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Service Code CPT 33235
Hospital Charge Code 906811364
Hospital Revenue Code 361
Min. Negotiated Rate $1,429.68
Max. Negotiated Rate $5,063.45
Rate for Payer: Cash Price $2,680.65
Rate for Payer: EPIC Health Plan Commercial $2,382.80
Rate for Payer: Galaxy Health WC $5,063.45
Rate for Payer: Global Benefits Group Commercial $3,574.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,973.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,269.62
Rate for Payer: LLUH Dept of Risk Management WC $1,429.68
Rate for Payer: Multiplan Commercial $4,765.60
Rate for Payer: Networks By Design Commercial $3,872.05
Rate for Payer: Prime Health Services Commercial $5,063.45
Service Code CPT 33234
Hospital Charge Code 906811363
Hospital Revenue Code 361
Min. Negotiated Rate $1,429.68
Max. Negotiated Rate $5,063.45
Rate for Payer: Cash Price $2,680.65
Rate for Payer: EPIC Health Plan Commercial $2,382.80
Rate for Payer: Galaxy Health WC $5,063.45
Rate for Payer: Global Benefits Group Commercial $3,574.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,973.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,269.62
Rate for Payer: LLUH Dept of Risk Management WC $1,429.68
Rate for Payer: Multiplan Commercial $4,765.60
Rate for Payer: Networks By Design Commercial $3,872.05
Rate for Payer: Prime Health Services Commercial $5,063.45
Service Code CPT 33234
Hospital Charge Code 906811363
Hospital Revenue Code 361
Min. Negotiated Rate $505.76
Max. Negotiated Rate $19,907.00
Rate for Payer: Aetna of CA HMO/PPO $12,491.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $7,359.81
Rate for Payer: AlphaCare Medical Group Medi-Cal $5,397.19
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,906.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,938.00
Rate for Payer: BCBS Transplant Transplant $3,574.20
Rate for Payer: Blue Shield of California Commercial $4,128.35
Rate for Payer: Blue Shield of California EPN $2,686.96
Rate for Payer: Cash Price $2,680.65
Rate for Payer: Cash Price $2,680.65
Rate for Payer: Cigna of CA PPO $4,408.18
Rate for Payer: Dignity Health Commercial/Exchange $7,359.81
Rate for Payer: Dignity Health Media $4,906.54
Rate for Payer: Dignity Health Medi-Cal $5,397.19
Rate for Payer: EPIC Health Plan Commercial $6,623.83
Rate for Payer: EPIC Health Plan Medicare/Senior $4,906.54
Rate for Payer: EPIC Health Plan Transplant $4,906.54
Rate for Payer: Galaxy Health WC $5,063.45
Rate for Payer: Global Benefits Group Commercial $3,574.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4,467.75
Rate for Payer: Heritage Provider Network Commercial $8,046.73
Rate for Payer: Heritage Provider Network Transplant $8,046.73
Rate for Payer: IEHP Medi-Cal $7,948.59
Rate for Payer: IEHP Medi-Cal Transplant $7,948.59
Rate for Payer: IEHP Medicare Advantage $4,906.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,973.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $505.76
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,906.54
Rate for Payer: LLUH Dept of Risk Management WC $1,429.68
Rate for Payer: Molina Healthcare of CA Medi-Cal $6,182.24
Rate for Payer: Molina Healthcare of CA Medicare $6,574.76
Rate for Payer: Multiplan Commercial $4,765.60
Rate for Payer: Networks By Design Commercial $3,872.05
Rate for Payer: Prime Health Services Commercial $5,063.45
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $3,574.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,574.20
Rate for Payer: United Healthcare All Other Commercial $13,537.00
Rate for Payer: United Healthcare All Other HMO $19,907.00
Rate for Payer: United Healthcare HMO Rider $12,444.00
Rate for Payer: United Healthcare Select/Navigate/Core $11,379.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $7,359.81
Rate for Payer: Vantage Medical Group Medi-Cal $5,397.19
Rate for Payer: Vantage Medical Group Senior $4,906.54
Service Code CPT 33222
Hospital Charge Code 906811357
Hospital Revenue Code 361
Min. Negotiated Rate $1,064.64
Max. Negotiated Rate $3,770.60
Rate for Payer: Cash Price $1,996.20
Rate for Payer: EPIC Health Plan Commercial $1,774.40
Rate for Payer: Galaxy Health WC $3,770.60
Rate for Payer: Global Benefits Group Commercial $2,661.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,958.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,690.12
Rate for Payer: LLUH Dept of Risk Management WC $1,064.64
Rate for Payer: Multiplan Commercial $3,548.80
