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Charge Type Price  
Service Code CPT 78071
Hospital Charge Code 909301309
Hospital Revenue Code 341
Min. Negotiated Rate $376.80
Max. Negotiated Rate $1,953.50
Rate for Payer: Aetna of CA HMO/PPO $1,953.50
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $772.98
Rate for Payer: AlphaCare Medical Group Medi-Cal $566.85
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $515.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $935.41
Rate for Payer: BCBS Transplant Transplant $942.00
Rate for Payer: Blue Shield of California Commercial $927.87
Rate for Payer: Blue Shield of California EPN $736.33
Rate for Payer: Cash Price $706.50
Rate for Payer: Cash Price $706.50
Rate for Payer: Cigna of CA HMO $1,004.80
Rate for Payer: Cigna of CA PPO $1,161.80
Rate for Payer: Dignity Health Commercial/Exchange $772.98
Rate for Payer: Dignity Health Media $515.32
Rate for Payer: Dignity Health Medi-Cal $566.85
Rate for Payer: EPIC Health Plan Commercial $695.68
Rate for Payer: EPIC Health Plan Medicare/Senior $515.32
Rate for Payer: EPIC Health Plan Transplant $515.32
Rate for Payer: Galaxy Health WC $1,334.50
Rate for Payer: Global Benefits Group Commercial $942.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1,177.50
Rate for Payer: Heritage Provider Network Commercial $845.12
Rate for Payer: Heritage Provider Network Transplant $845.12
Rate for Payer: IEHP Medi-Cal $834.82
Rate for Payer: IEHP Medi-Cal Transplant $834.82
Rate for Payer: IEHP Medicare Advantage $515.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1,047.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $592.53
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $515.32
Rate for Payer: LLUH Dept of Risk Management WC $376.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $649.30
Rate for Payer: Molina Healthcare of CA Medicare $690.53
Rate for Payer: Multiplan Commercial $1,256.00
Rate for Payer: Networks By Design Commercial $1,020.50
Rate for Payer: Prime Health Services Commercial $1,334.50
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $942.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $942.00
Rate for Payer: TriValley Medical Group Commercial/Senior $942.00
Rate for Payer: United Healthcare All Other Commercial $824.42
Rate for Payer: United Healthcare All Other HMO $824.42
Rate for Payer: United Healthcare HMO Rider $824.42
Rate for Payer: United Healthcare Select/Navigate/Core $824.42
Rate for Payer: Vantage Medical Group Commercial/Exchange $772.98
Rate for Payer: Vantage Medical Group Medi-Cal $566.85
Rate for Payer: Vantage Medical Group Senior $515.32
Service Code CPT 28825
Hospital Charge Code 900501505
Hospital Revenue Code 450
Min. Negotiated Rate $384.81
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 $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 $5,938.00
Rate for Payer: BCBS Transplant Transplant $4,803.60
Rate for Payer: Cash Price $3,602.70
Rate for Payer: Cash Price $3,602.70
Rate for Payer: Cash Price $3,602.70
Rate for Payer: Cigna of CA PPO $5,924.44
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 $6,805.10
Rate for Payer: Global Benefits Group Commercial $4,803.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $6,004.50
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 $5,340.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $384.81
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,044.21
Rate for Payer: LLUH Dept of Risk Management WC $1,921.44
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 $6,404.80
Rate for Payer: Networks By Design Commercial $5,203.90
Rate for Payer: Prime Health Services Commercial $6,805.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,803.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,803.60
Rate for Payer: United Healthcare All Other Commercial $4,003.00
Rate for Payer: United Healthcare All Other HMO $4,003.00
Rate for Payer: United Healthcare HMO Rider $4,003.00
Rate for Payer: United Healthcare Select/Navigate/Core $4,003.00
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 28825
Hospital Charge Code 900501505
Hospital Revenue Code 450
Min. Negotiated Rate $1,921.44
Max. Negotiated Rate $6,805.10
Rate for Payer: Cash Price $3,602.70
Rate for Payer: EPIC Health Plan Commercial $3,202.40
Rate for Payer: Galaxy Health WC $6,805.10
