|
MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$100,601.75
|
|
|
Service Code
|
MSDRG 956
|
| Min. Negotiated Rate |
$25,608.00 |
| Max. Negotiated Rate |
$100,601.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$100,601.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,984.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$87,479.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$81,682.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$56,844.09
|
| Rate for Payer: EPIC Health Plan Senior |
$42,106.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$42,106.73
|
| Rate for Payer: InnovAge PACE Commercial |
$63,160.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,106.73
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$56,423.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56,423.02
|
| Rate for Payer: Multiplan WC |
$81,682.44
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$42,106.73
|
| Rate for Payer: Preferred Health Network WC |
$83,349.43
|
| Rate for Payer: Prime Health Services Medicare |
$44,633.13
|
| Rate for Payer: Prime Health Services WC |
$80,848.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$91,491.00
|
| Rate for Payer: United Healthcare All Other HMO |
$59,139.00
|
| Rate for Payer: United Healthcare HMO Rider |
$44,920.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$41,155.00
|
|
|
MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
|
Facility
|
IP
|
$280,281.56
|
|
|
Service Code
|
MSDRG 005
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$280,281.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$243,955.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$280,281.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$181,050.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$243,722.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$227,571.43
|
| Rate for Payer: Blue Distinction Transplant |
$211,721.00
|
| Rate for Payer: Blue Shield of California Transplant |
$160,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$114,710.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$186,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$154,859.28
|
| Rate for Payer: EPIC Health Plan Senior |
$114,710.58
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$135,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$129,950.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$114,710.58
|
| Rate for Payer: InnovAge PACE Commercial |
$172,065.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$114,710.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$153,712.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$153,712.18
|
| Rate for Payer: Multiplan WC |
$227,571.43
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$226,196.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$114,710.58
|
| Rate for Payer: Preferred Health Network WC |
$232,215.75
|
| Rate for Payer: Prime Health Services Medicare |
$121,593.21
|
| Rate for Payer: Prime Health Services WC |
$225,249.28
|
| 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: LIVER TRANSPLANT WITHOUT MCC
|
Facility
|
IP
|
$243,955.00
|
|
|
Service Code
|
MSDRG 006
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$243,955.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$127,626.09
|
| Rate for Payer: Aetna of CA HMO/PPO |
$243,955.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$82,441.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$110,978.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$103,624.56
|
| Rate for Payer: Blue Distinction Transplant |
$211,721.00
|
| Rate for Payer: Blue Shield of California Transplant |
$160,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$53,025.55
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$186,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$71,584.49
|
| Rate for Payer: EPIC Health Plan Senior |
$53,025.55
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$135,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$129,950.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$53,025.55
|
| Rate for Payer: InnovAge PACE Commercial |
$79,538.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$53,025.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$71,054.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$71,054.24
|
| Rate for Payer: Multiplan WC |
$103,624.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$226,196.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$53,025.55
|
| Rate for Payer: Preferred Health Network WC |
$105,739.35
|
| Rate for Payer: Prime Health Services Medicare |
$56,207.08
|
| Rate for Payer: Prime Health Services WC |
$102,567.17
|
| 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: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
|
Facility
|
IP
|
$51,927.39
|
|
|
Service Code
|
MSDRG 496
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$51,927.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,927.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,542.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,154.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,161.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,294.70
|
| Rate for Payer: EPIC Health Plan Senior |
$22,440.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,440.52
|
| Rate for Payer: InnovAge PACE Commercial |
$33,660.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,440.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,070.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,070.30
|
| Rate for Payer: Multiplan WC |
$42,161.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,440.52
|
| Rate for Payer: Preferred Health Network WC |
$43,022.30
|
| Rate for Payer: Prime Health Services Medicare |
$23,786.95
|
| Rate for Payer: Prime Health Services WC |
$41,731.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
|
Facility
|
IP
|
$92,658.67
|
|
|
Service Code
|
MSDRG 495
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$92,658.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$92,658.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,853.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80,572.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$75,233.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,511.54
|
| Rate for Payer: EPIC Health Plan Senior |
$38,897.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,897.44
|
| Rate for Payer: InnovAge PACE Commercial |
$58,346.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,897.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,122.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,122.57
|
| Rate for Payer: Multiplan WC |
$75,233.16
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,897.44
|
| Rate for Payer: Preferred Health Network WC |
$76,768.53
|
| Rate for Payer: Prime Health Services Medicare |
$41,231.29
|
| Rate for Payer: Prime Health Services WC |
$74,465.47
|
| 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: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$35,335.89
|
|
|
Service Code
|
MSDRG 497
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,335.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,335.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,825.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,726.74
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,690.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,244.88
|
| Rate for Payer: EPIC Health Plan Senior |
$15,736.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,736.95
|
| Rate for Payer: InnovAge PACE Commercial |
