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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
Service Code CPT 43752
Hospital Charge Code 906743752
Hospital Revenue Code 450
Min. Negotiated Rate $147.12
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 $746.73
Rate for Payer: AlphaCare Medical Group Medi-Cal $547.60
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $497.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $367.80
Rate for Payer: Cash Price $275.85
Rate for Payer: Cash Price $275.85
Rate for Payer: Cash Price $275.85
Rate for Payer: Cigna of CA PPO $453.62
Rate for Payer: Dignity Health Commercial/Exchange $746.73
Rate for Payer: Dignity Health Media $497.82
Rate for Payer: Dignity Health Medi-Cal $547.60
Rate for Payer: EPIC Health Plan Commercial $672.06
Rate for Payer: EPIC Health Plan Medicare/Senior $497.82
Rate for Payer: EPIC Health Plan Transplant $497.82
Rate for Payer: Galaxy Health WC $521.05
Rate for Payer: Global Benefits Group Commercial $367.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $459.75
Rate for Payer: Heritage Provider Network Commercial $816.42
Rate for Payer: Heritage Provider Network Transplant $816.42
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $497.82
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $408.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal $246.87
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $497.82
Rate for Payer: LLUH Dept of Risk Management WC $147.12
Rate for Payer: Molina Healthcare of CA Medi-Cal $627.25
Rate for Payer: Molina Healthcare of CA Medicare $667.08
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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $367.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $367.80
Rate for Payer: United Healthcare All Other Commercial $306.50
Rate for Payer: United Healthcare All Other HMO $306.50
Rate for Payer: United Healthcare HMO Rider $306.50
Rate for Payer: United Healthcare Select/Navigate/Core $306.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $746.73
Rate for Payer: Vantage Medical Group Medi-Cal $547.60
Rate for Payer: Vantage Medical Group Senior $497.82
Service Code CPT 43752
Hospital Charge Code 906743752
Hospital Revenue Code 750
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
Service Code CPT 43753
Hospital Charge Code 900501188
Hospital Revenue Code 450
Min. Negotiated Rate $32.85
Max. Negotiated Rate $4,984.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $588.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $431.39
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $392.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $477.00
Rate for Payer: Cash Price $357.75
Rate for Payer: Cash Price $357.75
Rate for Payer: Cash Price $357.75
Rate for Payer: Cigna of CA PPO $588.30
Rate for Payer: Dignity Health Commercial/Exchange $588.26
Rate for Payer: Dignity Health Media $392.17
Rate for Payer: Dignity Health Medi-Cal $431.39
Rate for Payer: EPIC Health Plan Commercial $529.43
Rate for Payer: EPIC Health Plan Medicare/Senior $392.17
Rate for Payer: EPIC Health Plan Transplant $392.17
Rate for Payer: Galaxy Health WC $675.75
Rate for Payer: Global Benefits Group Commercial $477.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $596.25
Rate for Payer: Heritage Provider Network Commercial $643.16
Rate for Payer: Heritage Provider Network Transplant $643.16
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $392.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $530.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.85
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $392.17
Rate for Payer: LLUH Dept of Risk Management WC $190.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $494.13
Rate for Payer: Molina Healthcare of CA Medicare $525.51
Rate for Payer: Multiplan Commercial $636.00
Rate for Payer: Networks By Design Commercial $516.75
Rate for Payer: Prime Health Services Commercial $675.75
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $477.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $477.00
Rate for Payer: United Healthcare All Other Commercial $397.50
Rate for Payer: United Healthcare All Other HMO $397.50
Rate for Payer: United Healthcare HMO Rider $397.50
Rate for Payer: United Healthcare Select/Navigate/Core $397.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $588.26
Rate for Payer: Vantage Medical Group Medi-Cal $431.39
Rate for Payer: Vantage Medical Group Senior $392.17
