|
MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
|
Facility
|
IP
|
$84,336.60
|
|
|
Service Code
|
MSDRG 279
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$84,336.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$84,336.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54,478.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$73,335.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$68,476.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,972.28
|
| Rate for Payer: EPIC Health Plan Senior |
$35,535.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$35,535.02
|
| Rate for Payer: InnovAge PACE Commercial |
$53,302.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,535.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$47,616.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$47,616.93
|
| Rate for Payer: Multiplan WC |
$68,476.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$35,535.02
|
| Rate for Payer: Preferred Health Network WC |
$69,873.62
|
| Rate for Payer: Prime Health Services Medicare |
$37,667.12
|
| Rate for Payer: Prime Health Services WC |
$67,777.41
|
| 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: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
|
Facility
|
IP
|
$80,762.48
|
|
|
Service Code
|
MSDRG 173
|
| Min. Negotiated Rate |
$34,090.94 |
| Max. Negotiated Rate |
$80,762.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$80,762.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$52,169.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$70,227.98
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$65,574.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,022.77
|
| Rate for Payer: EPIC Health Plan Senior |
$34,090.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,090.94
|
| Rate for Payer: InnovAge PACE Commercial |
$51,136.41
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,090.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,681.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$45,681.86
|
| Rate for Payer: Multiplan WC |
$65,574.18
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,090.94
|
| Rate for Payer: Preferred Health Network WC |
$66,912.43
|
| Rate for Payer: Prime Health Services Medicare |
$36,136.40
|
| Rate for Payer: Prime Health Services WC |
$64,905.06
|
|
|
MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC
|
Facility
|
IP
|
$33,272.48
|
|
|
Service Code
|
MSDRG 383
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$33,272.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$33,272.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,492.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28,932.48
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$27,015.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$20,119.40
|
| Rate for Payer: EPIC Health Plan Senior |
$14,903.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,903.26
|
| Rate for Payer: InnovAge PACE Commercial |
$22,354.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,903.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,970.37
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,970.37
|
| Rate for Payer: Multiplan WC |
$27,015.21
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,903.26
|
| Rate for Payer: Preferred Health Network WC |
$27,566.54
|
| Rate for Payer: Prime Health Services Medicare |
$15,797.46
|
| Rate for Payer: Prime Health Services WC |
$26,739.54
|
| 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: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
|
Facility
|
IP
|
$22,887.00
|
|
|
Service Code
|
MSDRG 384
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$22,887.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$22,887.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,784.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19,901.67
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,582.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,475.13
|
| Rate for Payer: EPIC Health Plan Senior |
$10,722.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,722.32
|
| Rate for Payer: InnovAge PACE Commercial |
$16,083.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,722.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,367.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,367.91
|
| Rate for Payer: Multiplan WC |
$18,582.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,722.32
|
| Rate for Payer: Preferred Health Network WC |
$18,962.08
|
| Rate for Payer: Prime Health Services Medicare |
$11,365.66
|
| Rate for Payer: Prime Health Services WC |
$18,393.22
|
| 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: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
|
Facility
|
IP
|
$44,576.49
|
|
|
Service Code
|
MSDRG 256
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$44,576.49 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,576.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,794.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,762.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,193.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,285.16
|
| Rate for Payer: EPIC Health Plan Senior |
$19,470.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,470.49
|
| Rate for Payer: InnovAge PACE Commercial |
$29,205.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,470.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,090.46
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,090.46
|
| Rate for Payer: Multiplan WC |
$36,193.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,470.49
|
| Rate for Payer: Preferred Health Network WC |
$36,932.02
|
| Rate for Payer: Prime Health Services Medicare |
$20,638.72
|
| Rate for Payer: Prime Health Services WC |
$35,824.06
|
| 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: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
|
Facility
|
IP
|
$68,863.66
|
|
|
Service Code
|
MSDRG 255
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$68,863.66 |
| Rate for Payer: Aetna of CA HMO/PPO |
$68,863.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$44,483.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$59,881.22
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$55,913.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,532.58
|
| Rate for Payer: EPIC Health Plan Senior |
$29,283.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$29,283.39
|
| Rate for Payer: InnovAge PACE Commercial |
$43,925.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,283.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,239.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,239.74
|
| Rate for Payer: Multiplan WC |
$55,913.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$29,283.39
|
| Rate for Payer: Preferred Health Network WC |
$57,054.15
|
| Rate for Payer: Prime Health Services Medicare |
$31,040.39
|
| Rate for Payer: Prime Health Services WC |
$55,342.53
|
| 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: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
|
Facility
|
IP
|
$23,473.92
|
|
|
Service Code
|
MSDRG 257
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$23,473.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$23,473.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15,163.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20,412.02
