|
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 |
$36,230.75
|
| Rate for Payer: EPIC Health Plan Senior |
$26,837.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,837.59
|
| Rate for Payer: InnovAge PACE Commercial |
$40,256.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,837.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35,962.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35,962.37
|
| Rate for Payer: Multiplan WC |
$40,828.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,837.59
|
| Rate for Payer: Preferred Health Network WC |
$41,661.63
|
| Rate for Payer: Prime Health Services Medicare |
$28,447.85
|
| 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
|
|
|
MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,150.80
|
|
|
Service Code
|
MSDRG 712
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$28,150.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,150.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,184.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,478.87
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,856.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,749.78
|
| Rate for Payer: EPIC Health Plan Senior |
$15,370.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$15,370.21
|
| Rate for Payer: InnovAge PACE Commercial |
$23,055.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,370.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,596.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20,596.08
|
| Rate for Payer: Multiplan WC |
$22,856.73
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$15,370.21
|
| Rate for Payer: Preferred Health Network WC |
$23,323.19
|
| Rate for Payer: Prime Health Services Medicare |
$16,292.42
|
| Rate for Payer: Prime Health Services WC |
$22,623.49
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
|
IP
|
$39,723.27
|
|
|
Service Code
|
MSDRG 626
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,723.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,723.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,659.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,541.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,252.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,843.68
|
| Rate for Payer: EPIC Health Plan Senior |
$21,365.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,365.69
|
| Rate for Payer: InnovAge PACE Commercial |
$32,048.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,365.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,630.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,630.02
|
| Rate for Payer: Multiplan WC |
$32,252.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,365.69
|
| Rate for Payer: Preferred Health Network WC |
$32,911.08
|
| Rate for Payer: Prime Health Services Medicare |
$22,647.63
|
| Rate for Payer: Prime Health Services WC |
$31,923.75
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$75,459.20
|
|
|
Service Code
|
MSDRG 625
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$75,459.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$75,459.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,743.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,616.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$61,268.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$53,837.78
|
| Rate for Payer: EPIC Health Plan Senior |
$39,879.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$39,879.84
|
| Rate for Payer: InnovAge PACE Commercial |
$59,819.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,879.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$53,438.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$53,438.99
|
| Rate for Payer: Multiplan WC |
$61,268.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$39,879.84
|
| Rate for Payer: Preferred Health Network WC |
$62,518.62
|
| Rate for Payer: Prime Health Services Medicare |
$42,272.63
|
| Rate for Payer: Prime Health Services WC |
$60,643.06
|
| 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: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,343.54
|
|
|
Service Code
|
MSDRG 627
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$33,343.54 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,343.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,538.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,994.27
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,072.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,381.65
|
| Rate for Payer: EPIC Health Plan Senior |
$18,060.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,060.48
|
| Rate for Payer: InnovAge PACE Commercial |
$27,090.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,060.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,201.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,201.04
|
| Rate for Payer: Multiplan WC |
$27,072.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,060.48
|
| Rate for Payer: Preferred Health Network WC |
$27,625.42
|
| Rate for Payer: Prime Health Services Medicare |
$19,144.11
|
| Rate for Payer: Prime Health Services WC |
$26,796.66
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
|
Facility
|
IP
|
$108,005.28
|
|
|
Service Code
|
MSDRG 012
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$108,005.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$108,005.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$69,767.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$93,917.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$87,693.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$76,600.86
|
| Rate for Payer: EPIC Health Plan Senior |
$56,741.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$56,741.38
|
| Rate for Payer: InnovAge PACE Commercial |
$85,112.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$56,741.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$76,033.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$76,033.45
|
| Rate for Payer: Multiplan WC |
$87,693.66
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$56,741.38
|
| Rate for Payer: Preferred Health Network WC |
$89,483.33
|
| Rate for Payer: Prime Health Services Medicare |
$60,145.86
|
| Rate for Payer: Prime Health Services WC |
$86,798.83
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
|
Facility
|
IP
|
$142,014.69
|
|
|
Service Code
|
MSDRG 011
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$142,014.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$142,014.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$91,735.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$123,490.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$115,307.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$100,387.43
|
| Rate for Payer: EPIC Health Plan Senior |
$74,361.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$74,361.06
|
| Rate for Payer: InnovAge PACE Commercial |
$111,541.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$74,361.06