Service Code CPT 43753
Hospital Charge Code 900501188
Hospital Revenue Code 230
Min. Negotiated Rate $190.80
Max. Negotiated Rate $675.75
Rate for Payer: Cash Price $357.75
Rate for Payer: EPIC Health Plan Commercial $318.00
Rate for Payer: Galaxy Health WC $675.75
Rate for Payer: Global Benefits Group Commercial $477.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $530.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $302.90
Rate for Payer: LLUH Dept of Risk Management WC $190.80
Rate for Payer: Multiplan Commercial $636.00
Rate for Payer: Networks By Design Commercial $516.75
Rate for Payer: Prime Health Services Commercial $675.75
Service Code CPT 43753
Hospital Charge Code 900501188
Hospital Revenue Code 230
Min. Negotiated Rate $32.85
Max. Negotiated Rate $4,984.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $588.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $431.39
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $392.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $477.00
Rate for Payer: Blue Shield of California Commercial $585.92
Rate for Payer: Blue Shield of California EPN $464.28
Rate for Payer: Cash Price $357.75
Rate for Payer: Cash Price $357.75
Rate for Payer: Cigna of CA HMO $508.80
Rate for Payer: Cigna of CA PPO $588.30
Rate for Payer: Dignity Health Commercial/Exchange $588.26
Rate for Payer: Dignity Health Media $392.17
Rate for Payer: Dignity Health Medi-Cal $431.39
Rate for Payer: EPIC Health Plan Commercial $529.43
Rate for Payer: EPIC Health Plan Medicare/Senior $392.17
Rate for Payer: EPIC Health Plan Transplant $392.17
Rate for Payer: Galaxy Health WC $675.75
Rate for Payer: Global Benefits Group Commercial $477.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $596.25
Rate for Payer: Heritage Provider Network Commercial $643.16
Rate for Payer: Heritage Provider Network Transplant $643.16
Rate for Payer: IEHP Medi-Cal $635.32
Rate for Payer: IEHP Medi-Cal Transplant $635.32
Rate for Payer: IEHP Medicare Advantage $392.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $530.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.85
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $392.17
Rate for Payer: LLUH Dept of Risk Management WC $190.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $494.13
Rate for Payer: Molina Healthcare of CA Medicare $525.51
Rate for Payer: Multiplan Commercial $636.00
Rate for Payer: Networks By Design Commercial $516.75
Rate for Payer: Prime Health Services Commercial $675.75
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $477.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $477.00
Rate for Payer: TriValley Medical Group Commercial/Senior $477.00
Rate for Payer: United Healthcare All Other Commercial $397.50
Rate for Payer: United Healthcare All Other HMO $397.50
Rate for Payer: United Healthcare HMO Rider $397.50
Rate for Payer: United Healthcare Select/Navigate/Core $397.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $588.26
Rate for Payer: Vantage Medical Group Medi-Cal $431.39
Rate for Payer: Vantage Medical Group Senior $392.17
Service Code CPT 43753
Hospital Charge Code 900501188
Hospital Revenue Code 450
Min. Negotiated Rate $190.80
Max. Negotiated Rate $675.75
Rate for Payer: Cash Price $357.75
Rate for Payer: EPIC Health Plan Commercial $318.00
Rate for Payer: Galaxy Health WC $675.75
Rate for Payer: Global Benefits Group Commercial $477.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $530.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $302.90
Rate for Payer: LLUH Dept of Risk Management WC $190.80
Rate for Payer: Multiplan Commercial $636.00
Rate for Payer: Networks By Design Commercial $516.75
Rate for Payer: Prime Health Services Commercial $675.75
Service Code CPT 70370
Hospital Charge Code 909001253
Hospital Revenue Code 320
Min. Negotiated Rate $72.37
Max. Negotiated Rate $793.90
Rate for Payer: EPIC Health Plan Transplant $113.54
Rate for Payer: Galaxy Health WC $793.90
Rate for Payer: Aetna of CA HMO/PPO $418.80
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 $340.10
Rate for Payer: BCBS Transplant Transplant $560.40
Rate for Payer: Blue Shield of California Commercial $551.99
Rate for Payer: Blue Shield of California EPN $438.05
Rate for Payer: Cash Price $420.30
Rate for Payer: Cash Price $420.30
Rate for Payer: Cigna of CA HMO $597.76
Rate for Payer: Cigna of CA PPO $691.16
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: Global Benefits Group Commercial $560.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $700.50
