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Service Code CPT 87149
Hospital Charge Code 900912457
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912464
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912478
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912479
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912474
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912473
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912454
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912462
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912458
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912453
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912459
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912455
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912461
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912452
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912460
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912465
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912466
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Service Code CPT 87149
Hospital Charge Code 900912476
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $182.80
Rate for Payer: Dignity Health Medi-Cal $22.06
Rate for Payer: Aetna of CA HMO/PPO $166.78
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182.80
Rate for Payer: BCBS Transplant Transplant $23.40
Rate for Payer: Blue Shield of California Commercial $25.19
Rate for Payer: Blue Shield of California EPN $19.97
Rate for Payer: Cash Price $17.55
Rate for Payer: Cash Price $17.55
Rate for Payer: Cigna of CA HMO $24.96
Rate for Payer: Cigna of CA PPO $28.86
Rate for Payer: Dignity Health Commercial/Exchange $30.08
Rate for Payer: Dignity Health Media $20.05
Rate for Payer: EPIC Health Plan Commercial $27.07
Rate for Payer: EPIC Health Plan Medicare/Senior $20.05
Rate for Payer: EPIC Health Plan Transplant $20.05
Rate for Payer: Galaxy Health WC $33.15
Rate for Payer: Global Benefits Group Commercial $23.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29.25
Rate for Payer: Heritage Provider Network Commercial $32.88
Rate for Payer: Heritage Provider Network Transplant $32.88
Rate for Payer: IEHP Medi-Cal $32.48
Rate for Payer: IEHP Medi-Cal Transplant $32.48
Rate for Payer: IEHP Medicare Advantage $20.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $26.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.86
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.05
Rate for Payer: LLUH Dept of Risk Management WC $9.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.26
Rate for Payer: Molina Healthcare of CA Medicare $26.87
Rate for Payer: Multiplan Commercial $31.20
Rate for Payer: Networks By Design Commercial $25.35
Rate for Payer: Prime Health Services Commercial $33.15
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23.40
Rate for Payer: TriValley Medical Group Commercial/Senior $23.40
Rate for Payer: United Healthcare All Other Commercial $16.24
Rate for Payer: United Healthcare All Other HMO $16.24
Rate for Payer: United Healthcare HMO Rider $16.24
Rate for Payer: United Healthcare Select/Navigate/Core $16.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.08
Rate for Payer: Vantage Medical Group Medi-Cal $22.06
Rate for Payer: Vantage Medical Group Senior $20.05
Hospital Charge Code 908600161
Hospital Revenue Code 510
Min. Negotiated Rate $12.00
Max. Negotiated Rate $42.50
Rate for Payer: Aetna of CA HMO/PPO $32.80
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $42.50
Rate for Payer: AlphaCare Medical Group Medi-Cal $27.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $27.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29.79
Rate for Payer: BCBS Transplant Transplant $30.00
Rate for Payer: Blue Shield of California Commercial $36.85
Rate for Payer: Blue Shield of California EPN $29.20
Rate for Payer: Cash Price $22.50
Rate for Payer: Cigna of CA HMO $32.00
Rate for Payer: Cigna of CA PPO $37.00
Rate for Payer: Dignity Health Commercial/Exchange $42.50
Rate for Payer: Dignity Health Media $42.50
Rate for Payer: Dignity Health Medi-Cal $42.50
Rate for Payer: EPIC Health Plan Commercial $20.00
Rate for Payer: EPIC Health Plan Transplant $20.00
Rate for Payer: Galaxy Health WC $42.50
Rate for Payer: Global Benefits Group Commercial $30.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $37.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $33.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.05
Rate for Payer: LLUH Dept of Risk Management WC $12.00
Rate for Payer: Multiplan Commercial $40.00
Rate for Payer: Networks By Design Commercial $32.50
Rate for Payer: Prime Health Services Commercial $42.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $30.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $30.00
Rate for Payer: TriValley Medical Group Commercial/Senior $30.00
Rate for Payer: United Healthcare All Other Commercial $25.00
Rate for Payer: United Healthcare All Other HMO $25.00
Rate for Payer: United Healthcare HMO Rider $25.00
Rate for Payer: United Healthcare Select/Navigate/Core $25.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $42.50
Rate for Payer: Vantage Medical Group Medi-Cal $42.50
Rate for Payer: Vantage Medical Group Senior $42.50
Hospital Charge Code 912154310
Hospital Revenue Code 510
Min. Negotiated Rate $12.00
Max. Negotiated Rate $42.50
Rate for Payer: Cash Price $22.50
Rate for Payer: EPIC Health Plan Commercial $20.00
Rate for Payer: Galaxy Health WC $42.50
Rate for Payer: Global Benefits Group Commercial $30.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $33.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.05
Rate for Payer: LLUH Dept of Risk Management WC $12.00
Rate for Payer: Multiplan Commercial $40.00
