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Service Code CPT 72198
Hospital Charge Code 908801097
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,635.85
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,705.55
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,705.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,847.58
Rate for Payer: BCBS Transplant Transplant $1,860.60
Rate for Payer: Blue Shield of California Commercial $1,832.69
Rate for Payer: Blue Shield of California EPN $1,454.37
Rate for Payer: Cash Price $1,395.45
Rate for Payer: Cash Price $1,395.45
Rate for Payer: Cigna of CA HMO $1,984.64
Rate for Payer: Cigna of CA PPO $2,294.74
Rate for Payer: Dignity Health Commercial/Exchange $2,635.85
Rate for Payer: Dignity Health Media $2,635.85
Rate for Payer: Dignity Health Medi-Cal $2,635.85
Rate for Payer: EPIC Health Plan Commercial $1,240.40
Rate for Payer: EPIC Health Plan Transplant $1,240.40
Rate for Payer: Galaxy Health WC $2,635.85
Rate for Payer: Global Benefits Group Commercial $1,860.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,325.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,068.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $629.64
Rate for Payer: LLUH Dept of Risk Management WC $744.24
Rate for Payer: Multiplan Commercial $2,480.80
Rate for Payer: Networks By Design Commercial $2,015.65
Rate for Payer: Prime Health Services Commercial $2,635.85
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,860.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,860.60
Rate for Payer: United Healthcare All Other Commercial $1,113.60
Rate for Payer: United Healthcare All Other HMO $1,113.60
Rate for Payer: United Healthcare HMO Rider $1,113.60
Rate for Payer: United Healthcare Select/Navigate/Core $1,113.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,635.85
Rate for Payer: Vantage Medical Group Medi-Cal $2,635.85
Rate for Payer: Vantage Medical Group Senior $2,635.85
Service Code CPT 72198
Hospital Charge Code 908801097
Hospital Revenue Code 618
Min. Negotiated Rate $1,336.80
Max. Negotiated Rate $4,734.50
Rate for Payer: Galaxy Health WC $4,734.50
Rate for Payer: Cash Price $2,506.50
Rate for Payer: EPIC Health Plan Commercial $2,228.00
Rate for Payer: Global Benefits Group Commercial $3,342.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,715.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,122.17
Rate for Payer: LLUH Dept of Risk Management WC $1,336.80
Rate for Payer: Multiplan Commercial $4,456.00
Rate for Payer: Networks By Design Commercial $3,620.50
Rate for Payer: Prime Health Services Commercial $4,734.50
Service Code CPT 72198
Hospital Charge Code 908801098
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,316.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,498.75
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,498.75
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,623.56
Rate for Payer: BCBS Transplant Transplant $1,635.00
Rate for Payer: Blue Shield of California Commercial $1,610.48
Rate for Payer: Blue Shield of California EPN $1,278.02
Rate for Payer: Cash Price $1,226.25
Rate for Payer: Cash Price $1,226.25
Rate for Payer: Cigna of CA HMO $1,744.00
Rate for Payer: Cigna of CA PPO $2,016.50
Rate for Payer: Dignity Health Commercial/Exchange $2,316.25
Rate for Payer: Dignity Health Media $2,316.25
Rate for Payer: Dignity Health Medi-Cal $2,316.25
Rate for Payer: EPIC Health Plan Commercial $1,090.00
Rate for Payer: EPIC Health Plan Transplant $1,090.00
Rate for Payer: Galaxy Health WC $2,316.25
Rate for Payer: Global Benefits Group Commercial $1,635.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,043.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,817.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $629.64
Rate for Payer: LLUH Dept of Risk Management WC $654.00
Rate for Payer: Multiplan Commercial $2,180.00
Rate for Payer: Networks By Design Commercial $1,771.25
Rate for Payer: Prime Health Services Commercial $2,316.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,635.00
Rate for Payer: TriValley Medical Group Commercial/Senior $1,635.00
Rate for Payer: United Healthcare All Other Commercial $1,113.60
Rate for Payer: United Healthcare All Other HMO $1,113.60
