|
MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
|
Facility
|
IP
|
$36,972.93
|
|
|
Service Code
|
MSDRG 063
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,972.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,972.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,883.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,150.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,019.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,137.80
|
| Rate for Payer: EPIC Health Plan Senior |
$16,398.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,398.37
|
| Rate for Payer: InnovAge PACE Commercial |
$24,597.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,398.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,973.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,973.82
|
| Rate for Payer: Multiplan WC |
$30,019.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,398.37
|
| Rate for Payer: Preferred Health Network WC |
$30,632.40
|
| Rate for Payer: Prime Health Services Medicare |
$17,382.27
|
| Rate for Payer: Prime Health Services WC |
$29,713.43
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
|
Facility
|
IP
|
$48,113.76
|
|
|
Service Code
|
MSDRG 657
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$48,113.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,113.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,079.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,837.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,065.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,214.55
|
| Rate for Payer: EPIC Health Plan Senior |
$20,899.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,899.67
|
| Rate for Payer: InnovAge PACE Commercial |
$31,349.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,899.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,005.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,005.56
|
| Rate for Payer: Multiplan WC |
$39,065.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,899.67
|
| Rate for Payer: Preferred Health Network WC |
$39,862.68
|
| Rate for Payer: Prime Health Services Medicare |
$22,153.65
|
| Rate for Payer: Prime Health Services WC |
$38,666.80
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
|
Facility
|
IP
|
$85,747.30
|
|
|
Service Code
|
MSDRG 656
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$85,747.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$85,747.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$55,389.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$74,562.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$69,621.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,741.74
|
| Rate for Payer: EPIC Health Plan Senior |
$36,104.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,104.99
|
| Rate for Payer: InnovAge PACE Commercial |
$54,157.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,104.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$48,380.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$48,380.69
|
| Rate for Payer: Multiplan WC |
$69,621.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$36,104.99
|
| Rate for Payer: Preferred Health Network WC |
$71,042.40
|
| Rate for Payer: Prime Health Services Medicare |
$38,271.29
|
| Rate for Payer: Prime Health Services WC |
$68,911.13
|
| 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: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$39,583.78
|
|
|
Service Code
|
MSDRG 658
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,583.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,583.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,569.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,420.54
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,139.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,561.89
|
| Rate for Payer: EPIC Health Plan Senior |
$17,453.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,453.25
|
| Rate for Payer: InnovAge PACE Commercial |
$26,179.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,453.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,387.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,387.35
|
| Rate for Payer: Multiplan WC |
$32,139.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,453.25
|
| Rate for Payer: Preferred Health Network WC |
$32,795.51
|
| Rate for Payer: Prime Health Services Medicare |
$18,500.44
|
| Rate for Payer: Prime Health Services WC |
$31,811.64
|
| 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: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
|
Facility
|
IP
|
$35,267.46
|
|
|
Service Code
|
MSDRG 660
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,267.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,267.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,781.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,667.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,635.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,207.56
|
| Rate for Payer: EPIC Health Plan Senior |
$15,709.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,709.30
|
| Rate for Payer: InnovAge PACE Commercial |
$23,563.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,709.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,050.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,050.46
|
| Rate for Payer: Multiplan WC |
$28,635.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,709.30
|
| Rate for Payer: Preferred Health Network WC |
$29,219.40
|
| Rate for Payer: Prime Health Services Medicare |
$16,651.86
|
| Rate for Payer: Prime Health Services WC |
$28,342.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
|
Facility
|
IP
|
$68,016.19
|
|
|
Service Code
|
MSDRG 659
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$68,016.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,016.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,935.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,144.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$55,224.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,070.32
|
| Rate for Payer: EPIC Health Plan Senior |
$28,940.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,940.98
|
| Rate for Payer: InnovAge PACE Commercial |
$43,411.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,940.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,780.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,780.91
|
| Rate for Payer: Multiplan WC |
$55,224.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,940.98
|
| Rate for Payer: Preferred Health Network WC |
$56,352.02
|
| Rate for Payer: Prime Health Services Medicare |
$30,677.44
|
| Rate for Payer: Prime Health Services WC |
$54,661.46
|
| 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: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
|
Facility
|
IP
|
$27,019.09
|
|
|
Service Code
|
MSDRG 661
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$27,019.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,019.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,453.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,494.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,937.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,719.63
|
| Rate for Payer: EPIC Health Plan Senior |
