|
MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC
|
Facility
|
IP
|
$27,198.05
|
|
|
Service Code
|
MSDRG 644
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,198.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,198.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,568.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,650.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,083.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,816.84
|
| Rate for Payer: EPIC Health Plan Senior |
$12,456.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,456.92
|
| Rate for Payer: InnovAge PACE Commercial |
$18,685.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,456.92
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,692.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,692.27
|
| Rate for Payer: Multiplan WC |
$22,083.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,456.92
|
| Rate for Payer: Preferred Health Network WC |
$22,533.83
|
| Rate for Payer: Prime Health Services Medicare |
$13,204.34
|
| Rate for Payer: Prime Health Services WC |
$21,857.82
|
| 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: ENDOCRINE DISORDERS WITH MCC
|
Facility
|
IP
|
$43,618.48
|
|
|
Service Code
|
MSDRG 643
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,618.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,618.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,175.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,928.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,415.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,762.62
|
| Rate for Payer: EPIC Health Plan Senior |
$19,083.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,083.42
|
| Rate for Payer: InnovAge PACE Commercial |
$28,625.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,083.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,571.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,571.78
|
| Rate for Payer: Multiplan WC |
$35,415.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,083.42
|
| Rate for Payer: Preferred Health Network WC |
$36,138.29
|
| Rate for Payer: Prime Health Services Medicare |
$20,228.43
|
| Rate for Payer: Prime Health Services WC |
$35,054.14
|
| 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: ENDOCRINE DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,494.61
|
|
|
Service Code
|
MSDRG 645
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,494.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,494.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,238.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,821.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,640.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,175.62
|
| Rate for Payer: EPIC Health Plan Senior |
$9,759.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,759.72
|
| Rate for Payer: InnovAge PACE Commercial |
$14,639.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,759.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,078.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,078.02
|
| Rate for Payer: Multiplan WC |
$16,640.36
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,759.72
|
| Rate for Payer: Preferred Health Network WC |
$16,979.96
|
| Rate for Payer: Prime Health Services Medicare |
$10,345.30
|
| Rate for Payer: Prime Health Services WC |
$16,470.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$216,703.00
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$25,551.00 |
| Max. Negotiated Rate |
$216,703.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$157,671.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$101,849.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$137,105.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$128,019.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$87,972.94
|
| Rate for Payer: EPIC Health Plan Senior |
$65,165.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$65,165.14
|
| Rate for Payer: InnovAge PACE Commercial |
$97,747.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$65,165.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$87,321.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$87,321.29
|
| Rate for Payer: Multiplan WC |
$128,019.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$65,165.14
|
| Rate for Payer: Preferred Health Network WC |
$130,632.53
|
| Rate for Payer: Prime Health Services Medicare |
$69,075.05
|
| Rate for Payer: Prime Health Services WC |
$126,713.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$216,703.00
|
| Rate for Payer: United Healthcare All Other HMO |
$204,544.00
|
| Rate for Payer: United Healthcare HMO Rider |
$155,367.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$142,342.00
|
|
|
MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$162,712.00
|
|
|
Service Code
|
MSDRG 267
|
| Min. Negotiated Rate |
$25,551.00 |
| Max. Negotiated Rate |
$162,712.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$123,823.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79,984.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107,671.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$100,536.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$69,510.11
|
| Rate for Payer: EPIC Health Plan Senior |
$51,488.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$51,488.97
|
| Rate for Payer: InnovAge PACE Commercial |
$77,233.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$51,488.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$68,995.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$68,995.22
|
| Rate for Payer: Multiplan WC |
$100,536.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$51,488.97
|
| Rate for Payer: Preferred Health Network WC |
$102,588.45
|
| Rate for Payer: Prime Health Services Medicare |
$54,578.31
|
| Rate for Payer: Prime Health Services WC |
$99,510.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$162,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$153,580.00
|
| Rate for Payer: United Healthcare HMO Rider |
$116,659.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$106,879.00
|
|
|
MS-DRG 42.00: EPISTAXIS WITH MCC
|
Facility
|
IP
|
$36,378.12
|
|
|
Service Code
|
MSDRG 150
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,378.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,378.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,498.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,633.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,536.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,813.35
|
| Rate for Payer: EPIC Health Plan Senior |
$16,158.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,158.04
|
| Rate for Payer: InnovAge PACE Commercial |
$24,237.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,158.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,651.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,651.77
|
| Rate for Payer: Multiplan WC |
$29,536.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,158.04
|
| Rate for Payer: Preferred Health Network WC |
$30,139.60
|
| Rate for Payer: Prime Health Services Medicare |
$17,127.52
|
| Rate for Payer: Prime Health Services WC |
$29,235.41
|
| 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: EPISTAXIS WITHOUT MCC
|
Facility
