|
HC CATH SWAN CONT.8FR NON HEPARIN
|
Facility
|
IP
|
$1,858.40
|
|
| Hospital Charge Code |
901607286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$371.68 |
| Max. Negotiated Rate |
$1,579.64 |
| Rate for Payer: Cash Price |
$836.28
|
| Rate for Payer: Adventist Health Commercial |
$371.68
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,300.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$743.36
|
| Rate for Payer: EPIC Health Plan Senior |
$743.36
|
| Rate for Payer: Galaxy Health WC |
$1,579.64
|
| Rate for Payer: Global Benefits Group Commercial |
$1,115.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,180.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,096.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$446.02
|
| Rate for Payer: Multiplan Commercial |
$1,486.72
|
| Rate for Payer: Networks By Design Commercial |
$1,207.96
|
| Rate for Payer: Prime Health Services Commercial |
$1,579.64
|
|
|
HC CATH SWAN-GANZ 7.5FR 110CM
|
Facility
|
OP
|
$1,598.22
|
|
| Hospital Charge Code |
901698772
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$319.64 |
| Max. Negotiated Rate |
$1,358.49 |
| Rate for Payer: Adventist Health Commercial |
$319.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,048.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,358.49
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$879.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,198.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,025.58
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cigna of CA HMO |
$1,022.86
|
| Rate for Payer: Cigna of CA PPO |
$1,182.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,358.49
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,358.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,358.49
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,118.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$639.29
|
| Rate for Payer: EPIC Health Plan Senior |
$639.29
|
| Rate for Payer: Galaxy Health WC |
$1,358.49
|
| Rate for Payer: Global Benefits Group Commercial |
$958.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,014.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$580.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$942.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$383.57
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,118.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,118.75
|
| Rate for Payer: Multiplan Commercial |
$1,278.58
|
| Rate for Payer: Networks By Design Commercial |
$1,038.84
|
| Rate for Payer: Prime Health Services Commercial |
$1,358.49
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$958.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$958.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$799.11
|
| Rate for Payer: United Healthcare All Other HMO |
$799.11
|
| Rate for Payer: United Healthcare HMO Rider |
$799.11
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$799.11
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,358.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,358.49
|
| Rate for Payer: Vantage Medical Group Senior |
$1,358.49
|
|
|
HC CATH SWAN-GANZ 7.5FR 110CM
|
Facility
|
IP
|
$1,598.22
|
|
| Hospital Charge Code |
901698772
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$319.64 |
| Max. Negotiated Rate |
$1,358.49 |
| Rate for Payer: Adventist Health Commercial |
$319.64
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,118.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$639.29
|
| Rate for Payer: EPIC Health Plan Senior |
$639.29
|
| Rate for Payer: Galaxy Health WC |
$1,358.49
|
| Rate for Payer: Global Benefits Group Commercial |
$958.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,014.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$942.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$383.57
|
| Rate for Payer: Multiplan Commercial |
$1,278.58
|
| Rate for Payer: Networks By Design Commercial |
$1,038.84
|
| Rate for Payer: Prime Health Services Commercial |
$1,358.49
|
|
|
HC CATH SWAN-GANZ VIP 8FR CCO
|
Facility
|
IP
|
$1,061.31
|
|
| Hospital Charge Code |
901698451
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$212.26 |
| Max. Negotiated Rate |
$902.11 |
| Rate for Payer: Adventist Health Commercial |
$212.26
|
| Rate for Payer: Cash Price |
$477.59
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$742.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$424.52
|
| Rate for Payer: EPIC Health Plan Senior |
$424.52
|
| Rate for Payer: Galaxy Health WC |
$902.11
|
| Rate for Payer: Global Benefits Group Commercial |
$636.79
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$673.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$626.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$254.71
|
| Rate for Payer: Multiplan Commercial |
$849.05
|
| Rate for Payer: Networks By Design Commercial |
$689.85
|
| Rate for Payer: Prime Health Services Commercial |
$902.11
|
|
|
HC CATH SWAN-GANZ VIP 8FR CCO
|
Facility
|
OP
|
$1,061.31
|
|
| Hospital Charge Code |
901698451
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$212.26 |
| Max. Negotiated Rate |
$902.11 |
| Rate for Payer: Aetna of CA HMO/PPO |
$696.11
|
| Rate for Payer: Adventist Health Commercial |
$212.26
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$902.11
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$583.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$795.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$681.04
|
| Rate for Payer: Cash Price |
$477.59
|
| Rate for Payer: Cigna of CA HMO |
$679.24
|
| Rate for Payer: Cigna of CA PPO |
$785.37
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$902.11
|
| Rate for Payer: Dignity Health Medi-Cal |
$902.11
|
| Rate for Payer: Dignity Health Medicare Advantage |
$902.11
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$742.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$424.52
|
| Rate for Payer: EPIC Health Plan Senior |
$424.52
|
| Rate for Payer: Galaxy Health WC |
$902.11
|
| Rate for Payer: Global Benefits Group Commercial |
$636.79
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$673.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$385.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$626.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$254.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$742.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$742.92