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $622.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $72.37
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $224.16
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 $747.20
Rate for Payer: Networks By Design Commercial $607.10
Rate for Payer: Prime Health Services Commercial $793.90
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $560.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $560.40
Rate for Payer: TriValley Medical Group Commercial/Senior $560.40
Rate for Payer: United Healthcare All Other Commercial $225.63
Rate for Payer: United Healthcare All Other HMO $225.63
Rate for Payer: United Healthcare HMO Rider $225.63
Rate for Payer: United Healthcare Select/Navigate/Core $225.63
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 70370
Hospital Charge Code 909001253
Hospital Revenue Code 320
Min. Negotiated Rate $224.16
Max. Negotiated Rate $793.90
Rate for Payer: Cash Price $420.30
Rate for Payer: EPIC Health Plan Commercial $373.60
Rate for Payer: Galaxy Health WC $793.90
Rate for Payer: Global Benefits Group Commercial $560.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $622.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $355.85
Rate for Payer: LLUH Dept of Risk Management WC $224.16
Rate for Payer: Multiplan Commercial $747.20
Rate for Payer: Networks By Design Commercial $607.10
Rate for Payer: Prime Health Services Commercial $793.90
Service Code CPT 92511
Hospital Charge Code 905601701
Hospital Revenue Code 450
Min. Negotiated Rate $79.40
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 $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 $531.60
Rate for Payer: Cash Price $398.70
Rate for Payer: Cash Price $398.70
Rate for Payer: Cash Price $398.70
Rate for Payer: Cigna of CA PPO $655.64
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 $753.10
Rate for Payer: Global Benefits Group Commercial $531.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $664.50
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 $590.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $79.40
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $247.49
Rate for Payer: LLUH Dept of Risk Management WC $212.64
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 $708.80
Rate for Payer: Networks By Design Commercial $575.90
Rate for Payer: Prime Health Services Commercial $753.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $531.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $531.60
Rate for Payer: United Healthcare All Other Commercial $443.00
Rate for Payer: United Healthcare All Other HMO $443.00
Rate for Payer: United Healthcare HMO Rider $443.00
Rate for Payer: United Healthcare Select/Navigate/Core $443.00
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 92511
Hospital Charge Code 905601701
Hospital Revenue Code 450
Min. Negotiated Rate $212.64
Max. Negotiated Rate $753.10
Rate for Payer: Cash Price $398.70
Rate for Payer: EPIC Health Plan Commercial $354.40
Rate for Payer: Galaxy Health WC $753.10
Rate for Payer: Global Benefits Group Commercial $531.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $590.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $337.57
Rate for Payer: LLUH Dept of Risk Management WC $212.64
Rate for Payer: Multiplan Commercial $708.80
Rate for Payer: Networks By Design Commercial $575.90
Rate for Payer: Prime Health Services Commercial $753.10
Service Code CPT 92511
Hospital Charge Code 907000031
Hospital Revenue Code 440
Min. Negotiated Rate $212.64
Max. Negotiated Rate $753.10
Rate for Payer: Cash Price $398.70
Rate for Payer: EPIC Health Plan Commercial $354.40
Rate for Payer: Galaxy Health WC $753.10
Rate for Payer: Global Benefits Group Commercial $531.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $590.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $337.57
Rate for Payer: LLUH Dept of Risk Management WC $212.64
Rate for Payer: Multiplan Commercial $708.80
Rate for Payer: Networks By Design Commercial $575.90
Rate for Payer: Prime Health Services Commercial $753.10
Service Code CPT 92511
Hospital Charge Code 907000031
Hospital Revenue Code 440
Min. Negotiated Rate $79.40
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 $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 $531.60
Rate for Payer: Blue Shield of California Commercial $407.00
Rate for Payer: Blue Shield of California EPN $293.00
