|
MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS
|
Facility
|
IP
|
$106,852.51
|
|
|
Service Code
|
MSDRG 791
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$106,852.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$106,852.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,022.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$92,914.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$86,757.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$75,794.62
|
| Rate for Payer: EPIC Health Plan Senior |
$56,144.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$56,144.16
|
| Rate for Payer: InnovAge PACE Commercial |
$84,216.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$56,144.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$75,233.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$75,233.17
|
| Rate for Payer: Multiplan WC |
$86,757.68
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$56,144.16
|
| Rate for Payer: Preferred Health Network WC |
$88,528.25
|
| Rate for Payer: Prime Health Services Medicare |
$59,512.81
|
| Rate for Payer: Prime Health Services WC |
$85,872.40
|
| 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: 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 |
$46,154.37
|
| Rate for Payer: EPIC Health Plan Senior |
$34,188.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,188.42
|
| Rate for Payer: InnovAge PACE Commercial |
$51,282.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,188.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,812.48
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,812.48
|
| Rate for Payer: Multiplan WC |
$52,348.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,188.42
|
| Rate for Payer: Preferred Health Network WC |
$53,416.99
|
| Rate for Payer: Prime Health Services Medicare |
$36,239.73
|
| 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 |
$31,383.98
|
| Rate for Payer: EPIC Health Plan Senior |
$23,247.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,247.39
|
| Rate for Payer: InnovAge PACE Commercial |
$34,871.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,247.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,151.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,151.50
|
| Rate for Payer: Multiplan WC |
$35,201.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,247.39
|
| Rate for Payer: Preferred Health Network WC |
$35,920.24
|
| Rate for Payer: Prime Health Services Medicare |
$24,642.23
|
| 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 |
$64,265.79
|
| Rate for Payer: EPIC Health Plan Senior |
$47,604.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,604.29
|
| Rate for Payer: InnovAge PACE Commercial |
$71,406.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,604.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,789.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,789.75
|
| Rate for Payer: Multiplan WC |
$73,374.02
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,604.29
|
| Rate for Payer: Preferred Health Network WC |
$74,871.45
|
| Rate for Payer: Prime Health Services Medicare |
$50,460.55
|
| 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 |
$14,800.25 |
| 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 |
$19,980.34
|
| Rate for Payer: EPIC Health Plan Senior |
$14,800.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,800.25
|
| Rate for Payer: InnovAge PACE Commercial |
$22,200.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,800.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,832.33
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,832.33
|
| Rate for Payer: Multiplan WC |
$21,963.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,800.25
|
| Rate for Payer: Preferred Health Network WC |
$22,411.72
|
| Rate for Payer: Prime Health Services Medicare |
$15,688.26
|
| 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 |
$27,008.42
|
| Rate for Payer: EPIC Health Plan Senior |
$20,006.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,006.24
|
| Rate for Payer: InnovAge PACE Commercial |
$30,009.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,006.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,808.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,808.36
|
| Rate for Payer: Multiplan WC |
$30,122.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,006.24
|
| Rate for Payer: Preferred Health Network WC |
$30,737.07
|
| Rate for Payer: Prime Health Services Medicare |
$21,206.61
|
| 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 |
$23,838.62
|
| Rate for Payer: EPIC Health Plan Senior |
$17,658.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,658.24
|
| Rate for Payer: InnovAge PACE Commercial |
$26,487.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,658.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,662.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,662.04
|
| Rate for Payer: Multiplan WC |
$26,442.52
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,658.24
|
| Rate for Payer: Preferred Health Network WC |
$26,982.16
|
| Rate for Payer: Prime Health Services Medicare |
$18,717.73
|
| 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 |
$26,999.23
|
| Rate for Payer: EPIC Health Plan Senior |
$19,999.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,999.43
|
| Rate for Payer: InnovAge PACE Commercial |
$29,999.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,999.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,799.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,799.24
|
| Rate for Payer: Multiplan WC |