Rate for Payer: Global Benefits Group Commercial $4,803.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,340.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,050.29
Rate for Payer: LLUH Dept of Risk Management WC $1,921.44
Rate for Payer: Multiplan Commercial $6,404.80
Rate for Payer: Networks By Design Commercial $5,203.90
Rate for Payer: Prime Health Services Commercial $6,805.10
Service Code CPT 26236
Hospital Charge Code 900501314
Hospital Revenue Code 450
Min. Negotiated Rate $1,941.36
Max. Negotiated Rate $6,875.65
Rate for Payer: Cash Price $3,640.05
Rate for Payer: EPIC Health Plan Commercial $3,235.60
Rate for Payer: Galaxy Health WC $6,875.65
Rate for Payer: Global Benefits Group Commercial $4,853.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,395.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,081.91
Rate for Payer: LLUH Dept of Risk Management WC $1,941.36
Rate for Payer: Multiplan Commercial $6,471.20
Rate for Payer: Networks By Design Commercial $5,257.85
Rate for Payer: Prime Health Services Commercial $6,875.65
Service Code CPT 26236
Hospital Charge Code 900501314
Hospital Revenue Code 450
Min. Negotiated Rate $505.06
Max. Negotiated Rate $9,590.00
Rate for Payer: Aetna of CA HMO/PPO $9,590.00
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3,012.14
Rate for Payer: AlphaCare Medical Group Medi-Cal $2,208.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2,008.09
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,938.00
Rate for Payer: BCBS Transplant Transplant $4,853.40
Rate for Payer: Cash Price $3,640.05
Rate for Payer: Cash Price $3,640.05
Rate for Payer: Cash Price $3,640.05
Rate for Payer: Cigna of CA PPO $5,985.86
Rate for Payer: Dignity Health Commercial/Exchange $3,012.14
Rate for Payer: Dignity Health Media $2,008.09
Rate for Payer: Dignity Health Medi-Cal $2,208.90
Rate for Payer: EPIC Health Plan Commercial $2,710.92
Rate for Payer: EPIC Health Plan Medicare/Senior $2,008.09
Rate for Payer: EPIC Health Plan Transplant $2,008.09
Rate for Payer: Galaxy Health WC $6,875.65
Rate for Payer: Global Benefits Group Commercial $4,853.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $6,066.75
Rate for Payer: Heritage Provider Network Commercial $3,293.27
Rate for Payer: Heritage Provider Network Transplant $3,293.27
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medi-Cal Transplant $936.00
Rate for Payer: IEHP Medicare Advantage $2,008.09
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,395.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal $505.06
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,008.09
Rate for Payer: LLUH Dept of Risk Management WC $1,941.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,530.19
Rate for Payer: Molina Healthcare of CA Medicare $2,690.84
Rate for Payer: Multiplan Commercial $6,471.20
Rate for Payer: Networks By Design Commercial $5,257.85
Rate for Payer: Prime Health Services Commercial $6,875.65
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,853.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,853.40
Rate for Payer: United Healthcare All Other Commercial $4,044.50
Rate for Payer: United Healthcare All Other HMO $4,044.50
Rate for Payer: United Healthcare HMO Rider $4,044.50
Rate for Payer: United Healthcare Select/Navigate/Core $4,044.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,012.14
Rate for Payer: Vantage Medical Group Medi-Cal $2,208.90
Rate for Payer: Vantage Medical Group Senior $2,008.09
Service Code CPT 67005
Hospital Charge Code 900501540
Hospital Revenue Code 450
Min. Negotiated Rate $1,956.24
Max. Negotiated Rate $6,928.35
Rate for Payer: Cash Price $3,667.95
Rate for Payer: EPIC Health Plan Commercial $3,260.40
Rate for Payer: Galaxy Health WC $6,928.35
Rate for Payer: Global Benefits Group Commercial $4,890.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,436.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,105.53
Rate for Payer: LLUH Dept of Risk Management WC $1,956.24
Rate for Payer: Multiplan Commercial $6,520.80
Rate for Payer: Networks By Design Commercial $5,298.15
Rate for Payer: Prime Health Services Commercial $6,928.35
Service Code CPT 67005
Hospital Charge Code 900501540
Hospital Revenue Code 450
Min. Negotiated Rate $212.21
Max. Negotiated Rate $12,491.00
Rate for Payer: Aetna of CA HMO/PPO $12,491.00
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 $8,049.00
