Healthcare All Other HMO |
$87,101.00
|
| Rate for Payer: United Healthcare HMO Rider |
$79,841.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,147.00
|
|
|
MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$112,103.15
|
|
|
Service Code
|
MSDRG 323
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$112,103.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$112,103.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$72,414.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$97,480.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$91,020.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$63,117.51
|
| Rate for Payer: EPIC Health Plan Senior |
$46,753.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,753.71
|
| Rate for Payer: InnovAge PACE Commercial |
$70,130.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,753.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$62,649.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,649.97
|
| Rate for Payer: Multiplan WC |
$91,020.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$46,753.71
|
| Rate for Payer: Preferred Health Network WC |
$92,878.45
|
| Rate for Payer: Prime Health Services Medicare |
$49,558.93
|
| Rate for Payer: Prime Health Services WC |
$90,092.10
|
| 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: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$84,091.84
|
|
|
Service Code
|
MSDRG 324
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$84,091.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$84,091.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,319.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$73,123.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$68,277.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,838.78
|
| Rate for Payer: EPIC Health Plan Senior |
$35,436.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,436.13
|
| Rate for Payer: InnovAge PACE Commercial |
$53,154.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,436.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,484.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,484.41
|
| Rate for Payer: Multiplan WC |
$68,277.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,436.13
|
| Rate for Payer: Preferred Health Network WC |
$69,670.83
|
| Rate for Payer: Prime Health Services Medicare |
$37,562.30
|
| Rate for Payer: Prime Health Services WC |
$67,580.71
|
| 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: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
|
Facility
|
IP
|
$75,327.61
|
|
|
Service Code
|
MSDRG 325
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$75,327.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$75,327.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,658.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,502.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$61,161.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,058.34
|
| Rate for Payer: EPIC Health Plan Senior |
$31,895.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,895.07
|
| Rate for Payer: InnovAge PACE Commercial |
$47,842.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,895.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,739.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,739.39
|
| Rate for Payer: Multiplan WC |
$61,161.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,895.07
|
| Rate for Payer: Preferred Health Network WC |
$62,409.59
|
| Rate for Payer: Prime Health Services Medicare |
$33,808.77
|
| Rate for Payer: Prime Health Services WC |
$60,537.30
|
| 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: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
|
Facility
|
IP
|
$40,678.65
|
|
|
Service Code
|
MSDRG 073
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,678.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,678.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,276.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,372.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,028.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,159.07
|
| Rate for Payer: EPIC Health Plan Senior |
$17,895.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,895.61
|
| Rate for Payer: InnovAge PACE Commercial |
$26,843.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,895.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,980.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,980.12
|
| Rate for Payer: Multiplan WC |
$33,028.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,895.61
|
| Rate for Payer: Preferred Health Network WC |
$33,702.62
|
| Rate for Payer: Prime Health Services Medicare |
$18,969.35
|
| Rate for Payer: Prime Health Services WC |
$32,691.54
|
| 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: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$27,434.93
|
|
|
Service Code
|
MSDRG 074
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,434.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,434.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,721.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,856.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,275.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,945.50
|
| Rate for Payer: EPIC Health Plan Senior |
$12,552.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,552.22
|
| Rate for Payer: InnovAge PACE Commercial |
$18,828.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,552.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,819.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,819.97
|
| Rate for Payer: Multiplan WC |
$22,275.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,552.22
|
| Rate for Payer: Preferred Health Network WC |
$22,730.08
|
| Rate for Payer: Prime Health Services Medicare |
$13,305.35
|
| Rate for Payer: Prime Health Services WC |
$22,048.18
|
| 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: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$80,499.29
|
|
|
Service Code
|
MSDRG 026
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$80,499.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$80,499.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$51,999.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$69,999.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,360.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$45,879.21
|
| Rate for Payer: EPIC Health Plan Senior |
$33,984.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,984.60
|
| Rate for Payer: InnovAge PACE Commercial |
