|
MS-DRG 42.00: SKIN ULCERS WITH MCC
|
Facility
|
IP
|
$54,119.76
|
|
|
Service Code
|
MSDRG 592
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$54,119.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$54,119.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,959.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47,060.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,941.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,490.52
|
| Rate for Payer: EPIC Health Plan Senior |
$23,326.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,326.31
|
| Rate for Payer: InnovAge PACE Commercial |
$34,989.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,326.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,257.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,257.26
|
| Rate for Payer: Multiplan WC |
$43,941.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,326.31
|
| Rate for Payer: Preferred Health Network WC |
$44,838.70
|
| Rate for Payer: Prime Health Services Medicare |
$24,725.89
|
| Rate for Payer: Prime Health Services WC |
$43,493.54
|
| 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: SKIN ULCERS WITHOUT CC/MCC
|
Facility
|
IP
|
$22,336.94
|
|
|
Service Code
|
MSDRG 594
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,336.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,336.94
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,428.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,423.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,136.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,176.35
|
| Rate for Payer: EPIC Health Plan Senior |
$10,501.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,501.00
|
| Rate for Payer: InnovAge PACE Commercial |
$15,751.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,501.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,071.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,071.34
|
| Rate for Payer: Multiplan WC |
$18,136.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,501.00
|
| Rate for Payer: Preferred Health Network WC |
$18,506.35
|
| Rate for Payer: Prime Health Services Medicare |
$11,131.06
|
| Rate for Payer: Prime Health Services WC |
$17,951.16
|
| 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: SOFT TISSUE PROCEDURES WITH CC
|
Facility
|
IP
|
$46,971.52
|
|
|
Service Code
|
MSDRG 501
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,971.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,971.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,341.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,844.64
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,137.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,591.52
|
| Rate for Payer: EPIC Health Plan Senior |
$20,438.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,438.16
|
| Rate for Payer: InnovAge PACE Commercial |
$30,657.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,438.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,387.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,387.13
|
| Rate for Payer: Multiplan WC |
$38,137.99
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,438.16
|
| Rate for Payer: Preferred Health Network WC |
$38,916.32
|
| Rate for Payer: Prime Health Services Medicare |
$21,664.45
|
| Rate for Payer: Prime Health Services WC |
$37,748.83
|
| 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: SOFT TISSUE PROCEDURES WITH MCC
|
Facility
|
IP
|
$83,397.02
|
|
|
Service Code
|
MSDRG 500
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$83,397.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$83,397.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,871.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$72,518.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$67,713.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,459.78
|
| Rate for Payer: EPIC Health Plan Senior |
$35,155.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,155.39
|
| Rate for Payer: InnovAge PACE Commercial |
$52,733.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,155.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,108.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,108.22
|
| Rate for Payer: Multiplan WC |
$67,713.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,155.39
|
| Rate for Payer: Preferred Health Network WC |
$69,095.16
|
| Rate for Payer: Prime Health Services Medicare |
$37,264.71
|
| Rate for Payer: Prime Health Services WC |
$67,022.31
|
| 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: SOFT TISSUE PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$36,772.91
|
|
|
Service Code
|
MSDRG 502
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$36,772.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,772.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,753.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,976.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,857.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,028.71
|
| Rate for Payer: EPIC Health Plan Senior |
$16,317.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,317.56
|
| Rate for Payer: InnovAge PACE Commercial |
$24,476.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,317.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,865.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,865.53
|
| Rate for Payer: Multiplan WC |
$29,857.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,317.56
|
| Rate for Payer: Preferred Health Network WC |
$30,466.68
|
| Rate for Payer: Prime Health Services Medicare |
$17,296.61
|
| Rate for Payer: Prime Health Services WC |
$29,552.68
|
| 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: SPINAL DISORDERS AND INJURIES WITH CC/MCC
|
Facility
|
IP
|
$52,966.99
|
|
|
Service Code
|
MSDRG 052
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$52,966.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,966.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34,214.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,058.07
