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Service Code CPT 70551
Hospital Charge Code 908801010
Hospital Revenue Code 611
Min. Negotiated Rate $1,810.80
Max. Negotiated Rate $6,413.25
Rate for Payer: Cash Price $3,395.25
Rate for Payer: EPIC Health Plan Commercial $3,018.00
Rate for Payer: Galaxy Health WC $6,413.25
Rate for Payer: Global Benefits Group Commercial $4,527.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,032.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,874.64
Rate for Payer: LLUH Dept of Risk Management WC $1,810.80
Rate for Payer: Multiplan Commercial $6,036.00
Rate for Payer: Networks By Design Commercial $4,904.25
Rate for Payer: Prime Health Services Commercial $6,413.25
Service Code CPT 70551
Hospital Charge Code 908801010
Hospital Revenue Code 611
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,600.60
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 $2,523.81
Rate for Payer: BCBS Transplant Transplant $2,541.60
Rate for Payer: Blue Shield of California Commercial $2,503.48
Rate for Payer: Blue Shield of California EPN $1,986.68
Rate for Payer: Cash Price $1,906.20
Rate for Payer: Cash Price $1,906.20
Rate for Payer: Cigna of CA HMO $2,711.04
Rate for Payer: Cigna of CA PPO $3,134.64
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 $3,600.60
Rate for Payer: Global Benefits Group Commercial $2,541.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,177.00
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 $2,825.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $361.30
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $1,016.64
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 $3,388.80
Rate for Payer: Networks By Design Commercial $2,753.40
Rate for Payer: Prime Health Services Commercial $3,600.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,541.60
Rate for Payer: TriValley Medical Group Commercial/Senior $2,541.60
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 70553
Hospital Charge Code 908801014
Hospital Revenue Code 611
Min. Negotiated Rate $350.00
Max. Negotiated Rate $4,258.50
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 $2,984.96
Rate for Payer: BCBS Transplant Transplant $3,006.00
Rate for Payer: Blue Shield of California Commercial $2,960.91
Rate for Payer: Blue Shield of California EPN $2,349.69
Rate for Payer: Cash Price $2,254.50
Rate for Payer: Cash Price $2,254.50
Rate for Payer: Cigna of CA HMO $3,206.40
Rate for Payer: Cigna of CA PPO $3,707.40
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 $4,258.50
Rate for Payer: Global Benefits Group Commercial $3,006.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,757.50
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 $3,341.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $591.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,202.40
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 $4,008.00
Rate for Payer: Networks By Design Commercial $3,256.50
Rate for Payer: Prime Health Services Commercial $4,258.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,006.00
Rate for Payer: TriValley Medical Group Commercial/Senior $3,006.00
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 70553
Hospital Charge Code 908801014
Hospital Revenue Code 611
Min. Negotiated Rate $2,142.24
Max. Negotiated Rate $7,587.10
Rate for Payer: Cash Price $4,016.70
Rate for Payer: EPIC Health Plan Commercial $3,570.40
Rate for Payer: Galaxy Health WC $7,587.10
Rate for Payer: Global Benefits Group Commercial $5,355.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,953.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,400.81
Rate for Payer: LLUH Dept of Risk Management WC $2,142.24
Rate for Payer: Multiplan Commercial $7,140.80
Rate for Payer: Networks By Design Commercial $5,801.90
Rate for Payer: Prime Health Services Commercial $7,587.10
Service Code CPT 77047
Hospital Charge Code 908801212
Hospital Revenue Code 614
Min. Negotiated Rate $1,645.68
Max. Negotiated Rate $5,828.45
Rate for Payer: Cash Price $3,085.65
Rate for Payer: EPIC Health Plan Commercial $2,742.80
Rate for Payer: Galaxy Health WC $5,828.45
Rate for Payer: Global Benefits Group Commercial $4,114.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,573.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,612.52
Rate for Payer: LLUH Dept of Risk Management WC $1,645.68