Rate for Payer: Networks By Design Commercial $2,883.40
Rate for Payer: Prime Health Services Commercial $3,770.60
Service Code CPT 33222
Hospital Charge Code 906811357
Hospital Revenue Code 361
Min. Negotiated Rate $584.29
Max. Negotiated Rate $7,385.00
Rate for Payer: Aetna of CA HMO/PPO $7,385.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3,417.74
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,506.34
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,278.49
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $2,661.60
Rate for Payer: Blue Shield of California Commercial $3,612.31
Rate for Payer: Blue Shield of California EPN $2,351.09
Rate for Payer: Cash Price $1,996.20
Rate for Payer: Cash Price $1,996.20
Rate for Payer: Cigna of CA PPO $3,282.64
Rate for Payer: Dignity Health Commercial/Exchange $3,417.74
Rate for Payer: Dignity Health Media $2,278.49
Rate for Payer: Dignity Health Medi-Cal $2,506.34
Rate for Payer: EPIC Health Plan Commercial $3,075.96
Rate for Payer: EPIC Health Plan Medicare/Senior $2,278.49
Rate for Payer: EPIC Health Plan Transplant $2,278.49
Rate for Payer: Galaxy Health WC $3,770.60
Rate for Payer: Global Benefits Group Commercial $2,661.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3,327.00
Rate for Payer: Heritage Provider Network Commercial $3,736.72
Rate for Payer: Heritage Provider Network Transplant $3,736.72
Rate for Payer: IEHP Medi-Cal $3,691.15
Rate for Payer: IEHP Medi-Cal Transplant $3,691.15
Rate for Payer: IEHP Medicare Advantage $2,278.49
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2,958.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $584.29
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,278.49
Rate for Payer: LLUH Dept of Risk Management WC $1,064.64
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,870.90
Rate for Payer: Molina Healthcare of CA Medicare $3,053.18
Rate for Payer: Multiplan Commercial $3,548.80
Rate for Payer: Networks By Design Commercial $2,883.40
Rate for Payer: Prime Health Services Commercial $3,770.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $2,661.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,661.60
Rate for Payer: United Healthcare All Other Commercial $5,893.00
Rate for Payer: United Healthcare All Other HMO $7,027.00
Rate for Payer: United Healthcare HMO Rider $4,217.00
Rate for Payer: United Healthcare Select/Navigate/Core $3,918.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,417.74
Rate for Payer: Vantage Medical Group Medi-Cal $2,506.34
Rate for Payer: Vantage Medical Group Senior $2,278.49
Service Code CPT 33214
Hospital Charge Code 906811362
Hospital Revenue Code 361
Min. Negotiated Rate $8,740.56
Max. Negotiated Rate $30,956.15
Rate for Payer: Cash Price $16,388.55
Rate for Payer: EPIC Health Plan Commercial $14,567.60
Rate for Payer: Galaxy Health WC $30,956.15
Rate for Payer: Global Benefits Group Commercial $21,851.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24,291.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13,875.64
Rate for Payer: LLUH Dept of Risk Management WC $8,740.56
Rate for Payer: Multiplan Commercial $29,135.20
Rate for Payer: Networks By Design Commercial $23,672.35
Rate for Payer: Prime Health Services Commercial $30,956.15
Service Code CPT 33214
Hospital Charge Code 906811362
Hospital Revenue Code 361
Min. Negotiated Rate $754.05
Max. Negotiated Rate $51,156.00
Rate for Payer: Aetna of CA HMO/PPO $11,370.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $20,012.67
Rate for Payer: AlphaCare Medical Group Medi-Cal $14,675.96
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13,341.78
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,201.00
Rate for Payer: BCBS Transplant Transplant $21,851.40
Rate for Payer: Blue Shield of California Commercial $10,844.87
Rate for Payer: Blue Shield of California EPN $7,058.45
Rate for Payer: Cash Price $16,388.55
Rate for Payer: Cash Price $16,388.55
Rate for Payer: Cash Price $16,388.55
Rate for Payer: Cigna of CA PPO $26,950.06
Rate for Payer: Dignity Health Commercial/Exchange $20,012.67
Rate for Payer: Dignity Health Media $13,341.78
Rate for Payer: Dignity Health Medi-Cal $14,675.96
Rate for Payer: EPIC Health Plan Commercial $18,011.40
Rate for Payer: EPIC Health Plan Medicare/Senior $13,341.78
Rate for Payer: EPIC Health Plan Transplant $13,341.78
Rate for Payer: Galaxy Health WC $30,956.15
Rate for Payer: Global Benefits Group Commercial $21,851.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $27,314.25