|
| Rate for Payer: Multiplan Commercial |
$849.05
|
| Rate for Payer: Networks By Design Commercial |
$689.85
|
| Rate for Payer: Prime Health Services Commercial |
$902.11
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$636.79
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$636.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$530.65
|
| Rate for Payer: United Healthcare All Other HMO |
$530.65
|
| Rate for Payer: United Healthcare HMO Rider |
$530.65
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$530.65
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$902.11
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$902.11
|
| Rate for Payer: Vantage Medical Group Senior |
$902.11
|
|
|
HC CATH SWANZ GANZ TL
|
Facility
|
IP
|
$551.93
|
|
| Hospital Charge Code |
901607753
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$110.39 |
| Max. Negotiated Rate |
$469.14 |
| Rate for Payer: Adventist Health Commercial |
$110.39
|
| Rate for Payer: Cash Price |
$248.37
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$386.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$220.77
|
| Rate for Payer: EPIC Health Plan Senior |
$220.77
|
| Rate for Payer: Galaxy Health WC |
$469.14
|
| Rate for Payer: Global Benefits Group Commercial |
$331.16
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$350.48
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$325.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$132.46
|
| Rate for Payer: Multiplan Commercial |
$441.54
|
| Rate for Payer: Networks By Design Commercial |
$358.75
|
| Rate for Payer: Prime Health Services Commercial |
$469.14
|
|
|
HC CATH SWANZ GANZ TL
|
Facility
|
OP
|
$551.93
|
|
| Hospital Charge Code |
901607753
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$110.39 |
| Max. Negotiated Rate |
$469.14 |
| Rate for Payer: Adventist Health Commercial |
$110.39
|
| Rate for Payer: Aetna of CA HMO/PPO |
$362.01
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$469.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$303.56
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$413.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$354.17
|
| Rate for Payer: Cash Price |
$248.37
|
| Rate for Payer: Cigna of CA HMO |
$353.24
|
| Rate for Payer: Cigna of CA PPO |
$408.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$469.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$469.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$469.14
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$386.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$220.77
|
| Rate for Payer: EPIC Health Plan Senior |
$220.77
|
| Rate for Payer: Galaxy Health WC |
$469.14
|
| Rate for Payer: Global Benefits Group Commercial |
$331.16
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$350.48
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$200.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$325.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$132.46
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$386.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$386.35
|
| Rate for Payer: Multiplan Commercial |
$441.54
|
| Rate for Payer: Networks By Design Commercial |
$358.75
|
| Rate for Payer: Prime Health Services Commercial |
$469.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$331.16
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$331.16
|
| Rate for Payer: United Healthcare All Other Commercial |
$275.96
|
| Rate for Payer: United Healthcare All Other HMO |
$275.96
|
| Rate for Payer: United Healthcare HMO Rider |
$275.96
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$275.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$469.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$469.14
|
| Rate for Payer: Vantage Medical Group Senior |
$469.14
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
IP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$232.05 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Cash Price |
$122.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$191.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$173.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$161.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$65.52
|
| Rate for Payer: Multiplan Commercial |
$218.40
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
OP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$232.05 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$179.06
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$150.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$204.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$175.18
|
| Rate for Payer: Cash Price |
$122.85
|
| Rate for Payer: Cigna of CA HMO |
$174.72
|
| Rate for Payer: Cigna of CA PPO |
$202.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$232.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$232.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$232.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$191.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$173.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$99.10
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$161.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$65.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$191.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$191.10
|
| Rate for Payer: Multiplan Commercial |
$218.40
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$163.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$163.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$136.50
|
| Rate for Payer: United Healthcare All Other HMO |
$136.50
|
| Rate for Payer: United Healthcare HMO Rider |
$136.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$136.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$232.05
|
| Rate for Payer: Vantage Medical Group Senior |
$232.05
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
IP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$300.77
|
| Rate for Payer: Cash Price |
$300.77
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$467.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$424.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$394.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$160.41
|
| Rate for Payer: Multiplan Commercial |