Rate for Payer: Multiplan Commercial $5,485.60
Rate for Payer: Networks By Design Commercial $4,457.05
Rate for Payer: Prime Health Services Commercial $5,828.45
Service Code CPT 77047
Hospital Charge Code 908801212
Hospital Revenue Code 614
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,409.35
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
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 $2,389.75
Rate for Payer: BCBS Transplant Transplant $2,406.60
Rate for Payer: Blue Shield of California Commercial $2,370.50
Rate for Payer: Blue Shield of California EPN $1,881.16
Rate for Payer: Cash Price $1,804.95
Rate for Payer: Cash Price $1,804.95
Rate for Payer: Cigna of CA HMO $2,567.04
Rate for Payer: Cigna of CA PPO $2,968.14
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 $3,409.35
Rate for Payer: Global Benefits Group Commercial $2,406.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,008.25
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 $2,675.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $406.73
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $962.64
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 $3,208.80
Rate for Payer: Networks By Design Commercial $2,607.15
Rate for Payer: Prime Health Services Commercial $3,409.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,406.60
Rate for Payer: TriValley Medical Group Commercial/Senior $2,406.60
Rate for Payer: United Healthcare All Other Commercial $590.24
Rate for Payer: United Healthcare All Other HMO $590.24
Rate for Payer: United Healthcare HMO Rider $590.24
Rate for Payer: United Healthcare Select/Navigate/Core $590.24
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 77046
Hospital Charge Code 908801219
Hospital Revenue Code 614
Min. Negotiated Rate $1,461.60
Max. Negotiated Rate $5,176.50
Rate for Payer: Cash Price $2,740.50
Rate for Payer: EPIC Health Plan Commercial $2,436.00
Rate for Payer: Galaxy Health WC $5,176.50
Rate for Payer: Global Benefits Group Commercial $3,654.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,062.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,320.29
Rate for Payer: LLUH Dept of Risk Management WC $1,461.60
Rate for Payer: Multiplan Commercial $4,872.00
Rate for Payer: Networks By Design Commercial $3,958.50
Rate for Payer: Prime Health Services Commercial $5,176.50
Service Code CPT 77046
Hospital Charge Code 908801219
Hospital Revenue Code 614
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,027.70
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
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 $2,122.24
Rate for Payer: BCBS Transplant Transplant $2,137.20
Rate for Payer: Blue Shield of California Commercial $2,105.14
Rate for Payer: Blue Shield of California EPN $1,670.58
Rate for Payer: Cash Price $1,602.90
Rate for Payer: Cash Price $1,602.90
Rate for Payer: Cigna of CA HMO $2,279.68
Rate for Payer: Cigna of CA PPO $2,635.88
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 $3,027.70
Rate for Payer: Global Benefits Group Commercial $2,137.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,671.50
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 $2,375.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal $396.72
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $854.88
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 $2,849.60
Rate for Payer: Networks By Design Commercial $2,315.30
Rate for Payer: Prime Health Services Commercial $3,027.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,137.20
Rate for Payer: TriValley Medical Group Commercial/Senior $2,137.20
Rate for Payer: United Healthcare All Other Commercial $590.24
Rate for Payer: United Healthcare All Other HMO $590.24
Rate for Payer: United Healthcare HMO Rider $590.24
Rate for Payer: United Healthcare Select/Navigate/Core $590.24
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 77049
Hospital Charge Code 908801210
Hospital Revenue Code 614
Min. Negotiated Rate $350.00
Max. Negotiated Rate $4,152.25
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $4,152.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,686.75
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,686.75
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 $4,152.25
Rate for Payer: Dignity Health Media $4,152.25
Rate for Payer: Dignity Health Medi-Cal $4,152.25