|
IP
|
$19,949.80
|
|
|
Service Code
|
MSDRG 151
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,949.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,949.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,886.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,347.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,198.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,879.70
|
| Rate for Payer: EPIC Health Plan Senior |
$9,540.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,540.52
|
| Rate for Payer: InnovAge PACE Commercial |
$14,310.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,540.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,784.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,784.30
|
| Rate for Payer: Multiplan WC |
$16,198.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,540.52
|
| Rate for Payer: Preferred Health Network WC |
$16,528.59
|
| Rate for Payer: Prime Health Services Medicare |
$10,112.95
|
| Rate for Payer: Prime Health Services WC |
$16,032.73
|
| 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: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
|
Facility
|
IP
|
$33,806.76
|
|
|
Service Code
|
MSDRG 391
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,806.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,806.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,837.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,397.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,449.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,410.81
|
| Rate for Payer: EPIC Health Plan Senior |
$15,119.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,119.12
|
| Rate for Payer: InnovAge PACE Commercial |
$22,678.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,119.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,259.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,259.62
|
| Rate for Payer: Multiplan WC |
$27,449.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,119.12
|
| Rate for Payer: Preferred Health Network WC |
$28,009.20
|
| Rate for Payer: Prime Health Services Medicare |
$16,026.27
|
| Rate for Payer: Prime Health Services WC |
$27,168.92
|
| 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: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$20,536.72
|
|
|
Service Code
|
MSDRG 392
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,536.72 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,536.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,265.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,857.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,674.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,198.50
|
| Rate for Payer: EPIC Health Plan Senior |
$9,776.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,776.67
|
| Rate for Payer: InnovAge PACE Commercial |
$14,665.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,776.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,100.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,100.74
|
| Rate for Payer: Multiplan WC |
$16,674.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,776.67
|
| Rate for Payer: Preferred Health Network WC |
$17,014.85
|
| Rate for Payer: Prime Health Services Medicare |
$10,363.27
|
| Rate for Payer: Prime Health Services WC |
$16,504.40
|
| 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
|
|
|
MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
|
Facility
|
IP
|
$113,879.68
|
|
|
Service Code
|
MSDRG 933
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$113,879.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$113,879.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$73,561.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$99,025.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$92,463.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,086.51
|
| Rate for Payer: EPIC Health Plan Senior |
$47,471.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,471.49
|
| Rate for Payer: InnovAge PACE Commercial |
$71,207.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,471.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,611.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,611.80
|
| Rate for Payer: Multiplan WC |
$92,463.31
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,471.49
|
| Rate for Payer: Preferred Health Network WC |
$94,350.32
|
| Rate for Payer: Prime Health Services Medicare |
$50,319.78
|
| Rate for Payer: Prime Health Services WC |
$91,519.81
|
| 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: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
|
Facility
|
IP
|
$624,360.37
|
|
|
Service Code
|
MSDRG 927
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$624,360.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$624,360.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$403,311.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$542,920.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$506,942.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$342,609.29
|
| Rate for Payer: EPIC Health Plan Senior |
$253,784.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$253,784.66
|
| Rate for Payer: InnovAge PACE Commercial |
$380,676.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$253,784.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$340,071.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$340,071.44
|
| Rate for Payer: Multiplan WC |
$506,942.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$253,784.66
|
| Rate for Payer: Preferred Health Network WC |
$517,288.08
|
| Rate for Payer: Prime Health Services Medicare |
$269,011.74
|
| Rate for Payer: Prime Health Services WC |
$501,769.44
|
| 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: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$64,436.81
|
|
|
Service Code
|
MSDRG 982
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$64,436.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,436.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,623.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$56,031.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$52,318.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,117.95
|
| Rate for Payer: EPIC Health Plan Senior |
$27,494.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,494.78
|
| Rate for Payer: InnovAge PACE Commercial |
$41,242.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,494.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,843.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,843.01
|
| Rate for Payer: Multiplan WC |
$52,318.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,494.78
|
| Rate for Payer: Preferred Health Network WC |
$53,386.46
|
| Rate for Payer: Prime Health Services Medicare |
$29,144.47
|
| Rate for Payer: Prime Health Services WC |
$51,784.87
|
| 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: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$125,117.89
|
|
|
Service Code
|
MSDRG 981
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$125,117.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$125,117.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$80,821.05
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$108,797.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$101,588.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$70,216.39
