|
HC CATH THORACENTESIS 40FR PVC
|
Facility
|
IP
|
$57.56
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Networks By Design Commercial |
$28.78
|
| Rate for Payer: Adventist Health Commercial |
$11.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Cigna of CA HMO |
$40.29
|
| Rate for Payer: Cigna of CA PPO |
$40.29
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: EPIC Health Plan Senior |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.81
|
| Rate for Payer: Multiplan Commercial |
$46.05
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.60
|
| Rate for Payer: United Healthcare All Other HMO |
$21.03
|
| Rate for Payer: United Healthcare HMO Rider |
$20.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.85
|
|
|
HC CATH THORACENTESIS 40FR PVC
|
Facility
|
OP
|
$57.56
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$48.93 |
| Rate for Payer: Adventist Health Commercial |
$11.51
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$48.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$43.17
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34.84
|
| Rate for Payer: Blue Shield of California Commercial |
$29.18
|
| Rate for Payer: Blue Shield of California Commercial |
$44.26
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Cigna of CA HMO |
$40.29
|
| Rate for Payer: Cigna of CA PPO |
$40.29
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$48.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$48.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$48.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: EPIC Health Plan Senior |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40.29
|
| Rate for Payer: Multiplan Commercial |
$46.05
|
| Rate for Payer: Networks By Design Commercial |
$28.78
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.60
|
| Rate for Payer: United Healthcare All Other HMO |
$21.03
|
| Rate for Payer: United Healthcare HMO Rider |
$20.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.85
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$48.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$48.93
|
| Rate for Payer: Vantage Medical Group Senior |
$48.93
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
IP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$24.32
|
| Rate for Payer: Cash Price |
$24.32
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.97
|
| Rate for Payer: Multiplan Commercial |
$43.23
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
OP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$45.93 |
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.71
|
| Rate for Payer: Blue Shield of California Commercial |
$27.40
|
| Rate for Payer: Blue Shield of California Commercial |
$41.56
|
| Rate for Payer: Cash Price |
$24.32
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.83
|
| Rate for Payer: Multiplan Commercial |
$43.23
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.42
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.93
|
| Rate for Payer: Vantage Medical Group Senior |
$45.93
|
|
|
HC CATH THORACIC 16FR CHEST TUBE
|
Facility
|
OP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.27 |
| Max. Negotiated Rate |
$47.88 |
| Rate for Payer: Adventist Health Commercial |
$11.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$42.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34.10
|
| Rate for Payer: Blue Shield of California Commercial |
$28.56
|
| Rate for Payer: Blue Shield of California Commercial |
$43.32
|
| Rate for Payer: Cash Price |
$25.35
|
| Rate for Payer: Cigna of CA HMO |
$39.43
|
| Rate for Payer: Cigna of CA PPO |
$39.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$47.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$47.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$47.88
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.53
|
| Rate for Payer: EPIC Health Plan Senior |
$22.53
|
| Rate for Payer: Galaxy Health WC |
$47.88
|
| Rate for Payer: Global Benefits Group Commercial |
$33.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39.43
|
| Rate for Payer: Multiplan Commercial |
$45.06
|
| Rate for Payer: Networks By Design Commercial |
$28.16
|
| Rate for Payer: Prime Health Services Commercial |
$47.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.14
|
| Rate for Payer: United Healthcare All Other HMO |
$20.58
|
| Rate for Payer: United Healthcare HMO Rider |
$20.13
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.45
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$47.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$47.88
|
| Rate for Payer: Vantage Medical Group Senior |
$47.88
|
|
|
HC CATH THORACIC 16FR CHEST TUBE
|
Facility
|
IP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.27 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$11.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$25.35
|
| Rate for Payer: Cash Price |
$25.35
|
| Rate for Payer: Cigna of CA HMO |
$39.43
|
| Rate for Payer: Cigna of CA PPO |
$39.43
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.53
|
| Rate for Payer: EPIC Health Plan Senior |
$22.53
|
| Rate for Payer: Galaxy Health WC |
$47.88
|
| Rate for Payer: Global Benefits Group Commercial |
$33.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.52
|