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$43,005.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,861.74
|
| Rate for Payer: EPIC Health Plan Senior |
$22,860.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,860.55
|
| Rate for Payer: InnovAge PACE Commercial |
$34,290.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,860.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,633.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,633.14
|
| Rate for Payer: Multiplan WC |
$43,005.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,860.55
|
| Rate for Payer: Preferred Health Network WC |
$43,883.62
|
| Rate for Payer: Prime Health Services Medicare |
$24,232.18
|
| Rate for Payer: Prime Health Services WC |
$42,567.11
|
| 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: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$24,250.33
|
|
|
Service Code
|
MSDRG 053
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,250.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,250.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,664.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,087.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,689.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,215.69
|
| Rate for Payer: EPIC Health Plan Senior |
$11,270.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,270.88
|
| Rate for Payer: InnovAge PACE Commercial |
$16,906.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,270.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,102.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,102.98
|
| Rate for Payer: Multiplan WC |
$19,689.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,270.88
|
| Rate for Payer: Preferred Health Network WC |
$20,091.61
|
| Rate for Payer: Prime Health Services Medicare |
$11,947.13
|
| Rate for Payer: Prime Health Services WC |
$19,488.86
|
| 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: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
|
IP
|
$151,055.27
|
|
|
Service Code
|
MSDRG 457
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$151,055.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$151,055.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$97,575.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$131,351.91
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$122,647.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$84,363.92
|
| Rate for Payer: EPIC Health Plan Senior |
$62,491.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$62,491.79
|
| Rate for Payer: InnovAge PACE Commercial |
$93,737.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$62,491.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$83,739.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$83,739.00
|
| Rate for Payer: Multiplan WC |
$122,647.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$62,491.79
|
| Rate for Payer: Preferred Health Network WC |
$125,150.62
|
| Rate for Payer: Prime Health Services Medicare |
$66,241.30
|
| Rate for Payer: Prime Health Services WC |
$121,396.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$90,575.00
|
| Rate for Payer: United Healthcare All Other HMO |
$82,014.00
|
| Rate for Payer: United Healthcare HMO Rider |
$62,293.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$57,072.00
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
|
IP
|
$222,900.87
|
|
|
Service Code
|
MSDRG 456
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$222,900.87 |
| Rate for Payer: Aetna of CA HMO/PPO |
$222,900.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$143,984.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$193,826.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$180,981.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$123,552.04
|
| Rate for Payer: EPIC Health Plan Senior |
$91,520.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$91,520.03
|
| Rate for Payer: InnovAge PACE Commercial |
$137,280.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$91,520.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$122,636.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$122,636.84
|
| Rate for Payer: Multiplan WC |
$180,981.83
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$91,520.03
|
| Rate for Payer: Preferred Health Network WC |
$184,675.34
|
| Rate for Payer: Prime Health Services Medicare |
$97,011.23
|
| Rate for Payer: Prime Health Services WC |
$179,135.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$112,148.00
|
| Rate for Payer: United Healthcare All Other HMO |
$99,575.00
|
| Rate for Payer: United Healthcare HMO Rider |
$75,636.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$69,294.00
|
|
|
MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
|
IP
|
$113,645.44
|
|
|
Service Code
|
MSDRG 458
|
| Min. Negotiated Rate |
$29,434.00 |
| Max. Negotiated Rate |
$113,645.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$113,645.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$73,410.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$98,821.75
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$92,273.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$63,958.76
|
| Rate for Payer: EPIC Health Plan Senior |
$47,376.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$47,376.86
|
| Rate for Payer: InnovAge PACE Commercial |
$71,065.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,376.86
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$63,484.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$63,484.99
|
| Rate for Payer: Multiplan WC |
$92,273.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$47,376.86
|
| Rate for Payer: Preferred Health Network WC |
$94,156.25
|
| Rate for Payer: Prime Health Services Medicare |
$50,219.47
|
| Rate for Payer: Prime Health Services WC |
$91,331.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$81,933.00
|
| Rate for Payer: United Healthcare All Other HMO |
$71,046.00
|
| Rate for Payer: United Healthcare HMO Rider |
