|
MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$37,878.30
|
|
|
Service Code
|
MSDRG 581
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$37,878.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,878.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,467.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,937.53
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,754.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,553.30
|
| Rate for Payer: EPIC Health Plan Senior |
$20,409.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,409.85
|
| Rate for Payer: InnovAge PACE Commercial |
$30,614.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,409.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,349.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,349.20
|
| Rate for Payer: Multiplan WC |
$30,754.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,409.85
|
| Rate for Payer: Preferred Health Network WC |
$31,382.51
|
| Rate for Payer: Prime Health Services Medicare |
$21,634.44
|
| Rate for Payer: Prime Health Services WC |
$30,441.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$67,192.41
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$67,192.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$67,192.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,403.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$58,427.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,556.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$48,055.91
|
| Rate for Payer: EPIC Health Plan Senior |
$35,596.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,596.97
|
| Rate for Payer: InnovAge PACE Commercial |
$53,395.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,596.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,699.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,699.94
|
| Rate for Payer: Multiplan WC |
$54,556.11
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,596.97
|
| Rate for Payer: Preferred Health Network WC |
$55,669.50
|
| Rate for Payer: Prime Health Services Medicare |
$37,732.79
|
| Rate for Payer: Prime Health Services WC |
$53,999.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$43,936.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,236.00
|
| Rate for Payer: United Healthcare HMO Rider |
$29,046.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26,610.00
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,284.70
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$90,284.70 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,284.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,320.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,508.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,305.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$64,206.92
|
| Rate for Payer: EPIC Health Plan Senior |
$47,560.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,560.68
|
| Rate for Payer: InnovAge PACE Commercial |
$71,341.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,560.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,731.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,731.31
|
| Rate for Payer: Multiplan WC |
$73,305.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,560.68
|
| Rate for Payer: Preferred Health Network WC |
$74,801.67
|
| Rate for Payer: Prime Health Services Medicare |
$50,414.32
|
| Rate for Payer: Prime Health Services WC |
$72,557.62
|
| Rate for Payer: United Healthcare All Other Commercial |
$42,180.00
|
| Rate for Payer: United Healthcare All Other HMO |
$41,854.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,795.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,128.00
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,697.00
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$19,823.00 |
| Max. Negotiated Rate |
$56,697.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,042.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,741.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,036.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,383.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,263.42
|
| Rate for Payer: EPIC Health Plan Senior |
$24,639.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,639.57
|
| Rate for Payer: InnovAge PACE Commercial |
$36,959.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,639.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,017.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,017.02
|
| Rate for Payer: Multiplan WC |
$37,383.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,639.57
|
| Rate for Payer: Preferred Health Network WC |
$38,146.58
|
| Rate for Payer: Prime Health Services Medicare |
$26,117.94
|
| Rate for Payer: Prime Health Services WC |
$37,002.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$56,697.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,481.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,636.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19,823.00
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$29,866.80
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,866.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,866.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,292.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,971.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,250.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,949.99
|
| Rate for Payer: EPIC Health Plan Senior |
$16,259.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,259.25
|
| Rate for Payer: InnovAge PACE Commercial |
$24,388.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,259.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,787.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,787.40
|
| Rate for Payer: Multiplan WC |
$24,250.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,259.25
|
| Rate for Payer: Preferred Health Network WC |
$24,744.91
|
| Rate for Payer: Prime Health Services Medicare |
$17,234.81
|
| Rate for Payer: Prime Health Services WC |
$24,002.56
|
| 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: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$18,731.23
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,731.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,731.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,099.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,287.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,208.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,161.64
|
| Rate for Payer: EPIC Health Plan Senior |
$10,490.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,490.10
|
| Rate for Payer: InnovAge PACE Commercial |
$15,735.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,490.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,056.73
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,056.73
|
| Rate for Payer: Multiplan WC |
$15,208.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,490.10
|
| Rate for Payer: Preferred Health Network WC |
$15,518.99
|
| Rate for Payer: Prime Health Services Medicare |
$11,119.51
|
| Rate for Payer: Prime Health Services WC |
$15,053.42
|
| 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: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$73,914.28
