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Service Code NDC 0093-3541-43
Hospital Charge Code 1743763
Hospital Revenue Code 259
Min. Negotiated Rate $1.69
Max. Negotiated Rate $2.30
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $1.84
Rate for Payer: Aetna of CA Government/Medicare $1.84
Rate for Payer: Cash Price $1.38
Rate for Payer: Health Smart Auto/Commercial $1.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $1.84
Rate for Payer: LLUH Dept of Risk Management WC $1.69
Rate for Payer: Multiplan Beech St/Commercial/PHCS $2.30
Service Code NDC 0781-7129-83
Hospital Charge Code 1743733
Hospital Revenue Code 259
Min. Negotiated Rate $7.17
Max. Negotiated Rate $9.78
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $7.82
Rate for Payer: Aetna of CA Government/Medicare $7.82
Rate for Payer: Cash Price $5.87
Rate for Payer: Health Smart Auto/Commercial $7.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $7.82
Rate for Payer: LLUH Dept of Risk Management WC $7.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.78
Service Code NDC 0781-7129-58
Hospital Charge Code 1743733
Hospital Revenue Code 259
Min. Negotiated Rate $7.17
Max. Negotiated Rate $10.43
Rate for Payer: Cash Price $5.87
Rate for Payer: Cigna of CA HMO/PPO $10.43
Rate for Payer: Health Smart Auto/Commercial $7.82
Rate for Payer: LLUH Dept of Risk Management WC $7.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.78
Service Code NDC 0781-7129-58
Hospital Charge Code 1743733
Hospital Revenue Code 259
Min. Negotiated Rate $7.17
Max. Negotiated Rate $9.78
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $7.82
Rate for Payer: Aetna of CA Government/Medicare $7.82
Rate for Payer: Cash Price $5.87
Rate for Payer: Health Smart Auto/Commercial $7.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $7.82
Rate for Payer: LLUH Dept of Risk Management WC $7.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.78
Service Code NDC 0781-7129-83
Hospital Charge Code 1743733
Hospital Revenue Code 259
Min. Negotiated Rate $7.17
Max. Negotiated Rate $10.43
Rate for Payer: Cash Price $5.87
Rate for Payer: Cigna of CA HMO/PPO $10.43
Rate for Payer: Health Smart Auto/Commercial $7.82
Rate for Payer: LLUH Dept of Risk Management WC $7.17
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.78
Service Code NDC 50419-491-04
Hospital Charge Code ERX37533
Hospital Revenue Code 259
Min. Negotiated Rate $40.00
Max. Negotiated Rate $58.18
Rate for Payer: Cash Price $32.73
Rate for Payer: Cigna of CA HMO/PPO $58.18
Rate for Payer: Health Smart Auto/Commercial $43.64
Rate for Payer: LLUH Dept of Risk Management WC $40.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS $54.55
Service Code NDC 50419-491-04
Hospital Charge Code ERX37533
Hospital Revenue Code 259
Min. Negotiated Rate $40.00
Max. Negotiated Rate $54.55
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $43.64
Rate for Payer: Aetna of CA Government/Medicare $43.64
Rate for Payer: Cash Price $32.73
Rate for Payer: Health Smart Auto/Commercial $43.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $43.64
Rate for Payer: LLUH Dept of Risk Management WC $40.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS $54.55
Service Code NDC 0781-7144-58
Hospital Charge Code 1712109
Hospital Revenue Code 259
Min. Negotiated Rate $7.18
Max. Negotiated Rate $10.44
Rate for Payer: Cash Price $5.87
Rate for Payer: Cigna of CA HMO/PPO $10.44
Rate for Payer: Health Smart Auto/Commercial $7.83
Rate for Payer: LLUH Dept of Risk Management WC $7.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.79
Service Code NDC 0781-7144-83
Hospital Charge Code 1712109
Hospital Revenue Code 259
Min. Negotiated Rate $7.18
Max. Negotiated Rate $10.44
Rate for Payer: Cash Price $5.87
Rate for Payer: Cigna of CA HMO/PPO $10.44
Rate for Payer: Health Smart Auto/Commercial $7.83
Rate for Payer: LLUH Dept of Risk Management WC $7.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.79
Service Code NDC 0781-7144-58
Hospital Charge Code 1712109
Hospital Revenue Code 259
Min. Negotiated Rate $7.18
Max. Negotiated Rate $9.79
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $7.83
Rate for Payer: Aetna of CA Government/Medicare $7.83
Rate for Payer: Cash Price $5.87
Rate for Payer: Health Smart Auto/Commercial $7.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $7.83
Rate for Payer: LLUH Dept of Risk Management WC $7.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.79
Service Code NDC 0781-7144-83
Hospital Charge Code 1712109
Hospital Revenue Code 259
Min. Negotiated Rate $7.18
Max. Negotiated Rate $9.79
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $7.83
Rate for Payer: Aetna of CA Government/Medicare $7.83
Rate for Payer: Cash Price $5.87
Rate for Payer: Health Smart Auto/Commercial $7.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $7.83
Rate for Payer: LLUH Dept of Risk Management WC $7.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $9.79