Rate for Payer: Cash Price $398.70
Rate for Payer: Cash Price $398.70
Rate for Payer: Cash Price $398.70
Rate for Payer: Cigna of CA HMO $567.04
Rate for Payer: Cigna of CA PPO $655.64
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 $753.10
Rate for Payer: Global Benefits Group Commercial $531.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $664.50
Rate for Payer: Heritage Provider Network Commercial $405.88
Rate for Payer: Heritage Provider Network Transplant $405.88
Rate for Payer: IEHP Medi-Cal $400.93
Rate for Payer: IEHP Medi-Cal Transplant $400.93
Rate for Payer: IEHP Medicare Advantage $247.49
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $590.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $79.40
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $247.49
Rate for Payer: LLUH Dept of Risk Management WC $212.64
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 $708.80
Rate for Payer: Networks By Design Commercial $575.90
Rate for Payer: Prime Health Services Commercial $753.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $272.24
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $531.60
Rate for Payer: TriValley Medical Group Commercial/Senior $296.99
Rate for Payer: United Healthcare All Other Commercial $396.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $213.00
Rate for Payer: United Healthcare Select/Navigate/Core $196.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $371.24
Rate for Payer: Vantage Medical Group Medi-Cal $272.24
Rate for Payer: Vantage Medical Group Senior $247.49
Service Code CPT 31720
Hospital Charge Code 900800380
Hospital Revenue Code 510
Min. Negotiated Rate $87.60
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 $399.74
Rate for Payer: AlphaCare Medical Group Medi-Cal $293.14
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $266.49
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $219.00
Rate for Payer: Blue Shield of California Commercial $269.00
Rate for Payer: Blue Shield of California EPN $213.16
Rate for Payer: Cash Price $164.25
Rate for Payer: Cash Price $164.25
Rate for Payer: Cigna of CA HMO $233.60
Rate for Payer: Cigna of CA PPO $270.10
Rate for Payer: Dignity Health Commercial/Exchange $399.74
Rate for Payer: Dignity Health Media $266.49
Rate for Payer: Dignity Health Medi-Cal $293.14
Rate for Payer: EPIC Health Plan Commercial $359.76
Rate for Payer: EPIC Health Plan Medicare/Senior $266.49
Rate for Payer: EPIC Health Plan Transplant $266.49
Rate for Payer: Galaxy Health WC $310.25
Rate for Payer: Global Benefits Group Commercial $219.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $273.75
Rate for Payer: Heritage Provider Network Commercial $437.04
Rate for Payer: Heritage Provider Network Transplant $437.04
Rate for Payer: IEHP Medi-Cal $431.71
Rate for Payer: IEHP Medi-Cal Transplant $431.71
Rate for Payer: IEHP Medicare Advantage $266.49
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $243.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $96.20
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $266.49
Rate for Payer: LLUH Dept of Risk Management WC $87.60
Rate for Payer: Molina Healthcare of CA Medi-Cal $335.78
Rate for Payer: Molina Healthcare of CA Medicare $357.10
Rate for Payer: Multiplan Commercial $292.00
Rate for Payer: Networks By Design Commercial $237.25
Rate for Payer: Prime Health Services Commercial $310.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $219.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $219.00
Rate for Payer: TriValley Medical Group Commercial/Senior $219.00
Rate for Payer: United Healthcare All Other Commercial $182.50
Rate for Payer: United Healthcare All Other HMO $182.50
Rate for Payer: United Healthcare HMO Rider $182.50
Rate for Payer: United Healthcare Select/Navigate/Core $182.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $399.74
Rate for Payer: Vantage Medical Group Medi-Cal $293.14
Rate for Payer: Vantage Medical Group Senior $266.49
Service Code CPT 31720
Hospital Charge Code 900800380
Hospital Revenue Code 230
Min. Negotiated Rate $87.60
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 $399.74
Rate for Payer: AlphaCare Medical Group Medi-Cal $293.14
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $266.49
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $219.00
Rate for Payer: Blue Shield of California Commercial $269.00
Rate for Payer: Blue Shield of California EPN $213.16
Rate for Payer: Cash Price $164.25
