|
HC CATH PICC PROVENA 3FR SL MAX
|
Facility
|
OP
|
$916.55
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607856
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$183.31 |
| Max. Negotiated Rate |
$779.07 |
| Rate for Payer: Adventist Health Commercial |
$183.31
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$779.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$504.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$687.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$554.79
|
| Rate for Payer: Blue Shield of California Commercial |
$464.69
|
| Rate for Payer: Blue Shield of California Commercial |
$704.83
|
| Rate for Payer: Cash Price |
$412.45
|
| Rate for Payer: Cigna of CA HMO |
$641.59
|
| Rate for Payer: Cigna of CA PPO |
$641.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$779.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$779.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$779.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$641.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$366.62
|
| Rate for Payer: EPIC Health Plan Senior |
$366.62
|
| Rate for Payer: Galaxy Health WC |
$779.07
|
| Rate for Payer: Global Benefits Group Commercial |
$549.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$582.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$332.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$540.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$219.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$641.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$641.59
|
| Rate for Payer: Multiplan Commercial |
$733.24
|
| Rate for Payer: Networks By Design Commercial |
$458.27
|
| Rate for Payer: Prime Health Services Commercial |
$779.07
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$549.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$549.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$343.98
|
| Rate for Payer: United Healthcare All Other HMO |
$334.82
|
| Rate for Payer: United Healthcare HMO Rider |
$327.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$779.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$779.07
|
| Rate for Payer: Vantage Medical Group Senior |
$779.07
|
|
|
HC CATH PICC PROVENA 4FR DL MAX
|
Facility
|
OP
|
$940.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607857
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.14 |
| Max. Negotiated Rate |
$799.60 |
| Rate for Payer: Adventist Health Commercial |
$188.14
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$799.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$517.38
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$705.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$569.41
|
| Rate for Payer: Blue Shield of California Commercial |
$476.93
|
| Rate for Payer: Blue Shield of California Commercial |
$723.40
|
| Rate for Payer: Cash Price |
$423.32
|
| Rate for Payer: Cigna of CA HMO |
$658.49
|
| Rate for Payer: Cigna of CA PPO |
$658.49
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$799.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$799.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$799.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$658.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$376.28
|
| Rate for Payer: EPIC Health Plan Senior |
$376.28
|
| Rate for Payer: Galaxy Health WC |
$799.60
|
| Rate for Payer: Global Benefits Group Commercial |
$564.42
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$597.34
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$341.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$555.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$225.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$658.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$658.49
|
| Rate for Payer: Multiplan Commercial |
$752.56
|
| Rate for Payer: Networks By Design Commercial |
$470.35
|
| Rate for Payer: Prime Health Services Commercial |
$799.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$564.42
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$564.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$353.04
|
| Rate for Payer: United Healthcare All Other HMO |
$343.64
|
| Rate for Payer: United Healthcare HMO Rider |
$336.21
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$308.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$799.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$799.60
|
| Rate for Payer: Vantage Medical Group Senior |
$799.60
|
|
|
HC CATH PICC PROVENA 4FR DL MAX
|
Facility
|
IP
|
$940.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607857
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.14 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$188.14
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$423.32
|
| Rate for Payer: Cash Price |
$423.32
|
| Rate for Payer: Cigna of CA HMO |
$658.49
|
| Rate for Payer: Cigna of CA PPO |
$658.49
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$658.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$376.28
|
| Rate for Payer: EPIC Health Plan Senior |
$376.28
|
| Rate for Payer: Galaxy Health WC |
$799.60
|
| Rate for Payer: Global Benefits Group Commercial |
$564.42
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$597.34
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$555.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$225.77
|
| Rate for Payer: Multiplan Commercial |
$752.56
|
| Rate for Payer: Networks By Design Commercial |
$470.35
|
| Rate for Payer: Prime Health Services Commercial |
$799.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$353.04
|
| Rate for Payer: United Healthcare All Other HMO |
$343.64
|
| Rate for Payer: United Healthcare HMO Rider |
$336.21
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$308.08
|
|
|
HC CATH PICC PWR 4.5FR 45CM SL
|
Facility
|
IP
|
$1,608.53
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$321.71 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$321.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$723.84
|
| Rate for Payer: Cash Price |
$723.84
|
| Rate for Payer: Cigna of CA HMO |
$1,125.97
|
| Rate for Payer: Cigna of CA PPO |
$1,125.97
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,125.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$643.41
|
| Rate for Payer: EPIC Health Plan Senior |
$643.41
|
| Rate for Payer: Galaxy Health WC |
$1,367.25
|
| Rate for Payer: Global Benefits Group Commercial |
$965.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,021.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$949.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.05
|
