Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search
Charge Type Price  
Service Code NDC 62332-002-31
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.41
Rate for Payer: Aetna of CA HMO/PPO $0.31
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.41
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.26
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.29
Rate for Payer: BCBS Transplant Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.35
Rate for Payer: Blue Shield of California EPN $0.28
Rate for Payer: Cash Price $0.22
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: Dignity Health Media $0.41
Rate for Payer: Dignity Health Medi-Cal $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Transplant $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.18
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Commercial $0.38
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.41
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 68001-398-00
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.29
Rate for Payer: Blue Shield of California Commercial $0.24
Rate for Payer: Blue Shield of California EPN $0.17
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO $0.24
Rate for Payer: Cigna of CA PPO $0.24
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Galaxy Health WC $0.29
Rate for Payer: Global Benefits Group Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.22
Rate for Payer: Prime Health Services Commercial $0.29
Service Code NDC 0172-5729-60
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.29
Rate for Payer: Aetna of CA HMO/PPO $0.22
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.29
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.19
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.20
Rate for Payer: BCBS Transplant Transplant $0.20
Rate for Payer: Blue Shield of California Commercial $0.25
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO $0.24
Rate for Payer: Cigna of CA PPO $0.24
Rate for Payer: Dignity Health Commercial/Exchange $0.29
Rate for Payer: Dignity Health Media $0.29
Rate for Payer: Dignity Health Medi-Cal $0.29
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: EPIC Health Plan Transplant $0.14
Rate for Payer: Galaxy Health WC $0.29
Rate for Payer: Global Benefits Group Commercial $0.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.22
Rate for Payer: Prime Health Services Commercial $0.29
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.20
Rate for Payer: TriValley Medical Group Commercial/Senior $0.20
Rate for Payer: United Healthcare All Other Commercial $0.17
Rate for Payer: United Healthcare All Other HMO $0.17
Rate for Payer: United Healthcare HMO Rider $0.17
Rate for Payer: United Healthcare Select/Navigate/Core $0.17
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.29
Rate for Payer: Vantage Medical Group Medi-Cal $0.29
Rate for Payer: Vantage Medical Group Senior $0.29
Service Code NDC 0172-5729-60
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.29
Rate for Payer: Blue Shield of California Commercial $0.24
Rate for Payer: Blue Shield of California EPN $0.17
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO $0.24
Rate for Payer: Cigna of CA PPO $0.24
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Galaxy Health WC $0.29
Rate for Payer: Global Benefits Group Commercial $0.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.22
Rate for Payer: Prime Health Services Commercial $0.29
Service Code NDC 50268-304-15
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.30
Rate for Payer: Blue Shield of California Commercial $0.25
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.16
Rate for Payer: Cigna of CA HMO $0.25
Rate for Payer: Cigna of CA PPO $0.25
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Galaxy Health WC $0.30
Rate for Payer: Global Benefits Group Commercial $0.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.28
Rate for Payer: Networks By Design Commercial $0.23
Rate for Payer: Prime Health Services Commercial $0.30
Service Code NDC 50268-304-11
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.30
Rate for Payer: Aetna of CA HMO/PPO $0.23
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.30
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.19
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.21
Rate for Payer: BCBS Transplant Transplant $0.21
Rate for Payer: Blue Shield of California Commercial $0.26
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.16
Rate for Payer: Cigna of CA HMO $0.25
Rate for Payer: Cigna of CA PPO $0.25
Rate for Payer: Dignity Health Commercial/Exchange $0.30
Rate for Payer: Dignity Health Media $0.30
Rate for Payer: Dignity Health Medi-Cal $0.30