Service Code NDC 0781-7133-54
Hospital Charge Code 1712268
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $16.71
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $13.37
Rate for Payer: Aetna of CA Government/Medicare $13.37
Rate for Payer: Cash Price $10.03
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0781-7133-54
Hospital Charge Code 1712268
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $17.82
Rate for Payer: Cash Price $10.03
Rate for Payer: Cigna of CA HMO/PPO $17.82
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0781-7133-58
Hospital Charge Code 1712268
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $17.82
Rate for Payer: Cash Price $10.03
Rate for Payer: Cigna of CA HMO/PPO $17.82
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0781-7133-58
Hospital Charge Code 1712268
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $16.71
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $13.37
Rate for Payer: Aetna of CA Government/Medicare $13.37
Rate for Payer: Cash Price $10.03
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 65162-228-08
Hospital Charge Code 1712110
Hospital Revenue Code 259
Min. Negotiated Rate $10.76
Max. Negotiated Rate $15.66
Rate for Payer: Cash Price $8.81
Rate for Payer: Cigna of CA HMO/PPO $15.66
Rate for Payer: Health Smart Auto/Commercial $11.74
Rate for Payer: LLUH Dept of Risk Management WC $10.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $14.68
Service Code NDC 65162-228-08
Hospital Charge Code 1712110
Hospital Revenue Code 259
Min. Negotiated Rate $10.76
Max. Negotiated Rate $14.68
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $11.74
Rate for Payer: Aetna of CA Government/Medicare $11.74
Rate for Payer: Cash Price $8.81
Rate for Payer: Health Smart Auto/Commercial $11.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $11.74
Rate for Payer: LLUH Dept of Risk Management WC $10.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $14.68
Service Code NDC 65162-228-04
Hospital Charge Code 1712110
Hospital Revenue Code 259
Min. Negotiated Rate $10.76
Max. Negotiated Rate $14.68
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $11.74
Rate for Payer: Aetna of CA Government/Medicare $11.74
Rate for Payer: Cash Price $8.81
Rate for Payer: Health Smart Auto/Commercial $11.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $11.74
Rate for Payer: LLUH Dept of Risk Management WC $10.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $14.68
Service Code NDC 65162-228-04
Hospital Charge Code 1712110
Hospital Revenue Code 259
Min. Negotiated Rate $10.76
Max. Negotiated Rate $15.66
Rate for Payer: Cash Price $8.81
Rate for Payer: Cigna of CA HMO/PPO $15.66
Rate for Payer: Health Smart Auto/Commercial $11.74
Rate for Payer: LLUH Dept of Risk Management WC $10.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $14.68
Service Code NDC 0378-3352-16
Hospital Charge Code 1712226
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $16.71
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $13.37
Rate for Payer: Aetna of CA Government/Medicare $13.37
Rate for Payer: Cash Price $10.03
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0378-3352-99
Hospital Charge Code 1712226
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $16.71
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $13.37
Rate for Payer: Aetna of CA Government/Medicare $13.37
Rate for Payer: Cash Price $10.03
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0378-3352-16
Hospital Charge Code 1712226
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $17.82
Rate for Payer: Cash Price $10.03
Rate for Payer: Cigna of CA HMO/PPO $17.82
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 0378-3352-99
Hospital Charge Code 1712226
Hospital Revenue Code 259
Min. Negotiated Rate $12.25
Max. Negotiated Rate $17.82
Rate for Payer: Cash Price $10.03
Rate for Payer: Cigna of CA HMO/PPO $17.82
Rate for Payer: Health Smart Auto/Commercial $13.37
Rate for Payer: LLUH Dept of Risk Management WC $12.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS $16.71
Service Code NDC 51862-332-01
Hospital Charge Code 1712562
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.26
Rate for Payer: Cash Price $0.14
Rate for Payer: Cigna of CA HMO/PPO $0.26
Rate for Payer: Health Smart Auto/Commercial $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.24
Service Code NDC 0430-0720-24
Hospital Charge Code 1712562
Hospital Revenue Code 259
Min. Negotiated Rate $3.60
Max. Negotiated Rate $4.90
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $3.92
Rate for Payer: Aetna of CA Government/Medicare $3.92
Rate for Payer: Cash Price $2.94
Rate for Payer: Health Smart Auto/Commercial $3.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $3.92
Rate for Payer: LLUH Dept of Risk Management WC $3.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.90