|
HC CATH VAPRO PLUS 14FR 16 IN
|
Facility
|
IP
|
$19.52
|
|
| Hospital Charge Code |
901607287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.90 |
| Max. Negotiated Rate |
$16.59 |
| Rate for Payer: Adventist Health Commercial |
$3.90
|
| Rate for Payer: Cash Price |
$8.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.81
|
| Rate for Payer: EPIC Health Plan Senior |
$7.81
|
| Rate for Payer: Galaxy Health WC |
$16.59
|
| Rate for Payer: Global Benefits Group Commercial |
$11.71
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.68
|
| Rate for Payer: Multiplan Commercial |
$15.62
|
| Rate for Payer: Networks By Design Commercial |
$12.69
|
| Rate for Payer: Prime Health Services Commercial |
$16.59
|
|
|
HC CATH VAPRO PLUS 14FR 16IN
|
Facility
|
IP
|
$17.30
|
|
| Hospital Charge Code |
901698330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$14.71 |
| Rate for Payer: Adventist Health Commercial |
$3.46
|
| Rate for Payer: Cash Price |
$7.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.92
|
| Rate for Payer: EPIC Health Plan Senior |
$6.92
|
| Rate for Payer: Galaxy Health WC |
$14.71
|
| Rate for Payer: Global Benefits Group Commercial |
$10.38
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.15
|
| Rate for Payer: Multiplan Commercial |
$13.84
|
| Rate for Payer: Networks By Design Commercial |
$11.24
|
| Rate for Payer: Prime Health Services Commercial |
$14.71
|
|
|
HC CATH VAPRO PLUS 14FR 16IN
|
Facility
|
OP
|
$17.30
|
|
| Hospital Charge Code |
901698330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$14.71 |
| Rate for Payer: Adventist Health Commercial |
$3.46
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.35
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9.52
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$12.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.10
|
| Rate for Payer: Cash Price |
$7.78
|
| Rate for Payer: Cigna of CA HMO |
$11.07
|
| Rate for Payer: Cigna of CA PPO |
$12.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.71
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.71
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.92
|
| Rate for Payer: EPIC Health Plan Senior |
$6.92
|
| Rate for Payer: Galaxy Health WC |
$14.71
|
| Rate for Payer: Global Benefits Group Commercial |
$10.38
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12.11
|
| Rate for Payer: Multiplan Commercial |
$13.84
|
| Rate for Payer: Networks By Design Commercial |
$11.24
|
| Rate for Payer: Prime Health Services Commercial |
$14.71
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.38
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$8.65
|
| Rate for Payer: United Healthcare All Other HMO |
$8.65
|
| Rate for Payer: United Healthcare HMO Rider |
$8.65
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.65
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.71
|
| Rate for Payer: Vantage Medical Group Senior |
$14.71
|
|
|
HC CATH VASC GUIDELINER
|
Facility
|
IP
|
$1,817.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$363.40 |
| Max. Negotiated Rate |
$1,544.45 |
| Rate for Payer: Adventist Health Commercial |
$363.40
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,271.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$726.80
|
| Rate for Payer: Galaxy Health WC |
$1,544.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,090.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,153.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,072.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$436.08
|
| Rate for Payer: Multiplan Commercial |
$1,453.60
|
| Rate for Payer: Networks By Design Commercial |
$1,181.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,544.45
|
|
|
HC CATH VASC GUIDELINER
|
Facility
|
OP
|
$1,817.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$213.43 |
| Max. Negotiated Rate |
$1,544.45 |
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,544.45
|
| Rate for Payer: Adventist Health Commercial |
$363.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$213.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$999.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,362.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,165.97
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Cigna of CA HMO |
$1,162.88
|
| Rate for Payer: Cigna of CA PPO |
$1,344.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,544.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,544.45
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,271.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$726.80
|
| Rate for Payer: Galaxy Health WC |
$1,544.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,090.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,153.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$659.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,072.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$436.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,271.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,271.90
|
| Rate for Payer: Multiplan Commercial |
$1,453.60
|
| Rate for Payer: Networks By Design Commercial |
$1,181.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,544.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,090.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,090.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$908.50
|
| Rate for Payer: United Healthcare All Other HMO |
$908.50
|
| Rate for Payer: United Healthcare HMO Rider |
$908.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$908.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Vantage Medical Group Senior |
$1,544.45
|
|
|
HC CATH VASC MINNIE SUPPORT
|
Facility
|
IP
|
$593.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$118.60 |
| Max. Negotiated Rate |
$504.05 |
| Rate for Payer: Adventist Health Commercial |
$118.60
|
| Rate for Payer: Cash Price |
$266.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$415.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$237.20
|
| Rate for Payer: EPIC Health Plan Senior |
$237.20
|
| Rate for Payer: Galaxy Health WC |
