|
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 |
$25,314.92
|
| Rate for Payer: EPIC Health Plan Senior |
$18,751.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,751.79
|
| Rate for Payer: InnovAge PACE Commercial |
$28,127.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,751.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,127.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,127.40
|
| Rate for Payer: Multiplan WC |
$28,156.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,751.79
|
| Rate for Payer: Preferred Health Network WC |
$28,730.96
|
| Rate for Payer: Prime Health Services Medicare |
$19,876.90
|
| 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
|
|
|
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 |
$71,422.76
|
| Rate for Payer: EPIC Health Plan Senior |
$52,905.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,905.75
|
| Rate for Payer: InnovAge PACE Commercial |
$79,358.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,905.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$70,893.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$70,893.71
|
| Rate for Payer: Multiplan WC |
$81,682.44
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$52,905.75
|
| Rate for Payer: Preferred Health Network WC |
$83,349.43
|
| Rate for Payer: Prime Health Services Medicare |
$56,080.10
|
| 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 |
$145,994.64
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$186,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$197,092.76
|
| Rate for Payer: EPIC Health Plan Senior |
$145,994.64
|
| 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 |
$145,994.64
|
| Rate for Payer: InnovAge PACE Commercial |
$218,991.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$145,994.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$195,632.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$195,632.82
|
| 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 |
$145,994.64
|
| Rate for Payer: Preferred Health Network WC |
$232,215.75
|
| Rate for Payer: Prime Health Services Medicare |
$154,754.32
|
| 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 |
$66,906.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$186,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$90,323.88
|
| Rate for Payer: EPIC Health Plan Senior |
$66,906.58
|
| 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 |
$66,906.58
|
| Rate for Payer: InnovAge PACE Commercial |
$100,359.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,906.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$89,654.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$89,654.82
|
| 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 |
$66,906.58
|
| Rate for Payer: Preferred Health Network WC |
$105,739.35
|
| Rate for Payer: Prime Health Services Medicare |
$70,920.97
|
| 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 |
$37,379.41
|
| Rate for Payer: EPIC Health Plan Senior |
$27,688.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,688.45
|
| Rate for Payer: InnovAge PACE Commercial |
$41,532.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,688.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,102.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,102.52
|
| Rate for Payer: Multiplan WC |
$42,161.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,688.45
|
| Rate for Payer: Preferred Health Network WC |
$43,022.30
|
| Rate for Payer: Prime Health Services Medicare |
$29,349.76
|
| 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 |
$65,867.30
|
| Rate for Payer: EPIC Health Plan Senior |
$48,790.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,790.59
|
| Rate for Payer: InnovAge PACE Commercial |
$73,185.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,790.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,379.39
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,379.39
|
| Rate for Payer: Multiplan WC |
$75,233.16
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$48,790.59
|
| Rate for Payer: Preferred Health Network WC |
$76,768.53
|
| Rate for Payer: Prime Health Services Medicare |
$51,718.03
|
| 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 |
$25,775.13
|
| Rate for Payer: EPIC Health Plan Senior |
$19,092.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,092.69
|
| Rate for Payer: InnovAge PACE Commercial |
$28,639.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,092.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,584.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,584.20
|
| Rate for Payer: Multiplan WC |
$28,690.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,092.69
|
| Rate for Payer: Preferred Health Network WC |
$29,276.10
|
| Rate for Payer: Prime Health Services Medicare |
$20,238.25
|
| 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 |
$47,538.64
|
| Rate for Payer: EPIC Health Plan Senior |
$35,213.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,213.81
|
| Rate for Payer: InnovAge PACE Commercial |
$52,820.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,213.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,186.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,186.51
|
| Rate for Payer: Multiplan WC |
$53,955.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,213.81
|
| Rate for Payer: Preferred Health Network WC |
$55,056.77
|
| Rate for Payer: Prime Health Services Medicare |
$37,326.64
|
| 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 |
$22,428.59
|
