Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search
Charge Type Price  
Service Code CPT 87273
Hospital Charge Code 900911731
Hospital Revenue Code 306
Min. Negotiated Rate $9.36
Max. Negotiated Rate $84.70
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $17.97
Rate for Payer: AlphaCare Medical Group Medi-Cal $13.18
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $11.98
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $84.70
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $17.97
Rate for Payer: Dignity Health Media $11.98
Rate for Payer: Dignity Health Medi-Cal $13.18
Rate for Payer: EPIC Health Plan Commercial $16.17
Rate for Payer: EPIC Health Plan Medicare/Senior $11.98
Rate for Payer: EPIC Health Plan Transplant $11.98
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $19.65
Rate for Payer: Heritage Provider Network Transplant $19.65
Rate for Payer: IEHP Medi-Cal $19.41
Rate for Payer: IEHP Medi-Cal Transplant $19.41
Rate for Payer: IEHP Medicare Advantage $11.98
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11.98
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $15.09
Rate for Payer: Molina Healthcare of CA Medicare $16.05
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $9.70
Rate for Payer: United Healthcare All Other HMO $9.70
Rate for Payer: United Healthcare HMO Rider $9.70
Rate for Payer: United Healthcare Select/Navigate/Core $9.70
Rate for Payer: Vantage Medical Group Commercial/Exchange $17.97
Rate for Payer: Vantage Medical Group Medi-Cal $13.18
Rate for Payer: Vantage Medical Group Senior $11.98
Service Code CPT 87276
Hospital Charge Code 900911781
Hospital Revenue Code 306
Min. Negotiated Rate $9.36
Max. Negotiated Rate $82.00
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $24.10
Rate for Payer: AlphaCare Medical Group Medi-Cal $17.68
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $16.07
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $82.00
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $24.10
Rate for Payer: Dignity Health Media $16.07
Rate for Payer: Dignity Health Medi-Cal $17.68
Rate for Payer: EPIC Health Plan Commercial $21.69
Rate for Payer: EPIC Health Plan Medicare/Senior $16.07
Rate for Payer: EPIC Health Plan Transplant $16.07
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $26.35
Rate for Payer: Heritage Provider Network Transplant $26.35
Rate for Payer: IEHP Medi-Cal $26.03
Rate for Payer: IEHP Medi-Cal Transplant $26.03
Rate for Payer: IEHP Medicare Advantage $16.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.07
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $20.25
Rate for Payer: Molina Healthcare of CA Medicare $21.53
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $13.01
Rate for Payer: United Healthcare All Other HMO $13.01
Rate for Payer: United Healthcare HMO Rider $13.01
Rate for Payer: United Healthcare Select/Navigate/Core $13.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $24.10
Rate for Payer: Vantage Medical Group Medi-Cal $17.68
Rate for Payer: Vantage Medical Group Senior $16.07
Service Code CPT 87275
Hospital Charge Code 900911782
Hospital Revenue Code 306
Min. Negotiated Rate $9.36
Max. Negotiated Rate $84.70
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $18.38
Rate for Payer: AlphaCare Medical Group Medi-Cal $13.48
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $12.25
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $84.70
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $18.38
Rate for Payer: Dignity Health Media $12.25
Rate for Payer: Dignity Health Medi-Cal $13.48
Rate for Payer: EPIC Health Plan Commercial $16.54
Rate for Payer: EPIC Health Plan Medicare/Senior $12.25
Rate for Payer: EPIC Health Plan Transplant $12.25
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $20.09
Rate for Payer: Heritage Provider Network Transplant $20.09
Rate for Payer: IEHP Medi-Cal $19.84
Rate for Payer: IEHP Medi-Cal Transplant $19.84
Rate for Payer: IEHP Medicare Advantage $12.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.27
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $12.25
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $15.44
Rate for Payer: Molina Healthcare of CA Medicare $16.42
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $9.93
Rate for Payer: United Healthcare All Other HMO $9.93
Rate for Payer: United Healthcare HMO Rider $9.93
Rate for Payer: United Healthcare Select/Navigate/Core $9.93
Rate for Payer: Vantage Medical Group Commercial/Exchange $18.38
Rate for Payer: Vantage Medical Group Medi-Cal $13.48
Rate for Payer: Vantage Medical Group Senior $12.25
Service Code CPT 87278
Hospital Charge Code 900911733
Hospital Revenue Code 306
Min. Negotiated Rate $9.36
Max. Negotiated Rate $82.00
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $23.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $17.16
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $15.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $82.00
