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Charge Type Setting Price  
Service Code MSDRG 158
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $24,755.65
Rate for Payer: Aetna of CA HMO/PPO $24,755.65
Rate for Payer: Anthem Blue Cross of CA Exchange $15,991.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $21,526.57
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $20,100.07
Rate for Payer: EPIC Health Plan Commercial $15,490.16
Rate for Payer: EPIC Health Plan Senior $11,474.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $11,474.19
Rate for Payer: InnovAge PACE Commercial $17,211.28
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11,474.19
Rate for Payer: Molina Healthcare of CA Medi-Cal $15,375.41
Rate for Payer: Molina Healthcare of CA Medicare $15,375.41
Rate for Payer: Multiplan WC $20,100.07
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $11,474.19
Rate for Payer: Preferred Health Network WC $20,510.28
Rate for Payer: Prime Health Services Medicare $12,162.64
Rate for Payer: Prime Health Services WC $19,894.97
Rate for Payer: United Healthcare All Other Commercial $10,506.00
Rate for Payer: United Healthcare All Other HMO $8,385.00
Rate for Payer: United Healthcare HMO Rider $7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core $6,823.00
Service Code MSDRG 157
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $43,097.36
Rate for Payer: Aetna of CA HMO/PPO $43,097.36
Rate for Payer: Anthem Blue Cross of CA Exchange $27,839.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $37,475.82
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $34,992.42
Rate for Payer: EPIC Health Plan Commercial $25,478.36
Rate for Payer: EPIC Health Plan Senior $18,872.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $18,872.86
Rate for Payer: InnovAge PACE Commercial $28,309.29
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $18,872.86
Rate for Payer: Molina Healthcare of CA Medi-Cal $25,289.63
Rate for Payer: Molina Healthcare of CA Medicare $25,289.63
Rate for Payer: Multiplan WC $34,992.42
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $18,872.86
Rate for Payer: Preferred Health Network WC $35,706.55
Rate for Payer: Prime Health Services Medicare $20,005.23
Rate for Payer: Prime Health Services WC $34,635.35
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
Service Code MSDRG 159
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $17,360.01
Rate for Payer: Aetna of CA HMO/PPO $17,360.01
Rate for Payer: Anthem Blue Cross of CA Exchange $11,213.86
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15,095.61
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $14,095.26
Rate for Payer: EPIC Health Plan Commercial $11,472.96
Rate for Payer: EPIC Health Plan Senior $8,498.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8,498.49
Rate for Payer: InnovAge PACE Commercial $12,747.74
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,498.49
Rate for Payer: Molina Healthcare of CA Medi-Cal $11,387.98
Rate for Payer: Molina Healthcare of CA Medicare $11,387.98
Rate for Payer: Multiplan WC $14,095.26
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $8,498.49
Rate for Payer: Preferred Health Network WC $14,382.92
Rate for Payer: Prime Health Services Medicare $9,008.40
Rate for Payer: Prime Health Services WC $13,951.43
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
Service Code MSDRG 881
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $24,058.20
Rate for Payer: Aetna of CA HMO/PPO $24,058.20
Rate for Payer: Anthem Blue Cross of CA Exchange $15,540.61
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $20,920.09
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $19,533.78
Rate for Payer: EPIC Health Plan Commercial $15,111.32
Rate for Payer: EPIC Health Plan Senior $11,193.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $11,193.57
Rate for Payer: InnovAge PACE Commercial $16,790.35
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11,193.57
Rate for Payer: Molina Healthcare of CA Medi-Cal $14,999.38
Rate for Payer: Molina Healthcare of CA Medicare $14,999.38
Rate for Payer: Multiplan WC $19,533.78
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $11,193.57
Rate for Payer: Preferred Health Network WC $19,932.43
Rate for Payer: Prime Health Services Medicare $11,865.18
Rate for Payer: Prime Health Services WC $19,334.46
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
Service Code MSDRG 638
