|
MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
|
IP
|
$30,469.51
|
|
|
Service Code
|
MSDRG 546
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,469.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,469.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,682.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,495.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,739.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,371.54
|
| Rate for Payer: EPIC Health Plan Senior |
$16,571.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,571.51
|
| Rate for Payer: InnovAge PACE Commercial |
$24,857.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,571.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,205.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,205.82
|
| Rate for Payer: Multiplan WC |
$24,739.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,571.51
|
| Rate for Payer: Preferred Health Network WC |
$25,244.26
|
| Rate for Payer: Prime Health Services Medicare |
$17,565.80
|
| Rate for Payer: Prime Health Services WC |
$24,486.93
|
| 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 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 |
$47,575.47
|
| Rate for Payer: EPIC Health Plan Senior |
$35,241.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,241.09
|
| Rate for Payer: InnovAge PACE Commercial |
$52,861.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,241.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,223.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,223.06
|
| Rate for Payer: Multiplan WC |
$53,998.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,241.09
|
| Rate for Payer: Preferred Health Network WC |
$55,100.38
|
| Rate for Payer: Prime Health Services Medicare |
$37,355.56
|
| 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 |
$14,796.70
|
| Rate for Payer: EPIC Health Plan Senior |
$10,960.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,960.52
|
| Rate for Payer: InnovAge PACE Commercial |
$16,440.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,960.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,687.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,687.10
|
| Rate for Payer: Multiplan WC |
$15,945.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,960.52
|
| Rate for Payer: Preferred Health Network WC |
$16,271.28
|
| Rate for Payer: Prime Health Services Medicare |
$11,618.15
|
| 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 |
$144,943.48
|
| Rate for Payer: EPIC Health Plan Senior |
$107,365.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$107,365.54
|
| Rate for Payer: InnovAge PACE Commercial |
$161,048.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$107,365.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$143,869.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$143,869.82
|
| Rate for Payer: Multiplan WC |
$167,031.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$107,365.54
|
| Rate for Payer: Preferred Health Network WC |
$170,440.70
|
| Rate for Payer: Prime Health Services Medicare |
$113,807.47
|
| 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 |
$98,993.95
|
| Rate for Payer: EPIC Health Plan Senior |
$73,328.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$73,328.85
|
| Rate for Payer: InnovAge PACE Commercial |
$109,993.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$73,328.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$98,260.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$98,260.66
|
| Rate for Payer: Multiplan WC |
$113,689.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$73,328.85
|
| Rate for Payer: Preferred Health Network WC |
$116,009.75
|
| Rate for Payer: Prime Health Services Medicare |
$77,728.58
|
| 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 |
$109,375.96
|
| Rate for Payer: EPIC Health Plan Senior |
$81,019.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$81,019.23
|
| Rate for Payer: InnovAge PACE Commercial |
$121,528.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$81,019.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$108,565.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$108,565.77
|
| Rate for Payer: Multiplan WC |
$125,741.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$81,019.23
|
| Rate for Payer: Preferred Health Network WC |
$128,308.06
|
| Rate for Payer: Prime Health Services Medicare |
$85,880.38
|
| 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 |
$76,755.49
|
| Rate for Payer: EPIC Health Plan Senior |
$56,855.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$56,855.92
|
| Rate for Payer: InnovAge PACE Commercial |
$85,283.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$56,855.92
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$76,186.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$76,186.93
|
| Rate for Payer: Multiplan WC |
$87,873.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$56,855.92
|
| Rate for Payer: Preferred Health Network WC |
$89,666.50
|
| Rate for Payer: Prime Health Services Medicare |
$60,267.28
|
| 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 |
$157,046.61
|
| Rate for Payer: EPIC Health Plan Senior |
$116,330.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$116,330.82
|
| Rate for Payer: InnovAge PACE Commercial |
$174,496.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$116,330.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$155,883.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$155,883.30
|
| Rate for Payer: Multiplan WC |
$181,082.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$116,330.82
