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Service Code CPT 97803
Hospital Charge Code 902000201
Hospital Revenue Code 942
Min. Negotiated Rate $51.12
Max. Negotiated Rate $785.00
Rate for Payer: Aetna of CA HMO/PPO $224.70
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $181.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $117.15
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $117.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $126.91
Rate for Payer: BCBS Transplant Transplant $127.80
Rate for Payer: Blue Shield of California Commercial $156.98
Rate for Payer: Blue Shield of California EPN $124.39
Rate for Payer: Cash Price $95.85
Rate for Payer: Cash Price $95.85
Rate for Payer: Cash Price $95.85
Rate for Payer: Cigna of CA HMO $136.32
Rate for Payer: Cigna of CA PPO $157.62
Rate for Payer: Dignity Health Commercial/Exchange $181.05
Rate for Payer: Dignity Health Media $181.05
Rate for Payer: Dignity Health Medi-Cal $181.05
Rate for Payer: EPIC Health Plan Commercial $85.20
Rate for Payer: EPIC Health Plan Transplant $85.20
Rate for Payer: Galaxy Health WC $181.05
Rate for Payer: Global Benefits Group Commercial $127.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $159.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $142.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $55.99
Rate for Payer: LLUH Dept of Risk Management WC $51.12
Rate for Payer: Multiplan Commercial $170.40
Rate for Payer: Networks By Design Commercial $138.45
Rate for Payer: Prime Health Services Commercial $181.05
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $127.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $127.80
Rate for Payer: TriValley Medical Group Commercial/Senior $127.80
Rate for Payer: United Healthcare All Other Commercial $602.00
Rate for Payer: United Healthcare All Other HMO $785.00
Rate for Payer: United Healthcare HMO Rider $593.00
Rate for Payer: United Healthcare Select/Navigate/Core $542.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $181.05
Rate for Payer: Vantage Medical Group Medi-Cal $181.05
Rate for Payer: Vantage Medical Group Senior $181.05
Service Code CPT 97803
Hospital Charge Code 902000201
Hospital Revenue Code 510
Min. Negotiated Rate $51.12
Max. Negotiated Rate $224.70
Rate for Payer: Aetna of CA HMO/PPO $224.70
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $181.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $117.15
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $117.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $126.91
Rate for Payer: BCBS Transplant Transplant $127.80
Rate for Payer: Blue Shield of California Commercial $156.98
Rate for Payer: Blue Shield of California EPN $124.39
Rate for Payer: Cash Price $95.85
Rate for Payer: Cash Price $95.85
Rate for Payer: Cigna of CA HMO $136.32
Rate for Payer: Cigna of CA PPO $157.62
Rate for Payer: Dignity Health Commercial/Exchange $181.05
Rate for Payer: Dignity Health Media $181.05
Rate for Payer: Dignity Health Medi-Cal $181.05
Rate for Payer: EPIC Health Plan Commercial $85.20
Rate for Payer: EPIC Health Plan Transplant $85.20
Rate for Payer: Galaxy Health WC $181.05
Rate for Payer: Global Benefits Group Commercial $127.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $159.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $142.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $55.99
Rate for Payer: LLUH Dept of Risk Management WC $51.12
Rate for Payer: Multiplan Commercial $170.40
Rate for Payer: Networks By Design Commercial $138.45
Rate for Payer: Prime Health Services Commercial $181.05
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $127.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $127.80
Rate for Payer: TriValley Medical Group Commercial/Senior $127.80
Rate for Payer: United Healthcare All Other Commercial $106.50
Rate for Payer: United Healthcare All Other HMO $106.50
Rate for Payer: United Healthcare HMO Rider $106.50
Rate for Payer: United Healthcare Select/Navigate/Core $106.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $181.05
Rate for Payer: Vantage Medical Group Medi-Cal $181.05
Rate for Payer: Vantage Medical Group Senior $181.05
Hospital Charge Code 902000207
Hospital Revenue Code 942
Min. Negotiated Rate $31.68
Max. Negotiated Rate $112.20
Rate for Payer: Cash Price $59.40
Rate for Payer: EPIC Health Plan Commercial $52.80
Rate for Payer: Galaxy Health WC $112.20
Rate for Payer: Global Benefits Group Commercial $79.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $88.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $50.29
Rate for Payer: LLUH Dept of Risk Management WC $31.68
Rate for Payer: Multiplan Commercial $105.60
Rate for Payer: Networks By Design Commercial $85.80
Rate for Payer: Prime Health Services Commercial $112.20
Hospital Charge Code 902000207
Hospital Revenue Code 942
Min. Negotiated Rate $31.68
Max. Negotiated Rate $785.00