Rate for Payer: BCBS Transplant Transplant $4,890.60
Rate for Payer: Cash Price $3,667.95
Rate for Payer: Cash Price $3,667.95
Rate for Payer: Cash Price $3,667.95
Rate for Payer: Cigna of CA PPO $6,031.74
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 $6,928.35
Rate for Payer: Global Benefits Group Commercial $4,890.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $6,113.25
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 $5,436.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $212.21
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,911.63
Rate for Payer: LLUH Dept of Risk Management WC $1,956.24
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 $6,520.80
Rate for Payer: Networks By Design Commercial $5,298.15
Rate for Payer: Prime Health Services Commercial $6,928.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,890.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,890.60
Rate for Payer: United Healthcare All Other Commercial $4,075.50
Rate for Payer: United Healthcare All Other HMO $4,075.50
Rate for Payer: United Healthcare HMO Rider $4,075.50
Rate for Payer: United Healthcare Select/Navigate/Core $4,075.50
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 88332
Hospital Charge Code 903800220
Hospital Revenue Code 310
Min. Negotiated Rate $6.00
Max. Negotiated Rate $76.10
Rate for Payer: Aetna of CA HMO/PPO $70.36
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $21.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $13.75
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13.75
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $76.10
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 $21.25
Rate for Payer: Dignity Health Media $21.25
Rate for Payer: Dignity Health Medi-Cal $21.25
Rate for Payer: EPIC Health Plan Commercial $10.00
Rate for Payer: EPIC Health Plan Transplant $10.00
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: Kaiser Permanente of CA Commercial/Self Funded $16.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $36.84
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
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 $19.90
Rate for Payer: United Healthcare All Other HMO $19.90
Rate for Payer: United Healthcare HMO Rider $19.90
Rate for Payer: United Healthcare Select/Navigate/Core $19.90
Rate for Payer: Vantage Medical Group Commercial/Exchange $21.25
Rate for Payer: Vantage Medical Group Medi-Cal $21.25
Rate for Payer: Vantage Medical Group Senior $21.25
Service Code CPT 88332
Hospital Charge Code 903800220
Hospital Revenue Code 310
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 88331
Hospital Charge Code 903800219
Hospital Revenue Code 310
Min. Negotiated Rate $18.00
Max. Negotiated Rate $349.99
Rate for Payer: Aetna of CA HMO/PPO $202.38
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $320.12
Rate for Payer: AlphaCare Medical Group Medi-Cal $234.75
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $213.41
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $145.27
Rate for Payer: BCBS Transplant Transplant $45.00
Rate for Payer: Blue Shield of California Commercial $48.45
Rate for Payer: Blue Shield of California EPN $38.40
Rate for Payer: Cash Price $33.75
Rate for Payer: Cash Price $33.75
Rate for Payer: Cigna of CA HMO $48.00
Rate for Payer: Cigna of CA PPO $55.50
Rate for Payer: Dignity Health Commercial/Exchange $320.12
Rate for Payer: Dignity Health Media $213.41
Rate for Payer: Dignity Health Medi-Cal $234.75
Rate for Payer: EPIC Health Plan Commercial $288.10
Rate for Payer: EPIC Health Plan Medicare/Senior $213.41
Rate for Payer: EPIC Health Plan Transplant $213.41
Rate for Payer: Galaxy Health WC $63.75
Rate for Payer: Global Benefits Group Commercial $45.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $56.25
Rate for Payer: Heritage Provider Network Commercial $349.99
Rate for Payer: Heritage Provider Network Transplant $349.99
Rate for Payer: IEHP Medi-Cal $345.72
Rate for Payer: IEHP Medi-Cal Transplant $345.72
Rate for Payer: IEHP Medicare Advantage $213.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $50.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $84.59
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $213.41
Rate for Payer: LLUH Dept of Risk Management WC $18.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $268.90
Rate for Payer: Molina Healthcare of CA Medicare $285.97
