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Charge Type Price  
Service Code CPT 80361
Hospital Charge Code 900910516
Hospital Revenue Code 301
Min. Negotiated Rate $0.07
Max. Negotiated Rate $191.25
Rate for Payer: Aetna of CA HMO/PPO $0.07
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $191.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $123.75
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $123.75
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $170.27
Rate for Payer: BCBS Transplant Transplant $135.00
Rate for Payer: Blue Shield of California Commercial $145.35
Rate for Payer: Blue Shield of California EPN $115.20
Rate for Payer: Cash Price $101.25
Rate for Payer: Cash Price $101.25
Rate for Payer: Cigna of CA HMO $144.00
Rate for Payer: Cigna of CA PPO $166.50
Rate for Payer: Dignity Health Commercial/Exchange $191.25
Rate for Payer: Dignity Health Media $191.25
Rate for Payer: Dignity Health Medi-Cal $191.25
Rate for Payer: EPIC Health Plan Commercial $90.00
Rate for Payer: EPIC Health Plan Transplant $90.00
Rate for Payer: Galaxy Health WC $191.25
Rate for Payer: Global Benefits Group Commercial $135.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $168.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $150.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $85.72
Rate for Payer: LLUH Dept of Risk Management WC $54.00
Rate for Payer: Multiplan Commercial $180.00
Rate for Payer: Networks By Design Commercial $146.25
Rate for Payer: Prime Health Services Commercial $191.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $135.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $135.00
Rate for Payer: TriValley Medical Group Commercial/Senior $135.00
Rate for Payer: United Healthcare All Other Commercial $112.50
Rate for Payer: United Healthcare All Other HMO $112.50
Rate for Payer: United Healthcare HMO Rider $112.50
Rate for Payer: United Healthcare Select/Navigate/Core $112.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $191.25
Rate for Payer: Vantage Medical Group Medi-Cal $191.25
Rate for Payer: Vantage Medical Group Senior $191.25
Service Code CPT 34812
Hospital Charge Code 900034812
Hospital Revenue Code 360
Min. Negotiated Rate $1,573.44
Max. Negotiated Rate $120,000.00
Rate for Payer: Cash Price $2,950.20
Rate for Payer: Cash Price $2,950.20
Rate for Payer: EPIC Health Plan Commercial $2,622.40
Rate for Payer: Galaxy Health WC $5,572.60
Rate for Payer: Global Benefits Group Commercial $3,933.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,372.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,497.84
Rate for Payer: LLUH Dept of Risk Management WC $1,573.44
Rate for Payer: Multiplan Commercial $5,244.80
Rate for Payer: Networks By Design Commercial $120,000.00
Rate for Payer: Prime Health Services Commercial $5,572.60
Service Code CPT 34812
Hospital Charge Code 900034812
Hospital Revenue Code 360
Min. Negotiated Rate $120.95
Max. Negotiated Rate $8,049.00
Rate for Payer: Aetna of CA HMO/PPO $2,073.22
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5,572.60
Rate for Payer: AlphaCare Medical Group Medi-Cal $3,605.80
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3,605.80
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,049.00
Rate for Payer: BCBS Transplant Transplant $3,933.60
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 $2,950.20
Rate for Payer: Cash Price $2,950.20
Rate for Payer: Cash Price $2,950.20
Rate for Payer: Cigna of CA PPO $4,851.44
Rate for Payer: Dignity Health Commercial/Exchange $5,572.60
Rate for Payer: Dignity Health Media $5,572.60
Rate for Payer: Dignity Health Medi-Cal $5,572.60
Rate for Payer: EPIC Health Plan Commercial $2,622.40
Rate for Payer: EPIC Health Plan Transplant $2,622.40
Rate for Payer: Galaxy Health WC $5,572.60
Rate for Payer: Global Benefits Group Commercial $3,933.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4,917.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,372.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal $120.95
Rate for Payer: LLUH Dept of Risk Management WC $1,573.44
Rate for Payer: Multiplan Commercial $5,244.80
Rate for Payer: Networks By Design Commercial $4,261.40
Rate for Payer: Prime Health Services Commercial $5,572.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $3,933.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,933.60
Rate for Payer: United Healthcare All Other Commercial $4,121.00
Rate for Payer: United Healthcare All Other HMO $4,248.00
