|
MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS
|
Facility
|
IP
|
$64,473.65
|
|
|
Service Code
|
MSDRG 792
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$64,473.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$64,473.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,647.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$56,063.83
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$52,348.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$37,138.04
|
| Rate for Payer: EPIC Health Plan Senior |
$27,509.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,509.66
|
| Rate for Payer: InnovAge PACE Commercial |
$41,264.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,509.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,862.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,862.94
|
| Rate for Payer: Multiplan WC |
$52,348.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,509.66
|
| Rate for Payer: Preferred Health Network WC |
$53,416.99
|
| Rate for Payer: Prime Health Services Medicare |
$29,160.24
|
| Rate for Payer: Prime Health Services WC |
$51,814.48
|
| 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: PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$43,355.29
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,355.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,355.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,005.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,700.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,201.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,619.06
|
| Rate for Payer: EPIC Health Plan Senior |
$18,977.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,977.08
|
| Rate for Payer: InnovAge PACE Commercial |
$28,465.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,977.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,429.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,429.29
|
| Rate for Payer: Multiplan WC |
$35,201.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,977.08
|
| Rate for Payer: Preferred Health Network WC |
$35,920.24
|
| Rate for Payer: Prime Health Services Medicare |
$20,115.70
|
| Rate for Payer: Prime Health Services WC |
$34,842.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$90,368.92
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$90,368.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,368.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,374.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,581.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,374.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,262.59
|
| Rate for Payer: EPIC Health Plan Senior |
$37,972.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,972.29
|
| Rate for Payer: InnovAge PACE Commercial |
$56,958.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,972.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,882.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,882.87
|
| Rate for Payer: Multiplan WC |
$73,374.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,972.29
|
| Rate for Payer: Preferred Health Network WC |
$74,871.45
|
| Rate for Payer: Prime Health Services Medicare |
$40,250.63
|
| Rate for Payer: Prime Health Services WC |
$72,625.31
|
| 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: PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$27,050.67
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$12,397.61 |
| Max. Negotiated Rate |
$27,050.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,050.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,473.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,522.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,963.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,736.77
|
| Rate for Payer: EPIC Health Plan Senior |
$12,397.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,397.61
|
| Rate for Payer: InnovAge PACE Commercial |
$18,596.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,397.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,612.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,612.80
|
| Rate for Payer: Multiplan WC |
$21,963.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,397.61
|
| Rate for Payer: Preferred Health Network WC |
$22,411.72
|
| Rate for Payer: Prime Health Services Medicare |
$13,141.47
|
| Rate for Payer: Prime Health Services WC |
$21,739.37
|
| 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: PSYCHOSES
|
Facility
|
IP
|
$37,099.26
|
|
|
Service Code
|
MSDRG 885
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,099.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,099.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,964.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,260.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,122.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,206.70
|
| Rate for Payer: EPIC Health Plan Senior |
$16,449.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,449.41
|
| Rate for Payer: InnovAge PACE Commercial |
$24,674.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,449.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,042.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,042.21
|
| Rate for Payer: Multiplan WC |
$30,122.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,449.41
|
| Rate for Payer: Preferred Health Network WC |
$30,737.07
|
| Rate for Payer: Prime Health Services Medicare |
$17,436.37
|
| Rate for Payer: Prime Health Services WC |
$29,814.96
|
| 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: PULMONARY EDEMA AND RESPIRATORY FAILURE
|
Facility
|
IP
|
$32,567.13
|
|
|
Service Code
|
MSDRG 189
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$32,567.13 |
| Rate for Payer: Aetna of CA HMO/PPO |
$32,567.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,037.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,319.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$26,442.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,734.66
|
| Rate for Payer: EPIC Health Plan Senior |
$14,618.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,618.27
|
| Rate for Payer: InnovAge PACE Commercial |
$21,927.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,618.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,588.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,588.48
|
| Rate for Payer: Multiplan WC |
$26,442.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,618.27
|
| Rate for Payer: Preferred Health Network WC |
$26,982.16
|
| Rate for Payer: Prime Health Services Medicare |
$15,495.37
|
| Rate for Payer: Prime Health Services WC |
$26,172.70
|
| 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: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
|
Facility
|
IP
|
$37,086.10
|
|
|
Service Code
|
MSDRG 175
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,086.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,086.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,956.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,248.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,111.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,199.52
