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Service Code CPT 72265
Hospital Charge Code 909001372
Hospital Revenue Code 320
Min. Negotiated Rate $705.12
Max. Negotiated Rate $2,497.30
Rate for Payer: Cash Price $1,322.10
Rate for Payer: EPIC Health Plan Commercial $1,175.20
Rate for Payer: Galaxy Health WC $2,497.30
Rate for Payer: Global Benefits Group Commercial $1,762.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,959.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,119.38
Rate for Payer: LLUH Dept of Risk Management WC $705.12
Rate for Payer: Multiplan Commercial $2,350.40
Rate for Payer: Networks By Design Commercial $1,909.70
Rate for Payer: Prime Health Services Commercial $2,497.30
Service Code CPT 72255
Hospital Charge Code 909001371
Hospital Revenue Code 320
Min. Negotiated Rate $165.34
Max. Negotiated Rate $2,498.15
Rate for Payer: Aetna of CA HMO/PPO $583.29
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 $1,125.29
Rate for Payer: BCBS Transplant Transplant $1,763.40
Rate for Payer: Blue Shield of California Commercial $1,736.95
Rate for Payer: Blue Shield of California EPN $1,378.39
Rate for Payer: Cash Price $1,322.55
Rate for Payer: Cash Price $1,322.55
Rate for Payer: Cigna of CA HMO $1,880.96
Rate for Payer: Cigna of CA PPO $2,174.86
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 $2,498.15
Rate for Payer: Global Benefits Group Commercial $1,763.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,204.25
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 $1,960.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $165.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,000.40
Rate for Payer: LLUH Dept of Risk Management WC $705.36
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 $2,351.20
Rate for Payer: Networks By Design Commercial $1,910.35
Rate for Payer: Prime Health Services Commercial $2,498.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,763.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,763.40
Rate for Payer: TriValley Medical Group Commercial/Senior $1,763.40
Rate for Payer: United Healthcare All Other Commercial $1,265.49
Rate for Payer: United Healthcare All Other HMO $1,265.49
Rate for Payer: United Healthcare HMO Rider $1,265.49
Rate for Payer: United Healthcare Select/Navigate/Core $1,265.49
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 72255
Hospital Charge Code 909001371
Hospital Revenue Code 320
Min. Negotiated Rate $705.36
Max. Negotiated Rate $2,498.15
Rate for Payer: Cash Price $1,322.55
Rate for Payer: EPIC Health Plan Commercial $1,175.60
Rate for Payer: Galaxy Health WC $2,498.15
Rate for Payer: Global Benefits Group Commercial $1,763.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,960.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,119.76
Rate for Payer: LLUH Dept of Risk Management WC $705.36
Rate for Payer: Multiplan Commercial $2,351.20
Rate for Payer: Networks By Design Commercial $1,910.35
Rate for Payer: Prime Health Services Commercial $2,498.15
Service Code CPT 83516
Hospital Charge Code 900913678
Hospital Revenue Code 302
Min. Negotiated Rate $9.34
Max. Negotiated Rate $213.45
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $17.30
Rate for Payer: AlphaCare Medical Group Medi-Cal $12.68
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $11.53
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $213.45
Rate for Payer: BCBS Transplant Transplant $43.80
Rate for Payer: Blue Shield of California Commercial $47.16
Rate for Payer: Blue Shield of California EPN $37.38
Rate for Payer: Cash Price $32.85
Rate for Payer: Cash Price $32.85
Rate for Payer: Cigna of CA HMO $46.72
Rate for Payer: Cigna of CA PPO $54.02
Rate for Payer: Dignity Health Commercial/Exchange $17.30
Rate for Payer: Dignity Health Media $11.53
Rate for Payer: Dignity Health Medi-Cal $12.68
Rate for Payer: EPIC Health Plan Commercial $15.57
Rate for Payer: EPIC Health Plan Medicare/Senior $11.53
Rate for Payer: EPIC Health Plan Transplant $11.53
Rate for Payer: Galaxy Health WC $62.05
Rate for Payer: Global Benefits Group Commercial $43.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $54.75
Rate for Payer: Heritage Provider Network Commercial $18.91
Rate for Payer: Heritage Provider Network Transplant $18.91
Rate for Payer: IEHP Medi-Cal $18.68
Rate for Payer: IEHP Medi-Cal Transplant $18.68
Rate for Payer: IEHP Medicare Advantage $11.53
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $48.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal $16.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11.53