Rate for Payer: United Healthcare HMO Rider $1,113.60
Rate for Payer: United Healthcare Select/Navigate/Core $1,113.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,316.25
Rate for Payer: Vantage Medical Group Medi-Cal $2,316.25
Rate for Payer: Vantage Medical Group Senior $2,316.25
Service Code CPT 72198
Hospital Charge Code 908801098
Hospital Revenue Code 618
Min. Negotiated Rate $1,273.20
Max. Negotiated Rate $4,509.25
Rate for Payer: Cash Price $2,387.25
Rate for Payer: EPIC Health Plan Commercial $2,122.00
Rate for Payer: Galaxy Health WC $4,509.25
Rate for Payer: Global Benefits Group Commercial $3,183.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,538.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,021.20
Rate for Payer: LLUH Dept of Risk Management WC $1,273.20
Rate for Payer: Multiplan Commercial $4,244.00
Rate for Payer: Networks By Design Commercial $3,448.25
Rate for Payer: Prime Health Services Commercial $4,509.25
Service Code CPT 72198
Hospital Charge Code 908801034
Hospital Revenue Code 618
Min. Negotiated Rate $1,403.76
Max. Negotiated Rate $4,971.65
Rate for Payer: Cash Price $2,632.05
Rate for Payer: EPIC Health Plan Commercial $2,339.60
Rate for Payer: Galaxy Health WC $4,971.65
Rate for Payer: Global Benefits Group Commercial $3,509.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,901.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,228.47
Rate for Payer: LLUH Dept of Risk Management WC $1,403.76
Rate for Payer: Multiplan Commercial $4,679.20
Rate for Payer: Networks By Design Commercial $3,801.85
Rate for Payer: Prime Health Services Commercial $4,971.65
Service Code CPT 72198
Hospital Charge Code 908801099
Hospital Revenue Code 618
Min. Negotiated Rate $1,403.76
Max. Negotiated Rate $4,971.65
Rate for Payer: Cash Price $2,632.05
Rate for Payer: EPIC Health Plan Commercial $2,339.60
Rate for Payer: Galaxy Health WC $4,971.65
Rate for Payer: Global Benefits Group Commercial $3,509.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,901.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,228.47
Rate for Payer: LLUH Dept of Risk Management WC $1,403.76
Rate for Payer: Multiplan Commercial $4,679.20
Rate for Payer: Networks By Design Commercial $3,801.85
Rate for Payer: Prime Health Services Commercial $4,971.65
Service Code CPT 72198
Hospital Charge Code 908801034
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,958.00
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,914.00
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,914.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,073.38
Rate for Payer: BCBS Transplant Transplant $2,088.00
Rate for Payer: Blue Shield of California Commercial $2,056.68
Rate for Payer: Blue Shield of California EPN $1,632.12
Rate for Payer: Cash Price $1,566.00
Rate for Payer: Cash Price $1,566.00
Rate for Payer: Cigna of CA HMO $2,227.20
Rate for Payer: Cigna of CA PPO $2,575.20
Rate for Payer: Dignity Health Commercial/Exchange $2,958.00
Rate for Payer: Dignity Health Media $2,958.00
Rate for Payer: Dignity Health Medi-Cal $2,958.00
Rate for Payer: EPIC Health Plan Commercial $1,392.00
Rate for Payer: EPIC Health Plan Transplant $1,392.00
Rate for Payer: Galaxy Health WC $2,958.00
Rate for Payer: Global Benefits Group Commercial $2,088.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,610.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,321.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $629.64
Rate for Payer: LLUH Dept of Risk Management WC $835.20
Rate for Payer: Multiplan Commercial $2,784.00
Rate for Payer: Networks By Design Commercial $2,262.00
Rate for Payer: Prime Health Services Commercial $2,958.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,088.00
Rate for Payer: TriValley Medical Group Commercial/Senior $2,088.00
Rate for Payer: United Healthcare All Other Commercial $1,113.60
Rate for Payer: United Healthcare All Other HMO $1,113.60
Rate for Payer: United Healthcare HMO Rider $1,113.60
Rate for Payer: United Healthcare Select/Navigate/Core $1,113.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,958.00
Rate for Payer: Vantage Medical Group Medi-Cal $2,958.00
Rate for Payer: Vantage Medical Group Senior $2,958.00
Service Code CPT 72198
Hospital Charge Code 908801099
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,958.00