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: EPIC Health Plan Transplant $0.14
Rate for Payer: Galaxy Health WC $0.30
Rate for Payer: Global Benefits Group Commercial $0.21
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.28
Rate for Payer: Networks By Design Commercial $0.23
Rate for Payer: Prime Health Services Commercial $0.30
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.21
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.21
Rate for Payer: TriValley Medical Group Commercial/Senior $0.21
Rate for Payer: United Healthcare All Other Commercial $0.18
Rate for Payer: United Healthcare All Other HMO $0.18
Rate for Payer: United Healthcare HMO Rider $0.18
Rate for Payer: United Healthcare Select/Navigate/Core $0.18
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.30
Rate for Payer: Vantage Medical Group Medi-Cal $0.30
Rate for Payer: Vantage Medical Group Senior $0.30
Service Code NDC 50268-304-11
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.30
Rate for Payer: Blue Shield of California Commercial $0.25
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.16
Rate for Payer: Cigna of CA HMO $0.25
Rate for Payer: Cigna of CA PPO $0.25
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Galaxy Health WC $0.30
Rate for Payer: Global Benefits Group Commercial $0.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.28
Rate for Payer: Networks By Design Commercial $0.23
Rate for Payer: Prime Health Services Commercial $0.30
Service Code NDC 68001-398-00
Hospital Charge Code 1712055
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.29
Rate for Payer: Aetna of CA HMO/PPO $0.22
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.29
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.19
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.20
Rate for Payer: BCBS Transplant Transplant $0.20
Rate for Payer: Blue Shield of California Commercial $0.25
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.15
Rate for Payer: Cigna of CA HMO $0.24
Rate for Payer: Cigna of CA PPO $0.24
Rate for Payer: Dignity Health Commercial/Exchange $0.29
Rate for Payer: Dignity Health Media $0.29
Rate for Payer: Dignity Health Medi-Cal $0.29
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: EPIC Health Plan Transplant $0.14
Rate for Payer: Galaxy Health WC $0.29
Rate for Payer: Global Benefits Group Commercial $0.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.22
Rate for Payer: Prime Health Services Commercial $0.29
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.20
Rate for Payer: TriValley Medical Group Commercial/Senior $0.20
Rate for Payer: United Healthcare All Other Commercial $0.17
Rate for Payer: United Healthcare All Other HMO $0.17
Rate for Payer: United Healthcare HMO Rider $0.17
Rate for Payer: United Healthcare Select/Navigate/Core $0.17
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.29
Rate for Payer: Vantage Medical Group Medi-Cal $0.29
Rate for Payer: Vantage Medical Group Senior $0.29
Service Code CPT S0028
Hospital Charge Code 1754204
Hospital Revenue Code 636
Min. Negotiated Rate $0.03
Max. Negotiated Rate $5.60
Rate for Payer: Aetna of CA HMO/PPO $5.60
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.12
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.08
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.08
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.97
Rate for Payer: BCBS Transplant Transplant $0.08
Rate for Payer: Blue Shield of California Commercial $0.10
Rate for Payer: Blue Shield of California EPN $1.07
Rate for Payer: Cash Price $0.06
Rate for Payer: Cash Price $0.06
Rate for Payer: Cigna of CA HMO $0.10
Rate for Payer: Cigna of CA PPO $0.10
Rate for Payer: Dignity Health Commercial/Exchange $0.12
Rate for Payer: Dignity Health Media $0.12
Rate for Payer: Dignity Health Medi-Cal $0.12
Rate for Payer: EPIC Health Plan Commercial $0.06
Rate for Payer: EPIC Health Plan Transplant $0.06
Rate for Payer: Galaxy Health WC $0.12
Rate for Payer: Global Benefits Group Commercial $0.08
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.11
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.03
Rate for Payer: Multiplan Commercial $0.11
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.12
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.08
Rate for Payer: TriValley Medical Group Commercial/Senior $0.08
Rate for Payer: United Healthcare All Other Commercial $0.07
Rate for Payer: United Healthcare All Other HMO $0.07
Rate for Payer: United Healthcare HMO Rider $0.07
Rate for Payer: United Healthcare Select/Navigate/Core $0.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.12
Rate for Payer: Vantage Medical Group Medi-Cal $0.12
