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Charge Type Price  
Service Code CPT 25300
Hospital Charge Code 900501447
Hospital Revenue Code 450
Min. Negotiated Rate $640.87
Max. Negotiated Rate $9,590.00
Rate for Payer: Aetna of CA HMO/PPO $9,590.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,066.32
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,448.63
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,044.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $5,930.40
Rate for Payer: Cash Price $4,447.80
Rate for Payer: Cash Price $4,447.80
Rate for Payer: Cash Price $4,447.80
Rate for Payer: Cigna of CA PPO $7,314.16
Rate for Payer: Dignity Health Commercial/Exchange $6,066.32
Rate for Payer: Dignity Health Media $4,044.21
Rate for Payer: Dignity Health Medi-Cal $4,448.63
Rate for Payer: EPIC Health Plan Commercial $5,459.68
Rate for Payer: EPIC Health Plan Medicare/Senior $4,044.21
Rate for Payer: EPIC Health Plan Transplant $4,044.21
Rate for Payer: Galaxy Health WC $8,401.40
Rate for Payer: Global Benefits Group Commercial $5,930.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $7,413.00
Rate for Payer: Heritage Provider Network Commercial $6,632.50
Rate for Payer: Heritage Provider Network Transplant $6,632.50
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $4,044.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6,592.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal $640.87
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,044.21
Rate for Payer: LLUH Dept of Risk Management WC $2,372.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,095.70
Rate for Payer: Molina Healthcare of CA Medicare $5,419.24
Rate for Payer: Multiplan Commercial $7,907.20
Rate for Payer: Networks By Design Commercial $6,424.60
Rate for Payer: Prime Health Services Commercial $8,401.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $5,930.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $5,930.40
Rate for Payer: United Healthcare All Other Commercial $4,942.00
Rate for Payer: United Healthcare All Other HMO $4,942.00
Rate for Payer: United Healthcare HMO Rider $4,942.00
Rate for Payer: United Healthcare Select/Navigate/Core $4,942.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,066.32
Rate for Payer: Vantage Medical Group Medi-Cal $4,448.63
Rate for Payer: Vantage Medical Group Senior $4,044.21
Service Code CPT A9581
Hospital Charge Code 908801701
Hospital Revenue Code 343
Min. Negotiated Rate $17.04
Max. Negotiated Rate $60.35
Rate for Payer: Blue Shield of California Commercial $50.55
Rate for Payer: Blue Shield of California EPN $36.35
Rate for Payer: Cash Price $31.95
Rate for Payer: EPIC Health Plan Commercial $28.40
Rate for Payer: Galaxy Health WC $60.35
Rate for Payer: Global Benefits Group Commercial $42.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $47.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $27.05
Rate for Payer: LLUH Dept of Risk Management WC $17.04
Rate for Payer: Multiplan Commercial $56.80
Rate for Payer: Networks By Design Commercial $46.15
Rate for Payer: Prime Health Services Commercial $60.35
Service Code CPT A9581
Hospital Charge Code 908801701
Hospital Revenue Code 343
Min. Negotiated Rate $17.04
Max. Negotiated Rate $60.35
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $60.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $39.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $39.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27.71
Rate for Payer: BCBS Transplant Transplant $42.60
Rate for Payer: Blue Shield of California Commercial $41.96
Rate for Payer: Blue Shield of California EPN $33.30
Rate for Payer: Cash Price $31.95
Rate for Payer: Cash Price $31.95
Rate for Payer: Cigna of CA HMO $45.44
Rate for Payer: Cigna of CA PPO $52.54
Rate for Payer: Dignity Health Commercial/Exchange $60.35
Rate for Payer: Dignity Health Media $60.35
Rate for Payer: Dignity Health Medi-Cal $60.35
Rate for Payer: EPIC Health Plan Commercial $28.40
Rate for Payer: EPIC Health Plan Transplant $28.40
Rate for Payer: Galaxy Health WC $60.35
Rate for Payer: Global Benefits Group Commercial $42.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $53.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $47.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $28.02
Rate for Payer: LLUH Dept of Risk Management WC $17.04
Rate for Payer: Multiplan Commercial $56.80
Rate for Payer: Networks By Design Commercial $46.15
Rate for Payer: Prime Health Services Commercial $60.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $42.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $42.60
Rate for Payer: TriValley Medical Group Commercial/Senior $42.60
Rate for Payer: United Healthcare All Other Commercial $35.50
Rate for Payer: United Healthcare All Other HMO $35.50
Rate for Payer: United Healthcare HMO Rider $35.50