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $23.40
Rate for Payer: Dignity Health Media $15.60
Rate for Payer: Dignity Health Medi-Cal $17.16
Rate for Payer: EPIC Health Plan Commercial $21.06
Rate for Payer: EPIC Health Plan Medicare/Senior $15.60
Rate for Payer: EPIC Health Plan Transplant $15.60
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $25.58
Rate for Payer: Heritage Provider Network Transplant $25.58
Rate for Payer: IEHP Medi-Cal $25.27
Rate for Payer: IEHP Medi-Cal Transplant $25.27
Rate for Payer: IEHP Medicare Advantage $15.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $15.60
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $19.66
Rate for Payer: Molina Healthcare of CA Medicare $20.90
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $12.64
Rate for Payer: United Healthcare All Other HMO $12.64
Rate for Payer: United Healthcare HMO Rider $12.64
Rate for Payer: United Healthcare Select/Navigate/Core $12.64
Rate for Payer: Vantage Medical Group Commercial/Exchange $23.40
Rate for Payer: Vantage Medical Group Medi-Cal $17.16
Rate for Payer: Vantage Medical Group Senior $15.60
Service Code CPT 87279
Hospital Charge Code 900911783
Hospital Revenue Code 306
Min. Negotiated Rate $9.36
Max. Negotiated Rate $84.70
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $24.64
Rate for Payer: AlphaCare Medical Group Medi-Cal $18.07
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $16.43
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $84.70
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $24.64
Rate for Payer: Dignity Health Media $16.43
Rate for Payer: Dignity Health Medi-Cal $18.07
Rate for Payer: EPIC Health Plan Commercial $22.18
Rate for Payer: EPIC Health Plan Medicare/Senior $16.43
Rate for Payer: EPIC Health Plan Transplant $16.43
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $26.95
Rate for Payer: Heritage Provider Network Transplant $26.95
Rate for Payer: IEHP Medi-Cal $26.62
Rate for Payer: IEHP Medi-Cal Transplant $26.62
Rate for Payer: IEHP Medicare Advantage $16.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.43
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $20.70
Rate for Payer: Molina Healthcare of CA Medicare $22.02
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $13.31
Rate for Payer: United Healthcare All Other HMO $13.31
Rate for Payer: United Healthcare HMO Rider $13.31
Rate for Payer: United Healthcare Select/Navigate/Core $13.31
Rate for Payer: Vantage Medical Group Commercial/Exchange $24.64
Rate for Payer: Vantage Medical Group Medi-Cal $18.07
Rate for Payer: Vantage Medical Group Senior $16.43
Service Code CPT 73620
Hospital Charge Code 909001641
Hospital Revenue Code 320
Min. Negotiated Rate $32.87
Max. Negotiated Rate $600.10
Rate for Payer: Aetna of CA HMO/PPO $124.44
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $170.31
Rate for Payer: AlphaCare Medical Group Medi-Cal $124.89
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $113.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $128.74
Rate for Payer: BCBS Transplant Transplant $423.60
Rate for Payer: Blue Shield of California Commercial $417.25
Rate for Payer: Blue Shield of California EPN $331.11
Rate for Payer: Cash Price $317.70
Rate for Payer: Cash Price $317.70
Rate for Payer: Cigna of CA HMO $451.84
Rate for Payer: Cigna of CA PPO $522.44
Rate for Payer: Dignity Health Commercial/Exchange $170.31
Rate for Payer: Dignity Health Media $113.54
Rate for Payer: Dignity Health Medi-Cal $124.89
Rate for Payer: EPIC Health Plan Commercial $153.28
Rate for Payer: EPIC Health Plan Medicare/Senior $113.54
Rate for Payer: EPIC Health Plan Transplant $113.54
Rate for Payer: Galaxy Health WC $600.10
Rate for Payer: Global Benefits Group Commercial $423.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $529.50
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $470.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.87
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $169.44
Rate for Payer: Molina Healthcare of CA Medi-Cal $143.06
Rate for Payer: Molina Healthcare of CA Medicare $152.14
Rate for Payer: Multiplan Commercial $564.80
Rate for Payer: Networks By Design Commercial $458.90
Rate for Payer: Prime Health Services Commercial $600.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $423.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $423.60
Rate for Payer: TriValley Medical Group Commercial/Senior $423.60
Rate for Payer: United Healthcare All Other Commercial $114.69
Rate for Payer: United Healthcare All Other HMO $114.69
Rate for Payer: United Healthcare HMO Rider $114.69
Rate for Payer: United Healthcare Select/Navigate/Core $114.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $170.31
Rate for Payer: Vantage Medical Group Medi-Cal $124.89
Rate for Payer: Vantage Medical Group Senior $113.54
Service Code CPT 73620
Hospital Charge Code 909001641
Hospital Revenue Code 320