Rate for Payer: Vantage Medical Group Medi-Cal $112.20
Rate for Payer: Aetna of CA HMO/PPO $86.58
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $112.20
Rate for Payer: AlphaCare Medical Group Medi-Cal $72.60
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $72.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $78.65
Rate for Payer: BCBS Transplant Transplant $79.20
Rate for Payer: Blue Shield of California Commercial $97.28
Rate for Payer: Blue Shield of California EPN $77.09
Rate for Payer: Cash Price $59.40
Rate for Payer: Cash Price $59.40
Rate for Payer: Cigna of CA HMO $84.48
Rate for Payer: Cigna of CA PPO $97.68
Rate for Payer: Dignity Health Commercial/Exchange $112.20
Rate for Payer: Dignity Health Media $112.20
Rate for Payer: Dignity Health Medi-Cal $112.20
Rate for Payer: EPIC Health Plan Commercial $52.80
Rate for Payer: EPIC Health Plan Transplant $52.80
Rate for Payer: Galaxy Health WC $112.20
Rate for Payer: Global Benefits Group Commercial $79.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $99.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $88.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $50.29
Rate for Payer: LLUH Dept of Risk Management WC $31.68
Rate for Payer: Multiplan Commercial $105.60
Rate for Payer: Networks By Design Commercial $85.80
Rate for Payer: Prime Health Services Commercial $112.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $79.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $79.20
Rate for Payer: TriValley Medical Group Commercial/Senior $79.20
Rate for Payer: United Healthcare All Other Commercial $602.00
Rate for Payer: United Healthcare All Other HMO $785.00
Rate for Payer: United Healthcare HMO Rider $593.00
Rate for Payer: United Healthcare Select/Navigate/Core $542.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $112.20
Rate for Payer: Vantage Medical Group Senior $112.20
Service Code CPT 94680
Hospital Charge Code 900801032
Hospital Revenue Code 460
Min. Negotiated Rate $77.90
Max. Negotiated Rate $725.00
Rate for Payer: Aetna of CA HMO/PPO $317.44
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $292.76
Rate for Payer: AlphaCare Medical Group Medi-Cal $214.69
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $195.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $322.92
Rate for Payer: BCBS Transplant Transplant $325.20
Rate for Payer: Blue Shield of California Commercial $320.32
Rate for Payer: Blue Shield of California EPN $254.20
Rate for Payer: Cash Price $243.90
Rate for Payer: Cash Price $243.90
Rate for Payer: Cash Price $243.90
Rate for Payer: Cigna of CA HMO $346.88
Rate for Payer: Cigna of CA PPO $401.08
Rate for Payer: Dignity Health Commercial/Exchange $292.76
Rate for Payer: Dignity Health Media $195.17
Rate for Payer: Dignity Health Medi-Cal $214.69
Rate for Payer: EPIC Health Plan Commercial $263.48
Rate for Payer: EPIC Health Plan Medicare/Senior $195.17
Rate for Payer: EPIC Health Plan Transplant $195.17
Rate for Payer: Galaxy Health WC $460.70
Rate for Payer: Global Benefits Group Commercial $325.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $406.50
Rate for Payer: Heritage Provider Network Commercial $320.08
Rate for Payer: Heritage Provider Network Transplant $320.08
Rate for Payer: IEHP Medi-Cal $316.18
Rate for Payer: IEHP Medi-Cal Transplant $316.18
Rate for Payer: IEHP Medicare Advantage $195.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $361.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal $77.90
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $195.17
Rate for Payer: LLUH Dept of Risk Management WC $130.08
Rate for Payer: Molina Healthcare of CA Medi-Cal $245.91
Rate for Payer: Molina Healthcare of CA Medicare $261.53
Rate for Payer: Multiplan Commercial $433.60
Rate for Payer: Networks By Design Commercial $352.30
Rate for Payer: Prime Health Services Commercial $460.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $325.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $325.20
Rate for Payer: TriValley Medical Group Commercial/Senior $325.20
Rate for Payer: United Healthcare All Other Commercial $725.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $696.00
Rate for Payer: United Healthcare Select/Navigate/Core $636.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $292.76
Rate for Payer: Vantage Medical Group Medi-Cal $214.69
Rate for Payer: Vantage Medical Group Senior $195.17
Service Code CPT 94680
Hospital Charge Code 900801032
Hospital Revenue Code 460
Min. Negotiated Rate $130.08
Max. Negotiated Rate $460.70
Rate for Payer: Cash Price $243.90
Rate for Payer: EPIC Health Plan Commercial $216.80
Rate for Payer: Galaxy Health WC $460.70
Rate for Payer: Global Benefits Group Commercial $325.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $361.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal $206.50
Rate for Payer: LLUH Dept of Risk Management WC $130.08