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $24,139.79
Rate for Payer: Aetna of CA HMO/PPO $24,139.79
Rate for Payer: Anthem Blue Cross of CA Exchange $15,593.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $20,991.04
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $19,600.03
Rate for Payer: EPIC Health Plan Commercial $15,155.63
Rate for Payer: EPIC Health Plan Senior $11,226.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $11,226.39
Rate for Payer: InnovAge PACE Commercial $16,839.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11,226.39
Rate for Payer: Molina Healthcare of CA Medi-Cal $15,043.36
Rate for Payer: Molina Healthcare of CA Medicare $15,043.36
Rate for Payer: Multiplan WC $19,600.03
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $11,226.39
Rate for Payer: Preferred Health Network WC $20,000.03
Rate for Payer: Prime Health Services Medicare $11,899.97
Rate for Payer: Prime Health Services WC $19,400.03
Rate for Payer: United Healthcare All Other Commercial $10,506.00
Rate for Payer: United Healthcare All Other HMO $8,385.00
Rate for Payer: United Healthcare HMO Rider $7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core $6,823.00
Service Code MSDRG 637
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $38,328.36
Rate for Payer: Aetna of CA HMO/PPO $38,328.36
Rate for Payer: Anthem Blue Cross of CA Exchange $24,758.56
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $33,328.88
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $31,120.27
Rate for Payer: EPIC Health Plan Commercial $22,877.11
Rate for Payer: EPIC Health Plan Senior $16,946.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $16,946.01
Rate for Payer: InnovAge PACE Commercial $25,419.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16,946.01
Rate for Payer: Molina Healthcare of CA Medi-Cal $22,707.65
Rate for Payer: Molina Healthcare of CA Medicare $22,707.65
Rate for Payer: Multiplan WC $31,120.27
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $16,946.01
Rate for Payer: Preferred Health Network WC $31,755.38
Rate for Payer: Prime Health Services Medicare $17,962.77
Rate for Payer: Prime Health Services WC $30,802.72
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
Service Code MSDRG 639
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $16,491.49
Rate for Payer: Aetna of CA HMO/PPO $16,491.49
Rate for Payer: Anthem Blue Cross of CA Exchange $10,652.83
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,340.37
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $13,390.07
Rate for Payer: EPIC Health Plan Commercial $11,001.19
Rate for Payer: EPIC Health Plan Senior $8,149.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8,149.03
Rate for Payer: InnovAge PACE Commercial $12,223.55
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,149.03
Rate for Payer: Molina Healthcare of CA Medi-Cal $10,919.70
Rate for Payer: Molina Healthcare of CA Medicare $10,919.70
Rate for Payer: Multiplan WC $13,390.07
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $8,149.03
Rate for Payer: Preferred Health Network WC $13,663.34
Rate for Payer: Prime Health Services Medicare $8,637.97
Rate for Payer: Prime Health Services WC $13,253.44
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
Service Code MSDRG 375
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $32,338.16
Rate for Payer: Aetna of CA HMO/PPO $32,338.16
Rate for Payer: Anthem Blue Cross of CA Exchange $20,889.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $28,120.03
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $26,256.60
Rate for Payer: EPIC Health Plan Commercial $19,609.76
Rate for Payer: EPIC Health Plan Senior $14,525.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $14,525.75
Rate for Payer: InnovAge PACE Commercial $21,788.62
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $14,525.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $19,464.51
Rate for Payer: Molina Healthcare of CA Medicare $19,464.51
Rate for Payer: Multiplan WC $26,256.60
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $14,525.75
Rate for Payer: Preferred Health Network WC $26,792.45
Rate for Payer: Prime Health Services Medicare $15,397.30
Rate for Payer: Prime Health Services WC $25,988.68
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
Service Code MSDRG 374
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $55,569.94
Rate for Payer: Aetna of CA HMO/PPO $55,569.94
Rate for Payer: Anthem Blue Cross of CA Exchange $35,895.91