Min. Negotiated Rate $169.44
Max. Negotiated Rate $600.10
Rate for Payer: Cash Price $317.70
Rate for Payer: EPIC Health Plan Commercial $282.40
Rate for Payer: Galaxy Health WC $600.10
Rate for Payer: Global Benefits Group Commercial $423.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $470.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $268.99
Rate for Payer: LLUH Dept of Risk Management WC $169.44
Rate for Payer: Multiplan Commercial $564.80
Rate for Payer: Networks By Design Commercial $458.90
Rate for Payer: Prime Health Services Commercial $600.10
Service Code CPT 58999
Hospital Charge Code 900501441
Hospital Revenue Code 361
Min. Negotiated Rate $242.16
Max. Negotiated Rate $3,429.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $373.46
Rate for Payer: AlphaCare Medical Group Medi-Cal $273.87
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $248.97
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $601.16
Rate for Payer: BCBS Transplant Transplant $605.40
Rate for Payer: Blue Shield of California Commercial $2,699.31
Rate for Payer: Blue Shield of California EPN $1,756.86
Rate for Payer: Cash Price $454.05
Rate for Payer: Cash Price $454.05
Rate for Payer: Cigna of CA PPO $746.66
Rate for Payer: Dignity Health Commercial/Exchange $373.46
Rate for Payer: Dignity Health Media $248.97
Rate for Payer: Dignity Health Medi-Cal $273.87
Rate for Payer: EPIC Health Plan Commercial $336.11
Rate for Payer: EPIC Health Plan Medicare/Senior $248.97
Rate for Payer: EPIC Health Plan Transplant $248.97
Rate for Payer: Galaxy Health WC $857.65
Rate for Payer: Global Benefits Group Commercial $605.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $756.75
Rate for Payer: Heritage Provider Network Commercial $408.31
Rate for Payer: Heritage Provider Network Transplant $408.31
Rate for Payer: IEHP Medi-Cal $403.33
Rate for Payer: IEHP Medi-Cal Transplant $403.33
Rate for Payer: IEHP Medicare Advantage $248.97
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $673.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $248.97
Rate for Payer: LLUH Dept of Risk Management WC $242.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $313.70
Rate for Payer: Molina Healthcare of CA Medicare $333.62
Rate for Payer: Multiplan Commercial $807.20
Rate for Payer: Networks By Design Commercial $655.85
Rate for Payer: Prime Health Services Commercial $857.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $605.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $605.40
Rate for Payer: United Healthcare All Other Commercial $1,834.00
Rate for Payer: United Healthcare All Other HMO $1,517.00
Rate for Payer: United Healthcare HMO Rider $1,041.00
Rate for Payer: United Healthcare Select/Navigate/Core $951.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $373.46
Rate for Payer: Vantage Medical Group Medi-Cal $273.87
Rate for Payer: Vantage Medical Group Senior $248.97
Service Code CPT 58999
Hospital Charge Code 900501441
Hospital Revenue Code 361
Min. Negotiated Rate $242.16
Max. Negotiated Rate $857.65
Rate for Payer: Cash Price $454.05
Rate for Payer: EPIC Health Plan Commercial $403.60
Rate for Payer: Galaxy Health WC $857.65
Rate for Payer: Global Benefits Group Commercial $605.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $673.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $384.43
Rate for Payer: LLUH Dept of Risk Management WC $242.16
Rate for Payer: Multiplan Commercial $807.20
Rate for Payer: Networks By Design Commercial $655.85
Rate for Payer: Prime Health Services Commercial $857.65
Service Code CPT 58999
Hospital Charge Code 900501441
Hospital Revenue Code 450
Min. Negotiated Rate $242.16
Max. Negotiated Rate $3,429.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $373.46
Rate for Payer: AlphaCare Medical Group Medi-Cal $273.87
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $248.97
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,299.00
Rate for Payer: BCBS Transplant Transplant $605.40
Rate for Payer: Cash Price $454.05
Rate for Payer: Cash Price $454.05
Rate for Payer: Cash Price $454.05
Rate for Payer: Cigna of CA PPO $746.66
Rate for Payer: Dignity Health Commercial/Exchange $373.46
Rate for Payer: Dignity Health Media $248.97
Rate for Payer: Dignity Health Medi-Cal $273.87
Rate for Payer: EPIC Health Plan Commercial $336.11
Rate for Payer: EPIC Health Plan Medicare/Senior $248.97
Rate for Payer: EPIC Health Plan Transplant $248.97
Rate for Payer: Galaxy Health WC $857.65
Rate for Payer: Global Benefits Group Commercial $605.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $756.75
Rate for Payer: Heritage Provider Network Commercial $408.31
Rate for Payer: Heritage Provider Network Transplant $408.31
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $248.97
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $673.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $248.97