Rate for Payer: United Healthcare Select/Navigate/Core $35.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $60.35
Rate for Payer: Vantage Medical Group Medi-Cal $60.35
Rate for Payer: Vantage Medical Group Senior $60.35
Service Code CPT 97116
Hospital Charge Code 900400037
Hospital Revenue Code 420
Min. Negotiated Rate $68.16
Max. Negotiated Rate $241.40
Rate for Payer: Cash Price $127.80
Rate for Payer: EPIC Health Plan Commercial $113.60
Rate for Payer: Galaxy Health WC $241.40
Rate for Payer: Global Benefits Group Commercial $170.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $189.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $108.20
Rate for Payer: LLUH Dept of Risk Management WC $68.16
Rate for Payer: Multiplan Commercial $227.20
Rate for Payer: Networks By Design Commercial $184.60
Rate for Payer: Prime Health Services Commercial $241.40
Service Code CPT 97116
Hospital Charge Code 900400037
Hospital Revenue Code 420
Min. Negotiated Rate $21.43
Max. Negotiated Rate $421.00
Rate for Payer: Aetna of CA HMO/PPO $122.85
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $241.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $156.20
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $156.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $421.00
Rate for Payer: BCBS Transplant Transplant $170.40
Rate for Payer: Blue Shield of California Commercial $407.00
Rate for Payer: Blue Shield of California EPN $293.00
Rate for Payer: Cash Price $127.80
Rate for Payer: Cash Price $127.80
Rate for Payer: Cash Price $127.80
Rate for Payer: Cash Price $127.80
Rate for Payer: Cigna of CA HMO $181.76
Rate for Payer: Cigna of CA PPO $210.16
Rate for Payer: Dignity Health Commercial/Exchange $241.40
Rate for Payer: Dignity Health Media $241.40
Rate for Payer: Dignity Health Medi-Cal $241.40
Rate for Payer: EPIC Health Plan Commercial $113.60
Rate for Payer: EPIC Health Plan Transplant $113.60
Rate for Payer: Galaxy Health WC $241.40
Rate for Payer: Global Benefits Group Commercial $170.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $213.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $189.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.43
Rate for Payer: LLUH Dept of Risk Management WC $68.16
Rate for Payer: Multiplan Commercial $227.20
Rate for Payer: Networks By Design Commercial $184.60
Rate for Payer: Prime Health Services Commercial $241.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $170.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $170.40
Rate for Payer: TriValley Medical Group Commercial/Senior $170.40
Rate for Payer: United Healthcare All Other Commercial $396.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $213.00
Rate for Payer: United Healthcare Select/Navigate/Core $196.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $241.40
Rate for Payer: Vantage Medical Group Medi-Cal $241.40
Rate for Payer: Vantage Medical Group Senior $241.40
Service Code CPT 78226
Hospital Charge Code 909301353
Hospital Revenue Code 341
Min. Negotiated Rate $515.32
Max. Negotiated Rate $2,631.60
Rate for Payer: Aetna of CA HMO/PPO $1,877.93
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $772.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $566.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $515.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,215.44
Rate for Payer: BCBS Transplant Transplant $1,857.60
Rate for Payer: Blue Shield of California Commercial $1,829.74
Rate for Payer: Blue Shield of California EPN $1,452.02
Rate for Payer: Cash Price $1,393.20
Rate for Payer: Cash Price $1,393.20
Rate for Payer: Cigna of CA HMO $1,981.44
Rate for Payer: Cigna of CA PPO $2,291.04
Rate for Payer: Dignity Health Commercial/Exchange $772.98
Rate for Payer: Dignity Health Media $515.32
Rate for Payer: Dignity Health Medi-Cal $566.85
Rate for Payer: EPIC Health Plan Commercial $695.68
Rate for Payer: EPIC Health Plan Medicare/Senior $515.32
Rate for Payer: EPIC Health Plan Transplant $515.32
Rate for Payer: Galaxy Health WC $2,631.60
Rate for Payer: Global Benefits Group Commercial $1,857.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,322.00
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,065.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $552.92
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $743.04
Rate for Payer: Molina Healthcare of CA Medi-Cal $649.30
Rate for Payer: Molina Healthcare of CA Medicare $690.53
Rate for Payer: Multiplan Commercial $2,476.80
Rate for Payer: Networks By Design Commercial $2,012.40
Rate for Payer: Prime Health Services Commercial $2,631.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,857.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,857.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,857.60
Rate for Payer: United Healthcare All Other Commercial $751.01