Rate for Payer: United Healthcare HMO Rider $2,468.00
Rate for Payer: United Healthcare Select/Navigate/Core $2,257.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,572.60
Rate for Payer: Vantage Medical Group Medi-Cal $5,572.60
Rate for Payer: Vantage Medical Group Senior $5,572.60
Service Code CPT 70190
Hospital Charge Code 909001112
Hospital Revenue Code 320
Min. Negotiated Rate $136.80
Max. Negotiated Rate $484.50
Rate for Payer: Cash Price $256.50
Rate for Payer: EPIC Health Plan Commercial $228.00
Rate for Payer: Galaxy Health WC $484.50
Rate for Payer: Global Benefits Group Commercial $342.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $380.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $217.17
Rate for Payer: LLUH Dept of Risk Management WC $136.80
Rate for Payer: Multiplan Commercial $456.00
Rate for Payer: Networks By Design Commercial $370.50
Rate for Payer: Prime Health Services Commercial $484.50
Service Code CPT 70190
Hospital Charge Code 909001112
Hospital Revenue Code 320
Min. Negotiated Rate $49.36
Max. Negotiated Rate $484.50
Rate for Payer: Aetna of CA HMO/PPO $161.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $170.31
Rate for Payer: AlphaCare Medical Group Medi-Cal $124.89
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $113.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $162.28
Rate for Payer: BCBS Transplant Transplant $342.00
Rate for Payer: Blue Shield of California Commercial $336.87
Rate for Payer: Blue Shield of California EPN $267.33
Rate for Payer: Cash Price $256.50
Rate for Payer: Cash Price $256.50
Rate for Payer: Cigna of CA HMO $364.80
Rate for Payer: Cigna of CA PPO $421.80
Rate for Payer: Dignity Health Commercial/Exchange $170.31
Rate for Payer: Dignity Health Media $113.54
Rate for Payer: Dignity Health Medi-Cal $124.89
Rate for Payer: EPIC Health Plan Commercial $153.28
Rate for Payer: EPIC Health Plan Medicare/Senior $113.54
Rate for Payer: EPIC Health Plan Transplant $113.54
Rate for Payer: Galaxy Health WC $484.50
Rate for Payer: Global Benefits Group Commercial $342.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $427.50
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $380.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $49.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $136.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $143.06
Rate for Payer: Molina Healthcare of CA Medicare $152.14
Rate for Payer: Multiplan Commercial $456.00
Rate for Payer: Networks By Design Commercial $370.50
Rate for Payer: Prime Health Services Commercial $484.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $342.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $342.00
Rate for Payer: TriValley Medical Group Commercial/Senior $342.00
Rate for Payer: United Healthcare All Other Commercial $114.69
Rate for Payer: United Healthcare All Other HMO $114.69
Rate for Payer: United Healthcare HMO Rider $114.69
Rate for Payer: United Healthcare Select/Navigate/Core $114.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $170.31
Rate for Payer: Vantage Medical Group Medi-Cal $124.89
Rate for Payer: Vantage Medical Group Senior $113.54
Service Code CPT 70200
Hospital Charge Code 909001111
Hospital Revenue Code 320
Min. Negotiated Rate $318.48
Max. Negotiated Rate $1,127.95
Rate for Payer: Cash Price $597.15
Rate for Payer: EPIC Health Plan Commercial $530.80
Rate for Payer: Galaxy Health WC $1,127.95
Rate for Payer: Global Benefits Group Commercial $796.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $885.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $505.59
Rate for Payer: LLUH Dept of Risk Management WC $318.48
Rate for Payer: Multiplan Commercial $1,061.60
Rate for Payer: Networks By Design Commercial $862.55
Rate for Payer: Prime Health Services Commercial $1,127.95
Service Code CPT 70200
Hospital Charge Code 909001111
Hospital Revenue Code 320
Min. Negotiated Rate $71.99
Max. Negotiated Rate $1,127.95
Rate for Payer: Aetna of CA HMO/PPO $193.76
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 $206.20
Rate for Payer: BCBS Transplant Transplant $796.20
Rate for Payer: Blue Shield of California Commercial $784.26
Rate for Payer: Blue Shield of California EPN $622.36
Rate for Payer: Cash Price $597.15
Rate for Payer: Cash Price $597.15
Rate for Payer: Cigna of CA HMO $849.28
Rate for Payer: Cigna of CA PPO $981.98
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 $1,127.95
Rate for Payer: Global Benefits Group Commercial $796.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $995.25