Rate for Payer: Multiplan Commercial $60.00
Rate for Payer: Networks By Design Commercial $48.75
Rate for Payer: Prime Health Services Commercial $63.75
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $45.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $45.00
Rate for Payer: TriValley Medical Group Commercial/Senior $45.00
Rate for Payer: United Healthcare All Other Commercial $123.38
Rate for Payer: United Healthcare All Other HMO $123.38
Rate for Payer: United Healthcare HMO Rider $123.38
Rate for Payer: United Healthcare Select/Navigate/Core $123.38
Rate for Payer: Vantage Medical Group Commercial/Exchange $320.12
Rate for Payer: Vantage Medical Group Medi-Cal $234.75
Rate for Payer: Vantage Medical Group Senior $213.41
Service Code CPT 88331
Hospital Charge Code 903800219
Hospital Revenue Code 310
Min. Negotiated Rate $18.00
Max. Negotiated Rate $63.75
Rate for Payer: Cash Price $33.75
Rate for Payer: EPIC Health Plan Commercial $30.00
Rate for Payer: Galaxy Health WC $63.75
Rate for Payer: Global Benefits Group Commercial $45.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $50.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $28.58
Rate for Payer: LLUH Dept of Risk Management WC $18.00
Rate for Payer: Multiplan Commercial $60.00
Rate for Payer: Networks By Design Commercial $48.75
Rate for Payer: Prime Health Services Commercial $63.75
Service Code CPT 92937
Hospital Charge Code 906811440
Hospital Revenue Code 481
Min. Negotiated Rate $3,758.88
Max. Negotiated Rate $13,312.70
Rate for Payer: Cash Price $7,047.90
Rate for Payer: EPIC Health Plan Commercial $6,264.80
Rate for Payer: Galaxy Health WC $13,312.70
Rate for Payer: Global Benefits Group Commercial $9,397.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10,446.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5,967.22
Rate for Payer: LLUH Dept of Risk Management WC $3,758.88
Rate for Payer: Multiplan Commercial $12,529.60
Rate for Payer: Networks By Design Commercial $10,180.30
Rate for Payer: Prime Health Services Commercial $13,312.70
Service Code CPT 92937
Hospital Charge Code 906811440
Hospital Revenue Code 481
Min. Negotiated Rate $916.67
Max. Negotiated Rate $27,445.00
Rate for Payer: Aetna of CA HMO/PPO $3,753.08
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $20,617.83
Rate for Payer: AlphaCare Medical Group Medi-Cal $15,119.74
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13,745.22
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,375.00
Rate for Payer: BCBS Transplant Transplant $9,397.20
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $7,047.90
Rate for Payer: Cash Price $7,047.90
Rate for Payer: Cigna of CA PPO $11,589.88
Rate for Payer: Dignity Health Commercial/Exchange $20,617.83
Rate for Payer: Dignity Health Media $13,745.22
Rate for Payer: Dignity Health Medi-Cal $15,119.74
Rate for Payer: EPIC Health Plan Commercial $18,556.05
Rate for Payer: EPIC Health Plan Medicare/Senior $13,745.22
Rate for Payer: EPIC Health Plan Transplant $13,745.22
Rate for Payer: Galaxy Health WC $13,312.70
Rate for Payer: Global Benefits Group Commercial $9,397.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $11,746.50
Rate for Payer: Heritage Provider Network Commercial $22,542.16
Rate for Payer: Heritage Provider Network Transplant $22,542.16
Rate for Payer: IEHP Medi-Cal $22,267.26
Rate for Payer: IEHP Medi-Cal Transplant $22,267.26
Rate for Payer: IEHP Medicare Advantage $13,745.22
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10,446.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $916.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13,745.22
Rate for Payer: LLUH Dept of Risk Management WC $3,758.88
Rate for Payer: Molina Healthcare of CA Medi-Cal $17,318.98
Rate for Payer: Molina Healthcare of CA Medicare $18,418.59
Rate for Payer: Multiplan Commercial $12,529.60
Rate for Payer: Networks By Design Commercial $10,180.30
Rate for Payer: Prime Health Services Commercial $13,312.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $9,397.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $9,397.20
Rate for Payer: TriValley Medical Group Commercial/Senior $9,397.20
Rate for Payer: United Healthcare All Other Commercial $16,813.00
Rate for Payer: United Healthcare All Other HMO $27,445.00
Rate for Payer: United Healthcare HMO Rider $17,214.00
