|
MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$35,120.07
|
|
|
Service Code
|
MSDRG 057
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,120.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,120.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,686.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,515.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,624.17
|
| Rate for Payer: EPIC Health Plan Senior |
$18,980.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,980.87
|
| Rate for Payer: InnovAge PACE Commercial |
$28,471.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,980.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,434.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,434.37
|
| Rate for Payer: Multiplan WC |
$28,515.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,980.87
|
| Rate for Payer: Preferred Health Network WC |
$29,097.29
|
| Rate for Payer: Prime Health Services Medicare |
$20,119.72
|
| Rate for Payer: Prime Health Services WC |
$28,224.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC
|
Facility
|
IP
|
$24,755.65
|
|
|
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 |
$18,375.16
|
| Rate for Payer: EPIC Health Plan Senior |
$13,611.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,611.23
|
| Rate for Payer: InnovAge PACE Commercial |
$20,416.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,611.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,239.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,239.05
|
| Rate for Payer: Multiplan WC |
$20,100.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,611.23
|
| Rate for Payer: Preferred Health Network WC |
$20,510.28
|
| Rate for Payer: Prime Health Services Medicare |
$14,427.90
|
| 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
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC
|
Facility
|
IP
|
$43,097.36
|
|
|
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 |
$31,203.58
|
| Rate for Payer: EPIC Health Plan Senior |
$23,113.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,113.76
|
| Rate for Payer: InnovAge PACE Commercial |
$34,670.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,113.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,972.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,972.44
|
| Rate for Payer: Multiplan WC |
$34,992.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,113.76
|
| Rate for Payer: Preferred Health Network WC |
$35,706.55
|
| Rate for Payer: Prime Health Services Medicare |
$24,500.59
|
| 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
|
|
|
MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,360.01
|
|
|
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 |
$13,202.59
|
| Rate for Payer: EPIC Health Plan Senior |
$9,779.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,779.70
|
| Rate for Payer: InnovAge PACE Commercial |
$14,669.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,779.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,104.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,104.80
|
| Rate for Payer: Multiplan WC |
$14,095.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,779.70
|
| Rate for Payer: Preferred Health Network WC |
$14,382.92
|
| Rate for Payer: Prime Health Services Medicare |
$10,366.48
|
| 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
|
|
|
MS-DRG 42.00: DEPRESSIVE NEUROSES
|
Facility
|
IP
|
$24,058.20
|
|
|
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 |
$17,887.37
|
| Rate for Payer: EPIC Health Plan Senior |
$13,249.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,249.90
|
| Rate for Payer: InnovAge PACE Commercial |
$19,874.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,249.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,754.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,754.87
|
| Rate for Payer: Multiplan WC |
$19,533.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,249.90
|
| Rate for Payer: Preferred Health Network WC |
$19,932.43
|
| Rate for Payer: Prime Health Services Medicare |
$14,044.89
|
| 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
|
|
|
MS-DRG 42.00: DIABETES WITH CC
|
Facility
|
IP
|
$24,139.79
|
|
|
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 |
$17,944.42
|
| Rate for Payer: EPIC Health Plan Senior |
$13,292.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,292.16
|
| Rate for Payer: InnovAge PACE Commercial |
$19,938.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,292.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,811.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,811.49
|
| Rate for Payer: Multiplan WC |
$19,600.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,292.16
|
| Rate for Payer: Preferred Health Network WC |
$20,000.03
|
| Rate for Payer: Prime Health Services Medicare |
$14,089.69
|
| 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
|
|
|
MS-DRG 42.00: DIABETES WITH MCC
|
Facility
|
IP
|
$38,328.36
|
|
|
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 |
$27,868.06
|
| Rate for Payer: EPIC Health Plan Senior |
$20,643.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,643.01
|
| Rate for Payer: InnovAge PACE Commercial |
$30,964.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,643.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,661.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,661.63
|
| Rate for Payer: Multiplan WC |
$31,120.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,643.01
|
| Rate for Payer: Preferred Health Network WC |
$31,755.38
|
| Rate for Payer: Prime Health Services Medicare |
$21,881.59
|
| 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
|
|
|
MS-DRG 42.00: DIABETES WITHOUT CC/MCC
|
Facility
|
IP
|
$16,491.49
|
|
|
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 |
$12,595.15
|
| Rate for Payer: EPIC Health Plan Senior |
$9,329.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,329.74
|
| Rate for Payer: InnovAge PACE Commercial |
$13,994.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,329.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,501.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,501.85
|
| Rate for Payer: Multiplan WC |
$13,390.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,329.74
|
| Rate for Payer: Preferred Health Network WC |
$13,663.34
|
| Rate for Payer: Prime Health Services Medicare |
