Loma Linda University Behavioral Medicine Center (BMC)

All Charges

Charge

Type

Setting

Price

HC CULTURE QUANT ANAEROBIC

Facility

$439.00

Service Code	CPT 87073
Hospital Charge Code	900912434
Hospital Revenue Code	306
Min. Negotiated Rate	$241.45
Max. Negotiated Rate	$351.20
Rate for Payer: Cash Price	$197.55
Rate for Payer: Cigna of CA HMO/PPO	$351.20
Rate for Payer: Health Smart Auto/Commercial	$263.40
Rate for Payer: LLUH Dept of Risk Management WC	$241.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$329.25

HC CULTURE QUANT ANAEROBIC

Facility

$130.00

Service Code	CPT 87073
Hospital Charge Code	900912434
Hospital Revenue Code	306
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$97.50
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$78.00
Rate for Payer: Aetna of CA Government/Medicare	$78.00
Rate for Payer: Cash Price	$58.50
Rate for Payer: Health Smart Auto/Commercial	$78.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$78.00
Rate for Payer: LLUH Dept of Risk Management WC	$71.50
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$97.50

HC CULTURE QUANTITATIVE

Facility

$399.00

Service Code	CPT 87071
Hospital Charge Code	900912409
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE QUANTITATIVE

Facility

$75.00

Service Code	CPT 87071
Hospital Charge Code	900912409
Hospital Revenue Code	306
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$45.00
Rate for Payer: Aetna of CA Government/Medicare	$45.00
Rate for Payer: Cash Price	$33.75
Rate for Payer: Health Smart Auto/Commercial	$45.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$45.00
Rate for Payer: LLUH Dept of Risk Management WC	$41.25
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$56.25

HC CULTURE RAPID NEG ID3

Facility

$204.00

Service Code	CPT 87077
Hospital Charge Code	900912415
Hospital Revenue Code	306
Min. Negotiated Rate	$112.20
Max. Negotiated Rate	$163.20
Rate for Payer: Cash Price	$91.80
Rate for Payer: Cigna of CA HMO/PPO	$163.20
Rate for Payer: Health Smart Auto/Commercial	$122.40
Rate for Payer: LLUH Dept of Risk Management WC	$112.20
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$153.00

HC CULTURE RAPID NEG ID3

Facility

$31.00

Service Code	CPT 87077
Hospital Charge Code	900912415
Hospital Revenue Code	306
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$23.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$18.60
Rate for Payer: Aetna of CA Government/Medicare	$18.60
Rate for Payer: Cash Price	$13.95
Rate for Payer: Health Smart Auto/Commercial	$18.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$18.60
Rate for Payer: LLUH Dept of Risk Management WC	$17.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$23.25

HC CULTURE RESPIRATORY

Facility

$52.00

Service Code	CPT 87070
Hospital Charge Code	900912435
Hospital Revenue Code	306
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$39.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$31.20
Rate for Payer: Aetna of CA Government/Medicare	$31.20
Rate for Payer: Cash Price	$23.40
Rate for Payer: Health Smart Auto/Commercial	$31.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$31.20
Rate for Payer: LLUH Dept of Risk Management WC	$28.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$39.00

HC CULTURE RESPIRATORY

Facility

$399.00

Service Code	CPT 87070
Hospital Charge Code	900912435
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE SPUTUM

Facility

$32.00

Service Code	CPT 87070
Hospital Charge Code	900911513
Hospital Revenue Code	306
Min. Negotiated Rate	$17.60
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$19.20
Rate for Payer: Aetna of CA Government/Medicare	$19.20
Rate for Payer: Cash Price	$14.40
Rate for Payer: Health Smart Auto/Commercial	$19.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$19.20
Rate for Payer: LLUH Dept of Risk Management WC	$17.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$24.00

HC CULTURE SPUTUM

Facility

$399.00

Service Code	CPT 87070
Hospital Charge Code	900911513
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE STAPHAUREX

Facility

$79.00

Service Code	CPT 87147
Hospital Charge Code	900912421
Hospital Revenue Code	306
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$63.20
Rate for Payer: Cash Price	$35.55
Rate for Payer: Cigna of CA HMO/PPO	$63.20
Rate for Payer: Health Smart Auto/Commercial	$47.40
Rate for Payer: LLUH Dept of Risk Management WC	$43.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$59.25

HC CULTURE STAPHAUREX

Facility

$20.00

Service Code	CPT 87147
Hospital Charge Code	900912421
Hospital Revenue Code	306
Min. Negotiated Rate	$11.00
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$12.00
Rate for Payer: Aetna of CA Government/Medicare	$12.00
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Smart Auto/Commercial	$12.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$12.00
Rate for Payer: LLUH Dept of Risk Management WC	$11.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$15.00

HC CULTURE STOOL

Facility

$399.00

Service Code	CPT 87045
Hospital Charge Code	900911514
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE STOOL

