|
HC CATH PICC PWR 4.5FR 55CM SL
|
Facility
|
OP
|
$1,405.85
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698153
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.17 |
| Max. Negotiated Rate |
$1,194.97 |
| Rate for Payer: Adventist Health Commercial |
$281.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,194.97
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$773.22
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,054.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$814.27
|
| Rate for Payer: Blue Shield of California Commercial |
$1,037.52
|
| Rate for Payer: Blue Shield of California EPN |
$683.24
|
| Rate for Payer: Cash Price |
$632.63
|
| Rate for Payer: Cigna of CA HMO |
$984.10
|
| Rate for Payer: Cigna of CA PPO |
$984.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,194.97
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,194.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,194.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$562.34
|
| Rate for Payer: EPIC Health Plan Senior |
$562.34
|
| Rate for Payer: Galaxy Health WC |
$1,194.97
|
| Rate for Payer: Global Benefits Group Commercial |
$843.51
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$937.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$535.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$870.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$337.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$984.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$984.10
|
| Rate for Payer: Multiplan Commercial |
$1,124.68
|
| Rate for Payer: Networks By Design Commercial |
$702.92
|
| Rate for Payer: Prime Health Services Commercial |
$1,194.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$843.51
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$843.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$527.62
|
| Rate for Payer: United Healthcare All Other HMO |
$513.56
|
| Rate for Payer: United Healthcare HMO Rider |
$502.45
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$460.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,194.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,194.97
|
| Rate for Payer: Vantage Medical Group Senior |
$1,194.97
|
|
|
HC CATH PICC PWR 4.5FR SL 40CM
|
Facility
|
IP
|
$1,395.32
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607738
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$279.06 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$279.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$627.89
|
| Rate for Payer: Cash Price |
$627.89
|
| Rate for Payer: Cigna of CA HMO |
$976.72
|
| Rate for Payer: Cigna of CA PPO |
$976.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$558.13
|
| Rate for Payer: EPIC Health Plan Senior |
$558.13
|
| Rate for Payer: Galaxy Health WC |
$1,186.02
|
| Rate for Payer: Global Benefits Group Commercial |
$837.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$930.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$531.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$863.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$334.88
|
| Rate for Payer: Multiplan Commercial |
$1,116.26
|
| Rate for Payer: Networks By Design Commercial |
$697.66
|
| Rate for Payer: Prime Health Services Commercial |
$1,186.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$523.66
|
| Rate for Payer: United Healthcare All Other HMO |
$509.71
|
| Rate for Payer: United Healthcare HMO Rider |
$498.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$456.97
|
|
|
HC CATH PICC PWR 4.5FR SL 40CM
|
Facility
|
OP
|
$1,395.32
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607738
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$279.06 |
| Max. Negotiated Rate |
$1,186.02 |
| Rate for Payer: Adventist Health Commercial |
$279.06
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,186.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$767.43
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,046.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$808.17
|
| Rate for Payer: Blue Shield of California Commercial |
$1,029.75
|
| Rate for Payer: Blue Shield of California EPN |
$678.13
|
| Rate for Payer: Cash Price |
$627.89
|
| Rate for Payer: Cigna of CA HMO |
$976.72
|
| Rate for Payer: Cigna of CA PPO |
$976.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,186.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,186.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,186.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$558.13
|
| Rate for Payer: EPIC Health Plan Senior |
$558.13
|
| Rate for Payer: Galaxy Health WC |
$1,186.02
|
| Rate for Payer: Global Benefits Group Commercial |
$837.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$930.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$531.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$863.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$334.88
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$976.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$976.72
|
| Rate for Payer: Multiplan Commercial |
$1,116.26
|
| Rate for Payer: Networks By Design Commercial |
$697.66
|
| Rate for Payer: Prime Health Services Commercial |
$1,186.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$837.19
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$837.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$523.66
|
| Rate for Payer: United Healthcare All Other HMO |
$509.71
|
| Rate for Payer: United Healthcare HMO Rider |
$498.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$456.97
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,186.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,186.02
|
| Rate for Payer: Vantage Medical Group Senior |
$1,186.02
|
|
|
HC CATH PICC PWR 4FR SL
|
Facility
|
IP
|
$1,277.65
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607542
