|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
IP
|
$2,974.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$713.76 |
| Max. Negotiated Rate |
$2,527.90 |
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,189.60
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,133.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$713.76
|
| Rate for Payer: Multiplan Commercial |
$2,379.20
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
OP
|
$1,988.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$439.98 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3,429.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,192.80
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$894.60
|
| Rate for Payer: Cash Price |
$894.60
|
| Rate for Payer: Cigna of CA PPO |
$1,471.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,689.80
|
| Rate for Payer: Global Benefits Group Commercial |
$1,192.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,491.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,326.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$439.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$477.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,590.40
|
| Rate for Payer: Networks By Design Commercial |
$1,292.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,689.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,192.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
OP
|
$2,606.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$625.44 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,508.15
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,563.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: Cigna of CA PPO |
$1,928.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Dignity Health Media |
$3,508.15
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,858.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,736.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$3,508.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,508.15
|
| Rate for Payer: Galaxy Health WC |
$2,215.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,563.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,954.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,753.37
|
| Rate for Payer: Heritage Provider Network Transplant |
$5,753.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$5,683.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$5,683.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,508.15
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,738.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,508.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$625.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,420.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,700.92
|
| Rate for Payer: Multiplan Commercial |
$2,084.80
|
| Rate for Payer: Networks By Design Commercial |
$1,693.90
|
| Rate for Payer: Prime Health Services Commercial |
$2,215.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,563.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,209.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,508.15
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
IP
|
$2,606.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$625.44 |
| Max. Negotiated Rate |
$2,215.10 |
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,042.40
|
| Rate for Payer: Galaxy Health WC |
$2,215.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,563.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,738.20
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$992.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$625.44
|
| Rate for Payer: Multiplan Commercial |
$2,084.80
|
| Rate for Payer: Networks By Design Commercial |
$1,693.90
|
| Rate for Payer: Prime Health Services Commercial |
$2,215.10
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
OP
|
$4,143.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$408.48 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,485.80
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$1,864.35
|
| Rate for Payer: Cash Price |
$1,864.35
|
| Rate for Payer: Cigna of CA PPO |
$3,065.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,521.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,485.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,107.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,763.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$408.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$994.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,314.40
|
| Rate for Payer: Networks By Design Commercial |
$2,692.95
|
| Rate for Payer: Prime Health Services Commercial |
$3,521.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,485.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
IP
|
$6,199.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,487.76 |
| Max. Negotiated Rate |
$5,269.15 |
| Rate for Payer: Cash Price |
$2,789.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,479.60
|
| Rate for Payer: Galaxy Health WC |
$5,269.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,719.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,134.73
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,361.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,487.76
|
| Rate for Payer: Multiplan Commercial |
$4,959.20
|
| Rate for Payer: Networks By Design Commercial |
$4,029.35
|
| Rate for Payer: Prime Health Services Commercial |
$5,269.15
|
|
|
HC COLONOSCOPY W ENDOS US EXAM
|
Facility
|
IP
|
$6,217.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,492.08 |
| Max. Negotiated Rate |
$5,284.45 |
| Rate for Payer: Cash Price |
$2,797.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,486.80
|
| Rate for Payer: Galaxy Health WC |
$5,284.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,730.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,146.74
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,368.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,492.08
|
| Rate for Payer: Multiplan Commercial |
$4,973.60
|
| Rate for Payer: Networks By Design Commercial |
$4,041.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,284.45
|
|
|
HC COLONOSCOPY W ENDOS US EXAM
|
Facility
|
OP
|
$4,156.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$322.34 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,938.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,493.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$1,870.20
|
| Rate for Payer: Cash Price |
$1,870.20
|
| Rate for Payer: Cigna of CA PPO |
$3,075.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,532.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,493.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,117.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,772.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$322.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$997.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,324.80
|
| Rate for Payer: Networks By Design Commercial |
$2,701.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,532.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,493.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
IP
|
$6,527.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,566.48 |
| Max. Negotiated Rate |
$5,547.95 |
| Rate for Payer: Cash Price |
$2,937.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,610.80
|
| Rate for Payer: Galaxy Health WC |
$5,547.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,916.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,353.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,486.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,566.48
|
| Rate for Payer: Multiplan Commercial |
$5,221.60
|
| Rate for Payer: Networks By Design Commercial |
$4,242.55
|
| Rate for Payer: Prime Health Services Commercial |
$5,547.95
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
OP
|
$4,156.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$698.17 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,493.60
|
| Rate for Payer: Blue Shield of California Commercial |
$3,612.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,351.09
|
| Rate for Payer: Cash Price |