| Rate for Payer: EPIC Health Plan Senior |
$16,613.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,613.77
|
| Rate for Payer: InnovAge PACE Commercial |
$24,920.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,613.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,262.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,262.45
|
| Rate for Payer: Multiplan WC |
$24,805.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,613.77
|
| Rate for Payer: Preferred Health Network WC |
$25,311.85
|
| Rate for Payer: Prime Health Services Medicare |
$17,610.60
|
| 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 |
$45,257.93
|
| Rate for Payer: EPIC Health Plan Senior |
$33,524.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$33,524.39
|
| Rate for Payer: InnovAge PACE Commercial |
$50,286.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33,524.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,922.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,922.68
|
| Rate for Payer: Multiplan WC |
$51,307.96
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$33,524.39
|
| Rate for Payer: Preferred Health Network WC |
$52,355.06
|
| Rate for Payer: Prime Health Services Medicare |
$35,535.85
|
| 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 |
$66,430.54
|
| Rate for Payer: EPIC Health Plan Senior |
$49,207.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,207.81
|
| Rate for Payer: InnovAge PACE Commercial |
$73,811.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,207.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,938.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,938.47
|
| Rate for Payer: Multiplan WC |
$75,887.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,207.81
|
| Rate for Payer: Preferred Health Network WC |
$77,435.78
|
| Rate for Payer: Prime Health Services Medicare |
$52,160.28
|
| 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 |
$35,766.85
|
| Rate for Payer: EPIC Health Plan Senior |
$26,493.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,493.96
|
| Rate for Payer: InnovAge PACE Commercial |
$39,740.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,493.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,501.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,501.91
|
| Rate for Payer: Multiplan WC |
$40,289.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,493.96
|
| Rate for Payer: Preferred Health Network WC |
$41,112.13
|
| Rate for Payer: Prime Health Services Medicare |
$28,083.60
|
| 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 |
$178,984.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$241,628.58
|
| Rate for Payer: EPIC Health Plan Senior |
$178,984.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$178,984.13
|
| Rate for Payer: InnovAge PACE Commercial |
$268,476.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$178,984.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$239,838.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$239,838.73
|
| Rate for Payer: Multiplan WC |
$279,272.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$178,984.13
|
| Rate for Payer: Preferred Health Network WC |
$284,972.03
|
| Rate for Payer: Prime Health Services Medicare |
$189,723.18
|
| 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 |
$42,154.37
|
| Rate for Payer: EPIC Health Plan Senior |
$31,225.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,225.46
|
| Rate for Payer: InnovAge PACE Commercial |
$46,838.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,225.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,842.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,842.12
|
| Rate for Payer: Multiplan WC |
$47,705.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,225.46
|
| Rate for Payer: Preferred Health Network WC |
$48,678.65
|
| Rate for Payer: Prime Health Services Medicare |
$33,098.99
|
| 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 |
$108,236.49
|
| Rate for Payer: EPIC Health Plan Senior |
$80,175.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$80,175.18
|
| Rate for Payer: InnovAge PACE Commercial |
$120,262.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$80,175.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$107,434.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$107,434.74
|
| Rate for Payer: Multiplan WC |
$124,419.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$80,175.18
|
| Rate for Payer: Preferred Health Network WC |
$126,958.30
|
| Rate for Payer: Prime Health Services Medicare |
$84,985.69
|
| 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 |
$22,113.80
|
| Rate for Payer: EPIC Health Plan Senior |
$16,380.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,380.59
|
| Rate for Payer: InnovAge PACE Commercial |
$24,570.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,380.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,949.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,949.99
|
| Rate for Payer: Multiplan WC |
$24,440.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,380.59
|
| Rate for Payer: Preferred Health Network WC |
$24,938.98
|
| Rate for Payer: Prime Health Services Medicare |
$17,363.43
|
| 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 |
$29,924.22
|
| Rate for Payer: EPIC Health Plan Senior |
$22,166.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,166.09
|
| Rate for Payer: InnovAge PACE Commercial |
$33,249.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,166.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,702.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,702.56