$12,384.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,384.91
|
| Rate for Payer: InnovAge PACE Commercial |
$18,577.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,384.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,595.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,595.78
|
| Rate for Payer: Multiplan WC |
$21,937.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,384.91
|
| Rate for Payer: Preferred Health Network WC |
$22,385.55
|
| Rate for Payer: Prime Health Services Medicare |
$13,128.00
|
| Rate for Payer: Prime Health Services WC |
$21,713.98
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
|
Facility
|
IP
|
$30,801.13
|
|
|
Service Code
|
MSDRG 689
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$30,801.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,801.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,896.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,783.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,008.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,773.98
|
| Rate for Payer: EPIC Health Plan Senior |
$13,906.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,906.65
|
| Rate for Payer: InnovAge PACE Commercial |
$20,859.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,906.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,634.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,634.91
|
| Rate for Payer: Multiplan WC |
$25,008.62
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,906.65
|
| Rate for Payer: Preferred Health Network WC |
$25,519.00
|
| Rate for Payer: Prime Health Services Medicare |
$14,741.05
|
| Rate for Payer: Prime Health Services WC |
$24,753.43
|
| 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: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
|
Facility
|
IP
|
$21,123.63
|
|
|
Service Code
|
MSDRG 690
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,123.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,123.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,645.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,368.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,151.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,517.29
|
| Rate for Payer: EPIC Health Plan Senior |
$10,012.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,012.81
|
| Rate for Payer: InnovAge PACE Commercial |
$15,019.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,012.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,417.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,417.17
|
| Rate for Payer: Multiplan WC |
$17,151.09
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,012.81
|
| Rate for Payer: Preferred Health Network WC |
$17,501.11
|
| Rate for Payer: Prime Health Services Medicare |
$10,613.58
|
| Rate for Payer: Prime Health Services WC |
$16,976.08
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
|
Facility
|
IP
|
$27,706.01
|
|
|
Service Code
|
MSDRG 687
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,706.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,706.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,896.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,092.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,495.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,092.76
|
| Rate for Payer: EPIC Health Plan Senior |
$12,661.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,661.30
|
| Rate for Payer: InnovAge PACE Commercial |
$18,991.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,661.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,966.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,966.14
|
| Rate for Payer: Multiplan WC |
$22,495.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,661.30
|
| Rate for Payer: Preferred Health Network WC |
$22,954.68
|
| Rate for Payer: Prime Health Services Medicare |
$13,420.98
|
| Rate for Payer: Prime Health Services WC |
$22,266.04
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
|
Facility
|
IP
|
$49,629.74
|
|
|
Service Code
|
MSDRG 686
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,629.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,629.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,058.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,156.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,296.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,041.44
|
| Rate for Payer: EPIC Health Plan Senior |
$21,512.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,512.18
|
| Rate for Payer: InnovAge PACE Commercial |
$32,268.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,512.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,826.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,826.32
|
| Rate for Payer: Multiplan WC |
$40,296.31
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,512.18
|
| Rate for Payer: Preferred Health Network WC |
$41,118.68
|
| Rate for Payer: Prime Health Services Medicare |
$22,802.91
|
| Rate for Payer: Prime Health Services WC |
$39,885.12
|
| 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: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$19,060.22
|
|
|
Service Code
|
MSDRG 688
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,060.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,060.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,312.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,574.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,475.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,396.48
|
| Rate for Payer: EPIC Health Plan Senior |
$9,182.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,182.58
|
| Rate for Payer: InnovAge PACE Commercial |
$13,773.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,182.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,304.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,304.66
|
| Rate for Payer: Multiplan WC |
$15,475.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,182.58
|
| Rate for Payer: Preferred Health Network WC |
$15,791.56
|
| Rate for Payer: Prime Health Services Medicare |
$9,733.53
|
| Rate for Payer: Prime Health Services WC |
$15,317.81
|
| 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: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$29,682.57
|
|
|
Service Code
|
MSDRG 695
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,682.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,682.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,173.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,810.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,100.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,166.40
|
| Rate for Payer: EPIC Health Plan Senior |
$13,456.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,456.59
|
| Rate for Payer: InnovAge PACE Commercial |
$20,184.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,456.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,031.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,031.83
|
| Rate for Payer: Multiplan WC |
$24,100.42
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,456.59
|
| Rate for Payer: Preferred Health Network WC |
$24,592.27
|
| Rate for Payer: Prime Health Services Medicare |
$14,263.99
|