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$99,643.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$99,643.82
|
| Rate for Payer: Multiplan WC |
$115,307.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$74,361.06
|
| Rate for Payer: Preferred Health Network WC |
$117,660.43
|
| Rate for Payer: Prime Health Services Medicare |
$78,822.72
|
| Rate for Payer: Prime Health Services WC |
$114,130.62
|
| 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: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$69,745.35
|
|
|
Service Code
|
MSDRG 013
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$69,745.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$69,745.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$45,052.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60,647.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,628.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$49,841.46
|
| Rate for Payer: EPIC Health Plan Senior |
$36,919.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$36,919.60
|
| Rate for Payer: InnovAge PACE Commercial |
$55,379.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$36,919.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,472.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49,472.26
|
| Rate for Payer: Multiplan WC |
$56,628.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$36,919.60
|
| Rate for Payer: Preferred Health Network WC |
$57,784.64
|
| Rate for Payer: Prime Health Services Medicare |
$39,134.78
|
| Rate for Payer: Prime Health Services WC |
$56,051.10
|
| 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: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
|
Facility
|
IP
|
$371,887.47
|
|
|
Service Code
|
MSDRG 004
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$371,887.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$371,887.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$240,224.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$323,379.18
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$301,949.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$261,162.90
|
| Rate for Payer: EPIC Health Plan Senior |
$193,454.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$193,454.00
|
| Rate for Payer: InnovAge PACE Commercial |
$290,181.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$193,454.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$259,228.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$259,228.36
|
| Rate for Payer: Multiplan WC |
$301,949.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$193,454.00
|
| Rate for Payer: Preferred Health Network WC |
$308,112.05
|
| Rate for Payer: Prime Health Services Medicare |
$205,061.24
|
| Rate for Payer: Prime Health Services WC |
$298,868.69
|
| 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: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
|
Facility
|
IP
|
$21,057.83
|
|
|
Service Code
|
MSDRG 069
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$21,057.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21,057.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,602.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18,311.09
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$17,097.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,788.88
|
| Rate for Payer: EPIC Health Plan Senior |
$11,695.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,695.47
|
| Rate for Payer: InnovAge PACE Commercial |
$17,543.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,695.47
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,671.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,671.93
|
| Rate for Payer: Multiplan WC |
$17,097.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,695.47
|
| Rate for Payer: Preferred Health Network WC |
$17,446.60
|
| Rate for Payer: Prime Health Services Medicare |
$12,397.20
|
| Rate for Payer: Prime Health Services WC |
$16,923.20
|
| 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: TRANSURETHRAL PROCEDURES WITH CC
|
Facility
|
IP
|
$40,728.65
|
|
|
Service Code
|
MSDRG 669
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$40,728.65 |
| Rate for Payer: Aetna of CA HMO/PPO |
$40,728.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,309.05
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,416.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,069.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,546.87
|
| Rate for Payer: EPIC Health Plan Senior |
$21,886.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,886.57
|
| Rate for Payer: InnovAge PACE Commercial |
$32,829.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,886.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$29,328.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$29,328.00
|
| Rate for Payer: Multiplan WC |
$33,069.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,886.57
|
| Rate for Payer: Preferred Health Network WC |
$33,744.05
|
| Rate for Payer: Prime Health Services Medicare |
$23,199.76
|
| Rate for Payer: Prime Health Services WC |
$32,731.73
|
| 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: TRANSURETHRAL PROCEDURES WITH MCC
|
Facility
|
IP
|
$76,754.10
|
|
|
Service Code
|
MSDRG 668
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$76,754.10 |
| Rate for Payer: Aetna of CA HMO/PPO |
$76,754.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49,580.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$66,742.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$62,319.62
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,743.47
|
| Rate for Payer: EPIC Health Plan Senior |
$40,550.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,550.72
|
| Rate for Payer: InnovAge PACE Commercial |
$60,826.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,550.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,337.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,337.96
|
| Rate for Payer: Multiplan WC |
$62,319.62
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,550.72
|
| Rate for Payer: Preferred Health Network WC |
$63,591.45
|
| Rate for Payer: Prime Health Services Medicare |
$42,983.76
|
| Rate for Payer: Prime Health Services WC |
$61,683.71
|
| 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: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,153.07
|
|
|
Service Code
|
MSDRG 670
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$25,153.07 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,153.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,247.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,872.15
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,422.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,653.14
|
| Rate for Payer: EPIC Health Plan Senior |
$13,817.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,817.14
|
| Rate for Payer: InnovAge PACE Commercial |
$20,725.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,817.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,514.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,514.97
|
