|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC
|
Facility
|
IP
|
$39,454.81
|
|
|
Service Code
|
MSDRG 054
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,454.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,454.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,486.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,308.40
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,034.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,491.54
|
| Rate for Payer: EPIC Health Plan Senior |
$17,401.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,401.14
|
| Rate for Payer: InnovAge PACE Commercial |
$26,101.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,401.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,317.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,317.53
|
| Rate for Payer: Multiplan WC |
$32,034.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,401.14
|
| Rate for Payer: Preferred Health Network WC |
$32,688.66
|
| Rate for Payer: Prime Health Services Medicare |
$18,445.21
|
| Rate for Payer: Prime Health Services WC |
$31,708.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
|
Facility
|
IP
|
$28,714.03
|
|
|
Service Code
|
MSDRG 055
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$28,714.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,714.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,548.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,968.63
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,314.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,640.29
|
| Rate for Payer: EPIC Health Plan Senior |
$13,066.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,066.88
|
| Rate for Payer: InnovAge PACE Commercial |
$19,600.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,066.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,509.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,509.62
|
| Rate for Payer: Multiplan WC |
$23,314.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,066.88
|
| Rate for Payer: Preferred Health Network WC |
$23,789.83
|
| Rate for Payer: Prime Health Services Medicare |
$13,850.89
|
| Rate for Payer: Prime Health Services WC |
$23,076.14
|
| 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: NEUROLOGICAL EYE DISORDERS
|
Facility
|
IP
|
$21,139.42
|
|
|
Service Code
|
MSDRG 123
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,139.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,139.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,655.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,382.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,163.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,525.88
|
| Rate for Payer: EPIC Health Plan Senior |
$10,019.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,019.17
|
| Rate for Payer: InnovAge PACE Commercial |
$15,028.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,019.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,425.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,425.69
|
| Rate for Payer: Multiplan WC |
$17,163.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,019.17
|
| Rate for Payer: Preferred Health Network WC |
$17,514.20
|
| Rate for Payer: Prime Health Services Medicare |
$10,620.32
|
| Rate for Payer: Prime Health Services WC |
$16,988.77
|
| 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: NEUROSES EXCEPT DEPRESSIVE
|
Facility
|
IP
|
$25,318.88
|
|
|
Service Code
|
MSDRG 882
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$25,318.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,318.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,354.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,016.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,557.37
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,796.11
|
| Rate for Payer: EPIC Health Plan Senior |
$11,700.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,700.82
|
| Rate for Payer: InnovAge PACE Commercial |
$17,551.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,700.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,679.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,679.10
|
| Rate for Payer: Multiplan WC |
$20,557.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,700.82
|
| Rate for Payer: Preferred Health Network WC |
$20,976.91
|
| Rate for Payer: Prime Health Services Medicare |
$12,402.87
|
| Rate for Payer: Prime Health Services WC |
$20,347.60
|
| 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: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
|
Facility
|
IP
|
$57,093.81
|
|
|
Service Code
|
MSDRG 098
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$57,093.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,093.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,880.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49,646.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,356.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,112.72
|
| Rate for Payer: EPIC Health Plan Senior |
$24,527.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,527.94
|
| Rate for Payer: InnovAge PACE Commercial |
$36,791.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,527.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,867.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,867.44
|
| Rate for Payer: Multiplan WC |
$46,356.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,527.94
|
| Rate for Payer: Preferred Health Network WC |
$47,302.72
|
| Rate for Payer: Prime Health Services Medicare |
$25,999.62
|
| Rate for Payer: Prime Health Services WC |
$45,883.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
|
Facility
|
IP
|
$94,343.09
|
|
|
Service Code
|
MSDRG 097
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$94,343.09 |
| Rate for Payer: Aetna of CA HMO/PPO |
$94,343.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$60,941.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$82,037.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$76,600.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,430.29
|
| Rate for Payer: EPIC Health Plan Senior |
$39,577.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,577.99
|
| Rate for Payer: InnovAge PACE Commercial |
$59,366.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,577.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,034.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,034.51
|
| Rate for Payer: Multiplan WC |
$76,600.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,577.99
|
| Rate for Payer: Preferred Health Network WC |
$78,164.08
|
| Rate for Payer: Prime Health Services Medicare |
$41,952.67
|
| Rate for Payer: Prime Health Services WC |
$75,819.16
|
| 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: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$36,670.26
|
|
|
Service Code
|
MSDRG 099
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,670.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,670.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,687.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,887.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,774.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,972.71