$53,969.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$49,445.00
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
|
Facility
|
IP
|
$88,344.99
|
|
|
Service Code
|
MSDRG 029
|
| Min. Negotiated Rate |
$25,604.00 |
| Max. Negotiated Rate |
$88,344.99 |
| Rate for Payer: Aetna of CA HMO/PPO |
$88,344.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$57,067.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$76,821.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$71,730.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$50,158.64
|
| Rate for Payer: EPIC Health Plan Senior |
$37,154.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,154.55
|
| Rate for Payer: InnovAge PACE Commercial |
$55,731.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,154.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,787.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,787.10
|
| Rate for Payer: Multiplan WC |
$71,730.71
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,154.55
|
| Rate for Payer: Preferred Health Network WC |
$73,194.60
|
| Rate for Payer: Prime Health Services Medicare |
$39,383.82
|
| Rate for Payer: Prime Health Services WC |
$70,998.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$76,644.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,114.00
|
| Rate for Payer: United Healthcare HMO Rider |
$36,551.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$33,485.00
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$160,006.36
|
|
|
Service Code
|
MSDRG 028
|
| Min. Negotiated Rate |
$25,604.00 |
| Max. Negotiated Rate |
$160,006.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$160,006.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103,357.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$139,135.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$129,915.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$89,246.29
|
| Rate for Payer: EPIC Health Plan Senior |
$66,108.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$66,108.36
|
| Rate for Payer: InnovAge PACE Commercial |
$99,162.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$66,108.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$88,585.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$88,585.20
|
| Rate for Payer: Multiplan WC |
$129,915.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$66,108.36
|
| Rate for Payer: Preferred Health Network WC |
$132,566.68
|
| Rate for Payer: Prime Health Services Medicare |
$70,074.86
|
| Rate for Payer: Prime Health Services WC |
$128,589.68
|
| Rate for Payer: United Healthcare All Other Commercial |
$58,958.00
|
| Rate for Payer: United Healthcare All Other HMO |
$71,841.00
|
| Rate for Payer: United Healthcare HMO Rider |
$54,569.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$49,994.00
|
|
|
MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$58,958.00
|
|
|
Service Code
|
MSDRG 030
|
| Min. Negotiated Rate |
$20,798.00 |
| Max. Negotiated Rate |
$58,958.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$58,570.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37,834.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$50,930.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$47,555.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$33,918.07
|
| Rate for Payer: EPIC Health Plan Senior |
$25,124.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,124.50
|
| Rate for Payer: InnovAge PACE Commercial |
$37,686.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,124.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,666.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,666.83
|
| Rate for Payer: Multiplan WC |
$47,555.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,124.50
|
| Rate for Payer: Preferred Health Network WC |
$48,526.01
|
| Rate for Payer: Prime Health Services Medicare |
$26,631.97
|
| Rate for Payer: Prime Health Services WC |
$47,070.23
|
| Rate for Payer: United Healthcare All Other Commercial |
$58,958.00
|
| Rate for Payer: United Healthcare All Other HMO |
$29,890.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,701.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,798.00
|
|
|
MS-DRG 42.00: SPLENIC PROCEDURES WITH CC
|
Facility
|
IP
|
$76,688.30
|
|
|
Service Code
|
MSDRG 800
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$76,688.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,688.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,537.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,685.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,266.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,800.51
|
| Rate for Payer: EPIC Health Plan Senior |
$32,444.82
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,444.82
|
| Rate for Payer: InnovAge PACE Commercial |
$48,667.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,444.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,476.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,476.06
|
| Rate for Payer: Multiplan WC |
$62,266.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,444.82
|
| Rate for Payer: Preferred Health Network WC |
$63,536.94
|
| Rate for Payer: Prime Health Services Medicare |
$34,391.51
|
| Rate for Payer: Prime Health Services WC |
$61,630.83
|
| 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: SPLENIC PROCEDURES WITH MCC
|
Facility
|
IP
|
$125,141.58
|
|
|
Service Code
|
MSDRG 799
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$125,141.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$125,141.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$80,836.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$108,818.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$101,607.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$70,229.31
|
| Rate for Payer: EPIC Health Plan Senior |
$52,021.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$52,021.71
|
| Rate for Payer: InnovAge PACE Commercial |