|
| Rate for Payer: Preferred Health Network WC |
$184,777.83
|
| Rate for Payer: Prime Health Services Medicare |
$123,310.67
|
| 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 |
$113,508.51
|
| Rate for Payer: EPIC Health Plan Senior |
$84,080.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$84,080.38
|
| Rate for Payer: InnovAge PACE Commercial |
$126,120.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$84,080.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$112,667.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$112,667.71
|
| Rate for Payer: Multiplan WC |
$130,539.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$84,080.38
|
| Rate for Payer: Preferred Health Network WC |
$133,203.40
|
| Rate for Payer: Prime Health Services Medicare |
$89,125.20
|
| 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 |
$79,466.97
|
| Rate for Payer: EPIC Health Plan Senior |
$58,864.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$58,864.42
|
| Rate for Payer: InnovAge PACE Commercial |
$88,296.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$58,864.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$78,878.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$78,878.32
|
| Rate for Payer: Multiplan WC |
$91,020.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$58,864.42
|
| Rate for Payer: Preferred Health Network WC |
$92,878.45
|
| Rate for Payer: Prime Health Services Medicare |
$62,396.29
|
| 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 |
$59,875.55
|
| Rate for Payer: EPIC Health Plan Senior |
$44,352.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,352.26
|
| Rate for Payer: InnovAge PACE Commercial |
$66,528.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,352.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$59,432.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$59,432.03
|
| Rate for Payer: Multiplan WC |
$68,277.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$44,352.26
|
| Rate for Payer: Preferred Health Network WC |
$69,670.83
|
| Rate for Payer: Prime Health Services Medicare |
$47,013.40
|
| 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 |
$53,745.75
|
| Rate for Payer: EPIC Health Plan Senior |
$39,811.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,811.67
|
| Rate for Payer: InnovAge PACE Commercial |
$59,717.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,811.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,347.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,347.64
|
| Rate for Payer: Multiplan WC |
$61,161.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,811.67
|
| Rate for Payer: Preferred Health Network WC |
$62,409.59
|
| Rate for Payer: Prime Health Services Medicare |
$42,200.37
|
| 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 |
$29,511.90
|
| Rate for Payer: EPIC Health Plan Senior |
$21,860.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,860.67
|
| Rate for Payer: InnovAge PACE Commercial |
$32,791.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,860.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,293.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,293.30
|
| Rate for Payer: Multiplan WC |
$33,028.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,860.67
|
| Rate for Payer: Preferred Health Network WC |
$33,702.62
|
| Rate for Payer: Prime Health Services Medicare |
$23,172.31
|
| 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 |
$20,249.10
|
| Rate for Payer: EPIC Health Plan Senior |
$14,999.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,999.33
|
| Rate for Payer: InnovAge PACE Commercial |
$22,498.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,999.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,099.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,099.10
|
| Rate for Payer: Multiplan WC |
$22,275.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,999.33
|
| Rate for Payer: Preferred Health Network WC |
$22,730.08
|
| Rate for Payer: Prime Health Services Medicare |
$15,899.29
|
| 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 |
$57,362.89
|
| Rate for Payer: EPIC Health Plan Senior |
$42,491.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,491.03
|
| Rate for Payer: InnovAge PACE Commercial |
$63,736.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,491.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$56,937.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,937.98
|
| Rate for Payer: Multiplan WC |
$65,360.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$42,491.03
|
| Rate for Payer: Preferred Health Network WC |
$66,694.38
|
| Rate for Payer: Prime Health Services Medicare |
$45,040.49
|
| 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 |
$83,385.99
|
| Rate for Payer: EPIC Health Plan Senior |
$61,767.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$61,767.40
|
| Rate for Payer: InnovAge PACE Commercial |
$92,651.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,767.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$82,768.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$82,768.32
|
| Rate for Payer: Multiplan WC |
$95,570.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$61,767.40
|
| Rate for Payer: Preferred Health Network WC |
$97,520.84
|
| Rate for Payer: Prime Health Services Medicare |
$65,473.44
|
| 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 |
$46,487.53
|
| Rate for Payer: EPIC Health Plan Senior |
$34,435.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,435.21
|
| Rate for Payer: InnovAge PACE Commercial |