$534.70
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
OP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$568.12 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$367.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$501.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$404.57
|
| Rate for Payer: Blue Shield of California Commercial |
$338.87
|
| Rate for Payer: Blue Shield of California Commercial |
$513.98
|
| Rate for Payer: Cash Price |
$300.77
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$568.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$568.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$568.12
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$467.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$424.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$242.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$394.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$160.41
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$467.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$467.87
|
| Rate for Payer: Multiplan Commercial |
$534.70
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$401.03
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$401.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$568.12
|
| Rate for Payer: Vantage Medical Group Senior |
$568.12
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
IP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$306.98
|
| Rate for Payer: Cash Price |
$306.98
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$477.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$433.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$402.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$163.72
|
| Rate for Payer: Multiplan Commercial |
$545.74
|
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
OP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$579.85 |
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$375.20
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$511.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$412.92
|
| Rate for Payer: Blue Shield of California Commercial |
$345.87
|
| Rate for Payer: Blue Shield of California Commercial |
$524.60
|
| Rate for Payer: Cash Price |
$306.98
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$579.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$579.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$579.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$477.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$433.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$247.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$402.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$163.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$477.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$477.53
|
| Rate for Payer: Multiplan Commercial |
$545.74
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$409.31
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$409.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$579.85
|
| Rate for Payer: Vantage Medical Group Senior |
$579.85
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
IP
|
$747.68
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.54 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$149.54
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$336.46
|
| Rate for Payer: Cash Price |
$336.46
|
| Rate for Payer: Cigna of CA HMO |
$523.38
|
| Rate for Payer: Cigna of CA PPO |
$523.38
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$523.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$299.07
|
| Rate for Payer: EPIC Health Plan Senior |
$299.07
|
| Rate for Payer: Galaxy Health WC |
$635.53
|
| Rate for Payer: Global Benefits Group Commercial |
$448.61
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$474.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$441.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$179.44
|
| Rate for Payer: Multiplan Commercial |
$598.14
|
| Rate for Payer: Networks By Design Commercial |
$373.84
|
| Rate for Payer: Prime Health Services Commercial |
$635.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$280.60
|
| Rate for Payer: United Healthcare All Other HMO |
$273.13
|
| Rate for Payer: United Healthcare HMO Rider |
$267.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.87
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
OP
|
$747.68
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.54 |
| Max. Negotiated Rate |
$635.53 |
| Rate for Payer: Adventist Health Commercial |
$149.54
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$635.53
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$411.22
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$560.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$452.57
|
| Rate for Payer: Blue Shield of California Commercial |
$379.07
|
| Rate for Payer: Blue Shield of California Commercial |
$574.97
|
| Rate for Payer: Cash Price |
$336.46
|
| Rate for Payer: Cigna of CA HMO |
$523.38
|
| Rate for Payer: Cigna of CA PPO |
$523.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$635.53
|
| Rate for Payer: Dignity Health Medi-Cal |
$635.53
|
| Rate for Payer: Dignity Health Medicare Advantage |
$635.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$523.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$299.07
|
| Rate for Payer: EPIC Health Plan Senior |
$299.07
|
| Rate for Payer: Galaxy Health WC |
$635.53
|
| Rate for Payer: Global Benefits Group Commercial |
$448.61
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$474.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$271.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$441.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$179.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$523.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$523.38
|
| Rate for Payer: Multiplan Commercial |
$598.14
|
| Rate for Payer: Networks By Design Commercial |
$373.84
|
| Rate for Payer: Prime Health Services Commercial |
$635.53
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$448.61
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$448.61
|
| Rate for Payer: United Healthcare All Other Commercial |
$280.60
|
| Rate for Payer: United Healthcare All Other HMO |
$273.13
|
| Rate for Payer: United Healthcare HMO Rider |