|
| Rate for Payer: Multiplan WC |
$33,507.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,166.09
|
| Rate for Payer: Preferred Health Network WC |
$34,191.06
|
| Rate for Payer: Prime Health Services Medicare |
$23,496.06
|
| 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 |
$59,763.26
|
| Rate for Payer: EPIC Health Plan Senior |
$44,269.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,269.08
|
| Rate for Payer: InnovAge PACE Commercial |
$66,403.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,269.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$59,320.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$59,320.57
|
| Rate for Payer: Multiplan WC |
$68,147.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$44,269.08
|
| Rate for Payer: Preferred Health Network WC |
$69,537.82
|
| Rate for Payer: Prime Health Services Medicare |
$46,925.22
|
| 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 |
$41,546.93
|
| Rate for Payer: EPIC Health Plan Senior |
$30,775.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,775.50
|
| Rate for Payer: InnovAge PACE Commercial |
$46,163.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,775.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,239.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,239.17
|
| Rate for Payer: Multiplan WC |
$46,999.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$30,775.50
|
| Rate for Payer: Preferred Health Network WC |
$47,959.07
|
| Rate for Payer: Prime Health Services Medicare |
$32,622.03
|
| 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 |
$87,200.08
|
| Rate for Payer: EPIC Health Plan Senior |
$64,592.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$64,592.65
|
| Rate for Payer: InnovAge PACE Commercial |
$96,888.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,592.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,554.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$86,554.15
|
| Rate for Payer: Multiplan WC |
$99,998.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$64,592.65
|
| Rate for Payer: Preferred Health Network WC |
$102,038.95
|
| Rate for Payer: Prime Health Services Medicare |
$68,468.21
|
| 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 |
$23,717.12
|
| Rate for Payer: EPIC Health Plan Senior |
$17,568.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,568.24
|
| Rate for Payer: InnovAge PACE Commercial |
$26,352.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,568.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,541.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,541.44
|
| Rate for Payer: Multiplan WC |
$26,301.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,568.24
|
| Rate for Payer: Preferred Health Network WC |
$26,838.24
|
| Rate for Payer: Prime Health Services Medicare |
$18,622.33
|
| 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 |
$20,423.96
|
| Rate for Payer: EPIC Health Plan Senior |
$15,128.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,128.86
|
| Rate for Payer: InnovAge PACE Commercial |
$22,693.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,128.86
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,272.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,272.67
|
| Rate for Payer: Multiplan WC |
$22,478.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,128.86
|
| Rate for Payer: Preferred Health Network WC |
$22,937.23
|
| Rate for Payer: Prime Health Services Medicare |
$16,036.59
|
| 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 |
$53,009.45
|
| Rate for Payer: EPIC Health Plan Senior |
$39,266.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,266.26
|
| Rate for Payer: InnovAge PACE Commercial |
$58,899.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,266.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,616.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,616.79
|
| Rate for Payer: Multiplan WC |
$60,306.62
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,266.26
|
| Rate for Payer: Preferred Health Network WC |
$61,537.37
|
| Rate for Payer: Prime Health Services Medicare |
$41,622.24
|
| 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 |
$103,676.90
|
| Rate for Payer: EPIC Health Plan Senior |
$76,797.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$76,797.70
|
| Rate for Payer: InnovAge PACE Commercial |
$115,196.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$76,797.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$102,908.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$102,908.92
|
| Rate for Payer: Multiplan WC |
$119,125.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$76,797.70
|
| Rate for Payer: Preferred Health Network WC |
$121,557.07
|
| Rate for Payer: Prime Health Services Medicare |
$81,405.56
|
| 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 |
$39,299.34
|
| Rate for Payer: EPIC Health Plan Senior |
$29,110.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,110.62
|
| Rate for Payer: InnovAge PACE Commercial |
$43,665.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,110.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,008.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,008.23
|
| Rate for Payer: Multiplan WC |
$44,390.69
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,110.62
|
| Rate for Payer: Preferred Health Network WC |
$45,296.62
|
| Rate for Payer: Prime Health Services Medicare |
$30,857.26
|
| 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
|
|