$51,652.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,435.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,143.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,143.18
|
| Rate for Payer: Multiplan WC |
$52,735.44
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,435.21
|
| Rate for Payer: Preferred Health Network WC |
$53,811.67
|
| Rate for Payer: Prime Health Services Medicare |
$36,501.32
|
| 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 |
$126,754.73
|
| Rate for Payer: EPIC Health Plan Senior |
$93,892.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$93,892.39
|
| Rate for Payer: InnovAge PACE Commercial |
$140,838.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$93,892.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$125,815.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$125,815.80
|
| Rate for Payer: Multiplan WC |
$145,916.77
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$93,892.39
|
| Rate for Payer: Preferred Health Network WC |
$148,894.66
|
| Rate for Payer: Prime Health Services Medicare |
$99,525.93
|
| 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 |
$106,079.11
|
| Rate for Payer: EPIC Health Plan Senior |
$78,577.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$78,577.12
|
| Rate for Payer: InnovAge PACE Commercial |
$117,865.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$78,577.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$105,293.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$105,293.34
|
| Rate for Payer: Multiplan WC |
$121,914.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$78,577.12
|
| Rate for Payer: Preferred Health Network WC |
$124,402.69
|
| Rate for Payer: Prime Health Services Medicare |
$83,291.75
|
| 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 |
$71,041.73
|
| Rate for Payer: EPIC Health Plan Senior |
$52,623.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,623.50
|
| Rate for Payer: InnovAge PACE Commercial |
$78,935.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,623.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$70,515.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,515.49
|
| Rate for Payer: Multiplan WC |
$81,240.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$52,623.50
|
| Rate for Payer: Preferred Health Network WC |
$82,898.06
|
| Rate for Payer: Prime Health Services Medicare |
$55,780.91
|
| 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 |
$37,029.64
|
| Rate for Payer: EPIC Health Plan Senior |
$27,429.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,429.36
|
| Rate for Payer: InnovAge PACE Commercial |
$41,144.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,429.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,755.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,755.34
|
| Rate for Payer: Multiplan WC |
$41,755.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,429.36
|
| Rate for Payer: Preferred Health Network WC |
$42,607.99
|
| Rate for Payer: Prime Health Services Medicare |
$29,075.12
|
| 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 |
$19,925.14
|
| Rate for Payer: EPIC Health Plan Senior |
$14,759.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,759.36
|
| Rate for Payer: InnovAge PACE Commercial |
$22,139.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,759.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,777.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,777.54
|
| Rate for Payer: Multiplan WC |
$21,899.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,759.36
|
| Rate for Payer: Preferred Health Network WC |
$22,346.30
|
| Rate for Payer: Prime Health Services Medicare |
$15,644.92
|
| 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 |
$23,665.58
|
| Rate for Payer: EPIC Health Plan Senior |
$17,530.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,530.06
|
| Rate for Payer: InnovAge PACE Commercial |
$26,295.09
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,530.06
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,490.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,490.28
|
| Rate for Payer: Multiplan WC |
$26,241.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,530.06
|
| Rate for Payer: Preferred Health Network WC |
$26,777.18
|
| Rate for Payer: Prime Health Services Medicare |
$18,581.86
|
| 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 |
$15,599.29
|
| Rate for Payer: EPIC Health Plan Senior |
$11,555.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,555.03
|
| Rate for Payer: InnovAge PACE Commercial |
$17,332.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,555.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,483.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,483.74
|
| Rate for Payer: Multiplan WC |
$16,877.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,555.03
|
| Rate for Payer: Preferred Health Network WC |
$17,222.00
|
| Rate for Payer: Prime Health Services Medicare |
$12,248.33
|
| 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 |
$47,155.74
|
| Rate for Payer: EPIC Health Plan Senior |
$34,930.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,930.18
|
| Rate for Payer: InnovAge PACE Commercial |
$52,395.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,930.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,806.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,806.44
|
| Rate for Payer: Multiplan WC |
$53,511.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,930.18
|
| Rate for Payer: Preferred Health Network WC |
$54,603.21
|
| Rate for Payer: Prime Health Services Medicare |
$37,025.99
|
| 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
|
|