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $48,321.50
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $45,119.38
Rate for Payer: EPIC Health Plan Commercial $32,281.52
Rate for Payer: EPIC Health Plan Senior $23,912.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $23,912.24
Rate for Payer: InnovAge PACE Commercial $35,868.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $23,912.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $32,042.40
Rate for Payer: Molina Healthcare of CA Medicare $32,042.40
Rate for Payer: Multiplan WC $45,119.38
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $23,912.24
Rate for Payer: Preferred Health Network WC $46,040.18
Rate for Payer: Prime Health Services Medicare $25,346.97
Rate for Payer: Prime Health Services WC $44,658.97
Rate for Payer: United Healthcare All Other Commercial $10,506.00
Rate for Payer: United Healthcare All Other HMO $8,385.00
Rate for Payer: United Healthcare HMO Rider $7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core $6,823.00
Service Code MSDRG 376
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $23,239.68
Rate for Payer: Aetna of CA HMO/PPO $23,239.68
Rate for Payer: Anthem Blue Cross of CA Exchange $15,011.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $20,208.34
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $18,869.19
Rate for Payer: EPIC Health Plan Commercial $14,666.71
Rate for Payer: EPIC Health Plan Senior $10,864.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $10,864.23
Rate for Payer: InnovAge PACE Commercial $16,296.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $10,864.23
Rate for Payer: Molina Healthcare of CA Medi-Cal $14,558.07
Rate for Payer: Molina Healthcare of CA Medicare $14,558.07
Rate for Payer: Multiplan WC $18,869.19
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $10,864.23
Rate for Payer: Preferred Health Network WC $19,254.28
Rate for Payer: Prime Health Services Medicare $11,516.08
Rate for Payer: Prime Health Services WC $18,676.65
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
Service Code MSDRG 442
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $25,429.42
Rate for Payer: Aetna of CA HMO/PPO $25,429.42
Rate for Payer: Anthem Blue Cross of CA Exchange $16,426.37
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $22,112.45
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $20,647.13
Rate for Payer: EPIC Health Plan Commercial $15,856.14
Rate for Payer: EPIC Health Plan Senior $11,745.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $11,745.29
Rate for Payer: InnovAge PACE Commercial $17,617.94
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11,745.29
Rate for Payer: Molina Healthcare of CA Medi-Cal $15,738.69
Rate for Payer: Molina Healthcare of CA Medicare $15,738.69
Rate for Payer: Multiplan WC $20,647.13
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $11,745.29
Rate for Payer: Preferred Health Network WC $21,068.50
Rate for Payer: Prime Health Services Medicare $12,450.01
Rate for Payer: Prime Health Services WC $20,436.44
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
Service Code MSDRG 441
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $49,753.44
Rate for Payer: Aetna of CA HMO/PPO $49,753.44
Rate for Payer: Anthem Blue Cross of CA Exchange $32,138.69
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $43,263.69
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $40,396.74
Rate for Payer: EPIC Health Plan Commercial $29,108.92
Rate for Payer: EPIC Health Plan Senior $21,562.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $21,562.16
Rate for Payer: InnovAge PACE Commercial $32,343.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $21,562.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $28,893.29
Rate for Payer: Molina Healthcare of CA Medicare $28,893.29
Rate for Payer: Multiplan WC $40,396.74
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $21,562.16
Rate for Payer: Preferred Health Network WC $41,221.16
Rate for Payer: Prime Health Services Medicare $22,855.89
Rate for Payer: Prime Health Services WC $39,984.53
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
Service Code MSDRG 443
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $18,494.36
Rate for Payer: Aetna of CA HMO/PPO $18,494.36
Rate for Payer: Anthem Blue Cross of CA Exchange $11,946.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $16,081.99
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $15,016.29