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 $885.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $71.99
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $137.36
Rate for Payer: LLUH Dept of Risk Management WC $318.48
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 $1,061.60
Rate for Payer: Networks By Design Commercial $862.55
Rate for Payer: Prime Health Services Commercial $1,127.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $796.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $796.20
Rate for Payer: TriValley Medical Group Commercial/Senior $796.20
Rate for Payer: United Healthcare All Other Commercial $114.69
Rate for Payer: United Healthcare All Other HMO $114.69
Rate for Payer: United Healthcare HMO Rider $114.69
Rate for Payer: United Healthcare Select/Navigate/Core $114.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $206.04
Rate for Payer: Vantage Medical Group Medi-Cal $151.10
Rate for Payer: Vantage Medical Group Senior $137.36
Service Code CPT 97760
Hospital Charge Code 900400049
Hospital Revenue Code 420
Min. Negotiated Rate $68.88
Max. Negotiated Rate $421.00
Rate for Payer: Aetna of CA HMO/PPO $163.72
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $243.95
Rate for Payer: AlphaCare Medical Group Medi-Cal $157.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $157.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $421.00
Rate for Payer: BCBS Transplant Transplant $172.20
Rate for Payer: Blue Shield of California Commercial $407.00
Rate for Payer: Blue Shield of California EPN $293.00
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cigna of CA HMO $183.68
Rate for Payer: Cigna of CA PPO $212.38
Rate for Payer: Dignity Health Commercial/Exchange $243.95
Rate for Payer: Dignity Health Media $243.95
Rate for Payer: Dignity Health Medi-Cal $243.95
Rate for Payer: EPIC Health Plan Commercial $114.80
Rate for Payer: EPIC Health Plan Transplant $114.80
Rate for Payer: Galaxy Health WC $243.95
Rate for Payer: Global Benefits Group Commercial $172.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $215.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $191.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $109.35
Rate for Payer: LLUH Dept of Risk Management WC $68.88
Rate for Payer: Multiplan Commercial $229.60
Rate for Payer: Networks By Design Commercial $186.55
Rate for Payer: Prime Health Services Commercial $243.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $172.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $172.20
Rate for Payer: TriValley Medical Group Commercial/Senior $172.20
Rate for Payer: United Healthcare All Other Commercial $396.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $213.00
Rate for Payer: United Healthcare Select/Navigate/Core $196.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $243.95
Rate for Payer: Vantage Medical Group Medi-Cal $243.95
Rate for Payer: Vantage Medical Group Senior $243.95
Service Code CPT 97760
Hospital Charge Code 900400049
Hospital Revenue Code 420
Min. Negotiated Rate $68.88
Max. Negotiated Rate $243.95
Rate for Payer: Cash Price $129.15
Rate for Payer: EPIC Health Plan Commercial $114.80
Rate for Payer: Galaxy Health WC $243.95
Rate for Payer: Global Benefits Group Commercial $172.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $191.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $109.35
Rate for Payer: LLUH Dept of Risk Management WC $68.88
Rate for Payer: Multiplan Commercial $229.60
Rate for Payer: Networks By Design Commercial $186.55
Rate for Payer: Prime Health Services Commercial $243.95
Service Code CPT 97760
Hospital Charge Code 901300078
Hospital Revenue Code 430
Min. Negotiated Rate $68.88
Max. Negotiated Rate $421.00
Rate for Payer: Aetna of CA HMO/PPO $163.72
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $243.95
Rate for Payer: AlphaCare Medical Group Medi-Cal $157.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $157.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $421.00
Rate for Payer: BCBS Transplant Transplant $172.20
Rate for Payer: Blue Shield of California Commercial $407.00
Rate for Payer: Blue Shield of California EPN $293.00
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cash Price $129.15
Rate for Payer: Cigna of CA HMO $183.68
Rate for Payer: Cigna of CA PPO $212.38
Rate for Payer: Dignity Health Commercial/Exchange $243.95
Rate for Payer: Dignity Health Media $243.95
Rate for Payer: Dignity Health Medi-Cal $243.95