| Rate for Payer: Multiplan Commercial |
$45.06
|
| Rate for Payer: Networks By Design Commercial |
$28.16
|
| Rate for Payer: Prime Health Services Commercial |
$47.88
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.14
|
| Rate for Payer: United Healthcare All Other HMO |
$20.58
|
| Rate for Payer: United Healthcare HMO Rider |
$20.13
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.45
|
|
|
HC CATH THORACIC 20FR CHEST TUBE
|
Facility
|
OP
|
$53.79
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.76 |
| Max. Negotiated Rate |
$45.72 |
| Rate for Payer: Adventist Health Commercial |
$10.76
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.56
|
| Rate for Payer: Blue Shield of California Commercial |
$27.27
|
| Rate for Payer: Blue Shield of California Commercial |
$41.36
|
| Rate for Payer: Cash Price |
$24.21
|
| Rate for Payer: Cigna of CA HMO |
$37.65
|
| Rate for Payer: Cigna of CA PPO |
$37.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.52
|
| Rate for Payer: EPIC Health Plan Senior |
$21.52
|
| Rate for Payer: Galaxy Health WC |
$45.72
|
| Rate for Payer: Global Benefits Group Commercial |
$32.27
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.91
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.65
|
| Rate for Payer: Multiplan Commercial |
$43.03
|
| Rate for Payer: Networks By Design Commercial |
$26.89
|
| Rate for Payer: Prime Health Services Commercial |
$45.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.27
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.27
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.19
|
| Rate for Payer: United Healthcare All Other HMO |
$19.65
|
| Rate for Payer: United Healthcare HMO Rider |
$19.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.72
|
| Rate for Payer: Vantage Medical Group Senior |
$45.72
|
|
|
HC CATH THORACIC 20FR CHEST TUBE
|
Facility
|
IP
|
$53.79
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.76 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Networks By Design Commercial |
$26.89
|
| Rate for Payer: Adventist Health Commercial |
$10.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$24.21
|
| Rate for Payer: Cash Price |
$24.21
|
| Rate for Payer: Cigna of CA HMO |
$37.65
|
| Rate for Payer: Cigna of CA PPO |
$37.65
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.52
|
| Rate for Payer: EPIC Health Plan Senior |
$21.52
|
| Rate for Payer: Galaxy Health WC |
$45.72
|
| Rate for Payer: Global Benefits Group Commercial |
$32.27
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.91
|
| Rate for Payer: Multiplan Commercial |
$43.03
|
| Rate for Payer: Prime Health Services Commercial |
$45.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.19
|
| Rate for Payer: United Healthcare All Other HMO |
$19.65
|
| Rate for Payer: United Healthcare HMO Rider |
$19.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.62
|
|
|
HC CATH THORACIC 24FR CHEST TUBE
|
Facility
|
IP
|
$53.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.63 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$10.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Cigna of CA HMO |
$37.20
|
| Rate for Payer: Cigna of CA PPO |
$37.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.26
|
| Rate for Payer: EPIC Health Plan Senior |
$21.26
|
| Rate for Payer: Galaxy Health WC |
$45.17
|
| Rate for Payer: Global Benefits Group Commercial |
$31.88
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.75
|
| Rate for Payer: Multiplan Commercial |
$42.51
|
| Rate for Payer: Networks By Design Commercial |
$26.57
|
| Rate for Payer: Prime Health Services Commercial |
$45.17
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.94
|
| Rate for Payer: United Healthcare All Other HMO |
$19.41
|
| Rate for Payer: United Healthcare HMO Rider |
$18.99
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.40
|
|
|
HC CATH THORACIC 24FR CHEST TUBE
|
Facility
|
OP
|
$53.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.63 |
| Max. Negotiated Rate |
$45.17 |
| Rate for Payer: EPIC Health Plan Senior |
$21.26
|
| Rate for Payer: Galaxy Health WC |
$45.17
|
| Rate for Payer: Adventist Health Commercial |
$10.63
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.23
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$39.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.17
|
| Rate for Payer: Blue Shield of California Commercial |
$26.94
|
| Rate for Payer: Blue Shield of California Commercial |
$40.86
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Cigna of CA HMO |
$37.20
|
| Rate for Payer: Cigna of CA PPO |
$37.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.17
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.17
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.26
|
| Rate for Payer: Global Benefits Group Commercial |
$31.88
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.20
|
| Rate for Payer: Multiplan Commercial |
$42.51
|
| Rate for Payer: Networks By Design Commercial |
$26.57
|
| Rate for Payer: Prime Health Services Commercial |
$45.17
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.88
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.88
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.94
|
| Rate for Payer: United Healthcare All Other HMO |
