|
MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
|
Facility
|
IP
|
$43,099.99
|
|
|
Service Code
|
MSDRG 421
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,099.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,099.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,840.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,478.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,994.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,479.81
|
| Rate for Payer: EPIC Health Plan Senior |
$18,873.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,873.93
|
| Rate for Payer: InnovAge PACE Commercial |
$28,310.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,873.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,291.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,291.07
|
| Rate for Payer: Multiplan WC |
$34,994.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,873.93
|
| Rate for Payer: Preferred Health Network WC |
$35,708.73
|
| Rate for Payer: Prime Health Services Medicare |
$20,006.37
|
| Rate for Payer: Prime Health Services WC |
$34,637.47
|
| 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: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$92,892.91
|
|
|
Service Code
|
MSDRG 420
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$92,892.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$92,892.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,005.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80,776.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$75,423.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,639.31
|
| Rate for Payer: EPIC Health Plan Senior |
$38,992.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,992.08
|
| Rate for Payer: InnovAge PACE Commercial |
$58,488.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,992.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,249.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,249.39
|
| Rate for Payer: Multiplan WC |
$75,423.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,992.08
|
| Rate for Payer: Preferred Health Network WC |
$76,962.60
|
| Rate for Payer: Prime Health Services Medicare |
$41,331.60
|
| Rate for Payer: Prime Health Services WC |
$74,653.72
|
| 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: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$38,673.14
|
|
|
Service Code
|
MSDRG 422
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,673.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,673.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,981.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,628.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,400.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,065.18
|
| Rate for Payer: EPIC Health Plan Senior |
$17,085.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,085.32
|
| Rate for Payer: InnovAge PACE Commercial |
$25,627.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,085.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,894.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,894.33
|
| Rate for Payer: Multiplan WC |
$31,400.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,085.32
|
| Rate for Payer: Preferred Health Network WC |
$32,041.04
|
| Rate for Payer: Prime Health Services Medicare |
$18,110.44
|
| Rate for Payer: Prime Health Services WC |
$31,079.81
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
|
Facility
|
IP
|
$44,771.25
|
|
|
Service Code
|
MSDRG 354
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$44,771.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,771.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,920.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,931.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,351.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,391.39
|
| Rate for Payer: EPIC Health Plan Senior |
$19,549.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,549.18
|
| Rate for Payer: InnovAge PACE Commercial |
$29,323.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,549.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,195.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,195.90
|
| Rate for Payer: Multiplan WC |
$36,351.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,549.18
|
| Rate for Payer: Preferred Health Network WC |
$37,093.38
|
| Rate for Payer: Prime Health Services Medicare |
$20,722.13
|
| Rate for Payer: Prime Health Services WC |
$35,980.58
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
|
Facility
|
IP
|
$77,193.63
|
|
|
Service Code
|
MSDRG 353
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$77,193.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$77,193.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,863.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$67,124.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,676.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,076.15
|
| Rate for Payer: EPIC Health Plan Senior |
$32,649.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,649.00
|
| Rate for Payer: InnovAge PACE Commercial |
$48,973.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,649.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,749.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,749.66
|
| Rate for Payer: Multiplan WC |
$62,676.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,649.00
|
| Rate for Payer: Preferred Health Network WC |
$63,955.60
|
| Rate for Payer: Prime Health Services Medicare |
$34,607.94
|
| Rate for Payer: Prime Health Services WC |
$62,036.93
|
| 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: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
|
Facility
|
IP
|
$35,088.49
|
|
|
Service Code
|
MSDRG 355
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,088.49 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,088.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,665.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,511.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,489.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,109.92
|
| Rate for Payer: EPIC Health Plan Senior |
$15,636.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,636.98
|
| Rate for Payer: InnovAge PACE Commercial |
$23,455.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,636.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,953.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,953.55
|
| Rate for Payer: Multiplan WC |
$28,489.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,636.98
|
| Rate for Payer: Preferred Health Network WC |
$29,071.12
|
| Rate for Payer: Prime Health Services Medicare |
$16,575.20
|
| Rate for Payer: Prime Health Services WC |
$28,198.99
|
| 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: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
|
Facility
|
IP
|
$74,534.00
|
|
|
Service Code
|
MSDRG 481
|
| Min. Negotiated Rate |
$21,830.00 |
| Max. Negotiated Rate |
$74,534.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,609.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,275.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,486.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,339.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,757.53
|
| Rate for Payer: EPIC Health Plan Senior |
$23,524.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,524.10