Rate for Payer: EPIC Health Plan Commercial $114.80
Rate for Payer: EPIC Health Plan Transplant $114.80
Rate for Payer: Galaxy Health WC $243.95
Rate for Payer: Global Benefits Group Commercial $172.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $215.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $191.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $109.35
Rate for Payer: LLUH Dept of Risk Management WC $68.88
Rate for Payer: Multiplan Commercial $229.60
Rate for Payer: Networks By Design Commercial $186.55
Rate for Payer: Prime Health Services Commercial $243.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $172.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $172.20
Rate for Payer: TriValley Medical Group Commercial/Senior $172.20
Rate for Payer: United Healthcare All Other Commercial $396.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $213.00
Rate for Payer: United Healthcare Select/Navigate/Core $196.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $243.95
Rate for Payer: Vantage Medical Group Medi-Cal $243.95
Rate for Payer: Vantage Medical Group Senior $243.95
Service Code CPT 97760
Hospital Charge Code 901300078
Hospital Revenue Code 430
Min. Negotiated Rate $68.88
Max. Negotiated Rate $243.95
Rate for Payer: Cash Price $129.15
Rate for Payer: EPIC Health Plan Commercial $114.80
Rate for Payer: Galaxy Health WC $243.95
Rate for Payer: Global Benefits Group Commercial $172.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $191.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $109.35
Rate for Payer: LLUH Dept of Risk Management WC $68.88
Rate for Payer: Multiplan Commercial $229.60
Rate for Payer: Networks By Design Commercial $186.55
Rate for Payer: Prime Health Services Commercial $243.95
Service Code CPT 73650
Hospital Charge Code 909001633
Hospital Revenue Code 320
Min. Negotiated Rate $36.14
Max. Negotiated Rate $600.10
Rate for Payer: Aetna of CA HMO/PPO $126.60
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $170.31
Rate for Payer: AlphaCare Medical Group Medi-Cal $124.89
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $113.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $123.59
Rate for Payer: BCBS Transplant Transplant $423.60
Rate for Payer: Blue Shield of California Commercial $417.25
Rate for Payer: Blue Shield of California EPN $331.11
Rate for Payer: Cash Price $317.70
Rate for Payer: Cash Price $317.70
Rate for Payer: Cigna of CA HMO $451.84
Rate for Payer: Cigna of CA PPO $522.44
Rate for Payer: Dignity Health Commercial/Exchange $170.31
Rate for Payer: Dignity Health Media $113.54
Rate for Payer: Dignity Health Medi-Cal $124.89
Rate for Payer: EPIC Health Plan Commercial $153.28
Rate for Payer: EPIC Health Plan Medicare/Senior $113.54
Rate for Payer: EPIC Health Plan Transplant $113.54
Rate for Payer: Galaxy Health WC $600.10
Rate for Payer: Global Benefits Group Commercial $423.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $529.50
Rate for Payer: Heritage Provider Network Commercial $186.21
Rate for Payer: Heritage Provider Network Transplant $186.21
Rate for Payer: IEHP Medi-Cal $183.93
Rate for Payer: IEHP Medi-Cal Transplant $183.93
Rate for Payer: IEHP Medicare Advantage $113.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $470.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $36.14
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $169.44
Rate for Payer: Molina Healthcare of CA Medi-Cal $143.06
Rate for Payer: Molina Healthcare of CA Medicare $152.14
Rate for Payer: Multiplan Commercial $564.80
Rate for Payer: Networks By Design Commercial $458.90
Rate for Payer: Prime Health Services Commercial $600.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $423.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $423.60
Rate for Payer: TriValley Medical Group Commercial/Senior $423.60
Rate for Payer: United Healthcare All Other Commercial $114.69
Rate for Payer: United Healthcare All Other HMO $114.69
Rate for Payer: United Healthcare HMO Rider $114.69
Rate for Payer: United Healthcare Select/Navigate/Core $114.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $170.31
Rate for Payer: Vantage Medical Group Medi-Cal $124.89
Rate for Payer: Vantage Medical Group Senior $113.54
Service Code CPT 73650
Hospital Charge Code 909001633
Hospital Revenue Code 320
Min. Negotiated Rate $169.44
Max. Negotiated Rate $600.10
Rate for Payer: Cash Price $317.70
Rate for Payer: EPIC Health Plan Commercial $282.40
Rate for Payer: Galaxy Health WC $600.10
