|
MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
|
Facility
|
IP
|
$38,852.11
|
|
|
Service Code
|
MSDRG 794
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,852.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,852.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,096.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,784.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,545.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,234.43
|
| Rate for Payer: EPIC Health Plan Senior |
$20,914.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,914.39
|
| Rate for Payer: InnovAge PACE Commercial |
$31,371.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,914.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,025.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,025.28
|
| Rate for Payer: Multiplan WC |
$31,545.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,914.39
|
| Rate for Payer: Preferred Health Network WC |
$32,189.31
|
| Rate for Payer: Prime Health Services Medicare |
$22,169.25
|
| Rate for Payer: Prime Health Services WC |
$31,223.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,809.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,601.00
|
| 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 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 |
$28,655.94
|
| Rate for Payer: EPIC Health Plan Senior |
$21,226.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,226.62
|
| Rate for Payer: InnovAge PACE Commercial |
$31,839.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,226.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,443.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,443.67
|
| Rate for Payer: Multiplan WC |
$32,034.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,226.62
|
| Rate for Payer: Preferred Health Network WC |
$32,688.66
|
| Rate for Payer: Prime Health Services Medicare |
$22,500.22
|
| 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 |
$21,143.71
|
| Rate for Payer: EPIC Health Plan Senior |
$15,662.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,662.01
|
| Rate for Payer: InnovAge PACE Commercial |
$23,493.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,662.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,987.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,987.09
|
| Rate for Payer: Multiplan WC |
$23,314.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,662.01
|
| Rate for Payer: Preferred Health Network WC |
$23,789.83
|
| Rate for Payer: Prime Health Services Medicare |
$16,601.73
|
| 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 |
$15,845.95
|
| Rate for Payer: EPIC Health Plan Senior |
$11,737.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,737.74
|
| Rate for Payer: InnovAge PACE Commercial |
$17,606.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,737.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,728.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,728.57
|
| Rate for Payer: Multiplan WC |
$17,163.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,737.74
|
| Rate for Payer: Preferred Health Network WC |
$17,514.20
|
| Rate for Payer: Prime Health Services Medicare |
$12,442.00
|
| 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 |
$18,769.13
|
| Rate for Payer: EPIC Health Plan Senior |
$13,903.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,903.06
|
| Rate for Payer: InnovAge PACE Commercial |
$20,854.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,903.06
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,630.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,630.10
|
| Rate for Payer: Multiplan WC |
$20,557.37
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,903.06
|
| Rate for Payer: Preferred Health Network WC |
$20,976.91
|
| Rate for Payer: Prime Health Services Medicare |
$14,737.24
|
| 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 |
$40,992.84
|
| Rate for Payer: EPIC Health Plan Senior |
$30,365.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,365.07
|
| Rate for Payer: InnovAge PACE Commercial |
$45,547.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,365.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,689.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,689.19
|
| Rate for Payer: Multiplan WC |
$46,356.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$30,365.07
|
| Rate for Payer: Preferred Health Network WC |
$47,302.72
|
| Rate for Payer: Prime Health Services Medicare |
$32,186.97
|
| 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 |
$67,045.35
|
| Rate for Payer: EPIC Health Plan Senior |
$49,663.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$49,663.22
|
| Rate for Payer: InnovAge PACE Commercial |
$74,494.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,663.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$66,548.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$66,548.71
|
| Rate for Payer: Multiplan WC |
$76,600.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$49,663.22
|
| Rate for Payer: Preferred Health Network WC |
$78,164.08
|
| Rate for Payer: Prime Health Services Medicare |
$52,643.01
|
| 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 |
$26,708.40
|
| Rate for Payer: EPIC Health Plan Senior |
$19,784.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,784.00
|
| Rate for Payer: InnovAge PACE Commercial |
$29,676.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,784.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,510.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,510.56
|
| Rate for Payer: Multiplan WC |
$29,774.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,784.00
