|
MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS
|
Facility
|
IP
|
$21,344.71
|
|
|
Service Code
|
MSDRG 204
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,344.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,344.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,787.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,560.55
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,330.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,637.39
|
| Rate for Payer: EPIC Health Plan Senior |
$10,101.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,101.77
|
| Rate for Payer: InnovAge PACE Commercial |
$15,152.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,101.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,536.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,536.37
|
| Rate for Payer: Multiplan WC |
$17,330.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,101.77
|
| Rate for Payer: Preferred Health Network WC |
$17,684.28
|
| Rate for Payer: Prime Health Services Medicare |
$10,707.88
|
| Rate for Payer: Prime Health Services WC |
$17,153.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
|
Facility
|
IP
|
$70,634.93
|
|
|
Service Code
|
MSDRG 208
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$70,634.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$70,634.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$45,627.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$61,421.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$57,351.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,498.70
|
| Rate for Payer: EPIC Health Plan Senior |
$29,999.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,999.04
|
| Rate for Payer: InnovAge PACE Commercial |
$44,998.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,999.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,198.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40,198.71
|
| Rate for Payer: Multiplan WC |
$57,351.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,999.04
|
| Rate for Payer: Preferred Health Network WC |
$58,521.67
|
| Rate for Payer: Prime Health Services Medicare |
$31,798.98
|
| Rate for Payer: Prime Health Services WC |
$56,766.02
|
| 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 SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
|
Facility
|
IP
|
$170,210.24
|
|
|
Service Code
|
MSDRG 207
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$170,210.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$170,210.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$109,948.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$148,008.34
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$138,200.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$94,811.97
|
| Rate for Payer: EPIC Health Plan Senior |
$70,231.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$70,231.09
|
| Rate for Payer: InnovAge PACE Commercial |
$105,346.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$70,231.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$94,109.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$94,109.66
|
| Rate for Payer: Multiplan WC |
$138,200.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$70,231.09
|
| Rate for Payer: Preferred Health Network WC |
$141,020.68
|
| Rate for Payer: Prime Health Services Medicare |
$74,444.96
|
| Rate for Payer: Prime Health Services WC |
$136,790.06
|
| 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: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
|
Facility
|
IP
|
$26,742.74
|
|
|
Service Code
|
MSDRG 815
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,742.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,742.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,274.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,254.46
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,713.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,569.52
|
| Rate for Payer: EPIC Health Plan Senior |
$12,273.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,273.72
|
| Rate for Payer: InnovAge PACE Commercial |
$18,410.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,273.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,446.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,446.78
|
| Rate for Payer: Multiplan WC |
$21,713.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,273.72
|
| Rate for Payer: Preferred Health Network WC |
$22,156.59
|
| Rate for Payer: Prime Health Services Medicare |
$13,010.14
|
| Rate for Payer: Prime Health Services WC |
$21,491.89
|
| 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: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
|
Facility
|
IP
|
$55,019.87
|
|
|
Service Code
|
MSDRG 814
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$55,019.87 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,019.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,540.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,843.18
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,672.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,981.49
|
| Rate for Payer: EPIC Health Plan Senior |
$23,689.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,689.99
|
| Rate for Payer: InnovAge PACE Commercial |
$35,534.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,689.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,744.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,744.59
|
| Rate for Payer: Multiplan WC |
$44,672.76
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,689.99
|
| Rate for Payer: Preferred Health Network WC |
$45,584.45
|
| Rate for Payer: Prime Health Services Medicare |
$25,111.39
|
| Rate for Payer: Prime Health Services WC |
$44,216.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$17,354.75
|
|
|
Service Code
|
MSDRG 816
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,354.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,354.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,210.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,091.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,090.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,470.10
|
| Rate for Payer: EPIC Health Plan Senior |
$8,496.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,496.37
|
| Rate for Payer: InnovAge PACE Commercial |
$12,744.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,496.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,385.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,385.14
|
| Rate for Payer: Multiplan WC |
$14,090.99
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,496.37
|
| Rate for Payer: Preferred Health Network WC |
$14,378.56
|
| Rate for Payer: Prime Health Services Medicare |
$9,006.15
|
| Rate for Payer: Prime Health Services WC |
$13,947.20
|
| 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: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
|
IP
|
$90,147.84
|
|
|
Service Code
|
MSDRG 467
|
| Min. Negotiated Rate |
$32,499.00 |
| Max. Negotiated Rate |
$90,147.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,147.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,231.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,389.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,194.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,142.01
