INPATIENT MS-DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
|
Facility
IP
|
$27,049.65
|
|
Service Code
|
MS-DRG 438
|
Min. Negotiated Rate |
$18,995.80 |
Max. Negotiated Rate |
$27,049.65 |
Rate for Payer: EPIC Health Plan Medicare |
$18,995.80
|
Rate for Payer: Humana Medicare |
$18,995.80
|
Rate for Payer: IEHP Medicare Advantage |
$18,995.80
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,415.04
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,934.71
|
Rate for Payer: Molina Healthcare of CA Medicare |
$23,934.71
|
Rate for Payer: Multiplan WC |
$27,049.65
|
|
INPATIENT MS-DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
|
Facility
IP
|
$14,195.59
|
|
Service Code
|
MS-DRG 439
|
Min. Negotiated Rate |
$9,834.32 |
Max. Negotiated Rate |
$14,195.59 |
Rate for Payer: EPIC Health Plan Medicare |
$9,834.32
|
Rate for Payer: Humana Medicare |
$9,834.32
|
Rate for Payer: IEHP Medicare Advantage |
$9,834.32
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,604.50
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,391.24
|
Rate for Payer: Molina Healthcare of CA Medicare |
$12,391.24
|
Rate for Payer: Multiplan WC |
$14,195.59
|
|
INPATIENT MS-DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
IP
|
$9,896.77
|
|
Service Code
|
MS-DRG 440
|
Min. Negotiated Rate |
$7,136.31 |
Max. Negotiated Rate |
$9,896.77 |
Rate for Payer: EPIC Health Plan Medicare |
$7,136.31
|
Rate for Payer: Humana Medicare |
$7,136.31
|
Rate for Payer: IEHP Medicare Advantage |
$7,136.31
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,420.85
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,991.75
|
Rate for Payer: Molina Healthcare of CA Medicare |
$8,991.75
|
Rate for Payer: Multiplan WC |
$9,896.77
|
|
INPATIENT MS-DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
|
Facility
IP
|
$30,924.14
|
|
Service Code
|
MS-DRG 441
|
Min. Negotiated Rate |
$20,790.74 |
Max. Negotiated Rate |
$30,924.14 |
Rate for Payer: EPIC Health Plan Medicare |
$20,790.74
|
Rate for Payer: Humana Medicare |
$20,790.74
|
Rate for Payer: IEHP Medicare Advantage |
$20,790.74
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,533.07
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,196.33
|
Rate for Payer: Molina Healthcare of CA Medicare |
$26,196.33
|
Rate for Payer: Multiplan WC |
$30,924.14
|
|
INPATIENT MS-DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
|
Facility
IP
|
$15,439.22
|
|
Service Code
|
MS-DRG 442
|
Min. Negotiated Rate |
$10,918.71 |
Max. Negotiated Rate |
$15,439.22 |
Rate for Payer: EPIC Health Plan Medicare |
$10,918.71
|
Rate for Payer: Humana Medicare |
$10,918.71
|
Rate for Payer: IEHP Medicare Advantage |
$10,918.71
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,884.08
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$13,757.57
|
Rate for Payer: Molina Healthcare of CA Medicare |
$13,757.57
|
Rate for Payer: Multiplan WC |
$15,439.22
|
|
INPATIENT MS-DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
|
Facility
IP
|
$10,639.35
|
|
Service Code
|
MS-DRG 443
|
Min. Negotiated Rate |
$8,252.23 |
Max. Negotiated Rate |
$10,639.35 |
Rate for Payer: EPIC Health Plan Medicare |
$8,252.23
|
Rate for Payer: Humana Medicare |
$8,252.23
|
Rate for Payer: IEHP Medicare Advantage |
$8,252.23
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,737.63
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,397.81
|
Rate for Payer: Molina Healthcare of CA Medicare |
$10,397.81
|
Rate for Payer: Multiplan WC |
$10,639.35
|
|
INPATIENT MS-DRG 444: DISORDERS OF THE BILIARY TRACT WITH MCC
|
Facility
IP
|
$27,168.78
|
|
Service Code
|
MS-DRG 444
|
Min. Negotiated Rate |
$18,594.94 |
Max. Negotiated Rate |
$27,168.78 |
Rate for Payer: EPIC Health Plan Medicare |
$18,594.94
|
Rate for Payer: Humana Medicare |
$18,594.94
|
Rate for Payer: IEHP Medicare Advantage |
$18,594.94
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,942.03
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,429.62
|