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,914.00
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,914.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,073.38
Rate for Payer: BCBS Transplant Transplant $2,088.00
Rate for Payer: Blue Shield of California Commercial $2,056.68
Rate for Payer: Blue Shield of California EPN $1,632.12
Rate for Payer: Cash Price $1,566.00
Rate for Payer: Cash Price $1,566.00
Rate for Payer: Cigna of CA HMO $2,227.20
Rate for Payer: Cigna of CA PPO $2,575.20
Rate for Payer: Dignity Health Commercial/Exchange $2,958.00
Rate for Payer: Dignity Health Media $2,958.00
Rate for Payer: Dignity Health Medi-Cal $2,958.00
Rate for Payer: EPIC Health Plan Commercial $1,392.00
Rate for Payer: EPIC Health Plan Transplant $1,392.00
Rate for Payer: Galaxy Health WC $2,958.00
Rate for Payer: Global Benefits Group Commercial $2,088.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,610.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,321.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $629.64
Rate for Payer: LLUH Dept of Risk Management WC $835.20
Rate for Payer: Multiplan Commercial $2,784.00
Rate for Payer: Networks By Design Commercial $2,262.00
Rate for Payer: Prime Health Services Commercial $2,958.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,088.00
Rate for Payer: TriValley Medical Group Commercial/Senior $2,088.00
Rate for Payer: United Healthcare All Other Commercial $1,113.60
Rate for Payer: United Healthcare All Other HMO $1,113.60
Rate for Payer: United Healthcare HMO Rider $1,113.60
Rate for Payer: United Healthcare Select/Navigate/Core $1,113.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,958.00
Rate for Payer: Vantage Medical Group Medi-Cal $2,958.00
Rate for Payer: Vantage Medical Group Senior $2,958.00
Service Code CPT 72159
Hospital Charge Code 908801033
Hospital Revenue Code 618
Min. Negotiated Rate $914.40
Max. Negotiated Rate $3,238.50
Rate for Payer: Cash Price $1,714.50
Rate for Payer: EPIC Health Plan Commercial $1,524.00
Rate for Payer: Galaxy Health WC $3,238.50
Rate for Payer: Global Benefits Group Commercial $2,286.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,541.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,451.61
Rate for Payer: LLUH Dept of Risk Management WC $914.40
Rate for Payer: Multiplan Commercial $3,048.00
Rate for Payer: Networks By Design Commercial $2,476.50
Rate for Payer: Prime Health Services Commercial $3,238.50
Service Code CPT 72159
Hospital Charge Code 908801033
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $2,328.99
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,893.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,225.40
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,225.40
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,327.44
Rate for Payer: BCBS Transplant Transplant $1,336.80
Rate for Payer: Blue Shield of California Commercial $1,316.75
Rate for Payer: Blue Shield of California EPN $1,044.93
Rate for Payer: Cash Price $1,002.60
Rate for Payer: Cash Price $1,002.60
Rate for Payer: Cigna of CA HMO $1,425.92
Rate for Payer: Cigna of CA PPO $1,648.72
Rate for Payer: Dignity Health Commercial/Exchange $1,893.80
Rate for Payer: Dignity Health Media $1,893.80
Rate for Payer: Dignity Health Medi-Cal $1,893.80
Rate for Payer: EPIC Health Plan Commercial $891.20
Rate for Payer: EPIC Health Plan Transplant $891.20
Rate for Payer: Galaxy Health WC $1,893.80
Rate for Payer: Global Benefits Group Commercial $1,336.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,671.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,486.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $647.84
Rate for Payer: LLUH Dept of Risk Management WC $534.72
Rate for Payer: Multiplan Commercial $1,782.40
Rate for Payer: Networks By Design Commercial $1,448.20
Rate for Payer: Prime Health Services Commercial $1,893.80
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,336.80
Rate for Payer: TriValley Medical Group Commercial/Senior $1,336.80
Rate for Payer: United Healthcare All Other Commercial $1,168.48
Rate for Payer: United Healthcare All Other HMO $1,168.48
Rate for Payer: United Healthcare HMO Rider $1,168.48
Rate for Payer: United Healthcare Select/Navigate/Core $1,168.48