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$73,914.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$73,914.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,745.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,273.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,013.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$52,757.24
|
| Rate for Payer: EPIC Health Plan Senior |
$39,079.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,079.44
|
| Rate for Payer: InnovAge PACE Commercial |
$58,619.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,079.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,366.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$52,366.45
|
| Rate for Payer: Multiplan WC |
$60,013.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,079.44
|
| Rate for Payer: Preferred Health Network WC |
$61,238.63
|
| Rate for Payer: Prime Health Services Medicare |
$41,424.21
|
| Rate for Payer: Prime Health Services WC |
$59,401.47
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$142,877.96
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$142,877.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$142,877.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$92,293.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$124,241.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$116,008.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$100,991.18
|
| Rate for Payer: EPIC Health Plan Senior |
$74,808.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$74,808.28
|
| Rate for Payer: InnovAge PACE Commercial |
$112,212.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$74,808.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$100,243.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$100,243.10
|
| Rate for Payer: Multiplan WC |
$116,008.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$74,808.28
|
| Rate for Payer: Preferred Health Network WC |
$118,375.65
|
| Rate for Payer: Prime Health Services Medicare |
$79,296.78
|
| Rate for Payer: Prime Health Services WC |
$114,824.38
|
| 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: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,212.12
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$56,212.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,212.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,310.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,879.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,640.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,376.16
|
| Rate for Payer: EPIC Health Plan Senior |
$29,908.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,908.27
|
| Rate for Payer: InnovAge PACE Commercial |
$44,862.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,908.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,077.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,077.08
|
| Rate for Payer: Multiplan WC |
$45,640.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,908.27
|
| Rate for Payer: Preferred Health Network WC |
$46,572.24
|
| Rate for Payer: Prime Health Services Medicare |
$31,702.77
|
| Rate for Payer: Prime Health Services WC |
$45,175.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$209,841.39
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$209,841.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129,300.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$209,841.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$135,548.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$182,470.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$170,378.33
|
| Rate for Payer: Blue Distinction Transplant |
$115,254.00
|
| Rate for Payer: Blue Shield of California Transplant |
$95,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$109,500.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$89,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$147,826.15
|
| Rate for Payer: EPIC Health Plan Senior |
$109,500.85
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$70,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$77,857.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$109,500.85
|
| Rate for Payer: InnovAge PACE Commercial |
$164,251.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$109,500.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$146,731.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$146,731.14
|
| Rate for Payer: Multiplan WC |
$170,378.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$131,771.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$109,500.85
|
| Rate for Payer: Preferred Health Network WC |
$173,855.44
|
| Rate for Payer: Prime Health Services Medicare |
$116,070.90
|
| Rate for Payer: Prime Health Services WC |
$168,639.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$27,921.83
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,921.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,921.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,036.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,279.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,670.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,589.65
|
| Rate for Payer: EPIC Health Plan Senior |
$15,251.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,251.59
|
| Rate for Payer: InnovAge PACE Commercial |
$22,877.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,251.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,437.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,437.13
|
| Rate for Payer: Multiplan WC |
$22,670.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,251.59
|
| Rate for Payer: Preferred Health Network WC |
$23,133.48
|
| Rate for Payer: Prime Health Services Medicare |
$16,166.69
|
| Rate for Payer: Prime Health Services WC |
$22,439.48
|
| 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: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$49,087.57
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,087.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,087.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,708.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,684.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,856.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,393.18
|
| Rate for Payer: EPIC Health Plan Senior |
$26,217.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,217.17
|
| Rate for Payer: InnovAge PACE Commercial |
$39,325.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,217.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,131.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,131.01
|
| Rate for Payer: Multiplan WC |
$39,856.09
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,217.17
|
| Rate for Payer: Preferred Health Network WC |
$40,669.48
|
| Rate for Payer: Prime Health Services Medicare |
$27,790.20
|
| Rate for Payer: Prime Health Services WC |
$39,449.40
|
| 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: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,889.27
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,889.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,889.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,847.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,294.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,148.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,971.57
|
| Rate for Payer: EPIC Health Plan Senior |
$11,090.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,090.05