$1,870.20
|
| Rate for Payer: Cash Price |
$1,870.20
|
| Rate for Payer: Cigna of CA PPO |
$3,075.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,532.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,493.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,117.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,772.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$698.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$997.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,324.80
|
| Rate for Payer: Networks By Design Commercial |
$2,701.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,532.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,493.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W POLYPECTOMY
|
Facility
|
OP
|
$3,037.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
906745384
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$712.33 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,822.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,612.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,351.09
|
| Rate for Payer: Cash Price |
$1,366.65
|
| Rate for Payer: Cash Price |
$1,366.65
|
| Rate for Payer: Cigna of CA PPO |
$2,247.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$2,581.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,822.20
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,277.75
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,025.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$712.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$728.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$2,429.60
|
| Rate for Payer: Networks By Design Commercial |
$1,974.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,581.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,822.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W POLYPECTOMY
|
Facility
|
IP
|
$5,000.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
906745384
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,200.00 |
| Max. Negotiated Rate |
$4,250.00 |
| Rate for Payer: Cash Price |
$2,250.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,000.00
|
| Rate for Payer: Galaxy Health WC |
$4,250.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,000.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,335.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,905.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,200.00
|
| Rate for Payer: Multiplan Commercial |
$4,000.00
|
| Rate for Payer: Networks By Design Commercial |
$3,250.00
|
| Rate for Payer: Prime Health Services Commercial |
$4,250.00
|
|
|
HC COLONOSCOPY W RESECTION
|
Facility
|
OP
|
$2,676.00
|
|
|
Service Code
|
CPT 44403
|
| Hospital Charge Code |
906744403
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$642.24 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3,429.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,605.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$1,204.20
|
| Rate for Payer: Cash Price |
$1,204.20
|
| Rate for Payer: Cigna of CA PPO |
$1,980.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$2,274.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,605.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,007.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,784.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$642.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$2,140.80
|
| Rate for Payer: Networks By Design Commercial |
$1,739.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,274.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,605.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W RESECTION
|
Facility
|
IP
|
$2,676.00
|
|
|
Service Code
|
CPT 44403
|
| Hospital Charge Code |
906744403
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$642.24 |
| Max. Negotiated Rate |
$2,274.60 |
| Rate for Payer: Cash Price |
$1,204.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,070.40
|
| Rate for Payer: Galaxy Health WC |
$2,274.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,605.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,784.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,019.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$642.24
|
| Rate for Payer: Multiplan Commercial |
$2,140.80
|
| Rate for Payer: Networks By Design Commercial |
$1,739.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,274.60
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$5,066.00
|
|
|
Service Code
|
CPT 45389
|
| Hospital Charge Code |
906745389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,215.84 |
| Max. Negotiated Rate |
$11,678.16 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,832.91
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,120.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$3,039.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$2,279.70
|
| Rate for Payer: Cash Price |
$2,279.70
|
| Rate for Payer: Cigna of CA PPO |
$3,748.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Dignity Health Media |
$7,120.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,832.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,613.12
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,120.83
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,120.83
|
| Rate for Payer: Galaxy Health WC |
$4,306.10
|
| Rate for Payer: Global Benefits Group Commercial |
$3,039.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,799.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$11,678.16
|
| Rate for Payer: Heritage Provider Network Transplant |
$11,678.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$11,535.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$11,535.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,120.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,379.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,120.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,215.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,972.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,541.91
|
| Rate for Payer: Multiplan Commercial |
$4,052.80
|
| Rate for Payer: Networks By Design Commercial |
$3,292.90
|
| Rate for Payer: Prime Health Services Commercial |
$4,306.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,039.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8,545.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,832.91
|
| Rate for Payer: Vantage Medical Group Senior |
$7,120.83
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
IP
|
$7,579.00
|
|
|
Service Code
|
CPT 45389
|
| Hospital Charge Code |
906745389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,818.96 |
| Max. Negotiated Rate |
$6,442.15 |
| Rate for Payer: Cash Price |
$3,410.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,031.60
|
| Rate for Payer: Galaxy Health WC |
$6,442.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,547.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,055.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,887.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,818.96
|
| Rate for Payer: Multiplan Commercial |
$6,063.20
|
| Rate for Payer: Networks By Design Commercial |
$4,926.35
|
| Rate for Payer: Prime Health Services Commercial |
$6,442.15
|
|
|
HC COLONOSCOPY W SUBMUCOSAL INJ
|
Facility
|
IP
|
$6,831.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
906745381
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,639.44 |
| Max. Negotiated Rate |
$5,806.35 |
| Rate for Payer: Cash Price |
$3,073.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,732.40
|
| Rate for Payer: Galaxy Health WC |
$5,806.35
|
| Rate for Payer: Global Benefits Group Commercial |
$4,098.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,556.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,602.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,639.44
|
| Rate for Payer: Multiplan Commercial |
$5,464.80
|
| Rate for Payer: Networks By Design Commercial |
$4,440.15
|
| Rate for Payer: Prime Health Services Commercial |
$5,806.35
|
|
|
HC COLONOSCOPY W SUBMUCOSAL INJ
|
Facility
|
OP
|
$4,567.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
906745381