Rate for Payer: EPIC Health Plan Commercial $1,954.00
Rate for Payer: EPIC Health Plan Transplant $1,954.00
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: Kaiser Permanente of CA Commercial/Self Funded $3,258.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $641.90
Rate for Payer: LLUH Dept of Risk Management WC $1,172.40
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 $750.08
Rate for Payer: United Healthcare All Other HMO $750.08
Rate for Payer: United Healthcare HMO Rider $750.08
Rate for Payer: United Healthcare Select/Navigate/Core $750.08
Rate for Payer: Vantage Medical Group Commercial/Exchange $4,152.25
Rate for Payer: Vantage Medical Group Medi-Cal $4,152.25
Rate for Payer: Vantage Medical Group Senior $4,152.25
Service Code CPT 77049
Hospital Charge Code 908801210
Hospital Revenue Code 614
Min. Negotiated Rate $2,004.96
Max. Negotiated Rate $7,100.90
Rate for Payer: Cash Price $3,759.30
Rate for Payer: EPIC Health Plan Commercial $3,341.60
Rate for Payer: Galaxy Health WC $7,100.90
Rate for Payer: Global Benefits Group Commercial $5,012.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,572.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,182.87
Rate for Payer: LLUH Dept of Risk Management WC $2,004.96
Rate for Payer: Multiplan Commercial $6,683.20
Rate for Payer: Networks By Design Commercial $5,430.10
Rate for Payer: Prime Health Services Commercial $7,100.90
Service Code CPT 77048
Hospital Charge Code 908801215
Hospital Revenue Code 614
Min. Negotiated Rate $1,849.44
Max. Negotiated Rate $6,550.10
Rate for Payer: Cash Price $3,467.70
Rate for Payer: EPIC Health Plan Commercial $3,082.40
Rate for Payer: Galaxy Health WC $6,550.10
Rate for Payer: Global Benefits Group Commercial $4,623.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,139.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,935.99
Rate for Payer: LLUH Dept of Risk Management WC $1,849.44
Rate for Payer: Multiplan Commercial $6,164.80
Rate for Payer: Networks By Design Commercial $5,008.90
Rate for Payer: Prime Health Services Commercial $6,550.10
Service Code CPT 77048
Hospital Charge Code 908801215
Hospital Revenue Code 614
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,830.95
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3,830.95
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,478.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,478.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,685.27
Rate for Payer: BCBS Transplant Transplant $2,704.20
Rate for Payer: Blue Shield of California Commercial $2,663.64
Rate for Payer: Blue Shield of California EPN $2,113.78
Rate for Payer: Cash Price $2,028.15
Rate for Payer: Cash Price $2,028.15
Rate for Payer: Cigna of CA HMO $2,884.48
Rate for Payer: Cigna of CA PPO $3,335.18
Rate for Payer: Dignity Health Commercial/Exchange $3,830.95
Rate for Payer: Dignity Health Media $3,830.95
Rate for Payer: Dignity Health Medi-Cal $3,830.95
Rate for Payer: EPIC Health Plan Commercial $1,802.80
Rate for Payer: EPIC Health Plan Transplant $1,802.80
Rate for Payer: Galaxy Health WC $3,830.95
Rate for Payer: Global Benefits Group Commercial $2,704.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,380.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,006.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $629.93
Rate for Payer: LLUH Dept of Risk Management WC $1,081.68
Rate for Payer: Multiplan Commercial $3,605.60
Rate for Payer: Networks By Design Commercial $2,929.55
Rate for Payer: Prime Health Services Commercial $3,830.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,704.20
Rate for Payer: TriValley Medical Group Commercial/Senior $2,704.20
Rate for Payer: United Healthcare All Other Commercial $753.76
Rate for Payer: United Healthcare All Other HMO $753.76
Rate for Payer: United Healthcare HMO Rider $753.76
Rate for Payer: United Healthcare Select/Navigate/Core $753.76
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,830.95
Rate for Payer: Vantage Medical Group Medi-Cal $3,830.95
Rate for Payer: Vantage Medical Group Senior $3,830.95
Service Code CPT 72142
Hospital Charge Code 908801102
Hospital Revenue Code 612
Min. Negotiated Rate $1,765.92
Max. Negotiated Rate $6,254.30
Rate for Payer: Cash Price $3,311.10
Rate for Payer: EPIC Health Plan Commercial $2,943.20