$30,111.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,999.43
|
| Rate for Payer: Preferred Health Network WC |
$30,726.16
|
| Rate for Payer: Prime Health Services Medicare |
$21,199.40
|
| 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 |
$16,053.94
|
| Rate for Payer: EPIC Health Plan Senior |
$11,891.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,891.81
|
| Rate for Payer: InnovAge PACE Commercial |
$17,837.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,891.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,935.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,935.03
|
| Rate for Payer: Multiplan WC |
$17,405.39
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,891.81
|
| Rate for Payer: Preferred Health Network WC |
$17,760.60
|
| Rate for Payer: Prime Health Services Medicare |
$12,605.32
|
| 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 |
$50,229.86
|
| Rate for Payer: EPIC Health Plan Senior |
$37,207.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,207.30
|
| Rate for Payer: InnovAge PACE Commercial |
$55,810.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,207.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,857.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,857.78
|
| Rate for Payer: Multiplan WC |
$57,079.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,207.30
|
| Rate for Payer: Preferred Health Network WC |
$58,244.74
|
| Rate for Payer: Prime Health Services Medicare |
$39,439.74
|
| 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 |
$40,182.90
|
| Rate for Payer: EPIC Health Plan Senior |
$29,765.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,765.11
|
| Rate for Payer: InnovAge PACE Commercial |
$44,647.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,765.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,885.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,885.25
|
| Rate for Payer: Multiplan WC |
$45,416.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,765.11
|
| Rate for Payer: Preferred Health Network WC |
$46,343.28
|
| Rate for Payer: Prime Health Services Medicare |
$31,551.02
|
| 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 |
$64,911.92
|
| Rate for Payer: EPIC Health Plan Senior |
$48,082.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$48,082.90
|
| Rate for Payer: InnovAge PACE Commercial |
$72,124.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,082.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$64,431.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$64,431.09
|
| Rate for Payer: Multiplan WC |
$74,124.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$48,082.90
|
| Rate for Payer: Preferred Health Network WC |
$75,636.82
|
| Rate for Payer: Prime Health Services Medicare |
$50,967.87
|
| 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 |
$31,591.97
|
| Rate for Payer: EPIC Health Plan Senior |
$23,401.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,401.46
|
| Rate for Payer: InnovAge PACE Commercial |
$35,102.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,401.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,357.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,357.96
|
| Rate for Payer: Multiplan WC |
$35,443.31
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,401.46
|
| Rate for Payer: Preferred Health Network WC |
$36,166.64
|
| Rate for Payer: Prime Health Services Medicare |
$24,805.55
|
| 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 |
$26,958.77
|
| Rate for Payer: EPIC Health Plan Senior |
$19,969.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,969.46
|
| Rate for Payer: InnovAge PACE Commercial |
$29,954.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,969.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,759.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,759.08
|
| Rate for Payer: Multiplan WC |
$30,064.63
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,969.46
|
| Rate for Payer: Preferred Health Network WC |
$30,678.19
|
| Rate for Payer: Prime Health Services Medicare |
$21,167.63
|
| 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 |
$18,049.37
|
| Rate for Payer: EPIC Health Plan Senior |
$13,369.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,369.90
|
| Rate for Payer: InnovAge PACE Commercial |
$20,054.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,369.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,915.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,915.67
|
| Rate for Payer: Multiplan WC |
$19,721.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,369.90
|
| Rate for Payer: Preferred Health Network WC |
$20,124.32
|
| Rate for Payer: Prime Health Services Medicare |
$14,172.09
|
| 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 |
$29,160.31
|
| Rate for Payer: EPIC Health Plan Senior |
$21,600.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,600.23
|
| Rate for Payer: InnovAge PACE Commercial |
$32,400.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,600.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,944.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,944.31
|
| Rate for Payer: Multiplan WC |
$32,620.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,600.23
|
| Rate for Payer: Preferred Health Network WC |
$33,286.13
|
| Rate for Payer: Prime Health Services Medicare |
$22,896.24
|
| 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 |
$21,613.12
|
| Rate for Payer: EPIC Health Plan Senior |
$16,009.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,009.72
|
| Rate for Payer: InnovAge PACE Commercial |
