|
MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC
|
Facility
|
IP
|
$21,423.67
|
|
|
Service Code
|
MSDRG 534
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,423.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,423.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,838.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,629.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,394.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,680.28
|
| Rate for Payer: EPIC Health Plan Senior |
$10,133.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,133.54
|
| Rate for Payer: InnovAge PACE Commercial |
$15,200.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,133.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,578.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,578.94
|
| Rate for Payer: Multiplan WC |
$17,394.71
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,133.54
|
| Rate for Payer: Preferred Health Network WC |
$17,749.70
|
| Rate for Payer: Prime Health Services Medicare |
$10,741.55
|
| Rate for Payer: Prime Health Services WC |
$17,217.21
|
| 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: FRACTURES OF HIP AND PELVIS WITH MCC
|
Facility
|
IP
|
$35,001.64
|
|
|
Service Code
|
MSDRG 535
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,001.64 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,001.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,609.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,436.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,419.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,062.56
|
| Rate for Payer: EPIC Health Plan Senior |
$15,601.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,601.90
|
| Rate for Payer: InnovAge PACE Commercial |
$23,402.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,601.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,906.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,906.55
|
| Rate for Payer: Multiplan WC |
$28,419.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,601.90
|
| Rate for Payer: Preferred Health Network WC |
$28,999.17
|
| Rate for Payer: Prime Health Services Medicare |
$16,538.01
|
| Rate for Payer: Prime Health Services WC |
$28,129.19
|
| 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: FRACTURES OF HIP AND PELVIS WITHOUT MCC
|
Facility
|
IP
|
$21,342.08
|
|
|
Service Code
|
MSDRG 536
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,342.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,342.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,786.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,558.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,328.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,635.96
|
| Rate for Payer: EPIC Health Plan Senior |
$10,100.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,100.71
|
| Rate for Payer: InnovAge PACE Commercial |
$15,151.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,100.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,534.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,534.95
|
| Rate for Payer: Multiplan WC |
$17,328.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,100.71
|
| Rate for Payer: Preferred Health Network WC |
$17,682.10
|
| Rate for Payer: Prime Health Services Medicare |
$10,706.75
|
| Rate for Payer: Prime Health Services WC |
$17,151.64
|
| 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: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
|
Facility
|
IP
|
$38,517.86
|
|
|
Service Code
|
MSDRG 562
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,517.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,517.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,880.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,493.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,274.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,980.48
|
| Rate for Payer: EPIC Health Plan Senior |
$17,022.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,022.58
|
| Rate for Payer: InnovAge PACE Commercial |
$25,533.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,022.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,810.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,810.26
|
| Rate for Payer: Multiplan WC |
$31,274.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,022.58
|
| Rate for Payer: Preferred Health Network WC |
$31,912.38
|
| Rate for Payer: Prime Health Services Medicare |
$18,043.93
|
| Rate for Payer: Prime Health Services WC |
$30,955.01
|
| 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: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
|
Facility
|
IP
|
$23,523.92
|
|
|
Service Code
|
MSDRG 563
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,523.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,523.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,195.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,455.51
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,099.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,821.11
|
| Rate for Payer: EPIC Health Plan Senior |
$10,978.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,978.60
|
| Rate for Payer: InnovAge PACE Commercial |
$16,467.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,978.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,711.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,711.32
|
| Rate for Payer: Multiplan WC |
$19,099.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,978.60
|
| Rate for Payer: Preferred Health Network WC |
$19,489.78
|
| Rate for Payer: Prime Health Services Medicare |
$11,637.32
|
| Rate for Payer: Prime Health Services WC |
$18,905.09
|
| 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: FULL TERM NEONATE WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$109,763.39
|
|
|
Service Code
|
MSDRG 793
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$109,763.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$109,763.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$70,902.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$95,446.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$89,121.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$61,841.30
|
| Rate for Payer: EPIC Health Plan Senior |
$45,808.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$45,808.37
|
| Rate for Payer: InnovAge PACE Commercial |
$68,712.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,808.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$61,383.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$61,383.22
|
| Rate for Payer: Multiplan WC |
$89,121.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$45,808.37
|
| Rate for Payer: Preferred Health Network WC |
$90,939.94
|
| Rate for Payer: Prime Health Services Medicare |
$48,556.87
|
| Rate for Payer: Prime Health Services WC |
$88,211.74
|
| 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: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
|
Facility
|
IP
|
$56,475.31
|
|
|
Service Code
|
MSDRG 934
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$56,475.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,475.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,480.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,108.78
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,854.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,775.34
|
| Rate for Payer: EPIC Health Plan Senior |