Rate for Payer: Global Benefits Group Commercial $423.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $470.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $268.99
Rate for Payer: LLUH Dept of Risk Management WC $169.44
Rate for Payer: Multiplan Commercial $564.80
Rate for Payer: Networks By Design Commercial $458.90
Rate for Payer: Prime Health Services Commercial $600.10
Service Code CPT 83935
Hospital Charge Code 900910358
Hospital Revenue Code 301
Min. Negotiated Rate $5.53
Max. Negotiated Rate $62.22
Rate for Payer: Aetna of CA HMO/PPO $56.66
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10.23
Rate for Payer: AlphaCare Medical Group Medi-Cal $7.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $6.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $62.22
Rate for Payer: BCBS Transplant Transplant $15.60
Rate for Payer: Blue Shield of California Commercial $16.80
Rate for Payer: Blue Shield of California EPN $13.31
Rate for Payer: Cash Price $11.70
Rate for Payer: Cash Price $11.70
Rate for Payer: Cigna of CA HMO $16.64
Rate for Payer: Cigna of CA PPO $19.24
Rate for Payer: Dignity Health Commercial/Exchange $10.23
Rate for Payer: Dignity Health Media $6.82
Rate for Payer: Dignity Health Medi-Cal $7.50
Rate for Payer: EPIC Health Plan Commercial $9.21
Rate for Payer: EPIC Health Plan Medicare/Senior $6.82
Rate for Payer: EPIC Health Plan Transplant $6.82
Rate for Payer: Galaxy Health WC $22.10
Rate for Payer: Global Benefits Group Commercial $15.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $19.50
Rate for Payer: Heritage Provider Network Commercial $11.18
Rate for Payer: Heritage Provider Network Transplant $11.18
Rate for Payer: IEHP Medi-Cal $11.05
Rate for Payer: IEHP Medi-Cal Transplant $11.05
Rate for Payer: IEHP Medicare Advantage $6.82
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.44
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $6.82
Rate for Payer: LLUH Dept of Risk Management WC $6.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $8.59
Rate for Payer: Molina Healthcare of CA Medicare $9.14
Rate for Payer: Multiplan Commercial $20.80
Rate for Payer: Networks By Design Commercial $16.90
Rate for Payer: Prime Health Services Commercial $22.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $15.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.60
Rate for Payer: TriValley Medical Group Commercial/Senior $15.60
Rate for Payer: United Healthcare All Other Commercial $5.53
Rate for Payer: United Healthcare All Other HMO $5.53
Rate for Payer: United Healthcare HMO Rider $5.53
Rate for Payer: United Healthcare Select/Navigate/Core $5.53
Rate for Payer: Vantage Medical Group Commercial/Exchange $10.23
Rate for Payer: Vantage Medical Group Medi-Cal $7.50
Rate for Payer: Vantage Medical Group Senior $6.82
Service Code CPT 83935
Hospital Charge Code 900910214
Hospital Revenue Code 301
Min. Negotiated Rate $5.53
Max. Negotiated Rate $62.22
Rate for Payer: Aetna of CA HMO/PPO $56.66
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10.23
Rate for Payer: AlphaCare Medical Group Medi-Cal $7.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $6.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $62.22
Rate for Payer: BCBS Transplant Transplant $15.60
Rate for Payer: Blue Shield of California Commercial $16.80
Rate for Payer: Blue Shield of California EPN $13.31
Rate for Payer: Cash Price $11.70
Rate for Payer: Cash Price $11.70
Rate for Payer: Cigna of CA HMO $16.64
Rate for Payer: Cigna of CA PPO $19.24
Rate for Payer: Dignity Health Commercial/Exchange $10.23
Rate for Payer: Dignity Health Media $6.82
Rate for Payer: Dignity Health Medi-Cal $7.50
Rate for Payer: EPIC Health Plan Commercial $9.21
Rate for Payer: EPIC Health Plan Medicare/Senior $6.82
Rate for Payer: EPIC Health Plan Transplant $6.82
Rate for Payer: Galaxy Health WC $22.10
Rate for Payer: Global Benefits Group Commercial $15.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $19.50
Rate for Payer: Heritage Provider Network Commercial $11.18
Rate for Payer: Heritage Provider Network Transplant $11.18
Rate for Payer: IEHP Medi-Cal $11.05
Rate for Payer: IEHP Medi-Cal Transplant $11.05
Rate for Payer: IEHP Medicare Advantage $6.82
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.44
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $6.82
Rate for Payer: LLUH Dept of Risk Management WC $6.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $8.59
Rate for Payer: Molina Healthcare of CA Medicare $9.14
Rate for Payer: Multiplan Commercial $20.80