Rate for Payer: Heritage Provider Network Commercial $21,880.52
Rate for Payer: Heritage Provider Network Transplant $21,880.52
Rate for Payer: IEHP Medi-Cal $21,613.68
Rate for Payer: IEHP Medi-Cal Transplant $21,613.68
Rate for Payer: IEHP Medicare Advantage $13,341.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24,291.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $754.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13,341.78
Rate for Payer: LLUH Dept of Risk Management WC $8,740.56
Rate for Payer: Molina Healthcare of CA Medi-Cal $16,810.64
Rate for Payer: Molina Healthcare of CA Medicare $17,877.99
Rate for Payer: Multiplan Commercial $29,135.20
Rate for Payer: Multiplan WC $18,240.12
Rate for Payer: Networks By Design Commercial $23,672.35
Rate for Payer: Prime Health Services Commercial $30,956.15
Rate for Payer: Prime Health Services WC $18,054.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $21,851.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $21,851.40
Rate for Payer: United Healthcare All Other Commercial $41,597.00
Rate for Payer: United Healthcare All Other HMO $51,156.00
Rate for Payer: United Healthcare HMO Rider $35,783.00
Rate for Payer: United Healthcare Select/Navigate/Core $32,722.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $20,012.67
Rate for Payer: Vantage Medical Group Medi-Cal $14,675.96
Rate for Payer: Vantage Medical Group Senior $13,341.78
Hospital Charge Code 900700075
Hospital Revenue Code 360
Min. Negotiated Rate $2,836.08
Max. Negotiated Rate $10,044.45
Rate for Payer: Aetna of CA HMO/PPO $7,750.77
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,044.45
Rate for Payer: AlphaCare Medical Group Medi-Cal $6,499.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $6,499.35
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,040.57
Rate for Payer: BCBS Transplant Transplant $7,090.20
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 $5,317.65
Rate for Payer: Cash Price $5,317.65
Rate for Payer: Cigna of CA PPO $8,744.58
Rate for Payer: Dignity Health Commercial/Exchange $10,044.45
Rate for Payer: Dignity Health Media $10,044.45
Rate for Payer: Dignity Health Medi-Cal $10,044.45
Rate for Payer: EPIC Health Plan Commercial $4,726.80
Rate for Payer: EPIC Health Plan Transplant $4,726.80
Rate for Payer: Galaxy Health WC $10,044.45
Rate for Payer: Global Benefits Group Commercial $7,090.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $8,862.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7,881.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,502.28
Rate for Payer: LLUH Dept of Risk Management WC $2,836.08
Rate for Payer: Multiplan Commercial $9,453.60
Rate for Payer: Networks By Design Commercial $7,681.05
Rate for Payer: Prime Health Services Commercial $10,044.45
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $7,090.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $7,090.20
Rate for Payer: United Healthcare All Other Commercial $5,908.50
Rate for Payer: United Healthcare All Other HMO $5,908.50
Rate for Payer: United Healthcare HMO Rider $5,908.50
Rate for Payer: United Healthcare Select/Navigate/Core $5,908.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,044.45
Rate for Payer: Vantage Medical Group Medi-Cal $10,044.45
Rate for Payer: Vantage Medical Group Senior $10,044.45
Hospital Charge Code 900700075
Hospital Revenue Code 360
Min. Negotiated Rate $2,836.08
Max. Negotiated Rate $120,000.00
Rate for Payer: Cash Price $5,317.65
Rate for Payer: Cash Price $5,317.65
Rate for Payer: EPIC Health Plan Commercial $4,726.80
Rate for Payer: Galaxy Health WC $10,044.45
Rate for Payer: Global Benefits Group Commercial $7,090.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7,881.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,502.28
Rate for Payer: LLUH Dept of Risk Management WC $2,836.08
Rate for Payer: Multiplan Commercial $9,453.60
Rate for Payer: Networks By Design Commercial $120,000.00
Rate for Payer: Prime Health Services Commercial $10,044.45
Service Code CPT 48102
Hospital Charge Code 909000153
Hospital Revenue Code 361
Min. Negotiated Rate $698.64
Max. Negotiated Rate $7,027.00
Rate for Payer: Aetna of CA HMO/PPO $3,429.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3,038.54
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,228.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,025.69
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,984.00
Rate for Payer: BCBS Transplant Transplant $1,746.60