$504.05
|
| Rate for Payer: Global Benefits Group Commercial |
$355.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$376.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$349.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$142.32
|
| Rate for Payer: Multiplan Commercial |
$474.40
|
| Rate for Payer: Networks By Design Commercial |
$385.45
|
| Rate for Payer: Prime Health Services Commercial |
$504.05
|
|
|
HC CATH VASC MINNIE SUPPORT
|
Facility
|
OP
|
$593.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$118.60 |
| Max. Negotiated Rate |
$504.05 |
| Rate for Payer: Adventist Health Commercial |
$118.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$213.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$504.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$326.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$444.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$380.53
|
| Rate for Payer: Cash Price |
$266.85
|
| Rate for Payer: Cash Price |
$266.85
|
| Rate for Payer: Cigna of CA HMO |
$379.52
|
| Rate for Payer: Cigna of CA PPO |
$438.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$504.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$504.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$504.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$415.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$237.20
|
| Rate for Payer: EPIC Health Plan Senior |
$237.20
|
| Rate for Payer: Galaxy Health WC |
$504.05
|
| Rate for Payer: Global Benefits Group Commercial |
$355.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$376.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$215.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$349.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$142.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$415.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$415.10
|
| Rate for Payer: Multiplan Commercial |
$474.40
|
| Rate for Payer: Networks By Design Commercial |
$385.45
|
| Rate for Payer: Prime Health Services Commercial |
$504.05
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$355.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$355.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$296.50
|
| Rate for Payer: United Healthcare All Other HMO |
$296.50
|
| Rate for Payer: United Healthcare HMO Rider |
$296.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$296.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$504.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$504.05
|
| Rate for Payer: Vantage Medical Group Senior |
$504.05
|
|
|
HC CATH VASC SKYWAY
|
Facility
|
OP
|
$805.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812333
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$161.00 |
| Max. Negotiated Rate |
$684.25 |
| Rate for Payer: Adventist Health Commercial |
$161.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$213.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$684.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$442.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$603.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$516.57
|
| Rate for Payer: Cash Price |
$362.25
|
| Rate for Payer: Cash Price |
$362.25
|
| Rate for Payer: Cigna of CA HMO |
$515.20
|
| Rate for Payer: Cigna of CA PPO |
$595.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$684.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$684.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$684.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$563.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$322.00
|
| Rate for Payer: EPIC Health Plan Senior |
$322.00
|
| Rate for Payer: Galaxy Health WC |
$684.25
|
| Rate for Payer: Global Benefits Group Commercial |
$483.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$511.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$292.21
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$474.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$193.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$563.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$563.50
|
| Rate for Payer: Multiplan Commercial |
$644.00
|
| Rate for Payer: Networks By Design Commercial |
$523.25
|
| Rate for Payer: Prime Health Services Commercial |
$684.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$483.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$483.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$402.50
|
| Rate for Payer: United Healthcare All Other HMO |
$402.50
|
| Rate for Payer: United Healthcare HMO Rider |
$402.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$402.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$684.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$684.25
|
| Rate for Payer: Vantage Medical Group Senior |
$684.25
|
|
|
HC CATH VASC SKYWAY
|
Facility
|
IP
|
$805.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812333
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$161.00 |
| Max. Negotiated Rate |
$684.25 |
| Rate for Payer: Adventist Health Commercial |
$161.00
|
| Rate for Payer: Cash Price |
$362.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$563.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$322.00
|
| Rate for Payer: EPIC Health Plan Senior |
$322.00
|
| Rate for Payer: Galaxy Health WC |
$684.25
|
| Rate for Payer: Global Benefits Group Commercial |
$483.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$511.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$474.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$193.20
|
| Rate for Payer: Multiplan Commercial |
$644.00
|
| Rate for Payer: Networks By Design Commercial |
$523.25
|
| Rate for Payer: Prime Health Services Commercial |
$684.25
|
|
|
HC CATH VASC TWIN-PASS
|
Facility
|
IP
|
$1,495.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812332
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$299.00 |
| Max. Negotiated Rate |
$1,270.75 |
| Rate for Payer: Adventist Health Commercial |
$299.00
|
| Rate for Payer: Cash Price |