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$784.22 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,740.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,612.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,351.09
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Cigna of CA PPO |
$3,379.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,881.95
|
| Rate for Payer: Global Benefits Group Commercial |
$2,740.20
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,425.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,046.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$784.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,096.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,653.60
|
| Rate for Payer: Networks By Design Commercial |
$2,968.55
|
| Rate for Payer: Prime Health Services Commercial |
$3,881.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,740.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W/TUMOR SNARE RMVL
|
Facility
|
IP
|
$6,831.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
906745385
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,639.44 |
| Max. Negotiated Rate |
$5,806.35 |
| Rate for Payer: Cash Price |
$3,073.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,732.40
|
| Rate for Payer: Galaxy Health WC |
$5,806.35
|
| Rate for Payer: Global Benefits Group Commercial |
$4,098.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,556.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,602.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,639.44
|
| Rate for Payer: Multiplan Commercial |
$5,464.80
|
| Rate for Payer: Networks By Design Commercial |
$4,440.15
|
| Rate for Payer: Prime Health Services Commercial |
$5,806.35
|
|
|
HC COLONOSCOPY W/TUMOR SNARE RMVL
|
Facility
|
OP
|
$4,567.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
906745385
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$760.42 |
| Max. Negotiated Rate |
$7,385.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,385.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,740.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,612.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,351.09
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Cigna of CA PPO |
$3,379.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,881.95
|
| Rate for Payer: Global Benefits Group Commercial |
$2,740.20
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,425.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,046.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$760.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,096.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,653.60
|
| Rate for Payer: Networks By Design Commercial |
$2,968.55
|
| Rate for Payer: Prime Health Services Commercial |
$3,881.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,740.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONSCOPY STOMA W RMVL
|
Facility
|
IP
|
$5,673.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
906744394
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,361.52 |
| Max. Negotiated Rate |
$4,822.05 |
| Rate for Payer: Cash Price |
$2,552.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,269.20
|
| Rate for Payer: Galaxy Health WC |
$4,822.05
|
| Rate for Payer: Global Benefits Group Commercial |
$3,403.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,783.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,161.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,361.52
|
| Rate for Payer: Multiplan Commercial |
$4,538.40
|
| Rate for Payer: Networks By Design Commercial |
$3,687.45
|
| Rate for Payer: Prime Health Services Commercial |
$4,822.05
|
|
|
HC COLONSCOPY STOMA W RMVL
|
Facility
|
OP
|
$3,793.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
906744394
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$589.95 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3,429.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,275.80
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Cigna of CA PPO |
$2,806.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,224.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,275.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,844.75
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,418.05
|
| Rate for Payer: Heritage Provider Network Transplant |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$2,388.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,529.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$589.95
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$910.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,034.40
|
| Rate for Payer: Networks By Design Commercial |
$2,465.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,224.05
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,275.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLON VIA STOMA W FB REMOVAL
|
Facility
|
IP
|
$2,111.00
|
|
|
Service Code
|
CPT 44390
|
| Hospital Charge Code |
906744390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$506.64 |
| Max. Negotiated Rate |
$1,794.35 |
| Rate for Payer: Cash Price |
$949.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$844.40
|
| Rate for Payer: Galaxy Health WC |
$1,794.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,266.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,408.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$804.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$506.64
|
| Rate for Payer: Multiplan Commercial |
$1,688.80
|
| Rate for Payer: Networks By Design Commercial |
$1,372.15
|
| Rate for Payer: Prime Health Services Commercial |
$1,794.35
|
|
|
HC COLON VIA STOMA W FB REMOVAL
|
Facility
|
OP
|
$2,111.00
|
|
|
Service Code
|
CPT 44390
|
| Hospital Charge Code |
906744390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$333.89 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3,429.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,984.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,266.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,699.31
|
| Rate for Payer: Blue Shield of California EPN |
$1,756.86
|
| Rate for Payer: Cash Price |
$949.95
|
| Rate for Payer: Cash Price |
$949.95
|
| Rate for Payer: Cigna of CA PPO |
$1,562.14
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Dignity Health Media |
$1,141.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,256.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$1,794.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,266.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,583.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,872.77
|
| Rate for Payer: Heritage Provider Network Transplant |
$1,872.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,849.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant |
$1,849.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,141.93
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,408.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$333.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$506.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,438.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$1,688.80
|
| Rate for Payer: Networks By Design Commercial |
$1,372.15
|
| Rate for Payer: Prime Health Services Commercial |
$1,794.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,266.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,370.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC COLON W SNGL CONTRAST ENEMA
|
Facility
|
IP
|
$1,683.00
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
909001806
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$403.92 |
| Max. Negotiated Rate |
$1,430.55 |
| Rate for Payer: Cash Price |
$757.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$673.20
|
| Rate for Payer: Galaxy Health WC |
$1,430.55
|
| Rate for Payer: Global Benefits Group Commercial |
$1,009.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,122.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$641.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$403.92
|
| Rate for Payer: Multiplan Commercial |
$1,346.40
|
| Rate for Payer: Networks By Design Commercial |
$1,093.95
|
| Rate for Payer: Prime Health Services Commercial |
$1,430.55
|
|