Rate for Payer: Blue Shield of California Commercial $2,699.31
Rate for Payer: Blue Shield of California EPN $1,756.86
Rate for Payer: Cash Price $1,309.95
Rate for Payer: Cash Price $1,309.95
Rate for Payer: Cigna of CA PPO $2,154.14
Rate for Payer: Dignity Health Commercial/Exchange $3,038.54
Rate for Payer: Dignity Health Media $2,025.69
Rate for Payer: Dignity Health Medi-Cal $2,228.26
Rate for Payer: EPIC Health Plan Commercial $2,734.68
Rate for Payer: EPIC Health Plan Medicare/Senior $2,025.69
Rate for Payer: EPIC Health Plan Transplant $2,025.69
Rate for Payer: Galaxy Health WC $2,474.35
Rate for Payer: Global Benefits Group Commercial $1,746.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2,183.25
Rate for Payer: Heritage Provider Network Commercial $3,322.13
Rate for Payer: Heritage Provider Network Transplant $3,322.13
Rate for Payer: IEHP Medi-Cal $3,281.62
Rate for Payer: IEHP Medi-Cal Transplant $3,281.62
Rate for Payer: IEHP Medicare Advantage $2,025.69
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,941.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal $719.40
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,025.69
Rate for Payer: LLUH Dept of Risk Management WC $698.64
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,552.37
Rate for Payer: Molina Healthcare of CA Medicare $2,714.42
Rate for Payer: Multiplan Commercial $2,328.80
Rate for Payer: Networks By Design Commercial $1,892.15
Rate for Payer: Prime Health Services Commercial $2,474.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $1,746.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1,746.60
Rate for Payer: United Healthcare All Other Commercial $5,893.00
Rate for Payer: United Healthcare All Other HMO $7,027.00
Rate for Payer: United Healthcare HMO Rider $4,217.00
Rate for Payer: United Healthcare Select/Navigate/Core $3,918.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,038.54
Rate for Payer: Vantage Medical Group Medi-Cal $2,228.26
Rate for Payer: Vantage Medical Group Senior $2,025.69
Service Code CPT 48102
Hospital Charge Code 909000153
Hospital Revenue Code 361
Min. Negotiated Rate $698.64
Max. Negotiated Rate $2,474.35
Rate for Payer: Cash Price $1,309.95
Rate for Payer: EPIC Health Plan Commercial $1,164.40
Rate for Payer: Galaxy Health WC $2,474.35
Rate for Payer: Global Benefits Group Commercial $1,746.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,941.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,109.09
Rate for Payer: LLUH Dept of Risk Management WC $698.64
Rate for Payer: Multiplan Commercial $2,328.80
Rate for Payer: Networks By Design Commercial $1,892.15
Rate for Payer: Prime Health Services Commercial $2,474.35
Service Code CPT 48999
Hospital Charge Code 906748999
Hospital Revenue Code 750
Min. Negotiated Rate $226.80
Max. Negotiated Rate $4,248.00
Rate for Payer: Aetna of CA HMO/PPO $619.83
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,318.60
Rate for Payer: AlphaCare Medical Group Medi-Cal $966.98
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $879.07
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $563.03
Rate for Payer: BCBS Transplant Transplant $567.00
Rate for Payer: Blue Shield of California Commercial $2,699.31
Rate for Payer: Blue Shield of California EPN $1,756.86
Rate for Payer: Cash Price $425.25
Rate for Payer: Cash Price $425.25
Rate for Payer: Cigna of CA PPO $699.30
Rate for Payer: Dignity Health Commercial/Exchange $1,318.60
Rate for Payer: Dignity Health Media $879.07
Rate for Payer: Dignity Health Medi-Cal $966.98
Rate for Payer: EPIC Health Plan Commercial $1,186.74
Rate for Payer: EPIC Health Plan Medicare/Senior $879.07
Rate for Payer: EPIC Health Plan Transplant $879.07
Rate for Payer: Galaxy Health WC $803.25
Rate for Payer: Global Benefits Group Commercial $567.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $708.75
Rate for Payer: Heritage Provider Network Commercial $1,441.67
Rate for Payer: Heritage Provider Network Transplant $1,441.67
Rate for Payer: IEHP Medi-Cal $1,424.09
Rate for Payer: IEHP Medi-Cal Transplant $1,424.09
Rate for Payer: IEHP Medicare Advantage $879.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $630.32
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $879.07
Rate for Payer: LLUH Dept of Risk Management WC $226.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $1,107.63
Rate for Payer: Molina Healthcare of CA Medicare $1,177.95
Rate for Payer: Multiplan Commercial $756.00