|
| Rate for Payer: EPIC Health Plan Senior |
$16,444.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,444.09
|
| Rate for Payer: InnovAge PACE Commercial |
$24,666.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,444.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,035.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,035.08
|
| Rate for Payer: Multiplan WC |
$30,111.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,444.09
|
| Rate for Payer: Preferred Health Network WC |
$30,726.16
|
| Rate for Payer: Prime Health Services Medicare |
$17,430.74
|
| Rate for Payer: Prime Health Services WC |
$29,804.38
|
| 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: PULMONARY EMBOLISM WITHOUT MCC
|
Facility
|
IP
|
$21,436.83
|
|
|
Service Code
|
MSDRG 176
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,436.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,436.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,847.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,640.65
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,405.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,687.42
|
| Rate for Payer: EPIC Health Plan Senior |
$10,138.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,138.83
|
| Rate for Payer: InnovAge PACE Commercial |
$15,208.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,138.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,586.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,586.03
|
| Rate for Payer: Multiplan WC |
$17,405.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,138.83
|
| Rate for Payer: Preferred Health Network WC |
$17,760.60
|
| Rate for Payer: Prime Health Services Medicare |
$10,747.16
|
| Rate for Payer: Prime Health Services WC |
$17,227.78
|
| 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: RADIOTHERAPY
|
Facility
|
IP
|
$70,300.68
|
|
|
Service Code
|
MSDRG 849
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$70,300.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$70,300.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$45,411.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$61,130.79
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$57,079.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,316.39
|
| Rate for Payer: EPIC Health Plan Senior |
$29,863.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,863.99
|
| Rate for Payer: InnovAge PACE Commercial |
$44,795.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,863.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,017.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,017.75
|
| Rate for Payer: Multiplan WC |
$57,079.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,863.99
|
| Rate for Payer: Preferred Health Network WC |
$58,244.74
|
| Rate for Payer: Prime Health Services Medicare |
$31,655.83
|
| Rate for Payer: Prime Health Services WC |
$56,497.40
|
| 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: RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$55,935.77
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,935.77 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,935.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,132.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,639.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,416.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,481.07
|
| Rate for Payer: EPIC Health Plan Senior |
$24,060.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,060.05
|
| Rate for Payer: InnovAge PACE Commercial |
$36,090.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,060.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,240.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,240.47
|
| Rate for Payer: Multiplan WC |
$45,416.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,060.05
|
| Rate for Payer: Preferred Health Network WC |
$46,343.28
|
| Rate for Payer: Prime Health Services Medicare |
$25,503.65
|
| Rate for Payer: Prime Health Services WC |
$44,952.98
|
| 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: RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$91,292.72
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$91,292.72 |
| Rate for Payer: Aetna of CA HMO/PPO |
$91,292.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,971.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$79,384.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$74,124.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,766.47
|
| Rate for Payer: EPIC Health Plan Senior |
$38,345.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$38,345.53
|
| Rate for Payer: InnovAge PACE Commercial |
$57,518.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,345.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,383.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,383.01
|
| Rate for Payer: Multiplan WC |
$74,124.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$38,345.53
|
| Rate for Payer: Preferred Health Network WC |
$75,636.82
|
| Rate for Payer: Prime Health Services Medicare |
$40,646.26
|
| Rate for Payer: Prime Health Services WC |
$73,367.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$43,652.69
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,652.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,652.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,197.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,958.72
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,443.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,781.27
|
| Rate for Payer: EPIC Health Plan Senior |
$19,097.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,097.24
|
| Rate for Payer: InnovAge PACE Commercial |
$28,645.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,097.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,590.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,590.30
|
| Rate for Payer: Multiplan WC |
$35,443.31
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,097.24
|
| Rate for Payer: Preferred Health Network WC |
$36,166.64
|
| Rate for Payer: Prime Health Services Medicare |
$20,243.07
|
| Rate for Payer: Prime Health Services WC |
$35,081.64
|
| 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: RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$37,028.20
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$37,028.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$37,028.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,918.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32,198.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,064.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,167.96
|
| Rate for Payer: EPIC Health Plan Senior |
$16,420.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,420.71
|
| Rate for Payer: InnovAge PACE Commercial |