|
| Rate for Payer: Preferred Health Network WC |
$30,381.64
|
| Rate for Payer: Prime Health Services Medicare |
$20,971.04
|
| 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 |
$41,491.67
|
| Rate for Payer: EPIC Health Plan Senior |
$30,734.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$30,734.57
|
| Rate for Payer: InnovAge PACE Commercial |
$46,101.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$30,734.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,184.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,184.32
|
| Rate for Payer: Multiplan WC |
$46,935.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$30,734.57
|
| Rate for Payer: Preferred Health Network WC |
$47,893.65
|
| Rate for Payer: Prime Health Services Medicare |
$32,578.64
|
| 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 |
$32,648.59
|
| Rate for Payer: EPIC Health Plan Senior |
$24,184.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,184.14
|
| Rate for Payer: InnovAge PACE Commercial |
$36,276.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,184.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,406.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,406.75
|
| Rate for Payer: Multiplan WC |
$36,669.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,184.14
|
| Rate for Payer: Preferred Health Network WC |
$37,418.28
|
| Rate for Payer: Prime Health Services Medicare |
$25,635.19
|
| 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 |
$65,537.79
|
| Rate for Payer: EPIC Health Plan Senior |
$48,546.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,546.51
|
| Rate for Payer: InnovAge PACE Commercial |
$72,819.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,546.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,052.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$65,052.32
|
| Rate for Payer: Multiplan WC |
$74,850.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$48,546.51
|
| Rate for Payer: Preferred Health Network WC |
$76,378.21
|
| Rate for Payer: Prime Health Services Medicare |
$51,459.30
|
| 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 |
$22,331.01
|
| Rate for Payer: EPIC Health Plan Senior |
$16,541.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,541.49
|
| Rate for Payer: InnovAge PACE Commercial |
$24,812.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,541.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,165.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,165.60
|
| Rate for Payer: Multiplan WC |
$24,692.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,541.49
|
| Rate for Payer: Preferred Health Network WC |
$25,196.28
|
| Rate for Payer: Prime Health Services Medicare |
$17,533.98
|
| 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 |
$18,669.73
|
| Rate for Payer: EPIC Health Plan Senior |
$13,829.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,829.43
|
| Rate for Payer: InnovAge PACE Commercial |
$20,744.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,829.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,531.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,531.44
|
| Rate for Payer: Multiplan WC |
$20,441.98
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,829.43
|
| Rate for Payer: Preferred Health Network WC |
$20,859.16
|
| Rate for Payer: Prime Health Services Medicare |
$14,659.20
|
| 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 |
$12,096.27
|
| Rate for Payer: EPIC Health Plan Senior |
$8,960.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,960.20
|
| Rate for Payer: InnovAge PACE Commercial |
$13,440.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,960.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,006.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,006.67
|
| Rate for Payer: Multiplan WC |
$12,810.96
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,960.20
|
| Rate for Payer: Preferred Health Network WC |
$13,072.41
|
| Rate for Payer: Prime Health Services Medicare |
$9,497.81
|
| 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 |
$20,460.78
|
| Rate for Payer: EPIC Health Plan Senior |
$15,156.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,156.13
|
| Rate for Payer: InnovAge PACE Commercial |
$22,734.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,156.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,309.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,309.21
|
| Rate for Payer: Multiplan WC |
$22,521.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,156.13
|
| Rate for Payer: Preferred Health Network WC |
$22,980.84
|
| Rate for Payer: Prime Health Services Medicare |
$16,065.50
|
| 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 |
$33,068.29
|
| Rate for Payer: EPIC Health Plan Senior |
$24,495.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,495.03
|
| Rate for Payer: InnovAge PACE Commercial |
$36,742.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,495.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,823.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,823.34
|
| Rate for Payer: Multiplan WC |
$37,157.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,495.03
|
| Rate for Payer: Preferred Health Network WC |
$37,915.45
|
| Rate for Payer: Prime Health Services Medicare |
$25,964.73
|
| 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 |
$14,870.32
|
| Rate for Payer: EPIC Health Plan Senior |
$11,015.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,015.05
|
| Rate for Payer: InnovAge PACE Commercial |
$16,522.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,015.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,760.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,760.17