$23,605.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,736.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,087.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,087.51
|
| Rate for Payer: Multiplan WC |
$28,690.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,736.95
|
| Rate for Payer: Preferred Health Network WC |
$29,276.10
|
| Rate for Payer: Prime Health Services Medicare |
$16,681.17
|
| Rate for Payer: Prime Health Services WC |
$28,397.82
|
| 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: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
|
Facility
|
IP
|
$66,452.84
|
|
|
Service Code
|
MSDRG 498
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$66,452.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,452.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,925.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$57,784.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,955.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,217.60
|
| Rate for Payer: EPIC Health Plan Senior |
$28,309.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,309.33
|
| Rate for Payer: InnovAge PACE Commercial |
$42,464.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,309.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,934.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,934.50
|
| Rate for Payer: Multiplan WC |
$53,955.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,309.33
|
| Rate for Payer: Preferred Health Network WC |
$55,056.77
|
| Rate for Payer: Prime Health Services Medicare |
$30,007.89
|
| Rate for Payer: Prime Health Services WC |
$53,405.07
|
| 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: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$30,551.10
|
|
|
Service Code
|
MSDRG 499
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$30,551.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,551.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,734.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,566.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,805.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,638.18
|
| Rate for Payer: EPIC Health Plan Senior |
$13,806.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,806.06
|
| Rate for Payer: InnovAge PACE Commercial |
$20,709.09
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,806.06
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,500.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,500.12
|
| Rate for Payer: Multiplan WC |
$24,805.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,806.06
|
| Rate for Payer: Preferred Health Network WC |
$25,311.85
|
| Rate for Payer: Prime Health Services Medicare |
$14,634.42
|
| Rate for Payer: Prime Health Services WC |
$24,552.49
|
| 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: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
|
Facility
|
IP
|
$63,191.92
|
|
|
Service Code
|
MSDRG 493
|
| Min. Negotiated Rate |
$17,710.00 |
| Max. Negotiated Rate |
$63,191.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,191.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$40,819.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$54,949.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,307.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,438.92
|
| Rate for Payer: EPIC Health Plan Senior |
$26,991.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,991.79
|
| Rate for Payer: InnovAge PACE Commercial |
$40,487.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,991.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,169.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,169.00
|
| Rate for Payer: Multiplan WC |
$51,307.96
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,991.79
|
| Rate for Payer: Preferred Health Network WC |
$52,355.06
|
| Rate for Payer: Prime Health Services Medicare |
$28,611.30
|
| Rate for Payer: Prime Health Services WC |
$50,784.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$36,150.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,455.00
|
| Rate for Payer: United Healthcare HMO Rider |
$19,332.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17,710.00
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
|
Facility
|
IP
|
$93,464.03
|
|
|
Service Code
|
MSDRG 492
|
| Min. Negotiated Rate |
$21,433.00 |
| Max. Negotiated Rate |
$93,464.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$93,464.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,373.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$81,272.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$75,887.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,950.82
|
| Rate for Payer: EPIC Health Plan Senior |
$39,222.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,222.83
|
| Rate for Payer: InnovAge PACE Commercial |
$58,834.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,222.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,558.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,558.59
|
| Rate for Payer: Multiplan WC |
$75,887.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,222.83
|
| Rate for Payer: Preferred Health Network WC |
$77,435.78
|
| Rate for Payer: Prime Health Services Medicare |
$41,576.20
|
| Rate for Payer: Prime Health Services WC |
$75,112.71
|
| Rate for Payer: United Healthcare All Other Commercial |
$37,370.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,031.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28,889.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26,467.00
|
|
|
MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
|
Facility
|
IP
|
$49,621.84
|
|
|
Service Code
|
MSDRG 494
|
| Min. Negotiated Rate |
$15,056.00 |
| Max. Negotiated Rate |
$49,621.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,621.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,053.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,149.26
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,289.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,037.12
|
| Rate for Payer: EPIC Health Plan Senior |
$21,508.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,508.98
|
| Rate for Payer: InnovAge PACE Commercial |
$32,263.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,508.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,822.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,822.03
|
| Rate for Payer: Multiplan WC |
$40,289.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,508.98
|
| Rate for Payer: Preferred Health Network WC |
$41,112.13
|
| Rate for Payer: Prime Health Services Medicare |
$22,799.52
|
| Rate for Payer: Prime Health Services WC |
$39,878.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,464.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,638.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,434.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,056.00
|
|
|
MS-DRG 42.00: LUNG TRANSPLANT
|
Facility
|
IP
|
$343,957.75
|
|
|
Service Code
|
MSDRG 007
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$343,957.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$343,957.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$222,182.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$299,092.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$279,272.59
|
| Rate for Payer: Caremore Medicare Advantage |
$140,448.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$189,604.83
|
| Rate for Payer: EPIC Health Plan Senior |
$140,448.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$140,448.02
|