Rate for Payer: United Healthcare Select/Navigate/Core $15,742.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $20,617.83
Rate for Payer: Vantage Medical Group Medi-Cal $15,119.74
Rate for Payer: Vantage Medical Group Senior $13,745.22
Service Code CPT C9605
Hospital Charge Code 906811464
Hospital Revenue Code 480
Min. Negotiated Rate $6,744.96
Max. Negotiated Rate $23,888.40
Rate for Payer: Cash Price $12,646.80
Rate for Payer: EPIC Health Plan Commercial $11,241.60
Rate for Payer: Galaxy Health WC $23,888.40
Rate for Payer: Global Benefits Group Commercial $16,862.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $18,745.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,707.62
Rate for Payer: LLUH Dept of Risk Management WC $6,744.96
Rate for Payer: Multiplan Commercial $22,483.20
Rate for Payer: Networks By Design Commercial $18,267.60
Rate for Payer: Prime Health Services Commercial $23,888.40
Service Code CPT C9605
Hospital Charge Code 906811464
Hospital Revenue Code 480
Min. Negotiated Rate $643.00
Max. Negotiated Rate $23,888.40
Rate for Payer: Aetna of CA HMO/PPO $18,433.41
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $23,888.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $15,457.20
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $15,457.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,375.00
Rate for Payer: BCBS Transplant Transplant $16,862.40
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $12,646.80
Rate for Payer: Cash Price $12,646.80
Rate for Payer: Cash Price $12,646.80
Rate for Payer: Cigna of CA HMO $17,986.56
Rate for Payer: Cigna of CA PPO $20,796.96
Rate for Payer: Dignity Health Commercial/Exchange $23,888.40
Rate for Payer: Dignity Health Media $23,888.40
Rate for Payer: Dignity Health Medi-Cal $23,888.40
Rate for Payer: EPIC Health Plan Commercial $11,241.60
Rate for Payer: EPIC Health Plan Transplant $11,241.60
Rate for Payer: Galaxy Health WC $23,888.40
Rate for Payer: Global Benefits Group Commercial $16,862.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $21,078.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $18,745.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,707.62
Rate for Payer: LLUH Dept of Risk Management WC $6,744.96
Rate for Payer: Multiplan Commercial $22,483.20
Rate for Payer: Networks By Design Commercial $18,267.60
Rate for Payer: Prime Health Services Commercial $23,888.40
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $16,862.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $16,862.40
Rate for Payer: TriValley Medical Group Commercial/Senior $16,862.40
Rate for Payer: United Healthcare All Other Commercial $1,078.00
Rate for Payer: United Healthcare All Other HMO $827.00
Rate for Payer: United Healthcare HMO Rider $702.00
Rate for Payer: United Healthcare Select/Navigate/Core $643.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $23,888.40
Rate for Payer: Vantage Medical Group Medi-Cal $23,888.40
Rate for Payer: Vantage Medical Group Senior $23,888.40
Service Code CPT 92938
Hospital Charge Code 906811441
Hospital Revenue Code 481
Min. Negotiated Rate $1,879.44
Max. Negotiated Rate $6,656.35
Rate for Payer: Cash Price $3,523.95
Rate for Payer: EPIC Health Plan Commercial $3,132.40
Rate for Payer: Galaxy Health WC $6,656.35
Rate for Payer: Global Benefits Group Commercial $4,698.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,223.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,983.61
Rate for Payer: LLUH Dept of Risk Management WC $1,879.44
Rate for Payer: Multiplan Commercial $6,264.80
Rate for Payer: Networks By Design Commercial $5,090.15
Rate for Payer: Prime Health Services Commercial $6,656.35
Service Code CPT 92938
Hospital Charge Code 906811441
Hospital Revenue Code 481
Min. Negotiated Rate $1,879.44
Max. Negotiated Rate $27,445.00
Rate for Payer: Aetna of CA HMO/PPO $2,433.27
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,656.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,307.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,307.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $4,698.60
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $3,523.95
Rate for Payer: Cash Price $3,523.95
Rate for Payer: Cigna of CA PPO $5,794.94
Rate for Payer: Dignity Health Commercial/Exchange $6,656.35
Rate for Payer: Dignity Health Media $6,656.35
Rate for Payer: Dignity Health Medi-Cal $6,656.35