Rate for Payer: Multiplan Commercial $433.60
Rate for Payer: Networks By Design Commercial $352.30
Rate for Payer: Prime Health Services Commercial $460.70
Service Code CPT 76816
Hospital Charge Code 906601320
Hospital Revenue Code 402
Min. Negotiated Rate $439.68
Max. Negotiated Rate $1,557.20
Rate for Payer: Cash Price $824.40
Rate for Payer: EPIC Health Plan Commercial $732.80
Rate for Payer: Galaxy Health WC $1,557.20
Rate for Payer: Global Benefits Group Commercial $1,099.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,221.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $697.99
Rate for Payer: LLUH Dept of Risk Management WC $439.68
Rate for Payer: Multiplan Commercial $1,465.60
Rate for Payer: Networks By Design Commercial $1,190.80
Rate for Payer: Prime Health Services Commercial $1,557.20
Service Code CPT 76816
Hospital Charge Code 906601320
Hospital Revenue Code 402
Min. Negotiated Rate $137.36
Max. Negotiated Rate $1,557.20
Rate for Payer: Aetna of CA HMO/PPO $395.02
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $206.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $151.10
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $137.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,091.51
Rate for Payer: BCBS Transplant Transplant $1,099.20
Rate for Payer: Blue Shield of California Commercial $1,082.71
Rate for Payer: Blue Shield of California EPN $859.21
Rate for Payer: Cash Price $824.40
Rate for Payer: Cash Price $824.40
Rate for Payer: Cigna of CA HMO $1,172.48
Rate for Payer: Cigna of CA PPO $1,355.68
Rate for Payer: Dignity Health Commercial/Exchange $206.04
Rate for Payer: Dignity Health Media $137.36
Rate for Payer: Dignity Health Medi-Cal $151.10
Rate for Payer: EPIC Health Plan Commercial $185.44
Rate for Payer: EPIC Health Plan Medicare/Senior $137.36
Rate for Payer: EPIC Health Plan Transplant $137.36
Rate for Payer: Galaxy Health WC $1,557.20
Rate for Payer: Global Benefits Group Commercial $1,099.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,374.00
Rate for Payer: Heritage Provider Network Commercial $225.27
Rate for Payer: Heritage Provider Network Transplant $225.27
Rate for Payer: IEHP Medi-Cal $222.52
Rate for Payer: IEHP Medi-Cal Transplant $222.52
Rate for Payer: IEHP Medicare Advantage $137.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,221.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $196.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $439.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $173.07
Rate for Payer: Molina Healthcare of CA Medicare $184.06
Rate for Payer: Multiplan Commercial $1,465.60
Rate for Payer: Networks By Design Commercial $1,190.80
Rate for Payer: Prime Health Services Commercial $1,557.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,099.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,099.20
Rate for Payer: TriValley Medical Group Commercial/Senior $1,099.20
Rate for Payer: United Healthcare All Other Commercial $161.07
Rate for Payer: United Healthcare All Other HMO $161.07
Rate for Payer: United Healthcare HMO Rider $161.07
Rate for Payer: United Healthcare Select/Navigate/Core $161.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 76816
Hospital Charge Code 906601311
Hospital Revenue Code 402
Min. Negotiated Rate $439.68
Max. Negotiated Rate $1,557.20
Rate for Payer: Cash Price $824.40
Rate for Payer: EPIC Health Plan Commercial $732.80
Rate for Payer: Galaxy Health WC $1,557.20
Rate for Payer: Global Benefits Group Commercial $1,099.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,221.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $697.99
Rate for Payer: LLUH Dept of Risk Management WC $439.68
Rate for Payer: Multiplan Commercial $1,465.60
Rate for Payer: Networks By Design Commercial $1,190.80
Rate for Payer: Prime Health Services Commercial $1,557.20
Service Code CPT 76816
Hospital Charge Code 906601311
Hospital Revenue Code 402
Min. Negotiated Rate $137.36
Max. Negotiated Rate $1,557.20
Rate for Payer: Aetna of CA HMO/PPO $395.02
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $206.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $151.10
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $137.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,091.51
Rate for Payer: BCBS Transplant Transplant $1,099.20
Rate for Payer: Blue Shield of California Commercial $1,082.71
Rate for Payer: Blue Shield of California EPN $859.21
Rate for Payer: Cash Price $824.40
Rate for Payer: Cash Price $824.40
Rate for Payer: Cigna of CA HMO $1,172.48
Rate for Payer: Cigna of CA PPO $1,355.68
Rate for Payer: Dignity Health Commercial/Exchange $206.04
Rate for Payer: Dignity Health Media $137.36
Rate for Payer: Dignity Health Medi-Cal $151.10
Rate for Payer: EPIC Health Plan Commercial $185.44
Rate for Payer: EPIC Health Plan Medicare/Senior $137.36
Rate for Payer: EPIC Health Plan Transplant $137.36