| Rate for Payer: InnovAge PACE Commercial |
$210,672.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$140,448.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$188,200.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$188,200.35
|
| Rate for Payer: Multiplan WC |
$279,272.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$140,448.02
|
| Rate for Payer: Preferred Health Network WC |
$284,972.03
|
| Rate for Payer: Prime Health Services Medicare |
$148,874.90
|
| Rate for Payer: Prime Health Services WC |
$276,422.87
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$58,754.54
|
|
|
Service Code
|
MSDRG 821
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$58,754.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,754.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,953.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,090.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,705.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,018.56
|
| Rate for Payer: EPIC Health Plan Senior |
$25,198.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,198.93
|
| Rate for Payer: InnovAge PACE Commercial |
$37,798.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,198.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,766.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,766.57
|
| Rate for Payer: Multiplan WC |
$47,705.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,198.93
|
| Rate for Payer: Preferred Health Network WC |
$48,678.65
|
| Rate for Payer: Prime Health Services Medicare |
$26,710.87
|
| Rate for Payer: Prime Health Services WC |
$47,218.29
|
| 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: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$153,237.11
|
|
|
Service Code
|
MSDRG 820
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$153,237.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$153,237.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$98,984.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$133,249.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$124,419.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$85,554.00
|
| Rate for Payer: EPIC Health Plan Senior |
$63,373.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$63,373.33
|
| Rate for Payer: InnovAge PACE Commercial |
$95,059.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$63,373.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$84,920.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$84,920.26
|
| Rate for Payer: Multiplan WC |
$124,419.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$63,373.33
|
| Rate for Payer: Preferred Health Network WC |
$126,958.30
|
| Rate for Payer: Prime Health Services Medicare |
$67,175.73
|
| Rate for Payer: Prime Health Services WC |
$123,149.55
|
| 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: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$30,101.04
|
|
|
Service Code
|
MSDRG 822
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$30,101.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,101.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,444.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,174.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,440.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,393.70
|
| Rate for Payer: EPIC Health Plan Senior |
$13,624.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,624.96
|
| Rate for Payer: InnovAge PACE Commercial |
$20,437.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,624.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,257.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,257.45
|
| Rate for Payer: Multiplan WC |
$24,440.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,624.96
|
| Rate for Payer: Preferred Health Network WC |
$24,938.98
|
| Rate for Payer: Prime Health Services Medicare |
$14,442.46
|
| Rate for Payer: Prime Health Services WC |
$24,190.81
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
|
IP
|
$41,268.19
|
|
|
Service Code
|
MSDRG 841
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$41,268.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,268.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,657.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,885.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,507.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,480.64
|
| Rate for Payer: EPIC Health Plan Senior |
$18,133.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,133.81
|
| Rate for Payer: InnovAge PACE Commercial |
$27,200.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,133.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,299.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,299.31
|
| Rate for Payer: Multiplan WC |
$33,507.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,133.81
|
| Rate for Payer: Preferred Health Network WC |
$34,191.06
|
| Rate for Payer: Prime Health Services Medicare |
$19,221.84
|
| Rate for Payer: Prime Health Services WC |
$33,165.33
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
|
IP
|
$83,931.29
|
|
|
Service Code
|
MSDRG 840
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$83,931.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,931.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,216.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,983.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$68,147.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,751.19
|
| Rate for Payer: EPIC Health Plan Senior |
$35,371.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,371.25
|
| Rate for Payer: InnovAge PACE Commercial |
$53,056.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,371.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,397.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,397.47
|
| Rate for Payer: Multiplan WC |
$68,147.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,371.25
|
| Rate for Payer: Preferred Health Network WC |
$69,537.82
|
| Rate for Payer: Prime Health Services Medicare |
$37,493.53
|
| Rate for Payer: Prime Health Services WC |
$67,451.69
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
|
IP
|
$57,886.01
|
|
|
Service Code
|
MSDRG 824
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$57,886.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,886.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,392.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,335.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,999.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,544.83
|
| Rate for Payer: EPIC Health Plan Senior |
$24,848.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,848.02
|
| Rate for Payer: InnovAge PACE Commercial |
$37,272.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,848.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,296.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,296.35
|
| Rate for Payer: Multiplan WC |
$46,999.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,848.02
|
| Rate for Payer: Preferred Health Network WC |
$47,959.07
|
| Rate for Payer: Prime Health Services Medicare |
$26,338.90
|
| Rate for Payer: Prime Health Services WC |
$46,520.30
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
|
IP
|
$123,159.76
|
|
|
Service Code
|
MSDRG 823
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$123,159.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$123,159.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79,556.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$107,095.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$99,998.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$69,148.34