Rate for Payer: LLUH Dept of Risk Management WC $17.52
Rate for Payer: Molina Healthcare of CA Medi-Cal $14.53
Rate for Payer: Molina Healthcare of CA Medicare $15.45
Rate for Payer: Multiplan Commercial $58.40
Rate for Payer: Networks By Design Commercial $47.45
Rate for Payer: Prime Health Services Commercial $62.05
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $43.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $43.80
Rate for Payer: TriValley Medical Group Commercial/Senior $43.80
Rate for Payer: United Healthcare All Other Commercial $9.34
Rate for Payer: United Healthcare All Other HMO $9.34
Rate for Payer: United Healthcare HMO Rider $9.34
Rate for Payer: United Healthcare Select/Navigate/Core $9.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $17.30
Rate for Payer: Vantage Medical Group Medi-Cal $12.68
Rate for Payer: Vantage Medical Group Senior $11.53
Service Code CPT 78454
Hospital Charge Code 909301383
Hospital Revenue Code 341
Min. Negotiated Rate $707.04
Max. Negotiated Rate $2,504.10
Rate for Payer: Cash Price $1,325.70
Rate for Payer: EPIC Health Plan Commercial $1,178.40
Rate for Payer: Galaxy Health WC $2,504.10
Rate for Payer: Global Benefits Group Commercial $1,767.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,964.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,122.43
Rate for Payer: LLUH Dept of Risk Management WC $707.04
Rate for Payer: Multiplan Commercial $2,356.80
Rate for Payer: Networks By Design Commercial $1,914.90
Rate for Payer: Prime Health Services Commercial $2,504.10
Service Code CPT 78454
Hospital Charge Code 909301383
Hospital Revenue Code 341
Min. Negotiated Rate $319.79
Max. Negotiated Rate $2,909.61
Rate for Payer: Aetna of CA HMO/PPO $2,283.52
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,661.22
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,951.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,774.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,755.23
Rate for Payer: BCBS Transplant Transplant $1,767.60
Rate for Payer: Blue Shield of California Commercial $1,741.09
Rate for Payer: Blue Shield of California EPN $1,381.67
Rate for Payer: Cash Price $1,325.70
Rate for Payer: Cash Price $1,325.70
Rate for Payer: Cigna of CA HMO $1,885.44
Rate for Payer: Cigna of CA PPO $2,180.04
Rate for Payer: Dignity Health Commercial/Exchange $2,661.22
Rate for Payer: Dignity Health Media $1,774.15
Rate for Payer: Dignity Health Medi-Cal $1,951.56
Rate for Payer: EPIC Health Plan Commercial $2,395.10
Rate for Payer: EPIC Health Plan Medicare/Senior $1,774.15
Rate for Payer: EPIC Health Plan Transplant $1,774.15
Rate for Payer: Galaxy Health WC $2,504.10
Rate for Payer: Global Benefits Group Commercial $1,767.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,209.50
Rate for Payer: Heritage Provider Network Commercial $2,909.61
Rate for Payer: Heritage Provider Network Transplant $2,909.61
Rate for Payer: IEHP Medi-Cal $2,874.12
Rate for Payer: IEHP Medi-Cal Transplant $2,874.12
Rate for Payer: IEHP Medicare Advantage $1,774.15
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,964.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $319.79
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,774.15
Rate for Payer: LLUH Dept of Risk Management WC $707.04
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,235.43
Rate for Payer: Molina Healthcare of CA Medicare $2,377.36
Rate for Payer: Multiplan Commercial $2,356.80
Rate for Payer: Networks By Design Commercial $1,914.90
Rate for Payer: Prime Health Services Commercial $2,504.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,767.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,767.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,767.60
Rate for Payer: United Healthcare All Other Commercial $1,721.55
Rate for Payer: United Healthcare All Other HMO $1,721.55
Rate for Payer: United Healthcare HMO Rider $1,721.55
Rate for Payer: United Healthcare Select/Navigate/Core $1,721.55
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,661.22
Rate for Payer: Vantage Medical Group Medi-Cal $1,951.56
Rate for Payer: Vantage Medical Group Senior $1,774.15
Service Code CPT 78453
Hospital Charge Code 909301385
Hospital Revenue Code 341
Min. Negotiated Rate $892.56
Max. Negotiated Rate $3,161.15
Rate for Payer: Cash Price $1,673.55
Rate for Payer: EPIC Health Plan Commercial $1,487.60
Rate for Payer: Galaxy Health WC $3,161.15