| Rate for Payer: Multiplan Commercial |
$1,286.82
|
| Rate for Payer: Networks By Design Commercial |
$804.26
|
| Rate for Payer: Prime Health Services Commercial |
$1,367.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$603.68
|
| Rate for Payer: United Healthcare All Other HMO |
$587.60
|
| Rate for Payer: United Healthcare HMO Rider |
$574.89
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$526.79
|
|
|
HC CATH PICC PWR 4.5FR 45CM SL
|
Facility
|
OP
|
$1,608.53
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$321.71 |
| Max. Negotiated Rate |
$1,367.25 |
| Rate for Payer: Cigna of CA PPO |
$1,125.97
|
| Rate for Payer: Adventist Health Commercial |
$321.71
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,367.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$884.69
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,206.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$973.64
|
| Rate for Payer: Blue Shield of California Commercial |
$1,236.96
|
| Rate for Payer: Blue Shield of California Commercial |
$815.52
|
| Rate for Payer: Cash Price |
$723.84
|
| Rate for Payer: Cigna of CA HMO |
$1,125.97
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,367.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,367.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,367.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,125.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$643.41
|
| Rate for Payer: EPIC Health Plan Senior |
$643.41
|
| Rate for Payer: Galaxy Health WC |
$1,367.25
|
| Rate for Payer: Global Benefits Group Commercial |
$965.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,021.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$583.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$949.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.05
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,125.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,125.97
|
| Rate for Payer: Multiplan Commercial |
$1,286.82
|
| Rate for Payer: Networks By Design Commercial |
$804.26
|
| Rate for Payer: Prime Health Services Commercial |
$1,367.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$965.12
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$965.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$603.68
|
| Rate for Payer: United Healthcare All Other HMO |
$587.60
|
| Rate for Payer: United Healthcare HMO Rider |
$574.89
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$526.79
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,367.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,367.25
|
| Rate for Payer: Vantage Medical Group Senior |
$1,367.25
|
|
|
HC CATH PICC PWR 4.5FR 50CM SL
|
Facility
|
OP
|
$1,410.36
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698152
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.07 |
| Max. Negotiated Rate |
$1,198.81 |
| Rate for Payer: Networks By Design Commercial |
$705.18
|
| Rate for Payer: Adventist Health Commercial |
$282.07
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,198.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$775.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,057.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$853.69
|
| Rate for Payer: Blue Shield of California Commercial |
$1,084.57
|
| Rate for Payer: Blue Shield of California Commercial |
$715.05
|
| Rate for Payer: Cash Price |
$634.66
|
| Rate for Payer: Cigna of CA HMO |
$987.25
|
| Rate for Payer: Cigna of CA PPO |
$987.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,198.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,198.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,198.81
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$987.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$564.14
|
| Rate for Payer: EPIC Health Plan Senior |
$564.14
|
| Rate for Payer: Galaxy Health WC |
$1,198.81
|
| Rate for Payer: Global Benefits Group Commercial |
$846.22
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$895.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$511.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$832.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$338.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$987.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$987.25
|
| Rate for Payer: Multiplan Commercial |
$1,128.29
|
| Rate for Payer: Prime Health Services Commercial |
$1,198.81
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$846.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$846.22
|
| Rate for Payer: United Healthcare All Other Commercial |
$529.31
|
| Rate for Payer: United Healthcare All Other HMO |
$515.20
|
| Rate for Payer: United Healthcare HMO Rider |
$504.06
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$461.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,198.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,198.81
|
| Rate for Payer: Vantage Medical Group Senior |
$1,198.81
|
|
|
HC CATH PICC PWR 4.5FR 50CM SL
|
Facility
|
IP
|
$1,410.36
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698152
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.07 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$282.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$634.66
|
| Rate for Payer: Cash Price |
$634.66
|
| Rate for Payer: Cigna of CA HMO |
$987.25
|
| Rate for Payer: Cigna of CA PPO |
$987.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$987.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$564.14
|
| Rate for Payer: EPIC Health Plan Senior |
$564.14
|
| Rate for Payer: Galaxy Health WC |
$1,198.81
|
| Rate for Payer: Global Benefits Group Commercial |
$846.22
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$895.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$832.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$338.49
|
| Rate for Payer: Multiplan Commercial |
$1,128.29
|
| Rate for Payer: Networks By Design Commercial |
$705.18
|
| Rate for Payer: Prime Health Services Commercial |
$1,198.81
|
| Rate for Payer: United Healthcare All Other Commercial |
$529.31
|
| Rate for Payer: United Healthcare All Other HMO |
$515.20
|
| Rate for Payer: United Healthcare HMO Rider |
$504.06
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$461.89
|
|
|
HC CATH PICC PWR 4.5FR 55CM SL
|
Facility
|
IP
|
$1,405.85
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698153
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.17 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$281.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$632.63
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$984.10
|