Rate for Payer: EPIC Health Plan Commercial $3,132.40
Rate for Payer: EPIC Health Plan Transplant $3,132.40
Rate for Payer: Galaxy Health WC $6,656.35
Rate for Payer: Global Benefits Group Commercial $4,698.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5,873.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5,223.28
Rate for Payer: LLUH Dept of Risk Management WC $1,879.44
Rate for Payer: Multiplan Commercial $6,264.80
Rate for Payer: Networks By Design Commercial $5,090.15
Rate for Payer: Prime Health Services Commercial $6,656.35
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4,698.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4,698.60
Rate for Payer: TriValley Medical Group Commercial/Senior $4,698.60
Rate for Payer: United Healthcare All Other Commercial $16,813.00
Rate for Payer: United Healthcare All Other HMO $27,445.00
Rate for Payer: United Healthcare HMO Rider $17,214.00
Rate for Payer: United Healthcare Select/Navigate/Core $15,742.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,656.35
Rate for Payer: Vantage Medical Group Medi-Cal $6,656.35
Rate for Payer: Vantage Medical Group Senior $6,656.35
Service Code CPT 92943
Hospital Charge Code 906811443
Hospital Revenue Code 481
Min. Negotiated Rate $4,510.80
Max. Negotiated Rate $15,975.75
Rate for Payer: Cash Price $8,457.75
Rate for Payer: EPIC Health Plan Commercial $7,518.00
Rate for Payer: Galaxy Health WC $15,975.75
Rate for Payer: Global Benefits Group Commercial $11,277.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $12,536.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $7,160.90
Rate for Payer: LLUH Dept of Risk Management WC $4,510.80
Rate for Payer: Multiplan Commercial $15,036.00
Rate for Payer: Networks By Design Commercial $12,216.75
Rate for Payer: Prime Health Services Commercial $15,975.75
Service Code CPT 92943
Hospital Charge Code 906811443
Hospital Revenue Code 481
Min. Negotiated Rate $1,028.24
Max. Negotiated Rate $27,445.00
Rate for Payer: Aetna of CA HMO/PPO $4,209.84
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $20,617.83
Rate for Payer: AlphaCare Medical Group Medi-Cal $15,119.74
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $13,745.22
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,375.00
Rate for Payer: BCBS Transplant Transplant $11,277.00
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $8,457.75
Rate for Payer: Cash Price $8,457.75
Rate for Payer: Cigna of CA PPO $13,908.30
Rate for Payer: Dignity Health Commercial/Exchange $20,617.83
Rate for Payer: Dignity Health Media $13,745.22
Rate for Payer: Dignity Health Medi-Cal $15,119.74
Rate for Payer: EPIC Health Plan Commercial $18,556.05
Rate for Payer: EPIC Health Plan Medicare/Senior $13,745.22
Rate for Payer: EPIC Health Plan Transplant $13,745.22
Rate for Payer: Galaxy Health WC $15,975.75
Rate for Payer: Global Benefits Group Commercial $11,277.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $14,096.25
Rate for Payer: Heritage Provider Network Commercial $22,542.16
Rate for Payer: Heritage Provider Network Transplant $22,542.16
Rate for Payer: IEHP Medi-Cal $22,267.26
Rate for Payer: IEHP Medi-Cal Transplant $22,267.26
Rate for Payer: IEHP Medicare Advantage $13,745.22
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $12,536.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,028.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13,745.22
Rate for Payer: LLUH Dept of Risk Management WC $4,510.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $17,318.98
Rate for Payer: Molina Healthcare of CA Medicare $18,418.59
Rate for Payer: Multiplan Commercial $15,036.00
Rate for Payer: Networks By Design Commercial $12,216.75
Rate for Payer: Prime Health Services Commercial $15,975.75
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $11,277.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $11,277.00
Rate for Payer: TriValley Medical Group Commercial/Senior $11,277.00
Rate for Payer: United Healthcare All Other Commercial $16,813.00
Rate for Payer: United Healthcare All Other HMO $27,445.00
Rate for Payer: United Healthcare HMO Rider $17,214.00
Rate for Payer: United Healthcare Select/Navigate/Core $15,742.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $20,617.83
Rate for Payer: Vantage Medical Group Medi-Cal $15,119.74
Rate for Payer: Vantage Medical Group Senior $13,745.22
Service Code CPT C9607