$672.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,046.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$598.00
|
| Rate for Payer: EPIC Health Plan Senior |
$598.00
|
| Rate for Payer: Galaxy Health WC |
$1,270.75
|
| Rate for Payer: Global Benefits Group Commercial |
$897.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$949.33
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$882.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$358.80
|
| Rate for Payer: Multiplan Commercial |
$1,196.00
|
| Rate for Payer: Networks By Design Commercial |
$971.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,270.75
|
|
|
HC CATH VASC TWIN-PASS
|
Facility
|
OP
|
$1,495.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812332
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$213.43 |
| Max. Negotiated Rate |
$1,270.75 |
| Rate for Payer: Adventist Health Commercial |
$299.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$213.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,270.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$822.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,121.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$959.34
|
| Rate for Payer: Cash Price |
$672.75
|
| Rate for Payer: Cash Price |
$672.75
|
| Rate for Payer: Cigna of CA HMO |
$956.80
|
| Rate for Payer: Cigna of CA PPO |
$1,106.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,270.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,270.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,270.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,046.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$598.00
|
| Rate for Payer: EPIC Health Plan Senior |
$598.00
|
| Rate for Payer: Galaxy Health WC |
$1,270.75
|
| Rate for Payer: Global Benefits Group Commercial |
$897.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$949.33
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$542.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$882.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$358.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,046.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,046.50
|
| Rate for Payer: Multiplan Commercial |
$1,196.00
|
| Rate for Payer: Networks By Design Commercial |
$971.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,270.75
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$897.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$897.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$747.50
|
| Rate for Payer: United Healthcare All Other HMO |
$747.50
|
| Rate for Payer: United Healthcare HMO Rider |
$747.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$747.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,270.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,270.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,270.75
|
|
|
HC CATH VENTRICULAR BACTISEAL
|
Facility
|
OP
|
$2,300.00
|
|
| Hospital Charge Code |
901604923
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$460.00 |
| Max. Negotiated Rate |
$1,955.00 |
| Rate for Payer: Adventist Health Commercial |
$460.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,508.57
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,265.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,725.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,475.91
|
| Rate for Payer: Cash Price |
$1,035.00
|
| Rate for Payer: Cigna of CA HMO |
$1,472.00
|
| Rate for Payer: Cigna of CA PPO |
$1,702.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,955.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,955.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,610.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$920.00
|
| Rate for Payer: EPIC Health Plan Senior |
$920.00
|
| Rate for Payer: Galaxy Health WC |
$1,955.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,380.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,460.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$834.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,357.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,610.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,610.00
|
| Rate for Payer: Multiplan Commercial |
$1,840.00
|
| Rate for Payer: Networks By Design Commercial |
$1,495.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,955.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,380.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,380.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,150.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,150.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,150.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,150.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,955.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,955.00
|
|
|
HC CATH VENTRICULAR BACTISEAL
|
Facility
|
IP
|
$2,300.00
|
|
| Hospital Charge Code |
901604923
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$460.00 |
| Max. Negotiated Rate |
$1,955.00 |
| Rate for Payer: Adventist Health Commercial |
$460.00
|
| Rate for Payer: Cash Price |
$1,035.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,610.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$920.00
|
| Rate for Payer: EPIC Health Plan Senior |
$920.00
|
| Rate for Payer: Galaxy Health WC |
$1,955.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,380.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,460.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,357.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.00
|
| Rate for Payer: Multiplan Commercial |
$1,840.00
|
| Rate for Payer: Networks By Design Commercial |
$1,495.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,955.00
|
|
|
HC CATH VENTRICULAR EDM TRANSLUC
|
Facility
|
OP
|
$821.28
|
|
| Hospital Charge Code |
901604606
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$164.26 |
| Max. Negotiated Rate |
$698.09 |
| Rate for Payer: Adventist Health Commercial |
$164.26
|
| Rate for Payer: Aetna of CA HMO/PPO |
$538.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$698.09