|
| Rate for Payer: Multiplan WC |
$16,031.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,015.05
|
| Rate for Payer: Preferred Health Network WC |
$16,358.50
|
| Rate for Payer: Prime Health Services Medicare |
$11,675.95
|
| 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 |
$27,842.31
|
| Rate for Payer: EPIC Health Plan Senior |
$20,623.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,623.93
|
| Rate for Payer: InnovAge PACE Commercial |
$30,935.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,623.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,636.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,636.07
|
| Rate for Payer: Multiplan WC |
$31,090.36
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,623.93
|
| Rate for Payer: Preferred Health Network WC |
$31,724.86
|
| Rate for Payer: Prime Health Services Medicare |
$21,861.37
|
| 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 |
$17,287.28
|
| Rate for Payer: EPIC Health Plan Senior |
$12,805.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,805.39
|
| Rate for Payer: InnovAge PACE Commercial |
$19,208.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,805.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,159.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,159.22
|
| Rate for Payer: Multiplan WC |
$18,837.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,805.39
|
| Rate for Payer: Preferred Health Network WC |
$19,221.57
|
| Rate for Payer: Prime Health Services Medicare |
$13,573.71
|
| 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 |
$37,651.81
|
| Rate for Payer: EPIC Health Plan Senior |
$27,890.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,890.23
|
| Rate for Payer: InnovAge PACE Commercial |
$41,835.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,890.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37,372.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37,372.91
|
| Rate for Payer: Multiplan WC |
$42,478.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,890.23
|
| Rate for Payer: Preferred Health Network WC |
$43,345.02
|
| Rate for Payer: Prime Health Services Medicare |
$29,563.64
|
| 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 |
$17,716.20
|
| Rate for Payer: EPIC Health Plan Senior |
$13,123.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,123.11
|
| Rate for Payer: InnovAge PACE Commercial |
$19,684.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,123.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,584.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,584.97
|
| Rate for Payer: Multiplan WC |
$19,335.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,123.11
|
| Rate for Payer: Preferred Health Network WC |
$19,729.64
|
| Rate for Payer: Prime Health Services Medicare |
$13,910.50
|
| 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
|
$5,265.19
|
|
|
Service Code
|
MSDRG 795
|
| Min. Negotiated Rate |
$1,053.00 |
| Max. Negotiated Rate |
$5,265.19 |
| 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 |
$4,738.68
|
| Rate for Payer: EPIC Health Plan Senior |
$3,510.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,510.13
|
| Rate for Payer: InnovAge PACE Commercial |
$5,265.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,510.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,703.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,703.57
|
| Rate for Payer: Multiplan WC |
$4,269.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,510.13
|
| Rate for Payer: Preferred Health Network WC |
$4,356.74
|
| Rate for Payer: Prime Health Services Medicare |
$3,720.74
|
| 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 |
$42,599.82
|
| Rate for Payer: EPIC Health Plan Senior |
$31,555.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,555.42
|
| Rate for Payer: InnovAge PACE Commercial |
$47,333.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,555.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,284.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,284.26
|
| Rate for Payer: Multiplan WC |
$48,222.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,555.42
|
| Rate for Payer: Preferred Health Network WC |
$49,206.35
|
| Rate for Payer: Prime Health Services Medicare |
$33,448.75
|
| 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 |
$22,820.64
|
| Rate for Payer: EPIC Health Plan Senior |
$16,904.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,904.18
|
| Rate for Payer: InnovAge PACE Commercial |
$25,356.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,904.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,651.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,651.60
|
| Rate for Payer: Multiplan WC |
$25,260.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,904.18
|
| Rate for Payer: Preferred Health Network WC |
$25,776.31
|
| Rate for Payer: Prime Health Services Medicare |
$17,918.43
|
| 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 |
$31,805.51
|
| Rate for Payer: EPIC Health Plan Senior |
$23,559.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,559.64
|
| Rate for Payer: InnovAge PACE Commercial |
$35,339.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,559.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,569.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,569.92
|
| Rate for Payer: Multiplan WC |
$35,691.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,559.64
|
| Rate for Payer: Preferred Health Network WC |
$36,419.59
|
| Rate for Payer: Prime Health Services Medicare |
$24,973.22
|
| 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
|
|