Rate for Payer: Molina Healthcare of CA Medicare |
$23,429.62
|
Rate for Payer: Multiplan WC |
$27,168.78
|
|
INPATIENT MS-DRG 445: DISORDERS OF THE BILIARY TRACT WITH CC
|
Facility
IP
|
$17,946.05
|
|
Service Code
|
MS-DRG 445
|
Min. Negotiated Rate |
$12,442.24 |
Max. Negotiated Rate |
$17,946.05 |
Rate for Payer: EPIC Health Plan Medicare |
$12,442.24
|
Rate for Payer: Humana Medicare |
$12,442.24
|
Rate for Payer: IEHP Medicare Advantage |
$12,442.24
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,681.84
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,677.22
|
Rate for Payer: Molina Healthcare of CA Medicare |
$15,677.22
|
Rate for Payer: Multiplan WC |
$17,946.05
|
|
INPATIENT MS-DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
|
Facility
IP
|
$13,247.38
|
|
Service Code
|
MS-DRG 446
|
Min. Negotiated Rate |
$9,229.63 |
Max. Negotiated Rate |
$13,247.38 |
Rate for Payer: EPIC Health Plan Medicare |
$9,229.63
|
Rate for Payer: Humana Medicare |
$9,229.63
|
Rate for Payer: IEHP Medicare Advantage |
$9,229.63
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,890.96
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,629.33
|
Rate for Payer: Molina Healthcare of CA Medicare |
$11,629.33
|
Rate for Payer: Multiplan WC |
$13,247.38
|
|
INPATIENT MS-DRG 453: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC
|
Facility
IP
|
$149,411.17
|
|
Service Code
|
MS-DRG 453
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$149,411.17 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$99,987.74
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$99,987.74
|
Rate for Payer: IEHP Medicare Advantage |
$99,987.74
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$117,985.53
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$125,984.55
|
Rate for Payer: Molina Healthcare of CA Medicare |
$125,984.55
|
Rate for Payer: Multiplan WC |
$149,411.17
|
|
INPATIENT MS-DRG 454: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC
|
Facility
IP
|
$99,406.70
|
|
Service Code
|
MS-DRG 454
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$99,406.70 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$69,076.67
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$69,076.67
|
Rate for Payer: IEHP Medicare Advantage |
$69,076.67
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$81,510.47
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$87,036.60
|
Rate for Payer: Molina Healthcare of CA Medicare |
$87,036.60
|
Rate for Payer: Multiplan WC |
$99,406.70
|
|
INPATIENT MS-DRG 455: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC
|
Facility
IP
|
$78,142.69
|
|
Service Code
|
MS-DRG 455
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$78,142.69 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$52,065.51
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$52,065.51
|
Rate for Payer: IEHP Medicare Advantage |
$52,065.51
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,437.30
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,602.54
|
Rate for Payer: Molina Healthcare of CA Medicare |
$65,602.54
|
Rate for Payer: Multiplan WC |
$78,142.69
|
|
INPATIENT MS-DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
|
Facility
IP
|
$137,895.41
|
|
Service Code
|
MS-DRG 456
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$137,895.41 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$95,123.23
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$95,123.23
|
Rate for Payer: IEHP Medicare Advantage |
$95,123.23
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$112,245.41
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$119,855.27
|
Rate for Payer: Molina Healthcare of CA Medicare |
$119,855.27
|
Rate for Payer: Multiplan WC |
$137,895.41
|
|
INPATIENT MS-DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
|
Facility
IP
|
$98,523.76
|
|
Service Code
|
MS-DRG 457
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$98,523.76 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$68,615.00
