INPATIENT MS-DRG 822: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$19,666.24
|
|
Service Code
|
MS-DRG 822
|
Min. Negotiated Rate |
$14,153.83 |
Max. Negotiated Rate |
$19,666.24 |
Rate for Payer: EPIC Health Plan Medicare |
$14,153.83
|
Rate for Payer: Humana Medicare |
$14,153.83
|
Rate for Payer: IEHP Medicare Advantage |
$14,153.83
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,701.52
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,833.83
|
Rate for Payer: Molina Healthcare of CA Medicare |
$17,833.83
|
Rate for Payer: Multiplan WC |
$19,666.24
|
|
INPATIENT MS-DRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
|
Facility
IP
|
$70,609.14
|
|
Service Code
|
MS-DRG 823
|
Min. Negotiated Rate |
$50,897.81 |
Max. Negotiated Rate |
$70,609.14 |
Rate for Payer: EPIC Health Plan Medicare |
$50,897.81
|
Rate for Payer: Humana Medicare |
$50,897.81
|
Rate for Payer: IEHP Medicare Advantage |
$50,897.81
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60,059.42
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$64,131.24
|
Rate for Payer: Molina Healthcare of CA Medicare |
$64,131.24
|
Rate for Payer: Multiplan WC |
$70,609.14
|
|
INPATIENT MS-DRG 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
|
Facility
IP
|
$37,378.91
|
|
Service Code
|
MS-DRG 824
|
Min. Negotiated Rate |
$25,347.84 |
Max. Negotiated Rate |
$37,378.91 |
Rate for Payer: EPIC Health Plan Medicare |
$25,347.84
|
Rate for Payer: Humana Medicare |
$25,347.84
|
Rate for Payer: IEHP Medicare Advantage |
$25,347.84
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,910.45
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,938.28
|
Rate for Payer: Molina Healthcare of CA Medicare |
$31,938.28
|
Rate for Payer: Multiplan WC |
$37,378.91
|
|
INPATIENT MS-DRG 825: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$21,487.61
|
|
Service Code
|
MS-DRG 825
|
Min. Negotiated Rate |
$14,746.13 |
Max. Negotiated Rate |
$21,487.61 |
Rate for Payer: EPIC Health Plan Medicare |
$14,746.13
|
Rate for Payer: Humana Medicare |
$14,746.13
|
Rate for Payer: IEHP Medicare Advantage |
$14,746.13
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,400.43
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,580.12
|
Rate for Payer: Molina Healthcare of CA Medicare |
$18,580.12
|
Rate for Payer: Multiplan WC |
$21,487.61
|
|
INPATIENT MS-DRG 826: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$83,918.53
|
|
Service Code
|
MS-DRG 826
|
Min. Negotiated Rate |
$52,314.37 |
Max. Negotiated Rate |
$83,918.53 |
Rate for Payer: EPIC Health Plan Medicare |
$52,314.37
|
Rate for Payer: Humana Medicare |
$52,314.37
|
Rate for Payer: IEHP Medicare Advantage |
$52,314.37
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$61,730.96
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$65,916.11
|
Rate for Payer: Molina Healthcare of CA Medicare |
$65,916.11
|
Rate for Payer: Multiplan WC |
$83,918.53
|
|
INPATIENT MS-DRG 827: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
|
Facility
IP
|
$39,735.59
|
|
Service Code
|
MS-DRG 827
|
Min. Negotiated Rate |
$26,297.10 |
Max. Negotiated Rate |
$39,735.59 |
Rate for Payer: EPIC Health Plan Medicare |
$26,297.10
|
Rate for Payer: Humana Medicare |
$26,297.10
|
Rate for Payer: IEHP Medicare Advantage |
$26,297.10
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,030.58
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,134.35
|
Rate for Payer: Molina Healthcare of CA Medicare |
$33,134.35
|
Rate for Payer: Multiplan WC |
$39,735.59
|
|
INPATIENT MS-DRG 828: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$28,383.03
|
|
Service Code
|
MS-DRG 828
|
Min. Negotiated Rate |
$18,676.02 |
Max. Negotiated Rate |
$28,383.03 |
Rate for Payer: EPIC Health Plan Medicare |
$18,676.02
|