Rate for Payer: LLUH Dept of Risk Management WC $242.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $313.70
Rate for Payer: Molina Healthcare of CA Medicare $333.62
Rate for Payer: Multiplan Commercial $807.20
Rate for Payer: Networks By Design Commercial $655.85
Rate for Payer: Prime Health Services Commercial $857.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $605.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $605.40
Rate for Payer: United Healthcare All Other Commercial $504.50
Rate for Payer: United Healthcare All Other HMO $504.50
Rate for Payer: United Healthcare HMO Rider $504.50
Rate for Payer: United Healthcare Select/Navigate/Core $504.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $373.46
Rate for Payer: Vantage Medical Group Medi-Cal $273.87
Rate for Payer: Vantage Medical Group Senior $248.97
Service Code CPT 58999
Hospital Charge Code 900501441
Hospital Revenue Code 450
Min. Negotiated Rate $242.16
Max. Negotiated Rate $857.65
Rate for Payer: Cash Price $454.05
Rate for Payer: EPIC Health Plan Commercial $403.60
Rate for Payer: Galaxy Health WC $857.65
Rate for Payer: Global Benefits Group Commercial $605.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $673.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $384.43
Rate for Payer: LLUH Dept of Risk Management WC $242.16
Rate for Payer: Multiplan Commercial $807.20
Rate for Payer: Networks By Design Commercial $655.85
Rate for Payer: Prime Health Services Commercial $857.65
Service Code CPT 64447
Hospital Charge Code 900501590
Hospital Revenue Code 450
Min. Negotiated Rate $93.37
Max. Negotiated Rate $4,984.00
Rate for Payer: Aetna of CA HMO/PPO $3,171.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,296.06
Rate for Payer: AlphaCare Medical Group Medi-Cal $950.44
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $864.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $1,094.40
Rate for Payer: Cash Price $820.80
Rate for Payer: Cash Price $820.80
Rate for Payer: Cash Price $820.80
Rate for Payer: Cigna of CA PPO $1,349.76
Rate for Payer: Dignity Health Commercial/Exchange $1,296.06
Rate for Payer: Dignity Health Media $864.04
Rate for Payer: Dignity Health Medi-Cal $950.44
Rate for Payer: EPIC Health Plan Commercial $1,166.45
Rate for Payer: EPIC Health Plan Medicare/Senior $864.04
Rate for Payer: EPIC Health Plan Transplant $864.04
Rate for Payer: Galaxy Health WC $1,550.40
Rate for Payer: Global Benefits Group Commercial $1,094.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,368.00
Rate for Payer: Heritage Provider Network Commercial $1,417.03
Rate for Payer: Heritage Provider Network Transplant $1,417.03
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $864.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,216.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $93.37
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $864.04
Rate for Payer: LLUH Dept of Risk Management WC $437.76
Rate for Payer: Molina Healthcare of CA Medi-Cal $1,088.69
Rate for Payer: Molina Healthcare of CA Medicare $1,157.81
Rate for Payer: Multiplan Commercial $1,459.20
Rate for Payer: Networks By Design Commercial $1,185.60
Rate for Payer: Prime Health Services Commercial $1,550.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,094.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,094.40
Rate for Payer: United Healthcare All Other Commercial $912.00
Rate for Payer: United Healthcare All Other HMO $912.00
Rate for Payer: United Healthcare HMO Rider $912.00
Rate for Payer: United Healthcare Select/Navigate/Core $912.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $1,296.06
Rate for Payer: Vantage Medical Group Medi-Cal $950.44
Rate for Payer: Vantage Medical Group Senior $864.04
Service Code CPT 64447
Hospital Charge Code 900501590
Hospital Revenue Code 450
Min. Negotiated Rate $437.76
Max. Negotiated Rate $1,550.40
Rate for Payer: Cash Price $820.80
Rate for Payer: EPIC Health Plan Commercial $729.60
Rate for Payer: Galaxy Health WC $1,550.40
Rate for Payer: Global Benefits Group Commercial $1,094.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,216.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $694.94
Rate for Payer: LLUH Dept of Risk Management WC $437.76
Rate for Payer: Multiplan Commercial $1,459.20
Rate for Payer: Networks By Design Commercial $1,185.60
Rate for Payer: Prime Health Services Commercial $1,550.40
Service Code CPT 82120
Hospital Charge Code 910400132
Hospital Revenue Code 300
Min. Negotiated Rate $30.00
Max. Negotiated Rate $106.25
Rate for Payer: Cash Price $56.25
Rate for Payer: EPIC Health Plan Commercial $50.00
Rate for Payer: Galaxy Health WC $106.25
Rate for Payer: Global Benefits Group Commercial $75.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $83.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal $47.62
Rate for Payer: LLUH Dept of Risk Management WC $30.00
Rate for Payer: Multiplan Commercial $100.00
Rate for Payer: Networks By Design Commercial $81.25