$24,278.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,278.03
|
| Rate for Payer: InnovAge PACE Commercial |
$36,417.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,278.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,532.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,532.56
|
| Rate for Payer: Multiplan WC |
$45,854.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,278.03
|
| Rate for Payer: Preferred Health Network WC |
$46,790.29
|
| Rate for Payer: Prime Health Services Medicare |
$25,734.71
|
| Rate for Payer: Prime Health Services WC |
$45,386.58
|
| 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: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
|
Facility
|
IP
|
$175,781.97
|
|
|
Service Code
|
MSDRG 928
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$175,781.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$175,781.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$113,547.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$152,853.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$142,724.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$97,851.06
|
| Rate for Payer: EPIC Health Plan Senior |
$72,482.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$72,482.27
|
| Rate for Payer: InnovAge PACE Commercial |
$108,723.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$72,482.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$97,126.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$97,126.24
|
| Rate for Payer: Multiplan WC |
$142,724.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$72,482.27
|
| Rate for Payer: Preferred Health Network WC |
$145,636.91
|
| Rate for Payer: Prime Health Services Medicare |
$76,831.21
|
| Rate for Payer: Prime Health Services WC |
$141,267.80
|
| 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: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
|
Facility
|
IP
|
$83,704.95
|
|
|
Service Code
|
MSDRG 929
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$83,704.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,704.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,069.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,786.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$67,963.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,627.73
|
| Rate for Payer: EPIC Health Plan Senior |
$35,279.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,279.80
|
| Rate for Payer: InnovAge PACE Commercial |
$52,919.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,279.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,274.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,274.93
|
| Rate for Payer: Multiplan WC |
$67,963.28
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,279.80
|
| Rate for Payer: Preferred Health Network WC |
$69,350.29
|
| Rate for Payer: Prime Health Services Medicare |
$37,396.59
|
| Rate for Payer: Prime Health Services WC |
$67,269.78
|
| 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: GASTROINTESTINAL HEMORRHAGE WITH CC
|
Facility
|
IP
|
$25,947.90
|
|
|
Service Code
|
MSDRG 378
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$25,947.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,947.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,761.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,563.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,068.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,137.78
|
| Rate for Payer: EPIC Health Plan Senior |
$11,953.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,953.91
|
| Rate for Payer: InnovAge PACE Commercial |
$17,930.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,953.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,018.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,018.24
|
| Rate for Payer: Multiplan WC |
$21,068.11
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,953.91
|
| Rate for Payer: Preferred Health Network WC |
$21,498.07
|
| Rate for Payer: Prime Health Services Medicare |
$12,671.14
|
| Rate for Payer: Prime Health Services WC |
$20,853.13
|
| 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: GASTROINTESTINAL HEMORRHAGE WITH MCC
|
Facility
|
IP
|
$47,853.21
|
|
|
Service Code
|
MSDRG 377
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$47,853.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,853.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,911.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,611.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,853.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,072.44
|
| Rate for Payer: EPIC Health Plan Senior |
$20,794.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,794.40
|
| Rate for Payer: InnovAge PACE Commercial |
$31,191.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,794.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,864.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,864.50
|
| Rate for Payer: Multiplan WC |
$38,853.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,794.40
|
| Rate for Payer: Preferred Health Network WC |
$39,646.80
|
| Rate for Payer: Prime Health Services Medicare |
$22,042.06
|
| Rate for Payer: Prime Health Services WC |
$38,457.40
|
| 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: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
|
Facility
|
IP
|
$16,757.31
|
|
|
Service Code
|
MSDRG 379
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$16,757.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$16,757.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,824.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,571.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$13,605.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,145.59
|
| Rate for Payer: EPIC Health Plan Senior |
$8,255.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,255.99
|
| Rate for Payer: InnovAge PACE Commercial |
$12,383.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,255.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,063.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,063.03
|
| Rate for Payer: Multiplan WC |
$13,605.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,255.99
|
| Rate for Payer: Preferred Health Network WC |
$13,883.58
|
| Rate for Payer: Prime Health Services Medicare |
$8,751.35
|
| Rate for Payer: Prime Health Services WC |
$13,467.07
|
| 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: GASTROINTESTINAL OBSTRUCTION WITH CC
|
Facility
|
IP
|
$21,097.31
|
|
|
Service Code
|
MSDRG 389
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,097.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,097.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,628.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,345.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,129.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,503.01
|
| Rate for Payer: EPIC Health Plan Senior |
$10,002.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,002.23
|
| Rate for Payer: InnovAge PACE Commercial |
$15,003.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,002.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,402.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,402.99
|
| Rate for Payer: Multiplan WC |
$17,129.72
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,002.23
|
| Rate for Payer: Preferred Health Network WC |
$17,479.31
|
| Rate for Payer: Prime Health Services Medicare |