| Rate for Payer: Prime Health Services WC |
$23,854.50
|
| 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: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$18,207.48
|
|
|
Service Code
|
MSDRG 696
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,207.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,207.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,761.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,832.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,783.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,933.30
|
| Rate for Payer: EPIC Health Plan Senior |
$8,839.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,839.48
|
| Rate for Payer: InnovAge PACE Commercial |
$13,259.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,839.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,844.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,844.90
|
| Rate for Payer: Multiplan WC |
$14,783.36
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,839.48
|
| Rate for Payer: Preferred Health Network WC |
$15,085.06
|
| Rate for Payer: Prime Health Services Medicare |
$9,369.85
|
| Rate for Payer: Prime Health Services WC |
$14,632.51
|
| 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: KIDNEY TRANSPLANT
|
Facility
|
IP
|
$322,497.00
|
|
|
Service Code
|
MSDRG 652
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$322,497.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$80,836.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$52,216.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$70,292.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,634.02
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Caremore Medicare Advantage |
$34,120.73
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$80,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,062.99
|
| Rate for Payer: EPIC Health Plan Senior |
$34,120.73
|
| Rate for Payer: EPIC Health Plan Transplant |
$322,497.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,120.73
|
| Rate for Payer: InnovAge PACE Commercial |
$51,181.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,120.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,721.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,721.78
|
| Rate for Payer: Multiplan WC |
$65,634.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,120.73
|
| Rate for Payer: Preferred Health Network WC |
$66,973.49
|
| Rate for Payer: Prime Health Services Medicare |
$36,167.97
|
| Rate for Payer: Prime Health Services WC |
$64,964.29
|
| 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: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
|
Facility
|
IP
|
$122,356.00
|
|
|
Service Code
|
MSDRG 650
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$122,356.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$121,259.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$78,328.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$105,442.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$98,455.30
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Caremore Medicare Advantage |
$50,453.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$80,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$68,111.86
|
| Rate for Payer: EPIC Health Plan Senior |
$50,453.23
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$50,453.23
|
| Rate for Payer: InnovAge PACE Commercial |
$75,679.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$50,453.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$67,607.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$67,607.33
|
| Rate for Payer: Multiplan WC |
$98,455.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$50,453.23
|
| Rate for Payer: Preferred Health Network WC |
$100,464.59
|
| Rate for Payer: Prime Health Services Medicare |
$53,480.42
|
| Rate for Payer: Prime Health Services WC |
$97,450.65
|
| 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: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
|
Facility
|
IP
|
$122,356.00
|
|
|
Service Code
|
MSDRG 651
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$122,356.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$120,250.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$91,392.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,035.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$79,471.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$74,205.29
|
| Rate for Payer: Blue Distinction Transplant |
$115,724.00
|
| Rate for Payer: Caremore Medicare Advantage |
$38,385.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$80,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,821.03
|
| Rate for Payer: EPIC Health Plan Senior |
$38,385.95
|
| Rate for Payer: Heritage Provider Network Transplant |
$63,280.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,385.95
|
| Rate for Payer: InnovAge PACE Commercial |
$57,578.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,385.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,437.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,437.17
|
| Rate for Payer: Multiplan WC |
$74,205.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$122,356.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,385.95
|
| Rate for Payer: Preferred Health Network WC |
$75,719.68
|
| Rate for Payer: Prime Health Services Medicare |
$40,689.11
|
| Rate for Payer: Prime Health Services WC |
$73,448.09
|
| 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: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
|
Facility
|
IP
|
$51,727.36
|
|
|
Service Code
|
MSDRG 488
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$51,727.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,727.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,413.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,980.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,999.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,185.58
|
| Rate for Payer: EPIC Health Plan Senior |
$22,359.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,359.69
|
| Rate for Payer: InnovAge PACE Commercial |
$33,539.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,359.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,961.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,961.98
|
| Rate for Payer: Multiplan WC |
$41,999.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,359.69
|
| Rate for Payer: Preferred Health Network WC |
$42,856.58
|
| Rate for Payer: Prime Health Services Medicare |
$23,701.27
|
| Rate for Payer: Prime Health Services WC |
$41,570.88
|
| 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: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$32,593.45
|
|
|
Service Code
|
MSDRG 489
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$32,593.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,593.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,054.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,342.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,463.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,749.01
|
| Rate for Payer: EPIC Health Plan Senior |
$14,628.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,628.90
|
| Rate for Payer: InnovAge PACE Commercial |