|
| Rate for Payer: EPIC Health Plan Senior |
$37,882.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,882.97
|
| Rate for Payer: InnovAge PACE Commercial |
$56,824.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,882.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,763.18
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,763.18
|
| Rate for Payer: Multiplan WC |
$73,194.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,882.97
|
| Rate for Payer: Preferred Health Network WC |
$74,688.28
|
| Rate for Payer: Prime Health Services Medicare |
$40,155.95
|
| Rate for Payer: Prime Health Services WC |
$72,447.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$36,468.00
|
| Rate for Payer: United Healthcare All Other HMO |
$33,770.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,474.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,499.00
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
|
IP
|
$134,084.78
|
|
|
Service Code
|
MSDRG 466
|
| Min. Negotiated Rate |
$39,477.00 |
| Max. Negotiated Rate |
$134,084.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$134,084.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$86,613.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$116,595.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$108,868.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$75,107.38
|
| Rate for Payer: EPIC Health Plan Senior |
$55,635.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$55,635.10
|
| Rate for Payer: InnovAge PACE Commercial |
$83,452.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,635.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$74,551.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,551.03
|
| Rate for Payer: Multiplan WC |
$108,868.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$55,635.10
|
| Rate for Payer: Preferred Health Network WC |
$111,090.42
|
| Rate for Payer: Prime Health Services Medicare |
$58,973.21
|
| Rate for Payer: Prime Health Services WC |
$107,757.71
|
| Rate for Payer: United Healthcare All Other Commercial |
$39,477.00
|
| Rate for Payer: United Healthcare All Other HMO |
$43,441.00
|
| Rate for Payer: United Healthcare HMO Rider |
$45,640.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$41,813.00
|
|
|
MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
|
IP
|
$69,042.63
|
|
|
Service Code
|
MSDRG 468
|
| Min. Negotiated Rate |
$28,986.00 |
| Max. Negotiated Rate |
$69,042.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,042.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,598.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,036.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,058.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,630.19
|
| Rate for Payer: EPIC Health Plan Senior |
$29,355.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,355.70
|
| Rate for Payer: InnovAge PACE Commercial |
$44,033.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,355.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,336.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,336.64
|
| Rate for Payer: Multiplan WC |
$56,058.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,355.70
|
| Rate for Payer: Preferred Health Network WC |
$57,202.43
|
| Rate for Payer: Prime Health Services Medicare |
$31,117.04
|
| Rate for Payer: Prime Health Services WC |
$55,486.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$39,477.00
|
| Rate for Payer: United Healthcare All Other HMO |
$30,116.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,639.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,986.00
|
|
|
MS-DRG 42.00: SALIVARY GLAND PROCEDURES
|
Facility
|
IP
|
$36,135.99
|
|
|
Service Code
|
MSDRG 139
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$36,135.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,135.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,342.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,422.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,340.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,681.28
|
| Rate for Payer: EPIC Health Plan Senior |
$16,060.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,060.21
|
| Rate for Payer: InnovAge PACE Commercial |
$24,090.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,060.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,520.68
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,520.68
|
| Rate for Payer: Multiplan WC |
$29,340.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,060.21
|
| Rate for Payer: Preferred Health Network WC |
$29,938.98
|
| Rate for Payer: Prime Health Services Medicare |
$17,023.82
|
| Rate for Payer: Prime Health Services WC |
$29,040.81
|
| 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: SEIZURES WITH MCC
|
Facility
|
IP
|
$52,251.11
|
|
|
Service Code
|
MSDRG 100
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$52,251.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,251.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,752.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,435.58
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,424.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,471.28
|
| Rate for Payer: EPIC Health Plan Senior |
$22,571.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,571.32
|
| Rate for Payer: InnovAge PACE Commercial |
$33,856.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,571.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,245.57
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,245.57
|
| Rate for Payer: Multiplan WC |
$42,424.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,571.32
|
| Rate for Payer: Preferred Health Network WC |
$43,290.51
|
| Rate for Payer: Prime Health Services Medicare |
$23,925.60
|
| Rate for Payer: Prime Health Services WC |
$41,991.79
|
| 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: SEIZURES WITHOUT MCC
|
Facility
|
IP
|
$24,258.22
|
|
|
Service Code
|
MSDRG 101
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,258.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,258.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,669.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,094.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,696.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,219.95
|
| Rate for Payer: EPIC Health Plan Senior |
$11,274.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,274.04
|
| Rate for Payer: InnovAge PACE Commercial |
$16,911.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,274.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,107.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,107.21
|
| Rate for Payer: Multiplan WC |
$19,696.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,274.04
|
| Rate for Payer: Preferred Health Network WC |
$20,098.15
|
| Rate for Payer: Prime Health Services Medicare |
$11,950.48
|
| Rate for Payer: Prime Health Services WC |
$19,495.21
|
| 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: SEPTIC ARTHRITIS WITH CC
|
Facility
|
IP
|
$31,717.03
|
|
|
Service Code
|
MSDRG 549
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$31,717.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,717.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,487.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,579.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,752.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,271.47
