Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code CPT J2270
Hospital Charge Code 1737072
Hospital Revenue Code 636
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.16
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.13
Rate for Payer: Aetna of CA Government/Medicare $0.13
Rate for Payer: Cash Price $0.09
Rate for Payer: Health Smart Auto/Commercial $0.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.16
Service Code CPT J2270
Hospital Charge Code NDG111254
Hospital Revenue Code 636
Min. Negotiated Rate $0.51
Max. Negotiated Rate $0.70
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.56
Rate for Payer: Aetna of CA Government/Medicare $0.56
Rate for Payer: Cash Price $0.42
Rate for Payer: Health Smart Auto/Commercial $0.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.56
Rate for Payer: LLUH Dept of Risk Management WC $0.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.70
Service Code CPT J2270
Hospital Charge Code NDG111254
Hospital Revenue Code 636
Min. Negotiated Rate $0.51
Max. Negotiated Rate $0.74
Rate for Payer: Cash Price $0.42
Rate for Payer: Cigna of CA HMO/PPO $0.74
Rate for Payer: Health Smart Auto/Commercial $0.56
Rate for Payer: LLUH Dept of Risk Management WC $0.51
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.70
Service Code NDC 0406-8003-15
Hospital Charge Code NDG10655B
Hospital Revenue Code 259
Min. Negotiated Rate $0.40
Max. Negotiated Rate $0.58
Rate for Payer: Cash Price $0.32
Rate for Payer: Cigna of CA HMO/PPO $0.58
Rate for Payer: Health Smart Auto/Commercial $0.43
Rate for Payer: LLUH Dept of Risk Management WC $0.40
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.54
Service Code NDC 0406-8003-30
Hospital Charge Code 1734037
Hospital Revenue Code 259
Min. Negotiated Rate $0.36
Max. Negotiated Rate $0.53
Rate for Payer: Cash Price $0.30
Rate for Payer: Cigna of CA HMO/PPO $0.53
Rate for Payer: Health Smart Auto/Commercial $0.40
Rate for Payer: LLUH Dept of Risk Management WC $0.36
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.50
Service Code NDC 0406-8003-30
Hospital Charge Code 1734037
Hospital Revenue Code 259
Min. Negotiated Rate $0.36
Max. Negotiated Rate $0.50
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.40
Rate for Payer: Aetna of CA Government/Medicare $0.40
Rate for Payer: Cash Price $0.30
Rate for Payer: Health Smart Auto/Commercial $0.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.40
Rate for Payer: LLUH Dept of Risk Management WC $0.36
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.50
Service Code NDC 0406-8003-15
Hospital Charge Code NDG10655B
Hospital Revenue Code 259
Min. Negotiated Rate $0.40
Max. Negotiated Rate $0.54
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.43
Rate for Payer: Aetna of CA Government/Medicare $0.43
Rate for Payer: Cash Price $0.32
Rate for Payer: Health Smart Auto/Commercial $0.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.43
Rate for Payer: LLUH Dept of Risk Management WC $0.40
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.54
Service Code NDC 9999-9106-55
Hospital Charge Code NDG10655
Hospital Revenue Code 259
Min. Negotiated Rate $0.38
Max. Negotiated Rate $0.55
Rate for Payer: Cash Price $0.31
Rate for Payer: Cigna of CA HMO/PPO $0.55
Rate for Payer: Health Smart Auto/Commercial $0.41
Rate for Payer: LLUH Dept of Risk Management WC $0.38
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.52
Service Code NDC 9999-9106-55
Hospital Charge Code NDG10655
Hospital Revenue Code 259
Min. Negotiated Rate $0.38
Max. Negotiated Rate $0.52
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.41
Rate for Payer: Aetna of CA Government/Medicare $0.41
Rate for Payer: Cash Price $0.31
Rate for Payer: Health Smart Auto/Commercial $0.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.41
Rate for Payer: LLUH Dept of Risk Management WC $0.38
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.52
Service Code NDC 0406-8390-23
Hospital Charge Code 1730071
Hospital Revenue Code 259
Min. Negotiated Rate $3.04
Max. Negotiated Rate $4.14
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $3.31
Rate for Payer: Aetna of CA Government/Medicare $3.31
Rate for Payer: Cash Price $2.48
Rate for Payer: Health Smart Auto/Commercial $3.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $3.31
Rate for Payer: LLUH Dept of Risk Management WC $3.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.14
Service Code NDC 0406-8390-23
Hospital Charge Code 1730071
Hospital Revenue Code 259
Min. Negotiated Rate $3.04
Max. Negotiated Rate $4.42
Rate for Payer: Cash Price $2.48
Rate for Payer: Cigna of CA HMO/PPO $4.42
Rate for Payer: Health Smart Auto/Commercial $3.31
Rate for Payer: LLUH Dept of Risk Management WC $3.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.14
Service Code NDC 0406-8390-62
Hospital Charge Code 1730071
Hospital Revenue Code 259
Min. Negotiated Rate $3.04
Max. Negotiated Rate $4.42
Rate for Payer: Cash Price $2.48
Rate for Payer: Cigna of CA HMO/PPO $4.42
Rate for Payer: Health Smart Auto/Commercial $3.31
Rate for Payer: LLUH Dept of Risk Management WC $3.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.14
Service Code NDC 0406-8390-62
Hospital Charge Code 1730071
Hospital Revenue Code 259
Min. Negotiated Rate $3.04
Max. Negotiated Rate $4.14
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $3.31
Rate for Payer: Aetna of CA Government/Medicare $3.31