Rate for Payer: United Healthcare All Other HMO $751.01
Rate for Payer: United Healthcare HMO Rider $751.01
Rate for Payer: United Healthcare Select/Navigate/Core $751.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $772.98
Rate for Payer: Vantage Medical Group Medi-Cal $566.85
Rate for Payer: Vantage Medical Group Senior $515.32
Service Code CPT 78226
Hospital Charge Code 909301353
Hospital Revenue Code 341
Min. Negotiated Rate $743.04
Max. Negotiated Rate $2,631.60
Rate for Payer: Cash Price $1,393.20
Rate for Payer: EPIC Health Plan Commercial $1,238.40
Rate for Payer: Galaxy Health WC $2,631.60
Rate for Payer: Global Benefits Group Commercial $1,857.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,065.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,179.58
Rate for Payer: LLUH Dept of Risk Management WC $743.04
Rate for Payer: Multiplan Commercial $2,476.80
Rate for Payer: Networks By Design Commercial $2,012.40
Rate for Payer: Prime Health Services Commercial $2,631.60
Service Code CPT 78800
Hospital Charge Code 909301446
Hospital Revenue Code 341
Min. Negotiated Rate $169.33
Max. Negotiated Rate $1,565.70
Rate for Payer: Aetna of CA HMO/PPO $981.58
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $772.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $566.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $515.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,097.46
Rate for Payer: BCBS Transplant Transplant $1,105.20
Rate for Payer: Blue Shield of California Commercial $1,088.62
Rate for Payer: Blue Shield of California EPN $863.90
Rate for Payer: Cash Price $828.90
Rate for Payer: Cash Price $828.90
Rate for Payer: Cigna of CA HMO $1,178.88
Rate for Payer: Cigna of CA PPO $1,363.08
Rate for Payer: Dignity Health Commercial/Exchange $772.98
Rate for Payer: Dignity Health Media $515.32
Rate for Payer: Dignity Health Medi-Cal $566.85
Rate for Payer: EPIC Health Plan Commercial $695.68
Rate for Payer: EPIC Health Plan Medicare/Senior $515.32
Rate for Payer: EPIC Health Plan Transplant $515.32
Rate for Payer: Galaxy Health WC $1,565.70
Rate for Payer: Global Benefits Group Commercial $1,105.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,381.50
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,228.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $169.33
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $442.08
Rate for Payer: Molina Healthcare of CA Medi-Cal $649.30
Rate for Payer: Molina Healthcare of CA Medicare $690.53
Rate for Payer: Multiplan Commercial $1,473.60
Rate for Payer: Networks By Design Commercial $1,197.30
Rate for Payer: Prime Health Services Commercial $1,565.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,105.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,105.20
Rate for Payer: TriValley Medical Group Commercial/Senior $1,105.20
Rate for Payer: United Healthcare All Other Commercial $717.15
Rate for Payer: United Healthcare All Other HMO $717.15
Rate for Payer: United Healthcare HMO Rider $717.15
Rate for Payer: United Healthcare Select/Navigate/Core $717.15
Rate for Payer: Vantage Medical Group Commercial/Exchange $772.98
Rate for Payer: Vantage Medical Group Medi-Cal $566.85
Rate for Payer: Vantage Medical Group Senior $515.32
Service Code CPT 78800
Hospital Charge Code 909301446
Hospital Revenue Code 341
Min. Negotiated Rate $442.08
Max. Negotiated Rate $1,565.70
Rate for Payer: Cash Price $828.90
Rate for Payer: EPIC Health Plan Commercial $736.80
Rate for Payer: Galaxy Health WC $1,565.70
Rate for Payer: Global Benefits Group Commercial $1,105.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,228.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $701.80
Rate for Payer: LLUH Dept of Risk Management WC $442.08
Rate for Payer: Multiplan Commercial $1,473.60
Rate for Payer: Networks By Design Commercial $1,197.30
Rate for Payer: Prime Health Services Commercial $1,565.70
Service Code CPT 82977
Hospital Charge Code 900910225
Hospital Revenue Code 301
Min. Negotiated Rate $4.80
Max. Negotiated Rate $65.97
Rate for Payer: Aetna of CA HMO/PPO $59.86
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $7.92
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $65.97
Rate for Payer: BCBS Transplant Transplant $12.00
Rate for Payer: Blue Shield of California Commercial $12.92
Rate for Payer: Blue Shield of California EPN $10.24
Rate for Payer: Cash Price $9.00
Rate for Payer: Cash Price $9.00
Rate for Payer: Cigna of CA HMO $12.80
Rate for Payer: Cigna of CA PPO $14.80
Rate for Payer: Dignity Health Commercial/Exchange $10.80
Rate for Payer: Dignity Health Media $7.20
Rate for Payer: Dignity Health Medi-Cal $7.92
Rate for Payer: EPIC Health Plan Commercial $9.72
Rate for Payer: EPIC Health Plan Medicare/Senior $7.20
Rate for Payer: EPIC Health Plan Transplant $7.20