| Rate for Payer: Multiplan WC |
$20,422.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,817.14
|
| Rate for Payer: Preferred Health Network WC |
$20,839.54
|
| Rate for Payer: Prime Health Services Medicare |
$14,646.17
|
| Rate for Payer: Prime Health Services WC |
$20,214.35
|
| 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: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
|
Facility
|
IP
|
$38,057.27
|
|
|
Service Code
|
MSDRG 713
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$38,057.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,057.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,583.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,093.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$30,900.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,678.48
|
| Rate for Payer: EPIC Health Plan Senior |
$20,502.58
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,502.58
|
| Rate for Payer: InnovAge PACE Commercial |
$30,753.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,502.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,473.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,473.46
|
| Rate for Payer: Multiplan WC |
$30,900.17
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,502.58
|
| Rate for Payer: Preferred Health Network WC |
$31,530.79
|
| Rate for Payer: Prime Health Services Medicare |
$21,732.73
|
| Rate for Payer: Prime Health Services WC |
$30,584.87
|
| 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: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$24,731.96
|
|
|
Service Code
|
MSDRG 714
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$24,731.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,731.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,975.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,505.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,080.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,358.62
|
| Rate for Payer: EPIC Health Plan Senior |
$13,598.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,598.98
|
| Rate for Payer: InnovAge PACE Commercial |
$20,398.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,598.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,222.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,222.63
|
| Rate for Payer: Multiplan WC |
$20,080.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,598.98
|
| Rate for Payer: Preferred Health Network WC |
$20,490.65
|
| Rate for Payer: Prime Health Services Medicare |
$14,414.92
|
| Rate for Payer: Prime Health Services WC |
$19,875.93
|
| 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: TRAUMATIC INJURY WITH MCC
|
Facility
|
IP
|
$42,592.04
|
|
|
Service Code
|
MSDRG 913
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$42,592.04 |
| Rate for Payer: Aetna of CA HMO/PPO |
$42,592.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27,512.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,036.41
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$34,582.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,850.16
|
| Rate for Payer: EPIC Health Plan Senior |
$22,851.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,851.97
|
| Rate for Payer: InnovAge PACE Commercial |
$34,277.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,851.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,621.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,621.64
|
| Rate for Payer: Multiplan WC |
$34,582.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,851.97
|
| Rate for Payer: Preferred Health Network WC |
$35,287.88
|
| Rate for Payer: Prime Health Services Medicare |
$24,223.09
|
| Rate for Payer: Prime Health Services WC |
$34,229.24
|
| 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: TRAUMATIC INJURY WITHOUT MCC
|
Facility
|
IP
|
$24,118.73
|
|
|
Service Code
|
MSDRG 914
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,118.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,118.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,579.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,972.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,582.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,929.71
|
| Rate for Payer: EPIC Health Plan Senior |
$13,281.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,281.27
|
| Rate for Payer: InnovAge PACE Commercial |
$19,921.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,281.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,796.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,796.90
|
| Rate for Payer: Multiplan WC |
$19,582.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,281.27
|
| Rate for Payer: Preferred Health Network WC |
$19,982.58
|
| Rate for Payer: Prime Health Services Medicare |
$14,078.15
|
| Rate for Payer: Prime Health Services WC |
$19,383.10
|
| 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: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
|
Facility
|
IP
|
$34,520.00
|
|
|
Service Code
|
MSDRG 086
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$34,520.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34,520.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$22,298.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30,017.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$28,028.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,204.47
|
| Rate for Payer: EPIC Health Plan Senior |
$18,669.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,669.98
|
| Rate for Payer: InnovAge PACE Commercial |
$28,004.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,669.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,017.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,017.77
|
| Rate for Payer: Multiplan WC |
$28,028.13
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,669.98
|
| Rate for Payer: Preferred Health Network WC |
$28,600.13
|
| Rate for Payer: Prime Health Services Medicare |
$19,790.18
|
| Rate for Payer: Prime Health Services WC |
$27,742.13
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
|
Facility
|
IP
|
$36,593.94
|
|
|
Service Code
|
MSDRG 083
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$36,593.94 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,593.94
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,638.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,820.69
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,712.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,655.01
|
| Rate for Payer: EPIC Health Plan Senior |
$19,744.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,744.45
|
| Rate for Payer: InnovAge PACE Commercial |
$29,616.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,744.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,457.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,457.56
|
| Rate for Payer: Multiplan WC |
$29,712.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,744.45
|
| Rate for Payer: Preferred Health Network WC |
$30,318.40
|
| Rate for Payer: Prime Health Services Medicare |