|
| Rate for Payer: EPIC Health Plan Senior |
$14,275.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,275.16
|
| Rate for Payer: InnovAge PACE Commercial |
$21,412.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,275.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,128.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,128.71
|
| Rate for Payer: Multiplan WC |
$25,752.28
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,275.16
|
| Rate for Payer: Preferred Health Network WC |
$26,277.84
|
| Rate for Payer: Prime Health Services Medicare |
$15,131.67
|
| Rate for Payer: Prime Health Services WC |
$25,489.50
|
| 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: SEPTIC ARTHRITIS WITH MCC
|
Facility
|
IP
|
$53,022.26
|
|
|
Service Code
|
MSDRG 548
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$53,022.26 |
| Rate for Payer: Aetna of CA HMO/PPO |
$53,022.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,250.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,106.14
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,050.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,891.90
|
| Rate for Payer: EPIC Health Plan Senior |
$22,882.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,882.89
|
| Rate for Payer: InnovAge PACE Commercial |
$34,324.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,882.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,663.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,663.07
|
| Rate for Payer: Multiplan WC |
$43,050.82
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,882.89
|
| Rate for Payer: Preferred Health Network WC |
$43,929.41
|
| Rate for Payer: Prime Health Services Medicare |
$24,255.86
|
| Rate for Payer: Prime Health Services WC |
$42,611.53
|
| 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: SEPTIC ARTHRITIS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,689.61
|
|
|
Service Code
|
MSDRG 550
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,689.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,689.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,656.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,730.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,422.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,367.93
|
| Rate for Payer: EPIC Health Plan Senior |
$10,642.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,642.91
|
| Rate for Payer: InnovAge PACE Commercial |
$15,964.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,642.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,261.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,261.50
|
| Rate for Payer: Multiplan WC |
$18,422.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,642.91
|
| Rate for Payer: Preferred Health Network WC |
$18,798.54
|
| Rate for Payer: Prime Health Services Medicare |
$11,281.48
|
| Rate for Payer: Prime Health Services WC |
$18,234.58
|
| 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: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
|
Facility
|
IP
|
$183,088.12
|
|
|
Service Code
|
MSDRG 870
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$183,088.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$183,088.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$118,267.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$159,206.46
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$148,656.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$101,836.21
|
| Rate for Payer: EPIC Health Plan Senior |
$75,434.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75,434.23
|
| Rate for Payer: InnovAge PACE Commercial |
$113,151.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75,434.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$101,081.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$101,081.87
|
| Rate for Payer: Multiplan WC |
$148,656.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$75,434.23
|
| Rate for Payer: Preferred Health Network WC |
$151,690.13
|
| Rate for Payer: Prime Health Services Medicare |
$79,960.28
|
| Rate for Payer: Prime Health Services WC |
$147,139.43
|
| 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: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
|
Facility
|
IP
|
$51,640.51
|
|
|
Service Code
|
MSDRG 871
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$51,640.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,640.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,357.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,904.62
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,928.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,138.21
|
| Rate for Payer: EPIC Health Plan Senior |
$22,324.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,324.60
|
| Rate for Payer: InnovAge PACE Commercial |
$33,486.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,324.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,914.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,914.96
|
| Rate for Payer: Multiplan WC |
$41,928.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,324.60
|
| Rate for Payer: Preferred Health Network WC |
$42,784.62
|
| Rate for Payer: Prime Health Services Medicare |
$23,664.08
|
| Rate for Payer: Prime Health Services WC |
$41,501.08
|
| 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: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
|
Facility
|
IP
|
$27,134.89
|
|
|
Service Code
|
MSDRG 872
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,134.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,134.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,528.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,595.47
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,031.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,782.53
|
| Rate for Payer: EPIC Health Plan Senior |
$12,431.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,431.50
|
| Rate for Payer: InnovAge PACE Commercial |
$18,647.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,431.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,658.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,658.21
|
| Rate for Payer: Multiplan WC |
$22,031.87
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,431.50
|
| Rate for Payer: Preferred Health Network WC |
$22,481.50
|
| Rate for Payer: Prime Health Services Medicare |
$13,177.39
|
| Rate for Payer: Prime Health Services WC |
$21,807.06
|
| 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: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
|
Facility
|
IP
|
$51,616.82
|
|
|
Service Code
|
MSDRG 511
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$51,616.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$51,616.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,342.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,884.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$41,909.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,125.30
|
| Rate for Payer: EPIC Health Plan Senior |
$22,315.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,315.04
|
| Rate for Payer: InnovAge PACE Commercial |