Rate for Payer: Global Benefits Group Commercial $2,231.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,480.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,416.94
Rate for Payer: LLUH Dept of Risk Management WC $892.56
Rate for Payer: Multiplan Commercial $2,975.20
Rate for Payer: Networks By Design Commercial $2,417.35
Rate for Payer: Prime Health Services Commercial $3,161.15
Service Code CPT 78453
Hospital Charge Code 909301385
Hospital Revenue Code 341
Min. Negotiated Rate $335.54
Max. Negotiated Rate $3,161.15
Rate for Payer: Aetna of CA HMO/PPO $1,557.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2,661.22
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,951.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,774.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2,215.78
Rate for Payer: BCBS Transplant Transplant $2,231.40
Rate for Payer: Blue Shield of California Commercial $2,197.93
Rate for Payer: Blue Shield of California EPN $1,744.21
Rate for Payer: Cash Price $1,673.55
Rate for Payer: Cash Price $1,673.55
Rate for Payer: Cigna of CA HMO $2,380.16
Rate for Payer: Cigna of CA PPO $2,752.06
Rate for Payer: Dignity Health Commercial/Exchange $2,661.22
Rate for Payer: Dignity Health Media $1,774.15
Rate for Payer: Dignity Health Medi-Cal $1,951.56
Rate for Payer: EPIC Health Plan Commercial $2,395.10
Rate for Payer: EPIC Health Plan Medicare/Senior $1,774.15
Rate for Payer: EPIC Health Plan Transplant $1,774.15
Rate for Payer: Galaxy Health WC $3,161.15
Rate for Payer: Global Benefits Group Commercial $2,231.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,789.25
Rate for Payer: Heritage Provider Network Commercial $2,909.61
Rate for Payer: Heritage Provider Network Transplant $2,909.61
Rate for Payer: IEHP Medi-Cal $2,874.12
Rate for Payer: IEHP Medi-Cal Transplant $2,874.12
Rate for Payer: IEHP Medicare Advantage $1,774.15
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,480.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal $335.54
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,774.15
Rate for Payer: LLUH Dept of Risk Management WC $892.56
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,235.43
Rate for Payer: Molina Healthcare of CA Medicare $2,377.36
Rate for Payer: Multiplan Commercial $2,975.20
Rate for Payer: Networks By Design Commercial $2,417.35
Rate for Payer: Prime Health Services Commercial $3,161.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $2,231.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,231.40
Rate for Payer: TriValley Medical Group Commercial/Senior $2,231.40
Rate for Payer: United Healthcare All Other Commercial $1,721.55
Rate for Payer: United Healthcare All Other HMO $1,721.55
Rate for Payer: United Healthcare HMO Rider $1,721.55
Rate for Payer: United Healthcare Select/Navigate/Core $1,721.55
Rate for Payer: Vantage Medical Group Commercial/Exchange $2,661.22
Rate for Payer: Vantage Medical Group Medi-Cal $1,951.56
Rate for Payer: Vantage Medical Group Senior $1,774.15
Service Code CPT 78466
Hospital Charge Code 909301382
Hospital Revenue Code 341
Min. Negotiated Rate $166.29
Max. Negotiated Rate $1,437.35
Rate for Payer: Aetna of CA HMO/PPO $925.34
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 $1,007.50
Rate for Payer: BCBS Transplant Transplant $1,014.60
Rate for Payer: Blue Shield of California Commercial $999.38
Rate for Payer: Blue Shield of California EPN $793.08
Rate for Payer: Cash Price $760.95
Rate for Payer: Cash Price $760.95
Rate for Payer: Cigna of CA HMO $1,082.24
Rate for Payer: Cigna of CA PPO $1,251.34
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 $1,437.35
Rate for Payer: Global Benefits Group Commercial $1,014.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,268.25
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 $1,127.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $166.29
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $405.84
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 $1,352.80
Rate for Payer: Networks By Design Commercial $1,099.15
Rate for Payer: Prime Health Services Commercial $1,437.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,014.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,014.60
Rate for Payer: TriValley Medical Group Commercial/Senior $1,014.60
Rate for Payer: United Healthcare All Other Commercial $761.81
Rate for Payer: United Healthcare All Other HMO $761.81
Rate for Payer: United Healthcare HMO Rider $761.81
Rate for Payer: United Healthcare Select/Navigate/Core $761.81