$10,602.36
|
| Rate for Payer: Prime Health Services WC |
$16,954.93
|
| 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: GASTROINTESTINAL OBSTRUCTION WITH MCC
|
Facility
|
IP
|
$38,686.30
|
|
|
Service Code
|
MSDRG 388
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,686.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,686.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,989.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,640.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,410.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,072.35
|
| Rate for Payer: EPIC Health Plan Senior |
$17,090.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,090.63
|
| Rate for Payer: InnovAge PACE Commercial |
$25,635.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,090.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,901.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,901.44
|
| Rate for Payer: Multiplan WC |
$31,410.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,090.63
|
| Rate for Payer: Preferred Health Network WC |
$32,051.94
|
| Rate for Payer: Prime Health Services Medicare |
$18,116.07
|
| Rate for Payer: Prime Health Services WC |
$31,090.38
|
| 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: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
|
Facility
|
IP
|
$14,401.76
|
|
|
Service Code
|
MSDRG 390
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$14,401.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14,401.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,302.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,523.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,693.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,866.07
|
| Rate for Payer: EPIC Health Plan Senior |
$7,308.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,308.20
|
| Rate for Payer: InnovAge PACE Commercial |
$10,962.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,308.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,792.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,792.99
|
| Rate for Payer: Multiplan WC |
$11,693.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,308.20
|
| Rate for Payer: Preferred Health Network WC |
$11,931.98
|
| Rate for Payer: Prime Health Services Medicare |
$7,746.69
|
| Rate for Payer: Prime Health Services WC |
$11,574.02
|
| 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: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$39,625.89
|
|
|
Service Code
|
MSDRG 513
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,625.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,625.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,596.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,457.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,173.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,584.86
|
| Rate for Payer: EPIC Health Plan Senior |
$17,470.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,470.27
|
| Rate for Payer: InnovAge PACE Commercial |
$26,205.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,470.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,410.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,410.16
|
| Rate for Payer: Multiplan WC |
$32,173.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,470.27
|
| Rate for Payer: Preferred Health Network WC |
$32,830.40
|
| Rate for Payer: Prime Health Services Medicare |
$18,518.49
|
| Rate for Payer: Prime Health Services WC |
$31,845.49
|
| 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: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$26,834.85
|
|
|
Service Code
|
MSDRG 514
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$26,834.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,834.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,334.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,334.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,788.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,619.55
|
| Rate for Payer: EPIC Health Plan Senior |
$12,310.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,310.78
|
| Rate for Payer: InnovAge PACE Commercial |
$18,466.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,310.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,496.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,496.45
|
| Rate for Payer: Multiplan WC |
$21,788.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,310.78
|
| Rate for Payer: Preferred Health Network WC |
$22,232.91
|
| Rate for Payer: Prime Health Services Medicare |
$13,049.43
|
| Rate for Payer: Prime Health Services WC |
$21,565.92
|
| 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: HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$57,441.22
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$57,441.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,441.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,104.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,948.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,638.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,302.22
|
| Rate for Payer: EPIC Health Plan Senior |
$24,668.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,668.31
|
| Rate for Payer: InnovAge PACE Commercial |
$37,002.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,668.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,055.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,055.54
|
| Rate for Payer: Multiplan WC |
$46,638.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,668.31
|
| Rate for Payer: Preferred Health Network WC |
$47,590.56
|
| Rate for Payer: Prime Health Services Medicare |
$26,148.41
|
| Rate for Payer: Prime Health Services WC |
$46,162.84
|
| 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: HEADACHES WITH MCC
|
Facility
|
IP
|
$30,516.88
|
|
|
Service Code
|
MSDRG 102
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,516.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,516.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,712.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,536.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,777.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,619.58
|
| Rate for Payer: EPIC Health Plan Senior |
$13,792.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,792.28
|
| Rate for Payer: InnovAge PACE Commercial |
$20,688.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,792.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,481.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,481.66
|
| Rate for Payer: Multiplan WC |
$24,777.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,792.28
|
| Rate for Payer: Preferred Health Network WC |
$25,283.51
|
| Rate for Payer: Prime Health Services Medicare |
$14,619.82
|
| Rate for Payer: Prime Health Services WC |
$24,525.00
|
| 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: HEADACHES WITHOUT MCC
|
Facility
|
IP
|
$22,376.41
|
|
|
Service Code
|
MSDRG 103
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,376.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,376.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,454.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,457.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,168.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,197.80
|
| Rate for Payer: EPIC Health Plan Senior |
$10,516.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,516.89