|
| Rate for Payer: EPIC Health Plan Senior |
$52,012.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,012.14
|
| Rate for Payer: InnovAge PACE Commercial |
$78,018.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,012.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$69,696.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$69,696.27
|
| Rate for Payer: Multiplan WC |
$101,588.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$52,012.14
|
| Rate for Payer: Preferred Health Network WC |
$103,661.28
|
| Rate for Payer: Prime Health Services Medicare |
$55,132.87
|
| Rate for Payer: Prime Health Services WC |
$100,551.44
|
| 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: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$43,905.36
|
|
|
Service Code
|
MSDRG 983
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,905.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,905.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,361.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,178.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,648.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,919.08
|
| Rate for Payer: EPIC Health Plan Senior |
$19,199.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,199.32
|
| Rate for Payer: InnovAge PACE Commercial |
$28,798.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,199.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,727.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,727.09
|
| Rate for Payer: Multiplan WC |
$35,648.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,199.32
|
| Rate for Payer: Preferred Health Network WC |
$36,375.98
|
| Rate for Payer: Prime Health Services Medicare |
$20,351.28
|
| Rate for Payer: Prime Health Services WC |
$35,284.70
|
| 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: EXTRACRANIAL PROCEDURES WITH CC
|
Facility
|
IP
|
$42,407.80
|
|
|
Service Code
|
MSDRG 038
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$42,407.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,407.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,393.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,876.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,432.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,102.24
|
| Rate for Payer: EPIC Health Plan Senior |
$18,594.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,594.25
|
| Rate for Payer: InnovAge PACE Commercial |
$27,891.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,594.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,916.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,916.29
|
| Rate for Payer: Multiplan WC |
$34,432.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,594.25
|
| Rate for Payer: Preferred Health Network WC |
$35,135.24
|
| Rate for Payer: Prime Health Services Medicare |
$19,709.90
|
| Rate for Payer: Prime Health Services WC |
$34,081.18
|
| 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: EXTRACRANIAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$87,402.77
|
|
|
Service Code
|
MSDRG 037
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$87,402.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$87,402.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,458.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$76,002.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$70,965.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,644.71
|
| Rate for Payer: EPIC Health Plan Senior |
$36,773.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,773.86
|
| Rate for Payer: InnovAge PACE Commercial |
$55,160.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,773.86
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,276.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,276.97
|
| Rate for Payer: Multiplan WC |
$70,965.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$36,773.86
|
| Rate for Payer: Preferred Health Network WC |
$72,413.96
|
| Rate for Payer: Prime Health Services Medicare |
$38,980.29
|
| Rate for Payer: Prime Health Services WC |
$70,241.54
|
| 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: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$29,956.29
|
|
|
Service Code
|
MSDRG 039
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$29,956.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,956.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,350.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,048.85
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,322.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,315.07
|
| Rate for Payer: EPIC Health Plan Senior |
$13,566.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,566.72
|
| Rate for Payer: InnovAge PACE Commercial |
$20,350.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,566.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,179.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,179.40
|
| Rate for Payer: Multiplan WC |
$24,322.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,566.72
|
| Rate for Payer: Preferred Health Network WC |
$24,819.05
|
| Rate for Payer: Prime Health Services Medicare |
$14,380.72
|
| Rate for Payer: Prime Health Services WC |
$24,074.48
|
| 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: EXTRAOCULAR PROCEDURES EXCEPT ORBIT
|
Facility
|
IP
|
$40,294.39
|
|
|
Service Code
|
MSDRG 115
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,294.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,294.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,028.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,038.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,716.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,949.49
|
| Rate for Payer: EPIC Health Plan Senior |
$17,740.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,740.36
|
| Rate for Payer: InnovAge PACE Commercial |
$26,610.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,740.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,772.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,772.08
|
| Rate for Payer: Multiplan WC |
$32,716.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,740.36
|
| Rate for Payer: Preferred Health Network WC |
$33,384.26
|
| Rate for Payer: Prime Health Services Medicare |
$18,804.78
|
| Rate for Payer: Prime Health Services WC |
$32,382.73
|
| 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: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
|
Facility
|
IP
|
$156,461.19
|
|
|
Service Code
|
MSDRG 790
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$156,461.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$156,461.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$101,067.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$136,052.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$127,036.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$87,312.56
|
| Rate for Payer: EPIC Health Plan Senior |
$64,675.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,675.97
|
| Rate for Payer: InnovAge PACE Commercial |
$97,013.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,675.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,665.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$86,665.80