Rate for Payer: Galaxy Health WC $17.00
Rate for Payer: Global Benefits Group Commercial $12.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $15.00
Rate for Payer: Heritage Provider Network Commercial $11.81
Rate for Payer: Heritage Provider Network Transplant $11.81
Rate for Payer: IEHP Medi-Cal $11.66
Rate for Payer: IEHP Medi-Cal Transplant $11.66
Rate for Payer: IEHP Medicare Advantage $7.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $13.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7.20
Rate for Payer: LLUH Dept of Risk Management WC $4.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $9.07
Rate for Payer: Molina Healthcare of CA Medicare $9.65
Rate for Payer: Multiplan Commercial $16.00
Rate for Payer: Networks By Design Commercial $13.00
Rate for Payer: Prime Health Services Commercial $17.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $12.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $12.00
Rate for Payer: TriValley Medical Group Commercial/Senior $12.00
Rate for Payer: United Healthcare All Other Commercial $5.83
Rate for Payer: United Healthcare All Other HMO $5.83
Rate for Payer: United Healthcare HMO Rider $5.83
Rate for Payer: United Healthcare Select/Navigate/Core $5.83
Rate for Payer: Vantage Medical Group Commercial/Exchange $10.80
Rate for Payer: Vantage Medical Group Medi-Cal $7.92
Rate for Payer: Vantage Medical Group Senior $7.20
Service Code CPT 78264
Hospital Charge Code 909301364
Hospital Revenue Code 341
Min. Negotiated Rate $814.32
Max. Negotiated Rate $2,884.05
Rate for Payer: Cash Price $1,526.85
Rate for Payer: EPIC Health Plan Commercial $1,357.20
Rate for Payer: Galaxy Health WC $2,884.05
Rate for Payer: Global Benefits Group Commercial $2,035.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,263.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,292.73
Rate for Payer: LLUH Dept of Risk Management WC $814.32
Rate for Payer: Multiplan Commercial $2,714.40
Rate for Payer: Networks By Design Commercial $2,205.45
Rate for Payer: Prime Health Services Commercial $2,884.05
Service Code CPT 78264
Hospital Charge Code 909301364
Hospital Revenue Code 341
Min. Negotiated Rate $515.32
Max. Negotiated Rate $2,884.05
Rate for Payer: Aetna of CA HMO/PPO $1,520.52
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $772.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $566.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $515.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,021.55
Rate for Payer: BCBS Transplant Transplant $2,035.80
Rate for Payer: Blue Shield of California Commercial $2,005.26
Rate for Payer: Blue Shield of California EPN $1,591.32
Rate for Payer: Cash Price $1,526.85
Rate for Payer: Cash Price $1,526.85
Rate for Payer: Cigna of CA HMO $2,171.52
Rate for Payer: Cigna of CA PPO $2,510.82
Rate for Payer: Dignity Health Commercial/Exchange $772.98
Rate for Payer: Dignity Health Media $515.32
Rate for Payer: Dignity Health Medi-Cal $566.85
Rate for Payer: EPIC Health Plan Commercial $695.68
Rate for Payer: EPIC Health Plan Medicare/Senior $515.32
Rate for Payer: EPIC Health Plan Transplant $515.32
Rate for Payer: Galaxy Health WC $2,884.05
Rate for Payer: Global Benefits Group Commercial $2,035.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,544.75
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,263.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $561.77
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $814.32
Rate for Payer: Molina Healthcare of CA Medi-Cal $649.30
Rate for Payer: Molina Healthcare of CA Medicare $690.53
Rate for Payer: Multiplan Commercial $2,714.40
Rate for Payer: Networks By Design Commercial $2,205.45
Rate for Payer: Prime Health Services Commercial $2,884.05
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $2,035.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,035.80
Rate for Payer: TriValley Medical Group Commercial/Senior $2,035.80
Rate for Payer: United Healthcare All Other Commercial $623.82
Rate for Payer: United Healthcare All Other HMO $623.82
Rate for Payer: United Healthcare HMO Rider $623.82
Rate for Payer: United Healthcare Select/Navigate/Core $623.82
Rate for Payer: Vantage Medical Group Commercial/Exchange $772.98
Rate for Payer: Vantage Medical Group Medi-Cal $566.85
Rate for Payer: Vantage Medical Group Senior $515.32
Service Code CPT 43753
Hospital Charge Code 900501762
Hospital Revenue Code 450
Min. Negotiated Rate $213.12
Max. Negotiated Rate $754.80
Rate for Payer: Cash Price $399.60
Rate for Payer: EPIC Health Plan Commercial $355.20
Rate for Payer: Galaxy Health WC $754.80
Rate for Payer: Global Benefits Group Commercial $532.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $592.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $338.33
Rate for Payer: LLUH Dept of Risk Management WC $213.12
Rate for Payer: Multiplan Commercial $710.40