Rate for Payer: Galaxy Health WC $1,557.20
Rate for Payer: Global Benefits Group Commercial $1,099.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,374.00
Rate for Payer: Heritage Provider Network Commercial $225.27
Rate for Payer: Heritage Provider Network Transplant $225.27
Rate for Payer: IEHP Medi-Cal $222.52
Rate for Payer: IEHP Medi-Cal Transplant $222.52
Rate for Payer: IEHP Medicare Advantage $137.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,221.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $196.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $439.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $173.07
Rate for Payer: Molina Healthcare of CA Medicare $184.06
Rate for Payer: Multiplan Commercial $1,465.60
Rate for Payer: Networks By Design Commercial $1,190.80
Rate for Payer: Prime Health Services Commercial $1,557.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,099.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,099.20
Rate for Payer: TriValley Medical Group Commercial/Senior $1,099.20
Rate for Payer: United Healthcare All Other Commercial $161.07
Rate for Payer: United Healthcare All Other HMO $161.07
Rate for Payer: United Healthcare HMO Rider $161.07
Rate for Payer: United Healthcare Select/Navigate/Core $161.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 76815
Hospital Charge Code 910400110
Hospital Revenue Code 402
Min. Negotiated Rate $119.60
Max. Negotiated Rate $1,276.70
Rate for Payer: Aetna of CA HMO/PPO $382.02
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $206.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $151.10
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $137.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $894.89
Rate for Payer: BCBS Transplant Transplant $901.20
Rate for Payer: Blue Shield of California Commercial $887.68
Rate for Payer: Blue Shield of California EPN $704.44
Rate for Payer: Cash Price $675.90
Rate for Payer: Cash Price $675.90
Rate for Payer: Cigna of CA HMO $961.28
Rate for Payer: Cigna of CA PPO $1,111.48
Rate for Payer: Dignity Health Commercial/Exchange $206.04
Rate for Payer: Dignity Health Media $137.36
Rate for Payer: Dignity Health Medi-Cal $151.10
Rate for Payer: EPIC Health Plan Commercial $185.44
Rate for Payer: EPIC Health Plan Medicare/Senior $137.36
Rate for Payer: EPIC Health Plan Transplant $137.36
Rate for Payer: Galaxy Health WC $1,276.70
Rate for Payer: Global Benefits Group Commercial $901.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,126.50
Rate for Payer: Heritage Provider Network Commercial $225.27
Rate for Payer: Heritage Provider Network Transplant $225.27
Rate for Payer: IEHP Medi-Cal $222.52
Rate for Payer: IEHP Medi-Cal Transplant $222.52
Rate for Payer: IEHP Medicare Advantage $137.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,001.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal $119.60
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $360.48
Rate for Payer: Molina Healthcare of CA Medi-Cal $173.07
Rate for Payer: Molina Healthcare of CA Medicare $184.06
Rate for Payer: Multiplan Commercial $1,201.60
Rate for Payer: Networks By Design Commercial $976.30
Rate for Payer: Prime Health Services Commercial $1,276.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $901.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $901.20
Rate for Payer: TriValley Medical Group Commercial/Senior $901.20
Rate for Payer: United Healthcare All Other Commercial $161.07
Rate for Payer: United Healthcare All Other HMO $161.07
Rate for Payer: United Healthcare HMO Rider $161.07
Rate for Payer: United Healthcare Select/Navigate/Core $161.07
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 76815
Hospital Charge Code 910400110
Hospital Revenue Code 402
Min. Negotiated Rate $360.48
Max. Negotiated Rate $1,276.70
Rate for Payer: Cash Price $675.90
Rate for Payer: EPIC Health Plan Commercial $600.80
Rate for Payer: Galaxy Health WC $1,276.70
Rate for Payer: Global Benefits Group Commercial $901.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,001.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal $572.26
Rate for Payer: LLUH Dept of Risk Management WC $360.48
Rate for Payer: Multiplan Commercial $1,201.60
Rate for Payer: Networks By Design Commercial $976.30
Rate for Payer: Prime Health Services Commercial $1,276.70
Service Code CPT G0269
Hospital Charge Code 906811384
Hospital Revenue Code 361
Min. Negotiated Rate $257.76
Max. Negotiated Rate $18,738.26
Rate for Payer: Aetna of CA HMO/PPO $18,738.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $912.90
Rate for Payer: AlphaCare Medical Group Medi-Cal $590.70
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $590.70
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $644.40
Rate for Payer: Blue Shield of California Commercial $6,668.88
Rate for Payer: Blue Shield of California EPN $4,340.48