|
| Rate for Payer: InnovAge PACE Commercial |
$16,635.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,090.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,860.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,860.67
|
| Rate for Payer: Multiplan WC |
$16,148.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,090.05
|
| Rate for Payer: Preferred Health Network WC |
$16,478.43
|
| Rate for Payer: Prime Health Services Medicare |
$11,755.45
|
| Rate for Payer: Prime Health Services WC |
$15,984.08
|
| 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: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$55,343.59
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,343.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,343.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,749.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,124.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,935.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,768.73
|
| Rate for Payer: EPIC Health Plan Senior |
$29,458.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,458.32
|
| Rate for Payer: InnovAge PACE Commercial |
$44,187.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,458.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,474.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,474.15
|
| Rate for Payer: Multiplan WC |
$44,935.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,458.32
|
| Rate for Payer: Preferred Health Network WC |
$45,852.66
|
| Rate for Payer: Prime Health Services Medicare |
$31,225.82
|
| Rate for Payer: Prime Health Services WC |
$44,477.08
|
| 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: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,948.63
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$17,337.80 |
| Max. Negotiated Rate |
$31,948.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,948.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,637.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,781.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,940.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,406.03
|
| Rate for Payer: EPIC Health Plan Senior |
$17,337.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,337.80
|
| Rate for Payer: InnovAge PACE Commercial |
$26,006.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,337.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,232.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,232.65
|
| Rate for Payer: Multiplan WC |
$25,940.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,337.80
|
| Rate for Payer: Preferred Health Network WC |
$26,469.73
|
| Rate for Payer: Prime Health Services Medicare |
$18,378.07
|
| Rate for Payer: Prime Health Services WC |
$25,675.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$24,996.00
|
| Rate for Payer: United Healthcare All Other HMO |
$24,494.00
|
| Rate for Payer: United Healthcare HMO Rider |
$24,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,398.00
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$59,141.42
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,141.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,141.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,202.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,427.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,019.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,424.95
|
| Rate for Payer: EPIC Health Plan Senior |
$31,425.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,425.89
|
| Rate for Payer: InnovAge PACE Commercial |
$47,138.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,425.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,110.69
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,110.69
|
| Rate for Payer: Multiplan WC |
$48,019.21
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,425.89
|
| Rate for Payer: Preferred Health Network WC |
$48,999.19
|
| Rate for Payer: Prime Health Services Medicare |
$33,311.44
|
| Rate for Payer: Prime Health Services WC |
$47,529.21
|
| 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: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,515.35
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,515.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,515.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,525.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,361.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,084.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,698.25
|
| Rate for Payer: EPIC Health Plan Senior |
$21,257.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,257.96
|
| Rate for Payer: InnovAge PACE Commercial |
$31,886.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,257.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,485.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,485.67
|
| Rate for Payer: Multiplan WC |
$32,084.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,257.96
|
| Rate for Payer: Preferred Health Network WC |
$32,738.81
|
| Rate for Payer: Prime Health Services Medicare |
$22,533.44
|
| Rate for Payer: Prime Health Services WC |
$31,756.65
|
| 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: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$102,915.19
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$102,915.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$102,915.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66,479.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$89,491.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$83,560.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$73,040.80
|
| Rate for Payer: EPIC Health Plan Senior |
$54,104.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$54,104.30
|
| Rate for Payer: InnovAge PACE Commercial |
$81,156.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$54,104.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$72,499.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$72,499.76
|
| Rate for Payer: Multiplan WC |
$83,560.82
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$54,104.30
|
| Rate for Payer: Preferred Health Network WC |
$85,266.14
|
| Rate for Payer: Prime Health Services Medicare |
$57,350.56
|
| Rate for Payer: Prime Health Services WC |
$82,708.16
|
| Rate for Payer: United Healthcare All Other Commercial |
$62,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$52,172.00
|
| Rate for Payer: United Healthcare HMO Rider |
$36,699.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$33,623.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$82,141.60
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$82,141.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$82,141.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,060.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$71,427.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$66,693.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,511.52
|
| Rate for Payer: EPIC Health Plan Senior |
$43,341.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,341.87
|
| Rate for Payer: InnovAge PACE Commercial |
$65,012.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,341.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,078.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,078.11
|
| Rate for Payer: Multiplan WC |
$66,693.94