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$451.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$615.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$527.02
|
| Rate for Payer: Cash Price |
$369.58
|
| Rate for Payer: Cigna of CA HMO |
$525.62
|
| Rate for Payer: Cigna of CA PPO |
$607.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$698.09
|
| Rate for Payer: Dignity Health Medi-Cal |
$698.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$698.09
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$574.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$328.51
|
| Rate for Payer: EPIC Health Plan Senior |
$328.51
|
| Rate for Payer: Galaxy Health WC |
$698.09
|
| Rate for Payer: Global Benefits Group Commercial |
$492.77
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$521.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$298.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$484.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$197.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$574.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$574.90
|
| Rate for Payer: Multiplan Commercial |
$657.02
|
| Rate for Payer: Networks By Design Commercial |
$533.83
|
| Rate for Payer: Prime Health Services Commercial |
$698.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$492.77
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$492.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$410.64
|
| Rate for Payer: United Healthcare All Other HMO |
$410.64
|
| Rate for Payer: United Healthcare HMO Rider |
$410.64
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$410.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$698.09
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$698.09
|
| Rate for Payer: Vantage Medical Group Senior |
$698.09
|
|
|
HC CATH VENTRICULAR EDM TRANSLUC
|
Facility
|
IP
|
$821.28
|
|
| Hospital Charge Code |
901604606
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$164.26 |
| Max. Negotiated Rate |
$698.09 |
| Rate for Payer: Galaxy Health WC |
$698.09
|
| Rate for Payer: Adventist Health Commercial |
$164.26
|
| Rate for Payer: Cash Price |
$369.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$574.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$328.51
|
| Rate for Payer: EPIC Health Plan Senior |
$328.51
|
| Rate for Payer: Global Benefits Group Commercial |
$492.77
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$521.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$484.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$197.11
|
| Rate for Payer: Multiplan Commercial |
$657.02
|
| Rate for Payer: Networks By Design Commercial |
$533.83
|
| Rate for Payer: Prime Health Services Commercial |
$698.09
|
|
|
HC CATH VENTRICULAR LG BACTISEAL
|
Facility
|
IP
|
$2,300.00
|
|
| Hospital Charge Code |
901605478
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$460.00 |
| Max. Negotiated Rate |
$1,955.00 |
| Rate for Payer: Adventist Health Commercial |
$460.00
|
| Rate for Payer: Cash Price |
$1,035.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,610.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$920.00
|
| Rate for Payer: EPIC Health Plan Senior |
$920.00
|
| Rate for Payer: Galaxy Health WC |
$1,955.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,380.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,460.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,357.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.00
|
| Rate for Payer: Multiplan Commercial |
$1,840.00
|
| Rate for Payer: Networks By Design Commercial |
$1,495.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,955.00
|
|
|
HC CATH VENTRICULAR LG BACTISEAL
|
Facility
|
OP
|
$2,300.00
|
|
| Hospital Charge Code |
901605478
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$460.00 |
| Max. Negotiated Rate |
$1,955.00 |
| Rate for Payer: Vantage Medical Group Senior |
$1,955.00
|
| Rate for Payer: Adventist Health Commercial |
$460.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,508.57
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,265.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,725.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,475.91
|
| Rate for Payer: Cash Price |
$1,035.00
|
| Rate for Payer: Cigna of CA HMO |
$1,472.00
|
| Rate for Payer: Cigna of CA PPO |
$1,702.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,955.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,955.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,610.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$920.00
|
| Rate for Payer: EPIC Health Plan Senior |
$920.00
|
| Rate for Payer: Galaxy Health WC |
$1,955.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,380.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,460.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$834.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,357.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,610.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,610.00
|
| Rate for Payer: Multiplan Commercial |
$1,840.00
|
| Rate for Payer: Networks By Design Commercial |
$1,495.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,955.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,380.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,380.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,150.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,150.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,150.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,150.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,955.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,955.00
|
|
|
HC CATH VIRDEN
|
Facility
|
IP
|
$221.76
|
|
| Hospital Charge Code |
901600875
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.35 |
| Max. Negotiated Rate |
$188.50 |
| Rate for Payer: Adventist Health Commercial |
$44.35
|
| Rate for Payer: Cash Price |
$99.79
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$155.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$88.70
|
| Rate for Payer: EPIC Health Plan Senior |
$88.70
|
| Rate for Payer: Galaxy Health WC |
$188.50
|