Rate for Payer: Networks By Design Commercial $614.25
Rate for Payer: Prime Health Services Commercial $803.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $966.98
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $567.00
Rate for Payer: TriValley Medical Group Commercial/Senior $1,054.88
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 $1,318.60
Rate for Payer: Vantage Medical Group Medi-Cal $966.98
Rate for Payer: Vantage Medical Group Senior $879.07
Service Code CPT 48999
Hospital Charge Code 906748999
Hospital Revenue Code 750
Min. Negotiated Rate $353.52
Max. Negotiated Rate $1,252.05
Rate for Payer: Cash Price $662.85
Rate for Payer: EPIC Health Plan Commercial $589.20
Rate for Payer: Galaxy Health WC $1,252.05
Rate for Payer: Global Benefits Group Commercial $883.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $982.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal $561.21
Rate for Payer: LLUH Dept of Risk Management WC $353.52
Rate for Payer: Multiplan Commercial $1,178.40
Rate for Payer: Networks By Design Commercial $957.45
Rate for Payer: Prime Health Services Commercial $1,252.05
Service Code CPT 48510
Hospital Charge Code 909000155
Hospital Revenue Code 361
Min. Negotiated Rate $150.96
Max. Negotiated Rate $534.65
Rate for Payer: Cash Price $283.05
Rate for Payer: EPIC Health Plan Commercial $251.60
Rate for Payer: Galaxy Health WC $534.65
Rate for Payer: Global Benefits Group Commercial $377.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $419.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $239.65
Rate for Payer: LLUH Dept of Risk Management WC $150.96
Rate for Payer: Multiplan Commercial $503.20
Rate for Payer: Networks By Design Commercial $408.85
Rate for Payer: Prime Health Services Commercial $534.65
Service Code CPT 48510
Hospital Charge Code 909000155
Hospital Revenue Code 361
Min. Negotiated Rate $150.96
Max. Negotiated Rate $8,241.00
Rate for Payer: Aetna of CA HMO/PPO $6,168.48
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $534.65
Rate for Payer: AlphaCare Medical Group Medi-Cal $345.95
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $345.95
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,241.00
Rate for Payer: BCBS Transplant Transplant $377.40
Rate for Payer: Blue Shield of California Commercial $2,699.31
Rate for Payer: Blue Shield of California EPN $1,756.86
Rate for Payer: Cash Price $283.05
Rate for Payer: Cash Price $283.05
Rate for Payer: Cigna of CA PPO $465.46
Rate for Payer: Dignity Health Commercial/Exchange $534.65
Rate for Payer: Dignity Health Media $534.65
Rate for Payer: Dignity Health Medi-Cal $534.65
Rate for Payer: EPIC Health Plan Commercial $251.60
Rate for Payer: EPIC Health Plan Transplant $251.60
Rate for Payer: Galaxy Health WC $534.65
Rate for Payer: Global Benefits Group Commercial $377.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $471.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $419.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $241.93
Rate for Payer: LLUH Dept of Risk Management WC $150.96
Rate for Payer: Multiplan Commercial $503.20
Rate for Payer: Networks By Design Commercial $408.85
Rate for Payer: Prime Health Services Commercial $534.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $377.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $377.40
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 $534.65
Rate for Payer: Vantage Medical Group Medi-Cal $534.65
Rate for Payer: Vantage Medical Group Senior $534.65
Service Code CPT 88142
Hospital Charge Code 903800211
Hospital Revenue Code 311
Min. Negotiated Rate $14.40
Max. Negotiated Rate $51.00
Rate for Payer: Cash Price $27.00
Rate for Payer: EPIC Health Plan Commercial $24.00
Rate for Payer: Galaxy Health WC $51.00
Rate for Payer: Global Benefits Group Commercial $36.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $40.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $22.86
Rate for Payer: LLUH Dept of Risk Management WC $14.40
Rate for Payer: Multiplan Commercial $48.00
Rate for Payer: Networks By Design Commercial $39.00
Rate for Payer: Prime Health Services Commercial $51.00
Service Code CPT 88142
Hospital Charge Code 903800211
Hospital Revenue Code 311
Min. Negotiated Rate $14.40
Max. Negotiated Rate $168.45
Rate for Payer: Aetna of CA HMO/PPO $168.45
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $30.39
Rate for Payer: AlphaCare Medical Group Medi-Cal $22.29