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$255.53 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$255.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$574.94
|
| Rate for Payer: Cash Price |
$574.94
|
| Rate for Payer: Cigna of CA HMO |
$894.36
|
| Rate for Payer: Cigna of CA PPO |
$894.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$511.06
|
| Rate for Payer: EPIC Health Plan Senior |
$511.06
|
| Rate for Payer: Galaxy Health WC |
$1,086.00
|
| Rate for Payer: Global Benefits Group Commercial |
$766.59
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$852.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$486.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$790.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$306.64
|
| Rate for Payer: Multiplan Commercial |
$1,022.12
|
| Rate for Payer: Networks By Design Commercial |
$638.83
|
| Rate for Payer: Prime Health Services Commercial |
$1,086.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$479.50
|
| Rate for Payer: United Healthcare All Other HMO |
$466.73
|
| Rate for Payer: United Healthcare HMO Rider |
$456.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$418.43
|
|
|
HC CATH PICC PWR 4FR SL
|
Facility
|
OP
|
$1,277.65
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607542
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$255.53 |
| Max. Negotiated Rate |
$1,086.00 |
| Rate for Payer: Adventist Health Commercial |
$255.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,086.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$702.71
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$958.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$740.01
|
| Rate for Payer: Blue Shield of California Commercial |
$942.91
|
| Rate for Payer: Blue Shield of California EPN |
$620.94
|
| Rate for Payer: Cash Price |
$574.94
|
| Rate for Payer: Cigna of CA HMO |
$894.36
|
| Rate for Payer: Cigna of CA PPO |
$894.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,086.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,086.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,086.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$511.06
|
| Rate for Payer: EPIC Health Plan Senior |
$511.06
|
| Rate for Payer: Galaxy Health WC |
$1,086.00
|
| Rate for Payer: Global Benefits Group Commercial |
$766.59
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$852.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$486.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$790.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$306.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$894.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$894.36
|
| Rate for Payer: Multiplan Commercial |
$1,022.12
|
| Rate for Payer: Networks By Design Commercial |
$638.83
|
| Rate for Payer: Prime Health Services Commercial |
$1,086.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$766.59
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$766.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$479.50
|
| Rate for Payer: United Healthcare All Other HMO |
$466.73
|
| Rate for Payer: United Healthcare HMO Rider |
$456.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$418.43
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,086.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,086.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,086.00
|
|
|
HC CATH PICC PWR 4FR SL 40CM VPS
|
Facility
|
IP
|
$1,225.12
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$245.02 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$245.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$551.30
|
| Rate for Payer: Cash Price |
$551.30
|
| Rate for Payer: Cigna of CA HMO |
$857.58
|
| Rate for Payer: Cigna of CA PPO |
$857.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$490.05
|
| Rate for Payer: EPIC Health Plan Senior |
$490.05
|
| Rate for Payer: Galaxy Health WC |
$1,041.35
|
| Rate for Payer: Global Benefits Group Commercial |
$735.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$817.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$466.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$758.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$294.03
|
| Rate for Payer: Multiplan Commercial |
$980.10
|
| Rate for Payer: Networks By Design Commercial |
$612.56
|
| Rate for Payer: Prime Health Services Commercial |
$1,041.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$459.79
|
| Rate for Payer: United Healthcare All Other HMO |
$447.54
|
| Rate for Payer: United Healthcare HMO Rider |
$437.86
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$401.23
|
|
|
HC CATH PICC PWR 4FR SL 40CM VPS
|
Facility
|
OP
|
$1,225.12
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$245.02 |
| Max. Negotiated Rate |
$1,041.35 |
| Rate for Payer: Adventist Health Commercial |
$245.02
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,041.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$673.82
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$918.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$709.59
|
| Rate for Payer: Blue Shield of California Commercial |
$904.14
|
| Rate for Payer: Blue Shield of California EPN |
$595.41
|
| Rate for Payer: Cash Price |
$551.30
|
| Rate for Payer: Cigna of CA HMO |
$857.58
|
| Rate for Payer: Cigna of CA PPO |
$857.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,041.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,041.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,041.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$490.05
|
| Rate for Payer: EPIC Health Plan Senior |
$490.05
|
| Rate for Payer: Galaxy Health WC |
$1,041.35
|
| Rate for Payer: Global Benefits Group Commercial |
$735.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$817.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$466.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$758.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$294.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$857.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$857.58
