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Service Code NDC 45802-048-11
Hospital Charge Code 1743427
Hospital Revenue Code 259
Min. Negotiated Rate $0.46
Max. Negotiated Rate $0.67
Rate for Payer: Cash Price $0.38
Rate for Payer: Cigna of CA HMO/PPO $0.67
Rate for Payer: Health Smart Auto/Commercial $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.46
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.63
Service Code NDC 45802-048-11
Hospital Charge Code 1743427
Hospital Revenue Code 259
Min. Negotiated Rate $0.46
Max. Negotiated Rate $0.63
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.50
Rate for Payer: Aetna of CA Government/Medicare $0.50
Rate for Payer: Cash Price $0.38
Rate for Payer: Health Smart Auto/Commercial $0.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.46
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.63
Service Code NDC 0832-0465-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.48
Max. Negotiated Rate $0.70
Rate for Payer: Cash Price $0.39
Rate for Payer: Cigna of CA HMO/PPO $0.70
Rate for Payer: Health Smart Auto/Commercial $0.52
Rate for Payer: LLUH Dept of Risk Management WC $0.48
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.65
Service Code NDC 68308-152-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.42
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.34
Rate for Payer: Aetna of CA Government/Medicare $0.34
Rate for Payer: Cash Price $0.25
Rate for Payer: Health Smart Auto/Commercial $0.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.34
Rate for Payer: LLUH Dept of Risk Management WC $0.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.42
Service Code NDC 68308-152-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.31
Max. Negotiated Rate $0.45
Rate for Payer: Cash Price $0.25
Rate for Payer: Cigna of CA HMO/PPO $0.45
Rate for Payer: Health Smart Auto/Commercial $0.34
Rate for Payer: LLUH Dept of Risk Management WC $0.31
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.42
Service Code NDC 0574-2008-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.85
Max. Negotiated Rate $1.16
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.93
Rate for Payer: Aetna of CA Government/Medicare $0.93
Rate for Payer: Cash Price $0.70
Rate for Payer: Health Smart Auto/Commercial $0.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.93
Rate for Payer: LLUH Dept of Risk Management WC $0.85
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.16
Service Code NDC 0574-2008-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.85
Max. Negotiated Rate $1.24
Rate for Payer: Cash Price $0.70
Rate for Payer: Cigna of CA HMO/PPO $1.24
Rate for Payer: Health Smart Auto/Commercial $0.93
Rate for Payer: LLUH Dept of Risk Management WC $0.85
Rate for Payer: Multiplan Beech St/Commercial/PHCS $1.16
Service Code NDC 0832-0465-15
Hospital Charge Code 1743079
Hospital Revenue Code 259
Min. Negotiated Rate $0.48
Max. Negotiated Rate $0.65
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.52
Rate for Payer: Aetna of CA Government/Medicare $0.52
Rate for Payer: Cash Price $0.39
Rate for Payer: Health Smart Auto/Commercial $0.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.52
Rate for Payer: LLUH Dept of Risk Management WC $0.48
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.65
Service Code NDC 68094-599-62
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 68094-599-59
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.26
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.26
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0121-0868-00
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.26
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.26
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0121-0868-50
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.27
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.27
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 68094-599-59
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0121-0868-00
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0121-0868-40
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.27
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.27
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 66689-037-99
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.15
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.12
Rate for Payer: Aetna of CA Government/Medicare $0.12
Rate for Payer: Cash Price $0.09
Rate for Payer: Health Smart Auto/Commercial $0.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.15
Service Code NDC 66689-037-01
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.16
Rate for Payer: Cash Price $0.09
Rate for Payer: Cigna of CA HMO/PPO $0.16
Rate for Payer: Health Smart Auto/Commercial $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.15
Service Code NDC 68094-599-62
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.27
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.27
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 0121-0868-40
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 0121-0868-05
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.25
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0121-0868-50
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.19
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.20
Rate for Payer: Aetna of CA Government/Medicare $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.19
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.26
Service Code NDC 66689-037-99
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.16
Rate for Payer: Cash Price $0.09
Rate for Payer: Cigna of CA HMO/PPO $0.16
Rate for Payer: Health Smart Auto/Commercial $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.15
Service Code NDC 66689-037-01
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.15
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $0.12
Rate for Payer: Aetna of CA Government/Medicare $0.12
Rate for Payer: Cash Price $0.09
Rate for Payer: Health Smart Auto/Commercial $0.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.15
Service Code NDC 0121-0868-05
Hospital Charge Code 1716066
Hospital Revenue Code 259
Min. Negotiated Rate $0.18
Max. Negotiated Rate $0.26
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO/PPO $0.26
Rate for Payer: Health Smart Auto/Commercial $0.20
Rate for Payer: LLUH Dept of Risk Management WC $0.18
Rate for Payer: Multiplan Beech St/Commercial/PHCS $0.25
Service Code NDC 0472-0150-15
Hospital Charge Code 1743540
Hospital Revenue Code 259
Min. Negotiated Rate $3.94
Max. Negotiated Rate $5.73
Rate for Payer: Cash Price $3.22
Rate for Payer: Cigna of CA HMO/PPO $5.73
Rate for Payer: Health Smart Auto/Commercial $4.30
Rate for Payer: LLUH Dept of Risk Management WC $3.94
Rate for Payer: Multiplan Beech St/Commercial/PHCS $5.37