Rate for Payer: Humana Medicare |
$18,676.02
|
Rate for Payer: IEHP Medicare Advantage |
$18,676.02
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,037.70
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,531.79
|
Rate for Payer: Molina Healthcare of CA Medicare |
$23,531.79
|
Rate for Payer: Multiplan WC |
$28,383.03
|
|
INPATIENT MS-DRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
|
Facility
IP
|
$51,649.58
|
|
Service Code
|
MS-DRG 829
|
Min. Negotiated Rate |
$35,717.59 |
Max. Negotiated Rate |
$51,649.58 |
Rate for Payer: EPIC Health Plan Medicare |
$35,717.59
|
Rate for Payer: Humana Medicare |
$35,717.59
|
Rate for Payer: IEHP Medicare Advantage |
$35,717.59
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,146.76
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$45,004.16
|
Rate for Payer: Molina Healthcare of CA Medicare |
$45,004.16
|
Rate for Payer: Multiplan WC |
$51,649.58
|
|
INPATIENT MS-DRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$23,999.34
|
|
Service Code
|
MS-DRG 830
|
Min. Negotiated Rate |
$18,009.40 |
Max. Negotiated Rate |
$23,999.34 |
Rate for Payer: EPIC Health Plan Medicare |
$18,009.40
|
Rate for Payer: Humana Medicare |
$18,009.40
|
Rate for Payer: IEHP Medicare Advantage |
$18,009.40
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,251.09
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,691.84
|
Rate for Payer: Molina Healthcare of CA Medicare |
$22,691.84
|
Rate for Payer: Multiplan WC |
$23,999.34
|
|
INPATIENT MS-DRG 831: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$19,499.77
|
|
Service Code
|
MS-DRG 831
|
Min. Negotiated Rate |
$3,557.00 |
Max. Negotiated Rate |
$19,499.77 |
Rate for Payer: EPIC Health Plan Medicare |
$12,312.74
|
Rate for Payer: Humana Medicare |
$12,312.74
|
Rate for Payer: IEHP Medicare Advantage |
$12,312.74
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,529.03
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,514.05
|
Rate for Payer: Molina Healthcare of CA Medicare |
$15,514.05
|
Rate for Payer: Multiplan WC |
$19,499.77
|
Rate for Payer: United Healthcare All Other HMO/non HMO |
$4,228.00
|
Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3,557.00
|
|
INPATIENT MS-DRG 832: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
|
Facility
IP
|
$11,432.53
|
|
Service Code
|
MS-DRG 832
|
Min. Negotiated Rate |
$3,557.00 |
Max. Negotiated Rate |
$11,432.53 |
Rate for Payer: EPIC Health Plan Medicare |
$8,511.21
|
Rate for Payer: Humana Medicare |
$8,511.21
|
Rate for Payer: IEHP Medicare Advantage |
$8,511.21
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,043.23
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,724.12
|
Rate for Payer: Molina Healthcare of CA Medicare |
$10,724.12
|
Rate for Payer: Multiplan WC |
$11,432.53
|
Rate for Payer: United Healthcare All Other HMO/non HMO |
$4,228.00
|
Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3,557.00
|
|
INPATIENT MS-DRG 833: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$8,225.54
|
|
Service Code
|
MS-DRG 833
|
Min. Negotiated Rate |
$3,557.00 |
Max. Negotiated Rate |
$8,225.54 |
Rate for Payer: EPIC Health Plan Medicare |
$5,967.48
|
Rate for Payer: Humana Medicare |
$5,967.48
|
Rate for Payer: IEHP Medicare Advantage |
$5,967.48
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,041.63
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7,519.02
|
Rate for Payer: Molina Healthcare of CA Medicare |
$7,519.02
|
Rate for Payer: Multiplan WC |
$8,225.54
|
Rate for Payer: United Healthcare All Other HMO/non HMO |
$4,228.00
|
Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3,557.00
|
|
INPATIENT MS-DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC
|
Facility
IP
|
$90,252.52
|
|
Service Code
|
MS-DRG 834
|