Rate for Payer: Cash Price $164.25
Rate for Payer: Cigna of CA HMO $233.60
Rate for Payer: Cigna of CA PPO $270.10
Rate for Payer: Dignity Health Commercial/Exchange $399.74
Rate for Payer: Dignity Health Media $266.49
Rate for Payer: Dignity Health Medi-Cal $293.14
Rate for Payer: EPIC Health Plan Commercial $359.76
Rate for Payer: EPIC Health Plan Medicare/Senior $266.49
Rate for Payer: EPIC Health Plan Transplant $266.49
Rate for Payer: Galaxy Health WC $310.25
Rate for Payer: Global Benefits Group Commercial $219.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $273.75
Rate for Payer: Heritage Provider Network Commercial $437.04
Rate for Payer: Heritage Provider Network Transplant $437.04
Rate for Payer: IEHP Medi-Cal $431.71
Rate for Payer: IEHP Medi-Cal Transplant $431.71
Rate for Payer: IEHP Medicare Advantage $266.49
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $243.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $96.20
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $266.49
Rate for Payer: LLUH Dept of Risk Management WC $87.60
Rate for Payer: Molina Healthcare of CA Medi-Cal $335.78
Rate for Payer: Molina Healthcare of CA Medicare $357.10
Rate for Payer: Multiplan Commercial $292.00
Rate for Payer: Networks By Design Commercial $237.25
Rate for Payer: Prime Health Services Commercial $310.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $219.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $219.00
Rate for Payer: TriValley Medical Group Commercial/Senior $219.00
Rate for Payer: United Healthcare All Other Commercial $182.50
Rate for Payer: United Healthcare All Other HMO $182.50
Rate for Payer: United Healthcare HMO Rider $182.50
Rate for Payer: United Healthcare Select/Navigate/Core $182.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $399.74
Rate for Payer: Vantage Medical Group Medi-Cal $293.14
Rate for Payer: Vantage Medical Group Senior $266.49
Service Code CPT 31720
Hospital Charge Code 900800380
Hospital Revenue Code 230
Min. Negotiated Rate $87.60
Max. Negotiated Rate $310.25
Rate for Payer: Cash Price $164.25
Rate for Payer: EPIC Health Plan Commercial $146.00
Rate for Payer: Galaxy Health WC $310.25
Rate for Payer: Global Benefits Group Commercial $219.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $243.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $139.06
Rate for Payer: LLUH Dept of Risk Management WC $87.60
Rate for Payer: Multiplan Commercial $292.00
Rate for Payer: Networks By Design Commercial $237.25
Rate for Payer: Prime Health Services Commercial $310.25
Service Code CPT 31720
Hospital Charge Code 900800380
Hospital Revenue Code 510
Min. Negotiated Rate $87.60
Max. Negotiated Rate $310.25
Rate for Payer: Cash Price $164.25
Rate for Payer: EPIC Health Plan Commercial $146.00
Rate for Payer: Galaxy Health WC $310.25
Rate for Payer: Global Benefits Group Commercial $219.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $243.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal $139.06
Rate for Payer: LLUH Dept of Risk Management WC $87.60
Rate for Payer: Multiplan Commercial $292.00
Rate for Payer: Networks By Design Commercial $237.25
Rate for Payer: Prime Health Services Commercial $310.25
Service Code CPT 64505
Hospital Charge Code 900501686
Hospital Revenue Code 450
Min. Negotiated Rate $115.29
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 $555.09
Rate for Payer: AlphaCare Medical Group Medi-Cal $407.07
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $370.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $829.20
Rate for Payer: Cash Price $621.90
Rate for Payer: Cash Price $621.90
Rate for Payer: Cash Price $621.90
Rate for Payer: Cigna of CA PPO $1,022.68
Rate for Payer: Dignity Health Commercial/Exchange $555.09
Rate for Payer: Dignity Health Media $370.06
Rate for Payer: Dignity Health Medi-Cal $407.07
Rate for Payer: EPIC Health Plan Commercial $499.58
Rate for Payer: EPIC Health Plan Medicare/Senior $370.06
Rate for Payer: EPIC Health Plan Transplant $370.06
Rate for Payer: Galaxy Health WC $1,174.70
Rate for Payer: Global Benefits Group Commercial $829.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,036.50
Rate for Payer: Heritage Provider Network Commercial $606.90
Rate for Payer: Heritage Provider Network Transplant $606.90
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $370.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $921.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $115.29