|
| Rate for Payer: EPIC Health Plan Senior |
$16,276.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,276.08
|
| Rate for Payer: InnovAge PACE Commercial |
$24,414.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,276.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,809.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,809.95
|
| Rate for Payer: Multiplan WC |
$29,774.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,276.08
|
| Rate for Payer: Preferred Health Network WC |
$30,381.64
|
| Rate for Payer: Prime Health Services Medicare |
$17,252.64
|
| Rate for Payer: Prime Health Services WC |
$29,470.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: NON-EXTENSIVE BURNS
|
Facility
|
IP
|
$57,807.05
|
|
|
Service Code
|
MSDRG 935
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$57,807.05 |
| Rate for Payer: Aetna of CA HMO/PPO |
$57,807.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,341.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,266.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$46,935.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,501.75
|
| Rate for Payer: EPIC Health Plan Senior |
$24,816.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,816.11
|
| Rate for Payer: InnovAge PACE Commercial |
$37,224.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,816.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,253.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,253.59
|
| Rate for Payer: Multiplan WC |
$46,935.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,816.11
|
| Rate for Payer: Preferred Health Network WC |
$47,893.65
|
| Rate for Payer: Prime Health Services Medicare |
$26,305.08
|
| Rate for Payer: Prime Health Services WC |
$46,456.84
|
| 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: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
|
Facility
|
IP
|
$45,163.40
|
|
|
Service Code
|
MSDRG 988
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$45,163.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,163.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,173.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,272.38
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,669.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,605.29
|
| Rate for Payer: EPIC Health Plan Senior |
$19,707.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,707.62
|
| Rate for Payer: InnovAge PACE Commercial |
$29,561.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,707.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,408.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,408.21
|
| Rate for Payer: Multiplan WC |
$36,669.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,707.62
|
| Rate for Payer: Preferred Health Network WC |
$37,418.28
|
| Rate for Payer: Prime Health Services Medicare |
$20,890.08
|
| Rate for Payer: Prime Health Services WC |
$36,295.73
|
| 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: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
|
Facility
|
IP
|
$92,187.56
|
|
|
Service Code
|
MSDRG 987
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$92,187.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$92,187.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59,549.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80,162.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$74,850.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,254.57
|
| Rate for Payer: EPIC Health Plan Senior |
$38,707.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,707.09
|
| Rate for Payer: InnovAge PACE Commercial |
$58,060.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,707.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,867.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,867.50
|
| Rate for Payer: Multiplan WC |
$74,850.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,707.09
|
| Rate for Payer: Preferred Health Network WC |
$76,378.21
|
| Rate for Payer: Prime Health Services Medicare |
$41,029.52
|
| Rate for Payer: Prime Health Services WC |
$74,086.86
|
| 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: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
|
Facility
|
IP
|
$30,411.60
|
|
|
Service Code
|
MSDRG 989
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$30,411.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$30,411.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,644.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26,444.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,692.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,562.41
|
| Rate for Payer: EPIC Health Plan Senior |
$13,749.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,749.93
|
| Rate for Payer: InnovAge PACE Commercial |
$20,624.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,749.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,424.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,424.91
|
| Rate for Payer: Multiplan WC |
$24,692.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,749.93
|
| Rate for Payer: Preferred Health Network WC |
$25,196.28
|
| Rate for Payer: Prime Health Services Medicare |
$14,574.93
|
| Rate for Payer: Prime Health Services WC |
$24,440.39
|
| 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: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
|
Facility
|
IP
|
$25,176.76
|
|
|
Service Code
|
MSDRG 600
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$25,176.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,176.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,263.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,892.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,441.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,718.90
|
| Rate for Payer: EPIC Health Plan Senior |
$11,643.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,643.63
|
| Rate for Payer: InnovAge PACE Commercial |
$17,465.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,643.63
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,602.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,602.46
|
| Rate for Payer: Multiplan WC |
$20,441.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,643.63
|
| Rate for Payer: Preferred Health Network WC |
$20,859.16
|
| Rate for Payer: Prime Health Services Medicare |
$12,342.25
|
| Rate for Payer: Prime Health Services WC |
$20,233.39
|
| 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: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$15,778.24
|
|
|
Service Code
|
MSDRG 601
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$15,778.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$15,778.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,192.10
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,720.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,810.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,613.75
|
| Rate for Payer: EPIC Health Plan Senior |
$7,862.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,862.04
|
| Rate for Payer: InnovAge PACE Commercial |