Rate for Payer: Vantage Medical Group Commercial/Exchange $1,893.80
Rate for Payer: Vantage Medical Group Medi-Cal $1,893.80
Rate for Payer: Vantage Medical Group Senior $1,893.80
Service Code CPT 73225
Hospital Charge Code 908801035
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,700.85
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,100.55
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,100.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,192.20
Rate for Payer: BCBS Transplant Transplant $1,200.60
Rate for Payer: Blue Shield of California Commercial $1,182.59
Rate for Payer: Blue Shield of California EPN $938.47
Rate for Payer: Cash Price $900.45
Rate for Payer: Cash Price $900.45
Rate for Payer: Cigna of CA HMO $1,280.64
Rate for Payer: Cigna of CA PPO $1,480.74
Rate for Payer: Dignity Health Commercial/Exchange $1,700.85
Rate for Payer: Dignity Health Media $1,700.85
Rate for Payer: Dignity Health Medi-Cal $1,700.85
Rate for Payer: EPIC Health Plan Commercial $800.40
Rate for Payer: EPIC Health Plan Transplant $800.40
Rate for Payer: Galaxy Health WC $1,700.85
Rate for Payer: Global Benefits Group Commercial $1,200.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,500.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,334.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $642.77
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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,200.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,200.60
Rate for Payer: United Healthcare All Other Commercial $1,124.94
Rate for Payer: United Healthcare All Other HMO $1,124.94
Rate for Payer: United Healthcare HMO Rider $1,124.94
Rate for Payer: United Healthcare Select/Navigate/Core $1,124.94
Rate for Payer: Vantage Medical Group Commercial/Exchange $1,700.85
Rate for Payer: Vantage Medical Group Medi-Cal $1,700.85
Rate for Payer: Vantage Medical Group Senior $1,700.85
Service Code CPT 73225
Hospital Charge Code 908801035
Hospital Revenue Code 618
Min. Negotiated Rate $821.52
Max. Negotiated Rate $2,909.55
Rate for Payer: Cash Price $1,540.35
Rate for Payer: EPIC Health Plan Commercial $1,369.20
Rate for Payer: Galaxy Health WC $2,909.55
Rate for Payer: Global Benefits Group Commercial $2,053.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,283.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,304.16
Rate for Payer: LLUH Dept of Risk Management WC $821.52
Rate for Payer: Multiplan Commercial $2,738.40
Rate for Payer: Networks By Design Commercial $2,224.95
Rate for Payer: Prime Health Services Commercial $2,909.55
Service Code CPT 74185
Hospital Charge Code 908801096
Hospital Revenue Code 618
Min. Negotiated Rate $2,723.04
Max. Negotiated Rate $9,644.10
Rate for Payer: Cash Price $5,105.70
Rate for Payer: EPIC Health Plan Commercial $4,538.40
Rate for Payer: Galaxy Health WC $9,644.10
Rate for Payer: Global Benefits Group Commercial $6,807.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7,567.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,322.83
Rate for Payer: LLUH Dept of Risk Management WC $2,723.04
Rate for Payer: Multiplan Commercial $9,076.80
Rate for Payer: Networks By Design Commercial $7,374.90
Rate for Payer: Prime Health Services Commercial $9,644.10
Service Code CPT 74185
Hospital Charge Code 908801096
Hospital Revenue Code 618
Min. Negotiated Rate $350.00
Max. Negotiated Rate $5,421.30
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5,421.30
Rate for Payer: AlphaCare Medical Group Medi-Cal $3,507.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3,507.90
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,800.01
Rate for Payer: BCBS Transplant Transplant $3,826.80
Rate for Payer: Blue Shield of California Commercial $3,769.40
Rate for Payer: Blue Shield of California EPN $2,991.28
Rate for Payer: Cash Price $2,870.10
Rate for Payer: Cash Price $2,870.10
Rate for Payer: Cigna of CA HMO $4,081.92
Rate for Payer: Cigna of CA PPO $4,719.72
Rate for Payer: Dignity Health Commercial/Exchange $5,421.30
Rate for Payer: Dignity Health Media $5,421.30
Rate for Payer: Dignity Health Medi-Cal $5,421.30
Rate for Payer: EPIC Health Plan Commercial $2,551.20
Rate for Payer: EPIC Health Plan Transplant $2,551.20
Rate for Payer: Galaxy Health WC $5,421.30