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $370.06
Rate for Payer: LLUH Dept of Risk Management WC $331.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $466.28
Rate for Payer: Molina Healthcare of CA Medicare $495.88
Rate for Payer: Multiplan Commercial $1,105.60
Rate for Payer: Networks By Design Commercial $898.30
Rate for Payer: Prime Health Services Commercial $1,174.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $829.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $829.20
Rate for Payer: United Healthcare All Other Commercial $691.00
Rate for Payer: United Healthcare All Other HMO $691.00
Rate for Payer: United Healthcare HMO Rider $691.00
Rate for Payer: United Healthcare Select/Navigate/Core $691.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $555.09
Rate for Payer: Vantage Medical Group Medi-Cal $407.07
Rate for Payer: Vantage Medical Group Senior $370.06
Service Code CPT 64505
Hospital Charge Code 900501686
Hospital Revenue Code 450
Min. Negotiated Rate $331.68
Max. Negotiated Rate $1,174.70
Rate for Payer: Cash Price $621.90
Rate for Payer: EPIC Health Plan Commercial $552.80
Rate for Payer: Galaxy Health WC $1,174.70
Rate for Payer: Global Benefits Group Commercial $829.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $921.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $526.54
Rate for Payer: LLUH Dept of Risk Management WC $331.68
Rate for Payer: Multiplan Commercial $1,105.60
Rate for Payer: Networks By Design Commercial $898.30
Rate for Payer: Prime Health Services Commercial $1,174.70
Service Code CPT 78445
Hospital Charge Code 909301349
Hospital Revenue Code 341
Min. Negotiated Rate $229.58
Max. Negotiated Rate $1,723.80
Rate for Payer: Aetna of CA HMO/PPO $938.34
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 $1,208.28
Rate for Payer: BCBS Transplant Transplant $1,216.80
Rate for Payer: Blue Shield of California Commercial $1,198.55
Rate for Payer: Blue Shield of California EPN $951.13
Rate for Payer: Cash Price $912.60
Rate for Payer: Cash Price $912.60
Rate for Payer: Cigna of CA HMO $1,297.92
Rate for Payer: Cigna of CA PPO $1,500.72
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 $1,723.80
Rate for Payer: Global Benefits Group Commercial $1,216.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,521.00
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,352.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $229.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $486.72
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 $1,622.40
Rate for Payer: Networks By Design Commercial $1,318.20
Rate for Payer: Prime Health Services Commercial $1,723.80
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,216.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,216.80
Rate for Payer: TriValley Medical Group Commercial/Senior $1,216.80
Rate for Payer: United Healthcare All Other Commercial $396.46
Rate for Payer: United Healthcare All Other HMO $396.46
Rate for Payer: United Healthcare HMO Rider $396.46
Rate for Payer: United Healthcare Select/Navigate/Core $396.46
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 78445
Hospital Charge Code 909301349
Hospital Revenue Code 341
Min. Negotiated Rate $486.72
Max. Negotiated Rate $1,723.80
Rate for Payer: Cash Price $912.60
Rate for Payer: EPIC Health Plan Commercial $811.20
Rate for Payer: Galaxy Health WC $1,723.80
Rate for Payer: Global Benefits Group Commercial $1,216.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,352.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $772.67
Rate for Payer: LLUH Dept of Risk Management WC $486.72
Rate for Payer: Multiplan Commercial $1,622.40
Rate for Payer: Networks By Design Commercial $1,318.20
Rate for Payer: Prime Health Services Commercial $1,723.80
Service Code CPT 70360
Hospital Charge Code 909001201
Hospital Revenue Code 320
Min. Negotiated Rate $184.80
Max. Negotiated Rate $654.50
Rate for Payer: Cash Price $346.50
Rate for Payer: EPIC Health Plan Commercial $308.00
Rate for Payer: Galaxy Health WC $654.50
Rate for Payer: Global Benefits Group Commercial $462.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $513.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal $293.37
Rate for Payer: LLUH Dept of Risk Management WC $184.80
Rate for Payer: Multiplan Commercial $616.00
Rate for Payer: Networks By Design Commercial $500.50
Rate for Payer: Prime Health Services Commercial $654.50
Service Code CPT 70360
Hospital Charge Code 909001201