|
| Rate for Payer: Multiplan Commercial |
$980.10
|
| Rate for Payer: Networks By Design Commercial |
$612.56
|
| Rate for Payer: Prime Health Services Commercial |
$1,041.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$735.07
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$735.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$459.79
|
| Rate for Payer: United Healthcare All Other HMO |
$447.54
|
| Rate for Payer: United Healthcare HMO Rider |
$437.86
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$401.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,041.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,041.35
|
| Rate for Payer: Vantage Medical Group Senior |
$1,041.35
|
|
|
HC CATH PICC PWR 5.5FR 45CM DL
|
Facility
|
OP
|
$1,717.18
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698202
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$343.44 |
| Max. Negotiated Rate |
$1,459.60 |
| Rate for Payer: Adventist Health Commercial |
$343.44
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,459.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$944.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,287.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$994.59
|
| Rate for Payer: Blue Shield of California Commercial |
$1,267.28
|
| Rate for Payer: Blue Shield of California EPN |
$834.55
|
| Rate for Payer: Cash Price |
$772.73
|
| Rate for Payer: Cigna of CA HMO |
$1,202.03
|
| Rate for Payer: Cigna of CA PPO |
$1,202.03
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,459.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,459.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,459.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$686.87
|
| Rate for Payer: EPIC Health Plan Senior |
$686.87
|
| Rate for Payer: Galaxy Health WC |
$1,459.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,030.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,145.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$654.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,062.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$412.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,202.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,202.03
|
| Rate for Payer: Multiplan Commercial |
$1,373.74
|
| Rate for Payer: Networks By Design Commercial |
$858.59
|
| Rate for Payer: Prime Health Services Commercial |
$1,459.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,030.31
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,030.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$644.46
|
| Rate for Payer: United Healthcare All Other HMO |
$627.29
|
| Rate for Payer: United Healthcare HMO Rider |
$613.72
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$562.38
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,459.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,459.60
|
| Rate for Payer: Vantage Medical Group Senior |
$1,459.60
|
|
|
HC CATH PICC PWR 5.5FR 45CM DL
|
Facility
|
IP
|
$1,717.18
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698202
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$343.44 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$343.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$772.73
|
| Rate for Payer: Cash Price |
$772.73
|
| Rate for Payer: Cigna of CA HMO |
$1,202.03
|
| Rate for Payer: Cigna of CA PPO |
$1,202.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$686.87
|
| Rate for Payer: EPIC Health Plan Senior |
$686.87
|
| Rate for Payer: Galaxy Health WC |
$1,459.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,030.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,145.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$654.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,062.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$412.12
|
| Rate for Payer: Multiplan Commercial |
$1,373.74
|
| Rate for Payer: Networks By Design Commercial |
$858.59
|
| Rate for Payer: Prime Health Services Commercial |
$1,459.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$644.46
|
| Rate for Payer: United Healthcare All Other HMO |
$627.29
|
| Rate for Payer: United Healthcare HMO Rider |
$613.72
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$562.38
|
|
|
HC CATH PICC PWR 5.5FR 50CM DL
|
Facility
|
OP
|
$1,459.17
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698154
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.83 |
| Max. Negotiated Rate |
$1,240.29 |
| Rate for Payer: Adventist Health Commercial |
$291.83
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,240.29
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$802.54
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,094.38
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$845.15
|
| Rate for Payer: Blue Shield of California Commercial |
$1,076.87
|
| Rate for Payer: Blue Shield of California EPN |
$709.16
|
| Rate for Payer: Cash Price |
$656.63
|
| Rate for Payer: Cigna of CA HMO |
$1,021.42
|
| Rate for Payer: Cigna of CA PPO |
$1,021.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,240.29
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,240.29
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,240.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.67
|
| Rate for Payer: EPIC Health Plan Senior |
$583.67
|
| Rate for Payer: Galaxy Health WC |
$1,240.29
|
| Rate for Payer: Global Benefits Group Commercial |
$875.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$555.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$903.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$350.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,021.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,021.42
|
| Rate for Payer: Multiplan Commercial |
$1,167.34
|
| Rate for Payer: Networks By Design Commercial |
$729.59
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.29