$19.41
|
| Rate for Payer: United Healthcare HMO Rider |
$18.99
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.40
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.17
|
| Rate for Payer: Vantage Medical Group Senior |
$45.17
|
|
|
HC CATH THORACIC 28FR CHEST TUBE
|
Facility
|
IP
|
$52.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601400
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.50 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$10.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cigna of CA HMO |
$36.74
|
| Rate for Payer: Cigna of CA PPO |
$36.74
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$36.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.99
|
| Rate for Payer: EPIC Health Plan Senior |
$20.99
|
| Rate for Payer: Galaxy Health WC |
$44.61
|
| Rate for Payer: Global Benefits Group Commercial |
$31.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.60
|
| Rate for Payer: Multiplan Commercial |
$41.98
|
| Rate for Payer: Networks By Design Commercial |
$26.24
|
| Rate for Payer: Prime Health Services Commercial |
$44.61
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.70
|
| Rate for Payer: United Healthcare All Other HMO |
$19.17
|
| Rate for Payer: United Healthcare HMO Rider |
$18.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.19
|
|
|
HC CATH THORACIC 28FR CHEST TUBE
|
Facility
|
OP
|
$52.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601400
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.50 |
| Max. Negotiated Rate |
$44.61 |
| Rate for Payer: Adventist Health Commercial |
$10.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$44.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$28.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$39.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.77
|
| Rate for Payer: Blue Shield of California Commercial |
$26.61
|
| Rate for Payer: Blue Shield of California Commercial |
$40.36
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cigna of CA HMO |
$36.74
|
| Rate for Payer: Cigna of CA PPO |
$36.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$44.61
|
| Rate for Payer: Dignity Health Medicare Advantage |
$44.61
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$36.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.99
|
| Rate for Payer: EPIC Health Plan Senior |
$20.99
|
| Rate for Payer: Galaxy Health WC |
$44.61
|
| Rate for Payer: Global Benefits Group Commercial |
$31.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36.74
|
| Rate for Payer: Multiplan Commercial |
$41.98
|
| Rate for Payer: Networks By Design Commercial |
$26.24
|
| Rate for Payer: Prime Health Services Commercial |
$44.61
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.70
|
| Rate for Payer: United Healthcare All Other HMO |
$19.17
|
| Rate for Payer: United Healthcare HMO Rider |
$18.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44.61
|
| Rate for Payer: Vantage Medical Group Senior |
$44.61
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
OP
|
$80.44
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698883
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$68.37 |
| Rate for Payer: Adventist Health Commercial |
$16.09
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$68.37
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$60.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48.69
|
| Rate for Payer: Blue Shield of California Commercial |
$40.78
|
| Rate for Payer: Blue Shield of California Commercial |
$61.86
|
| Rate for Payer: Cash Price |
$36.20
|
| Rate for Payer: Cigna of CA HMO |
$56.31
|
| Rate for Payer: Cigna of CA PPO |
$56.31
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$68.37
|
| Rate for Payer: Dignity Health Medi-Cal |
$68.37
|
| Rate for Payer: Dignity Health Medicare Advantage |
$68.37
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.18
|
| Rate for Payer: EPIC Health Plan Senior |
$32.18
|
| Rate for Payer: Galaxy Health WC |
$68.37
|
| Rate for Payer: Global Benefits Group Commercial |
$48.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.20
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$47.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$56.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$56.31
|
| Rate for Payer: Multiplan Commercial |
$64.35
|
| Rate for Payer: Networks By Design Commercial |
$40.22
|
| Rate for Payer: Prime Health Services Commercial |
$68.37
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48.26
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$48.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.19
|
| Rate for Payer: United Healthcare All Other HMO |
$29.38
|
| Rate for Payer: United Healthcare HMO Rider |
$28.75
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.34
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$68.37
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$68.37
|
| Rate for Payer: Vantage Medical Group Senior |
$68.37
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
IP
|
$80.44
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698883
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$16.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$36.20
|
| Rate for Payer: Cash Price |
$36.20
|
| Rate for Payer: Cigna of CA HMO |