|
| Rate for Payer: Multiplan WC |
$127,036.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,675.97
|
| Rate for Payer: Preferred Health Network WC |
$129,629.48
|
| Rate for Payer: Prime Health Services Medicare |
$68,556.53
|
| Rate for Payer: Prime Health Services WC |
$125,740.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,809.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,601.00
|
| 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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$35,854.37
|
|
|
Service Code
|
MSDRG 748
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,854.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,854.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,160.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,177.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,111.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,527.67
|
| Rate for Payer: EPIC Health Plan Senior |
$15,946.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,946.42
|
| Rate for Payer: InnovAge PACE Commercial |
$23,919.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,946.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,368.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,368.20
|
| Rate for Payer: Multiplan WC |
$29,111.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,946.42
|
| Rate for Payer: Preferred Health Network WC |
$29,705.67
|
| Rate for Payer: Prime Health Services Medicare |
$16,903.21
|
| Rate for Payer: Prime Health Services WC |
$28,814.50
|
| 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: FEVER AND INFLAMMATORY CONDITIONS
|
Facility
|
IP
|
$23,634.46
|
|
|
Service Code
|
MSDRG 864
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,634.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,634.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,266.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,551.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,189.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,881.14
|
| Rate for Payer: EPIC Health Plan Senior |
$11,023.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,023.07
|
| Rate for Payer: InnovAge PACE Commercial |
$16,534.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,023.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,770.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,770.91
|
| Rate for Payer: Multiplan WC |
$19,189.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,023.07
|
| Rate for Payer: Preferred Health Network WC |
$19,581.36
|
| Rate for Payer: Prime Health Services Medicare |
$11,684.45
|
| Rate for Payer: Prime Health Services WC |
$18,993.92
|
| 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: FOOT PROCEDURES WITH CC
|
Facility
|
IP
|
$46,189.85
|
|
|
Service Code
|
MSDRG 504
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,189.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,189.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,836.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,164.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,503.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,165.17
|
| Rate for Payer: EPIC Health Plan Senior |
$20,122.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,122.35
|
| Rate for Payer: InnovAge PACE Commercial |
$30,183.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,122.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,963.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,963.95
|
| Rate for Payer: Multiplan WC |
$37,503.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,122.35
|
| Rate for Payer: Preferred Health Network WC |
$38,268.69
|
| Rate for Payer: Prime Health Services Medicare |
$21,329.69
|
| Rate for Payer: Prime Health Services WC |
$37,120.63
|
| 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: FOOT PROCEDURES WITH MCC
|
Facility
|
IP
|
$69,655.87
|
|
|
Service Code
|
MSDRG 503
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$69,655.87 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,655.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,994.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,570.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,556.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,964.67
|
| Rate for Payer: EPIC Health Plan Senior |
$29,603.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,603.46
|
| Rate for Payer: InnovAge PACE Commercial |
$44,405.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,603.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,668.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,668.64
|
| Rate for Payer: Multiplan WC |
$56,556.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,603.46
|
| Rate for Payer: Preferred Health Network WC |
$57,710.50
|
| Rate for Payer: Prime Health Services Medicare |
$31,379.67
|
| Rate for Payer: Prime Health Services WC |
$55,979.18
|
| 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: FOOT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$46,189.85
|
|
|
Service Code
|
MSDRG 505
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,189.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,189.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,836.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,164.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,503.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,165.17
|
| Rate for Payer: EPIC Health Plan Senior |
$20,122.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,122.35
|
| Rate for Payer: InnovAge PACE Commercial |
$30,183.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,122.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,963.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,963.95
|
| Rate for Payer: Multiplan WC |
$37,503.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,122.35
|
| Rate for Payer: Preferred Health Network WC |
$38,268.69
|
| Rate for Payer: Prime Health Services Medicare |
$21,329.69
|
| Rate for Payer: Prime Health Services WC |
$37,120.63
|
| 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: FRACTURES OF FEMUR WITH MCC
|
Facility
|
IP
|
$40,133.84
|
|
|
Service Code
|
MSDRG 533
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,133.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,133.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,924.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,898.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,586.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,861.91
|
| Rate for Payer: EPIC Health Plan Senior |
$17,675.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,675.49
|
| Rate for Payer: InnovAge PACE Commercial |
$26,513.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,675.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,685.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,685.16
|
| Rate for Payer: Multiplan WC |
$32,586.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,675.49
|
| Rate for Payer: Preferred Health Network WC |
$33,251.24
|
| Rate for Payer: Prime Health Services Medicare |
$18,736.02
|
| Rate for Payer: Prime Health Services WC |
$32,253.70
|
| 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
|
|