|
| Rate for Payer: InnovAge PACE Commercial |
$15,775.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,516.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,092.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,092.63
|
| Rate for Payer: Multiplan WC |
$18,168.28
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,516.89
|
| Rate for Payer: Preferred Health Network WC |
$18,539.06
|
| Rate for Payer: Prime Health Services Medicare |
$11,147.90
|
| Rate for Payer: Prime Health Services WC |
$17,982.89
|
| 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
|
|
|
MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC
|
Facility
|
IP
|
$22,665.92
|
|
|
Service Code
|
MSDRG 292
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,665.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,665.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,641.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,709.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,403.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,355.05
|
| Rate for Payer: EPIC Health Plan Senior |
$10,633.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,633.37
|
| Rate for Payer: InnovAge PACE Commercial |
$15,950.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,633.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,248.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,248.72
|
| Rate for Payer: Multiplan WC |
$18,403.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,633.37
|
| Rate for Payer: Preferred Health Network WC |
$18,778.92
|
| Rate for Payer: Prime Health Services Medicare |
$11,271.37
|
| Rate for Payer: Prime Health Services WC |
$18,215.55
|
| 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: HEART FAILURE AND SHOCK WITH MCC
|
Facility
|
IP
|
$34,341.03
|
|
|
Service Code
|
MSDRG 291
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,341.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,341.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,182.90
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,861.65
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,882.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,702.22
|
| Rate for Payer: EPIC Health Plan Senior |
$15,334.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,334.98
|
| Rate for Payer: InnovAge PACE Commercial |
$23,002.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,334.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,548.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,548.87
|
| Rate for Payer: Multiplan WC |
$27,882.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,334.98
|
| Rate for Payer: Preferred Health Network WC |
$28,451.85
|
| Rate for Payer: Prime Health Services Medicare |
$16,255.08
|
| Rate for Payer: Prime Health Services WC |
$27,598.29
|
| 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: HEART FAILURE AND SHOCK WITHOUT CC/MCC
|
Facility
|
IP
|
$14,441.24
|
|
|
Service Code
|
MSDRG 293
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$14,441.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14,441.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,328.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,557.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,725.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,887.52
|
| Rate for Payer: EPIC Health Plan Senior |
$7,324.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,324.09
|
| Rate for Payer: InnovAge PACE Commercial |
$10,986.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,324.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,814.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,814.28
|
| Rate for Payer: Multiplan WC |
$11,725.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,324.09
|
| Rate for Payer: Preferred Health Network WC |
$11,964.69
|
| Rate for Payer: Prime Health Services Medicare |
$7,763.54
|
| Rate for Payer: Prime Health Services WC |
$11,605.75
|
| 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: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
|
Facility
|
IP
|
$741,361.49
|
|
|
Service Code
|
MSDRG 001
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$741,361.49 |
| Rate for Payer: Aetna of CA HMO/PPO |
$272,940.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$741,361.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$478,889.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$644,659.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$601,940.05
|
| Rate for Payer: Blue Distinction Transplant |
$247,615.00
|
| Rate for Payer: Blue Shield of California Transplant |
$140,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$301,075.62
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$156,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$406,452.09
|
| Rate for Payer: EPIC Health Plan Senior |
$301,075.62
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$125,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$242,950.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$301,075.62
|
| Rate for Payer: InnovAge PACE Commercial |
$451,613.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$301,075.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$403,441.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$403,441.33
|
| Rate for Payer: Multiplan WC |
$601,940.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$264,401.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$301,075.62
|
| Rate for Payer: Preferred Health Network WC |
$614,224.54
|
| Rate for Payer: Prime Health Services Medicare |
$319,140.16
|
| Rate for Payer: Prime Health Services WC |
$595,797.80
|
| 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: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
|
Facility
|
IP
|
$290,027.48
|
|
|
Service Code
|
MSDRG 002
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$290,027.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$272,940.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$290,027.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$187,345.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$252,196.85
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$235,484.52
|
| Rate for Payer: Blue Distinction Transplant |
$247,615.00
|
| Rate for Payer: Blue Shield of California Transplant |
$140,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$118,649.81
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$156,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$160,177.24
|
| Rate for Payer: EPIC Health Plan Senior |
$118,649.81
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$125,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$242,950.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$118,649.81
|
| Rate for Payer: InnovAge PACE Commercial |
$177,974.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$118,649.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$158,990.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$158,990.75
|
| Rate for Payer: Multiplan WC |
$235,484.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$264,401.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$118,649.81
|
| Rate for Payer: Preferred Health Network WC |
$240,290.33
|
| Rate for Payer: Prime Health Services Medicare |
$125,768.80
|
| Rate for Payer: Prime Health Services WC |
$233,081.62
|
| 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
|
|