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$19,059.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,793.95
|
| Rate for Payer: EPIC Health Plan Senior |
$10,958.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,958.48
|
| Rate for Payer: InnovAge PACE Commercial |
$16,437.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,958.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,684.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,684.36
|
| Rate for Payer: Multiplan WC |
$19,059.38
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,958.48
|
| Rate for Payer: Preferred Health Network WC |
$19,448.35
|
| Rate for Payer: Prime Health Services Medicare |
$11,615.99
|
| Rate for Payer: Prime Health Services WC |
$18,864.90
|
| 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: URETHRAL PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$45,366.06
|
|
|
Service Code
|
MSDRG 671
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$45,366.06 |
| Rate for Payer: Aetna of CA HMO/PPO |
$45,366.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,304.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39,448.60
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,834.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,715.83
|
| Rate for Payer: EPIC Health Plan Senior |
$19,789.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,789.50
|
| Rate for Payer: InnovAge PACE Commercial |
$29,684.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,789.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,517.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,517.93
|
| Rate for Payer: Multiplan WC |
$36,834.46
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,789.50
|
| Rate for Payer: Preferred Health Network WC |
$37,586.18
|
| Rate for Payer: Prime Health Services Medicare |
$20,976.87
|
| Rate for Payer: Prime Health Services WC |
$36,458.59
|
| 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: URETHRAL PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$28,803.51
|
|
|
Service Code
|
MSDRG 672
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$28,803.51 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,803.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,605.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,046.44
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,386.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,688.90
|
| Rate for Payer: EPIC Health Plan Senior |
$13,102.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,102.89
|
| Rate for Payer: InnovAge PACE Commercial |
$19,654.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,102.89
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,557.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,557.87
|
| Rate for Payer: Multiplan WC |
$23,386.69
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,102.89
|
| Rate for Payer: Preferred Health Network WC |
$23,863.97
|
| Rate for Payer: Prime Health Services Medicare |
$13,889.06
|
| Rate for Payer: Prime Health Services WC |
$23,148.05
|
| 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: URETHRAL STRICTURE
|
Facility
|
IP
|
$26,366.37
|
|
|
Service Code
|
MSDRG 697
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$26,366.37 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,366.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17,031.60
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,927.19
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,407.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,365.09
|
| Rate for Payer: EPIC Health Plan Senior |
$12,122.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,122.29
|
| Rate for Payer: InnovAge PACE Commercial |
$18,183.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,122.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,243.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,243.87
|
| Rate for Payer: Multiplan WC |
$21,407.87
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,122.29
|
| Rate for Payer: Preferred Health Network WC |
$21,844.77
|
| Rate for Payer: Prime Health Services Medicare |
$12,849.63
|
| Rate for Payer: Prime Health Services WC |
$21,189.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: URINARY STONES WITH MCC
|
Facility
|
IP
|
$38,699.46
|
|
|
Service Code
|
MSDRG 693
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$38,699.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$38,699.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24,998.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33,651.57
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$31,421.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,079.52
|
| Rate for Payer: EPIC Health Plan Senior |
$17,095.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,095.94
|
| Rate for Payer: InnovAge PACE Commercial |
$25,643.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,095.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,908.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22,908.56
|
| Rate for Payer: Multiplan WC |
$31,421.58
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,095.94
|
| Rate for Payer: Preferred Health Network WC |
$32,062.84
|
| Rate for Payer: Prime Health Services Medicare |
$18,121.70
|
| Rate for Payer: Prime Health Services WC |
$31,100.95
|
| 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: URINARY STONES WITHOUT MCC
|
Facility
|
IP
|
$20,565.67
|
|
|
Service Code
|
MSDRG 694
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$20,565.67 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20,565.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13,284.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,883.12
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,698.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,214.22
|
| Rate for Payer: EPIC Health Plan Senior |
$9,788.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,788.31
|
| Rate for Payer: InnovAge PACE Commercial |
$14,682.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,788.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,116.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$13,116.34
|
| Rate for Payer: Multiplan WC |
$16,698.06
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,788.31
|
| Rate for Payer: Preferred Health Network WC |
$17,038.84
|
| Rate for Payer: Prime Health Services Medicare |
$10,375.61
|
| Rate for Payer: Prime Health Services WC |
$16,527.67
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$48,076.92
|
|
|
Service Code
|
MSDRG 742
|
| Min. Negotiated Rate |
$20,884.78 |
| Max. Negotiated Rate |
$48,076.92 |
| Rate for Payer: Aetna of CA HMO/PPO |
$48,076.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,055.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,805.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,035.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,194.45
|
| Rate for Payer: EPIC Health Plan Senior |
$20,884.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,884.78
|
| Rate for Payer: InnovAge PACE Commercial |
$31,327.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,884.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,985.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,985.61