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 78466
Hospital Charge Code 909301382
Hospital Revenue Code 341
Min. Negotiated Rate $405.84
Max. Negotiated Rate $1,437.35
Rate for Payer: Cash Price $760.95
Rate for Payer: EPIC Health Plan Commercial $676.40
Rate for Payer: Galaxy Health WC $1,437.35
Rate for Payer: Global Benefits Group Commercial $1,014.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,127.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $644.27
Rate for Payer: LLUH Dept of Risk Management WC $405.84
Rate for Payer: Multiplan Commercial $1,352.80
Rate for Payer: Networks By Design Commercial $1,099.15
Rate for Payer: Prime Health Services Commercial $1,437.35
Service Code CPT 81003
Hospital Charge Code 900910387
Hospital Revenue Code 307
Min. Negotiated Rate $1.83
Max. Negotiated Rate $20.52
Rate for Payer: Aetna of CA HMO/PPO $18.70
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3.38
Rate for Payer: AlphaCare Medical Group Medi-Cal $2.48
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2.25
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $20.52
Rate for Payer: BCBS Transplant Transplant $6.60
Rate for Payer: Blue Shield of California Commercial $7.11
Rate for Payer: Blue Shield of California EPN $5.63
Rate for Payer: Cash Price $4.95
Rate for Payer: Cash Price $4.95
Rate for Payer: Cigna of CA HMO $7.04
Rate for Payer: Cigna of CA PPO $8.14
Rate for Payer: Dignity Health Commercial/Exchange $3.38
Rate for Payer: Dignity Health Media $2.25
Rate for Payer: Dignity Health Medi-Cal $2.48
Rate for Payer: EPIC Health Plan Commercial $3.04
Rate for Payer: EPIC Health Plan Medicare/Senior $2.25
Rate for Payer: EPIC Health Plan Transplant $2.25
Rate for Payer: Galaxy Health WC $9.35
Rate for Payer: Global Benefits Group Commercial $6.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $8.25
Rate for Payer: Heritage Provider Network Commercial $3.69
Rate for Payer: Heritage Provider Network Transplant $3.69
Rate for Payer: IEHP Medi-Cal $3.64
Rate for Payer: IEHP Medi-Cal Transplant $3.64
Rate for Payer: IEHP Medicare Advantage $2.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.72
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2.25
Rate for Payer: LLUH Dept of Risk Management WC $2.64
Rate for Payer: Molina Healthcare of CA Medi-Cal $2.84
Rate for Payer: Molina Healthcare of CA Medicare $3.02
Rate for Payer: Multiplan Commercial $8.80
Rate for Payer: Networks By Design Commercial $7.15
Rate for Payer: Prime Health Services Commercial $9.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $6.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $6.60
Rate for Payer: TriValley Medical Group Commercial/Senior $6.60
Rate for Payer: United Healthcare All Other Commercial $1.83
Rate for Payer: United Healthcare All Other HMO $1.83
Rate for Payer: United Healthcare HMO Rider $1.83
Rate for Payer: United Healthcare Select/Navigate/Core $1.83
Rate for Payer: Vantage Medical Group Commercial/Exchange $3.38
Rate for Payer: Vantage Medical Group Medi-Cal $2.48
Rate for Payer: Vantage Medical Group Senior $2.25
Service Code CPT 83874
Hospital Charge Code 900910825
Hospital Revenue Code 301
Min. Negotiated Rate $4.80
Max. Negotiated Rate $118.18
Rate for Payer: Aetna of CA HMO/PPO $107.34
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $19.38
Rate for Payer: AlphaCare Medical Group Medi-Cal $14.21
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $12.92
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $118.18
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 $19.38
Rate for Payer: Dignity Health Media $12.92
Rate for Payer: Dignity Health Medi-Cal $14.21
Rate for Payer: EPIC Health Plan Commercial $17.44
Rate for Payer: EPIC Health Plan Medicare/Senior $12.92
Rate for Payer: EPIC Health Plan Transplant $12.92
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 $21.19
Rate for Payer: Heritage Provider Network Transplant $21.19
Rate for Payer: IEHP Medi-Cal $20.93
Rate for Payer: IEHP Medi-Cal Transplant $20.93
Rate for Payer: IEHP Medicare Advantage $12.92
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $13.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.81
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $12.92
Rate for Payer: LLUH Dept of Risk Management WC $4.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $16.28
Rate for Payer: Molina Healthcare of CA Medicare $17.31
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 $10.47
Rate for Payer: United Healthcare All Other HMO $10.47