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$875.50
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$875.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$547.63
|
| Rate for Payer: United Healthcare All Other HMO |
$533.03
|
| Rate for Payer: United Healthcare HMO Rider |
$521.51
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$477.88
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,240.29
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,240.29
|
| Rate for Payer: Vantage Medical Group Senior |
$1,240.29
|
|
|
HC CATH PICC PWR 5.5FR 50CM DL
|
Facility
|
IP
|
$1,459.17
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698154
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.83 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$291.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$656.63
|
| Rate for Payer: Cash Price |
$656.63
|
| Rate for Payer: Cigna of CA HMO |
$1,021.42
|
| Rate for Payer: Cigna of CA PPO |
$1,021.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.67
|
| Rate for Payer: EPIC Health Plan Senior |
$583.67
|
| Rate for Payer: Galaxy Health WC |
$1,240.29
|
| Rate for Payer: Global Benefits Group Commercial |
$875.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$555.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$903.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$350.20
|
| Rate for Payer: Multiplan Commercial |
$1,167.34
|
| Rate for Payer: Networks By Design Commercial |
$729.59
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.29
|
| Rate for Payer: United Healthcare All Other Commercial |
$547.63
|
| Rate for Payer: United Healthcare All Other HMO |
$533.03
|
| Rate for Payer: United Healthcare HMO Rider |
$521.51
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$477.88
|
|
|
HC CATH PICC PWR 5.5FR 55CM DL
|
Facility
|
IP
|
$1,572.88
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$314.58 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$314.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$707.80
|
| Rate for Payer: Cash Price |
$707.80
|
| Rate for Payer: Cigna of CA HMO |
$1,101.02
|
| Rate for Payer: Cigna of CA PPO |
$1,101.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$629.15
|
| Rate for Payer: EPIC Health Plan Senior |
$629.15
|
| Rate for Payer: Galaxy Health WC |
$1,336.95
|
| Rate for Payer: Global Benefits Group Commercial |
$943.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,049.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$599.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$973.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$377.49
|
| Rate for Payer: Multiplan Commercial |
$1,258.30
|
| Rate for Payer: Networks By Design Commercial |
$786.44
|
| Rate for Payer: Prime Health Services Commercial |
$1,336.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$590.30
|
| Rate for Payer: United Healthcare All Other HMO |
$574.57
|
| Rate for Payer: United Healthcare HMO Rider |
$562.15
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$515.12
|
|
|
HC CATH PICC PWR 5.5FR 55CM DL
|
Facility
|
OP
|
$1,572.88
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$314.58 |
| Max. Negotiated Rate |
$1,336.95 |
| Rate for Payer: Adventist Health Commercial |
$314.58
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,336.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$865.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,179.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$911.01
|
| Rate for Payer: Blue Shield of California Commercial |
$1,160.79
|
| Rate for Payer: Blue Shield of California EPN |
$764.42
|
| Rate for Payer: Cash Price |
$707.80
|
| Rate for Payer: Cigna of CA HMO |
$1,101.02
|
| Rate for Payer: Cigna of CA PPO |
$1,101.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,336.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,336.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,336.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$629.15
|
| Rate for Payer: EPIC Health Plan Senior |
$629.15
|
| Rate for Payer: Galaxy Health WC |
$1,336.95
|
| Rate for Payer: Global Benefits Group Commercial |
$943.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,049.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$599.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$973.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$377.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,101.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,101.02
|
| Rate for Payer: Multiplan Commercial |
$1,258.30
|
| Rate for Payer: Networks By Design Commercial |
$786.44
|
| Rate for Payer: Prime Health Services Commercial |
$1,336.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$943.73
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$943.73
|
| Rate for Payer: United Healthcare All Other Commercial |
$590.30
|
| Rate for Payer: United Healthcare All Other HMO |
$574.57
|
| Rate for Payer: United Healthcare HMO Rider |
$562.15
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$515.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,336.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,336.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,336.95
|
|
|
HC CATH PICC PWR 5.5FR DL 40CM
|
Facility
|
OP
|
$1,400.29
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607740
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$280.06 |
| Max. Negotiated Rate |
$1,190.25 |
| Rate for Payer: Adventist Health Commercial |
$280.06
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,190.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$770.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,050.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$811.05
|
| Rate for Payer: Blue Shield of California Commercial |
$1,033.41
|
| Rate for Payer: Blue Shield of California EPN |
$680.54
|
| Rate for Payer: Cash Price |
$630.13
|