Rate for Payer: EPIC Health Plan Commercial $12,089.11
Rate for Payer: EPIC Health Plan Senior $8,954.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8,954.90
Rate for Payer: InnovAge PACE Commercial $13,432.35
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,954.90
Rate for Payer: Molina Healthcare of CA Medi-Cal $11,999.57
Rate for Payer: Molina Healthcare of CA Medicare $11,999.57
Rate for Payer: Multiplan WC $15,016.29
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $8,954.90
Rate for Payer: Preferred Health Network WC $15,322.74
Rate for Payer: Prime Health Services Medicare $9,492.19
Rate for Payer: Prime Health Services WC $14,863.06
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
Service Code MSDRG 439
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $22,639.60
Rate for Payer: Aetna of CA HMO/PPO $22,639.60
Rate for Payer: Anthem Blue Cross of CA Exchange $14,624.26
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $19,686.54
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $18,381.97
Rate for Payer: EPIC Health Plan Commercial $14,340.77
Rate for Payer: EPIC Health Plan Senior $10,622.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $10,622.79
Rate for Payer: InnovAge PACE Commercial $15,934.18
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $10,622.79
Rate for Payer: Molina Healthcare of CA Medi-Cal $14,234.54
Rate for Payer: Molina Healthcare of CA Medicare $14,234.54
Rate for Payer: Multiplan WC $18,381.97
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $10,622.79
Rate for Payer: Preferred Health Network WC $18,757.11
Rate for Payer: Prime Health Services Medicare $11,260.16
Rate for Payer: Prime Health Services WC $18,194.40
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
Service Code MSDRG 438
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $43,786.92
Rate for Payer: Aetna of CA HMO/PPO $43,786.92
Rate for Payer: Anthem Blue Cross of CA Exchange $28,284.56
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $38,075.44
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $35,552.29
Rate for Payer: EPIC Health Plan Commercial $25,854.50
Rate for Payer: EPIC Health Plan Senior $19,151.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $19,151.48
Rate for Payer: InnovAge PACE Commercial $28,727.22
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19,151.48
Rate for Payer: Molina Healthcare of CA Medi-Cal $25,662.98
Rate for Payer: Molina Healthcare of CA Medicare $25,662.98
Rate for Payer: Multiplan WC $35,552.29
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $19,151.48
Rate for Payer: Preferred Health Network WC $36,277.85
Rate for Payer: Prime Health Services Medicare $20,300.57
Rate for Payer: Prime Health Services WC $35,189.51
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
Service Code MSDRG 440
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $16,188.82
Rate for Payer: Aetna of CA HMO/PPO $16,188.82
Rate for Payer: Anthem Blue Cross of CA Exchange $10,457.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,077.18
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $13,144.33
Rate for Payer: EPIC Health Plan Commercial $10,836.77
Rate for Payer: EPIC Health Plan Senior $8,027.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8,027.24
Rate for Payer: InnovAge PACE Commercial $12,040.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,027.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $10,756.50
Rate for Payer: Molina Healthcare of CA Medicare $10,756.50
Rate for Payer: Multiplan WC $13,144.33
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $8,027.24
Rate for Payer: Preferred Health Network WC $13,412.58
Rate for Payer: Prime Health Services Medicare $8,508.87
Rate for Payer: Prime Health Services WC $13,010.20
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
Service Code MSDRG 883
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $48,792.79
Rate for Payer: Aetna of CA HMO/PPO $48,792.79
Rate for Payer: Anthem Blue Cross of CA Exchange $31,518.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $42,428.36
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $39,616.75
Rate for Payer: EPIC Health Plan Commercial $28,584.94
Rate for Payer: EPIC Health Plan Senior $21,174.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $21,174.03
Rate for Payer: InnovAge PACE Commercial $31,761.04
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $21,174.03