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20.26
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $128.99
Rate for Payer: BCBS Transplant Transplant $36.00
Rate for Payer: Blue Shield of California Commercial $38.76
Rate for Payer: Blue Shield of California EPN $30.72
Rate for Payer: Cash Price $27.00
Rate for Payer: Cash Price $27.00
Rate for Payer: Cigna of CA HMO $38.40
Rate for Payer: Cigna of CA PPO $44.40
Rate for Payer: Dignity Health Commercial/Exchange $30.39
Rate for Payer: Dignity Health Media $20.26
Rate for Payer: Dignity Health Medi-Cal $22.29
Rate for Payer: EPIC Health Plan Commercial $27.35
Rate for Payer: EPIC Health Plan Medicare/Senior $20.26
Rate for Payer: EPIC Health Plan Transplant $20.26
Rate for Payer: Galaxy Health WC $51.00
Rate for Payer: Global Benefits Group Commercial $36.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $45.00
Rate for Payer: Heritage Provider Network Commercial $33.23
Rate for Payer: Heritage Provider Network Transplant $33.23
Rate for Payer: IEHP Medi-Cal $32.82
Rate for Payer: IEHP Medi-Cal Transplant $32.82
Rate for Payer: IEHP Medicare Advantage $20.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $40.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $34.20
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.26
Rate for Payer: LLUH Dept of Risk Management WC $14.40
Rate for Payer: Molina Healthcare of CA Medi-Cal $25.53
Rate for Payer: Molina Healthcare of CA Medicare $27.15
Rate for Payer: Multiplan Commercial $48.00
Rate for Payer: Networks By Design Commercial $39.00
Rate for Payer: Prime Health Services Commercial $51.00
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $36.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $36.00
Rate for Payer: TriValley Medical Group Commercial/Senior $36.00
Rate for Payer: United Healthcare All Other Commercial $16.41
Rate for Payer: United Healthcare All Other HMO $16.41
Rate for Payer: United Healthcare HMO Rider $16.41
Rate for Payer: United Healthcare Select/Navigate/Core $16.41
Rate for Payer: Vantage Medical Group Commercial/Exchange $30.39
Rate for Payer: Vantage Medical Group Medi-Cal $22.29
Rate for Payer: Vantage Medical Group Senior $20.26
Service Code CPT 88164
Hospital Charge Code 903800212
Hospital Revenue Code 311
Min. Negotiated Rate $6.00
Max. Negotiated Rate $21.25
Rate for Payer: Cash Price $11.25
Rate for Payer: EPIC Health Plan Commercial $10.00
Rate for Payer: Galaxy Health WC $21.25
Rate for Payer: Global Benefits Group Commercial $15.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $16.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.52
Rate for Payer: LLUH Dept of Risk Management WC $6.00
Rate for Payer: Multiplan Commercial $20.00
Rate for Payer: Networks By Design Commercial $16.25
Rate for Payer: Prime Health Services Commercial $21.25
Service Code CPT 88164
Hospital Charge Code 903800212
Hospital Revenue Code 311
Min. Negotiated Rate $6.00
Max. Negotiated Rate $87.88
Rate for Payer: Aetna of CA HMO/PPO $87.88
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $25.96
Rate for Payer: AlphaCare Medical Group Medi-Cal $19.04
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $17.31
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $47.17
Rate for Payer: BCBS Transplant Transplant $15.00
Rate for Payer: Blue Shield of California Commercial $16.15
Rate for Payer: Blue Shield of California EPN $12.80
Rate for Payer: Cash Price $11.25
Rate for Payer: Cash Price $11.25
Rate for Payer: Cigna of CA HMO $16.00
Rate for Payer: Cigna of CA PPO $18.50
Rate for Payer: Dignity Health Commercial/Exchange $25.96
Rate for Payer: Dignity Health Media $17.31
Rate for Payer: Dignity Health Medi-Cal $19.04
Rate for Payer: EPIC Health Plan Commercial $23.37
Rate for Payer: EPIC Health Plan Medicare/Senior $17.31
Rate for Payer: EPIC Health Plan Transplant $17.31
Rate for Payer: Galaxy Health WC $21.25
Rate for Payer: Global Benefits Group Commercial $15.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $18.75
Rate for Payer: Heritage Provider Network Commercial $28.39
Rate for Payer: Heritage Provider Network Transplant $28.39
Rate for Payer: IEHP Medi-Cal $28.04
Rate for Payer: IEHP Medi-Cal Transplant $28.04
Rate for Payer: IEHP Medicare Advantage $17.31
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $16.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $18.34
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $17.31
Rate for Payer: LLUH Dept of Risk Management WC $6.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $21.81