Rate for Payer: Cash Price $483.30
Rate for Payer: Cash Price $483.30
Rate for Payer: Cash Price $483.30
Rate for Payer: Cigna of CA PPO $794.76
Rate for Payer: Dignity Health Commercial/Exchange $912.90
Rate for Payer: Dignity Health Media $912.90
Rate for Payer: Dignity Health Medi-Cal $912.90
Rate for Payer: EPIC Health Plan Commercial $429.60
Rate for Payer: EPIC Health Plan Transplant $429.60
Rate for Payer: Galaxy Health WC $912.90
Rate for Payer: Global Benefits Group Commercial $644.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $805.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $716.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $409.19
Rate for Payer: LLUH Dept of Risk Management WC $257.76
Rate for Payer: Multiplan Commercial $859.20
Rate for Payer: Networks By Design Commercial $698.10
Rate for Payer: Prime Health Services Commercial $912.90
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $644.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $644.40
Rate for Payer: United Healthcare All Other Commercial $1,834.00
Rate for Payer: United Healthcare All Other HMO $1,517.00
Rate for Payer: United Healthcare HMO Rider $1,041.00
Rate for Payer: United Healthcare Select/Navigate/Core $951.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $912.90
Rate for Payer: Vantage Medical Group Medi-Cal $912.90
Rate for Payer: Vantage Medical Group Senior $912.90
Service Code CPT G0269
Hospital Charge Code 906811384
Hospital Revenue Code 361
Min. Negotiated Rate $257.76
Max. Negotiated Rate $912.90
Rate for Payer: Cash Price $483.30
Rate for Payer: EPIC Health Plan Commercial $429.60
Rate for Payer: Galaxy Health WC $912.90
Rate for Payer: Global Benefits Group Commercial $644.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $716.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $409.19
Rate for Payer: LLUH Dept of Risk Management WC $257.76
Rate for Payer: Multiplan Commercial $859.20
Rate for Payer: Networks By Design Commercial $698.10
Rate for Payer: Prime Health Services Commercial $912.90
Service Code CPT 82271
Hospital Charge Code 900912329
Hospital Revenue Code 301
Min. Negotiated Rate $1.68
Max. Negotiated Rate $28.99
Rate for Payer: Aetna of CA HMO/PPO $27.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $7.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $5.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $5.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $28.99
Rate for Payer: BCBS Transplant Transplant $4.20
Rate for Payer: Blue Shield of California Commercial $4.52
Rate for Payer: Blue Shield of California EPN $3.58
Rate for Payer: Cash Price $3.15
Rate for Payer: Cash Price $3.15
Rate for Payer: Cigna of CA HMO $4.48
Rate for Payer: Cigna of CA PPO $5.18
Rate for Payer: Dignity Health Commercial/Exchange $7.98
Rate for Payer: Dignity Health Media $5.32
Rate for Payer: Dignity Health Medi-Cal $5.85
Rate for Payer: EPIC Health Plan Commercial $7.18
Rate for Payer: EPIC Health Plan Medicare/Senior $5.32
Rate for Payer: EPIC Health Plan Transplant $5.32
Rate for Payer: Galaxy Health WC $5.95
Rate for Payer: Global Benefits Group Commercial $4.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5.25
Rate for Payer: Heritage Provider Network Commercial $8.72
Rate for Payer: Heritage Provider Network Transplant $8.72
Rate for Payer: IEHP Medi-Cal $8.62
Rate for Payer: IEHP Medi-Cal Transplant $8.62
Rate for Payer: IEHP Medicare Advantage $5.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6.73
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $5.32
Rate for Payer: LLUH Dept of Risk Management WC $1.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $6.70
Rate for Payer: Molina Healthcare of CA Medicare $7.13
Rate for Payer: Multiplan Commercial $5.60
Rate for Payer: Networks By Design Commercial $4.55
Rate for Payer: Prime Health Services Commercial $5.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.20
Rate for Payer: TriValley Medical Group Commercial/Senior $4.20
Rate for Payer: United Healthcare All Other Commercial $4.31
Rate for Payer: United Healthcare All Other HMO $4.31
Rate for Payer: United Healthcare HMO Rider $4.31
Rate for Payer: United Healthcare Select/Navigate/Core $4.31
Rate for Payer: Vantage Medical Group Commercial/Exchange $7.98
Rate for Payer: Vantage Medical Group Medi-Cal $5.85
Rate for Payer: Vantage Medical Group Senior $5.32
Service Code CPT 82271
Hospital Charge Code 900911536
Hospital Revenue Code 301
Min. Negotiated Rate $2.16
Max. Negotiated Rate $28.99
Rate for Payer: Aetna of CA HMO/PPO $27.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $7.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $5.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $5.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $28.99
Rate for Payer: BCBS Transplant Transplant $5.40
Rate for Payer: Blue Shield of California Commercial $5.81