$9,889.52
|
| 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
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC
|
Facility
|
IP
|
$32,338.16
|
|
|
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 |
$23,678.47
|
| Rate for Payer: EPIC Health Plan Senior |
$17,539.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,539.61
|
| Rate for Payer: InnovAge PACE Commercial |
$26,309.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,539.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,503.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,503.08
|
| Rate for Payer: Multiplan WC |
$26,256.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,539.61
|
| Rate for Payer: Preferred Health Network WC |
$26,792.45
|
| Rate for Payer: Prime Health Services Medicare |
$18,591.99
|
| 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
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$55,569.94
|
|
|
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 |
$39,927.03
|
| Rate for Payer: EPIC Health Plan Senior |
$29,575.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,575.58
|
| Rate for Payer: InnovAge PACE Commercial |
$44,363.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,575.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,631.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,631.28
|
| Rate for Payer: Multiplan WC |
$45,119.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,575.58
|
| Rate for Payer: Preferred Health Network WC |
$46,040.18
|
| Rate for Payer: Prime Health Services Medicare |
$31,350.11
|
| 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
|
|
|
MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$23,239.68
|
|
|
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 |
$17,314.90
|
| Rate for Payer: EPIC Health Plan Senior |
$12,825.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,825.85
|
| Rate for Payer: InnovAge PACE Commercial |
$19,238.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,825.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,186.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,186.64
|
| Rate for Payer: Multiplan WC |
$18,869.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,825.85
|
| Rate for Payer: Preferred Health Network WC |
$19,254.28
|
| Rate for Payer: Prime Health Services Medicare |
$13,595.40
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
|
IP
|
$25,429.42
|
|
|
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 |
$18,846.40
|
| Rate for Payer: EPIC Health Plan Senior |
$13,960.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,960.30
|
| Rate for Payer: InnovAge PACE Commercial |
$20,940.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,960.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,706.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,706.80
|
| Rate for Payer: Multiplan WC |
$20,647.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,960.30
|
| Rate for Payer: Preferred Health Network WC |
$21,068.50
|
| Rate for Payer: Prime Health Services Medicare |
$14,797.92
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
|
IP
|
$49,753.44
|
|
|
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 |
$35,858.89
|
| Rate for Payer: EPIC Health Plan Senior |
$26,562.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,562.14
|
| Rate for Payer: InnovAge PACE Commercial |
$39,843.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,562.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,593.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,593.27
|
| Rate for Payer: Multiplan WC |
$40,396.74
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,562.14
|
| Rate for Payer: Preferred Health Network WC |
$41,221.16
|
| Rate for Payer: Prime Health Services Medicare |
$28,155.87
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$18,494.36
|
|
|
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 |
$13,995.96
|
| Rate for Payer: EPIC Health Plan Senior |
$10,367.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,367.38
|
| Rate for Payer: InnovAge PACE Commercial |
$15,551.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,367.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,892.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,892.29
|
| Rate for Payer: Multiplan WC |
$15,016.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,367.38
|
| Rate for Payer: Preferred Health Network WC |
$15,322.74
|
| Rate for Payer: Prime Health Services Medicare |
$10,989.42
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
|
IP
|
$22,639.60
|
|
|
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 |
$16,895.21
|
| Rate for Payer: EPIC Health Plan Senior |
$12,514.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,514.97
|
| Rate for Payer: InnovAge PACE Commercial |
$18,772.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,514.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,770.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,770.06
|
| Rate for Payer: Multiplan WC |
$18,381.97
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,514.97
|
| Rate for Payer: Preferred Health Network WC |
$18,757.11
|
| Rate for Payer: Prime Health Services Medicare |
$13,265.87
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$43,786.92
|
|
|
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 |
$31,685.86
|
| Rate for Payer: EPIC Health Plan Senior |
$23,471.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,471.01
|
| Rate for Payer: InnovAge PACE Commercial |
$35,206.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,471.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,451.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,451.15
|
| Rate for Payer: Multiplan WC |
$35,552.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,471.01
|
| Rate for Payer: Preferred Health Network WC |
$36,277.85
|
| Rate for Payer: Prime Health Services Medicare |
$24,879.27
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$16,188.82
|
|
|
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 |
$12,383.46
|
| Rate for Payer: EPIC Health Plan Senior |
$9,172.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,172.93
|
| Rate for Payer: InnovAge PACE Commercial |
$13,759.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,172.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,291.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,291.73