Rate for Payer: Prime Health Services Commercial $106.25
Service Code CPT 82120
Hospital Charge Code 910400132
Hospital Revenue Code 300
Min. Negotiated Rate $4.85
Max. Negotiated Rate $106.25
Rate for Payer: Aetna of CA HMO/PPO $31.28
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $8.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $6.59
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $5.99
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $34.46
Rate for Payer: BCBS Transplant Transplant $75.00
Rate for Payer: Blue Shield of California Commercial $80.75
Rate for Payer: Blue Shield of California EPN $64.00
Rate for Payer: Cash Price $56.25
Rate for Payer: Cash Price $56.25
Rate for Payer: Cigna of CA HMO $80.00
Rate for Payer: Cigna of CA PPO $92.50
Rate for Payer: Dignity Health Commercial/Exchange $8.98
Rate for Payer: Dignity Health Media $5.99
Rate for Payer: Dignity Health Medi-Cal $6.59
Rate for Payer: EPIC Health Plan Commercial $8.09
Rate for Payer: EPIC Health Plan Medicare/Senior $5.99
Rate for Payer: EPIC Health Plan Transplant $5.99
Rate for Payer: Galaxy Health WC $106.25
Rate for Payer: Global Benefits Group Commercial $75.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $93.75
Rate for Payer: Heritage Provider Network Commercial $9.82
Rate for Payer: Heritage Provider Network Transplant $9.82
Rate for Payer: IEHP Medi-Cal $9.70
Rate for Payer: IEHP Medi-Cal Transplant $9.70
Rate for Payer: IEHP Medicare Advantage $5.99
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $83.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal $7.62
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $5.99
Rate for Payer: LLUH Dept of Risk Management WC $30.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $7.55
Rate for Payer: Molina Healthcare of CA Medicare $8.03
Rate for Payer: Multiplan Commercial $100.00
Rate for Payer: Networks By Design Commercial $81.25
Rate for Payer: Prime Health Services Commercial $106.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $75.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $75.00
Rate for Payer: TriValley Medical Group Commercial/Senior $75.00
Rate for Payer: United Healthcare All Other Commercial $4.85
Rate for Payer: United Healthcare All Other HMO $4.85
Rate for Payer: United Healthcare HMO Rider $4.85
Rate for Payer: United Healthcare Select/Navigate/Core $4.85
Rate for Payer: Vantage Medical Group Commercial/Exchange $8.98
Rate for Payer: Vantage Medical Group Medi-Cal $6.59
Rate for Payer: Vantage Medical Group Senior $5.99
Service Code CPT 82728
Hospital Charge Code 900910819
Hospital Revenue Code 301
Min. Negotiated Rate $6.00
Max. Negotiated Rate $124.32
Rate for Payer: Aetna of CA HMO/PPO $113.25
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $20.44
Rate for Payer: AlphaCare Medical Group Medi-Cal $14.99
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13.63
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $124.32
Rate for Payer: BCBS Transplant Transplant $15.00
Rate for Payer: Blue Shield of California Commercial $16.15
Rate for Payer: Blue Shield of California EPN $12.80
Rate for Payer: Cash Price $11.25
Rate for Payer: Cash Price $11.25
Rate for Payer: Cigna of CA HMO $16.00
Rate for Payer: Cigna of CA PPO $18.50
Rate for Payer: Dignity Health Commercial/Exchange $20.44
Rate for Payer: Dignity Health Media $13.63
Rate for Payer: Dignity Health Medi-Cal $14.99
Rate for Payer: EPIC Health Plan Commercial $18.40
Rate for Payer: EPIC Health Plan Medicare/Senior $13.63
Rate for Payer: EPIC Health Plan Transplant $13.63
Rate for Payer: Galaxy Health WC $21.25
Rate for Payer: Global Benefits Group Commercial $15.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $18.75
Rate for Payer: Heritage Provider Network Commercial $22.35
Rate for Payer: Heritage Provider Network Transplant $22.35
Rate for Payer: IEHP Medi-Cal $22.08
Rate for Payer: IEHP Medi-Cal Transplant $22.08
Rate for Payer: IEHP Medicare Advantage $13.63
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $16.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $22.93
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13.63
Rate for Payer: LLUH Dept of Risk Management WC $6.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $17.17
Rate for Payer: Molina Healthcare of CA Medicare $18.26
Rate for Payer: Multiplan Commercial $20.00
Rate for Payer: Networks By Design Commercial $16.25
Rate for Payer: Prime Health Services Commercial $21.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $15.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.00
Rate for Payer: TriValley Medical Group Commercial/Senior $15.00
Rate for Payer: United Healthcare All Other Commercial $11.04
Rate for Payer: United Healthcare All Other HMO $11.04
Rate for Payer: United Healthcare HMO Rider $11.04
Rate for Payer: United Healthcare Select/Navigate/Core $11.04
Rate for Payer: Vantage Medical Group Commercial/Exchange $20.44