Rate for Payer: United Healthcare HMO Rider $10.47
Rate for Payer: United Healthcare Select/Navigate/Core $10.47
Rate for Payer: Vantage Medical Group Commercial/Exchange $19.38
Rate for Payer: Vantage Medical Group Medi-Cal $14.21
Rate for Payer: Vantage Medical Group Senior $12.92
Service Code CPT E0770
Hospital Charge Code 905370770
Hospital Revenue Code 290
Min. Negotiated Rate $1,576.08
Max. Negotiated Rate $5,581.95
Rate for Payer: Cash Price $2,955.15
Rate for Payer: EPIC Health Plan Commercial $2,626.80
Rate for Payer: Galaxy Health WC $5,581.95
Rate for Payer: Global Benefits Group Commercial $3,940.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,380.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,502.03
Rate for Payer: LLUH Dept of Risk Management WC $1,576.08
Rate for Payer: Multiplan Commercial $5,253.60
Rate for Payer: Networks By Design Commercial $4,268.55
Rate for Payer: Prime Health Services Commercial $5,581.95
Service Code CPT E0770
Hospital Charge Code 905370770
Hospital Revenue Code 290
Min. Negotiated Rate $1,576.08
Max. Negotiated Rate $5,581.95
Rate for Payer: Aetna of CA HMO/PPO $5,075.11
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5,581.95
Rate for Payer: AlphaCare Medical Group Medi-Cal $3,611.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3,611.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,912.62
Rate for Payer: BCBS Transplant Transplant $3,940.20
Rate for Payer: Blue Shield of California Commercial $4,839.88
Rate for Payer: Blue Shield of California EPN $3,835.13
Rate for Payer: Cash Price $2,955.15
Rate for Payer: Cash Price $2,955.15
Rate for Payer: Cigna of CA HMO $4,202.88
Rate for Payer: Cigna of CA PPO $4,859.58
Rate for Payer: Dignity Health Commercial/Exchange $5,581.95
Rate for Payer: Dignity Health Media $5,581.95
Rate for Payer: Dignity Health Medi-Cal $5,581.95
Rate for Payer: EPIC Health Plan Commercial $2,626.80
Rate for Payer: EPIC Health Plan Transplant $2,626.80
Rate for Payer: Galaxy Health WC $5,581.95
Rate for Payer: Global Benefits Group Commercial $3,940.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4,925.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,380.19
Rate for Payer: LLUH Dept of Risk Management WC $1,576.08
Rate for Payer: Multiplan Commercial $5,253.60
Rate for Payer: Networks By Design Commercial $4,268.55
Rate for Payer: Prime Health Services Commercial $5,581.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $3,940.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,940.20
Rate for Payer: TriValley Medical Group Commercial/Senior $3,940.20
Rate for Payer: United Healthcare All Other Commercial $3,283.50
Rate for Payer: United Healthcare All Other HMO $3,283.50
Rate for Payer: United Healthcare HMO Rider $3,283.50
Rate for Payer: United Healthcare Select/Navigate/Core $3,283.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,581.95
Rate for Payer: Vantage Medical Group Medi-Cal $5,581.95
Rate for Payer: Vantage Medical Group Senior $5,581.95
Service Code CPT 69420
Hospital Charge Code 900501377
Hospital Revenue Code 450
Min. Negotiated Rate $571.92
Max. Negotiated Rate $2,025.55
Rate for Payer: Cash Price $1,072.35
Rate for Payer: EPIC Health Plan Commercial $953.20
Rate for Payer: Galaxy Health WC $2,025.55
Rate for Payer: Global Benefits Group Commercial $1,429.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,589.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $907.92
Rate for Payer: LLUH Dept of Risk Management WC $571.92
Rate for Payer: Multiplan Commercial $1,906.40
Rate for Payer: Networks By Design Commercial $1,548.95
Rate for Payer: Prime Health Services Commercial $2,025.55
Service Code CPT 69420
Hospital Charge Code 900501377
Hospital Revenue Code 450
Min. Negotiated Rate $106.12
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 $457.78
Rate for Payer: AlphaCare Medical Group Medi-Cal $335.71
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $305.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $1,429.80
Rate for Payer: Cash Price $1,072.35
Rate for Payer: Cash Price $1,072.35
Rate for Payer: Cash Price $1,072.35
Rate for Payer: Cigna of CA PPO $1,763.42
Rate for Payer: Dignity Health Commercial/Exchange $457.78
Rate for Payer: Dignity Health Media $305.19
Rate for Payer: Dignity Health Medi-Cal $335.71
Rate for Payer: EPIC Health Plan Commercial $412.01
Rate for Payer: EPIC Health Plan Medicare/Senior $305.19
Rate for Payer: EPIC Health Plan Transplant $305.19
Rate for Payer: Galaxy Health WC $2,025.55