$267.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$635.53
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$635.53
|
| Rate for Payer: Vantage Medical Group Senior |
$635.53
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
IP
|
$377.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.40 |
| Max. Negotiated Rate |
$320.45 |
| Rate for Payer: Adventist Health Commercial |
$75.40
|
| Rate for Payer: Cash Price |
$169.65
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$263.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.80
|
| Rate for Payer: EPIC Health Plan Senior |
$150.80
|
| Rate for Payer: Galaxy Health WC |
$320.45
|
| Rate for Payer: Global Benefits Group Commercial |
$226.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$239.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$222.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$90.48
|
| Rate for Payer: Multiplan Commercial |
$301.60
|
| Rate for Payer: Networks By Design Commercial |
$245.05
|
| Rate for Payer: Prime Health Services Commercial |
$320.45
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
OP
|
$377.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.40 |
| Max. Negotiated Rate |
$1,155.59 |
| Rate for Payer: Adventist Health Commercial |
$75.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,155.59
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$320.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$207.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$282.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$241.92
|
| Rate for Payer: Cash Price |
$169.65
|
| Rate for Payer: Cash Price |
$169.65
|
| Rate for Payer: Cigna of CA HMO |
$241.28
|
| Rate for Payer: Cigna of CA PPO |
$278.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$320.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$320.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$320.45
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$263.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.80
|
| Rate for Payer: EPIC Health Plan Senior |
$150.80
|
| Rate for Payer: Galaxy Health WC |
$320.45
|
| Rate for Payer: Global Benefits Group Commercial |
$226.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$239.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$136.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$222.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$90.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$263.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$263.90
|
| Rate for Payer: Multiplan Commercial |
$301.60
|
| Rate for Payer: Networks By Design Commercial |
$245.05
|
| Rate for Payer: Prime Health Services Commercial |
$320.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$226.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$226.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$188.50
|
| Rate for Payer: United Healthcare All Other HMO |
$188.50
|
| Rate for Payer: United Healthcare HMO Rider |
$188.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$188.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$320.45
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$320.45
|
| Rate for Payer: Vantage Medical Group Senior |
$320.45
|
|
|
HC CATH THORACENTESIS 10FR PVC
|
Facility
|
IP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698948
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$33.00
|
| Rate for Payer: Multiplan Commercial |
$109.98
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
|
|
HC CATH THORACENTESIS 10FR PVC
|
Facility
|
OP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698948
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$116.86 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$75.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$103.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$83.22
|
| Rate for Payer: Blue Shield of California Commercial |
$105.72
|
| Rate for Payer: Blue Shield of California Commercial |
$69.70
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$116.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$116.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$116.86
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$33.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$96.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$96.24
|
| Rate for Payer: Multiplan Commercial |
$109.98
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$82.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$82.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$116.86
|
| Rate for Payer: Vantage Medical Group Senior |
$116.86
|
|
|
HC CATH THORACENTESIS 20FR PVC
|
Facility
|
OP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$116.86 |
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$75.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$103.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$83.22
|
| Rate for Payer: Blue Shield of California Commercial |
$105.72
|
| Rate for Payer: Blue Shield of California Commercial |
$69.70
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$116.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$116.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$116.86
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$33.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$96.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$96.24
|
| Rate for Payer: Multiplan Commercial |
$109.98
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$82.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$82.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$116.86
|
| Rate for Payer: Vantage Medical Group Senior |
$116.86
|
|
|
HC CATH THORACENTESIS 20FR PVC
|
Facility
|
IP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$33.00
|
| Rate for Payer: Multiplan Commercial |
$109.98
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
|
|
HC CATH THORACENTESIS 28FR PVC
|
Facility
|
IP
|
$147.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.43 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$29.43
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$66.21
|
| Rate for Payer: Cash Price |
$66.21
|
| Rate for Payer: Cigna of CA HMO |
$103.00
|
| Rate for Payer: Cigna of CA PPO |
$103.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$103.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$58.86