| Rate for Payer: Cigna of CA HMO |
$980.20
|
| Rate for Payer: Cigna of CA PPO |
$980.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,190.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,190.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,190.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$560.12
|
| Rate for Payer: EPIC Health Plan Senior |
$560.12
|
| Rate for Payer: Galaxy Health WC |
$1,190.25
|
| Rate for Payer: Global Benefits Group Commercial |
$840.17
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$933.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$533.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$866.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$336.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$980.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$980.20
|
| Rate for Payer: Multiplan Commercial |
$1,120.23
|
| Rate for Payer: Networks By Design Commercial |
$700.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,190.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$840.17
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$840.17
|
| Rate for Payer: United Healthcare All Other Commercial |
$525.53
|
| Rate for Payer: United Healthcare All Other HMO |
$511.53
|
| Rate for Payer: United Healthcare HMO Rider |
$500.46
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$458.59
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,190.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,190.25
|
| Rate for Payer: Vantage Medical Group Senior |
$1,190.25
|
|
|
HC CATH PICC PWR 5.5FR DL 40CM
|
Facility
|
IP
|
$1,400.29
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607740
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$280.06 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$280.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$630.13
|
| Rate for Payer: Cash Price |
$630.13
|
| Rate for Payer: Cigna of CA HMO |
$980.20
|
| Rate for Payer: Cigna of CA PPO |
$980.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$560.12
|
| Rate for Payer: EPIC Health Plan Senior |
$560.12
|
| Rate for Payer: Galaxy Health WC |
$1,190.25
|
| Rate for Payer: Global Benefits Group Commercial |
$840.17
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$933.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$533.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$866.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$336.07
|
| Rate for Payer: Multiplan Commercial |
$1,120.23
|
| Rate for Payer: Networks By Design Commercial |
$700.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,190.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$525.53
|
| Rate for Payer: United Healthcare All Other HMO |
$511.53
|
| Rate for Payer: United Healthcare HMO Rider |
$500.46
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$458.59
|
|
|
HC CATH PICC PWR 5FR DL 40CM VPS
|
Facility
|
OP
|
$1,298.72
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607739
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.74 |
| Max. Negotiated Rate |
$1,103.91 |
| Rate for Payer: Adventist Health Commercial |
$259.74
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,103.91
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$714.30
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$974.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$752.22
|
| Rate for Payer: Blue Shield of California Commercial |
$958.46
|
| Rate for Payer: Blue Shield of California EPN |
$631.18
|
| Rate for Payer: Cash Price |
$584.42
|
| Rate for Payer: Cigna of CA HMO |
$909.10
|
| Rate for Payer: Cigna of CA PPO |
$909.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,103.91
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,103.91
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,103.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$519.49
|
| Rate for Payer: EPIC Health Plan Senior |
$519.49
|
| Rate for Payer: Galaxy Health WC |
$1,103.91
|
| Rate for Payer: Global Benefits Group Commercial |
$779.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$866.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$494.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$803.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$311.69
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$909.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$909.10
|
| Rate for Payer: Multiplan Commercial |
$1,038.98
|
| Rate for Payer: Networks By Design Commercial |
$649.36
|
| Rate for Payer: Prime Health Services Commercial |
$1,103.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$779.23
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$779.23
|
| Rate for Payer: United Healthcare All Other Commercial |
$487.41
|
| Rate for Payer: United Healthcare All Other HMO |
$474.42
|
| Rate for Payer: United Healthcare HMO Rider |
$464.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$425.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,103.91
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,103.91
|
| Rate for Payer: Vantage Medical Group Senior |
$1,103.91
|
|
|
HC CATH PICC PWR 5FR DL 40CM VPS
|
Facility
|
IP
|
$1,298.72
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607739
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.74 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$259.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$584.42
|
| Rate for Payer: Cash Price |
$584.42
|
| Rate for Payer: Cigna of CA HMO |
$909.10
|
| Rate for Payer: Cigna of CA PPO |
$909.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$519.49
|
| Rate for Payer: EPIC Health Plan Senior |
$519.49
|
| Rate for Payer: Galaxy Health WC |
$1,103.91
|
| Rate for Payer: Global Benefits Group Commercial |
$779.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$866.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$494.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$803.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$311.69