Rate for Payer: Global Benefits Group Commercial $3,826.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4,783.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,254.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $630.86
Rate for Payer: LLUH Dept of Risk Management WC $1,530.72
Rate for Payer: Multiplan Commercial $5,102.40
Rate for Payer: Networks By Design Commercial $4,145.70
Rate for Payer: Prime Health Services Commercial $5,421.30
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,826.80
Rate for Payer: TriValley Medical Group Commercial/Senior $3,826.80
Rate for Payer: United Healthcare All Other Commercial $1,111.86
Rate for Payer: United Healthcare All Other HMO $1,111.86
Rate for Payer: United Healthcare HMO Rider $1,111.86
Rate for Payer: United Healthcare Select/Navigate/Core $1,111.86
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,421.30
Rate for Payer: Vantage Medical Group Medi-Cal $5,421.30
Rate for Payer: Vantage Medical Group Senior $5,421.30
Service Code CPT 74182
Hospital Charge Code 908801301
Hospital Revenue Code 610
Min. Negotiated Rate $1,983.12
Max. Negotiated Rate $7,023.55
Rate for Payer: Cash Price $3,718.35
Rate for Payer: EPIC Health Plan Commercial $3,305.20
Rate for Payer: Galaxy Health WC $7,023.55
Rate for Payer: Global Benefits Group Commercial $4,957.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,511.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,148.20
Rate for Payer: LLUH Dept of Risk Management WC $1,983.12
Rate for Payer: Multiplan Commercial $6,610.40
Rate for Payer: Networks By Design Commercial $5,370.95
Rate for Payer: Prime Health Services Commercial $7,023.55
Service Code CPT 74182
Hospital Charge Code 908801301
Hospital Revenue Code 610
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,775.70
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $720.75
Rate for Payer: AlphaCare Medical Group Medi-Cal $528.55
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $480.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,646.54
Rate for Payer: BCBS Transplant Transplant $2,665.20
Rate for Payer: Blue Shield of California Commercial $2,625.22
Rate for Payer: Blue Shield of California EPN $2,083.30
Rate for Payer: Cash Price $1,998.90
Rate for Payer: Cash Price $1,998.90
Rate for Payer: Cigna of CA HMO $2,842.88
Rate for Payer: Cigna of CA PPO $3,287.08
Rate for Payer: Dignity Health Commercial/Exchange $720.75
Rate for Payer: Dignity Health Media $480.50
Rate for Payer: Dignity Health Medi-Cal $528.55
Rate for Payer: EPIC Health Plan Commercial $648.68
Rate for Payer: EPIC Health Plan Medicare/Senior $480.50
Rate for Payer: EPIC Health Plan Transplant $480.50
Rate for Payer: Galaxy Health WC $3,775.70
Rate for Payer: Global Benefits Group Commercial $2,665.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,331.50
Rate for Payer: Heritage Provider Network Commercial $788.02
Rate for Payer: Heritage Provider Network Transplant $788.02
Rate for Payer: IEHP Medi-Cal $778.41
Rate for Payer: IEHP Medi-Cal Transplant $778.41
Rate for Payer: IEHP Medicare Advantage $480.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,962.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $568.52
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,066.08
Rate for Payer: Molina Healthcare of CA Medi-Cal $605.43
Rate for Payer: Molina Healthcare of CA Medicare $643.87
Rate for Payer: Multiplan Commercial $3,553.60
Rate for Payer: Networks By Design Commercial $2,887.30
Rate for Payer: Prime Health Services Commercial $3,775.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,665.20
Rate for Payer: TriValley Medical Group Commercial/Senior $2,665.20
Rate for Payer: United Healthcare All Other Commercial $1,115.74
Rate for Payer: United Healthcare All Other HMO $1,115.74
Rate for Payer: United Healthcare HMO Rider $1,115.74
Rate for Payer: United Healthcare Select/Navigate/Core $1,115.74
Rate for Payer: Vantage Medical Group Commercial/Exchange $720.75
Rate for Payer: Vantage Medical Group Medi-Cal $528.55
Rate for Payer: Vantage Medical Group Senior $480.50
Service Code CPT 74181
Hospital Charge Code 908801300
Hospital Revenue Code 610
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,443.00