$56.31
|
| Rate for Payer: Cigna of CA PPO |
$56.31
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.18
|
| Rate for Payer: EPIC Health Plan Senior |
$32.18
|
| Rate for Payer: Galaxy Health WC |
$68.37
|
| Rate for Payer: Global Benefits Group Commercial |
$48.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$47.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.31
|
| Rate for Payer: Multiplan Commercial |
$64.35
|
| Rate for Payer: Networks By Design Commercial |
$40.22
|
| Rate for Payer: Prime Health Services Commercial |
$68.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.19
|
| Rate for Payer: United Healthcare All Other HMO |
$29.38
|
| Rate for Payer: United Healthcare HMO Rider |
$28.75
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.34
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
OP
|
$51.74
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601401
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$43.98 |
| Rate for Payer: Adventist Health Commercial |
$10.35
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$43.98
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$28.46
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$38.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.32
|
| Rate for Payer: Blue Shield of California Commercial |
$26.23
|
| Rate for Payer: Blue Shield of California Commercial |
$39.79
|
| Rate for Payer: Cash Price |
$23.28
|
| Rate for Payer: Cigna of CA HMO |
$36.22
|
| Rate for Payer: Cigna of CA PPO |
$36.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$43.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$43.98
|
| Rate for Payer: Dignity Health Medicare Advantage |
$43.98
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$36.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.70
|
| Rate for Payer: EPIC Health Plan Senior |
$20.70
|
| Rate for Payer: Galaxy Health WC |
$43.98
|
| Rate for Payer: Global Benefits Group Commercial |
$31.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$18.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.42
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$36.22
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$36.22
|
| Rate for Payer: Multiplan Commercial |
$41.39
|
| Rate for Payer: Networks By Design Commercial |
$25.87
|
| Rate for Payer: Prime Health Services Commercial |
$43.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.42
|
| Rate for Payer: United Healthcare All Other HMO |
$18.90
|
| Rate for Payer: United Healthcare HMO Rider |
$18.49
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.94
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$43.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$43.98
|
| Rate for Payer: Vantage Medical Group Senior |
$43.98
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
IP
|
$51.74
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601401
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$10.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$23.28
|
| Rate for Payer: Cash Price |
$23.28
|
| Rate for Payer: Cigna of CA HMO |
$36.22
|
| Rate for Payer: Cigna of CA PPO |
$36.22
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$36.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.70
|
| Rate for Payer: EPIC Health Plan Senior |
$20.70
|
| Rate for Payer: Galaxy Health WC |
$43.98
|
| Rate for Payer: Global Benefits Group Commercial |
$31.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.42
|
| Rate for Payer: Multiplan Commercial |
$41.39
|
| Rate for Payer: Networks By Design Commercial |
$25.87
|
| Rate for Payer: Prime Health Services Commercial |
$43.98
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.42
|
| Rate for Payer: United Healthcare All Other HMO |
$18.90
|
| Rate for Payer: United Healthcare HMO Rider |
$18.49
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.94
|
|
|
HC CATH THORACIC 36FR CHEST TUBE
|
Facility
|
OP
|
$52.97
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601402
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.59 |
| Max. Negotiated Rate |
$45.02 |
| Rate for Payer: Adventist Health Commercial |
$10.59
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$39.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.06
|
| Rate for Payer: Blue Shield of California Commercial |
$26.86
|
| Rate for Payer: Blue Shield of California Commercial |
$40.73
|
| Rate for Payer: Cash Price |
$23.84
|
| Rate for Payer: Cigna of CA HMO |
$37.08
|
| Rate for Payer: Cigna of CA PPO |
$37.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.02
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.19
|
| Rate for Payer: EPIC Health Plan Senior |
$21.19
|
| Rate for Payer: Galaxy Health WC |
$45.02
|
| Rate for Payer: Global Benefits Group Commercial |
$31.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.08
|
| Rate for Payer: Multiplan Commercial |
$42.38
|
| Rate for Payer: Networks By Design Commercial |
$26.48
|
| Rate for Payer: Prime Health Services Commercial |
$45.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.78
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.88
|
| Rate for Payer: United Healthcare All Other HMO |
$19.35
|
| Rate for Payer: United Healthcare HMO Rider |
$18.93