|
| Rate for Payer: Multiplan Commercial |
$1,038.98
|
| Rate for Payer: Networks By Design Commercial |
$649.36
|
| Rate for Payer: Prime Health Services Commercial |
$1,103.91
|
| Rate for Payer: United Healthcare All Other Commercial |
$487.41
|
| Rate for Payer: United Healthcare All Other HMO |
$474.42
|
| Rate for Payer: United Healthcare HMO Rider |
$464.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$425.33
|
|
|
HC CATH PICC PWR 6FR 50CM TL
|
Facility
|
OP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$1,227.74 |
| Rate for Payer: Adventist Health Commercial |
$288.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$794.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,083.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$836.60
|
| Rate for Payer: Blue Shield of California Commercial |
$1,065.97
|
| Rate for Payer: Blue Shield of California EPN |
$701.98
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,227.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,227.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Senior |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$894.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.66
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,011.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,011.08
|
| Rate for Payer: Multiplan Commercial |
$1,155.52
|
| Rate for Payer: Networks By Design Commercial |
$722.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$866.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$866.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$542.08
|
| Rate for Payer: United Healthcare All Other HMO |
$527.64
|
| Rate for Payer: United Healthcare HMO Rider |
$516.23
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$473.04
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,227.74
|
| Rate for Payer: Vantage Medical Group Senior |
$1,227.74
|
|
|
HC CATH PICC PWR 6FR 50CM TL
|
Facility
|
IP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$288.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Senior |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$894.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.66
|
| Rate for Payer: Multiplan Commercial |
$1,155.52
|
| Rate for Payer: Networks By Design Commercial |
$722.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$542.08
|
| Rate for Payer: United Healthcare All Other HMO |
$527.64
|
| Rate for Payer: United Healthcare HMO Rider |
$516.23
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$473.04
|
|
|
HC CATH PICC PWR 6FR TL 40CM CG
|
Facility
|
IP
|
$1,482.26
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$296.45 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$296.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$667.02
|
| Rate for Payer: Cash Price |
$667.02
|
| Rate for Payer: Cigna of CA HMO |
$1,037.58
|
| Rate for Payer: Cigna of CA PPO |
$1,037.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$592.90
|
| Rate for Payer: EPIC Health Plan Senior |
$592.90
|
| Rate for Payer: Galaxy Health WC |
$1,259.92
|
| Rate for Payer: Global Benefits Group Commercial |
$889.36
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$988.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$917.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$355.74
|
| Rate for Payer: Multiplan Commercial |
$1,185.81
|
| Rate for Payer: Networks By Design Commercial |
$741.13
|
| Rate for Payer: Prime Health Services Commercial |
$1,259.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$556.29
|
| Rate for Payer: United Healthcare All Other HMO |
$541.47
|
| Rate for Payer: United Healthcare HMO Rider |
$529.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$485.44
|
|
|
HC CATH PICC PWR 6FR TL 40CM CG
|
Facility
|
OP
|
$1,482.26
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$296.45 |
| Max. Negotiated Rate |
$1,259.92 |
| Rate for Payer: Adventist Health Commercial |
$296.45
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,259.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$815.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,111.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$858.52
|
| Rate for Payer: Blue Shield of California Commercial |
$1,093.91
|
| Rate for Payer: Blue Shield of California EPN |
$720.38
|
| Rate for Payer: Cash Price |
$667.02
|
| Rate for Payer: Cigna of CA HMO |
$1,037.58
|
| Rate for Payer: Cigna of CA PPO |
$1,037.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,259.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,259.92
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,259.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$592.90
|
| Rate for Payer: EPIC Health Plan Senior |
$592.90
|
| Rate for Payer: Galaxy Health WC |
$1,259.92
|
| Rate for Payer: Global Benefits Group Commercial |
$889.36
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$988.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$917.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$355.74
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,037.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,037.58
|
| Rate for Payer: Multiplan Commercial |
$1,185.81
|
| Rate for Payer: Networks By Design Commercial |
$741.13
|
| Rate for Payer: Prime Health Services Commercial |
$1,259.92
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$889.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$889.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$556.29
|
| Rate for Payer: United Healthcare All Other HMO |
$541.47
|
| Rate for Payer: United Healthcare HMO Rider |
$529.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$485.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,259.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,259.92
|
| Rate for Payer: Vantage Medical Group Senior |
$1,259.92
|
|
|
HC CATH PICC PWR 6FR TL 40CM VPS
|
Facility
|