$24,631.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,420.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,003.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,003.75
|
| Rate for Payer: Multiplan WC |
$30,064.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,420.71
|
| Rate for Payer: Preferred Health Network WC |
$30,678.19
|
| Rate for Payer: Prime Health Services Medicare |
$17,405.95
|
| Rate for Payer: Prime Health Services WC |
$29,757.84
|
| 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: RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$24,289.81
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,289.81 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,289.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,690.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,121.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,721.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,237.13
|
| Rate for Payer: EPIC Health Plan Senior |
$11,286.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,286.76
|
| Rate for Payer: InnovAge PACE Commercial |
$16,930.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,286.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,124.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,124.26
|
| Rate for Payer: Multiplan WC |
$19,721.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,286.76
|
| Rate for Payer: Preferred Health Network WC |
$20,124.32
|
| Rate for Payer: Prime Health Services Medicare |
$11,963.97
|
| Rate for Payer: Prime Health Services WC |
$19,520.59
|
| 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: REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$40,175.95
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,175.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,175.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,952.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,935.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,620.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,884.89
|
| Rate for Payer: EPIC Health Plan Senior |
$17,692.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,692.51
|
| Rate for Payer: InnovAge PACE Commercial |
$26,538.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,692.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,707.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,707.96
|
| Rate for Payer: Multiplan WC |
$32,620.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,692.51
|
| Rate for Payer: Preferred Health Network WC |
$33,286.13
|
| Rate for Payer: Prime Health Services Medicare |
$18,754.06
|
| Rate for Payer: Prime Health Services WC |
$32,287.55
|
| 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: REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$29,385.16
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,385.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,385.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,981.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,552.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,858.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,004.86
|
| Rate for Payer: EPIC Health Plan Senior |
$13,336.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,336.93
|
| Rate for Payer: InnovAge PACE Commercial |
$20,005.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,336.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,871.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,871.49
|
| Rate for Payer: Multiplan WC |
$23,858.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,336.93
|
| Rate for Payer: Preferred Health Network WC |
$24,345.87
|
| Rate for Payer: Prime Health Services Medicare |
$14,137.15
|
| Rate for Payer: Prime Health Services WC |
$23,615.49
|
| 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: RENAL FAILURE WITH CC
|
Facility
|
IP
|
$23,394.96
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,394.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,394.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,112.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,343.37
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,995.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,751.06
|
| Rate for Payer: EPIC Health Plan Senior |
$10,926.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,926.71
|
| Rate for Payer: InnovAge PACE Commercial |
$16,390.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,926.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,641.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,641.79
|
| Rate for Payer: Multiplan WC |
$18,995.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,926.71
|
| Rate for Payer: Preferred Health Network WC |
$19,382.93
|
| Rate for Payer: Prime Health Services Medicare |
$11,582.31
|
| Rate for Payer: Prime Health Services WC |
$18,801.44
|
| 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: RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$39,528.51
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,528.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,528.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,533.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,372.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,094.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,531.74
|
| Rate for Payer: EPIC Health Plan Senior |
$17,430.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,430.92
|
| Rate for Payer: InnovAge PACE Commercial |
$26,146.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,430.92
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,357.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,357.43
|
| Rate for Payer: Multiplan WC |
$32,094.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,430.92
|
| Rate for Payer: Preferred Health Network WC |
$32,749.72
|
| Rate for Payer: Prime Health Services Medicare |
$18,476.78
|
| Rate for Payer: Prime Health Services WC |
$31,767.23
|
| 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: RENAL FAILURE WITHOUT CC/MCC
|
Facility
|
IP
|
$15,986.16
|
|
|
Service Code
|
MSDRG 684
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$15,986.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$15,986.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,326.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,900.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$12,979.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,726.69
|
| Rate for Payer: EPIC Health Plan Senior |
$7,945.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,945.70
|
| Rate for Payer: InnovAge PACE Commercial |
$11,918.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,945.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,647.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,647.24
|
| Rate for Payer: Multiplan WC |
$12,979.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,945.70
|
| Rate for Payer: Preferred Health Network WC |
$13,244.68
|
| Rate for Payer: Prime Health Services Medicare |