$11,793.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,862.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,535.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,535.13
|
| Rate for Payer: Multiplan WC |
$12,810.96
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,862.04
|
| Rate for Payer: Preferred Health Network WC |
$13,072.41
|
| Rate for Payer: Prime Health Services Medicare |
$8,333.76
|
| Rate for Payer: Prime Health Services WC |
$12,680.24
|
| 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: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
|
Facility
|
IP
|
$27,737.59
|
|
|
Service Code
|
MSDRG 071
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,737.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,737.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,917.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,119.56
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,521.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,109.91
|
| Rate for Payer: EPIC Health Plan Senior |
$12,674.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,674.01
|
| Rate for Payer: InnovAge PACE Commercial |
$19,011.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,674.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,983.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,983.17
|
| Rate for Payer: Multiplan WC |
$22,521.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,674.01
|
| Rate for Payer: Preferred Health Network WC |
$22,980.84
|
| Rate for Payer: Prime Health Services Medicare |
$13,434.45
|
| Rate for Payer: Prime Health Services WC |
$22,291.41
|
| 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: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
|
Facility
|
IP
|
$45,763.48
|
|
|
Service Code
|
MSDRG 070
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$45,763.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,763.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,561.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,794.18
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,157.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,932.59
|
| Rate for Payer: EPIC Health Plan Senior |
$19,950.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,950.07
|
| Rate for Payer: InnovAge PACE Commercial |
$29,925.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,950.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,733.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,733.09
|
| Rate for Payer: Multiplan WC |
$37,157.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,950.07
|
| Rate for Payer: Preferred Health Network WC |
$37,915.45
|
| Rate for Payer: Prime Health Services Medicare |
$21,147.07
|
| Rate for Payer: Prime Health Services WC |
$36,777.99
|
| 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: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$19,744.51
|
|
|
Service Code
|
MSDRG 072
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,744.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,744.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,754.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,169.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,031.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,768.19
|
| Rate for Payer: EPIC Health Plan Senior |
$9,457.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,457.92
|
| Rate for Payer: InnovAge PACE Commercial |
$14,186.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,457.92
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,673.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,673.61
|
| Rate for Payer: Multiplan WC |
$16,031.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,457.92
|
| Rate for Payer: Preferred Health Network WC |
$16,358.50
|
| Rate for Payer: Prime Health Services Medicare |
$10,025.40
|
| Rate for Payer: Prime Health Services WC |
$15,867.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$38,291.51
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,291.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,291.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,734.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,296.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,090.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,857.03
|
| Rate for Payer: EPIC Health Plan Senior |
$16,931.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,931.13
|
| Rate for Payer: InnovAge PACE Commercial |
$25,396.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,931.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,687.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,687.71
|
| Rate for Payer: Multiplan WC |
$31,090.36
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,931.13
|
| Rate for Payer: Preferred Health Network WC |
$31,724.86
|
| Rate for Payer: Prime Health Services Medicare |
$17,947.00
|
| Rate for Payer: Prime Health Services WC |
$30,773.11
|
| 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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$23,200.20
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,200.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,200.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,986.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,174.01
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,837.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,645.26
|
| Rate for Payer: EPIC Health Plan Senior |
$10,848.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,848.34
|
| Rate for Payer: InnovAge PACE Commercial |
$16,272.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,848.34
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,536.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,536.78
|
| Rate for Payer: Multiplan WC |
$18,837.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,848.34
|
| Rate for Payer: Preferred Health Network WC |
$19,221.57
|
| Rate for Payer: Prime Health Services Medicare |
$11,499.24
|
| Rate for Payer: Prime Health Services WC |
$18,644.92
|
| 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: NONTRAUMATIC STUPOR AND COMA WITH MCC
|
Facility
|
IP
|
$52,316.91
|
|
|
Service Code
|
MSDRG 080
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$52,316.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,316.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,794.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,492.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,478.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,507.17
|
| Rate for Payer: EPIC Health Plan Senior |
$22,597.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,597.90
|
| Rate for Payer: InnovAge PACE Commercial |
$33,896.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,597.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,281.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,281.19
|
| Rate for Payer: Multiplan WC |
$42,478.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,597.90
|
| Rate for Payer: Preferred Health Network WC |
$43,345.02
|
| Rate for Payer: Prime Health Services Medicare |
$23,953.77
|
| Rate for Payer: Prime Health Services WC |
$42,044.67
|