Hospital Charge Code 906811466
Hospital Revenue Code 480
Min. Negotiated Rate $9,318.24
Max. Negotiated Rate $33,002.10
Rate for Payer: Cash Price $17,471.70
Rate for Payer: EPIC Health Plan Commercial $15,530.40
Rate for Payer: Galaxy Health WC $33,002.10
Rate for Payer: Global Benefits Group Commercial $23,295.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $25,896.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14,792.71
Rate for Payer: LLUH Dept of Risk Management WC $9,318.24
Rate for Payer: Multiplan Commercial $31,060.80
Rate for Payer: Networks By Design Commercial $25,236.90
Rate for Payer: Prime Health Services Commercial $33,002.10
Service Code CPT C9607
Hospital Charge Code 906811466
Hospital Revenue Code 480
Min. Negotiated Rate $643.00
Max. Negotiated Rate $35,930.69
Rate for Payer: Aetna of CA HMO/PPO $7,971.39
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $32,863.44
Rate for Payer: AlphaCare Medical Group Medi-Cal $24,099.86
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $21,908.96
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,375.00
Rate for Payer: BCBS Transplant Transplant $23,295.60
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $17,471.70
Rate for Payer: Cash Price $17,471.70
Rate for Payer: Cash Price $17,471.70
Rate for Payer: Cigna of CA HMO $24,848.64
Rate for Payer: Cigna of CA PPO $28,731.24
Rate for Payer: Dignity Health Commercial/Exchange $32,863.44
Rate for Payer: Dignity Health Media $21,908.96
Rate for Payer: Dignity Health Medi-Cal $24,099.86
Rate for Payer: EPIC Health Plan Commercial $29,577.10
Rate for Payer: EPIC Health Plan Medicare/Senior $21,908.96
Rate for Payer: EPIC Health Plan Transplant $21,908.96
Rate for Payer: Galaxy Health WC $33,002.10
Rate for Payer: Global Benefits Group Commercial $23,295.60
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $29,119.50
Rate for Payer: Heritage Provider Network Commercial $35,930.69
Rate for Payer: Heritage Provider Network Transplant $35,930.69
Rate for Payer: IEHP Medi-Cal $35,492.52
Rate for Payer: IEHP Medi-Cal Transplant $35,492.52
Rate for Payer: IEHP Medicare Advantage $21,908.96
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $25,896.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14,792.71
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $21,908.96
Rate for Payer: LLUH Dept of Risk Management WC $9,318.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $27,605.29
Rate for Payer: Molina Healthcare of CA Medicare $29,358.01
Rate for Payer: Multiplan Commercial $31,060.80
Rate for Payer: Networks By Design Commercial $25,236.90
Rate for Payer: Prime Health Services Commercial $33,002.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $23,295.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $23,295.60
Rate for Payer: TriValley Medical Group Commercial/Senior $23,295.60
Rate for Payer: United Healthcare All Other Commercial $1,078.00
Rate for Payer: United Healthcare All Other HMO $827.00
Rate for Payer: United Healthcare HMO Rider $702.00
Rate for Payer: United Healthcare Select/Navigate/Core $643.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $32,863.44
Rate for Payer: Vantage Medical Group Medi-Cal $24,099.86
Rate for Payer: Vantage Medical Group Senior $21,908.96
Service Code CPT C9608
Hospital Charge Code 906811467
Hospital Revenue Code 480
Min. Negotiated Rate $8,874.48
Max. Negotiated Rate $31,430.45
Rate for Payer: Cash Price $16,639.65
Rate for Payer: EPIC Health Plan Commercial $14,790.80
Rate for Payer: Galaxy Health WC $31,430.45
Rate for Payer: Global Benefits Group Commercial $22,186.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24,663.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14,088.24
Rate for Payer: LLUH Dept of Risk Management WC $8,874.48
Rate for Payer: Multiplan Commercial $29,581.60
Rate for Payer: Networks By Design Commercial $24,035.05
Rate for Payer: Prime Health Services Commercial $31,430.45
Service Code CPT C9608
Hospital Charge Code 906811467
Hospital Revenue Code 480
Min. Negotiated Rate $643.00
Max. Negotiated Rate $31,430.45
Rate for Payer: Aetna of CA HMO/PPO $24,253.21
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $31,430.45
Rate for Payer: AlphaCare Medical Group Medi-Cal $20,337.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20,337.35
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,375.00