Rate for Payer: Molina Healthcare of CA Medi-Cal $28,373.20
Rate for Payer: Molina Healthcare of CA Medicare $28,373.20
Rate for Payer: Multiplan WC $39,616.75
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $21,174.03
Rate for Payer: Preferred Health Network WC $40,425.26
Rate for Payer: Prime Health Services Medicare $22,444.47
Rate for Payer: Prime Health Services WC $39,212.50
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
Service Code MSDRG 445
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $28,542.96
Rate for Payer: Aetna of CA HMO/PPO $28,542.96
Rate for Payer: Anthem Blue Cross of CA Exchange $18,437.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $24,819.87
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $23,175.13
Rate for Payer: EPIC Health Plan Commercial $17,547.37
Rate for Payer: EPIC Health Plan Senior $12,998.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $12,998.05
Rate for Payer: InnovAge PACE Commercial $19,497.08
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $12,998.05
Rate for Payer: Molina Healthcare of CA Medi-Cal $17,417.39
Rate for Payer: Molina Healthcare of CA Medicare $17,417.39
Rate for Payer: Multiplan WC $23,175.13
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $12,998.05
Rate for Payer: Preferred Health Network WC $23,648.09
Rate for Payer: Prime Health Services Medicare $13,777.93
Rate for Payer: Prime Health Services WC $22,938.65
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
Service Code MSDRG 444
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $44,331.72
Rate for Payer: Aetna of CA HMO/PPO $44,331.72
Rate for Payer: Anthem Blue Cross of CA Exchange $28,636.48
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $38,549.18
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $35,994.64
Rate for Payer: EPIC Health Plan Commercial $26,151.65
Rate for Payer: EPIC Health Plan Senior $19,371.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $19,371.59
Rate for Payer: InnovAge PACE Commercial $29,057.38
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19,371.59
Rate for Payer: Molina Healthcare of CA Medi-Cal $25,957.93
Rate for Payer: Molina Healthcare of CA Medicare $25,957.93
Rate for Payer: Multiplan WC $35,994.64
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $19,371.59
Rate for Payer: Preferred Health Network WC $36,729.22
Rate for Payer: Prime Health Services Medicare $20,533.89
Rate for Payer: Prime Health Services WC $35,627.34
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
Service Code MSDRG 446
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $20,984.14
Rate for Payer: Aetna of CA HMO/PPO $20,984.14
Rate for Payer: Anthem Blue Cross of CA Exchange $13,554.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $18,247.01
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $17,037.83
Rate for Payer: EPIC Health Plan Commercial $13,441.53
Rate for Payer: EPIC Health Plan Senior $9,956.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $9,956.69
Rate for Payer: InnovAge PACE Commercial $14,935.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $9,956.69
Rate for Payer: Molina Healthcare of CA Medi-Cal $13,341.96
Rate for Payer: Molina Healthcare of CA Medicare $13,341.96
Rate for Payer: Multiplan WC $17,037.83
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $9,956.69
Rate for Payer: Preferred Health Network WC $17,385.54
Rate for Payer: Prime Health Services Medicare $10,554.09
Rate for Payer: Prime Health Services WC $16,863.97
Rate for Payer: United Healthcare All Other Commercial $10,506.00
Rate for Payer: United Healthcare All Other HMO $8,385.00
Rate for Payer: United Healthcare HMO Rider $7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core $6,823.00
Service Code MSDRG 149
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $19,673.45
Rate for Payer: Aetna of CA HMO/PPO $19,673.45
Rate for Payer: Anthem Blue Cross of CA Exchange $12,708.25
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $17,107.28
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $15,973.64
Rate for Payer: EPIC Health Plan Commercial $12,729.58
Rate for Payer: EPIC Health Plan Senior $9,429.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $9,429.32
Rate for Payer: InnovAge PACE Commercial $14,143.98
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $9,429.32
Rate for Payer: Molina Healthcare of CA Medi-Cal $12,635.29
Rate for Payer: Molina Healthcare of CA Medicare $12,635.29
Rate for Payer: Multiplan WC $15,973.64