Rate for Payer: Molina Healthcare of CA Medicare $23.20
Rate for Payer: Multiplan Commercial $20.00
Rate for Payer: Networks By Design Commercial $16.25
Rate for Payer: Prime Health Services Commercial $21.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $15.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.00
Rate for Payer: TriValley Medical Group Commercial/Senior $15.00
Rate for Payer: United Healthcare All Other Commercial $12.90
Rate for Payer: United Healthcare All Other HMO $12.90
Rate for Payer: United Healthcare HMO Rider $12.90
Rate for Payer: United Healthcare Select/Navigate/Core $12.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $25.96
Rate for Payer: Vantage Medical Group Medi-Cal $19.04
Rate for Payer: Vantage Medical Group Senior $17.31
Service Code CPT 65815
Hospital Charge Code 950442303
Hospital Revenue Code 450
Min. Negotiated Rate $432.92
Max. Negotiated Rate $7,385.00
Rate for Payer: Aetna of CA HMO/PPO $7,385.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $4,367.44
Rate for Payer: AlphaCare Medical Group Medi-Cal $3,202.79
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,911.63
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,938.00
Rate for Payer: BCBS Transplant Transplant $3,741.60
Rate for Payer: Cash Price $2,806.20
Rate for Payer: Cash Price $2,806.20
Rate for Payer: Cash Price $2,806.20
Rate for Payer: Cigna of CA PPO $4,614.64
Rate for Payer: Dignity Health Commercial/Exchange $4,367.44
Rate for Payer: Dignity Health Media $2,911.63
Rate for Payer: Dignity Health Medi-Cal $3,202.79
Rate for Payer: EPIC Health Plan Commercial $3,930.70
Rate for Payer: EPIC Health Plan Medicare/Senior $2,911.63
Rate for Payer: EPIC Health Plan Transplant $2,911.63
Rate for Payer: Galaxy Health WC $5,300.60
Rate for Payer: Global Benefits Group Commercial $3,741.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4,677.00
Rate for Payer: Heritage Provider Network Commercial $4,775.07
Rate for Payer: Heritage Provider Network Transplant $4,775.07
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $2,911.63
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,159.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $432.92
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,911.63
Rate for Payer: LLUH Dept of Risk Management WC $1,496.64
Rate for Payer: Molina Healthcare of CA Medi-Cal $3,668.65
Rate for Payer: Molina Healthcare of CA Medicare $3,901.58
Rate for Payer: Multiplan Commercial $4,988.80
Rate for Payer: Networks By Design Commercial $4,053.40
Rate for Payer: Prime Health Services Commercial $5,300.60
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $3,741.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3,741.60
Rate for Payer: United Healthcare All Other Commercial $3,118.00
Rate for Payer: United Healthcare All Other HMO $3,118.00
Rate for Payer: United Healthcare HMO Rider $3,118.00
Rate for Payer: United Healthcare Select/Navigate/Core $3,118.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $4,367.44
Rate for Payer: Vantage Medical Group Medi-Cal $3,202.79
Rate for Payer: Vantage Medical Group Senior $2,911.63
Service Code CPT 65815
Hospital Charge Code 950442303
Hospital Revenue Code 450
Min. Negotiated Rate $1,496.64
Max. Negotiated Rate $5,300.60
Rate for Payer: Cash Price $2,806.20
Rate for Payer: EPIC Health Plan Commercial $2,494.40
Rate for Payer: Galaxy Health WC $5,300.60
Rate for Payer: Global Benefits Group Commercial $3,741.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4,159.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,375.92
Rate for Payer: LLUH Dept of Risk Management WC $1,496.64
Rate for Payer: Multiplan Commercial $4,988.80
Rate for Payer: Networks By Design Commercial $4,053.40
Rate for Payer: Prime Health Services Commercial $5,300.60
Service Code CPT 70210
Hospital Charge Code 909001142
Hospital Revenue Code 320
Min. Negotiated Rate $41.08
Max. Negotiated Rate $684.25
Rate for Payer: Aetna of CA HMO/PPO $141.76
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 $161.55
Rate for Payer: BCBS Transplant Transplant $483.00
Rate for Payer: Blue Shield of California Commercial $475.76
Rate for Payer: Blue Shield of California EPN $377.54
Rate for Payer: Cash Price $362.25
Rate for Payer: Cash Price $362.25
Rate for Payer: Cigna of CA HMO $515.20
Rate for Payer: Cigna of CA PPO $595.70
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 $684.25