Rate for Payer: Networks By Design Commercial $577.20
Rate for Payer: Prime Health Services Commercial $754.80
Service Code CPT 43753
Hospital Charge Code 900501762
Hospital Revenue Code 450
Min. Negotiated Rate $32.85
Max. Negotiated Rate $4,984.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $588.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $431.39
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $392.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $532.80
Rate for Payer: Cash Price $399.60
Rate for Payer: Cash Price $399.60
Rate for Payer: Cash Price $399.60
Rate for Payer: Cigna of CA PPO $657.12
Rate for Payer: Dignity Health Commercial/Exchange $588.26
Rate for Payer: Dignity Health Media $392.17
Rate for Payer: Dignity Health Medi-Cal $431.39
Rate for Payer: EPIC Health Plan Commercial $529.43
Rate for Payer: EPIC Health Plan Medicare/Senior $392.17
Rate for Payer: EPIC Health Plan Transplant $392.17
Rate for Payer: Galaxy Health WC $754.80
Rate for Payer: Global Benefits Group Commercial $532.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $666.00
Rate for Payer: Heritage Provider Network Commercial $643.16
Rate for Payer: Heritage Provider Network Transplant $643.16
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $392.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $592.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.85
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $392.17
Rate for Payer: LLUH Dept of Risk Management WC $213.12
Rate for Payer: Molina Healthcare of CA Medi-Cal $494.13
Rate for Payer: Molina Healthcare of CA Medicare $525.51
Rate for Payer: Multiplan Commercial $710.40
Rate for Payer: Networks By Design Commercial $577.20
Rate for Payer: Prime Health Services Commercial $754.80
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $532.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $532.80
Rate for Payer: United Healthcare All Other Commercial $444.00
Rate for Payer: United Healthcare All Other HMO $444.00
Rate for Payer: United Healthcare HMO Rider $444.00
Rate for Payer: United Healthcare Select/Navigate/Core $444.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $588.26
Rate for Payer: Vantage Medical Group Medi-Cal $431.39
Rate for Payer: Vantage Medical Group Senior $392.17
Service Code CPT 91020
Hospital Charge Code 906791020
Hospital Revenue Code 750
Min. Negotiated Rate $174.97
Max. Negotiated Rate $6,668.88
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,004.52
Rate for Payer: AlphaCare Medical Group Medi-Cal $736.65
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $669.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $722.11
Rate for Payer: BCBS Transplant Transplant $727.20
Rate for Payer: Blue Shield of California Commercial $6,668.88
Rate for Payer: Blue Shield of California EPN $4,340.48
Rate for Payer: Cash Price $545.40
Rate for Payer: Cash Price $545.40
Rate for Payer: Cash Price $545.40
Rate for Payer: Cigna of CA PPO $896.88
Rate for Payer: Dignity Health Commercial/Exchange $1,004.52
Rate for Payer: Dignity Health Media $669.68
Rate for Payer: Dignity Health Medi-Cal $736.65
Rate for Payer: EPIC Health Plan Commercial $904.07
Rate for Payer: EPIC Health Plan Medicare/Senior $669.68
Rate for Payer: EPIC Health Plan Transplant $669.68
Rate for Payer: Galaxy Health WC $1,030.20
Rate for Payer: Global Benefits Group Commercial $727.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $909.00
Rate for Payer: Heritage Provider Network Commercial $1,098.28
Rate for Payer: Heritage Provider Network Transplant $1,098.28
Rate for Payer: IEHP Medi-Cal $1,084.88
Rate for Payer: IEHP Medi-Cal Transplant $1,084.88
Rate for Payer: IEHP Medicare Advantage $669.68
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $808.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal $174.97
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $669.68
Rate for Payer: LLUH Dept of Risk Management WC $290.88
Rate for Payer: Molina Healthcare of CA Medi-Cal $843.80
Rate for Payer: Molina Healthcare of CA Medicare $897.37
Rate for Payer: Multiplan Commercial $969.60
Rate for Payer: Networks By Design Commercial $787.80
Rate for Payer: Prime Health Services Commercial $1,030.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $736.65
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $727.20
Rate for Payer: TriValley Medical Group Commercial/Senior $803.62
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 $1,004.52
Rate for Payer: Vantage Medical Group Medi-Cal $736.65
Rate for Payer: Vantage Medical Group Senior $669.68
Service Code CPT 91020
Hospital Charge Code 906791020
Hospital Revenue Code 750
Min. Negotiated Rate $480.24
Max. Negotiated Rate $1,700.85
Rate for Payer: Cash Price $900.45
Rate for Payer: EPIC Health Plan Commercial $800.40
Rate for Payer: Galaxy Health WC $1,700.85