|
| Rate for Payer: EPIC Health Plan Senior |
$58.86
|
| Rate for Payer: Galaxy Health WC |
$125.07
|
| Rate for Payer: Global Benefits Group Commercial |
$88.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$93.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$86.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$35.31
|
| Rate for Payer: Multiplan Commercial |
$117.71
|
| Rate for Payer: Networks By Design Commercial |
$73.57
|
| Rate for Payer: Prime Health Services Commercial |
$125.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$55.22
|
| Rate for Payer: United Healthcare All Other HMO |
$53.75
|
| Rate for Payer: United Healthcare HMO Rider |
$52.59
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$48.19
|
|
|
HC CATH THORACENTESIS 28FR PVC
|
Facility
|
OP
|
$147.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.43 |
| Max. Negotiated Rate |
$125.07 |
| Rate for Payer: Adventist Health Commercial |
$29.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$125.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$80.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$110.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$89.06
|
| Rate for Payer: Blue Shield of California Commercial |
$113.15
|
| Rate for Payer: Blue Shield of California Commercial |
$74.60
|
| Rate for Payer: Cash Price |
$66.21
|
| Rate for Payer: Cigna of CA HMO |
$103.00
|
| Rate for Payer: Cigna of CA PPO |
$103.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$125.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$125.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$125.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$103.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$58.86
|
| Rate for Payer: EPIC Health Plan Senior |
$58.86
|
| Rate for Payer: Galaxy Health WC |
$125.07
|
| Rate for Payer: Global Benefits Group Commercial |
$88.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$93.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$53.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$86.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$35.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$103.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$103.00
|
| Rate for Payer: Multiplan Commercial |
$117.71
|
| Rate for Payer: Networks By Design Commercial |
$73.57
|
| Rate for Payer: Prime Health Services Commercial |
$125.07
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$88.28
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$88.28
|
| Rate for Payer: United Healthcare All Other Commercial |
$55.22
|
| Rate for Payer: United Healthcare All Other HMO |
$53.75
|
| Rate for Payer: United Healthcare HMO Rider |
$52.59
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$48.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$125.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$125.07
|
| Rate for Payer: Vantage Medical Group Senior |
$125.07
|
|
|
HC CATH THORACENTESIS 32FR PVC
|
Facility
|
OP
|
$129.88
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698951
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$25.98 |
| Max. Negotiated Rate |
$110.40 |
| Rate for Payer: Adventist Health Commercial |
$25.98
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$110.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$71.43
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$97.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78.62
|
| Rate for Payer: Blue Shield of California Commercial |
$65.85
|
| Rate for Payer: Blue Shield of California Commercial |
$99.88
|
| Rate for Payer: Cash Price |
$58.45
|
| Rate for Payer: Cigna of CA HMO |
$90.92
|
| Rate for Payer: Cigna of CA PPO |
$90.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$110.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$110.40
|
| Rate for Payer: Dignity Health Medicare Advantage |
$110.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51.95
|
| Rate for Payer: EPIC Health Plan Senior |
$51.95
|
| Rate for Payer: Galaxy Health WC |
$110.40
|
| Rate for Payer: Global Benefits Group Commercial |
$77.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$82.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$47.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$76.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$31.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$90.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$90.92
|
| Rate for Payer: Multiplan Commercial |
$103.90
|
| Rate for Payer: Networks By Design Commercial |
$64.94
|
| Rate for Payer: Prime Health Services Commercial |
$110.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$77.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$77.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$48.74
|
| Rate for Payer: United Healthcare All Other HMO |
$47.45
|
| Rate for Payer: United Healthcare HMO Rider |
$46.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$42.54
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$110.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$110.40
|
| Rate for Payer: Vantage Medical Group Senior |
$110.40
|
|
|
HC CATH THORACENTESIS 32FR PVC
|
Facility
|
IP
|
$129.88
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698951
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$25.98 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$25.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$58.45
|
| Rate for Payer: Cash Price |
$58.45
|
| Rate for Payer: Cigna of CA HMO |
$90.92
|
| Rate for Payer: Cigna of CA PPO |
$90.92
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51.95
|
| Rate for Payer: EPIC Health Plan Senior |
$51.95
|
| Rate for Payer: Galaxy Health WC |
$110.40
|
| Rate for Payer: Global Benefits Group Commercial |
$77.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$82.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$76.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$31.17
|
| Rate for Payer: Multiplan Commercial |
$103.90
|
| Rate for Payer: Networks By Design Commercial |
$64.94
|
| Rate for Payer: Prime Health Services Commercial |
$110.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$48.74
|
| Rate for Payer: United Healthcare All Other HMO |
$47.45
|
| Rate for Payer: United Healthcare HMO Rider |
$46.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$42.54
|
|