Rate for Payer: Vantage Medical Group Senior $0.12
Service Code CPT S0028
Hospital Charge Code 1754204
Hospital Revenue Code 636
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.12
Rate for Payer: Blue Shield of California Commercial $0.10
Rate for Payer: Blue Shield of California EPN $0.07
Rate for Payer: Cash Price $0.06
Rate for Payer: Cigna of CA HMO $0.10
Rate for Payer: Cigna of CA PPO $0.10
Rate for Payer: EPIC Health Plan Commercial $0.06
Rate for Payer: EPIC Health Plan Transplant $0.06
Rate for Payer: Galaxy Health WC $0.12
Rate for Payer: Global Benefits Group Commercial $0.08
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.03
Rate for Payer: Multiplan Commercial $0.11
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.12
Service Code CPT S0028
Hospital Charge Code 1768064
Hospital Revenue Code 636
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.44
Rate for Payer: Blue Shield of California Commercial $0.37
Rate for Payer: Blue Shield of California Commercial $0.38
Rate for Payer: Blue Shield of California Commercial $0.38
Rate for Payer: Blue Shield of California EPN $0.27
Rate for Payer: Blue Shield of California EPN $0.27
Rate for Payer: Blue Shield of California EPN $0.28
Rate for Payer: Cash Price $0.24
Rate for Payer: Cash Price $0.24
Rate for Payer: Cash Price $0.23
Rate for Payer: Cigna of CA HMO $0.38
Rate for Payer: Cigna of CA HMO $0.36
Rate for Payer: Cigna of CA HMO $0.37
Rate for Payer: Cigna of CA PPO $0.37
Rate for Payer: Cigna of CA PPO $0.36
Rate for Payer: Cigna of CA PPO $0.38
Rate for Payer: EPIC Health Plan Commercial $0.22
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Transplant $0.21
Rate for Payer: EPIC Health Plan Transplant $0.21
Rate for Payer: EPIC Health Plan Transplant $0.22
Rate for Payer: Galaxy Health WC $0.44
Rate for Payer: Galaxy Health WC $0.45
Rate for Payer: Galaxy Health WC $0.46
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Global Benefits Group Commercial $0.31
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.21
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: Multiplan Commercial $0.43
Rate for Payer: Multiplan Commercial $0.42
Rate for Payer: Multiplan Commercial $0.42
Rate for Payer: Networks By Design Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.26
Rate for Payer: Prime Health Services Commercial $0.46
Rate for Payer: Prime Health Services Commercial $0.44
Rate for Payer: Prime Health Services Commercial $0.45
Service Code CPT S0028
Hospital Charge Code 1768064
Hospital Revenue Code 636
Min. Negotiated Rate $0.12
Max. Negotiated Rate $5.60
Rate for Payer: Aetna of CA HMO/PPO $5.60
Rate for Payer: Aetna of CA HMO/PPO $5.60
Rate for Payer: Aetna of CA HMO/PPO $5.60
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.45
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.46
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.44
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.30
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.29
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.29
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.30
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.29
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.29
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.97
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.97
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.97
Rate for Payer: BCBS Transplant Transplant $0.32
Rate for Payer: BCBS Transplant Transplant $0.31
Rate for Payer: BCBS Transplant Transplant $0.32
Rate for Payer: Blue Shield of California Commercial $0.39
Rate for Payer: Blue Shield of California Commercial $0.38
Rate for Payer: Blue Shield of California Commercial $0.40
Rate for Payer: Blue Shield of California EPN $1.07
Rate for Payer: Blue Shield of California EPN $1.07
Rate for Payer: Blue Shield of California EPN $1.07
Rate for Payer: Cash Price $0.23
Rate for Payer: Cash Price $0.23
Rate for Payer: Cash Price $0.24
Rate for Payer: Cash Price $0.24
Rate for Payer: Cash Price $0.24
Rate for Payer: Cash Price $0.24
Rate for Payer: Cigna of CA HMO $0.36
Rate for Payer: Cigna of CA HMO $0.37
Rate for Payer: Cigna of CA HMO $0.38
Rate for Payer: Cigna of CA PPO $0.36
Rate for Payer: Cigna of CA PPO $0.37
Rate for Payer: Cigna of CA PPO $0.38
Rate for Payer: Dignity Health Commercial/Exchange $0.44
Rate for Payer: Dignity Health Commercial/Exchange $0.46
Rate for Payer: Dignity Health Commercial/Exchange $0.45
Rate for Payer: Dignity Health Media $0.45
Rate for Payer: Dignity Health Media $0.46
Rate for Payer: Dignity Health Media $0.44
Rate for Payer: Dignity Health Medi-Cal $0.45
Rate for Payer: Dignity Health Medi-Cal $0.44
