Price Transparency

Know your out-of-pocket cost for care.

search

All Charges

Charge Type Setting Price  
Service Code CPT 90736
Hospital Charge Code 1726022
Hospital Revenue Code 636
Min. Negotiated Rate $147.26
Max. Negotiated Rate $200.80
Rate for Payer: Aetna of CA EPO/HMO/POS/PPO $160.64
Rate for Payer: Aetna of CA Government/Medicare $160.64
Rate for Payer: Cash Price $120.48
Rate for Payer: Health Smart Auto/Commercial $160.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal/Medicare Advantage $160.64
Rate for Payer: LLUH Dept of Risk Management WC $147.26
Rate for Payer: Multiplan Beech St/Commercial/PHCS $200.80