Rate for Payer: Galaxy Health WC $6,254.30
Rate for Payer: Global Benefits Group Commercial $4,414.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,907.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,803.40
Rate for Payer: LLUH Dept of Risk Management WC $1,765.92
Rate for Payer: Multiplan Commercial $5,886.40
Rate for Payer: Networks By Design Commercial $4,782.70
Rate for Payer: Prime Health Services Commercial $6,254.30
Service Code CPT 72142
Hospital Charge Code 908801102
Hospital Revenue Code 612
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,617.60
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
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 $2,535.72
Rate for Payer: BCBS Transplant Transplant $2,553.60
Rate for Payer: Blue Shield of California Commercial $2,515.30
Rate for Payer: Blue Shield of California EPN $1,996.06
Rate for Payer: Cash Price $1,915.20
Rate for Payer: Cash Price $1,915.20
Rate for Payer: Cigna of CA HMO $2,723.84
Rate for Payer: Cigna of CA PPO $3,149.44
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 $3,617.60
Rate for Payer: Global Benefits Group Commercial $2,553.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,192.00
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 $2,838.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal $514.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,021.44
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 $3,404.80
Rate for Payer: Networks By Design Commercial $2,766.40
Rate for Payer: Prime Health Services Commercial $3,617.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,553.60
Rate for Payer: TriValley Medical Group Commercial/Senior $2,553.60
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 72141
Hospital Charge Code 908801100
Hospital Revenue Code 612
Min. Negotiated Rate $1,683.84
Max. Negotiated Rate $5,963.60
Rate for Payer: Cash Price $3,157.20
Rate for Payer: EPIC Health Plan Commercial $2,806.40
Rate for Payer: Galaxy Health WC $5,963.60
Rate for Payer: Global Benefits Group Commercial $4,209.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,679.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,673.10
Rate for Payer: LLUH Dept of Risk Management WC $1,683.84
Rate for Payer: Multiplan Commercial $5,612.80
Rate for Payer: Networks By Design Commercial $4,560.40
Rate for Payer: Prime Health Services Commercial $5,963.60
Service Code CPT 72141
Hospital Charge Code 908801100
Hospital Revenue Code 612
Min. Negotiated Rate $306.16
Max. Negotiated Rate $3,488.40
Rate for Payer: Aetna of CA HMO/PPO $2,328.99
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 $2,445.16
Rate for Payer: BCBS Transplant Transplant $2,462.40
Rate for Payer: Blue Shield of California Commercial $2,425.46
Rate for Payer: Blue Shield of California EPN $1,924.78
Rate for Payer: Cash Price $1,846.80
Rate for Payer: Cash Price $1,846.80
Rate for Payer: Cigna of CA HMO $2,626.56
Rate for Payer: Cigna of CA PPO $3,036.96
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 $3,488.40
Rate for Payer: Global Benefits Group Commercial $2,462.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,078.00
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 $2,737.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $352.74
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $984.96
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 $3,283.20
Rate for Payer: Networks By Design Commercial $2,667.60
Rate for Payer: Prime Health Services Commercial $3,488.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,462.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,462.40
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 71551
Hospital Charge Code 908801201
Hospital Revenue Code 610
Min. Negotiated Rate $1,683.84
Max. Negotiated Rate $5,963.60
Rate for Payer: Cash Price $3,157.20
Rate for Payer: EPIC Health Plan Commercial $2,806.40
Rate for Payer: Galaxy Health WC $5,963.60
Rate for Payer: Global Benefits Group Commercial $4,209.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,679.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,673.10
Rate for Payer: LLUH Dept of Risk Management WC $1,683.84
Rate for Payer: Multiplan Commercial $5,612.80
Rate for Payer: Networks By Design Commercial $4,560.40
Rate for Payer: Prime Health Services Commercial $5,963.60
Service Code CPT 71551