Rate for Payer: BCBS Transplant Transplant $22,186.20
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $16,639.65
Rate for Payer: Cash Price $16,639.65
Rate for Payer: Cash Price $16,639.65
Rate for Payer: Cigna of CA HMO $23,665.28
Rate for Payer: Cigna of CA PPO $27,362.98
Rate for Payer: Dignity Health Commercial/Exchange $31,430.45
Rate for Payer: Dignity Health Media $31,430.45
Rate for Payer: Dignity Health Medi-Cal $31,430.45
Rate for Payer: EPIC Health Plan Commercial $14,790.80
Rate for Payer: EPIC Health Plan Transplant $14,790.80
Rate for Payer: Galaxy Health WC $31,430.45
Rate for Payer: Global Benefits Group Commercial $22,186.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $27,732.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24,663.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14,088.24
Rate for Payer: LLUH Dept of Risk Management WC $8,874.48
Rate for Payer: Multiplan Commercial $29,581.60
Rate for Payer: Networks By Design Commercial $24,035.05
Rate for Payer: Prime Health Services Commercial $31,430.45
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $22,186.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $22,186.20
Rate for Payer: TriValley Medical Group Commercial/Senior $22,186.20
Rate for Payer: United Healthcare All Other Commercial $1,078.00
Rate for Payer: United Healthcare All Other HMO $827.00
Rate for Payer: United Healthcare HMO Rider $702.00
Rate for Payer: United Healthcare Select/Navigate/Core $643.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $31,430.45
Rate for Payer: Vantage Medical Group Medi-Cal $31,430.45
Rate for Payer: Vantage Medical Group Senior $31,430.45
Service Code CPT 92944
Hospital Charge Code 906811444
Hospital Revenue Code 481
Min. Negotiated Rate $2,255.28
Max. Negotiated Rate $7,987.45
Rate for Payer: Cash Price $4,228.65
Rate for Payer: EPIC Health Plan Commercial $3,758.80
Rate for Payer: Galaxy Health WC $7,987.45
Rate for Payer: Global Benefits Group Commercial $5,638.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6,267.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,580.26
Rate for Payer: LLUH Dept of Risk Management WC $2,255.28
Rate for Payer: Multiplan Commercial $7,517.60
Rate for Payer: Networks By Design Commercial $6,108.05
Rate for Payer: Prime Health Services Commercial $7,987.45
Service Code CPT 92944
Hospital Charge Code 906811444
Hospital Revenue Code 481
Min. Negotiated Rate $2,255.28
Max. Negotiated Rate $27,445.00
Rate for Payer: Aetna of CA HMO/PPO $3,128.49
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $7,987.45
Rate for Payer: AlphaCare Medical Group Medi-Cal $5,168.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $5,168.35
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,282.00
Rate for Payer: BCBS Transplant Transplant $5,638.20
Rate for Payer: Blue Shield of California Commercial $5,803.51
Rate for Payer: Blue Shield of California EPN $3,777.25
Rate for Payer: Cash Price $4,228.65
Rate for Payer: Cash Price $4,228.65
Rate for Payer: Cigna of CA PPO $6,953.78
Rate for Payer: Dignity Health Commercial/Exchange $7,987.45
Rate for Payer: Dignity Health Media $7,987.45
Rate for Payer: Dignity Health Medi-Cal $7,987.45
Rate for Payer: EPIC Health Plan Commercial $3,758.80
Rate for Payer: EPIC Health Plan Transplant $3,758.80
Rate for Payer: Galaxy Health WC $7,987.45
Rate for Payer: Global Benefits Group Commercial $5,638.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $7,047.75
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6,267.80
Rate for Payer: LLUH Dept of Risk Management WC $2,255.28
Rate for Payer: Multiplan Commercial $7,517.60
Rate for Payer: Networks By Design Commercial $6,108.05
Rate for Payer: Prime Health Services Commercial $7,987.45
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $5,638.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $5,638.20
Rate for Payer: TriValley Medical Group Commercial/Senior $5,638.20
Rate for Payer: United Healthcare All Other Commercial $16,813.00
Rate for Payer: United Healthcare All Other HMO $27,445.00
Rate for Payer: United Healthcare HMO Rider $17,214.00
Rate for Payer: United Healthcare Select/Navigate/Core $15,742.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $7,987.45
Rate for Payer: Vantage Medical Group Medi-Cal $7,987.45
Rate for Payer: Vantage Medical Group Senior $7,987.45