$8,422.44
|
| Rate for Payer: Prime Health Services WC |
$12,847.34
|
| 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: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
|
Facility
|
IP
|
$26,111.08
|
|
|
Service Code
|
MSDRG 178
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,111.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,111.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,866.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,705.20
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,200.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,226.42
|
| Rate for Payer: EPIC Health Plan Senior |
$12,019.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,019.57
|
| Rate for Payer: InnovAge PACE Commercial |
$18,029.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,019.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,106.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,106.22
|
| Rate for Payer: Multiplan WC |
$21,200.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,019.57
|
| Rate for Payer: Preferred Health Network WC |
$21,633.26
|
| Rate for Payer: Prime Health Services Medicare |
$12,740.74
|
| Rate for Payer: Prime Health Services WC |
$20,984.26
|
| 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: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
|
Facility
|
IP
|
$42,544.66
|
|
|
Service Code
|
MSDRG 177
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,544.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,544.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,482.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,995.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,543.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,176.91
|
| Rate for Payer: EPIC Health Plan Senior |
$18,649.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,649.56
|
| Rate for Payer: InnovAge PACE Commercial |
$27,974.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,649.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,990.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,990.41
|
| Rate for Payer: Multiplan WC |
$34,543.66
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,649.56
|
| Rate for Payer: Preferred Health Network WC |
$35,248.63
|
| Rate for Payer: Prime Health Services Medicare |
$19,768.53
|
| Rate for Payer: Prime Health Services WC |
$34,191.17
|
| 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: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$20,257.73
|
|
|
Service Code
|
MSDRG 179
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,257.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,257.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,085.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,615.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,448.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,046.95
|
| Rate for Payer: EPIC Health Plan Senior |
$9,664.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,664.41
|
| Rate for Payer: InnovAge PACE Commercial |
$14,496.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,664.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,950.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,950.31
|
| Rate for Payer: Multiplan WC |
$16,448.04
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,664.41
|
| Rate for Payer: Preferred Health Network WC |
$16,783.71
|
| Rate for Payer: Prime Health Services Medicare |
$10,244.27
|
| Rate for Payer: Prime Health Services WC |
$16,280.20
|
| 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: RESPIRATORY NEOPLASMS WITH CC
|
Facility
|
IP
|
$29,221.99
|
|
|
Service Code
|
MSDRG 181
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,221.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,221.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,876.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,410.33
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,726.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,916.20
|
| Rate for Payer: EPIC Health Plan Senior |
$13,271.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,271.26
|
| Rate for Payer: InnovAge PACE Commercial |
$19,906.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,271.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,783.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,783.49
|
| Rate for Payer: Multiplan WC |
$23,726.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,271.26
|
| Rate for Payer: Preferred Health Network WC |
$24,210.67
|
| Rate for Payer: Prime Health Services Medicare |
$14,067.54
|
| Rate for Payer: Prime Health Services WC |
$23,484.35
|
| 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: RESPIRATORY NEOPLASMS WITH MCC
|
Facility
|
IP
|
$46,000.35
|
|
|
Service Code
|
MSDRG 180
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$46,000.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,000.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,714.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,000.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,349.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,061.80
|
| Rate for Payer: EPIC Health Plan Senior |
$20,045.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,045.78
|
| Rate for Payer: InnovAge PACE Commercial |
$30,068.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,045.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,861.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,861.35
|
| Rate for Payer: Multiplan WC |
$37,349.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,045.78
|
| Rate for Payer: Preferred Health Network WC |
$38,111.69
|
| Rate for Payer: Prime Health Services Medicare |
$21,248.53
|
| Rate for Payer: Prime Health Services WC |
$36,968.34
|
| 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: RESPIRATORY NEOPLASMS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,042.16
|
|
|
Service Code
|
MSDRG 182
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,042.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,042.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,238.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,167.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,896.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,016.24
|
| Rate for Payer: EPIC Health Plan Senior |
$10,382.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,382.40
|
| Rate for Payer: InnovAge PACE Commercial |
$15,573.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,382.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,912.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,912.42
|
| Rate for Payer: Multiplan WC |
$17,896.89
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,382.40
|
| Rate for Payer: Preferred Health Network WC |
$18,262.13
|
| Rate for Payer: Prime Health Services Medicare |
$11,005.34
|
| Rate for Payer: Prime Health Services WC |
$17,714.27
|
| 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
|
|