Rate for Payer: Global Benefits Group Commercial $1,429.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,787.25
Rate for Payer: Heritage Provider Network Commercial $500.51
Rate for Payer: Heritage Provider Network Transplant $500.51
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $305.19
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,589.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $106.12
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $305.19
Rate for Payer: LLUH Dept of Risk Management WC $571.92
Rate for Payer: Molina Healthcare of CA Medi-Cal $384.54
Rate for Payer: Molina Healthcare of CA Medicare $408.95
Rate for Payer: Multiplan Commercial $1,906.40
Rate for Payer: Networks By Design Commercial $1,548.95
Rate for Payer: Prime Health Services Commercial $2,025.55
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,429.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,429.80
Rate for Payer: United Healthcare All Other Commercial $1,191.50
Rate for Payer: United Healthcare All Other HMO $1,191.50
Rate for Payer: United Healthcare HMO Rider $1,191.50
Rate for Payer: United Healthcare Select/Navigate/Core $1,191.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $457.78
Rate for Payer: Vantage Medical Group Medi-Cal $335.71
Rate for Payer: Vantage Medical Group Senior $305.19
Service Code CPT 70160
Hospital Charge Code 909001104
Hospital Revenue Code 320
Min. Negotiated Rate $233.04
Max. Negotiated Rate $825.35
Rate for Payer: Cash Price $436.95
Rate for Payer: EPIC Health Plan Commercial $388.40
Rate for Payer: Galaxy Health WC $825.35
Rate for Payer: Global Benefits Group Commercial $582.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $647.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $369.95
Rate for Payer: LLUH Dept of Risk Management WC $233.04
Rate for Payer: Multiplan Commercial $776.80
Rate for Payer: Networks By Design Commercial $631.15
Rate for Payer: Prime Health Services Commercial $825.35
Service Code CPT 70160
Hospital Charge Code 909001104
Hospital Revenue Code 320
Min. Negotiated Rate $47.10
Max. Negotiated Rate $825.35
Rate for Payer: Aetna of CA HMO/PPO $156.91
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $170.31
Rate for Payer: AlphaCare Medical Group Medi-Cal $124.89
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $113.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $136.24
Rate for Payer: BCBS Transplant Transplant $582.60
Rate for Payer: Blue Shield of California Commercial $573.86
Rate for Payer: Blue Shield of California EPN $455.40
Rate for Payer: Cash Price $436.95
Rate for Payer: Cash Price $436.95
Rate for Payer: Cigna of CA HMO $621.44
Rate for Payer: Cigna of CA PPO $718.54
Rate for Payer: Dignity Health Commercial/Exchange $170.31
Rate for Payer: Dignity Health Media $113.54
Rate for Payer: Dignity Health Medi-Cal $124.89
Rate for Payer: EPIC Health Plan Commercial $153.28
Rate for Payer: EPIC Health Plan Medicare/Senior $113.54
Rate for Payer: EPIC Health Plan Transplant $113.54
Rate for Payer: Galaxy Health WC $825.35
Rate for Payer: Global Benefits Group Commercial $582.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $728.25
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $647.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $47.10
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $233.04
Rate for Payer: Molina Healthcare of CA Medi-Cal $143.06
Rate for Payer: Molina Healthcare of CA Medicare $152.14
Rate for Payer: Multiplan Commercial $776.80
Rate for Payer: Networks By Design Commercial $631.15
Rate for Payer: Prime Health Services Commercial $825.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $582.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $582.60
Rate for Payer: TriValley Medical Group Commercial/Senior $582.60
Rate for Payer: United Healthcare All Other Commercial $114.69
Rate for Payer: United Healthcare All Other HMO $114.69
Rate for Payer: United Healthcare HMO Rider $114.69
Rate for Payer: United Healthcare Select/Navigate/Core $114.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $170.31
Rate for Payer: Vantage Medical Group Medi-Cal $124.89
Rate for Payer: Vantage Medical Group Senior $113.54
Service Code CPT 31231
Hospital Charge Code 900501401
Hospital Revenue Code 450
Min. Negotiated Rate $93.37
Max. Negotiated Rate $7,385.00
Rate for Payer: Aetna of CA HMO/PPO $7,385.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $371.24
Rate for Payer: AlphaCare Medical Group Medi-Cal $272.24