|
| Rate for Payer: InnovAge PACE Commercial |
$35,286.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,524.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,522.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,522.29
|
| Rate for Payer: Multiplan WC |
$44,339.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,524.10
|
| Rate for Payer: Preferred Health Network WC |
$45,244.28
|
| Rate for Payer: Prime Health Services Medicare |
$24,935.55
|
| Rate for Payer: Prime Health Services WC |
$43,886.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$74,534.00
|
| Rate for Payer: United Healthcare All Other HMO |
$31,364.00
|
| Rate for Payer: United Healthcare HMO Rider |
$23,828.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,830.00
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
|
Facility
|
IP
|
$77,404.18
|
|
|
Service Code
|
MSDRG 480
|
| Min. Negotiated Rate |
$24,564.00 |
| Max. Negotiated Rate |
$77,404.18 |
| Rate for Payer: Aetna of CA HMO/PPO |
$77,404.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,999.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$67,307.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,847.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,190.99
|
| Rate for Payer: EPIC Health Plan Senior |
$32,734.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,734.07
|
| Rate for Payer: InnovAge PACE Commercial |
$49,101.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,734.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,863.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,863.65
|
| Rate for Payer: Multiplan WC |
$62,847.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,734.07
|
| Rate for Payer: Preferred Health Network WC |
$64,130.05
|
| Rate for Payer: Prime Health Services Medicare |
$34,698.11
|
| Rate for Payer: Prime Health Services WC |
$62,206.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$56,679.00
|
| Rate for Payer: United Healthcare All Other HMO |
$40,772.00
|
| Rate for Payer: United Healthcare HMO Rider |
$30,970.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,371.00
|
|
|
MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
|
Facility
|
IP
|
$60,760.00
|
|
|
Service Code
|
MSDRG 482
|
| Min. Negotiated Rate |
$18,329.48 |
| Max. Negotiated Rate |
$60,760.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,752.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,970.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,306.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,900.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,744.80
|
| Rate for Payer: EPIC Health Plan Senior |
$18,329.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,329.48
|
| Rate for Payer: InnovAge PACE Commercial |
$27,494.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,329.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,561.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,561.50
|
| Rate for Payer: Multiplan WC |
$33,900.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,329.48
|
| Rate for Payer: Preferred Health Network WC |
$34,592.28
|
| Rate for Payer: Prime Health Services Medicare |
$19,429.25
|
| Rate for Payer: Prime Health Services WC |
$33,554.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$60,760.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,545.00
|
| Rate for Payer: United Healthcare HMO Rider |
$20,163.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18,472.00
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
|
Facility
|
IP
|
$76,711.99
|
|
|
Service Code
|
MSDRG 521
|
| Min. Negotiated Rate |
$32,454.40 |
| Max. Negotiated Rate |
$76,711.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,711.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,552.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,705.82
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,285.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,813.44
|
| Rate for Payer: EPIC Health Plan Senior |
$32,454.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,454.40
|
| Rate for Payer: InnovAge PACE Commercial |
$48,681.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,454.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,488.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,488.90
|
| Rate for Payer: Multiplan WC |
$62,285.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,454.40
|
| Rate for Payer: Preferred Health Network WC |
$63,556.56
|
| Rate for Payer: Prime Health Services Medicare |
$34,401.66
|
| Rate for Payer: Prime Health Services WC |
$61,649.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$59,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$57,548.00
|
| Rate for Payer: United Healthcare HMO Rider |
$54,441.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$52,540.00
|
|
|
MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
|
Facility
|
IP
|
$75,160.00
|
|
|
Service Code
|
MSDRG 522
|
| Min. Negotiated Rate |
$23,877.14 |
| Max. Negotiated Rate |
$75,160.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,483.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,839.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,245.98
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,048.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,234.14
|
| Rate for Payer: EPIC Health Plan Senior |
$23,877.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,877.14
|
| Rate for Payer: InnovAge PACE Commercial |
$35,815.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,877.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,995.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,995.37
|
| Rate for Payer: Multiplan WC |
$45,048.87
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,877.14
|
| Rate for Payer: Preferred Health Network WC |
$45,968.23
|
| Rate for Payer: Prime Health Services Medicare |
$25,309.77
|
| Rate for Payer: Prime Health Services WC |
$44,589.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$75,160.00
|
| Rate for Payer: United Healthcare All Other HMO |
$47,209.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,860.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,854.00
|
|
|
MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$166,449.25
|
|
|
Service Code
|
MSDRG 969
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$166,449.25 |
| Rate for Payer: Aetna of CA HMO/PPO |
$166,449.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$107,519.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$144,737.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$135,146.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$92,760.54
|
| Rate for Payer: EPIC Health Plan Senior |
$68,711.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$68,711.51
|
| Rate for Payer: InnovAge PACE Commercial |
$103,067.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$68,711.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$92,073.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$92,073.42
|
| Rate for Payer: Multiplan WC |
$135,146.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$68,711.51
|
| Rate for Payer: Preferred Health Network WC |
$137,904.68
|
| Rate for Payer: Prime Health Services Medicare |
$72,834.20
|
| Rate for Payer: Prime Health Services WC |
$133,767.54
|