Rate for Payer: Global Benefits Group Commercial $483.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $603.75
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 $536.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $41.08
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $113.54
Rate for Payer: LLUH Dept of Risk Management WC $193.20
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 $644.00
Rate for Payer: Networks By Design Commercial $523.25
Rate for Payer: Prime Health Services Commercial $684.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $483.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $483.00
Rate for Payer: TriValley Medical Group Commercial/Senior $483.00
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 70210
Hospital Charge Code 909001142
Hospital Revenue Code 320
Min. Negotiated Rate $193.20
Max. Negotiated Rate $684.25
Rate for Payer: Cash Price $362.25
Rate for Payer: EPIC Health Plan Commercial $322.00
Rate for Payer: Galaxy Health WC $684.25
Rate for Payer: Global Benefits Group Commercial $483.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $536.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $306.70
Rate for Payer: LLUH Dept of Risk Management WC $193.20
Rate for Payer: Multiplan Commercial $644.00
Rate for Payer: Networks By Design Commercial $523.25
Rate for Payer: Prime Health Services Commercial $684.25
Service Code CPT 87272
Hospital Charge Code 900911729
Hospital Revenue Code 306
Min. Negotiated Rate $9.70
Max. Negotiated Rate $82.00
Rate for Payer: Aetna of CA HMO/PPO $77.24
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $17.97
Rate for Payer: AlphaCare Medical Group Medi-Cal $13.18
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $11.98
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $82.00
Rate for Payer: BCBS Transplant Transplant $27.60
Rate for Payer: Blue Shield of California Commercial $29.72
Rate for Payer: Blue Shield of California EPN $23.55
Rate for Payer: Cash Price $20.70
Rate for Payer: Cash Price $20.70
Rate for Payer: Cigna of CA HMO $29.44
Rate for Payer: Cigna of CA PPO $34.04
Rate for Payer: Dignity Health Commercial/Exchange $17.97
Rate for Payer: Dignity Health Media $11.98
Rate for Payer: Dignity Health Medi-Cal $13.18
Rate for Payer: EPIC Health Plan Commercial $16.17
Rate for Payer: EPIC Health Plan Medicare/Senior $11.98
Rate for Payer: EPIC Health Plan Transplant $11.98
Rate for Payer: Galaxy Health WC $39.10
Rate for Payer: Global Benefits Group Commercial $27.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $34.50
Rate for Payer: Heritage Provider Network Commercial $19.65
Rate for Payer: Heritage Provider Network Transplant $19.65
Rate for Payer: IEHP Medi-Cal $19.41
Rate for Payer: IEHP Medi-Cal Transplant $19.41
Rate for Payer: IEHP Medicare Advantage $11.98
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $30.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11.98
Rate for Payer: LLUH Dept of Risk Management WC $11.04
Rate for Payer: Molina Healthcare of CA Medi-Cal $15.09
Rate for Payer: Molina Healthcare of CA Medicare $16.05
Rate for Payer: Multiplan Commercial $36.80
Rate for Payer: Networks By Design Commercial $29.90
Rate for Payer: Prime Health Services Commercial $39.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $27.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $27.60
Rate for Payer: TriValley Medical Group Commercial/Senior $27.60
Rate for Payer: United Healthcare All Other Commercial $9.70
Rate for Payer: United Healthcare All Other HMO $9.70
Rate for Payer: United Healthcare HMO Rider $9.70
Rate for Payer: United Healthcare Select/Navigate/Core $9.70
Rate for Payer: Vantage Medical Group Commercial/Exchange $17.97
Rate for Payer: Vantage Medical Group Medi-Cal $13.18
Rate for Payer: Vantage Medical Group Senior $11.98
Service Code CPT 78071
Hospital Charge Code 909301309
Hospital Revenue Code 341
Min. Negotiated Rate $376.80
Max. Negotiated Rate $1,334.50
Rate for Payer: Networks By Design Commercial $1,020.50
Rate for Payer: Cash Price $706.50
Rate for Payer: EPIC Health Plan Commercial $628.00
Rate for Payer: Galaxy Health WC $1,334.50
Rate for Payer: Global Benefits Group Commercial $942.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,047.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $598.17
Rate for Payer: LLUH Dept of Risk Management WC $376.80
Rate for Payer: Multiplan Commercial $1,256.00
Rate for Payer: Prime Health Services Commercial $1,334.50