Rate for Payer: Vantage Medical Group Medi-Cal $14.99
Rate for Payer: Vantage Medical Group Senior $13.63
Service Code CPT 59072
Hospital Charge Code 910400091
Hospital Revenue Code 510
Min. Negotiated Rate $139.92
Max. Negotiated Rate $7,282.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $601.23
Rate for Payer: AlphaCare Medical Group Medi-Cal $440.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $400.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $349.80
Rate for Payer: Blue Shield of California Commercial $429.67
Rate for Payer: Blue Shield of California EPN $340.47
Rate for Payer: Cash Price $262.35
Rate for Payer: Cash Price $262.35
Rate for Payer: Cigna of CA HMO $373.12
Rate for Payer: Cigna of CA PPO $431.42
Rate for Payer: Dignity Health Commercial/Exchange $601.23
Rate for Payer: Dignity Health Media $400.82
Rate for Payer: Dignity Health Medi-Cal $440.90
Rate for Payer: EPIC Health Plan Commercial $541.11
Rate for Payer: EPIC Health Plan Medicare/Senior $400.82
Rate for Payer: EPIC Health Plan Transplant $400.82
Rate for Payer: Galaxy Health WC $495.55
Rate for Payer: Global Benefits Group Commercial $349.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $437.25
Rate for Payer: Heritage Provider Network Commercial $657.34
Rate for Payer: Heritage Provider Network Transplant $657.34
Rate for Payer: IEHP Medi-Cal $649.33
Rate for Payer: IEHP Medi-Cal Transplant $649.33
Rate for Payer: IEHP Medicare Advantage $400.82
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $388.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $540.09
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $400.82
Rate for Payer: LLUH Dept of Risk Management WC $139.92
Rate for Payer: Molina Healthcare of CA Medi-Cal $505.03
Rate for Payer: Molina Healthcare of CA Medicare $537.10
Rate for Payer: Multiplan Commercial $466.40
Rate for Payer: Networks By Design Commercial $378.95
Rate for Payer: Prime Health Services Commercial $495.55
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $349.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $349.80
Rate for Payer: TriValley Medical Group Commercial/Senior $349.80
Rate for Payer: United Healthcare All Other Commercial $291.50
Rate for Payer: United Healthcare All Other HMO $291.50
Rate for Payer: United Healthcare HMO Rider $291.50
Rate for Payer: United Healthcare Select/Navigate/Core $291.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $601.23
Rate for Payer: Vantage Medical Group Medi-Cal $440.90
Rate for Payer: Vantage Medical Group Senior $400.82
Service Code CPT 59072
Hospital Charge Code 910400091
Hospital Revenue Code 510
Min. Negotiated Rate $139.92
Max. Negotiated Rate $495.55
Rate for Payer: Cash Price $262.35
Rate for Payer: EPIC Health Plan Commercial $233.20
Rate for Payer: Galaxy Health WC $495.55
Rate for Payer: Global Benefits Group Commercial $349.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $388.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $222.12
Rate for Payer: LLUH Dept of Risk Management WC $139.92
Rate for Payer: Multiplan Commercial $466.40
Rate for Payer: Networks By Design Commercial $378.95
Rate for Payer: Prime Health Services Commercial $495.55
Service Code CPT 59072
Hospital Charge Code 910400090
Hospital Revenue Code 510
Min. Negotiated Rate $139.92
Max. Negotiated Rate $7,282.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $601.23
Rate for Payer: AlphaCare Medical Group Medi-Cal $440.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $400.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $349.80
Rate for Payer: Blue Shield of California Commercial $429.67
Rate for Payer: Blue Shield of California EPN $340.47
Rate for Payer: Cash Price $262.35
Rate for Payer: Cash Price $262.35
Rate for Payer: Cigna of CA HMO $373.12
Rate for Payer: Cigna of CA PPO $431.42
Rate for Payer: Dignity Health Commercial/Exchange $601.23
Rate for Payer: Dignity Health Media $400.82
Rate for Payer: Dignity Health Medi-Cal $440.90
Rate for Payer: EPIC Health Plan Commercial $541.11
Rate for Payer: EPIC Health Plan Medicare/Senior $400.82
Rate for Payer: EPIC Health Plan Transplant $400.82
Rate for Payer: Galaxy Health WC $495.55
Rate for Payer: Global Benefits Group Commercial $349.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $437.25
Rate for Payer: Heritage Provider Network Commercial $657.34
Rate for Payer: Heritage Provider Network Transplant $657.34
Rate for Payer: IEHP Medi-Cal $649.33
Rate for Payer: IEHP Medi-Cal Transplant $649.33
Rate for Payer: IEHP Medicare Advantage $400.82
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $388.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $540.09
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $400.82
Rate for Payer: LLUH Dept of Risk Management WC $139.92
Rate for Payer: Molina Healthcare of CA Medi-Cal $505.03
Rate for Payer: Molina Healthcare of CA Medicare $537.10
Rate for Payer: Multiplan Commercial $466.40