|
| Rate for Payer: Multiplan WC |
$13,144.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,172.93
|
| Rate for Payer: Preferred Health Network WC |
$13,412.58
|
| Rate for Payer: Prime Health Services Medicare |
$9,723.31
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL
|
Facility
|
IP
|
$48,792.79
|
|
|
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 |
$35,187.03
|
| Rate for Payer: EPIC Health Plan Senior |
$26,064.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,064.47
|
| Rate for Payer: InnovAge PACE Commercial |
$39,096.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,064.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,926.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,926.39
|
| Rate for Payer: Multiplan WC |
$39,616.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,064.47
|
| Rate for Payer: Preferred Health Network WC |
$40,425.26
|
| Rate for Payer: Prime Health Services Medicare |
$27,628.34
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
|
IP
|
$28,542.96
|
|
|
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 |
$21,024.08
|
| Rate for Payer: EPIC Health Plan Senior |
$15,573.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,573.39
|
| Rate for Payer: InnovAge PACE Commercial |
$23,360.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,573.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,868.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,868.34
|
| Rate for Payer: Multiplan WC |
$23,175.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,573.39
|
| Rate for Payer: Preferred Health Network WC |
$23,648.09
|
| Rate for Payer: Prime Health Services Medicare |
$16,507.79
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
|
IP
|
$44,331.72
|
|
|
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 |
$32,066.90
|
| Rate for Payer: EPIC Health Plan Senior |
$23,753.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,753.26
|
| Rate for Payer: InnovAge PACE Commercial |
$35,629.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,753.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,829.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,829.37
|
| Rate for Payer: Multiplan WC |
$35,994.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,753.26
|
| Rate for Payer: Preferred Health Network WC |
$36,729.22
|
| Rate for Payer: Prime Health Services Medicare |
$25,178.46
|
| 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
|
|
|
MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
|
IP
|
$20,984.14
|
|
|
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 |
$15,737.34
|
| Rate for Payer: EPIC Health Plan Senior |
$11,657.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,657.29
|
| Rate for Payer: InnovAge PACE Commercial |
$17,485.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,657.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,620.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,620.77
|
| Rate for Payer: Multiplan WC |
$17,037.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,657.29
|
| Rate for Payer: Preferred Health Network WC |
$17,385.54
|
| Rate for Payer: Prime Health Services Medicare |
$12,356.73
|
| 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
|
|
|
MS-DRG 42.00: DYSEQUILIBRIUM
|
Facility
|
IP
|
$19,673.45
|
|
|
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 |
$14,820.64
|
| Rate for Payer: EPIC Health Plan Senior |
$10,978.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,978.25
|
| Rate for Payer: InnovAge PACE Commercial |
$16,467.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,978.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,710.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,710.85
|
| Rate for Payer: Multiplan WC |
$15,973.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,978.25
|
| Rate for Payer: Preferred Health Network WC |
$16,299.63
|
| Rate for Payer: Prime Health Services Medicare |
$11,636.94
|
| 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
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
|
Facility
|
IP
|
$32,761.89
|
|
|
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 |
$23,974.83
|
| Rate for Payer: EPIC Health Plan Senior |
$17,759.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,759.13
|
| Rate for Payer: InnovAge PACE Commercial |
$26,638.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,759.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,797.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,797.23
|
| Rate for Payer: Multiplan WC |
$26,600.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,759.13
|
| Rate for Payer: Preferred Health Network WC |
$27,143.52
|
| Rate for Payer: Prime Health Services Medicare |
$18,824.68
|
| 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
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
|
Facility
|
IP
|
$60,378.42
|
|
|
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 |
$43,290.11
|
| Rate for Payer: EPIC Health Plan Senior |
$32,066.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,066.75
|
| Rate for Payer: InnovAge PACE Commercial |
$48,100.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,066.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,969.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,969.44
|
| Rate for Payer: Multiplan WC |
$49,023.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,066.75
|
| Rate for Payer: Preferred Health Network WC |
$50,024.05
|
| Rate for Payer: Prime Health Services Medicare |
$33,990.75
|
| 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
|
|
|
MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$21,073.62
|
|
|
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 |
$15,799.95
|
| Rate for Payer: EPIC Health Plan Senior |
$11,703.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,703.67
|
| Rate for Payer: InnovAge PACE Commercial |
$17,555.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,703.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,682.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,682.92
|
| Rate for Payer: Multiplan WC |
$17,110.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,703.67
|
| Rate for Payer: Preferred Health Network WC |
$17,459.68
|
| Rate for Payer: Prime Health Services Medicare |
$12,405.89
|
| 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
|
|