Rate for Payer: Dignity Health Medi-Cal $0.46
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Commercial $0.22
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Transplant $0.21
Rate for Payer: EPIC Health Plan Transplant $0.21
Rate for Payer: EPIC Health Plan Transplant $0.22
Rate for Payer: Galaxy Health WC $0.45
Rate for Payer: Galaxy Health WC $0.44
Rate for Payer: Galaxy Health WC $0.46
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Global Benefits Group Commercial $0.31
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.41
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.39
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.21
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: Multiplan Commercial $0.43
Rate for Payer: Multiplan Commercial $0.42
Rate for Payer: Multiplan Commercial $0.42
Rate for Payer: Networks By Design Commercial $0.26
Rate for Payer: Networks By Design Commercial $0.27
Rate for Payer: Networks By Design Commercial $0.27
Rate for Payer: Prime Health Services Commercial $0.46
Rate for Payer: Prime Health Services Commercial $0.44
Rate for Payer: Prime Health Services Commercial $0.45
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.32
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.31
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.32
Rate for Payer: TriValley Medical Group Commercial/Senior $0.31
Rate for Payer: TriValley Medical Group Commercial/Senior $0.32
Rate for Payer: TriValley Medical Group Commercial/Senior $0.32
Rate for Payer: United Healthcare All Other Commercial $0.27
Rate for Payer: United Healthcare All Other Commercial $0.26
Rate for Payer: United Healthcare All Other Commercial $0.27
Rate for Payer: United Healthcare All Other HMO $0.27
Rate for Payer: United Healthcare All Other HMO $0.27
Rate for Payer: United Healthcare All Other HMO $0.26
Rate for Payer: United Healthcare HMO Rider $0.26
Rate for Payer: United Healthcare HMO Rider $0.27
Rate for Payer: United Healthcare HMO Rider $0.27
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: United Healthcare Select/Navigate/Core $0.26
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.44
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.45
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.46
Rate for Payer: Vantage Medical Group Medi-Cal $0.44
Rate for Payer: Vantage Medical Group Medi-Cal $0.45
Rate for Payer: Vantage Medical Group Medi-Cal $0.46
Rate for Payer: Vantage Medical Group Senior $0.45
Rate for Payer: Vantage Medical Group Senior $0.44
Rate for Payer: Vantage Medical Group Senior $0.46
Service Code NDC 65597-406-01
Hospital Charge Code ERX226729
Hospital Revenue Code 636
Min. Negotiated Rate $762.88
Max. Negotiated Rate $2,701.87
Rate for Payer: Blue Shield of California Commercial $2,263.21
Rate for Payer: Blue Shield of California EPN $1,627.48
Rate for Payer: Cash Price $1,430.40
Rate for Payer: Cigna of CA HMO $2,225.07
Rate for Payer: Cigna of CA PPO $2,225.07
Rate for Payer: EPIC Health Plan Commercial $1,271.47
Rate for Payer: EPIC Health Plan Transplant $1,271.47
Rate for Payer: Galaxy Health WC $2,701.87
Rate for Payer: Global Benefits Group Commercial $1,907.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,120.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,211.07
Rate for Payer: LLUH Dept of Risk Management WC $762.88
Rate for Payer: Multiplan Commercial $2,542.94
Rate for Payer: Networks By Design Commercial $1,589.34
Rate for Payer: Prime Health Services Commercial $2,701.87
Service Code NDC 65597-406-01
Hospital Charge Code ERX226729
Hospital Revenue Code 636
Min. Negotiated Rate $762.88
Max. Negotiated Rate $2,701.87
Rate for Payer: Aetna of CA HMO/PPO $2,084.89
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,701.87
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,748.27
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,748.27
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,893.85
Rate for Payer: BCBS Transplant Transplant $1,907.20
Rate for Payer: Blue Shield of California Commercial $2,342.68
Rate for Payer: Blue Shield of California EPN $1,856.34
Rate for Payer: Cash Price $1,430.40
Rate for Payer: Cash Price $1,430.40
Rate for Payer: Cigna of CA HMO $2,225.07
Rate for Payer: Cigna of CA PPO $2,225.07
Rate for Payer: Dignity Health Commercial/Exchange $2,701.87
Rate for Payer: Dignity Health Media $2,701.87
Rate for Payer: Dignity Health Medi-Cal $2,701.87
Rate for Payer: EPIC Health Plan Commercial $1,271.47
Rate for Payer: EPIC Health Plan Transplant $1,271.47
Rate for Payer: Galaxy Health WC $2,701.87