Rate for Payer: Networks By Design Commercial $378.95
Rate for Payer: Prime Health Services Commercial $495.55
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $349.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $349.80
Rate for Payer: TriValley Medical Group Commercial/Senior $349.80
Rate for Payer: United Healthcare All Other Commercial $291.50
Rate for Payer: United Healthcare All Other HMO $291.50
Rate for Payer: United Healthcare HMO Rider $291.50
Rate for Payer: United Healthcare Select/Navigate/Core $291.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $601.23
Rate for Payer: Vantage Medical Group Medi-Cal $440.90
Rate for Payer: Vantage Medical Group Senior $400.82
Service Code CPT 59072
Hospital Charge Code 910400090
Hospital Revenue Code 510
Min. Negotiated Rate $139.92
Max. Negotiated Rate $495.55
Rate for Payer: Cash Price $262.35
Rate for Payer: EPIC Health Plan Commercial $233.20
Rate for Payer: Galaxy Health WC $495.55
Rate for Payer: Global Benefits Group Commercial $349.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $388.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $222.12
Rate for Payer: LLUH Dept of Risk Management WC $139.92
Rate for Payer: Multiplan Commercial $466.40
Rate for Payer: Networks By Design Commercial $378.95
Rate for Payer: Prime Health Services Commercial $495.55
Service Code CPT 76821
Hospital Charge Code 906601316
Hospital Revenue Code 402
Min. Negotiated Rate $400.32
Max. Negotiated Rate $1,417.80
Rate for Payer: Cash Price $750.60
Rate for Payer: EPIC Health Plan Commercial $667.20
Rate for Payer: Galaxy Health WC $1,417.80
Rate for Payer: Global Benefits Group Commercial $1,000.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,112.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal $635.51
Rate for Payer: LLUH Dept of Risk Management WC $400.32
Rate for Payer: Multiplan Commercial $1,334.40
Rate for Payer: Networks By Design Commercial $1,084.20
Rate for Payer: Prime Health Services Commercial $1,417.80
Service Code CPT 76821
Hospital Charge Code 906601316
Hospital Revenue Code 402
Min. Negotiated Rate $137.36
Max. Negotiated Rate $1,417.80
Rate for Payer: IEHP Medicare Advantage $137.36
Rate for Payer: Aetna of CA HMO/PPO $395.02
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $206.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $151.10
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $137.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $993.79
Rate for Payer: BCBS Transplant Transplant $1,000.80
Rate for Payer: Blue Shield of California Commercial $985.79
Rate for Payer: Blue Shield of California EPN $782.29
Rate for Payer: Cash Price $750.60
Rate for Payer: Cash Price $750.60
Rate for Payer: Cigna of CA HMO $1,067.52
Rate for Payer: Cigna of CA PPO $1,234.32
Rate for Payer: Dignity Health Commercial/Exchange $206.04
Rate for Payer: Dignity Health Media $137.36
Rate for Payer: Dignity Health Medi-Cal $151.10
Rate for Payer: EPIC Health Plan Commercial $185.44
Rate for Payer: EPIC Health Plan Medicare/Senior $137.36
Rate for Payer: EPIC Health Plan Transplant $137.36
Rate for Payer: Galaxy Health WC $1,417.80
Rate for Payer: Global Benefits Group Commercial $1,000.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,251.00
Rate for Payer: Heritage Provider Network Commercial $225.27
Rate for Payer: Heritage Provider Network Transplant $225.27
Rate for Payer: IEHP Medi-Cal $222.52
Rate for Payer: IEHP Medi-Cal Transplant $222.52
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,112.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal $158.56
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $400.32
Rate for Payer: Molina Healthcare of CA Medi-Cal $173.07
Rate for Payer: Molina Healthcare of CA Medicare $184.06
Rate for Payer: Multiplan Commercial $1,334.40
Rate for Payer: Networks By Design Commercial $1,084.20
Rate for Payer: Prime Health Services Commercial $1,417.80
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,000.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,000.80
Rate for Payer: TriValley Medical Group Commercial/Senior $1,000.80
Rate for Payer: United Healthcare All Other Commercial $161.07
Rate for Payer: United Healthcare All Other HMO $161.07
Rate for Payer: United Healthcare HMO Rider $161.07
Rate for Payer: United Healthcare Select/Navigate/Core $161.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 76820
Hospital Charge Code 906601315
Hospital Revenue Code 402
Min. Negotiated Rate $421.44
Max. Negotiated Rate $1,492.60
Rate for Payer: Cash Price $790.20
Rate for Payer: EPIC Health Plan Commercial $702.40
Rate for Payer: Galaxy Health WC $1,492.60
Rate for Payer: Global Benefits Group Commercial $1,053.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,171.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $669.04
Rate for Payer: LLUH Dept of Risk Management WC $421.44
Rate for Payer: Multiplan Commercial $1,404.80
Rate for Payer: Networks By Design Commercial $1,141.40