$24,014.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,009.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,453.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,453.02
|
| Rate for Payer: Multiplan WC |
$23,858.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,009.72
|
| Rate for Payer: Preferred Health Network WC |
$24,345.87
|
| Rate for Payer: Prime Health Services Medicare |
$16,970.30
|
| 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 |
$17,423.52
|
| Rate for Payer: EPIC Health Plan Senior |
$12,906.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,906.31
|
| Rate for Payer: InnovAge PACE Commercial |
$19,359.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,906.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,294.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,294.46
|
| Rate for Payer: Multiplan WC |
$18,995.27
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,906.31
|
| Rate for Payer: Preferred Health Network WC |
$19,382.93
|
| Rate for Payer: Prime Health Services Medicare |
$13,680.69
|
| 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 |
$28,707.48
|
| Rate for Payer: EPIC Health Plan Senior |
$21,264.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,264.80
|
| Rate for Payer: InnovAge PACE Commercial |
$31,897.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,264.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,494.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,494.83
|
| Rate for Payer: Multiplan WC |
$32,094.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,264.80
|
| Rate for Payer: Preferred Health Network WC |
$32,749.72
|
| Rate for Payer: Prime Health Services Medicare |
$22,540.69
|
| 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 |
$12,241.71
|
| Rate for Payer: EPIC Health Plan Senior |
$9,067.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,067.93
|
| Rate for Payer: InnovAge PACE Commercial |
$13,601.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,067.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,151.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,151.03
|
| Rate for Payer: Multiplan WC |
$12,979.79
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,067.93
|
| Rate for Payer: Preferred Health Network WC |
$13,244.68
|
| Rate for Payer: Prime Health Services Medicare |
$9,612.01
|
| 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 |
$19,323.17
|
| Rate for Payer: EPIC Health Plan Senior |
$14,313.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,313.46
|
| Rate for Payer: InnovAge PACE Commercial |
$21,470.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,313.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,180.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,180.04
|
| Rate for Payer: Multiplan WC |
$21,200.59
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,313.46
|
| Rate for Payer: Preferred Health Network WC |
$21,633.26
|
| Rate for Payer: Prime Health Services Medicare |
$15,172.27
|
| 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 |
$30,817.02
|
| Rate for Payer: EPIC Health Plan Senior |
$22,827.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,827.42
|
| Rate for Payer: InnovAge PACE Commercial |
$34,241.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,827.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,588.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,588.74
|
| Rate for Payer: Multiplan WC |
$34,543.66
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,827.42
|
| Rate for Payer: Preferred Health Network WC |
$35,248.63
|
| Rate for Payer: Prime Health Services Medicare |
$24,197.07
|
| 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 |
$15,229.30
|
| Rate for Payer: EPIC Health Plan Senior |
$11,280.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,280.96
|
| Rate for Payer: InnovAge PACE Commercial |
$16,921.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,280.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,116.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,116.49
|
| Rate for Payer: Multiplan WC |
$16,448.04
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,280.96
|
| Rate for Payer: Preferred Health Network WC |
$16,783.71
|
| Rate for Payer: Prime Health Services Medicare |
$11,957.82
|
| 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 |
$21,498.97
|
| Rate for Payer: EPIC Health Plan Senior |
$15,925.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,925.16
|
| Rate for Payer: InnovAge PACE Commercial |
$23,887.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,925.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,339.71
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,339.71
|
| Rate for Payer: Multiplan WC |
$23,726.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,925.16
|
| Rate for Payer: Preferred Health Network WC |
$24,210.67
|
| Rate for Payer: Prime Health Services Medicare |
$16,880.67
|
| 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 |
$33,233.98
|
| Rate for Payer: EPIC Health Plan Senior |
$24,617.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,617.76
|
| Rate for Payer: InnovAge PACE Commercial |
$36,926.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,617.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,987.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,987.80
|
| Rate for Payer: Multiplan WC |
$37,349.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,617.76
|
| Rate for Payer: Preferred Health Network WC |
$38,111.69
|
| Rate for Payer: Prime Health Services Medicare |
$26,094.83
|
| 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
|
|