$33,472.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,315.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,902.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,902.15
|
| Rate for Payer: Multiplan WC |
$41,909.69
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,315.04
|
| Rate for Payer: Preferred Health Network WC |
$42,764.99
|
| Rate for Payer: Prime Health Services Medicare |
$23,653.94
|
| Rate for Payer: Prime Health Services WC |
$41,482.04
|
| 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: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,222.33
|
|
|
Service Code
|
MSDRG 510
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$75,222.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$75,222.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,590.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,410.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$61,075.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,000.90
|
| Rate for Payer: EPIC Health Plan Senior |
$31,852.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,852.52
|
| Rate for Payer: InnovAge PACE Commercial |
$47,778.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,852.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,682.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,682.38
|
| Rate for Payer: Multiplan WC |
$61,075.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,852.52
|
| Rate for Payer: Preferred Health Network WC |
$62,322.37
|
| Rate for Payer: Prime Health Services Medicare |
$33,763.67
|
| Rate for Payer: Prime Health Services WC |
$60,452.70
|
| 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: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$42,315.69
|
|
|
Service Code
|
MSDRG 512
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$42,315.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,315.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,334.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,796.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,357.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,052.02
|
| Rate for Payer: EPIC Health Plan Senior |
$18,557.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,557.05
|
| Rate for Payer: InnovAge PACE Commercial |
$27,835.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,557.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,866.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,866.45
|
| Rate for Payer: Multiplan WC |
$34,357.74
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,557.05
|
| Rate for Payer: Preferred Health Network WC |
$35,058.92
|
| Rate for Payer: Prime Health Services Medicare |
$19,670.47
|
| Rate for Payer: Prime Health Services WC |
$34,007.15
|
| 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: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$35,441.17
|
|
|
Service Code
|
MSDRG 555
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$35,441.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$35,441.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,893.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,818.29
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,776.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,302.30
|
| Rate for Payer: EPIC Health Plan Senior |
$15,779.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,779.48
|
| Rate for Payer: InnovAge PACE Commercial |
$23,669.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,779.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,144.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,144.50
|
| Rate for Payer: Multiplan WC |
$28,776.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,779.48
|
| Rate for Payer: Preferred Health Network WC |
$29,363.32
|
| Rate for Payer: Prime Health Services Medicare |
$16,726.25
|
| Rate for Payer: Prime Health Services WC |
$28,482.42
|
| 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: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
|
Facility
|
IP
|
$21,489.46
|
|
|
Service Code
|
MSDRG 556
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,489.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,489.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,881.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,686.42
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,448.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,716.01
|
| Rate for Payer: EPIC Health Plan Senior |
$10,160.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,160.01
|
| Rate for Payer: InnovAge PACE Commercial |
$15,240.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,160.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,614.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,614.41
|
| Rate for Payer: Multiplan WC |
$17,448.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,160.01
|
| Rate for Payer: Preferred Health Network WC |
$17,804.21
|
| Rate for Payer: Prime Health Services Medicare |
$10,769.61
|
| Rate for Payer: Prime Health Services WC |
$17,270.08
|
| 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: SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$33,851.50
|
|
|
Service Code
|
MSDRG 947
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,851.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,851.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,866.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29,435.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,485.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,435.21
|
| Rate for Payer: EPIC Health Plan Senior |
$15,137.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,137.19
|
| Rate for Payer: InnovAge PACE Commercial |
$22,705.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,137.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,283.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,283.83
|
| Rate for Payer: Multiplan WC |
$27,485.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,137.19
|
| Rate for Payer: Preferred Health Network WC |
$28,046.26
|
| Rate for Payer: Prime Health Services Medicare |
$16,045.42
|
| Rate for Payer: Prime Health Services WC |
$27,204.87
|
| 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: SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$20,910.45
|
|
|
Service Code
|
MSDRG 948
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,910.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,910.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,507.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,182.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,978.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,401.49
|
| Rate for Payer: EPIC Health Plan Senior |
$9,927.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,927.03
|
| Rate for Payer: InnovAge PACE Commercial |
$14,890.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,927.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,302.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,302.22
|
| Rate for Payer: Multiplan WC |
$16,978.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,927.03
|
| Rate for Payer: Preferred Health Network WC |
$17,324.49
|
| Rate for Payer: Prime Health Services Medicare |
$10,522.65
|
| Rate for Payer: Prime Health Services WC |
$16,804.76
|
| 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
|
|