Facility

$28.00

Service Code	CPT 87045
Hospital Charge Code	900911514
Hospital Revenue Code	306
Min. Negotiated Rate	$15.40
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$16.80
Rate for Payer: Aetna of CA Government/Medicare	$16.80
Rate for Payer: Cash Price	$12.60
Rate for Payer: Health Smart Auto/Commercial	$16.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$16.80
Rate for Payer: LLUH Dept of Risk Management WC	$15.40
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$21.00

HC CULTURE STREPTOCARD

Facility

$20.00

Service Code	CPT 87147
Hospital Charge Code	900912420
Hospital Revenue Code	306
Min. Negotiated Rate	$11.00
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$12.00
Rate for Payer: Aetna of CA Government/Medicare	$12.00
Rate for Payer: Cash Price	$9.00
Rate for Payer: Health Smart Auto/Commercial	$12.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$12.00
Rate for Payer: LLUH Dept of Risk Management WC	$11.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$15.00

HC CULTURE STREPTOCARD

Facility

$105.00

Service Code	CPT 87147
Hospital Charge Code	900912420
Hospital Revenue Code	306
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$84.00
Rate for Payer: Cash Price	$47.25
Rate for Payer: Cigna of CA HMO/PPO	$84.00
Rate for Payer: Health Smart Auto/Commercial	$63.00
Rate for Payer: LLUH Dept of Risk Management WC	$57.75
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$78.75

HC CULTURE SURGICAL WOUND

Facility

$52.00

Service Code	CPT 87070
Hospital Charge Code	900912436
Hospital Revenue Code	306
Min. Negotiated Rate	$28.60
Max. Negotiated Rate	$39.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$31.20
Rate for Payer: Aetna of CA Government/Medicare	$31.20
Rate for Payer: Cash Price	$23.40
Rate for Payer: Health Smart Auto/Commercial	$31.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$31.20
Rate for Payer: LLUH Dept of Risk Management WC	$28.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$39.00

HC CULTURE SURGICAL WOUND

Facility

$399.00

Service Code	CPT 87070
Hospital Charge Code	900912436
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE THROAT

Facility

$237.00

Service Code	CPT 87070
Hospital Charge Code	900911515
Hospital Revenue Code	306
Min. Negotiated Rate	$130.35
Max. Negotiated Rate	$189.60
Rate for Payer: Cash Price	$106.65
Rate for Payer: Cigna of CA HMO/PPO	$189.60
Rate for Payer: Health Smart Auto/Commercial	$142.20
Rate for Payer: LLUH Dept of Risk Management WC	$130.35
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$177.75

HC CULTURE THROAT

Facility

$28.00

Service Code	CPT 87070
Hospital Charge Code	900911515
Hospital Revenue Code	306
Min. Negotiated Rate	$15.40
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$16.80
Rate for Payer: Aetna of CA Government/Medicare	$16.80
Rate for Payer: Cash Price	$12.60
Rate for Payer: Health Smart Auto/Commercial	$16.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$16.80
Rate for Payer: LLUH Dept of Risk Management WC	$15.40
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$21.00

HC CULTURE TISSUE

Facility

$32.00

Service Code	CPT 87070
Hospital Charge Code	900911516
Hospital Revenue Code	306
Min. Negotiated Rate	$17.60
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$19.20
Rate for Payer: Aetna of CA Government/Medicare	$19.20
Rate for Payer: Cash Price	$14.40
Rate for Payer: Health Smart Auto/Commercial	$19.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$19.20
Rate for Payer: LLUH Dept of Risk Management WC	$17.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$24.00

HC CULTURE TISSUE

Facility

$399.00

Service Code	CPT 87070
Hospital Charge Code	900911516
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE TRACHEAL ASPIRATE

Facility

$32.00

Service Code	CPT 87070
Hospital Charge Code	900911517
Hospital Revenue Code	306
Min. Negotiated Rate	$17.60
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$19.20
Rate for Payer: Aetna of CA Government/Medicare	$19.20
Rate for Payer: Cash Price	$14.40
Rate for Payer: Health Smart Auto/Commercial	$19.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$19.20
Rate for Payer: LLUH Dept of Risk Management WC	$17.60
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$24.00

HC CULTURE TRACHEAL ASPIRATE

Facility

$399.00

Service Code	CPT 87070
Hospital Charge Code	900911517
Hospital Revenue Code	306
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$319.20
Rate for Payer: Cash Price	$179.55
Rate for Payer: Cigna of CA HMO/PPO	$319.20
Rate for Payer: Health Smart Auto/Commercial	$239.40
Rate for Payer: LLUH Dept of Risk Management WC	$219.45
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$299.25

HC CULTURE URINE ID

Facility

$27.00

Service Code	CPT 87088
Hospital Charge Code	900911556
Hospital Revenue Code	306
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$20.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO	$16.20
Rate for Payer: Aetna of CA Government/Medicare	$16.20
Rate for Payer: Cash Price	$12.15
Rate for Payer: Health Smart Auto/Commercial	$16.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage	$16.20
Rate for Payer: LLUH Dept of Risk Management WC	$14.85
Rate for Payer: Multiplan Beech St/Commercial/PHCS	$20.25

Know your out-of-pocket cost for care.

All Charges