$20,929.12
|
| Rate for Payer: Prime Health Services WC |
$29,408.85
|
| 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: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
|
Facility
|
IP
|
$59,638.85
|
|
|
Service Code
|
MSDRG 085
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$59,638.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,638.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,524.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,859.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,423.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,772.86
|
| Rate for Payer: EPIC Health Plan Senior |
$31,683.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,683.60
|
| Rate for Payer: InnovAge PACE Commercial |
$47,525.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,683.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,456.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,456.02
|
| Rate for Payer: Multiplan WC |
$48,423.09
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,683.60
|
| Rate for Payer: Preferred Health Network WC |
$49,411.32
|
| Rate for Payer: Prime Health Services Medicare |
$33,584.62
|
| Rate for Payer: Prime Health Services WC |
$47,928.98
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
|
Facility
|
IP
|
$61,065.34
|
|
|
Service Code
|
MSDRG 082
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$61,065.34 |
| Rate for Payer: Aetna of CA HMO/PPO |
$61,065.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,445.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$53,100.10
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,581.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$43,770.58
|
| Rate for Payer: EPIC Health Plan Senior |
$32,422.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$32,422.65
|
| Rate for Payer: InnovAge PACE Commercial |
$48,633.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,422.65
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$43,446.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$43,446.35
|
| Rate for Payer: Multiplan WC |
$49,581.32
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$32,422.65
|
| Rate for Payer: Preferred Health Network WC |
$50,593.18
|
| Rate for Payer: Prime Health Services Medicare |
$34,368.01
|
| Rate for Payer: Prime Health Services WC |
$49,075.38
|
| 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: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$23,266.00
|
|
|
Service Code
|
MSDRG 087
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$23,266.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,266.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,028.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,231.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,890.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,333.30
|
| Rate for Payer: EPIC Health Plan Senior |
$12,839.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,839.48
|
| Rate for Payer: InnovAge PACE Commercial |
$19,259.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,839.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,204.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,204.90
|
| Rate for Payer: Multiplan WC |
$18,890.56
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,839.48
|
| Rate for Payer: Preferred Health Network WC |
$19,276.08
|
| Rate for Payer: Prime Health Services Medicare |
$13,609.85
|
| Rate for Payer: Prime Health Services WC |
$18,697.80
|
| 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: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
|
Facility
|
IP
|
$25,163.60
|
|
|
Service Code
|
MSDRG 084
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$25,163.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,163.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,254.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,881.30
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,431.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,660.54
|
| Rate for Payer: EPIC Health Plan Senior |
$13,822.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,822.62
|
| Rate for Payer: InnovAge PACE Commercial |
$20,733.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,822.62
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,522.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,522.31
|
| Rate for Payer: Multiplan WC |
$20,431.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,822.62
|
| Rate for Payer: Preferred Health Network WC |
$20,848.26
|
| Rate for Payer: Prime Health Services Medicare |
$14,651.98
|
| Rate for Payer: Prime Health Services WC |
$20,222.81
|
| 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: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
|
Facility
|
IP
|
$39,102.14
|
|
|
Service Code
|
MSDRG 604
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$39,102.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,102.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,258.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,001.73
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,748.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,409.25
|
| Rate for Payer: EPIC Health Plan Senior |
$21,043.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,043.89
|
| Rate for Payer: InnovAge PACE Commercial |
$31,565.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,043.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,198.81
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,198.81
|
| Rate for Payer: Multiplan WC |
$31,748.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,043.89
|
| Rate for Payer: Preferred Health Network WC |
$32,396.47
|
| Rate for Payer: Prime Health Services Medicare |
$22,306.52
|
| Rate for Payer: Prime Health Services WC |
$31,424.58
|
| 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: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
|
Facility
|
IP
|
$24,310.86
|
|
|
Service Code
|
MSDRG 605
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$24,310.86 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24,310.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,703.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,139.80
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,738.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,064.09
|
| Rate for Payer: EPIC Health Plan Senior |
$13,380.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,380.81
|
| Rate for Payer: InnovAge PACE Commercial |
$20,071.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,380.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,930.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,930.29
|
| Rate for Payer: Multiplan WC |
$19,738.92
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,380.81
|
| Rate for Payer: Preferred Health Network WC |
$20,141.76
|
| Rate for Payer: Prime Health Services Medicare |
$14,183.66
|
| Rate for Payer: Prime Health Services WC |
$19,537.51
|
| 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
|
|