Rate for Payer: Cash Price $2.48
Rate for Payer: Health Smart Auto/Commercial $3.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $3.31
Rate for Payer: LLUH Dept of Risk Management WC $3.04
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.14
Service Code NDC 0406-8315-62
Hospital Charge Code 1730085
Hospital Revenue Code 259
Min. Negotiated Rate $0.56
Max. Negotiated Rate $0.76
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.61
Rate for Payer: Aetna of CA Government/Medicare $0.61
Rate for Payer: Cash Price $0.45
Rate for Payer: Health Smart Auto/Commercial $0.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.61
Rate for Payer: LLUH Dept of Risk Management WC $0.56
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.76
Service Code NDC 0406-8315-62
Hospital Charge Code 1730085
Hospital Revenue Code 259
Min. Negotiated Rate $0.56
Max. Negotiated Rate $0.81
Rate for Payer: Cash Price $0.45
Rate for Payer: Cigna of CA HMO/PPO $0.81
Rate for Payer: Health Smart Auto/Commercial $0.61
Rate for Payer: LLUH Dept of Risk Management WC $0.56
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.76
Service Code NDC 0406-8315-23
Hospital Charge Code 1730085
Hospital Revenue Code 259
Min. Negotiated Rate $0.56
Max. Negotiated Rate $0.76
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.61
Rate for Payer: Aetna of CA Government/Medicare $0.61
Rate for Payer: Cash Price $0.45
Rate for Payer: Health Smart Auto/Commercial $0.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.61
Rate for Payer: LLUH Dept of Risk Management WC $0.56
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.76
Service Code NDC 0406-8315-23
Hospital Charge Code 1730085
Hospital Revenue Code 259
Min. Negotiated Rate $0.56
Max. Negotiated Rate $0.81
Rate for Payer: Cash Price $0.45
Rate for Payer: Cigna of CA HMO/PPO $0.81
Rate for Payer: Health Smart Auto/Commercial $0.61
Rate for Payer: LLUH Dept of Risk Management WC $0.56
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.76
Service Code NDC 0228-3502-06
Hospital Charge Code 1730162
Hospital Revenue Code 259
Min. Negotiated Rate $2.76
Max. Negotiated Rate $3.76
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $3.01
Rate for Payer: Aetna of CA Government/Medicare $3.01
Rate for Payer: Cash Price $2.26
Rate for Payer: Health Smart Auto/Commercial $3.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $3.01
Rate for Payer: LLUH Dept of Risk Management WC $2.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $3.76
Service Code NDC 0228-3502-06
Hospital Charge Code 1730162
Hospital Revenue Code 259
Min. Negotiated Rate $2.76
Max. Negotiated Rate $4.02
Rate for Payer: Cash Price $2.26
Rate for Payer: Cigna of CA HMO/PPO $4.02
Rate for Payer: Health Smart Auto/Commercial $3.01
Rate for Payer: LLUH Dept of Risk Management WC $2.76
Rate for Payer: Multiplan Beech St/Commercial/PHCS $3.76
Service Code NDC 0228-3503-06
Hospital Charge Code 1730163
Hospital Revenue Code 259
Min. Negotiated Rate $3.00
Max. Negotiated Rate $4.10
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $3.28
Rate for Payer: Aetna of CA Government/Medicare $3.28
Rate for Payer: Cash Price $2.46
Rate for Payer: Health Smart Auto/Commercial $3.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $3.28
Rate for Payer: LLUH Dept of Risk Management WC $3.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.10
Service Code NDC 0228-3503-06
Hospital Charge Code 1730163
Hospital Revenue Code 259
Min. Negotiated Rate $3.00
Max. Negotiated Rate $4.37
Rate for Payer: Cash Price $2.46
Rate for Payer: Cigna of CA HMO/PPO $4.37
Rate for Payer: Health Smart Auto/Commercial $3.28
Rate for Payer: LLUH Dept of Risk Management WC $3.00
Rate for Payer: Multiplan Beech St/Commercial/PHCS $4.10
Service Code NDC 68084-158-01
Hospital Charge Code 1730076
Hospital Revenue Code 259
Min. Negotiated Rate $0.81
Max. Negotiated Rate $1.18
Rate for Payer: Cash Price $0.67
Rate for Payer: Cigna of CA HMO/PPO $1.18
Rate for Payer: Health Smart Auto/Commercial $0.89
Rate for Payer: LLUH Dept of Risk Management WC $0.81
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.11
Service Code NDC 0406-8330-62
Hospital Charge Code 1730076
Hospital Revenue Code 259
Min. Negotiated Rate $1.05
Max. Negotiated Rate $1.43
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $1.15
Rate for Payer: Aetna of CA Government/Medicare $1.15
Rate for Payer: Cash Price $0.86
Rate for Payer: Health Smart Auto/Commercial $1.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $1.15
Rate for Payer: LLUH Dept of Risk Management WC $1.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.43
Service Code NDC 0406-8330-62
Hospital Charge Code 1730076
Hospital Revenue Code 259
Min. Negotiated Rate $1.05
Max. Negotiated Rate $1.53
Rate for Payer: Cash Price $0.86
Rate for Payer: Cigna of CA HMO/PPO $1.53
Rate for Payer: Health Smart Auto/Commercial $1.15
Rate for Payer: LLUH Dept of Risk Management WC $1.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.43
Service Code NDC 0406-8330-23
Hospital Charge Code 1730076
Hospital Revenue Code 259
Min. Negotiated Rate $1.05
Max. Negotiated Rate $1.53
Rate for Payer: Cash Price $0.86
Rate for Payer: Cigna of CA HMO/PPO $1.53
Rate for Payer: Health Smart Auto/Commercial $1.15
Rate for Payer: LLUH Dept of Risk Management WC $1.05
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.43