Hospital Revenue Code 320
Min. Negotiated Rate $32.87
Max. Negotiated Rate $654.50
Rate for Payer: Aetna of CA HMO/PPO $122.29
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 $110.93
Rate for Payer: BCBS Transplant Transplant $462.00
Rate for Payer: Blue Shield of California Commercial $455.07
Rate for Payer: Blue Shield of California EPN $361.13
Rate for Payer: Cash Price $346.50
Rate for Payer: Cash Price $346.50
Rate for Payer: Cigna of CA HMO $492.80
Rate for Payer: Cigna of CA PPO $569.80
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 $654.50
Rate for Payer: Global Benefits Group Commercial $462.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $577.50
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $513.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal $32.87
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $184.80
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 $616.00
Rate for Payer: Networks By Design Commercial $500.50
Rate for Payer: Prime Health Services Commercial $654.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $462.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $462.00
Rate for Payer: TriValley Medical Group Commercial/Senior $462.00
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 95867
Hospital Charge Code 900600252
Hospital Revenue Code 922
Min. Negotiated Rate $121.68
Max. Negotiated Rate $430.95
Rate for Payer: Cash Price $228.15
Rate for Payer: EPIC Health Plan Commercial $202.80
Rate for Payer: Galaxy Health WC $430.95
Rate for Payer: Global Benefits Group Commercial $304.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $338.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $193.17
Rate for Payer: LLUH Dept of Risk Management WC $121.68
Rate for Payer: Multiplan Commercial $405.60
Rate for Payer: Networks By Design Commercial $329.55
Rate for Payer: Prime Health Services Commercial $430.95
Service Code CPT 95867
Hospital Charge Code 900600252
Hospital Revenue Code 922
Min. Negotiated Rate $91.64
Max. Negotiated Rate $1,231.00
Rate for Payer: Aetna of CA HMO/PPO $270.58
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $588.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $431.39
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $392.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $302.07
Rate for Payer: BCBS Transplant Transplant $304.20
Rate for Payer: Blue Shield of California Commercial $299.64
Rate for Payer: Blue Shield of California EPN $237.78
Rate for Payer: Cash Price $228.15
Rate for Payer: Cash Price $228.15
Rate for Payer: Cash Price $228.15
Rate for Payer: Cigna of CA HMO $324.48
Rate for Payer: Cigna of CA PPO $375.18
Rate for Payer: Dignity Health Commercial/Exchange $588.26
Rate for Payer: Dignity Health Media $392.17
Rate for Payer: Dignity Health Medi-Cal $431.39
Rate for Payer: EPIC Health Plan Commercial $529.43
Rate for Payer: EPIC Health Plan Medicare/Senior $392.17
Rate for Payer: EPIC Health Plan Transplant $392.17
Rate for Payer: Galaxy Health WC $430.95
Rate for Payer: Global Benefits Group Commercial $304.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $380.25
Rate for Payer: Heritage Provider Network Commercial $643.16
Rate for Payer: Heritage Provider Network Transplant $643.16
Rate for Payer: IEHP Medi-Cal $635.32
Rate for Payer: IEHP Medi-Cal Transplant $635.32
Rate for Payer: IEHP Medicare Advantage $392.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $338.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal $91.64
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $392.17
Rate for Payer: LLUH Dept of Risk Management WC $121.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $494.13
Rate for Payer: Molina Healthcare of CA Medicare $525.51
Rate for Payer: Multiplan Commercial $405.60
Rate for Payer: Networks By Design Commercial $329.55
Rate for Payer: Prime Health Services Commercial $430.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $304.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $304.20
Rate for Payer: TriValley Medical Group Commercial/Senior $304.20
Rate for Payer: United Healthcare All Other Commercial $1,231.00
Rate for Payer: United Healthcare All Other HMO $975.00
Rate for Payer: United Healthcare HMO Rider $739.00
Rate for Payer: United Healthcare Select/Navigate/Core $676.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $588.26
Rate for Payer: Vantage Medical Group Medi-Cal $431.39
Rate for Payer: Vantage Medical Group Senior $392.17