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$68,615.00
|
Rate for Payer: IEHP Medicare Advantage |
$68,615.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$80,965.70
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$86,454.90
|
Rate for Payer: Molina Healthcare of CA Medicare |
$86,454.90
|
Rate for Payer: Multiplan WC |
$98,523.76
|
|
INPATIENT MS-DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
|
Facility
IP
|
$78,552.33
|
|
Service Code
|
MS-DRG 458
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$78,552.33 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$51,225.48
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$51,225.48
|
Rate for Payer: IEHP Medicare Advantage |
$51,225.48
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60,446.07
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$64,544.10
|
Rate for Payer: Molina Healthcare of CA Medicare |
$64,544.10
|
Rate for Payer: Multiplan WC |
$78,552.33
|
|
INPATIENT MS-DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MCC
|
Facility
IP
|
$108,254.06
|
|
Service Code
|
MS-DRG 459
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$108,254.06 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$74,887.08
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$74,887.08
|
Rate for Payer: IEHP Medicare Advantage |
$74,887.08
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$88,366.75
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$94,357.72
|
Rate for Payer: Molina Healthcare of CA Medicare |
$94,357.72
|
Rate for Payer: Multiplan WC |
$108,254.06
|
|
INPATIENT MS-DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
|
Facility
IP
|
$61,463.11
|
|
Service Code
|
MS-DRG 460
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$61,463.11 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$28,410.00
|
Rate for Payer: EPIC Health Plan Medicare |
$41,393.98
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$41,393.98
|
Rate for Payer: IEHP Medicare Advantage |
$41,393.98
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$48,844.90
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$52,156.41
|
Rate for Payer: Molina Healthcare of CA Medicare |
$52,156.41
|
Rate for Payer: Multiplan WC |
$61,463.11
|
|
INPATIENT MS-DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
|
Facility
IP
|
$104,699.45
|
|
Service Code
|
MS-DRG 461
|
Min. Negotiated Rate |
$9,561.00 |
Max. Negotiated Rate |
$104,699.45 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$24,040.00
|
Rate for Payer: EPIC Health Plan Medicare |
$76,983.77
|
Rate for Payer: Humana Medicare |
$76,983.77
|
Rate for Payer: IEHP Medicare Advantage |
$76,983.77
|
Rate for Payer: Kaiser Permanente of CA Commercial |
$9,561.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$90,840.85
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$96,999.55
|
Rate for Payer: Molina Healthcare of CA Medicare |
$96,999.55
|
Rate for Payer: Multiplan WC |
$104,699.45
|
|
INPATIENT MS-DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
|
Facility
IP
|
$48,726.57
|
|
Service Code
|
MS-DRG 462
|
Min. Negotiated Rate |
$9,561.00 |
Max. Negotiated Rate |
$48,726.57 |
Rate for Payer: Cigna of CA HMO/PPO |
$21,600.00
|
Rate for Payer: EPIC Health Plan Commercial |
$24,040.00
|
Rate for Payer: EPIC Health Plan Medicare |
$32,255.00
|
Rate for Payer: Humana Medicare |
$32,255.00
|
Rate for Payer: IEHP Medicare Advantage |
$32,255.00
|
Rate for Payer: Kaiser Permanente of CA Commercial |
$9,561.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$38,060.90
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40,641.30
|
Rate for Payer: Molina Healthcare of CA Medicare |
$40,641.30
|
Rate for Payer: Multiplan WC |
$48,726.57
|
|
INPATIENT MS-DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC
|
Facility
IP
|
$85,545.68
|
|
Service Code
|
MS-DRG 463
|
Min. Negotiated Rate |
$63,980.19 |
Max. Negotiated Rate |
$85,545.68 |
Rate for Payer: EPIC Health Plan Medicare |