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $459.24
Rate for Payer: AlphaCare Medical Group Medi-Cal $336.78
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $306.16
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,308.13
Rate for Payer: BCBS Transplant Transplant $2,324.40
Rate for Payer: Blue Shield of California Commercial $2,289.53
Rate for Payer: Blue Shield of California EPN $1,816.91
Rate for Payer: Cash Price $1,743.30
Rate for Payer: Cash Price $1,743.30
Rate for Payer: Cigna of CA HMO $2,479.36
Rate for Payer: Cigna of CA PPO $2,866.76
Rate for Payer: Dignity Health Commercial/Exchange $459.24
Rate for Payer: Dignity Health Media $306.16
Rate for Payer: Dignity Health Medi-Cal $336.78
Rate for Payer: EPIC Health Plan Commercial $413.32
Rate for Payer: EPIC Health Plan Medicare/Senior $306.16
Rate for Payer: EPIC Health Plan Transplant $306.16
Rate for Payer: Galaxy Health WC $3,292.90
Rate for Payer: Global Benefits Group Commercial $2,324.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,905.50
Rate for Payer: Heritage Provider Network Commercial $502.10
Rate for Payer: Heritage Provider Network Transplant $502.10
Rate for Payer: IEHP Medi-Cal $495.98
Rate for Payer: IEHP Medi-Cal Transplant $495.98
Rate for Payer: IEHP Medicare Advantage $306.16
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,583.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $362.82
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $929.76
Rate for Payer: Molina Healthcare of CA Medi-Cal $385.76
Rate for Payer: Molina Healthcare of CA Medicare $410.25
Rate for Payer: Multiplan Commercial $3,099.20
Rate for Payer: Networks By Design Commercial $2,518.10
Rate for Payer: Prime Health Services Commercial $3,292.90
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,324.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,324.40
Rate for Payer: United Healthcare All Other Commercial $866.34
Rate for Payer: United Healthcare All Other HMO $866.34
Rate for Payer: United Healthcare HMO Rider $866.34
Rate for Payer: United Healthcare Select/Navigate/Core $866.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $459.24
Rate for Payer: Vantage Medical Group Medi-Cal $336.78
Rate for Payer: Vantage Medical Group Senior $306.16
Service Code CPT 74181
Hospital Charge Code 908801300
Hospital Revenue Code 610
Min. Negotiated Rate $1,802.88
Max. Negotiated Rate $6,385.20
Rate for Payer: Cash Price $3,380.40
Rate for Payer: EPIC Health Plan Commercial $3,004.80
Rate for Payer: Galaxy Health WC $6,385.20
Rate for Payer: Global Benefits Group Commercial $4,507.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,010.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,862.07
Rate for Payer: LLUH Dept of Risk Management WC $1,802.88
Rate for Payer: Multiplan Commercial $6,009.60
Rate for Payer: Networks By Design Commercial $4,882.80
Rate for Payer: Prime Health Services Commercial $6,385.20
Service Code CPT 74183
Hospital Charge Code 908801302
Hospital Revenue Code 610
Min. Negotiated Rate $350.00
Max. Negotiated Rate $4,152.25
Rate for Payer: IEHP Medicare Advantage $480.50
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $720.75
Rate for Payer: AlphaCare Medical Group Medi-Cal $528.55
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $480.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,910.48
Rate for Payer: BCBS Transplant Transplant $2,931.00
Rate for Payer: Blue Shield of California Commercial $2,887.04
Rate for Payer: Blue Shield of California EPN $2,291.06
Rate for Payer: Cash Price $2,198.25
Rate for Payer: Cash Price $2,198.25
Rate for Payer: Cigna of CA HMO $3,126.40
Rate for Payer: Cigna of CA PPO $3,614.90
Rate for Payer: Dignity Health Commercial/Exchange $720.75
Rate for Payer: Dignity Health Media $480.50
Rate for Payer: Dignity Health Medi-Cal $528.55
Rate for Payer: EPIC Health Plan Commercial $648.68
Rate for Payer: EPIC Health Plan Medicare/Senior $480.50
Rate for Payer: EPIC Health Plan Transplant $480.50
Rate for Payer: Galaxy Health WC $4,152.25
Rate for Payer: Global Benefits Group Commercial $2,931.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,663.75
Rate for Payer: Heritage Provider Network Commercial $788.02
Rate for Payer: Heritage Provider Network Transplant $788.02
Rate for Payer: IEHP Medi-Cal $778.41