$50,976.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,984.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,539.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,539.36
|
| Rate for Payer: Multiplan WC |
$65,360.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$33,984.60
|
| Rate for Payer: Preferred Health Network WC |
$66,694.38
|
| Rate for Payer: Prime Health Services Medicare |
$36,023.68
|
| Rate for Payer: Prime Health Services WC |
$64,693.55
|
| 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: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$117,706.46
|
|
|
Service Code
|
MSDRG 025
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$117,706.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$117,706.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$76,033.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$102,353.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$95,570.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,173.84
|
| Rate for Payer: EPIC Health Plan Senior |
$49,017.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,017.66
|
| Rate for Payer: InnovAge PACE Commercial |
$73,526.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,017.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,683.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,683.66
|
| Rate for Payer: Multiplan WC |
$95,570.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,017.66
|
| Rate for Payer: Preferred Health Network WC |
$97,520.84
|
| Rate for Payer: Prime Health Services Medicare |
$51,958.72
|
| Rate for Payer: Prime Health Services WC |
$94,595.21
|
| 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: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$64,950.03
|
|
|
Service Code
|
MSDRG 027
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$64,950.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,950.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,955.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$56,478.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$52,735.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,397.88
|
| Rate for Payer: EPIC Health Plan Senior |
$27,702.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,702.13
|
| Rate for Payer: InnovAge PACE Commercial |
$41,553.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,702.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,120.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,120.85
|
| Rate for Payer: Multiplan WC |
$52,735.44
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,702.13
|
| Rate for Payer: Preferred Health Network WC |
$53,811.67
|
| Rate for Payer: Prime Health Services Medicare |
$29,364.26
|
| Rate for Payer: Prime Health Services WC |
$52,197.32
|
| 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: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$179,714.03
|
|
|
Service Code
|
MSDRG 955
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$179,714.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$179,714.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$116,087.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156,272.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$145,916.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$99,995.81
|
| Rate for Payer: EPIC Health Plan Senior |
$74,070.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$74,070.97
|
| Rate for Payer: InnovAge PACE Commercial |
$111,106.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$74,070.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$99,255.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$99,255.10
|
| Rate for Payer: Multiplan WC |
$145,916.77
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$74,070.97
|
| Rate for Payer: Preferred Health Network WC |
$148,894.66
|
| Rate for Payer: Prime Health Services Medicare |
$78,515.23
|
| Rate for Payer: Prime Health Services WC |
$144,427.82
|
| 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: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
|
Facility
|
IP
|
$150,152.53
|
|
|
Service Code
|
MSDRG 023
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$150,152.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$150,152.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$96,992.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$130,566.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$121,914.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$83,871.50
|
| Rate for Payer: EPIC Health Plan Senior |
$62,127.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$62,127.04
|
| Rate for Payer: InnovAge PACE Commercial |
$93,190.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$62,127.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$83,250.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$83,250.23
|
| Rate for Payer: Multiplan WC |
$121,914.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$62,127.04
|
| Rate for Payer: Preferred Health Network WC |
$124,402.69
|
| Rate for Payer: Prime Health Services Medicare |
$65,854.66
|
| Rate for Payer: Prime Health Services WC |
$120,670.61
|
| 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: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
|
Facility
|
IP
|
$100,056.94
|
|
|
Service Code
|
MSDRG 024
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$100,056.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$100,056.94
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,632.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$87,005.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$81,240.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$56,546.92
|
| Rate for Payer: EPIC Health Plan Senior |
$41,886.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$41,886.61
|
| Rate for Payer: InnovAge PACE Commercial |
$62,829.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,886.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$56,128.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,128.06
|
| Rate for Payer: Multiplan WC |
$81,240.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$41,886.61
|
| Rate for Payer: Preferred Health Network WC |
$82,898.06
|
| Rate for Payer: Prime Health Services Medicare |
$44,399.81
|
| Rate for Payer: Prime Health Services WC |
$80,411.12
|
| 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: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
|
Facility
|
IP
|
$51,427.33
|
|
|
Service Code
|
MSDRG 744