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.02
|
| Rate for Payer: Vantage Medical Group Senior |
$45.02
|
|
|
HC CATH THORACIC 36FR CHEST TUBE
|
Facility
|
IP
|
$52.97
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601402
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.59 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$10.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$23.84
|
| Rate for Payer: Cash Price |
$23.84
|
| Rate for Payer: Cigna of CA HMO |
$37.08
|
| Rate for Payer: Cigna of CA PPO |
$37.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.19
|
| Rate for Payer: EPIC Health Plan Senior |
$21.19
|
| Rate for Payer: Galaxy Health WC |
$45.02
|
| Rate for Payer: Global Benefits Group Commercial |
$31.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$33.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.71
|
| Rate for Payer: Multiplan Commercial |
$42.38
|
| Rate for Payer: Networks By Design Commercial |
$26.48
|
| Rate for Payer: Prime Health Services Commercial |
$45.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.88
|
| Rate for Payer: United Healthcare All Other HMO |
$19.35
|
| Rate for Payer: United Healthcare HMO Rider |
$18.93
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.35
|
|
|
HC CATH THORACIC 40FR CHEST TUBE
|
Facility
|
IP
|
$51.25
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.25 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$10.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$23.06
|
| Rate for Payer: Cash Price |
$23.06
|
| Rate for Payer: Cigna of CA HMO |
$35.88
|
| Rate for Payer: Cigna of CA PPO |
$35.88
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.50
|
| Rate for Payer: EPIC Health Plan Senior |
$20.50
|
| Rate for Payer: Galaxy Health WC |
$43.56
|
| Rate for Payer: Global Benefits Group Commercial |
$30.75
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.30
|
| Rate for Payer: Multiplan Commercial |
$41.00
|
| Rate for Payer: Networks By Design Commercial |
$25.62
|
| Rate for Payer: Prime Health Services Commercial |
$43.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.23
|
| Rate for Payer: United Healthcare All Other HMO |
$18.72
|
| Rate for Payer: United Healthcare HMO Rider |
$18.32
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.78
|
|
|
HC CATH THORACIC 40FR CHEST TUBE
|
Facility
|
OP
|
$51.25
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.25 |
| Max. Negotiated Rate |
$43.56 |
| Rate for Payer: Adventist Health Commercial |
$10.25
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$43.56
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$28.19
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$38.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.02
|
| Rate for Payer: Blue Shield of California Commercial |
$25.98
|
| Rate for Payer: Blue Shield of California Commercial |
$39.41
|
| Rate for Payer: Cash Price |
$23.06
|
| Rate for Payer: Cigna of CA HMO |
$35.88
|
| Rate for Payer: Cigna of CA PPO |
$35.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$43.56
|
| Rate for Payer: Dignity Health Medi-Cal |
$43.56
|
| Rate for Payer: Dignity Health Medicare Advantage |
$43.56
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.50
|
| Rate for Payer: EPIC Health Plan Senior |
$20.50
|
| Rate for Payer: Galaxy Health WC |
$43.56
|
| Rate for Payer: Global Benefits Group Commercial |
$30.75
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$18.60
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$35.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$35.88
|
| Rate for Payer: Multiplan Commercial |
$41.00
|
| Rate for Payer: Networks By Design Commercial |
$25.62
|
| Rate for Payer: Prime Health Services Commercial |
$43.56
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.75
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$30.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.23
|
| Rate for Payer: United Healthcare All Other HMO |
$18.72
|
| Rate for Payer: United Healthcare HMO Rider |
$18.32
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$43.56
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$43.56
|
| Rate for Payer: Vantage Medical Group Senior |
$43.56
|
|
|
HC CATH THORACIC ARGYLE 28FR
|
Facility
|
OP
|
$82.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698954
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$70.02 |
| Rate for Payer: Adventist Health Commercial |
$16.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$70.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49.86
|
| Rate for Payer: Blue Shield of California Commercial |
$41.77
|
| Rate for Payer: Blue Shield of California Commercial |
$63.35
|
| Rate for Payer: Cash Price |
$37.07
|
| Rate for Payer: Cigna of CA HMO |
$57.67
|
| Rate for Payer: Cigna of CA PPO |
$57.67
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$70.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$70.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$70.02
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.95
|
| Rate for Payer: EPIC Health Plan Senior |
$32.95
|
| Rate for Payer: Galaxy Health WC |
$70.02
|
| Rate for Payer: Global Benefits Group Commercial |
$49.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57.67
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57.67