Rate for Payer: Networks By Design Commercial $32.50
Rate for Payer: Prime Health Services Commercial $42.50
Hospital Charge Code 912154310
Hospital Revenue Code 510
Min. Negotiated Rate $12.00
Max. Negotiated Rate $42.50
Rate for Payer: Aetna of CA HMO/PPO $32.80
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $42.50
Rate for Payer: AlphaCare Medical Group Medi-Cal $27.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $27.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29.79
Rate for Payer: BCBS Transplant Transplant $30.00
Rate for Payer: Blue Shield of California Commercial $36.85
Rate for Payer: Blue Shield of California EPN $29.20
Rate for Payer: Cash Price $22.50
Rate for Payer: Cigna of CA HMO $32.00
Rate for Payer: Cigna of CA PPO $37.00
Rate for Payer: Dignity Health Commercial/Exchange $42.50
Rate for Payer: Dignity Health Media $42.50
Rate for Payer: Dignity Health Medi-Cal $42.50
Rate for Payer: EPIC Health Plan Commercial $20.00
Rate for Payer: EPIC Health Plan Transplant $20.00
Rate for Payer: Galaxy Health WC $42.50
Rate for Payer: Global Benefits Group Commercial $30.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $37.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $33.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.05
Rate for Payer: LLUH Dept of Risk Management WC $12.00
Rate for Payer: Multiplan Commercial $40.00
Rate for Payer: Networks By Design Commercial $32.50
Rate for Payer: Prime Health Services Commercial $42.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $30.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $30.00
Rate for Payer: TriValley Medical Group Commercial/Senior $30.00
Rate for Payer: United Healthcare All Other Commercial $25.00
Rate for Payer: United Healthcare All Other HMO $25.00
Rate for Payer: United Healthcare HMO Rider $25.00
Rate for Payer: United Healthcare Select/Navigate/Core $25.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $42.50
Rate for Payer: Vantage Medical Group Medi-Cal $42.50
Rate for Payer: Vantage Medical Group Senior $42.50
Hospital Charge Code 908600161
Hospital Revenue Code 510
Min. Negotiated Rate $12.00
Max. Negotiated Rate $42.50
Rate for Payer: Cash Price $22.50
Rate for Payer: EPIC Health Plan Commercial $20.00
Rate for Payer: Galaxy Health WC $42.50
Rate for Payer: Global Benefits Group Commercial $30.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $33.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.05
Rate for Payer: LLUH Dept of Risk Management WC $12.00
Rate for Payer: Multiplan Commercial $40.00
Rate for Payer: Networks By Design Commercial $32.50
Rate for Payer: Prime Health Services Commercial $42.50
Hospital Charge Code 908600154
Hospital Revenue Code 510
Min. Negotiated Rate $21.60
Max. Negotiated Rate $76.50
Rate for Payer: Cash Price $40.50
Rate for Payer: EPIC Health Plan Commercial $36.00
Rate for Payer: Galaxy Health WC $76.50
Rate for Payer: Global Benefits Group Commercial $54.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $60.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $34.29
Rate for Payer: LLUH Dept of Risk Management WC $21.60
Rate for Payer: Multiplan Commercial $72.00
Rate for Payer: Networks By Design Commercial $58.50
Rate for Payer: Prime Health Services Commercial $76.50
Hospital Charge Code 908600154
Hospital Revenue Code 510
Min. Negotiated Rate $21.60
Max. Negotiated Rate $76.50
Rate for Payer: Aetna of CA HMO/PPO $59.03
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $76.50
Rate for Payer: AlphaCare Medical Group Medi-Cal $49.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $49.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $53.62
Rate for Payer: BCBS Transplant Transplant $54.00
Rate for Payer: Blue Shield of California Commercial $66.33
Rate for Payer: Blue Shield of California EPN $52.56
Rate for Payer: Cash Price $40.50
Rate for Payer: Cigna of CA HMO $57.60
Rate for Payer: Cigna of CA PPO $66.60
Rate for Payer: Dignity Health Commercial/Exchange $76.50
Rate for Payer: Dignity Health Media $76.50
Rate for Payer: Dignity Health Medi-Cal $76.50
Rate for Payer: EPIC Health Plan Commercial $36.00
Rate for Payer: EPIC Health Plan Transplant $36.00
Rate for Payer: Galaxy Health WC $76.50
Rate for Payer: Global Benefits Group Commercial $54.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $67.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $60.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $34.29
Rate for Payer: LLUH Dept of Risk Management WC $21.60
Rate for Payer: Multiplan Commercial $72.00
Rate for Payer: Networks By Design Commercial $58.50
Rate for Payer: Prime Health Services Commercial $76.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $54.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $54.00
Rate for Payer: TriValley Medical Group Commercial/Senior $54.00
Rate for Payer: United Healthcare All Other Commercial $45.00
Rate for Payer: United Healthcare All Other HMO $45.00
Rate for Payer: United Healthcare HMO Rider $45.00
Rate for Payer: United Healthcare Select/Navigate/Core $45.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $76.50
Rate for Payer: Vantage Medical Group Medi-Cal $76.50
Rate for Payer: Vantage Medical Group Senior $76.50
Hospital Charge Code 912154301
Hospital Revenue Code 510
Min. Negotiated Rate $22.80
Max. Negotiated Rate $80.75
Rate for Payer: Cash Price $42.75
Rate for Payer: EPIC Health Plan Commercial $38.00
Rate for Payer: Galaxy Health WC $80.75
Rate for Payer: Global Benefits Group Commercial $57.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $63.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $36.20
Rate for Payer: LLUH Dept of Risk Management WC $22.80
Rate for Payer: Multiplan Commercial $76.00
Rate for Payer: Networks By Design Commercial $61.75
Rate for Payer: Prime Health Services Commercial $80.75