Rate for Payer: Networks By Design Commercial $16.90
Rate for Payer: Prime Health Services Commercial $22.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $15.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.60
Rate for Payer: TriValley Medical Group Commercial/Senior $15.60
Rate for Payer: United Healthcare All Other Commercial $5.53
Rate for Payer: United Healthcare All Other HMO $5.53
Rate for Payer: United Healthcare HMO Rider $5.53
Rate for Payer: United Healthcare Select/Navigate/Core $5.53
Rate for Payer: Vantage Medical Group Commercial/Exchange $10.23
Rate for Payer: Vantage Medical Group Medi-Cal $7.50
Rate for Payer: Vantage Medical Group Senior $6.82
Service Code CPT 85555
Hospital Charge Code 900910039
Hospital Revenue Code 305
Min. Negotiated Rate $6.05
Max. Negotiated Rate $60.99
Rate for Payer: Aetna of CA HMO/PPO $55.62
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $11.20
Rate for Payer: AlphaCare Medical Group Medi-Cal $8.22
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $7.47
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $60.99
Rate for Payer: BCBS Transplant Transplant $32.40
Rate for Payer: Blue Shield of California Commercial $34.88
Rate for Payer: Blue Shield of California EPN $27.65
Rate for Payer: Cash Price $24.30
Rate for Payer: Cash Price $24.30
Rate for Payer: Cigna of CA HMO $34.56
Rate for Payer: Cigna of CA PPO $39.96
Rate for Payer: Dignity Health Commercial/Exchange $11.20
Rate for Payer: Dignity Health Media $7.47
Rate for Payer: Dignity Health Medi-Cal $8.22
Rate for Payer: EPIC Health Plan Commercial $10.08
Rate for Payer: EPIC Health Plan Medicare/Senior $7.47
Rate for Payer: EPIC Health Plan Transplant $7.47
Rate for Payer: Galaxy Health WC $45.90
Rate for Payer: Global Benefits Group Commercial $32.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $40.50
Rate for Payer: Heritage Provider Network Commercial $12.25
Rate for Payer: Heritage Provider Network Transplant $12.25
Rate for Payer: IEHP Medi-Cal $12.10
Rate for Payer: IEHP Medi-Cal Transplant $12.10
Rate for Payer: IEHP Medicare Advantage $7.47
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $36.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7.47
Rate for Payer: LLUH Dept of Risk Management WC $12.96
Rate for Payer: Molina Healthcare of CA Medi-Cal $9.41
Rate for Payer: Molina Healthcare of CA Medicare $10.01
Rate for Payer: Multiplan Commercial $43.20
Rate for Payer: Networks By Design Commercial $35.10
Rate for Payer: Prime Health Services Commercial $45.90
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $32.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $32.40
Rate for Payer: TriValley Medical Group Commercial/Senior $32.40
Rate for Payer: United Healthcare All Other Commercial $6.05
Rate for Payer: United Healthcare All Other HMO $6.05
Rate for Payer: United Healthcare HMO Rider $6.05
Rate for Payer: United Healthcare Select/Navigate/Core $6.05
Rate for Payer: Vantage Medical Group Commercial/Exchange $11.20
Rate for Payer: Vantage Medical Group Medi-Cal $8.22
Rate for Payer: Vantage Medical Group Senior $7.47
Service Code CPT 85557
Hospital Charge Code 900910077
Hospital Revenue Code 305
Min. Negotiated Rate $10.82
Max. Negotiated Rate $121.87
Rate for Payer: Aetna of CA HMO/PPO $111.10
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $20.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $14.70
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $121.87
Rate for Payer: BCBS Transplant Transplant $31.20
Rate for Payer: Blue Shield of California Commercial $33.59
Rate for Payer: Blue Shield of California EPN $26.62
Rate for Payer: Cash Price $23.40
Rate for Payer: Cash Price $23.40
Rate for Payer: Cigna of CA HMO $33.28
Rate for Payer: Cigna of CA PPO $38.48
Rate for Payer: Dignity Health Commercial/Exchange $20.04
Rate for Payer: Dignity Health Media $13.36
Rate for Payer: Dignity Health Medi-Cal $14.70
Rate for Payer: EPIC Health Plan Commercial $18.04
Rate for Payer: EPIC Health Plan Medicare/Senior $13.36
Rate for Payer: EPIC Health Plan Transplant $13.36
Rate for Payer: Galaxy Health WC $44.20
Rate for Payer: Global Benefits Group Commercial $31.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $39.00
Rate for Payer: Heritage Provider Network Commercial $21.91
Rate for Payer: Heritage Provider Network Transplant $21.91
Rate for Payer: IEHP Medi-Cal $21.64
Rate for Payer: IEHP Medi-Cal Transplant $21.64
