|
MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$112,268.96
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$112,268.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$112,268.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$72,521.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$97,624.81
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$91,155.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$63,207.96
|
| Rate for Payer: EPIC Health Plan Senior |
$46,820.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$46,820.71
|
| Rate for Payer: InnovAge PACE Commercial |
$70,231.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,820.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$62,739.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$62,739.75
|
| Rate for Payer: Multiplan WC |
$91,155.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$46,820.71
|
| Rate for Payer: Preferred Health Network WC |
$93,015.82
|
| Rate for Payer: Prime Health Services Medicare |
$49,629.95
|
| Rate for Payer: Prime Health Services WC |
$90,225.35
|
| 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: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$35,664.88
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$35,664.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,664.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,038.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,012.82
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,957.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,424.32
|
| Rate for Payer: EPIC Health Plan Senior |
$15,869.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,869.87
|
| Rate for Payer: InnovAge PACE Commercial |
$23,804.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,869.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,265.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,265.63
|
| Rate for Payer: Multiplan WC |
$28,957.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,869.87
|
| Rate for Payer: Preferred Health Network WC |
$29,548.67
|
| Rate for Payer: Prime Health Services Medicare |
$16,822.06
|
| Rate for Payer: Prime Health Services WC |
$28,662.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$27,863.93
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,863.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,863.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,998.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,229.41
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,623.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,178.52
|
| Rate for Payer: EPIC Health Plan Senior |
$12,724.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,724.83
|
| Rate for Payer: InnovAge PACE Commercial |
$19,087.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,724.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,051.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,051.27
|
| Rate for Payer: Multiplan WC |
$22,623.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,724.83
|
| Rate for Payer: Preferred Health Network WC |
$23,085.51
|
| Rate for Payer: Prime Health Services Medicare |
$13,488.32
|
| Rate for Payer: Prime Health Services WC |
$22,392.94
|
| 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: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$47,976.91
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$47,976.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,976.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,991.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,718.89
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,954.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,139.90
|
| Rate for Payer: EPIC Health Plan Senior |
$20,844.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,844.37
|
| Rate for Payer: InnovAge PACE Commercial |
$31,266.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,844.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,931.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,931.46
|
| Rate for Payer: Multiplan WC |
$38,954.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,844.37
|
| Rate for Payer: Preferred Health Network WC |
$39,749.29
|
| Rate for Payer: Prime Health Services Medicare |
$22,095.03
|
| Rate for Payer: Prime Health Services WC |
$38,556.81
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$20,773.59
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,773.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,773.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,418.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,063.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,866.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,327.16
|
| Rate for Payer: EPIC Health Plan Senior |
$9,871.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,871.97
|
| Rate for Payer: InnovAge PACE Commercial |
$14,807.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,871.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,228.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,228.44
|
| Rate for Payer: Multiplan WC |
$16,866.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,871.97
|
| Rate for Payer: Preferred Health Network WC |
$17,211.10
|
| Rate for Payer: Prime Health Services Medicare |
$10,464.29
|
| Rate for Payer: Prime Health Services WC |
$16,694.77
|
| 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: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$34,317.34
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,317.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,317.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,167.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,841.06
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,863.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,689.32
|
| Rate for Payer: EPIC Health Plan Senior |
$15,325.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,325.42
|
| Rate for Payer: InnovAge PACE Commercial |
$22,988.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,325.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,536.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,536.06
|
| Rate for Payer: Multiplan WC |
$27,863.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,325.42
|
| Rate for Payer: Preferred Health Network WC |
$28,432.22
|
| Rate for Payer: Prime Health Services Medicare |
$16,244.95
|
| Rate for Payer: Prime Health Services WC |
$27,579.25
|
| 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: OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$21,731.60
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,731.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,731.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,037.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,896.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,644.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,847.54
|
| Rate for Payer: EPIC Health Plan Senior |
$10,257.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,257.44