Min. Negotiated Rate |
$63,251.65 |
Max. Negotiated Rate |
$90,252.52 |
Rate for Payer: EPIC Health Plan Medicare |
$63,251.65
|
Rate for Payer: Humana Medicare |
$63,251.65
|
Rate for Payer: IEHP Medicare Advantage |
$63,251.65
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$74,636.95
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$79,697.08
|
Rate for Payer: Molina Healthcare of CA Medicare |
$79,697.08
|
Rate for Payer: Multiplan WC |
$90,252.52
|
|
INPATIENT MS-DRG 835: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC
|
Facility
IP
|
$34,225.77
|
|
Service Code
|
MS-DRG 835
|
Min. Negotiated Rate |
$25,377.11 |
Max. Negotiated Rate |
$34,225.77 |
Rate for Payer: EPIC Health Plan Medicare |
$25,377.11
|
Rate for Payer: Humana Medicare |
$25,377.11
|
Rate for Payer: IEHP Medicare Advantage |
$25,377.11
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,944.99
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,975.16
|
Rate for Payer: Molina Healthcare of CA Medicare |
$31,975.16
|
Rate for Payer: Multiplan WC |
$34,225.77
|
|
INPATIENT MS-DRG 836: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
IP
|
$25,603.65
|
|
Service Code
|
MS-DRG 836
|
Min. Negotiated Rate |
$16,102.99 |
Max. Negotiated Rate |
$25,603.65 |
Rate for Payer: EPIC Health Plan Medicare |
$16,102.99
|
Rate for Payer: Humana Medicare |
$16,102.99
|
Rate for Payer: IEHP Medicare Advantage |
$16,102.99
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,001.53
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20,289.77
|
Rate for Payer: Molina Healthcare of CA Medicare |
$20,289.77
|
Rate for Payer: Multiplan WC |
$25,603.65
|
|
INPATIENT MS-DRG 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
|
Facility
IP
|
$87,840.35
|
|
Service Code
|
MS-DRG 837
|
Min. Negotiated Rate |
$54,750.01 |
Max. Negotiated Rate |
$87,840.35 |
Rate for Payer: EPIC Health Plan Medicare |
$54,750.01
|
Rate for Payer: Humana Medicare |
$54,750.01
|
Rate for Payer: IEHP Medicare Advantage |
$54,750.01
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$64,605.01
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$68,985.01
|
Rate for Payer: Molina Healthcare of CA Medicare |
$68,985.01
|
Rate for Payer: Multiplan WC |
$87,840.35
|
|
INPATIENT MS-DRG 838: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
|
Facility
IP
|
$36,298.48
|
|
Service Code
|
MS-DRG 838
|
Min. Negotiated Rate |
$22,744.43 |
Max. Negotiated Rate |
$36,298.48 |
Rate for Payer: EPIC Health Plan Medicare |
$22,744.43
|
Rate for Payer: Humana Medicare |
$22,744.43
|
Rate for Payer: IEHP Medicare Advantage |
$22,744.43
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,838.43
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,657.98
|
Rate for Payer: Molina Healthcare of CA Medicare |
$28,657.98
|
Rate for Payer: Multiplan WC |
$36,298.48
|
|
INPATIENT MS-DRG 839: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
|
Facility
IP
|
$22,435.83
|
|
Service Code
|
MS-DRG 839
|
Min. Negotiated Rate |
$14,877.87 |
Max. Negotiated Rate |
$22,435.83 |
Rate for Payer: EPIC Health Plan Medicare |
$14,877.87
|
Rate for Payer: Humana Medicare |
$14,877.87
|
Rate for Payer: IEHP Medicare Advantage |
$14,877.87
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,555.89
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,746.12
|
Rate for Payer: Molina Healthcare of CA Medicare |
$18,746.12
|
Rate for Payer: Multiplan WC |
$22,435.83
|
|
INPATIENT MS-DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
|
Facility
IP
|
$50,707.89
|
|
Service Code
|
MS-DRG 840
|
Min. Negotiated Rate |
$35,395.53 |
Max. Negotiated Rate |
$50,707.89 |
Rate for Payer: EPIC Health Plan Medicare |
$35,395.53
|
Rate for Payer: Humana Medicare |
$35,395.53
|
Rate for Payer: IEHP Medicare Advantage |