Rate for Payer: Global Benefits Group Commercial $1,200.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,334.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $762.38
Rate for Payer: LLUH Dept of Risk Management WC $480.24
Rate for Payer: Multiplan Commercial $1,600.80
Rate for Payer: Networks By Design Commercial $1,300.65
Rate for Payer: Prime Health Services Commercial $1,700.85
Service Code CPT 43810
Hospital Charge Code 906743810
Hospital Revenue Code 750
Min. Negotiated Rate $1,761.60
Max. Negotiated Rate $6,239.00
Rate for Payer: Cash Price $3,303.00
Rate for Payer: EPIC Health Plan Commercial $2,936.00
Rate for Payer: Galaxy Health WC $6,239.00
Rate for Payer: Global Benefits Group Commercial $4,404.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,895.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,796.54
Rate for Payer: LLUH Dept of Risk Management WC $1,761.60
Rate for Payer: Multiplan Commercial $5,872.00
Rate for Payer: Networks By Design Commercial $4,771.00
Rate for Payer: Prime Health Services Commercial $6,239.00
Service Code CPT 43810
Hospital Charge Code 906743810
Hospital Revenue Code 750
Min. Negotiated Rate $209.38
Max. Negotiated Rate $8,628.00
Rate for Payer: Aetna of CA HMO/PPO $5,752.46
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,239.00
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,037.00
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,037.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,628.00
Rate for Payer: BCBS Transplant Transplant $4,404.00
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 $3,303.00
Rate for Payer: Cash Price $3,303.00
Rate for Payer: Cigna of CA PPO $5,431.60
Rate for Payer: Dignity Health Commercial/Exchange $6,239.00
Rate for Payer: Dignity Health Media $6,239.00
Rate for Payer: Dignity Health Medi-Cal $6,239.00
Rate for Payer: EPIC Health Plan Commercial $2,936.00
Rate for Payer: EPIC Health Plan Transplant $2,936.00
Rate for Payer: Galaxy Health WC $6,239.00
Rate for Payer: Global Benefits Group Commercial $4,404.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5,505.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,895.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal $209.38
Rate for Payer: LLUH Dept of Risk Management WC $1,761.60
Rate for Payer: Multiplan Commercial $5,872.00
Rate for Payer: Networks By Design Commercial $4,771.00
Rate for Payer: Prime Health Services Commercial $6,239.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,404.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,404.00
Rate for Payer: TriValley Medical Group Commercial/Senior $4,404.00
Rate for Payer: United Healthcare All Other Commercial $4,121.00
Rate for Payer: United Healthcare All Other HMO $4,248.00
Rate for Payer: United Healthcare HMO Rider $2,468.00
Rate for Payer: United Healthcare Select/Navigate/Core $2,257.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,239.00
Rate for Payer: Vantage Medical Group Medi-Cal $6,239.00
Rate for Payer: Vantage Medical Group Senior $6,239.00
Service Code CPT 78262
Hospital Charge Code 909301365
Hospital Revenue Code 341
Min. Negotiated Rate $485.52
Max. Negotiated Rate $1,719.55
Rate for Payer: Cash Price $910.35
Rate for Payer: EPIC Health Plan Commercial $809.20
Rate for Payer: Galaxy Health WC $1,719.55
Rate for Payer: Global Benefits Group Commercial $1,213.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,349.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $770.76
Rate for Payer: LLUH Dept of Risk Management WC $485.52
Rate for Payer: Multiplan Commercial $1,618.40
Rate for Payer: Networks By Design Commercial $1,314.95
Rate for Payer: Prime Health Services Commercial $1,719.55
Service Code CPT 78262
Hospital Charge Code 909301365
Hospital Revenue Code 341
Min. Negotiated Rate $205.47
Max. Negotiated Rate $1,719.55
Rate for Payer: Aetna of CA HMO/PPO $1,349.56
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $772.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $566.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $515.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,205.30
Rate for Payer: BCBS Transplant Transplant $1,213.80
Rate for Payer: Blue Shield of California Commercial $1,195.59
Rate for Payer: Blue Shield of California EPN $948.79
Rate for Payer: Cash Price $910.35
Rate for Payer: Cash Price $910.35
Rate for Payer: Cigna of CA HMO $1,294.72
Rate for Payer: Cigna of CA PPO $1,497.02
Rate for Payer: Dignity Health Commercial/Exchange $772.98
Rate for Payer: Dignity Health Media $515.32
Rate for Payer: Dignity Health Medi-Cal $566.85
Rate for Payer: EPIC Health Plan Commercial $695.68
Rate for Payer: EPIC Health Plan Medicare/Senior $515.32
Rate for Payer: EPIC Health Plan Transplant $515.32
Rate for Payer: Galaxy Health WC $1,719.55