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$51,427.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,427.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,219.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,719.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,755.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,021.93
|
| Rate for Payer: EPIC Health Plan Senior |
$22,238.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,238.47
|
| Rate for Payer: InnovAge PACE Commercial |
$33,357.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,238.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,799.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,799.55
|
| Rate for Payer: Multiplan WC |
$41,755.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,238.47
|
| Rate for Payer: Preferred Health Network WC |
$42,607.99
|
| Rate for Payer: Prime Health Services Medicare |
$23,572.78
|
| Rate for Payer: Prime Health Services WC |
$41,329.75
|
| 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: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
|
Facility
|
IP
|
$26,971.71
|
|
|
Service Code
|
MSDRG 745
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$26,971.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,971.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,422.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,453.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,899.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,693.90
|
| Rate for Payer: EPIC Health Plan Senior |
$12,365.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,365.85
|
| Rate for Payer: InnovAge PACE Commercial |
$18,548.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,365.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,570.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,570.24
|
| Rate for Payer: Multiplan WC |
$21,899.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,365.85
|
| Rate for Payer: Preferred Health Network WC |
$22,346.30
|
| Rate for Payer: Prime Health Services Medicare |
$13,107.80
|
| Rate for Payer: Prime Health Services WC |
$21,675.91
|
| 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: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
|
Facility
|
IP
|
$32,319.73
|
|
|
Service Code
|
MSDRG 294
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$32,319.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,319.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,877.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,104.01
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,241.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,599.72
|
| Rate for Payer: EPIC Health Plan Senior |
$14,518.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,518.31
|
| Rate for Payer: InnovAge PACE Commercial |
$21,777.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,518.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,454.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,454.54
|
| Rate for Payer: Multiplan WC |
$26,241.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,518.31
|
| Rate for Payer: Preferred Health Network WC |
$26,777.18
|
| Rate for Payer: Prime Health Services Medicare |
$15,389.41
|
| Rate for Payer: Prime Health Services WC |
$25,973.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,786.75
|
|
|
Service Code
|
MSDRG 295
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,786.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,786.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,427.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,075.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,877.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,334.31
|
| Rate for Payer: EPIC Health Plan Senior |
$9,877.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,877.27
|
| Rate for Payer: InnovAge PACE Commercial |
$14,815.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,877.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,235.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,235.54
|
| Rate for Payer: Multiplan WC |
$16,877.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,877.27
|
| Rate for Payer: Preferred Health Network WC |
$17,222.00
|
| Rate for Payer: Prime Health Services Medicare |
$10,469.91
|
| Rate for Payer: Prime Health Services WC |
$16,705.34
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$65,905.41
|
|
|
Service Code
|
MSDRG 056
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$65,905.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$65,905.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,572.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$57,308.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,511.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,918.99
|
| Rate for Payer: EPIC Health Plan Senior |
$28,088.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,088.14
|
| Rate for Payer: InnovAge PACE Commercial |
$42,132.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,088.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,638.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,638.11
|
| Rate for Payer: Multiplan WC |
$53,511.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,088.14
|
| Rate for Payer: Preferred Health Network WC |
$54,603.21
|
| Rate for Payer: Prime Health Services Medicare |
$29,773.43
|
| Rate for Payer: Prime Health Services WC |
$52,965.11
|
| 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: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$35,120.07
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,120.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,120.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,686.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,515.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,127.16
|
| Rate for Payer: EPIC Health Plan Senior |
$15,649.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,649.75
|
| Rate for Payer: InnovAge PACE Commercial |
$23,474.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,649.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,970.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,970.67
|
| Rate for Payer: Multiplan WC |
$28,515.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,649.75
|
| Rate for Payer: Preferred Health Network WC |
$29,097.29
|
| Rate for Payer: Prime Health Services Medicare |
$16,588.74
|
| Rate for Payer: Prime Health Services WC |
$28,224.37
|
| 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
|
|