$63,980.19
|
Rate for Payer: Humana Medicare |
$63,980.19
|
Rate for Payer: IEHP Medicare Advantage |
$63,980.19
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75,496.62
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$80,615.04
|
Rate for Payer: Molina Healthcare of CA Medicare |
$80,615.04
|
Rate for Payer: Multiplan WC |
$85,545.68
|
|
INPATIENT MS-DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC
|
Facility
IP
|
$48,752.68
|
|
Service Code
|
MS-DRG 464
|
Min. Negotiated Rate |
$34,001.51 |
Max. Negotiated Rate |
$48,752.68 |
Rate for Payer: EPIC Health Plan Medicare |
$34,001.51
|
Rate for Payer: Humana Medicare |
$34,001.51
|
Rate for Payer: IEHP Medicare Advantage |
$34,001.51
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,121.78
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,841.90
|
Rate for Payer: Molina Healthcare of CA Medicare |
$42,841.90
|
Rate for Payer: Multiplan WC |
$48,752.68
|
|
INPATIENT MS-DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
|
Facility
IP
|
$32,521.92
|
|
Service Code
|
MS-DRG 465
|
Min. Negotiated Rate |
$21,270.42 |
Max. Negotiated Rate |
$32,521.92 |
Rate for Payer: EPIC Health Plan Medicare |
$21,270.42
|
Rate for Payer: Humana Medicare |
$21,270.42
|
Rate for Payer: IEHP Medicare Advantage |
$21,270.42
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,099.10
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,800.73
|
Rate for Payer: Molina Healthcare of CA Medicare |
$26,800.73
|
Rate for Payer: Multiplan WC |
$32,521.92
|
|
INPATIENT MS-DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
|
Facility
IP
|
$85,602.80
|
|
Service Code
|
MS-DRG 466
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$85,602.80 |
Rate for Payer: Cigna of CA HMO/PPO |
$17,300.00
|
Rate for Payer: EPIC Health Plan Commercial |
$24,040.00
|
Rate for Payer: EPIC Health Plan Medicare |
$58,607.83
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$58,607.83
|
Rate for Payer: IEHP Medicare Advantage |
$58,607.83
|
Rate for Payer: Kaiser Permanente of CA Commercial |
$9,561.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69,157.24
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$73,845.87
|
Rate for Payer: Molina Healthcare of CA Medicare |
$73,845.87
|
Rate for Payer: Multiplan WC |
$85,602.80
|
|
INPATIENT MS-DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH CC
|
Facility
IP
|
$59,176.60
|
|
Service Code
|
MS-DRG 467
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$59,176.60 |
Rate for Payer: Cigna of CA HMO/PPO |
$17,300.00
|
Rate for Payer: EPIC Health Plan Commercial |
$24,040.00
|
Rate for Payer: EPIC Health Plan Medicare |
$39,461.68
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$39,461.68
|
Rate for Payer: IEHP Medicare Advantage |
$39,461.68
|
Rate for Payer: Kaiser Permanente of CA Commercial |
$9,561.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$46,564.78
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49,721.72
|
Rate for Payer: Molina Healthcare of CA Medicare |
$49,721.72
|
Rate for Payer: Multiplan WC |
$59,176.60
|
|
INPATIENT MS-DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
|
Facility
IP
|
$45,522.85
|
|
Service Code
|
MS-DRG 468
|
Min. Negotiated Rate |
$3,928.00 |
Max. Negotiated Rate |
$45,522.85 |
Rate for Payer: Cigna of CA HMO/PPO |
$17,300.00
|
Rate for Payer: EPIC Health Plan Commercial |
$24,040.00
|
Rate for Payer: EPIC Health Plan Medicare |
$30,265.28
|
Rate for Payer: Heritage Provider Network Commercial |
$4,319.00
|
Rate for Payer: Heritage Provider Network Senior |
$3,928.00
|
Rate for Payer: Humana Medicare |
$30,265.28
|
Rate for Payer: IEHP Medicare Advantage |
$30,265.28
|
Rate for Payer: Kaiser Permanente of CA Commercial |
$9,561.00
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,713.03
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,134.25
|
Rate for Payer: Molina Healthcare of CA Medicare |
$38,134.25
|
Rate for Payer: Multiplan WC |
$45,522.85
|
|