|
| Rate for Payer: EPIC Health Plan Senior |
$51,220.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$51,220.99
|
| Rate for Payer: InnovAge PACE Commercial |
$76,831.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$51,220.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$68,636.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$68,636.13
|
| Rate for Payer: Multiplan WC |
$99,998.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$51,220.99
|
| Rate for Payer: Preferred Health Network WC |
$102,038.95
|
| Rate for Payer: Prime Health Services Medicare |
$54,294.25
|
| Rate for Payer: Prime Health Services WC |
$98,977.78
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$32,393.43
|
|
|
Service Code
|
MSDRG 825
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$32,393.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,393.43
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,924.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,168.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,301.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,639.92
|
| Rate for Payer: EPIC Health Plan Senior |
$14,548.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,548.09
|
| Rate for Payer: InnovAge PACE Commercial |
$21,822.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,548.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,494.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,494.44
|
| Rate for Payer: Multiplan WC |
$26,301.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,548.09
|
| Rate for Payer: Preferred Health Network WC |
$26,838.24
|
| Rate for Payer: Prime Health Services Medicare |
$15,420.98
|
| Rate for Payer: Prime Health Services WC |
$26,033.09
|
| 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: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
|
IP
|
$27,684.96
|
|
|
Service Code
|
MSDRG 842
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,684.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,684.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,883.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,073.78
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,478.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,081.32
|
| Rate for Payer: EPIC Health Plan Senior |
$12,652.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,652.83
|
| Rate for Payer: InnovAge PACE Commercial |
$18,979.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,652.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,954.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,954.79
|
| Rate for Payer: Multiplan WC |
$22,478.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,652.83
|
| Rate for Payer: Preferred Health Network WC |
$22,937.23
|
| Rate for Payer: Prime Health Services Medicare |
$13,412.00
|
| Rate for Payer: Prime Health Services WC |
$22,249.11
|
| 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: MAJOR BLADDER PROCEDURES WITH CC
|
Facility
|
IP
|
$74,274.85
|
|
|
Service Code
|
MSDRG 654
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$74,274.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$74,274.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,978.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,586.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,306.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,484.11
|
| Rate for Payer: EPIC Health Plan Senior |
$31,469.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,469.71
|
| Rate for Payer: InnovAge PACE Commercial |
$47,204.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,469.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,169.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,169.41
|
| Rate for Payer: Multiplan WC |
$60,306.62
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,469.71
|
| Rate for Payer: Preferred Health Network WC |
$61,537.37
|
| Rate for Payer: Prime Health Services Medicare |
$33,357.89
|
| Rate for Payer: Prime Health Services WC |
$59,691.25
|
| 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: MAJOR BLADDER PROCEDURES WITH MCC
|
Facility
|
IP
|
$146,717.90
|
|
|
Service Code
|
MSDRG 653
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$146,717.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$146,717.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$94,773.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$127,580.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$119,125.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$81,998.11
|
| Rate for Payer: EPIC Health Plan Senior |
$60,739.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$60,739.34
|
| Rate for Payer: InnovAge PACE Commercial |
$91,109.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60,739.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$81,390.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$81,390.72
|
| Rate for Payer: Multiplan WC |
$119,125.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$60,739.34
|
| Rate for Payer: Preferred Health Network WC |
$121,557.07
|
| Rate for Payer: Prime Health Services Medicare |
$64,383.70
|
| Rate for Payer: Prime Health Services WC |
$117,910.36
|
| 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: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$54,672.46
|
|
|
Service Code
|
MSDRG 655
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$54,672.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,672.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,316.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,541.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,390.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,792.00
|
| Rate for Payer: EPIC Health Plan Senior |
$23,549.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,549.63
|
| Rate for Payer: InnovAge PACE Commercial |
$35,324.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,549.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,556.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,556.50
|
| Rate for Payer: Multiplan WC |
$44,390.69
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,549.63
|
| Rate for Payer: Preferred Health Network WC |
$45,296.62
|
| Rate for Payer: Prime Health Services Medicare |
$24,962.61
|
| Rate for Payer: Prime Health Services WC |
$43,937.72
|
| 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: MAJOR CHEST PROCEDURES WITH CC
|
Facility
|
IP
|
$66,244.92
|
|
|
Service Code
|
MSDRG 164
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$66,244.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$66,244.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$42,791.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$57,604.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$53,786.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,104.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,225.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,225.32
|
| Rate for Payer: InnovAge PACE Commercial |
$42,337.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,225.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,821.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,821.93
|
| Rate for Payer: Multiplan WC |
$53,786.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,225.32
|
| Rate for Payer: Preferred Health Network WC |
$54,884.50
|
| Rate for Payer: Prime Health Services Medicare |
$29,918.84
|
| Rate for Payer: Prime Health Services WC |
$53,237.96
|
| 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
|
|