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $247.49
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $457.80
Rate for Payer: Cash Price $343.35
Rate for Payer: Cash Price $343.35
Rate for Payer: Cash Price $343.35
Rate for Payer: Cigna of CA PPO $564.62
Rate for Payer: Dignity Health Commercial/Exchange $371.24
Rate for Payer: Dignity Health Media $247.49
Rate for Payer: Dignity Health Medi-Cal $272.24
Rate for Payer: EPIC Health Plan Commercial $334.11
Rate for Payer: EPIC Health Plan Medicare/Senior $247.49
Rate for Payer: EPIC Health Plan Transplant $247.49
Rate for Payer: Galaxy Health WC $648.55
Rate for Payer: Global Benefits Group Commercial $457.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $572.25
Rate for Payer: Heritage Provider Network Commercial $405.88
Rate for Payer: Heritage Provider Network Transplant $405.88
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $247.49
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $508.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $93.37
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $247.49
Rate for Payer: LLUH Dept of Risk Management WC $183.12
Rate for Payer: Molina Healthcare of CA Medi-Cal $311.84
Rate for Payer: Molina Healthcare of CA Medicare $331.64
Rate for Payer: Multiplan Commercial $610.40
Rate for Payer: Networks By Design Commercial $495.95
Rate for Payer: Prime Health Services Commercial $648.55
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $457.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $457.80
Rate for Payer: United Healthcare All Other Commercial $381.50
Rate for Payer: United Healthcare All Other HMO $381.50
Rate for Payer: United Healthcare HMO Rider $381.50
Rate for Payer: United Healthcare Select/Navigate/Core $381.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $371.24
Rate for Payer: Vantage Medical Group Medi-Cal $272.24
Rate for Payer: Vantage Medical Group Senior $247.49
Service Code CPT 31231
Hospital Charge Code 900501401
Hospital Revenue Code 450
Min. Negotiated Rate $183.12
Max. Negotiated Rate $648.55
Rate for Payer: Cash Price $343.35
Rate for Payer: EPIC Health Plan Commercial $305.20
Rate for Payer: Galaxy Health WC $648.55
Rate for Payer: Global Benefits Group Commercial $457.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $508.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $290.70
Rate for Payer: LLUH Dept of Risk Management WC $183.12
Rate for Payer: Multiplan Commercial $610.40
Rate for Payer: Networks By Design Commercial $495.95
Rate for Payer: Prime Health Services Commercial $648.55
Service Code CPT 31238
Hospital Charge Code 900501753
Hospital Revenue Code 450
Min. Negotiated Rate $1,783.68
Max. Negotiated Rate $6,317.20
Rate for Payer: Cash Price $3,344.40
Rate for Payer: EPIC Health Plan Commercial $2,972.80
Rate for Payer: Galaxy Health WC $6,317.20
Rate for Payer: Global Benefits Group Commercial $4,459.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,957.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,831.59
Rate for Payer: LLUH Dept of Risk Management WC $1,783.68
Rate for Payer: Multiplan Commercial $5,945.60
Rate for Payer: Networks By Design Commercial $4,830.80
Rate for Payer: Prime Health Services Commercial $6,317.20
Service Code CPT 31238
Hospital Charge Code 900501753
Hospital Revenue Code 450
Min. Negotiated Rate $331.06
Max. Negotiated Rate $7,385.00
Rate for Payer: Aetna of CA HMO/PPO $7,385.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3,180.93
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,332.68
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,120.62
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $4,459.20
Rate for Payer: Cash Price $3,344.40
Rate for Payer: Cash Price $3,344.40
Rate for Payer: Cash Price $3,344.40
Rate for Payer: Cigna of CA PPO $5,499.68
Rate for Payer: Dignity Health Commercial/Exchange $3,180.93
Rate for Payer: Dignity Health Media $2,120.62
Rate for Payer: Dignity Health Medi-Cal $2,332.68
Rate for Payer: EPIC Health Plan Commercial $2,862.84
Rate for Payer: EPIC Health Plan Medicare/Senior $2,120.62
Rate for Payer: EPIC Health Plan Transplant $2,120.62
Rate for Payer: Galaxy Health WC $6,317.20
Rate for Payer: Global Benefits Group Commercial $4,459.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5,574.00
Rate for Payer: Heritage Provider Network Commercial $3,477.82
Rate for Payer: Heritage Provider Network Transplant $3,477.82
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $2,120.62