|
| Rate for Payer: Multiplan WC |
$39,035.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,884.78
|
| Rate for Payer: Preferred Health Network WC |
$39,832.15
|
| Rate for Payer: Prime Health Services Medicare |
$22,137.87
|
| Rate for Payer: Prime Health Services WC |
$38,637.19
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,548.59
|
|
|
Service Code
|
MSDRG 743
|
| Min. Negotiated Rate |
$14,207.39 |
| Max. Negotiated Rate |
$31,548.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,548.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,379.10
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,433.45
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,615.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,179.98
|
| Rate for Payer: EPIC Health Plan Senior |
$14,207.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,207.39
|
| Rate for Payer: InnovAge PACE Commercial |
$21,311.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,207.39
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,037.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,037.90
|
| Rate for Payer: Multiplan WC |
$25,615.51
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,207.39
|
| Rate for Payer: Preferred Health Network WC |
$26,138.28
|
| Rate for Payer: Prime Health Services Medicare |
$15,059.83
|
| Rate for Payer: Prime Health Services WC |
$25,354.13
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$47,855.84
|
|
|
Service Code
|
MSDRG 740
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$47,855.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,855.84
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,912.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,613.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,856.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,073.87
|
| Rate for Payer: EPIC Health Plan Senior |
$20,795.46
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,795.46
|
| Rate for Payer: InnovAge PACE Commercial |
$31,193.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,795.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,865.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,865.92
|
| Rate for Payer: Multiplan WC |
$38,856.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,795.46
|
| Rate for Payer: Preferred Health Network WC |
$39,648.98
|
| Rate for Payer: Prime Health Services Medicare |
$22,043.19
|
| Rate for Payer: Prime Health Services WC |
$38,459.51
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$104,773.31
|
|
|
Service Code
|
MSDRG 739
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$104,773.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$104,773.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$67,679.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$91,106.88
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$85,069.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$59,119.46
|
| Rate for Payer: EPIC Health Plan Senior |
$43,792.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,792.19
|
| Rate for Payer: InnovAge PACE Commercial |
$65,688.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,792.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,681.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,681.53
|
| Rate for Payer: Multiplan WC |
$85,069.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$43,792.19
|
| Rate for Payer: Preferred Health Network WC |
$86,805.61
|
| Rate for Payer: Prime Health Services Medicare |
$46,419.72
|
| Rate for Payer: Prime Health Services WC |
$84,201.44
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$36,151.78
|
|
|
Service Code
|
MSDRG 741
|
| Min. Negotiated Rate |
$16,066.59 |
| Max. Negotiated Rate |
$36,151.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36,151.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23,352.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,436.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$29,353.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,689.90
|
| Rate for Payer: EPIC Health Plan Senior |
$16,066.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,066.59
|
| Rate for Payer: InnovAge PACE Commercial |
$24,099.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,066.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21,529.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21,529.23
|
| Rate for Payer: Multiplan WC |
$29,353.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$16,066.59
|
| Rate for Payer: Preferred Health Network WC |
$29,952.07
|
| Rate for Payer: Prime Health Services Medicare |
$17,030.59
|
| Rate for Payer: Prime Health Services WC |
$29,053.51
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
|
Facility
|
IP
|
$52,595.89
|
|
|
Service Code
|
MSDRG 737
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$52,595.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,595.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$33,974.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45,735.38
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$42,704.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,659.32
|
| Rate for Payer: EPIC Health Plan Senior |
$22,710.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,710.61
|
| Rate for Payer: InnovAge PACE Commercial |
$34,065.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,710.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,432.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,432.22
|
| Rate for Payer: Multiplan WC |
$42,704.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,710.61
|
| Rate for Payer: Preferred Health Network WC |
$43,576.16
|
| Rate for Payer: Prime Health Services Medicare |
$24,073.25
|
| Rate for Payer: Prime Health Services WC |
$42,268.88
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
|
Facility
|
IP
|
$103,633.69
|
|
|
Service Code
|
MSDRG 736
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$103,633.69 |
| Rate for Payer: Aetna of CA HMO/PPO |
$103,633.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66,943.14
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$90,115.91
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$84,144.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,497.85
|
| Rate for Payer: EPIC Health Plan Senior |
$43,331.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,331.74
|
| Rate for Payer: InnovAge PACE Commercial |
$64,997.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,331.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$58,064.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$58,064.53
|
| Rate for Payer: Multiplan WC |
$84,144.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$43,331.74
|
| Rate for Payer: Preferred Health Network WC |
$85,861.43
|
| Rate for Payer: Prime Health Services Medicare |
$45,931.64
|
| Rate for Payer: Prime Health Services WC |
$83,285.59
|
| 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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$39,923.29
|
|
|
Service Code
|
MSDRG 738