$35,395.53
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,766.73
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,598.37
|
Rate for Payer: Molina Healthcare of CA Medicare |
$44,598.37
|
Rate for Payer: Multiplan WC |
$50,707.89
|
|
INPATIENT MS-DRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
|
Facility
IP
|
$26,027.98
|
|
Service Code
|
MS-DRG 841
|
Min. Negotiated Rate |
$17,922.70 |
Max. Negotiated Rate |
$26,027.98 |
Rate for Payer: EPIC Health Plan Medicare |
$17,922.70
|
Rate for Payer: Humana Medicare |
$17,922.70
|
Rate for Payer: IEHP Medicare Advantage |
$17,922.70
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,148.79
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22,582.60
|
Rate for Payer: Molina Healthcare of CA Medicare |
$22,582.60
|
Rate for Payer: Multiplan WC |
$26,027.98
|
|
INPATIENT MS-DRG 842: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
|
Facility
IP
|
$18,012.97
|
|
Service Code
|
MS-DRG 842
|
Min. Negotiated Rate |
$12,212.53 |
Max. Negotiated Rate |
$18,012.97 |
Rate for Payer: EPIC Health Plan Medicare |
$12,212.53
|
Rate for Payer: Humana Medicare |
$12,212.53
|
Rate for Payer: IEHP Medicare Advantage |
$12,212.53
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,410.79
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15,387.79
|
Rate for Payer: Molina Healthcare of CA Medicare |
$15,387.79
|
Rate for Payer: Multiplan WC |
$18,012.97
|
|
INPATIENT MS-DRG 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
IP
|
$31,619.39
|
|
Service Code
|
MS-DRG 843
|
Min. Negotiated Rate |
$21,155.58 |
Max. Negotiated Rate |
$31,619.39 |
Rate for Payer: EPIC Health Plan Medicare |
$21,155.58
|
Rate for Payer: Humana Medicare |
$21,155.58
|
Rate for Payer: IEHP Medicare Advantage |
$21,155.58
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,963.58
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,656.03
|
Rate for Payer: Molina Healthcare of CA Medicare |
$26,656.03
|
Rate for Payer: Multiplan WC |
$31,619.39
|
|
INPATIENT MS-DRG 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
IP
|
$18,615.20
|
|
Service Code
|
MS-DRG 844
|
Min. Negotiated Rate |
$13,234.98 |
Max. Negotiated Rate |
$18,615.20 |
Rate for Payer: EPIC Health Plan Medicare |
$13,234.98
|
Rate for Payer: Humana Medicare |
$13,234.98
|
Rate for Payer: IEHP Medicare Advantage |
$13,234.98
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,617.28
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,676.07
|
Rate for Payer: Molina Healthcare of CA Medicare |
$16,676.07
|
Rate for Payer: Multiplan WC |
$18,615.20
|
|
INPATIENT MS-DRG 845: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
IP
|
$13,799.01
|
|
Service Code
|
MS-DRG 845
|
Min. Negotiated Rate |
$9,943.55 |
Max. Negotiated Rate |
$13,799.01 |
Rate for Payer: EPIC Health Plan Medicare |
$9,943.55
|
Rate for Payer: Humana Medicare |
$9,943.55
|
Rate for Payer: IEHP Medicare Advantage |
$9,943.55
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,733.39
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,528.87
|
Rate for Payer: Molina Healthcare of CA Medicare |
$12,528.87
|
Rate for Payer: Multiplan WC |
$13,799.01
|
|
INPATIENT MS-DRG 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
|
Facility
IP
|
$39,316.15
|
|
Service Code
|
MS-DRG 846
|
Min. Negotiated Rate |
$27,724.94 |
Max. Negotiated Rate |
$39,316.15 |
Rate for Payer: EPIC Health Plan Medicare |
$27,724.94
|
Rate for Payer: Humana Medicare |
$27,724.94
|
Rate for Payer: IEHP Medicare Advantage |
$27,724.94
|
Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32,715.43
|
Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,933.42
|
Rate for Payer: Molina Healthcare of CA Medicare |
$34,933.42
|
Rate for Payer: Multiplan WC |
$39,316.15
|
|