$78,032.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$52,021.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$69,709.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$69,709.09
|
| Rate for Payer: Multiplan WC |
$101,607.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$52,021.71
|
| Rate for Payer: Preferred Health Network WC |
$103,680.91
|
| Rate for Payer: Prime Health Services Medicare |
$55,143.01
|
| Rate for Payer: Prime Health Services WC |
$100,570.48
|
| 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: SPLENIC PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$43,207.90
|
|
|
Service Code
|
MSDRG 801
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$43,207.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43,207.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,910.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,571.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,082.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,538.67
|
| Rate for Payer: EPIC Health Plan Senior |
$18,917.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,917.53
|
| Rate for Payer: InnovAge PACE Commercial |
$28,376.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,917.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,349.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,349.49
|
| Rate for Payer: Multiplan WC |
$35,082.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,917.53
|
| Rate for Payer: Preferred Health Network WC |
$35,798.13
|
| Rate for Payer: Prime Health Services Medicare |
$20,052.58
|
| Rate for Payer: Prime Health Services WC |
$34,724.19
|
| 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: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
|
Facility
|
IP
|
$24,187.16
|
|
|
Service Code
|
MSDRG 537
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,187.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,187.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,623.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,032.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,638.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,181.36
|
| Rate for Payer: EPIC Health Plan Senior |
$11,245.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,245.45
|
| Rate for Payer: InnovAge PACE Commercial |
$16,868.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,245.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,068.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,068.90
|
| Rate for Payer: Multiplan WC |
$19,638.49
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,245.45
|
| Rate for Payer: Preferred Health Network WC |
$20,039.28
|
| Rate for Payer: Prime Health Services Medicare |
$11,920.18
|
| Rate for Payer: Prime Health Services WC |
$19,438.10
|
| 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: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
|
Facility
|
IP
|
$17,673.21
|
|
|
Service Code
|
MSDRG 538
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$17,673.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17,673.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,416.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,367.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,349.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,643.08
|
| Rate for Payer: EPIC Health Plan Senior |
$8,624.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,624.50
|
| Rate for Payer: InnovAge PACE Commercial |
$12,936.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,624.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,556.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,556.83
|
| Rate for Payer: Multiplan WC |
$14,349.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8,624.50
|
| Rate for Payer: Preferred Health Network WC |
$14,642.41
|
| Rate for Payer: Prime Health Services Medicare |
$9,141.97
|
| Rate for Payer: Prime Health Services WC |
$14,203.14
|
| 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: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
|
Facility
|
IP
|
$63,905.16
|
|
|
Service Code
|
MSDRG 327
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$63,905.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$63,905.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$41,280.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$55,569.50
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$51,887.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,827.97
|
| Rate for Payer: EPIC Health Plan Senior |
$27,279.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$27,279.98
|
| Rate for Payer: InnovAge PACE Commercial |
$40,919.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,279.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36,555.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36,555.17
|
| Rate for Payer: Multiplan WC |
$51,887.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$27,279.98
|
| Rate for Payer: Preferred Health Network WC |
$52,945.99
|
| Rate for Payer: Prime Health Services Medicare |
$28,916.78
|
| Rate for Payer: Prime Health Services WC |
$51,357.61
|
| 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: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$133,674.20
|
|
|
Service Code
|
MSDRG 326
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$133,674.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$133,674.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$86,348.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$116,237.99
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$108,535.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$74,883.43
|
| Rate for Payer: EPIC Health Plan Senior |
$55,469.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$55,469.21
|
| Rate for Payer: InnovAge PACE Commercial |
$83,203.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,469.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$74,328.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$74,328.74
|
| Rate for Payer: Multiplan WC |