IP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$256.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Senior |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$856.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$488.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$794.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$308.02
|
| Rate for Payer: Multiplan Commercial |
$1,026.72
|
| Rate for Payer: Networks By Design Commercial |
$641.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: United Healthcare All Other Commercial |
$481.66
|
| Rate for Payer: United Healthcare All Other HMO |
$468.83
|
| Rate for Payer: United Healthcare HMO Rider |
$458.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$420.31
|
|
|
HC CATH PICC PWR 6FR TL 40CM VPS
|
Facility
|
OP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$1,090.89 |
| Rate for Payer: Adventist Health Commercial |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$705.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$962.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$743.35
|
| Rate for Payer: Blue Shield of California Commercial |
$947.15
|
| Rate for Payer: Blue Shield of California EPN |
$623.73
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,090.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,090.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Senior |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$856.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$488.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$794.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$308.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$898.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$898.38
|
| Rate for Payer: Multiplan Commercial |
$1,026.72
|
| Rate for Payer: Networks By Design Commercial |
$641.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$770.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$770.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$481.66
|
| Rate for Payer: United Healthcare All Other HMO |
$468.83
|
| Rate for Payer: United Healthcare HMO Rider |
$458.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$420.31
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,090.89
|
| Rate for Payer: Vantage Medical Group Senior |
$1,090.89
|
|
|
HC CATH PICC PWR 6FR TL 55CM VPS
|
Facility
|
OP
|
$1,514.92
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607858
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$302.98 |
| Max. Negotiated Rate |
$1,287.68 |
| Rate for Payer: Adventist Health Commercial |
$302.98
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,287.68
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$833.21
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,136.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$877.44
|
| Rate for Payer: Blue Shield of California Commercial |
$1,118.01
|
| Rate for Payer: Blue Shield of California EPN |
$736.25
|
| Rate for Payer: Cash Price |
$681.71
|
| Rate for Payer: Cigna of CA HMO |
$1,060.44
|
| Rate for Payer: Cigna of CA PPO |
$1,060.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,287.68
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,287.68
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,287.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$605.97
|
| Rate for Payer: EPIC Health Plan Senior |
$605.97
|
| Rate for Payer: Galaxy Health WC |
$1,287.68
|
| Rate for Payer: Global Benefits Group Commercial |
$908.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,010.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$577.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$937.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$363.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,060.44
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,060.44
|
| Rate for Payer: Multiplan Commercial |
$1,211.94
|
| Rate for Payer: Networks By Design Commercial |
$757.46
|
| Rate for Payer: Prime Health Services Commercial |
$1,287.68
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$908.95
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$908.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$568.55
|
| Rate for Payer: United Healthcare All Other HMO |
$553.40
|
| Rate for Payer: United Healthcare HMO Rider |
$541.43
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$496.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,287.68
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,287.68
|
| Rate for Payer: Vantage Medical Group Senior |
$1,287.68
|
|
|
HC CATH PICC PWR 6FR TL 55CM VPS
|
Facility
|
IP
|
$1,514.92
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607858
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$302.98 |
| Max. Negotiated Rate |
$13,501.00 |
| Rate for Payer: Adventist Health Commercial |
$302.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,501.00
|
| Rate for Payer: Cash Price |
$681.71
|
| Rate for Payer: Cash Price |
$681.71
|
| Rate for Payer: Cigna of CA HMO |
$1,060.44
|
| Rate for Payer: Cigna of CA PPO |
$1,060.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$605.97
|
| Rate for Payer: EPIC Health Plan Senior |
$605.97
|
| Rate for Payer: Galaxy Health WC |
$1,287.68
|
| Rate for Payer: Global Benefits Group Commercial |
$908.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,010.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$577.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$937.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$363.58
|
| Rate for Payer: Multiplan Commercial |
$1,211.94
|
| Rate for Payer: Networks By Design Commercial |
$757.46
|
| Rate for Payer: Prime Health Services Commercial |
$1,287.68
|
| Rate for Payer: United Healthcare All Other Commercial |
$568.55
|
| Rate for Payer: United Healthcare All Other HMO |
$553.40
|
| Rate for Payer: United Healthcare HMO Rider |
$541.43
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$496.14
|
|