| 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: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$69,832.20
|
|
|
Service Code
|
MSDRG 970
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$69,832.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,832.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$45,108.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,723.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,699.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,060.87
|
| Rate for Payer: EPIC Health Plan Senior |
$29,674.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,674.72
|
| Rate for Payer: InnovAge PACE Commercial |
$44,512.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,674.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,764.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,764.12
|
| Rate for Payer: Multiplan WC |
$56,699.47
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,674.72
|
| Rate for Payer: Preferred Health Network WC |
$57,856.60
|
| Rate for Payer: Prime Health Services Medicare |
$31,455.20
|
| Rate for Payer: Prime Health Services WC |
$56,120.90
|
| 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: HIV WITH MAJOR RELATED CONDITION WITH CC
|
Facility
|
IP
|
$37,409.83
|
|
|
Service Code
|
MSDRG 975
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,409.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,409.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,165.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,530.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,374.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,376.09
|
| Rate for Payer: EPIC Health Plan Senior |
$16,574.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,574.88
|
| Rate for Payer: InnovAge PACE Commercial |
$24,862.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,574.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,210.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,210.34
|
| Rate for Payer: Multiplan WC |
$30,374.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,574.88
|
| Rate for Payer: Preferred Health Network WC |
$30,994.37
|
| Rate for Payer: Prime Health Services Medicare |
$17,569.37
|
| Rate for Payer: Prime Health Services WC |
$30,064.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC
|
Facility
|
IP
|
$78,593.80
|
|
|
Service Code
|
MSDRG 974
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$78,593.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$78,593.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$50,768.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$68,342.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$63,813.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$44,839.87
|
| Rate for Payer: EPIC Health Plan Senior |
$33,214.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,214.72
|
| Rate for Payer: InnovAge PACE Commercial |
$49,822.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,214.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,507.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,507.72
|
| Rate for Payer: Multiplan WC |
$63,813.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$33,214.72
|
| Rate for Payer: Preferred Health Network WC |
$65,115.66
|
| Rate for Payer: Prime Health Services Medicare |
$35,207.60
|
| Rate for Payer: Prime Health Services WC |
$63,162.19
|
| 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: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
|
Facility
|
IP
|
$26,397.96
|
|
|
Service Code
|
MSDRG 976
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,397.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,397.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,052.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,954.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,433.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,382.24
|
| Rate for Payer: EPIC Health Plan Senior |
$12,134.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,134.99
|
| Rate for Payer: InnovAge PACE Commercial |
$18,202.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,134.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,260.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,260.89
|
| Rate for Payer: Multiplan WC |
$21,433.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,134.99
|
| Rate for Payer: Preferred Health Network WC |
$21,870.94
|
| Rate for Payer: Prime Health Services Medicare |
$12,863.09
|
| Rate for Payer: Prime Health Services WC |
$21,214.81
|
| 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: HIV WITH OR WITHOUT OTHER RELATED CONDITION
|
Facility
|
IP
|
$37,949.37
|
|
|
Service Code
|
MSDRG 977
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,949.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,949.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,513.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,999.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,812.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,670.40
|
| Rate for Payer: EPIC Health Plan Senior |
$16,792.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,792.89
|
| Rate for Payer: InnovAge PACE Commercial |
$25,189.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,792.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,502.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,502.47
|
| Rate for Payer: Multiplan WC |
$30,812.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,792.89
|
| Rate for Payer: Preferred Health Network WC |
$31,441.39
|
| Rate for Payer: Prime Health Services Medicare |
$17,800.46
|
| Rate for Payer: Prime Health Services WC |
$30,498.15
|
| 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: HYPERTENSION WITH MCC
|
Facility
|
IP
|
$30,919.56
|
|
|
Service Code
|
MSDRG 304
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,919.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,919.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,972.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,886.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,104.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,838.31
|
| Rate for Payer: EPIC Health Plan Senior |
$13,954.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,954.30
|
| Rate for Payer: InnovAge PACE Commercial |
$20,931.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,954.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,698.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,698.76
|
| Rate for Payer: Multiplan WC |
$25,104.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,954.30
|
| Rate for Payer: Preferred Health Network WC |
$25,617.13
|
| Rate for Payer: Prime Health Services Medicare |
$14,791.56
|
| Rate for Payer: Prime Health Services WC |
$24,848.62
|
| 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: HYPERTENSION WITHOUT MCC
|
Facility
|
IP
|
$19,757.67
|
|
|
Service Code
|
MSDRG 305
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,757.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,757.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,762.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,180.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,042.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,775.35
|
| Rate for Payer: EPIC Health Plan Senior |
$9,463.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,463.22
|