|
| Rate for Payer: InnovAge PACE Commercial |
$15,386.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,257.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,744.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,744.97
|
| Rate for Payer: Multiplan WC |
$17,644.72
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,257.44
|
| Rate for Payer: Preferred Health Network WC |
$18,004.82
|
| Rate for Payer: Prime Health Services Medicare |
$10,872.89
|
| Rate for Payer: Prime Health Services WC |
$17,464.68
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$24,571.42
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,571.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,571.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,872.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,366.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,950.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,390.09
|
| Rate for Payer: EPIC Health Plan Senior |
$11,400.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,400.07
|
| Rate for Payer: InnovAge PACE Commercial |
$17,100.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,400.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,276.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,276.09
|
| Rate for Payer: Multiplan WC |
$19,950.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,400.07
|
| Rate for Payer: Preferred Health Network WC |
$20,357.64
|
| Rate for Payer: Prime Health Services Medicare |
$12,084.07
|
| Rate for Payer: Prime Health Services WC |
$19,746.91
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$42,802.59
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,802.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,802.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,648.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,219.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,753.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,317.58
|
| Rate for Payer: EPIC Health Plan Senior |
$18,753.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,753.76
|
| Rate for Payer: InnovAge PACE Commercial |
$28,130.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,753.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,130.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,130.04
|
| Rate for Payer: Multiplan WC |
$34,753.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,753.76
|
| Rate for Payer: Preferred Health Network WC |
$35,462.32
|
| Rate for Payer: Prime Health Services Medicare |
$19,878.99
|
| Rate for Payer: Prime Health Services WC |
$34,398.45
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,696.90
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,696.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,696.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,431.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,388.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,368.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,655.94
|
| Rate for Payer: EPIC Health Plan Senior |
$8,634.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,634.03
|
| Rate for Payer: InnovAge PACE Commercial |
$12,951.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,634.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,569.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,569.60
|
| Rate for Payer: Multiplan WC |
$14,368.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,634.03
|
| Rate for Payer: Preferred Health Network WC |
$14,662.03
|
| Rate for Payer: Prime Health Services Medicare |
$9,152.07
|
| Rate for Payer: Prime Health Services WC |
$14,222.17
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$46,234.59
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,234.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,234.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,865.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,203.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,539.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,189.57
|
| Rate for Payer: EPIC Health Plan Senior |
$20,140.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,140.42
|
| Rate for Payer: InnovAge PACE Commercial |
$30,210.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,140.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,988.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,988.16
|
| Rate for Payer: Multiplan WC |
$37,539.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,140.42
|
| Rate for Payer: Preferred Health Network WC |
$38,305.76
|
| Rate for Payer: Prime Health Services Medicare |
$21,348.85
|
| Rate for Payer: Prime Health Services WC |
$37,156.59
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$86,902.71
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$86,902.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$86,902.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56,135.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$75,567.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$70,559.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,371.96
|
| Rate for Payer: EPIC Health Plan Senior |
$36,571.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,571.82
|
| Rate for Payer: InnovAge PACE Commercial |
$54,857.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,571.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,006.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,006.24
|
| Rate for Payer: Multiplan WC |
$70,559.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$36,571.82
|
| Rate for Payer: Preferred Health Network WC |
$71,999.66
|
| Rate for Payer: Prime Health Services Medicare |
$38,766.13
|
| Rate for Payer: Prime Health Services WC |
$69,839.67
|
| 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: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$31,182.75
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$31,182.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,182.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,142.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,115.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,318.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,981.27
|
| Rate for Payer: EPIC Health Plan Senior |
$14,060.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,060.20
|
| Rate for Payer: InnovAge PACE Commercial |
$21,090.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,060.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,840.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,840.67
|
| Rate for Payer: Multiplan WC |
$25,318.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,060.20
|
| Rate for Payer: Preferred Health Network WC |
$25,835.18
|
| Rate for Payer: Prime Health Services Medicare |
$14,903.81
|
| Rate for Payer: Prime Health Services WC |
$25,060.12
|
| 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: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$59,194.06
|
|
|
Service Code
|
MSDRG 629