Rate for Payer: IEHP Medi-Cal Transplant $778.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,258.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $633.69
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,172.40
Rate for Payer: Molina Healthcare of CA Medi-Cal $605.43
Rate for Payer: Molina Healthcare of CA Medicare $643.87
Rate for Payer: Multiplan Commercial $3,908.00
Rate for Payer: Networks By Design Commercial $3,175.25
Rate for Payer: Prime Health Services Commercial $4,152.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,931.00
Rate for Payer: TriValley Medical Group Commercial/Senior $2,931.00
Rate for Payer: United Healthcare All Other Commercial $1,367.12
Rate for Payer: United Healthcare All Other HMO $1,367.12
Rate for Payer: United Healthcare HMO Rider $1,367.12
Rate for Payer: United Healthcare Select/Navigate/Core $1,367.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $720.75
Rate for Payer: Vantage Medical Group Medi-Cal $528.55
Rate for Payer: Vantage Medical Group Senior $480.50
Service Code CPT 74183
Hospital Charge Code 908801302
Hospital Revenue Code 610
Min. Negotiated Rate $2,419.20
Max. Negotiated Rate $8,568.00
Rate for Payer: Cash Price $4,536.00
Rate for Payer: EPIC Health Plan Commercial $4,032.00
Rate for Payer: Galaxy Health WC $8,568.00
Rate for Payer: Global Benefits Group Commercial $6,048.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6,723.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,840.48
Rate for Payer: LLUH Dept of Risk Management WC $2,419.20
Rate for Payer: Multiplan Commercial $8,064.00
Rate for Payer: Networks By Design Commercial $6,552.00
Rate for Payer: Prime Health Services Commercial $8,568.00
Service Code CPT 70545
Hospital Charge Code 908801084
Hospital Revenue Code 615
Min. Negotiated Rate $1,757.76
Max. Negotiated Rate $6,225.40
Rate for Payer: Cash Price $3,295.80
Rate for Payer: EPIC Health Plan Commercial $2,929.60
Rate for Payer: Galaxy Health WC $6,225.40
Rate for Payer: Global Benefits Group Commercial $4,394.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,885.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,790.44
Rate for Payer: LLUH Dept of Risk Management WC $1,757.76
Rate for Payer: Multiplan Commercial $5,859.20
Rate for Payer: Networks By Design Commercial $4,760.60
Rate for Payer: Prime Health Services Commercial $6,225.40
Service Code CPT 70545
Hospital Charge Code 908801084
Hospital Revenue Code 615
Min. Negotiated Rate $350.00
Max. Negotiated Rate $4,111.45
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $720.75
Rate for Payer: AlphaCare Medical Group Medi-Cal $528.55
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $480.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,881.88
Rate for Payer: BCBS Transplant Transplant $2,902.20
Rate for Payer: Blue Shield of California Commercial $2,858.67
Rate for Payer: Blue Shield of California EPN $2,268.55
Rate for Payer: Cash Price $2,176.65
Rate for Payer: Cash Price $2,176.65
Rate for Payer: Cigna of CA HMO $3,095.68
Rate for Payer: Cigna of CA PPO $3,579.38
Rate for Payer: Dignity Health Commercial/Exchange $720.75
Rate for Payer: Dignity Health Media $480.50
Rate for Payer: Dignity Health Medi-Cal $528.55
Rate for Payer: EPIC Health Plan Commercial $648.68
Rate for Payer: EPIC Health Plan Medicare/Senior $480.50
Rate for Payer: EPIC Health Plan Transplant $480.50
Rate for Payer: Galaxy Health WC $4,111.45
Rate for Payer: Global Benefits Group Commercial $2,902.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,627.75
Rate for Payer: Heritage Provider Network Commercial $788.02
Rate for Payer: Heritage Provider Network Transplant $788.02
Rate for Payer: IEHP Medi-Cal $778.41
Rate for Payer: IEHP Medi-Cal Transplant $778.41
Rate for Payer: IEHP Medicare Advantage $480.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,226.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal $423.28
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,160.88
Rate for Payer: Molina Healthcare of CA Medi-Cal $605.43
Rate for Payer: Molina Healthcare of CA Medicare $643.87
Rate for Payer: Multiplan Commercial $3,869.60
Rate for Payer: Networks By Design Commercial $3,144.05
Rate for Payer: Prime Health Services Commercial $4,111.45