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$43,341.87
|
| Rate for Payer: Preferred Health Network WC |
$68,055.04
|
| Rate for Payer: Prime Health Services Medicare |
$45,942.38
|
| Rate for Payer: Prime Health Services WC |
$66,013.39
|
| Rate for Payer: United Healthcare All Other Commercial |
$42,353.00
|
| Rate for Payer: United Healthcare All Other HMO |
$35,562.00
|
| Rate for Payer: United Healthcare HMO Rider |
$25,015.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,918.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$74,924.93
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$74,924.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$74,924.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,398.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,151.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,834.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,464.10
|
| Rate for Payer: EPIC Health Plan Senior |
$39,603.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,603.04
|
| Rate for Payer: InnovAge PACE Commercial |
$59,404.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,603.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,068.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,068.07
|
| Rate for Payer: Multiplan WC |
$60,834.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,603.04
|
| Rate for Payer: Preferred Health Network WC |
$62,075.97
|
| Rate for Payer: Prime Health Services Medicare |
$41,979.22
|
| Rate for Payer: Prime Health Services WC |
$60,213.69
|
| 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: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$47,616.33
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$47,616.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,616.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,758.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,405.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,661.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,364.20
|
| Rate for Payer: EPIC Health Plan Senior |
$25,454.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,454.96
|
| Rate for Payer: InnovAge PACE Commercial |
$38,182.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,454.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,109.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,109.65
|
| Rate for Payer: Multiplan WC |
$38,661.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,454.96
|
| Rate for Payer: Preferred Health Network WC |
$39,450.55
|
| Rate for Payer: Prime Health Services Medicare |
$26,982.26
|
| Rate for Payer: Prime Health Services WC |
$38,267.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$60,865.32
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$60,865.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,865.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,316.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,926.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,418.90
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,630.66
|
| Rate for Payer: EPIC Health Plan Senior |
$32,319.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,319.01
|
| Rate for Payer: InnovAge PACE Commercial |
$48,478.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,319.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,307.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,307.47
|
| Rate for Payer: Multiplan WC |
$49,418.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,319.01
|
| Rate for Payer: Preferred Health Network WC |
$50,427.45
|
| Rate for Payer: Prime Health Services Medicare |
$34,258.15
|
| Rate for Payer: Prime Health Services WC |
$48,914.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$32,556.00
|
| Rate for Payer: United Healthcare All Other HMO |
$35,635.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24,796.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$41,406.00
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$41,406.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,126.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,565.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,761.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,391.84
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,824.85
|
| Rate for Payer: EPIC Health Plan Senior |
$22,092.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,092.48
|
| Rate for Payer: InnovAge PACE Commercial |
$33,138.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,092.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,603.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,603.92
|
| Rate for Payer: Multiplan WC |
$33,391.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,092.48
|
| Rate for Payer: Preferred Health Network WC |
$34,073.31
|
| Rate for Payer: Prime Health Services Medicare |
$23,418.03
|
| Rate for Payer: Prime Health Services WC |
$33,051.11
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,406.00
|
| Rate for Payer: United Healthcare All Other HMO |
$29,656.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,531.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,641.00
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$59,433.57
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,433.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,433.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,391.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,681.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,256.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,629.31
|
| Rate for Payer: EPIC Health Plan Senior |
$31,577.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,577.27
|
| Rate for Payer: InnovAge PACE Commercial |
$47,365.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,577.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,313.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,313.54
|
| Rate for Payer: Multiplan WC |
$48,256.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,577.27
|
| Rate for Payer: Preferred Health Network WC |
$49,241.23
|
| Rate for Payer: Prime Health Services Medicare |
$33,471.91
|
| Rate for Payer: Prime Health Services WC |
$47,763.99
|
| 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: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$99,277.90
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$99,277.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$99,277.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,129.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$86,328.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$80,607.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$70,496.84
|
| Rate for Payer: EPIC Health Plan Senior |
$52,219.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,219.88
|
| Rate for Payer: InnovAge PACE Commercial |
$78,329.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,219.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$69,974.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$69,974.64
|
| Rate for Payer: Multiplan WC |
$80,607.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$52,219.88
|
| Rate for Payer: Preferred Health Network WC |
$82,252.62
|
| Rate for Payer: Prime Health Services Medicare |
$55,353.07
|
| Rate for Payer: Prime Health Services WC |
$79,785.04
|
| 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
|
|