$108,535.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$55,469.21
|
| Rate for Payer: Preferred Health Network WC |
$110,750.26
|
| Rate for Payer: Prime Health Services Medicare |
$58,797.36
|
| Rate for Payer: Prime Health Services WC |
$107,427.75
|
| 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: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$41,939.33
|
|
|
Service Code
|
MSDRG 328
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$41,939.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,939.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,091.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$36,468.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,052.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,846.72
|
| Rate for Payer: EPIC Health Plan Senior |
$18,404.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,404.98
|
| Rate for Payer: InnovAge PACE Commercial |
$27,607.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,404.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,662.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,662.67
|
| Rate for Payer: Multiplan WC |
$34,052.16
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,404.98
|
| Rate for Payer: Preferred Health Network WC |
$34,747.10
|
| Rate for Payer: Prime Health Services Medicare |
$19,509.28
|
| Rate for Payer: Prime Health Services WC |
$33,704.69
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: SYNCOPE AND COLLAPSE
|
Facility
|
IP
|
$22,931.74
|
|
|
Service Code
|
MSDRG 312
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,931.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,931.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,812.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,940.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,619.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,499.45
|
| Rate for Payer: EPIC Health Plan Senior |
$10,740.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,740.33
|
| Rate for Payer: InnovAge PACE Commercial |
$16,110.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,740.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,392.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,392.04
|
| Rate for Payer: Multiplan WC |
$18,619.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,740.33
|
| Rate for Payer: Preferred Health Network WC |
$18,999.15
|
| Rate for Payer: Prime Health Services Medicare |
$11,384.75
|
| Rate for Payer: Prime Health Services WC |
$18,429.18
|
| 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: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
|
Facility
|
IP
|
$40,786.55
|
|
|
Service Code
|
MSDRG 557
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$40,786.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,786.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,346.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,466.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,116.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,217.93
|
| Rate for Payer: EPIC Health Plan Senior |
$17,939.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,939.21
|
| Rate for Payer: InnovAge PACE Commercial |
$26,908.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,939.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,038.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,038.54
|
| Rate for Payer: Multiplan WC |
$33,116.18
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,939.21
|
| Rate for Payer: Preferred Health Network WC |
$33,792.02
|
| Rate for Payer: Prime Health Services Medicare |
$19,015.56
|
| Rate for Payer: Prime Health Services WC |
$32,778.26
|
| 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: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
|
Facility
|
IP
|
$22,734.35
|
|
|
Service Code
|
MSDRG 558
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,734.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,734.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,685.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,768.93
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,458.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,392.22
|
| Rate for Payer: EPIC Health Plan Senior |
$10,660.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,660.90
|
| Rate for Payer: InnovAge PACE Commercial |
$15,991.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,660.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,285.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,285.61
|
| Rate for Payer: Multiplan WC |
$18,458.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,660.90
|
| Rate for Payer: Preferred Health Network WC |
$18,835.61
|
| Rate for Payer: Prime Health Services Medicare |
$11,300.55
|
| Rate for Payer: Prime Health Services WC |
$18,270.54
|
| 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: TESTES PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$50,285.08
|
|
|
Service Code
|
MSDRG 711
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$50,285.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50,285.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$32,482.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,725.99
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,828.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,398.90
|
| Rate for Payer: EPIC Health Plan Senior |
$21,776.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,776.96
|
| Rate for Payer: InnovAge PACE Commercial |
$32,665.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,776.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,181.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,181.13
|
| Rate for Payer: Multiplan WC |
$40,828.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,776.96
|
| Rate for Payer: Preferred Health Network WC |
$41,661.63
|
| Rate for Payer: Prime Health Services Medicare |
$23,083.58
|
| Rate for Payer: Prime Health Services WC |
$40,411.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