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,194.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,194.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,236.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,472.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,061.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,258.29
|
| Rate for Payer: EPIC Health Plan Senior |
$25,376.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,376.51
|
| Rate for Payer: InnovAge PACE Commercial |
$38,064.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,376.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,004.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,004.52
|
| Rate for Payer: Multiplan WC |
$48,061.94
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,376.51
|
| Rate for Payer: Preferred Health Network WC |
$49,042.80
|
| Rate for Payer: Prime Health Services Medicare |
$26,899.10
|
| Rate for Payer: Prime Health Services WC |
$47,571.52
|
| 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: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$103,846.88
|
|
|
Service Code
|
MSDRG 628
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$103,846.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$103,846.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$67,080.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$90,301.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$84,317.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,614.12
|
| Rate for Payer: EPIC Health Plan Senior |
$43,417.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,417.87
|
| Rate for Payer: InnovAge PACE Commercial |
$65,126.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,417.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,179.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,179.95
|
| Rate for Payer: Multiplan WC |
$84,317.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$43,417.87
|
| Rate for Payer: Preferred Health Network WC |
$86,038.06
|
| Rate for Payer: Prime Health Services Medicare |
$46,022.94
|
| Rate for Payer: Prime Health Services WC |
$83,456.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,880.81
|
|
|
Service Code
|
MSDRG 630
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$36,880.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,880.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,823.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,070.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,944.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,087.57
|
| Rate for Payer: EPIC Health Plan Senior |
$16,361.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,361.16
|
| Rate for Payer: InnovAge PACE Commercial |
$24,541.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,361.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,923.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,923.95
|
| Rate for Payer: Multiplan WC |
$29,944.96
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,361.16
|
| Rate for Payer: Preferred Health Network WC |
$30,556.08
|
| Rate for Payer: Prime Health Services Medicare |
$17,342.83
|
| Rate for Payer: Prime Health Services WC |
$29,639.40
|
| 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: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
|
Facility
|
IP
|
$115,614.10
|
|
|
Service Code
|
MSDRG 319
|
| Min. Negotiated Rate |
$48,172.27 |
| Max. Negotiated Rate |
$115,614.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$115,614.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$74,681.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$100,533.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$93,871.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$65,032.56
|
| Rate for Payer: EPIC Health Plan Senior |
$48,172.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,172.27
|
| Rate for Payer: InnovAge PACE Commercial |
$72,258.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,172.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$64,550.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$64,550.84
|
| Rate for Payer: Multiplan WC |
$93,871.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$48,172.27
|
| Rate for Payer: Preferred Health Network WC |
$95,787.31
|
| Rate for Payer: Prime Health Services Medicare |
$51,062.61
|
| Rate for Payer: Prime Health Services WC |
$92,913.69
|
| Rate for Payer: United Healthcare All Other Commercial |
$86,080.00
|
| Rate for Payer: United Healthcare All Other HMO |
$77,662.00
|
| Rate for Payer: United Healthcare HMO Rider |
$61,775.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$56,595.00
|
|
|
MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$60,923.22
|
|
|
Service Code
|
MSDRG 320
|
| Min. Negotiated Rate |
$26,075.15 |
| Max. Negotiated Rate |
$60,923.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,923.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,353.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,976.51
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,465.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,201.45
|
| Rate for Payer: EPIC Health Plan Senior |
$26,075.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,075.15
|
| Rate for Payer: InnovAge PACE Commercial |
$39,112.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,075.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,940.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,940.70
|
| Rate for Payer: Multiplan WC |
$49,465.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,075.15
|
| Rate for Payer: Preferred Health Network WC |
$50,475.43
|
| Rate for Payer: Prime Health Services Medicare |
$27,639.66
|
| Rate for Payer: Prime Health Services WC |
$48,961.17
|
| Rate for Payer: United Healthcare All Other Commercial |
$49,280.00
|
| Rate for Payer: United Healthcare All Other HMO |
$44,464.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,366.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,402.00
|
|
|
MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$14,922.87
|
|
|
Service Code
|
MSDRG 951
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$14,922.87 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14,922.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9,639.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,976.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,116.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,149.14
|
| Rate for Payer: EPIC Health Plan Senior |
$7,517.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,517.88
|
| Rate for Payer: InnovAge PACE Commercial |
$11,276.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,517.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,073.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,073.96
|
| Rate for Payer: Multiplan WC |
$12,116.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,517.88
|
| Rate for Payer: Preferred Health Network WC |
$12,363.73
|
| Rate for Payer: Prime Health Services Medicare |
$7,968.95
|
| Rate for Payer: Prime Health Services WC |
$11,992.82
|