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $9,429.32
Rate for Payer: Preferred Health Network WC $16,299.63
Rate for Payer: Prime Health Services Medicare $9,995.08
Rate for Payer: Prime Health Services WC $15,810.64
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
Service Code MSDRG 147
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $32,761.89
Rate for Payer: Aetna of CA HMO/PPO $32,761.89
Rate for Payer: Anthem Blue Cross of CA Exchange $21,162.84
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $28,488.49
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $26,600.65
Rate for Payer: EPIC Health Plan Commercial $19,840.90
Rate for Payer: EPIC Health Plan Senior $14,696.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $14,696.96
Rate for Payer: InnovAge PACE Commercial $22,045.44
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $14,696.96
Rate for Payer: Molina Healthcare of CA Medi-Cal $19,693.93
Rate for Payer: Molina Healthcare of CA Medicare $19,693.93
Rate for Payer: Multiplan WC $26,600.65
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $14,696.96
Rate for Payer: Preferred Health Network WC $27,143.52
Rate for Payer: Prime Health Services Medicare $15,578.78
Rate for Payer: Prime Health Services WC $26,329.21
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
Service Code MSDRG 146
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $60,378.42
Rate for Payer: Aetna of CA HMO/PPO $60,378.42
Rate for Payer: Anthem Blue Cross of CA Exchange $39,001.99
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $52,502.77
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $49,023.57
Rate for Payer: EPIC Health Plan Commercial $34,904.30
Rate for Payer: EPIC Health Plan Senior $25,855.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $25,855.04
Rate for Payer: InnovAge PACE Commercial $38,782.56
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $25,855.04
Rate for Payer: Molina Healthcare of CA Medi-Cal $34,645.75
Rate for Payer: Molina Healthcare of CA Medicare $34,645.75
Rate for Payer: Multiplan WC $49,023.57
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $25,855.04
Rate for Payer: Preferred Health Network WC $50,024.05
Rate for Payer: Prime Health Services Medicare $27,406.34
Rate for Payer: Prime Health Services WC $48,523.33
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
Service Code MSDRG 148
Min. Negotiated Rate $6,823.00
Max. Negotiated Rate $21,073.62
Rate for Payer: Aetna of CA HMO/PPO $21,073.62
Rate for Payer: Anthem Blue Cross of CA Exchange $13,612.70
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $18,324.82
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $17,110.49
Rate for Payer: EPIC Health Plan Commercial $13,490.15
Rate for Payer: EPIC Health Plan Senior $9,992.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $9,992.70
Rate for Payer: InnovAge PACE Commercial $14,989.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $9,992.70
Rate for Payer: Molina Healthcare of CA Medi-Cal $13,390.22
Rate for Payer: Molina Healthcare of CA Medicare $13,390.22
Rate for Payer: Multiplan WC $17,110.49
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $9,992.70
Rate for Payer: Preferred Health Network WC $17,459.68
Rate for Payer: Prime Health Services Medicare $10,592.26
Rate for Payer: Prime Health Services WC $16,935.89
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
Service Code MSDRG 003
Min. Negotiated Rate $7,611.00
Max. Negotiated Rate $564,058.28
Rate for Payer: Aetna of CA HMO/PPO $564,058.28
Rate for Payer: Anthem Blue Cross of CA Exchange $364,358.63
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $490,483.60
Rate for Payer: Anthem Blue Cross of CA Workers' Comp $457,980.72
Rate for Payer: EPIC Health Plan Commercial $309,704.84
Rate for Payer: EPIC Health Plan Senior $229,410.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $229,410.99
Rate for Payer: InnovAge PACE Commercial $344,116.48
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $229,410.99
Rate for Payer: Molina Healthcare of CA Medi-Cal $307,410.73
Rate for Payer: Molina Healthcare of CA Medicare $307,410.73
Rate for Payer: Multiplan WC $457,980.72
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $229,410.99
Rate for Payer: Preferred Health Network WC $467,327.27
Rate for Payer: Prime Health Services Medicare $243,175.65
Rate for Payer: Prime Health Services WC $453,307.45
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