Hospital Charge Code 908801201
Hospital Revenue Code 610
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,488.40
Rate for Payer: Aetna of CA HMO/PPO $3,443.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,500.60
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,100.44
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,000.40
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,445.16
Rate for Payer: BCBS Transplant Transplant $2,462.40
Rate for Payer: Blue Shield of California Commercial $2,425.46
Rate for Payer: Blue Shield of California EPN $1,924.78
Rate for Payer: Cash Price $1,846.80
Rate for Payer: Cash Price $1,846.80
Rate for Payer: Cigna of CA HMO $2,626.56
Rate for Payer: Cigna of CA PPO $3,036.96
Rate for Payer: Dignity Health Commercial/Exchange $1,500.60
Rate for Payer: Dignity Health Media $1,000.40
Rate for Payer: Dignity Health Medi-Cal $1,100.44
Rate for Payer: EPIC Health Plan Commercial $1,350.54
Rate for Payer: EPIC Health Plan Medicare/Senior $1,000.40
Rate for Payer: EPIC Health Plan Transplant $1,000.40
Rate for Payer: Galaxy Health WC $3,488.40
Rate for Payer: Global Benefits Group Commercial $2,462.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,078.00
Rate for Payer: Heritage Provider Network Commercial $1,640.66
Rate for Payer: Heritage Provider Network Transplant $1,640.66
Rate for Payer: IEHP Medi-Cal $1,620.65
Rate for Payer: IEHP Medi-Cal Transplant $1,620.65
Rate for Payer: IEHP Medicare Advantage $1,000.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,737.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $710.85
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,000.40
Rate for Payer: LLUH Dept of Risk Management WC $984.96
Rate for Payer: Molina Healthcare of CA Medi-Cal $1,260.50
Rate for Payer: Molina Healthcare of CA Medicare $1,340.54
Rate for Payer: Multiplan Commercial $3,283.20
Rate for Payer: Networks By Design Commercial $2,667.60
Rate for Payer: Prime Health Services Commercial $3,488.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,462.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,462.40
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 $1,500.60
Rate for Payer: Vantage Medical Group Medi-Cal $1,100.44
Rate for Payer: Vantage Medical Group Senior $1,000.40
Service Code CPT 71550
Hospital Charge Code 908801200
Hospital Revenue Code 610
Min. Negotiated Rate $1,506.72
Max. Negotiated Rate $5,336.30
Rate for Payer: Cash Price $2,825.10
Rate for Payer: EPIC Health Plan Commercial $2,511.20
Rate for Payer: Galaxy Health WC $5,336.30
Rate for Payer: Global Benefits Group Commercial $3,766.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,187.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,391.92
Rate for Payer: LLUH Dept of Risk Management WC $1,506.72
Rate for Payer: Multiplan Commercial $5,022.40
Rate for Payer: Networks By Design Commercial $4,080.70
Rate for Payer: Prime Health Services Commercial $5,336.30
Service Code CPT 71550
Hospital Charge Code 908801200
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 $2,187.18
Rate for Payer: BCBS Transplant Transplant $2,202.60
Rate for Payer: Blue Shield of California Commercial $2,169.56
Rate for Payer: Blue Shield of California EPN $1,721.70
Rate for Payer: Cash Price $1,651.95
Rate for Payer: Cash Price $1,651.95
Rate for Payer: Cigna of CA HMO $2,349.44
Rate for Payer: Cigna of CA PPO $2,716.54
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 $3,120.35
Rate for Payer: Global Benefits Group Commercial $2,202.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,753.25
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 $2,448.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal $643.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $306.16
Rate for Payer: LLUH Dept of Risk Management WC $881.04
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 $2,936.80
Rate for Payer: Networks By Design Commercial $2,386.15
Rate for Payer: Prime Health Services Commercial $3,120.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,202.60
Rate for Payer: TriValley Medical Group Commercial/Senior $2,202.60
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 71552
Hospital Charge Code 908801202
Hospital Revenue Code 610
Min. Negotiated Rate $350.00
Max. Negotiated Rate $4,130.15
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 $2,894.99