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,957.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $331.06
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,120.62
Rate for Payer: LLUH Dept of Risk Management WC $1,783.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,671.98
Rate for Payer: Molina Healthcare of CA Medicare $2,841.63
Rate for Payer: Multiplan Commercial $5,945.60
Rate for Payer: Networks By Design Commercial $4,830.80
Rate for Payer: Prime Health Services Commercial $6,317.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,459.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,459.20
Rate for Payer: United Healthcare All Other Commercial $3,716.00
Rate for Payer: United Healthcare All Other HMO $3,716.00
Rate for Payer: United Healthcare HMO Rider $3,716.00
Rate for Payer: United Healthcare Select/Navigate/Core $3,716.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,180.93
Rate for Payer: Vantage Medical Group Medi-Cal $2,332.68
Rate for Payer: Vantage Medical Group Senior $2,120.62
Service Code CPT 30000
Hospital Charge Code 902890339
Hospital Revenue Code 450
Min. Negotiated Rate $337.92
Max. Negotiated Rate $1,196.80
Rate for Payer: Cash Price $633.60
Rate for Payer: EPIC Health Plan Commercial $563.20
Rate for Payer: Galaxy Health WC $1,196.80
Rate for Payer: Global Benefits Group Commercial $844.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $939.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $536.45
Rate for Payer: LLUH Dept of Risk Management WC $337.92
Rate for Payer: Multiplan Commercial $1,126.40
Rate for Payer: Networks By Design Commercial $915.20
Rate for Payer: Prime Health Services Commercial $1,196.80
Service Code CPT 30000
Hospital Charge Code 902890339
Hospital Revenue Code 450
Min. Negotiated Rate $118.12
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 $457.78
Rate for Payer: AlphaCare Medical Group Medi-Cal $335.71
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $305.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $844.80
Rate for Payer: Cash Price $633.60
Rate for Payer: Cash Price $633.60
Rate for Payer: Cash Price $633.60
Rate for Payer: Cigna of CA PPO $1,041.92
Rate for Payer: Dignity Health Commercial/Exchange $457.78
Rate for Payer: Dignity Health Media $305.19
Rate for Payer: Dignity Health Medi-Cal $335.71
Rate for Payer: EPIC Health Plan Commercial $412.01
Rate for Payer: EPIC Health Plan Medicare/Senior $305.19
Rate for Payer: EPIC Health Plan Transplant $305.19
Rate for Payer: Galaxy Health WC $1,196.80
Rate for Payer: Global Benefits Group Commercial $844.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,056.00
Rate for Payer: Heritage Provider Network Commercial $500.51
Rate for Payer: Heritage Provider Network Transplant $500.51
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $305.19
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $939.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $118.12
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $305.19
Rate for Payer: LLUH Dept of Risk Management WC $337.92
Rate for Payer: Molina Healthcare of CA Medi-Cal $384.54
Rate for Payer: Molina Healthcare of CA Medicare $408.95
Rate for Payer: Multiplan Commercial $1,126.40
Rate for Payer: Networks By Design Commercial $915.20
Rate for Payer: Prime Health Services Commercial $1,196.80
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $844.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $844.80
Rate for Payer: United Healthcare All Other Commercial $704.00
Rate for Payer: United Healthcare All Other HMO $704.00
Rate for Payer: United Healthcare HMO Rider $704.00
Rate for Payer: United Healthcare Select/Navigate/Core $704.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $457.78
Rate for Payer: Vantage Medical Group Medi-Cal $335.71
Rate for Payer: Vantage Medical Group Senior $305.19
Service Code CPT 43752
Hospital Charge Code 906743752
Hospital Revenue Code 450
Min. Negotiated Rate $147.12
Max. Negotiated Rate $521.05
Rate for Payer: Cash Price $275.85
Rate for Payer: EPIC Health Plan Commercial $245.20
Rate for Payer: Galaxy Health WC $521.05
Rate for Payer: Global Benefits Group Commercial $367.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $408.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal $233.55
Rate for Payer: LLUH Dept of Risk Management WC $147.12
Rate for Payer: Multiplan Commercial $490.40
Rate for Payer: Networks By Design Commercial $398.45
Rate for Payer: Prime Health Services Commercial $521.05