Rate for Payer: IEHP Medicare Advantage $13.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $34.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $22.55
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13.36
Rate for Payer: LLUH Dept of Risk Management WC $12.48
Rate for Payer: Molina Healthcare of CA Medi-Cal $16.83
Rate for Payer: Molina Healthcare of CA Medicare $17.90
Rate for Payer: Multiplan Commercial $41.60
Rate for Payer: Networks By Design Commercial $33.80
Rate for Payer: Prime Health Services Commercial $44.20
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $31.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $31.20
Rate for Payer: TriValley Medical Group Commercial/Senior $31.20
Rate for Payer: United Healthcare All Other Commercial $10.82
Rate for Payer: United Healthcare All Other HMO $10.82
Rate for Payer: United Healthcare HMO Rider $10.82
Rate for Payer: United Healthcare Select/Navigate/Core $10.82
Rate for Payer: Vantage Medical Group Commercial/Exchange $20.04
Rate for Payer: Vantage Medical Group Medi-Cal $14.70
Rate for Payer: Vantage Medical Group Senior $13.36
Hospital Charge Code 908600171
Hospital Revenue Code 434
Min. Negotiated Rate $15.36
Max. Negotiated Rate $421.00
Rate for Payer: Aetna of CA HMO/PPO $41.98
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $54.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $35.20
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $35.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $421.00
Rate for Payer: BCBS Transplant Transplant $38.40
Rate for Payer: Blue Shield of California Commercial $407.00
Rate for Payer: Blue Shield of California EPN $293.00
Rate for Payer: Cash Price $28.80
Rate for Payer: Cash Price $28.80
Rate for Payer: Cash Price $28.80
Rate for Payer: Cigna of CA HMO $40.96
Rate for Payer: Cigna of CA PPO $47.36
Rate for Payer: Dignity Health Commercial/Exchange $54.40
Rate for Payer: Dignity Health Media $54.40
Rate for Payer: Dignity Health Medi-Cal $54.40
Rate for Payer: EPIC Health Plan Commercial $25.60
Rate for Payer: EPIC Health Plan Transplant $25.60
Rate for Payer: Galaxy Health WC $54.40
Rate for Payer: Global Benefits Group Commercial $38.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $48.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $42.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal $24.38
Rate for Payer: LLUH Dept of Risk Management WC $15.36
Rate for Payer: Multiplan Commercial $51.20
Rate for Payer: Networks By Design Commercial $41.60
Rate for Payer: Prime Health Services Commercial $54.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $38.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $38.40
Rate for Payer: TriValley Medical Group Commercial/Senior $38.40
Rate for Payer: United Healthcare All Other Commercial $396.00
Rate for Payer: United Healthcare All Other HMO $281.00
Rate for Payer: United Healthcare HMO Rider $213.00
Rate for Payer: United Healthcare Select/Navigate/Core $196.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $54.40
Rate for Payer: Vantage Medical Group Medi-Cal $54.40
Rate for Payer: Vantage Medical Group Senior $54.40
Hospital Charge Code 908600171
Hospital Revenue Code 434
Min. Negotiated Rate $15.36
Max. Negotiated Rate $54.40
Rate for Payer: Cash Price $28.80
Rate for Payer: EPIC Health Plan Commercial $25.60
Rate for Payer: Galaxy Health WC $54.40
Rate for Payer: Global Benefits Group Commercial $38.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $42.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal $24.38
Rate for Payer: LLUH Dept of Risk Management WC $15.36
Rate for Payer: Multiplan Commercial $51.20
Rate for Payer: Networks By Design Commercial $41.60
Rate for Payer: Prime Health Services Commercial $54.40
Hospital Charge Code 908602559
Hospital Revenue Code 510
Min. Negotiated Rate $11.28
Max. Negotiated Rate $39.95
Rate for Payer: Cash Price $21.15
Rate for Payer: EPIC Health Plan Commercial $18.80
Rate for Payer: Galaxy Health WC $39.95
Rate for Payer: Global Benefits Group Commercial $28.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $31.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $17.91
Rate for Payer: LLUH Dept of Risk Management WC $11.28
Rate for Payer: Multiplan Commercial $37.60
Rate for Payer: Networks By Design Commercial $30.55
Rate for Payer: Prime Health Services Commercial $39.95
Hospital Charge Code 908600159
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 908602559
Hospital Revenue Code 510
Min. Negotiated Rate $11.28
Max. Negotiated Rate $39.95