Rate for Payer: BCBS Transplant Transplant $2,915.40
Rate for Payer: Blue Shield of California Commercial $2,871.67
Rate for Payer: Blue Shield of California EPN $2,278.87
Rate for Payer: Cash Price $2,186.55
Rate for Payer: Cash Price $2,186.55
Rate for Payer: Cigna of CA HMO $3,109.76
Rate for Payer: Cigna of CA PPO $3,595.66
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 $4,130.15
Rate for Payer: Global Benefits Group Commercial $2,915.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,644.25
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 $3,240.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal $897.60
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,166.16
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 $3,887.20
Rate for Payer: Networks By Design Commercial $3,158.35
Rate for Payer: Prime Health Services Commercial $4,130.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,915.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,915.40
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 71552
Hospital Charge Code 908801202
Hospital Revenue Code 610
Min. Negotiated Rate $2,492.16
Max. Negotiated Rate $8,826.40
Rate for Payer: Cash Price $4,672.80
Rate for Payer: EPIC Health Plan Commercial $4,153.60
Rate for Payer: Galaxy Health WC $8,826.40
Rate for Payer: Global Benefits Group Commercial $6,230.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6,926.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,956.30
Rate for Payer: LLUH Dept of Risk Management WC $2,492.16
Rate for Payer: Multiplan Commercial $8,307.20
Rate for Payer: Networks By Design Commercial $6,749.60
Rate for Payer: Prime Health Services Commercial $8,826.40
Service Code CPT 72156
Hospital Charge Code 908801104
Hospital Revenue Code 612
Min. Negotiated Rate $2,022.96
Max. Negotiated Rate $7,164.65
Rate for Payer: Cash Price $3,793.05
Rate for Payer: EPIC Health Plan Commercial $3,371.60
Rate for Payer: Galaxy Health WC $7,164.65
Rate for Payer: Global Benefits Group Commercial $5,057.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,622.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,211.45
Rate for Payer: LLUH Dept of Risk Management WC $2,022.96
Rate for Payer: Multiplan Commercial $6,743.20
Rate for Payer: Networks By Design Commercial $5,478.85
Rate for Payer: Prime Health Services Commercial $7,164.65
Service Code CPT 72156
Hospital Charge Code 908801104
Hospital Revenue Code 612
Min. Negotiated Rate $350.00
Max. Negotiated Rate $3,808.00
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 $2,669.18
Rate for Payer: BCBS Transplant Transplant $2,688.00
Rate for Payer: Blue Shield of California Commercial $2,647.68
Rate for Payer: Blue Shield of California EPN $2,101.12
Rate for Payer: Cash Price $2,016.00
Rate for Payer: Cash Price $2,016.00
Rate for Payer: Cigna of CA HMO $2,867.20
Rate for Payer: Cigna of CA PPO $3,315.20
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 $3,808.00
Rate for Payer: Global Benefits Group Commercial $2,688.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,360.00
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 $2,988.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $595.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.50
Rate for Payer: LLUH Dept of Risk Management WC $1,075.20
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 $3,584.00
Rate for Payer: Networks By Design Commercial $2,912.00
Rate for Payer: Prime Health Services Commercial $3,808.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $350.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,688.00
Rate for Payer: TriValley Medical Group Commercial/Senior $2,688.00
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 74712
Hospital Charge Code 908874712
Hospital Revenue Code 320
Min. Negotiated Rate $243.12
Max. Negotiated Rate $861.05
Rate for Payer: Cash Price $455.85
Rate for Payer: EPIC Health Plan Commercial $405.20
Rate for Payer: Galaxy Health WC $861.05
Rate for Payer: Global Benefits Group Commercial $607.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $675.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $385.95
Rate for Payer: LLUH Dept of Risk Management WC $243.12
Rate for Payer: Multiplan Commercial $810.40
Rate for Payer: Networks By Design Commercial $658.45
Rate for Payer: Prime Health Services Commercial $861.05