$21,943.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,628.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,602.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,602.73
|
| Rate for Payer: Multiplan WC |
$26,463.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,628.90
|
| Rate for Payer: Preferred Health Network WC |
$27,003.96
|
| Rate for Payer: Prime Health Services Medicare |
$15,506.63
|
| Rate for Payer: Prime Health Services WC |
$26,193.84
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
|
Facility
|
IP
|
$55,819.97
|
|
|
Service Code
|
MSDRG 486
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,819.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,819.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,057.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,538.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,322.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,417.90
|
| Rate for Payer: EPIC Health Plan Senior |
$24,013.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,013.26
|
| Rate for Payer: InnovAge PACE Commercial |
$36,019.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,013.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,177.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,177.77
|
| Rate for Payer: Multiplan WC |
$45,322.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,013.26
|
| Rate for Payer: Preferred Health Network WC |
$46,247.34
|
| Rate for Payer: Prime Health Services Medicare |
$25,454.06
|
| Rate for Payer: Prime Health Services WC |
$44,859.92
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
|
Facility
|
IP
|
$84,728.76
|
|
|
Service Code
|
MSDRG 485
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$84,728.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$84,728.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,731.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$73,676.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$68,794.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,186.18
|
| Rate for Payer: EPIC Health Plan Senior |
$35,693.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,693.47
|
| Rate for Payer: InnovAge PACE Commercial |
$53,540.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,693.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,829.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,829.25
|
| Rate for Payer: Multiplan WC |
$68,794.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,693.47
|
| Rate for Payer: Preferred Health Network WC |
$70,198.52
|
| Rate for Payer: Prime Health Services Medicare |
$37,835.08
|
| Rate for Payer: Prime Health Services WC |
$68,092.56
|
| 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: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$41,589.28
|
|
|
Service Code
|
MSDRG 487
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$41,589.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,589.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,864.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,164.46
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,767.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,655.78
|
| Rate for Payer: EPIC Health Plan Senior |
$18,263.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,263.54
|
| Rate for Payer: InnovAge PACE Commercial |
$27,395.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,263.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,473.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,473.14
|
| Rate for Payer: Multiplan WC |
$33,767.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,263.54
|
| Rate for Payer: Preferred Health Network WC |
$34,457.09
|
| Rate for Payer: Prime Health Services Medicare |
$19,359.35
|
| Rate for Payer: Prime Health Services WC |
$33,423.38
|
| 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: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
|
Facility
|
IP
|
$43,647.43
|
|
|
Service Code
|
MSDRG 418
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,647.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,647.43
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,194.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,954.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,439.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,778.40
|
| Rate for Payer: EPIC Health Plan Senior |
$19,095.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,095.11
|
| Rate for Payer: InnovAge PACE Commercial |
$28,642.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,095.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,587.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,587.45
|
| Rate for Payer: Multiplan WC |
$35,439.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,095.11
|
| Rate for Payer: Preferred Health Network WC |
$36,162.28
|
| Rate for Payer: Prime Health Services Medicare |
$20,240.82
|
| Rate for Payer: Prime Health Services WC |
$35,077.41
|
| 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: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
|
Facility
|
IP
|
$62,547.10
|
|
|
Service Code
|
MSDRG 417
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$62,547.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62,547.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,402.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,388.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$50,784.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,087.21
|
| Rate for Payer: EPIC Health Plan Senior |
$26,731.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,731.27
|
| Rate for Payer: InnovAge PACE Commercial |
$40,096.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,731.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,819.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,819.90
|
| Rate for Payer: Multiplan WC |
$50,784.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,731.27
|
| Rate for Payer: Preferred Health Network WC |
$51,820.83
|
| Rate for Payer: Prime Health Services Medicare |
$28,335.15
|
| Rate for Payer: Prime Health Services WC |
$50,266.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
|
Facility
|
IP
|
$34,677.91
|
|
|
Service Code
|
MSDRG 419
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$34,677.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,677.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,400.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,154.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,156.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,885.99
|
| Rate for Payer: EPIC Health Plan Senior |
$15,471.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,471.10
|
| Rate for Payer: InnovAge PACE Commercial |
$23,206.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,471.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,731.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,731.27
|
| Rate for Payer: Multiplan WC |
$28,156.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,471.10
|
| Rate for Payer: Preferred Health Network WC |
$28,730.96
|
| Rate for Payer: Prime Health Services Medicare |
$16,399.37
|
| Rate for Payer: Prime Health Services WC |
$27,869.03
|
| 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
|
|