| Rate for Payer: InnovAge PACE Commercial |
$14,194.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,463.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,680.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,680.71
|
| Rate for Payer: Multiplan WC |
$16,042.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,463.22
|
| Rate for Payer: Preferred Health Network WC |
$16,369.41
|
| Rate for Payer: Prime Health Services Medicare |
$10,031.01
|
| Rate for Payer: Prime Health Services WC |
$15,878.33
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITH CC
|
Facility
|
IP
|
$26,263.73
|
|
|
Service Code
|
MSDRG 078
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,263.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,263.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,965.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,837.94
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,324.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,309.34
|
| Rate for Payer: EPIC Health Plan Senior |
$12,080.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,080.99
|
| Rate for Payer: InnovAge PACE Commercial |
$18,121.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,080.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,188.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,188.53
|
| Rate for Payer: Multiplan WC |
$21,324.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,080.99
|
| Rate for Payer: Preferred Health Network WC |
$21,759.73
|
| Rate for Payer: Prime Health Services Medicare |
$12,805.85
|
| Rate for Payer: Prime Health Services WC |
$21,106.94
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITH MCC
|
Facility
|
IP
|
$40,697.07
|
|
|
Service Code
|
MSDRG 077
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,697.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,697.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,288.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,388.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,043.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,169.12
|
| Rate for Payer: EPIC Health Plan Senior |
$17,903.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,903.05
|
| Rate for Payer: InnovAge PACE Commercial |
$26,854.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,903.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,990.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,990.09
|
| Rate for Payer: Multiplan WC |
$33,043.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,903.05
|
| Rate for Payer: Preferred Health Network WC |
$33,717.88
|
| Rate for Payer: Prime Health Services Medicare |
$18,977.23
|
| Rate for Payer: Prime Health Services WC |
$32,706.34
|
| 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: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
|
Facility
|
IP
|
$17,546.88
|
|
|
Service Code
|
MSDRG 079
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,546.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,546.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,334.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,258.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,246.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,574.45
|
| Rate for Payer: EPIC Health Plan Senior |
$8,573.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,573.67
|
| Rate for Payer: InnovAge PACE Commercial |
$12,860.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,573.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,488.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,488.72
|
| Rate for Payer: Multiplan WC |
$14,246.99
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,573.67
|
| Rate for Payer: Preferred Health Network WC |
$14,537.74
|
| Rate for Payer: Prime Health Services Medicare |
$9,088.09
|
| Rate for Payer: Prime Health Services WC |
$14,101.61
|
| 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: INBORN AND OTHER DISORDERS OF METABOLISM
|
Facility
|
IP
|
$32,664.51
|
|
|
Service Code
|
MSDRG 642
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$32,664.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,664.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,099.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,403.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,521.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,787.79
|
| Rate for Payer: EPIC Health Plan Senior |
$14,657.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,657.62
|
| Rate for Payer: InnovAge PACE Commercial |
$21,986.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,657.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,641.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,641.21
|
| Rate for Payer: Multiplan WC |
$26,521.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,657.62
|
| Rate for Payer: Preferred Health Network WC |
$27,062.84
|
| Rate for Payer: Prime Health Services Medicare |
$15,537.08
|
| Rate for Payer: Prime Health Services WC |
$26,250.95
|
| 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: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
|
Facility
|
IP
|
$26,826.96
|
|
|
Service Code
|
MSDRG 758
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,826.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,826.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,329.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,327.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,781.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,615.27
|
| Rate for Payer: EPIC Health Plan Senior |
$12,307.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,307.61
|
| Rate for Payer: InnovAge PACE Commercial |
$18,461.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,307.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,492.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,492.20
|
| Rate for Payer: Multiplan WC |
$21,781.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,307.61
|
| Rate for Payer: Preferred Health Network WC |
$22,226.37
|
| Rate for Payer: Prime Health Services Medicare |
$13,046.07
|
| Rate for Payer: Prime Health Services WC |
$21,559.58
|
| 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: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
|
Facility
|
IP
|
$37,249.28
|
|
|
Service Code
|
MSDRG 757
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,249.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,249.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,061.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,390.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,244.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,288.54
|
| Rate for Payer: EPIC Health Plan Senior |
$16,510.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,510.03
|
| Rate for Payer: InnovAge PACE Commercial |
$24,765.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,510.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,123.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,123.44
|
| Rate for Payer: Multiplan WC |
$30,244.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,510.03
|
| Rate for Payer: Preferred Health Network WC |
$30,861.36
|
| Rate for Payer: Prime Health Services Medicare |
$17,500.63
|
| Rate for Payer: Prime Health Services WC |
$29,935.52
|
| 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
|
|