| 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: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
|
Facility
|
IP
|
$23,813.43
|
|
|
Service Code
|
MSDRG 081
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,813.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,813.43
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,382.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,707.25
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,335.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,978.37
|
| Rate for Payer: EPIC Health Plan Senior |
$11,095.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,095.09
|
| Rate for Payer: InnovAge PACE Commercial |
$16,642.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,095.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,867.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,867.42
|
| Rate for Payer: Multiplan WC |
$19,335.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,095.09
|
| Rate for Payer: Preferred Health Network WC |
$19,729.64
|
| Rate for Payer: Prime Health Services Medicare |
$11,760.80
|
| Rate for Payer: Prime Health Services WC |
$19,137.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: NORMAL NEWBORN
|
Facility
|
IP
|
$5,443.99
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$1,053.00 |
| Max. Negotiated Rate |
$5,443.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$5,258.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,396.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,572.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$4,269.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,899.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,629.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,629.33
|
| Rate for Payer: InnovAge PACE Commercial |
$5,443.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,629.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,863.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,863.30
|
| Rate for Payer: Multiplan WC |
$4,269.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,629.33
|
| Rate for Payer: Preferred Health Network WC |
$4,356.74
|
| Rate for Payer: Prime Health Services Medicare |
$3,847.09
|
| Rate for Payer: Prime Health Services WC |
$4,226.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,650.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,342.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,149.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,053.00
|
|
|
MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$59,391.46
|
|
|
Service Code
|
MSDRG 113
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,391.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,391.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,364.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,644.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,222.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,365.96
|
| Rate for Payer: EPIC Health Plan Senior |
$25,456.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,456.27
|
| Rate for Payer: InnovAge PACE Commercial |
$38,184.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,456.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,111.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,111.40
|
| Rate for Payer: Multiplan WC |
$48,222.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,456.27
|
| Rate for Payer: Preferred Health Network WC |
$49,206.35
|
| Rate for Payer: Prime Health Services Medicare |
$26,983.65
|
| Rate for Payer: Prime Health Services WC |
$47,730.16
|
| 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: ORBITAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,111.69
|
|
|
Service Code
|
MSDRG 114
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$31,111.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,111.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,096.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,053.54
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,260.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,942.66
|
| Rate for Payer: EPIC Health Plan Senior |
$14,031.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,031.60
|
| Rate for Payer: InnovAge PACE Commercial |
$21,047.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,031.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,802.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,802.34
|
| Rate for Payer: Multiplan WC |
$25,260.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,031.60
|
| Rate for Payer: Preferred Health Network WC |
$25,776.31
|
| Rate for Payer: Prime Health Services Medicare |
$14,873.50
|
| Rate for Payer: Prime Health Services WC |
$25,003.02
|
| 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: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
|
Facility
|
IP
|
$43,957.99
|
|
|
Service Code
|
MSDRG 884
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$43,957.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,957.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,395.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,224.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,691.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,947.80
|
| Rate for Payer: EPIC Health Plan Senior |
$19,220.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,220.59
|
| Rate for Payer: InnovAge PACE Commercial |
$28,830.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,220.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,755.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,755.59
|
| Rate for Payer: Multiplan WC |
$35,691.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,220.59
|
| Rate for Payer: Preferred Health Network WC |
$36,419.59
|
| Rate for Payer: Prime Health Services Medicare |
$20,373.83
|
| Rate for Payer: Prime Health Services WC |
$35,327.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$42,031.44
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$12,116.00 |
| Max. Negotiated Rate |
$42,031.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,031.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,150.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,548.94
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,126.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,896.96
|
| Rate for Payer: EPIC Health Plan Senior |
$18,442.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,442.19
|
| Rate for Payer: InnovAge PACE Commercial |
$27,663.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,442.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,712.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,712.53
|
| Rate for Payer: Multiplan WC |
$34,126.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,442.19
|
| Rate for Payer: Preferred Health Network WC |
$34,823.42
|
| Rate for Payer: Prime Health Services Medicare |
$19,548.72
|
| Rate for Payer: Prime Health Services WC |
$33,778.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$28,919.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,337.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28,283.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$25,912.00
|
|