| Rate for Payer: Global Benefits Group Commercial |
$133.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$140.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$130.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.22
|
| Rate for Payer: Multiplan Commercial |
$177.41
|
| Rate for Payer: Networks By Design Commercial |
$144.14
|
| Rate for Payer: Prime Health Services Commercial |
$188.50
|
|
|
HC CATH VIRDEN
|
Facility
|
OP
|
$221.76
|
|
| Hospital Charge Code |
901600875
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.35 |
| Max. Negotiated Rate |
$188.50 |
| Rate for Payer: United Healthcare HMO Rider |
$110.88
|
| Rate for Payer: Adventist Health Commercial |
$44.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$145.45
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$188.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$121.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$166.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$142.30
|
| Rate for Payer: Cash Price |
$99.79
|
| Rate for Payer: Cigna of CA HMO |
$141.93
|
| Rate for Payer: Cigna of CA PPO |
$164.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$188.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$188.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$188.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$155.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$88.70
|
| Rate for Payer: EPIC Health Plan Senior |
$88.70
|
| Rate for Payer: Galaxy Health WC |
$188.50
|
| Rate for Payer: Global Benefits Group Commercial |
$133.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$140.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$80.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$130.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$155.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$155.23
|
| Rate for Payer: Multiplan Commercial |
$177.41
|
| Rate for Payer: Networks By Design Commercial |
$144.14
|
| Rate for Payer: Prime Health Services Commercial |
$188.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$133.06
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$133.06
|
| Rate for Payer: United Healthcare All Other Commercial |
$110.88
|
| Rate for Payer: United Healthcare All Other HMO |
$110.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$110.88
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$188.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$188.50
|
| Rate for Payer: Vantage Medical Group Senior |
$188.50
|
|
|
HC CATH WHISTLE TIP 10-12FR
|
Facility
|
IP
|
$11.73
|
|
| Hospital Charge Code |
901601347
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
|
|
HC CATH WHISTLE TIP 10-12FR
|
Facility
|
OP
|
$11.73
|
|
| Hospital Charge Code |
901601347
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$7.69
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7.53
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Cigna of CA HMO |
$7.51
|
| Rate for Payer: Cigna of CA PPO |
$8.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$9.97
|
| Rate for Payer: Dignity Health Medi-Cal |
$9.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9.97
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8.21
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.87
|
| Rate for Payer: United Healthcare All Other HMO |
$5.87
|
| Rate for Payer: United Healthcare HMO Rider |
$5.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9.97
|
| Rate for Payer: Vantage Medical Group Senior |
$9.97
|
|
|
HC CATH WHISTLE TIP 14-16FR
|
Facility
|
OP
|
$11.73
|
|
| Hospital Charge Code |
901601348
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$7.69
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7.53
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Cigna of CA HMO |
$7.51
|
| Rate for Payer: Cigna of CA PPO |
$8.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$9.97
|
| Rate for Payer: Dignity Health Medi-Cal |
$9.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9.97
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8.21
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.87
|
| Rate for Payer: United Healthcare All Other HMO |
$5.87
|
| Rate for Payer: United Healthcare HMO Rider |
$5.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9.97
|
| Rate for Payer: Vantage Medical Group Senior |
$9.97
|
|
|
HC CATH WHISTLE TIP 14-16FR
|
Facility
|
IP
|
$11.73
|
|
| Hospital Charge Code |
901601348
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
|
|
HC CATH WHISTLE TIP 8FR
|
Facility
|
IP
|
$11.73
|
|
| Hospital Charge Code |
901601473
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
|
|
HC CATH WHISTLE TIP 8FR
|
Facility
|
OP
|
$11.73
|
|
| Hospital Charge Code |
901601473
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.35 |
| Max. Negotiated Rate |
$9.97 |
| Rate for Payer: United Healthcare HMO Rider |
$5.87
|
| Rate for Payer: Adventist Health Commercial |
$2.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$7.69
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7.53
|
| Rate for Payer: Cash Price |
$5.28
|
| Rate for Payer: Cigna of CA HMO |
$7.51
|
| Rate for Payer: Cigna of CA PPO |
$8.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$9.97
|
| Rate for Payer: Dignity Health Medi-Cal |
$9.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9.97
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.69
|
| Rate for Payer: EPIC Health Plan Senior |
$4.69
|
| Rate for Payer: Galaxy Health WC |
$9.97
|
| Rate for Payer: Global Benefits Group Commercial |
$7.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.82
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8.21
|
| Rate for Payer: Multiplan Commercial |
$9.38
|
| Rate for Payer: Networks By Design Commercial |
$7.62
|
| Rate for Payer: Prime Health Services Commercial |
$9.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.87
|
| Rate for Payer: United Healthcare All Other HMO |
$5.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$9.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9.97
|
| Rate for Payer: Vantage Medical Group Senior |
$9.97
|
|