| 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 Foundation Hospitals Commercial/Self Funded |
$892.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$829.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$337.40
|
| 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: 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
|
|
|
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 |
$850.96
|
| Rate for Payer: Blue Shield of California Commercial |
$1,081.10
|
| Rate for Payer: Blue Shield of California Commercial |
$712.77
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$984.10
|
| 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 Foundation Hospitals Commercial/Self Funded |
$892.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$510.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$829.45
|
| 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
|
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 |
$844.59
|
| Rate for Payer: Blue Shield of California Commercial |
$1,073.00
|
| Rate for Payer: Blue Shield of California Commercial |
$707.43
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$886.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$506.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$823.24
|
| 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 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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$279.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$886.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$823.24
|
| 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 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 |
$773.36
|
| Rate for Payer: Blue Shield of California Commercial |
$647.77
|
| Rate for Payer: Blue Shield of California Commercial |
$982.51
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$811.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$463.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$753.81
|
| 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
|
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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$255.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$811.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$753.81
|
| 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 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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$245.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$777.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$722.82
|
| 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 |
$741.57
|
| Rate for Payer: Blue Shield of California Commercial |
$621.14
|
| Rate for Payer: Blue Shield of California Commercial |
$942.12
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$777.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$444.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$722.82
|
| 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 |
$1,039.41
|
| Rate for Payer: Blue Shield of California Commercial |
$1,320.51
|
| Rate for Payer: Blue Shield of California Commercial |
$870.61
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$1,090.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$623.34
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,013.14
|
| 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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$343.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$1,090.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,013.14
|
| 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
|
IP
|
$1,459.17
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698154
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.83 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$291.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$926.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$860.91
|
| 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 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 |
$883.24
|
| Rate for Payer: Blue Shield of California Commercial |
$1,122.10
|
| Rate for Payer: Blue Shield of California Commercial |
$739.80
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$926.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$529.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$860.91
|
| 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 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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$314.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$998.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$928.00
|
| 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 |
$952.06
|
| Rate for Payer: Blue Shield of California Commercial |
$1,209.54
|
| Rate for Payer: Blue Shield of California Commercial |
$797.45
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$998.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$570.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$928.00
|
| 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 |
$847.60
|
| Rate for Payer: Blue Shield of California Commercial |
$1,076.82
|
| Rate for Payer: Blue Shield of California Commercial |
$709.95
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$889.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$508.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$826.17
|
| 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 |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$280.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$889.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$826.17
|
| 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
|
IP
|
$1,298.72
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607739
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.74 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$259.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$824.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$766.24
|
| 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 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 |
$786.12
|
| Rate for Payer: Blue Shield of California Commercial |
$658.45
|
| Rate for Payer: Blue Shield of California Commercial |
$998.72
|
| 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: Emerging Therapy Solutions (LifeTrac) Transplant |
$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 Foundation Hospitals Commercial/Self Funded |
$824.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$471.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$766.24
|
| 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
|
|