Rate for Payer: Global Benefits Group Commercial $1,907.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,384.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,120.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,211.07
Rate for Payer: LLUH Dept of Risk Management WC $762.88
Rate for Payer: Multiplan Commercial $2,542.94
Rate for Payer: Networks By Design Commercial $1,589.34
Rate for Payer: Prime Health Services Commercial $2,701.87
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,907.20
Rate for Payer: TriValley Medical Group Commercial/Senior $1,907.20
Rate for Payer: United Healthcare All Other Commercial $1,589.34
Rate for Payer: United Healthcare All Other HMO $1,589.34
Rate for Payer: United Healthcare HMO Rider $1,589.34
Rate for Payer: United Healthcare Select/Navigate/Core $1,589.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,701.87
Rate for Payer: Vantage Medical Group Medi-Cal $2,701.87
Rate for Payer: Vantage Medical Group Senior $2,701.87
Service Code NDC 0338-0519-14
Hospital Charge Code 1767008
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Aetna of CA HMO/PPO $0.06
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: BCBS Transplant Transplant $0.05
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: Dignity Health Commercial/Exchange $0.08
Rate for Payer: Dignity Health Media $0.08
Rate for Payer: Dignity Health Medi-Cal $0.08
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Transplant $0.04
Rate for Payer: Galaxy Health WC $0.08
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Rate for Payer: Networks By Design Commercial $0.06
Rate for Payer: Prime Health Services Commercial $0.08
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.05
Rate for Payer: United Healthcare All Other HMO $0.05
Rate for Payer: United Healthcare HMO Rider $0.05
Rate for Payer: United Healthcare Select/Navigate/Core $0.05
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.08
Rate for Payer: Vantage Medical Group Medi-Cal $0.08
Rate for Payer: Vantage Medical Group Senior $0.08
Service Code NDC 0264-4460-00
Hospital Charge Code 1767008
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
Rate for Payer: Blue Shield of California EPN $0.03
Rate for Payer: Cash Price $0.02
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: Galaxy Health WC $0.04
Rate for Payer: Global Benefits Group Commercial $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.04
Rate for Payer: Networks By Design Commercial $0.03
Rate for Payer: Prime Health Services Commercial $0.04
Service Code NDC 0338-0519-14
Hospital Charge Code 1767008
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.04
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Galaxy Health WC $0.08
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Rate for Payer: Networks By Design Commercial $0.06
Rate for Payer: Prime Health Services Commercial $0.08
Service Code NDC 0264-4460-00
Hospital Charge Code 1767008
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.04
Rate for Payer: Aetna of CA HMO/PPO $0.03
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.03
Rate for Payer: BCBS Transplant Transplant $0.03
Rate for Payer: Blue Shield of California Commercial $0.04
Rate for Payer: Blue Shield of California EPN $0.03
Rate for Payer: Cash Price $0.02
Rate for Payer: Cash Price $0.02
Rate for Payer: Cigna of CA HMO $0.03
Rate for Payer: Cigna of CA PPO $0.04
Rate for Payer: Dignity Health Commercial/Exchange $0.04
Rate for Payer: Dignity Health Media $0.04
Rate for Payer: Dignity Health Medi-Cal $0.04
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $0.02
Rate for Payer: Galaxy Health WC $0.04
Rate for Payer: Global Benefits Group Commercial $0.03
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.04
Rate for Payer: Networks By Design Commercial $0.03
Rate for Payer: Prime Health Services Commercial $0.04
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.03
Rate for Payer: TriValley Medical Group Commercial/Senior $0.03
Rate for Payer: United Healthcare All Other Commercial $0.03
Rate for Payer: United Healthcare All Other HMO $0.03
Rate for Payer: United Healthcare HMO Rider $0.03
Rate for Payer: United Healthcare Select/Navigate/Core $0.03
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.04
Rate for Payer: Vantage Medical Group Medi-Cal $0.04
Rate for Payer: Vantage Medical Group Senior $0.04
Service Code NDC L4084-048-40
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Aetna of CA HMO/PPO $0.16
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.20
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.13
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.14
Rate for Payer: BCBS Transplant Transplant $0.14
Rate for Payer: Blue Shield of California Commercial $0.18
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.11