| 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: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$68,129.36
|
|
|
Service Code
|
MSDRG 749
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$68,129.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,129.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,008.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,242.70
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$55,316.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,132.04
|
| Rate for Payer: EPIC Health Plan Senior |
$28,986.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,986.70
|
| Rate for Payer: InnovAge PACE Commercial |
$43,480.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,986.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,842.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,842.18
|
| Rate for Payer: Multiplan WC |
$55,316.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,986.70
|
| Rate for Payer: Preferred Health Network WC |
$56,445.78
|
| Rate for Payer: Prime Health Services Medicare |
$30,725.90
|
| Rate for Payer: Prime Health Services WC |
$54,752.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,938.35
|
|
|
Service Code
|
MSDRG 750
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$33,938.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,938.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,922.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,511.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,555.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,482.59
|
| Rate for Payer: EPIC Health Plan Senior |
$15,172.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,172.29
|
| Rate for Payer: InnovAge PACE Commercial |
$22,758.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,172.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,330.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,330.87
|
| Rate for Payer: Multiplan WC |
$27,555.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,172.29
|
| Rate for Payer: Preferred Health Network WC |
$28,118.22
|
| Rate for Payer: Prime Health Services Medicare |
$16,082.63
|
| Rate for Payer: Prime Health Services WC |
$27,274.67
|
| 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: OTHER HEART ASSIST SYSTEM IMPLANT
|
Facility
|
IP
|
$278,844.54
|
|
|
Service Code
|
MSDRG 215
|
| Min. Negotiated Rate |
$114,129.75 |
| Max. Negotiated Rate |
$278,844.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$278,844.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$180,122.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$242,472.59
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$226,404.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$154,075.16
|
| Rate for Payer: EPIC Health Plan Senior |
$114,129.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$114,129.75
|
| Rate for Payer: InnovAge PACE Commercial |
$171,194.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$114,129.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$152,933.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$152,933.86
|
| Rate for Payer: Multiplan WC |
$226,404.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$114,129.75
|
| Rate for Payer: Preferred Health Network WC |
$231,025.17
|
| Rate for Payer: Prime Health Services Medicare |
$120,977.54
|
| Rate for Payer: Prime Health Services WC |
$224,094.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$200,732.00
|
| Rate for Payer: United Healthcare All Other HMO |
$207,861.00
|
| Rate for Payer: United Healthcare HMO Rider |
$157,887.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$144,650.00
|
|
|
MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$60,094.17
|
|
|
Service Code
|
MSDRG 424
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$60,094.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,094.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,818.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,255.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,792.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,749.26
|
| Rate for Payer: EPIC Health Plan Senior |
$25,740.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,740.19
|
| Rate for Payer: InnovAge PACE Commercial |
$38,610.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,740.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,491.85
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,491.85
|
| Rate for Payer: Multiplan WC |
$48,792.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,740.19
|
| Rate for Payer: Preferred Health Network WC |
$49,788.55
|
| Rate for Payer: Prime Health Services Medicare |
$27,284.60
|
| Rate for Payer: Prime Health Services WC |
$48,294.89
|
| 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: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$107,049.90
|
|
|
Service Code
|
MSDRG 423
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$107,049.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$107,049.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,149.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$93,086.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$86,917.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$60,361.21
|
| Rate for Payer: EPIC Health Plan Senior |
$44,712.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$44,712.01
|
| Rate for Payer: InnovAge PACE Commercial |
$67,068.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$44,712.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$59,914.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$59,914.09
|
| Rate for Payer: Multiplan WC |
$86,917.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$44,712.01
|
| Rate for Payer: Preferred Health Network WC |
$88,691.79
|
| Rate for Payer: Prime Health Services Medicare |
$47,394.73
|
| Rate for Payer: Prime Health Services WC |
$86,031.04
|
| 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: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$40,683.91
|
|
|
Service Code
|
MSDRG 425
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,683.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,683.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,280.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,377.18
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,032.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,161.95
|
| Rate for Payer: EPIC Health Plan Senior |
$17,897.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,897.74
|
| Rate for Payer: InnovAge PACE Commercial |
$26,846.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,897.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,982.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,982.97
|
| Rate for Payer: Multiplan WC |
$33,032.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,897.74
|
| Rate for Payer: Preferred Health Network WC |
$33,706.98
|
| Rate for Payer: Prime Health Services Medicare |
$18,971.60
|
| Rate for Payer: Prime Health Services WC |
$32,695.77
|
| 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
|
|