Rate for Payer: Blue Shield of California EPN $4.61
Rate for Payer: Cash Price $4.05
Rate for Payer: Cash Price $4.05
Rate for Payer: Cigna of CA HMO $5.76
Rate for Payer: Cigna of CA PPO $6.66
Rate for Payer: Dignity Health Commercial/Exchange $7.98
Rate for Payer: Dignity Health Media $5.32
Rate for Payer: Dignity Health Medi-Cal $5.85
Rate for Payer: EPIC Health Plan Commercial $7.18
Rate for Payer: EPIC Health Plan Medicare/Senior $5.32
Rate for Payer: EPIC Health Plan Transplant $5.32
Rate for Payer: Galaxy Health WC $7.65
Rate for Payer: Global Benefits Group Commercial $5.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $6.75
Rate for Payer: Heritage Provider Network Commercial $8.72
Rate for Payer: Heritage Provider Network Transplant $8.72
Rate for Payer: IEHP Medi-Cal $8.62
Rate for Payer: IEHP Medi-Cal Transplant $8.62
Rate for Payer: IEHP Medicare Advantage $5.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6.73
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $5.32
Rate for Payer: LLUH Dept of Risk Management WC $2.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $6.70
Rate for Payer: Molina Healthcare of CA Medicare $7.13
Rate for Payer: Multiplan Commercial $7.20
Rate for Payer: Networks By Design Commercial $5.85
Rate for Payer: Prime Health Services Commercial $7.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $5.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $5.40
Rate for Payer: TriValley Medical Group Commercial/Senior $5.40
Rate for Payer: United Healthcare All Other Commercial $4.31
Rate for Payer: United Healthcare All Other HMO $4.31
Rate for Payer: United Healthcare HMO Rider $4.31
Rate for Payer: United Healthcare Select/Navigate/Core $4.31
Rate for Payer: Vantage Medical Group Commercial/Exchange $7.98
Rate for Payer: Vantage Medical Group Medi-Cal $5.85
Rate for Payer: Vantage Medical Group Senior $5.32
Service Code CPT 27814
Hospital Charge Code 900501606
Hospital Revenue Code 450
Min. Negotiated Rate $192.41
Max. Negotiated Rate $14,659.19
Rate for Payer: Aetna of CA HMO/PPO $9,590.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $13,407.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $9,832.38
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $8,938.53
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $6,320.40
Rate for Payer: Cash Price $4,740.30
Rate for Payer: Cash Price $4,740.30
Rate for Payer: Cash Price $4,740.30
Rate for Payer: Cigna of CA PPO $7,795.16
Rate for Payer: Dignity Health Commercial/Exchange $13,407.80
Rate for Payer: Dignity Health Media $8,938.53
Rate for Payer: Dignity Health Medi-Cal $9,832.38
Rate for Payer: EPIC Health Plan Commercial $12,067.02
Rate for Payer: EPIC Health Plan Medicare/Senior $8,938.53
Rate for Payer: EPIC Health Plan Transplant $8,938.53
Rate for Payer: Galaxy Health WC $8,953.90
Rate for Payer: Global Benefits Group Commercial $6,320.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $7,900.50
Rate for Payer: Heritage Provider Network Commercial $14,659.19
Rate for Payer: Heritage Provider Network Transplant $14,659.19
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $8,938.53
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7,026.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $192.41
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,938.53
Rate for Payer: LLUH Dept of Risk Management WC $2,528.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $11,262.55
Rate for Payer: Molina Healthcare of CA Medicare $11,977.63
Rate for Payer: Multiplan Commercial $8,427.20
Rate for Payer: Multiplan WC $12,220.24
Rate for Payer: Networks By Design Commercial $6,847.10
Rate for Payer: Prime Health Services Commercial $8,953.90
Rate for Payer: Prime Health Services WC $12,095.54
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $6,320.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $6,320.40
Rate for Payer: United Healthcare All Other Commercial $5,267.00
Rate for Payer: United Healthcare All Other HMO $5,267.00
Rate for Payer: United Healthcare HMO Rider $5,267.00
Rate for Payer: United Healthcare Select/Navigate/Core $5,267.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $13,407.80
Rate for Payer: Vantage Medical Group Medi-Cal $9,832.38
Rate for Payer: Vantage Medical Group Senior $8,938.53
Service Code CPT 27814
Hospital Charge Code 900501606
Hospital Revenue Code 450
Min. Negotiated Rate $2,528.16
Max. Negotiated Rate $8,953.90
Rate for Payer: Cash Price $4,740.30
Rate for Payer: EPIC Health Plan Commercial $4,213.60
Rate for Payer: Galaxy Health WC $8,953.90
Rate for Payer: Global Benefits Group Commercial $6,320.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7,026.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,013.45
Rate for Payer: LLUH Dept of Risk Management WC $2,528.16
Rate for Payer: Multiplan Commercial $8,427.20
Rate for Payer: Networks By Design Commercial $6,847.10