Rate for Payer: Cash Price $0.11
Rate for Payer: Cigna of CA HMO $0.15
Rate for Payer: Cigna of CA PPO $0.18
Rate for Payer: Dignity Health Commercial/Exchange $0.20
Rate for Payer: Dignity Health Media $0.20
Rate for Payer: Dignity Health Medi-Cal $0.20
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Transplant $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.14
Rate for Payer: TriValley Medical Group Commercial/Senior $0.14
Rate for Payer: United Healthcare All Other Commercial $0.12
Rate for Payer: United Healthcare All Other HMO $0.12
Rate for Payer: United Healthcare HMO Rider $0.12
Rate for Payer: United Healthcare Select/Navigate/Core $0.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.20
Rate for Payer: Vantage Medical Group Medi-Cal $0.20
Rate for Payer: Vantage Medical Group Senior $0.20
Service Code NDC L4084-048-10
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Blue Shield of California Commercial $0.17
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.11
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Service Code NDC L4084-048-15
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Aetna of CA HMO/PPO $0.16
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.20
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.13
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.14
Rate for Payer: BCBS Transplant Transplant $0.14
Rate for Payer: Blue Shield of California Commercial $0.18
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.11
Rate for Payer: Cash Price $0.11
Rate for Payer: Cigna of CA HMO $0.15
Rate for Payer: Cigna of CA PPO $0.18
Rate for Payer: Dignity Health Commercial/Exchange $0.20
Rate for Payer: Dignity Health Media $0.20
Rate for Payer: Dignity Health Medi-Cal $0.20
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Transplant $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.14
Rate for Payer: TriValley Medical Group Commercial/Senior $0.14
Rate for Payer: United Healthcare All Other Commercial $0.12
Rate for Payer: United Healthcare All Other HMO $0.12
Rate for Payer: United Healthcare HMO Rider $0.12
Rate for Payer: United Healthcare Select/Navigate/Core $0.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.20
Rate for Payer: Vantage Medical Group Medi-Cal $0.20
Rate for Payer: Vantage Medical Group Senior $0.20
Service Code NDC L4084-048-15
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Blue Shield of California Commercial $0.17
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.11
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Service Code NDC L4084-048-45
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Blue Shield of California Commercial $0.17
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.11
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Service Code NDC L4084-048-48
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Aetna of CA HMO/PPO $0.16
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.20
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.13
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.14
Rate for Payer: BCBS Transplant Transplant $0.14
Rate for Payer: Blue Shield of California Commercial $0.18
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.11
Rate for Payer: Cash Price $0.11
Rate for Payer: Cigna of CA HMO $0.15
Rate for Payer: Cigna of CA PPO $0.18
Rate for Payer: Dignity Health Commercial/Exchange $0.20
Rate for Payer: Dignity Health Media $0.20
Rate for Payer: Dignity Health Medi-Cal $0.20
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Transplant $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.14
Rate for Payer: TriValley Medical Group Commercial/Senior $0.14
Rate for Payer: United Healthcare All Other Commercial $0.12
Rate for Payer: United Healthcare All Other HMO $0.12
Rate for Payer: United Healthcare HMO Rider $0.12
Rate for Payer: United Healthcare Select/Navigate/Core $0.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.20
Rate for Payer: Vantage Medical Group Medi-Cal $0.20
Rate for Payer: Vantage Medical Group Senior $0.20
Service Code NDC L4084-048-35
Hospital Charge Code ERX40840048
Hospital Revenue Code 250
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.20
Rate for Payer: Blue Shield of California Commercial $0.17
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.11
Rate for Payer: EPIC Health Plan Commercial $0.10
Rate for Payer: Galaxy Health WC $0.20
Rate for Payer: Global Benefits Group Commercial $0.14
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.09
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.19
Rate for Payer: Networks By Design Commercial $0.16
Rate for Payer: Prime Health Services Commercial $0.20