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,923.29 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,923.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,788.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,715.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,415.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,747.07
|
| Rate for Payer: EPIC Health Plan Senior |
$17,590.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,590.42
|
| Rate for Payer: InnovAge PACE Commercial |
$26,385.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,590.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,571.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,571.16
|
| Rate for Payer: Multiplan WC |
$32,415.26
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,590.42
|
| Rate for Payer: Preferred Health Network WC |
$33,076.80
|
| Rate for Payer: Prime Health Services Medicare |
$18,645.85
|
| Rate for Payer: Prime Health Services WC |
$32,084.50
|
| 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: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$44,073.80
|
|
|
Service Code
|
MSDRG 746
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$44,073.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$44,073.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$28,469.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38,324.90
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$35,785.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$26,010.96
|
| Rate for Payer: EPIC Health Plan Senior |
$19,267.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$19,267.38
|
| Rate for Payer: InnovAge PACE Commercial |
$28,901.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,267.38
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25,818.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25,818.29
|
| Rate for Payer: Multiplan WC |
$35,785.22
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$19,267.38
|
| Rate for Payer: Preferred Health Network WC |
$36,515.53
|
| Rate for Payer: Prime Health Services Medicare |
$20,423.42
|
| Rate for Payer: Prime Health Services WC |
$35,420.06
|
| 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: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$25,139.91
|
|
|
Service Code
|
MSDRG 747
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$25,139.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25,139.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,239.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21,860.71
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$20,412.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,698.88
|
| Rate for Payer: EPIC Health Plan Senior |
$11,628.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$11,628.80
|
| Rate for Payer: InnovAge PACE Commercial |
$17,443.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,628.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,582.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15,582.59
|
| Rate for Payer: Multiplan WC |
$20,412.07
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$11,628.80
|
| Rate for Payer: Preferred Health Network WC |
$20,828.64
|
| Rate for Payer: Prime Health Services Medicare |
$12,326.53
|
| Rate for Payer: Prime Health Services WC |
$20,203.78
|
| 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: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
|
Facility
|
IP
|
$28,853.52
|
|
|
Service Code
|
MSDRG 768
|
| Min. Negotiated Rate |
$4,760.00 |
| Max. Negotiated Rate |
$28,853.52 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28,853.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,638.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,089.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$23,427.29
|
| Rate for Payer: Cigna of CA PPO |
$6,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,716.06
|
| Rate for Payer: EPIC Health Plan Senior |
$13,123.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,123.01
|
| Rate for Payer: InnovAge PACE Commercial |
$19,684.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,123.01
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,584.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,584.83
|
| Rate for Payer: Multiplan WC |
$23,427.29
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,123.01
|
| Rate for Payer: Preferred Health Network WC |
$23,905.40
|
| Rate for Payer: Prime Health Services Medicare |
$13,910.39
|
| Rate for Payer: Prime Health Services WC |
$23,188.24
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,756.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,834.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,236.00
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
|
Facility
|
IP
|
$19,044.43
|
|
|
Service Code
|
MSDRG 806
|
| Min. Negotiated Rate |
$5,236.00 |
| Max. Negotiated Rate |
$19,044.43 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,044.43
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,301.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,560.31
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,462.91
|
| Rate for Payer: Cigna of CA PPO |
$6,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,387.91
|
| Rate for Payer: EPIC Health Plan Senior |
$9,176.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,176.23
|
| Rate for Payer: InnovAge PACE Commercial |
$13,764.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,176.23
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,296.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,296.15
|
| Rate for Payer: Multiplan WC |
$15,462.91
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,176.23
|
| Rate for Payer: Preferred Health Network WC |
$15,778.48
|
| Rate for Payer: Prime Health Services Medicare |
$9,726.80
|
| Rate for Payer: Prime Health Services WC |
$15,305.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,756.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,834.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,236.00
|
|
|
MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
|
Facility
|
IP
|
$26,266.36
|
|
|
Service Code
|
MSDRG 805
|
| Min. Negotiated Rate |
$5,236.00 |
| Max. Negotiated Rate |
$26,266.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26,266.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16,967.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22,840.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,326.67
|
| Rate for Payer: Cigna of CA PPO |
$6,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,310.75
|
| Rate for Payer: EPIC Health Plan Senior |
$12,082.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,082.04
|
| Rate for Payer: InnovAge PACE Commercial |
$18,123.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,082.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,189.93
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,189.93
|
| Rate for Payer: Multiplan WC |
$21,326.67
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,082.04
|
| Rate for Payer: Preferred Health Network WC |
$21,761.91
|
| Rate for Payer: Prime Health Services Medicare |
$12,806.96
|
| Rate for Payer: Prime Health Services WC |
$21,109.05
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,756.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,834.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,715.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,236.00
|
|