Rate for Payer: Prime Health Services Commercial $8,953.90
Service Code CPT 24615
Hospital Charge Code 900524615
Hospital Revenue Code 450
Min. Negotiated Rate $6,254.88
Max. Negotiated Rate $22,152.70
Rate for Payer: Cash Price $11,727.90
Rate for Payer: EPIC Health Plan Commercial $10,424.80
Rate for Payer: Galaxy Health WC $22,152.70
Rate for Payer: Global Benefits Group Commercial $15,637.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17,383.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9,929.62
Rate for Payer: LLUH Dept of Risk Management WC $6,254.88
Rate for Payer: Multiplan Commercial $20,849.60
Rate for Payer: Networks By Design Commercial $16,940.30
Rate for Payer: Prime Health Services Commercial $22,152.70
Service Code CPT 24615
Hospital Charge Code 900524615
Hospital Revenue Code 450
Min. Negotiated Rate $192.41
Max. Negotiated Rate $22,152.70
Rate for Payer: Aetna of CA HMO/PPO $9,590.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $13,407.80
Rate for Payer: AlphaCare Medical Group Medi-Cal $9,832.38
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $8,938.53
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $15,637.20
Rate for Payer: Cash Price $11,727.90
Rate for Payer: Cash Price $11,727.90
Rate for Payer: Cash Price $11,727.90
Rate for Payer: Cigna of CA PPO $19,285.88
Rate for Payer: Dignity Health Commercial/Exchange $13,407.80
Rate for Payer: Dignity Health Media $8,938.53
Rate for Payer: Dignity Health Medi-Cal $9,832.38
Rate for Payer: EPIC Health Plan Commercial $12,067.02
Rate for Payer: EPIC Health Plan Medicare/Senior $8,938.53
Rate for Payer: EPIC Health Plan Transplant $8,938.53
Rate for Payer: Galaxy Health WC $22,152.70
Rate for Payer: Global Benefits Group Commercial $15,637.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $19,546.50
Rate for Payer: Heritage Provider Network Commercial $14,659.19
Rate for Payer: Heritage Provider Network Transplant $14,659.19
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $8,938.53
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17,383.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $192.41
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,938.53
Rate for Payer: LLUH Dept of Risk Management WC $6,254.88
Rate for Payer: Molina Healthcare of CA Medi-Cal $11,262.55
Rate for Payer: Molina Healthcare of CA Medicare $11,977.63
Rate for Payer: Multiplan Commercial $20,849.60
Rate for Payer: Multiplan WC $12,220.24
Rate for Payer: Networks By Design Commercial $16,940.30
Rate for Payer: Prime Health Services Commercial $22,152.70
Rate for Payer: Prime Health Services WC $12,095.54
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $15,637.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15,637.20
Rate for Payer: United Healthcare All Other Commercial $13,031.00
Rate for Payer: United Healthcare All Other HMO $13,031.00
Rate for Payer: United Healthcare HMO Rider $13,031.00
Rate for Payer: United Healthcare Select/Navigate/Core $13,031.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $13,407.80
Rate for Payer: Vantage Medical Group Medi-Cal $9,832.38
Rate for Payer: Vantage Medical Group Senior $8,938.53
Service Code CPT 26735
Hospital Charge Code 900501422
Hospital Revenue Code 450
Min. Negotiated Rate $4,197.36
Max. Negotiated Rate $14,865.65
Rate for Payer: Cash Price $7,870.05
Rate for Payer: EPIC Health Plan Commercial $6,995.60
Rate for Payer: Galaxy Health WC $14,865.65
Rate for Payer: Global Benefits Group Commercial $10,493.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $11,665.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6,663.31
Rate for Payer: LLUH Dept of Risk Management WC $4,197.36
Rate for Payer: Multiplan Commercial $13,991.20
Rate for Payer: Networks By Design Commercial $11,367.85
Rate for Payer: Prime Health Services Commercial $14,865.65
Service Code CPT 26735
Hospital Charge Code 900501422
Hospital Revenue Code 450
Min. Negotiated Rate $936.00
Max. Negotiated Rate $14,865.65
Rate for Payer: Aetna of CA HMO/PPO $12,491.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,066.32
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,448.63
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,044.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,049.00
Rate for Payer: BCBS Transplant Transplant $10,493.40
Rate for Payer: Cash Price $7,870.05
Rate for Payer: Cash Price $7,870.05
Rate for Payer: Cash Price $7,870.05
Rate for Payer: Cigna of CA PPO $12,941.86
Rate for Payer: Dignity Health Commercial/Exchange $6,066.32
Rate for Payer: Dignity Health Media $4,044.21
Rate for Payer: Dignity Health Medi-Cal $4,448.63
Rate for Payer: EPIC Health Plan Commercial $5,459.68
Rate for Payer: EPIC Health Plan Medicare/Senior $4,044.21
Rate for Payer: EPIC Health Plan Transplant $4,044.21
Rate for Payer: Galaxy Health WC $14,865.65