|
| Rate for Payer: Multiplan Commercial |
$65.90
|
| Rate for Payer: Networks By Design Commercial |
$41.19
|
| Rate for Payer: Prime Health Services Commercial |
$70.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.43
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.92
|
| Rate for Payer: United Healthcare All Other HMO |
$30.09
|
| Rate for Payer: United Healthcare HMO Rider |
$29.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.98
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$70.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$70.02
|
| Rate for Payer: Vantage Medical Group Senior |
$70.02
|
|
|
HC CATH THORACIC ARGYLE 28FR
|
Facility
|
IP
|
$82.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698954
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$16.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$37.07
|
| Rate for Payer: Cash Price |
$37.07
|
| Rate for Payer: Cigna of CA HMO |
$57.67
|
| Rate for Payer: Cigna of CA PPO |
$57.67
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.95
|
| Rate for Payer: EPIC Health Plan Senior |
$32.95
|
| Rate for Payer: Galaxy Health WC |
$70.02
|
| Rate for Payer: Global Benefits Group Commercial |
$49.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.77
|
| Rate for Payer: Multiplan Commercial |
$65.90
|
| Rate for Payer: Networks By Design Commercial |
$41.19
|
| Rate for Payer: Prime Health Services Commercial |
$70.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.92
|
| Rate for Payer: United Healthcare All Other HMO |
$30.09
|
| Rate for Payer: United Healthcare HMO Rider |
$29.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.98
|
|
|
HC CATH THORACIC ARGYLE 32FR
|
Facility
|
IP
|
$82.00
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698953
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$14,109.00 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,109.00
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Cigna of CA HMO |
$57.40
|
| Rate for Payer: Cigna of CA PPO |
$57.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.68
|
| Rate for Payer: Multiplan Commercial |
$65.60
|
| Rate for Payer: Networks By Design Commercial |
$41.00
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.77
|
| Rate for Payer: United Healthcare All Other HMO |
$29.95
|
| Rate for Payer: United Healthcare HMO Rider |
$29.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.86
|
|
|
HC CATH THORACIC ARGYLE 32FR
|
Facility
|
OP
|
$82.00
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698953
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$69.70 |
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$49.63
|
| Rate for Payer: Blue Shield of California Commercial |
$41.57
|
| Rate for Payer: Blue Shield of California Commercial |
$63.06
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Cigna of CA HMO |
$57.40
|
| Rate for Payer: Cigna of CA PPO |
$57.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$69.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$69.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57.40
|
| Rate for Payer: Multiplan Commercial |
$65.60
|
| Rate for Payer: Networks By Design Commercial |
$41.00
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.77
|
| Rate for Payer: United Healthcare All Other HMO |
$29.95
|
| Rate for Payer: United Healthcare HMO Rider |
$29.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.86
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$69.70
|
| Rate for Payer: Vantage Medical Group Senior |
$69.70
|
|
|
HC CATH THORACIC STRGHT 28FRX20IN
|
Facility
|
OP
|
$58.22
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.64 |
| Max. Negotiated Rate |
$49.49 |
| Rate for Payer: Adventist Health Commercial |
$11.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$49.49
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$43.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35.24
|
| Rate for Payer: Blue Shield of California Commercial |
$29.52
|
| Rate for Payer: Blue Shield of California Commercial |
$44.77
|
| Rate for Payer: Cash Price |
$26.20
|
| Rate for Payer: Cigna of CA HMO |
$40.75
|
| Rate for Payer: Cigna of CA PPO |
$40.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$49.49
|
| Rate for Payer: Dignity Health Medi-Cal |
$49.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$49.49
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.29
|
| Rate for Payer: EPIC Health Plan Senior |
$23.29
|
| Rate for Payer: Galaxy Health WC |
$49.49
|
| Rate for Payer: Global Benefits Group Commercial |
$34.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$21.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40.75
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40.75
|
| Rate for Payer: Multiplan Commercial |
$46.58
|
| Rate for Payer: Networks By Design Commercial |
$29.11
|
| Rate for Payer: Prime Health Services Commercial |
$49.49
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.85
|
| Rate for Payer: United Healthcare All Other HMO |
$21.27
|
| Rate for Payer: United Healthcare HMO Rider |
$20.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$49.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$49.49
|
| Rate for Payer: Vantage Medical Group Senior |
$49.49
|
|