Rate for Payer: Global Benefits Group Commercial $1,213.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,517.25
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,349.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $205.47
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $485.52
Rate for Payer: Molina Healthcare of CA Medi-Cal $649.30
Rate for Payer: Molina Healthcare of CA Medicare $690.53
Rate for Payer: Multiplan Commercial $1,618.40
Rate for Payer: Networks By Design Commercial $1,314.95
Rate for Payer: Prime Health Services Commercial $1,719.55
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,213.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,213.80
Rate for Payer: TriValley Medical Group Commercial/Senior $1,213.80
Rate for Payer: United Healthcare All Other Commercial $623.82
Rate for Payer: United Healthcare All Other HMO $623.82
Rate for Payer: United Healthcare HMO Rider $623.82
Rate for Payer: United Healthcare Select/Navigate/Core $623.82
Rate for Payer: Vantage Medical Group Commercial/Exchange $772.98
Rate for Payer: Vantage Medical Group Medi-Cal $566.85
Rate for Payer: Vantage Medical Group Senior $515.32
Service Code CPT 91034
Hospital Charge Code 906791034
Hospital Revenue Code 750
Min. Negotiated Rate $858.00
Max. Negotiated Rate $3,038.75
Rate for Payer: Cash Price $1,608.75
Rate for Payer: EPIC Health Plan Commercial $1,430.00
Rate for Payer: Galaxy Health WC $3,038.75
Rate for Payer: Global Benefits Group Commercial $2,145.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,384.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,362.08
Rate for Payer: LLUH Dept of Risk Management WC $858.00
Rate for Payer: Multiplan Commercial $2,860.00
Rate for Payer: Networks By Design Commercial $2,323.75
Rate for Payer: Prime Health Services Commercial $3,038.75
Service Code CPT 91035
Hospital Charge Code 906791035
Hospital Revenue Code 750
Min. Negotiated Rate $1,187.28
Max. Negotiated Rate $4,204.95
Rate for Payer: Cash Price $2,226.15
Rate for Payer: EPIC Health Plan Commercial $1,978.80
Rate for Payer: Galaxy Health WC $4,204.95
Rate for Payer: Global Benefits Group Commercial $2,968.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,299.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,884.81
Rate for Payer: LLUH Dept of Risk Management WC $1,187.28
Rate for Payer: Multiplan Commercial $3,957.60
Rate for Payer: Networks By Design Commercial $3,215.55
Rate for Payer: Prime Health Services Commercial $4,204.95
Service Code CPT 91034
Hospital Charge Code 906791034
Hospital Revenue Code 750
Min. Negotiated Rate $147.46
Max. Negotiated Rate $6,668.88
Rate for Payer: Aetna of CA HMO/PPO $1,006.19
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,004.52
Rate for Payer: AlphaCare Medical Group Medi-Cal $736.65
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $669.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $940.17
Rate for Payer: BCBS Transplant Transplant $946.80
Rate for Payer: Blue Shield of California Commercial $6,668.88
Rate for Payer: Blue Shield of California EPN $4,340.48
Rate for Payer: Cash Price $710.10
Rate for Payer: Cash Price $710.10
Rate for Payer: Cash Price $710.10
Rate for Payer: Cigna of CA PPO $1,167.72
Rate for Payer: Dignity Health Commercial/Exchange $1,004.52
Rate for Payer: Dignity Health Media $669.68
Rate for Payer: Dignity Health Medi-Cal $736.65
Rate for Payer: EPIC Health Plan Commercial $904.07
Rate for Payer: EPIC Health Plan Medicare/Senior $669.68
Rate for Payer: EPIC Health Plan Transplant $669.68
Rate for Payer: Galaxy Health WC $1,341.30
Rate for Payer: Global Benefits Group Commercial $946.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,183.50
Rate for Payer: Heritage Provider Network Commercial $1,098.28
Rate for Payer: Heritage Provider Network Transplant $1,098.28
Rate for Payer: IEHP Medi-Cal $1,084.88
Rate for Payer: IEHP Medi-Cal Transplant $1,084.88
Rate for Payer: IEHP Medicare Advantage $669.68
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,052.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal $147.46
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $669.68
Rate for Payer: LLUH Dept of Risk Management WC $378.72
Rate for Payer: Molina Healthcare of CA Medi-Cal $843.80
Rate for Payer: Molina Healthcare of CA Medicare $897.37
Rate for Payer: Multiplan Commercial $1,262.40
Rate for Payer: Networks By Design Commercial $1,025.70
Rate for Payer: Prime Health Services Commercial $1,341.30
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $736.65
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $946.80
Rate for Payer: TriValley Medical Group Commercial/Senior $803.62
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 $1,004.52
Rate for Payer: Vantage Medical Group Medi-Cal $736.65
Rate for Payer: Vantage Medical Group Senior $669.68
Service Code CPT 91035
Hospital Charge Code 906791035