Rate for Payer: Prime Health Services Commercial $1,492.60
Service Code CPT 76820
Hospital Charge Code 906601315
Hospital Revenue Code 402
Min. Negotiated Rate $73.59
Max. Negotiated Rate $1,492.60
Rate for Payer: Aetna of CA HMO/PPO $141.76
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $206.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $151.10
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $137.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,046.22
Rate for Payer: BCBS Transplant Transplant $1,053.60
Rate for Payer: Blue Shield of California Commercial $1,037.80
Rate for Payer: Blue Shield of California EPN $823.56
Rate for Payer: Cash Price $790.20
Rate for Payer: Cash Price $790.20
Rate for Payer: Cigna of CA HMO $1,123.84
Rate for Payer: Cigna of CA PPO $1,299.44
Rate for Payer: Dignity Health Commercial/Exchange $206.04
Rate for Payer: Dignity Health Media $137.36
Rate for Payer: Dignity Health Medi-Cal $151.10
Rate for Payer: EPIC Health Plan Commercial $185.44
Rate for Payer: EPIC Health Plan Medicare/Senior $137.36
Rate for Payer: EPIC Health Plan Transplant $137.36
Rate for Payer: Galaxy Health WC $1,492.60
Rate for Payer: Global Benefits Group Commercial $1,053.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,317.00
Rate for Payer: Heritage Provider Network Commercial $225.27
Rate for Payer: Heritage Provider Network Transplant $225.27
Rate for Payer: IEHP Medi-Cal $222.52
Rate for Payer: IEHP Medi-Cal Transplant $222.52
Rate for Payer: IEHP Medicare Advantage $137.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,171.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $73.59
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $421.44
Rate for Payer: Molina Healthcare of CA Medi-Cal $173.07
Rate for Payer: Molina Healthcare of CA Medicare $184.06
Rate for Payer: Multiplan Commercial $1,404.80
Rate for Payer: Networks By Design Commercial $1,141.40
Rate for Payer: Prime Health Services Commercial $1,492.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,053.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,053.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,053.60
Rate for Payer: United Healthcare All Other Commercial $161.07
Rate for Payer: United Healthcare All Other HMO $161.07
Rate for Payer: United Healthcare HMO Rider $161.07
Rate for Payer: United Healthcare Select/Navigate/Core $161.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 82731
Hospital Charge Code 900912319
Hospital Revenue Code 304
Min. Negotiated Rate $44.40
Max. Negotiated Rate $1,228.48
Rate for Payer: Aetna of CA HMO/PPO $535.60
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $96.62
Rate for Payer: AlphaCare Medical Group Medi-Cal $70.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $64.41
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,228.48
Rate for Payer: BCBS Transplant Transplant $111.00
Rate for Payer: Blue Shield of California Commercial $119.51
Rate for Payer: Blue Shield of California EPN $94.72
Rate for Payer: Cash Price $83.25
Rate for Payer: Cash Price $83.25
Rate for Payer: Cigna of CA HMO $118.40
Rate for Payer: Cigna of CA PPO $136.90
Rate for Payer: Dignity Health Commercial/Exchange $96.62
Rate for Payer: Dignity Health Media $64.41
Rate for Payer: Dignity Health Medi-Cal $70.85
Rate for Payer: EPIC Health Plan Commercial $86.95
Rate for Payer: EPIC Health Plan Medicare/Senior $64.41
Rate for Payer: EPIC Health Plan Transplant $64.41
Rate for Payer: Galaxy Health WC $157.25
Rate for Payer: Global Benefits Group Commercial $111.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $138.75
Rate for Payer: Heritage Provider Network Commercial $105.63
Rate for Payer: Heritage Provider Network Transplant $105.63
Rate for Payer: IEHP Medi-Cal $104.34
Rate for Payer: IEHP Medi-Cal Transplant $104.34
Rate for Payer: IEHP Medicare Advantage $64.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $123.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal $106.76
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $64.41
Rate for Payer: LLUH Dept of Risk Management WC $44.40
Rate for Payer: Molina Healthcare of CA Medi-Cal $81.16
Rate for Payer: Molina Healthcare of CA Medicare $86.31
Rate for Payer: Multiplan Commercial $148.00
Rate for Payer: Networks By Design Commercial $120.25
Rate for Payer: Prime Health Services Commercial $157.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $111.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $111.00
Rate for Payer: TriValley Medical Group Commercial/Senior $111.00
Rate for Payer: United Healthcare All Other Commercial $52.17
Rate for Payer: United Healthcare All Other HMO $52.17
Rate for Payer: United Healthcare HMO Rider $52.17
Rate for Payer: United Healthcare Select/Navigate/Core $52.17
Rate for Payer: Vantage Medical Group Commercial/Exchange $96.62
Rate for Payer: Vantage Medical Group Medi-Cal $70.85
Rate for Payer: Vantage Medical Group Senior $64.41