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,902.20
Rate for Payer: TriValley Medical Group Commercial/Senior $2,902.20
Rate for Payer: United Healthcare All Other Commercial $1,115.74
Rate for Payer: United Healthcare All Other HMO $1,115.74
Rate for Payer: United Healthcare HMO Rider $1,115.74
Rate for Payer: United Healthcare Select/Navigate/Core $1,115.74
Rate for Payer: Vantage Medical Group Commercial/Exchange $720.75
Rate for Payer: Vantage Medical Group Medi-Cal $528.55
Rate for Payer: Vantage Medical Group Senior $480.50
Service Code CPT 70544
Hospital Charge Code 908801015
Hospital Revenue Code 615
Min. Negotiated Rate $1,674.00
Max. Negotiated Rate $5,928.75
Rate for Payer: Cash Price $3,138.75
Rate for Payer: EPIC Health Plan Commercial $2,790.00
Rate for Payer: Galaxy Health WC $5,928.75
Rate for Payer: Global Benefits Group Commercial $4,185.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,652.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,657.48
Rate for Payer: LLUH Dept of Risk Management WC $1,674.00
Rate for Payer: Multiplan Commercial $5,580.00
Rate for Payer: Networks By Design Commercial $4,533.75
Rate for Payer: Prime Health Services Commercial $5,928.75
Service Code CPT 70544
Hospital Charge Code 908801083
Hospital Revenue Code 611
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,671.15
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $459.24
Rate for Payer: AlphaCare Medical Group Medi-Cal $336.78
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $306.16
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,573.26
Rate for Payer: BCBS Transplant Transplant $2,591.40
Rate for Payer: Blue Shield of California Commercial $2,552.53
Rate for Payer: Blue Shield of California EPN $2,025.61
Rate for Payer: Cash Price $1,943.55
Rate for Payer: Cash Price $1,943.55
Rate for Payer: Cigna of CA HMO $2,764.16
Rate for Payer: Cigna of CA PPO $3,196.06
Rate for Payer: Dignity Health Commercial/Exchange $459.24
Rate for Payer: Dignity Health Media $306.16
Rate for Payer: Dignity Health Medi-Cal $336.78
Rate for Payer: EPIC Health Plan Commercial $413.32
Rate for Payer: EPIC Health Plan Medicare/Senior $306.16
Rate for Payer: EPIC Health Plan Transplant $306.16
Rate for Payer: Galaxy Health WC $3,671.15
Rate for Payer: Global Benefits Group Commercial $2,591.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,239.25
Rate for Payer: Heritage Provider Network Commercial $502.10
Rate for Payer: Heritage Provider Network Transplant $502.10
Rate for Payer: IEHP Medi-Cal $495.98
Rate for Payer: IEHP Medi-Cal Transplant $495.98
Rate for Payer: IEHP Medicare Advantage $306.16
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,880.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal $400.79
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $1,036.56
Rate for Payer: Molina Healthcare of CA Medi-Cal $385.76
Rate for Payer: Molina Healthcare of CA Medicare $410.25
Rate for Payer: Multiplan Commercial $3,455.20
Rate for Payer: Networks By Design Commercial $2,807.35
Rate for Payer: Prime Health Services Commercial $3,671.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,591.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,591.40
Rate for Payer: United Healthcare All Other Commercial $866.34
Rate for Payer: United Healthcare All Other HMO $866.34
Rate for Payer: United Healthcare HMO Rider $866.34
Rate for Payer: United Healthcare Select/Navigate/Core $866.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $459.24
Rate for Payer: Vantage Medical Group Medi-Cal $336.78
Rate for Payer: Vantage Medical Group Senior $306.16
Service Code CPT 70544
Hospital Charge Code 908801083
Hospital Revenue Code 611
Min. Negotiated Rate $1,674.00
Max. Negotiated Rate $5,928.75
Rate for Payer: Cash Price $3,138.75
Rate for Payer: EPIC Health Plan Commercial $2,790.00
Rate for Payer: Galaxy Health WC $5,928.75
Rate for Payer: Global Benefits Group Commercial $4,185.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,652.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,657.48
Rate for Payer: LLUH Dept of Risk Management WC $1,674.00
Rate for Payer: Multiplan Commercial $5,580.00
Rate for Payer: Networks By Design Commercial $4,533.75
Rate for Payer: Prime Health Services Commercial $5,928.75