Rate for Payer: Aetna of CA HMO/PPO $30.83
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $39.95
Rate for Payer: AlphaCare Medical Group Medi-Cal $25.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $25.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $28.00
Rate for Payer: BCBS Transplant Transplant $28.20
Rate for Payer: Blue Shield of California Commercial $34.64
Rate for Payer: Blue Shield of California EPN $27.45
Rate for Payer: Cash Price $21.15
Rate for Payer: Cigna of CA HMO $30.08
Rate for Payer: Cigna of CA PPO $34.78
Rate for Payer: Dignity Health Commercial/Exchange $39.95
Rate for Payer: Dignity Health Media $39.95
Rate for Payer: Dignity Health Medi-Cal $39.95
Rate for Payer: EPIC Health Plan Commercial $18.80
Rate for Payer: EPIC Health Plan Transplant $18.80
Rate for Payer: Galaxy Health WC $39.95
Rate for Payer: Global Benefits Group Commercial $28.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $35.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $31.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $17.91
Rate for Payer: LLUH Dept of Risk Management WC $11.28
Rate for Payer: Multiplan Commercial $37.60
Rate for Payer: Networks By Design Commercial $30.55
Rate for Payer: Prime Health Services Commercial $39.95
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $28.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $28.20
Rate for Payer: TriValley Medical Group Commercial/Senior $28.20
Rate for Payer: United Healthcare All Other Commercial $23.50
Rate for Payer: United Healthcare All Other HMO $23.50
Rate for Payer: United Healthcare HMO Rider $23.50
Rate for Payer: United Healthcare Select/Navigate/Core $23.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $39.95
Rate for Payer: Vantage Medical Group Medi-Cal $39.95
Rate for Payer: Vantage Medical Group Senior $39.95
Hospital Charge Code 908600159
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 908600155
Hospital Revenue Code 510
Min. Negotiated Rate $64.80
Max. Negotiated Rate $229.50
Rate for Payer: Cash Price $121.50
Rate for Payer: EPIC Health Plan Commercial $108.00
Rate for Payer: Galaxy Health WC $229.50
Rate for Payer: Global Benefits Group Commercial $162.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $180.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal $102.87
Rate for Payer: LLUH Dept of Risk Management WC $64.80
Rate for Payer: Multiplan Commercial $216.00
Rate for Payer: Networks By Design Commercial $175.50
Rate for Payer: Prime Health Services Commercial $229.50
Hospital Charge Code 908600155
Hospital Revenue Code 510
Min. Negotiated Rate $64.80
Max. Negotiated Rate $229.50
Rate for Payer: Aetna of CA HMO/PPO $177.09
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $229.50
Rate for Payer: AlphaCare Medical Group Medi-Cal $148.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $148.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $160.87
Rate for Payer: BCBS Transplant Transplant $162.00
Rate for Payer: Blue Shield of California Commercial $198.99
Rate for Payer: Blue Shield of California EPN $157.68
Rate for Payer: Cash Price $121.50
Rate for Payer: Cigna of CA HMO $172.80
Rate for Payer: Cigna of CA PPO $199.80
Rate for Payer: Dignity Health Commercial/Exchange $229.50
Rate for Payer: Dignity Health Media $229.50
Rate for Payer: Dignity Health Medi-Cal $229.50
Rate for Payer: EPIC Health Plan Commercial $108.00
Rate for Payer: EPIC Health Plan Transplant $108.00
Rate for Payer: Galaxy Health WC $229.50
Rate for Payer: Global Benefits Group Commercial $162.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $202.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $180.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal $102.87
Rate for Payer: LLUH Dept of Risk Management WC $64.80
Rate for Payer: Multiplan Commercial $216.00
Rate for Payer: Networks By Design Commercial $175.50
Rate for Payer: Prime Health Services Commercial $229.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $162.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $162.00
Rate for Payer: TriValley Medical Group Commercial/Senior $162.00
Rate for Payer: United Healthcare All Other Commercial $135.00
Rate for Payer: United Healthcare All Other HMO $135.00
Rate for Payer: United Healthcare HMO Rider $135.00
Rate for Payer: United Healthcare Select/Navigate/Core $135.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $229.50
Rate for Payer: Vantage Medical Group Medi-Cal $229.50
Rate for Payer: Vantage Medical Group Senior $229.50