Hospital Revenue Code 750
Min. Negotiated Rate $194.62
Max. Negotiated Rate $6,668.88
Rate for Payer: Aetna of CA HMO/PPO $2,765.52
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,004.52
Rate for Payer: AlphaCare Medical Group Medi-Cal $736.65
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $669.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,627.13
Rate for Payer: BCBS Transplant Transplant $1,638.60
Rate for Payer: Blue Shield of California Commercial $6,668.88
Rate for Payer: Blue Shield of California EPN $4,340.48
Rate for Payer: Cash Price $1,228.95
Rate for Payer: Cash Price $1,228.95
Rate for Payer: Cash Price $1,228.95
Rate for Payer: Cigna of CA PPO $2,020.94
Rate for Payer: Dignity Health Commercial/Exchange $1,004.52
Rate for Payer: Dignity Health Media $669.68
Rate for Payer: Dignity Health Medi-Cal $736.65
Rate for Payer: EPIC Health Plan Commercial $904.07
Rate for Payer: EPIC Health Plan Medicare/Senior $669.68
Rate for Payer: EPIC Health Plan Transplant $669.68
Rate for Payer: Galaxy Health WC $2,321.35
Rate for Payer: Global Benefits Group Commercial $1,638.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,048.25
Rate for Payer: Heritage Provider Network Commercial $1,098.28
Rate for Payer: Heritage Provider Network Transplant $1,098.28
Rate for Payer: IEHP Medi-Cal $1,084.88
Rate for Payer: IEHP Medi-Cal Transplant $1,084.88
Rate for Payer: IEHP Medicare Advantage $669.68
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,821.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $194.62
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $669.68
Rate for Payer: LLUH Dept of Risk Management WC $655.44
Rate for Payer: Molina Healthcare of CA Medi-Cal $843.80
Rate for Payer: Molina Healthcare of CA Medicare $897.37
Rate for Payer: Multiplan Commercial $2,184.80
Rate for Payer: Networks By Design Commercial $1,775.15
Rate for Payer: Prime Health Services Commercial $2,321.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $736.65
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,638.60
Rate for Payer: TriValley Medical Group Commercial/Senior $803.62
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 $1,004.52
Rate for Payer: Vantage Medical Group Medi-Cal $736.65
Rate for Payer: Vantage Medical Group Senior $669.68
Service Code CPT 87507
Hospital Charge Code 900913644
Hospital Revenue Code 300
Min. Negotiated Rate $154.56
Max. Negotiated Rate $3,351.66
Rate for Payer: Dignity Health Medi-Cal $458.46
Rate for Payer: EPIC Health Plan Commercial $562.65
Rate for Payer: Aetna of CA HMO/PPO $3,351.66
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $625.17
Rate for Payer: AlphaCare Medical Group Medi-Cal $458.46
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $416.78
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,852.78
Rate for Payer: BCBS Transplant Transplant $386.40
Rate for Payer: Blue Shield of California Commercial $416.02
Rate for Payer: Blue Shield of California EPN $329.73
Rate for Payer: Cash Price $289.80
Rate for Payer: Cash Price $289.80
Rate for Payer: Cigna of CA HMO $412.16
Rate for Payer: Cigna of CA PPO $476.56
Rate for Payer: Dignity Health Commercial/Exchange $625.17
Rate for Payer: Dignity Health Media $416.78
Rate for Payer: EPIC Health Plan Medicare/Senior $416.78
Rate for Payer: EPIC Health Plan Transplant $416.78
Rate for Payer: Galaxy Health WC $547.40
Rate for Payer: Global Benefits Group Commercial $386.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $483.00
Rate for Payer: Heritage Provider Network Commercial $683.52
Rate for Payer: Heritage Provider Network Transplant $683.52
Rate for Payer: IEHP Medi-Cal $675.18
Rate for Payer: IEHP Medi-Cal Transplant $675.18
Rate for Payer: IEHP Medicare Advantage $416.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $429.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $703.89
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $416.78
Rate for Payer: LLUH Dept of Risk Management WC $154.56
Rate for Payer: Molina Healthcare of CA Medi-Cal $525.14
Rate for Payer: Molina Healthcare of CA Medicare $558.49
Rate for Payer: Multiplan Commercial $515.20
Rate for Payer: Networks By Design Commercial $418.60
Rate for Payer: Prime Health Services Commercial $547.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $386.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $386.40
Rate for Payer: TriValley Medical Group Commercial/Senior $386.40
Rate for Payer: United Healthcare All Other Commercial $337.59
Rate for Payer: United Healthcare All Other HMO $337.59
Rate for Payer: United Healthcare HMO Rider $337.59
Rate for Payer: United Healthcare Select/Navigate/Core $337.59
Rate for Payer: Vantage Medical Group Commercial/Exchange $625.17
Rate for Payer: Vantage Medical Group Medi-Cal $458.46
Rate for Payer: Vantage Medical Group Senior $416.78