Rate for Payer: Global Benefits Group Commercial $10,493.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $13,116.75
Rate for Payer: Heritage Provider Network Commercial $6,632.50
Rate for Payer: Heritage Provider Network Transplant $6,632.50
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $4,044.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $11,665.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,044.21
Rate for Payer: LLUH Dept of Risk Management WC $4,197.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,095.70
Rate for Payer: Molina Healthcare of CA Medicare $5,419.24
Rate for Payer: Multiplan Commercial $13,991.20
Rate for Payer: Networks By Design Commercial $11,367.85
Rate for Payer: Prime Health Services Commercial $14,865.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $10,493.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $10,493.40
Rate for Payer: United Healthcare All Other Commercial $8,744.50
Rate for Payer: United Healthcare All Other HMO $8,744.50
Rate for Payer: United Healthcare HMO Rider $8,744.50
Rate for Payer: United Healthcare Select/Navigate/Core $8,744.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,066.32
Rate for Payer: Vantage Medical Group Medi-Cal $4,448.63
Rate for Payer: Vantage Medical Group Senior $4,044.21
Service Code CPT 26765
Hospital Charge Code 900501389
Hospital Revenue Code 450
Min. Negotiated Rate $936.00
Max. Negotiated Rate $13,659.50
Rate for Payer: Aetna of CA HMO/PPO $12,491.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,066.32
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,448.63
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,044.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,049.00
Rate for Payer: BCBS Transplant Transplant $9,642.00
Rate for Payer: Cash Price $7,231.50
Rate for Payer: Cash Price $7,231.50
Rate for Payer: Cash Price $7,231.50
Rate for Payer: Cigna of CA PPO $11,891.80
Rate for Payer: Dignity Health Commercial/Exchange $6,066.32
Rate for Payer: Dignity Health Media $4,044.21
Rate for Payer: Dignity Health Medi-Cal $4,448.63
Rate for Payer: EPIC Health Plan Commercial $5,459.68
Rate for Payer: EPIC Health Plan Medicare/Senior $4,044.21
Rate for Payer: EPIC Health Plan Transplant $4,044.21
Rate for Payer: Galaxy Health WC $13,659.50
Rate for Payer: Global Benefits Group Commercial $9,642.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $12,052.50
Rate for Payer: Heritage Provider Network Commercial $6,632.50
Rate for Payer: Heritage Provider Network Transplant $6,632.50
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $4,044.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10,718.69
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,044.21
Rate for Payer: LLUH Dept of Risk Management WC $3,856.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,095.70
Rate for Payer: Molina Healthcare of CA Medicare $5,419.24
Rate for Payer: Multiplan Commercial $12,856.00
Rate for Payer: Networks By Design Commercial $10,445.50
Rate for Payer: Prime Health Services Commercial $13,659.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $9,642.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $9,642.00
Rate for Payer: United Healthcare All Other Commercial $8,035.00
Rate for Payer: United Healthcare All Other HMO $8,035.00
Rate for Payer: United Healthcare HMO Rider $8,035.00
Rate for Payer: United Healthcare Select/Navigate/Core $8,035.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,066.32
Rate for Payer: Vantage Medical Group Medi-Cal $4,448.63
Rate for Payer: Vantage Medical Group Senior $4,044.21
Service Code CPT 26765
Hospital Charge Code 900501389
Hospital Revenue Code 450
Min. Negotiated Rate $3,856.80
Max. Negotiated Rate $13,659.50
Rate for Payer: Cash Price $7,231.50
Rate for Payer: EPIC Health Plan Commercial $6,428.00
Rate for Payer: Galaxy Health WC $13,659.50
Rate for Payer: Global Benefits Group Commercial $9,642.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10,718.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6,122.67
Rate for Payer: LLUH Dept of Risk Management WC $3,856.80
Rate for Payer: Multiplan Commercial $12,856.00
Rate for Payer: Networks By Design Commercial $10,445.50
Rate for Payer: Prime Health Services Commercial $13,659.50
Service Code CPT 26746
Hospital Charge Code 900501351
Hospital Revenue Code 450
Min. Negotiated Rate $3,534.48
Max. Negotiated Rate $12,517.95
Rate for Payer: Cash Price $6,627.15
Rate for Payer: EPIC Health Plan Commercial $5,890.80
Rate for Payer: Galaxy Health WC $12,517.95
Rate for Payer: Global Benefits Group Commercial $8,836.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9,822.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5,610.99
Rate for Payer: LLUH Dept of Risk Management WC $3,534.48
Rate for Payer: Multiplan Commercial $11,781.60
Rate for Payer: Networks By Design Commercial $9,572.55
Rate for Payer: Prime Health Services Commercial $12,517.95