|
HC EPS ATRIAL PACING
|
Facility
|
IP
|
$6,025.00
|
|
|
Service Code
|
CPT 93610
|
| Hospital Charge Code |
906811324
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,205.00 |
| Max. Negotiated Rate |
$5,121.25 |
| Rate for Payer: Networks By Design Commercial |
$3,916.25
|
| Rate for Payer: Adventist Health Commercial |
$1,205.00
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,410.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,410.00
|
| Rate for Payer: Galaxy Health WC |
$5,121.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,615.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,018.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,295.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,729.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,446.00
|
| Rate for Payer: Multiplan Commercial |
$4,820.00
|
| Rate for Payer: Prime Health Services Commercial |
$5,121.25
|
|
|
HC EPS ATRIAL PACING
|
Facility
|
OP
|
$6,025.00
|
|
|
Service Code
|
CPT 93610
|
| Hospital Charge Code |
906811324
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$177.88 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$1,205.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,951.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,398.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cigna of CA HMO |
$3,856.00
|
| Rate for Payer: Cigna of CA PPO |
$4,458.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$5,121.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,615.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$177.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,018.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$201.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,446.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$4,820.00
|
| Rate for Payer: Networks By Design Commercial |
$3,916.25
|
| Rate for Payer: Prime Health Services Commercial |
$5,121.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,615.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,615.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
|
IP
|
$5,856.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906820040
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,171.20 |
| Max. Negotiated Rate |
$4,977.60 |
| Rate for Payer: Adventist Health Commercial |
$1,171.20
|
| Rate for Payer: Cash Price |
$2,635.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,342.40
|
| Rate for Payer: EPIC Health Plan Senior |
$2,342.40
|
| Rate for Payer: Galaxy Health WC |
$4,977.60
|
| Rate for Payer: Global Benefits Group Commercial |
$3,513.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,905.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,231.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,624.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,405.44
|
| Rate for Payer: Multiplan Commercial |
$4,684.80
|
| Rate for Payer: Networks By Design Commercial |
$3,806.40
|
| Rate for Payer: Prime Health Services Commercial |
$4,977.60
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
|
IP
|
$6,025.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906811320
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,205.00 |
| Max. Negotiated Rate |
$5,121.25 |
| Rate for Payer: Adventist Health Commercial |
$1,205.00
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,410.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,410.00
|
| Rate for Payer: Galaxy Health WC |
$5,121.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,615.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,018.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,295.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,729.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,446.00
|
| Rate for Payer: Multiplan Commercial |
$4,820.00
|
| Rate for Payer: Networks By Design Commercial |
$3,916.25
|
| Rate for Payer: Prime Health Services Commercial |
$5,121.25
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
|
OP
|
$5,856.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906820040
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$177.88 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$1,171.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,840.95
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,427.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$2,635.20
|
| Rate for Payer: Cash Price |
$2,635.20
|
| Rate for Payer: Cash Price |
$2,635.20
|
| Rate for Payer: Cigna of CA HMO |
$3,747.84
|
| Rate for Payer: Cigna of CA PPO |
$4,333.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$4,977.60
|
| Rate for Payer: Global Benefits Group Commercial |
$3,513.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$177.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,905.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$201.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,405.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$4,684.80
|
| Rate for Payer: Networks By Design Commercial |
$3,806.40
|
| Rate for Payer: Prime Health Services Commercial |
$4,977.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,513.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,513.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
|
OP
|
$6,025.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906811320
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$177.88 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$1,205.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,951.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,427.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cash Price |
$2,711.25
|
| Rate for Payer: Cigna of CA HMO |
$3,856.00
|
| Rate for Payer: Cigna of CA PPO |
$4,458.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$5,121.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,615.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$177.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,018.68
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$201.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,446.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$4,820.00
|
| Rate for Payer: Networks By Design Commercial |
$3,916.25
|
| Rate for Payer: Prime Health Services Commercial |
$5,121.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,615.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,615.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
|
IP
|
$8,063.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906820038
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,612.60 |
| Max. Negotiated Rate |
$6,853.55 |
| Rate for Payer: Adventist Health Commercial |
$1,612.60
|
| Rate for Payer: Cash Price |
$3,628.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,225.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,225.20
|
| Rate for Payer: Galaxy Health WC |
$6,853.55
|
| Rate for Payer: Global Benefits Group Commercial |
$4,837.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,378.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,072.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,991.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,935.12
|
| Rate for Payer: Multiplan Commercial |
$6,450.40
|
| Rate for Payer: Networks By Design Commercial |
$5,240.95
|
| Rate for Payer: Prime Health Services Commercial |
$6,853.55
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
|
OP
|
$8,296.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906811305
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$274.60 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$1,659.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,427.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$3,733.20
|
| Rate for Payer: Cash Price |
$3,733.20
|
| Rate for Payer: Cash Price |
$3,733.20
|
| Rate for Payer: Cigna of CA HMO |
$5,309.44
|
| Rate for Payer: Cigna of CA PPO |
$6,139.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$7,051.60
|
| Rate for Payer: Global Benefits Group Commercial |
$4,977.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$274.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,533.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$310.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,991.04
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$6,636.80
|
| Rate for Payer: Networks By Design Commercial |
$5,392.40
|
| Rate for Payer: Prime Health Services Commercial |
$7,051.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,977.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,977.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
|
IP
|
$8,296.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906811305
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,659.20 |
| Max. Negotiated Rate |
$7,051.60 |
| Rate for Payer: Adventist Health Commercial |
$1,659.20
|
| Rate for Payer: Cash Price |
$3,733.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,318.40
|
| Rate for Payer: EPIC Health Plan Senior |
$3,318.40
|
| Rate for Payer: Galaxy Health WC |
$7,051.60
|
| Rate for Payer: Global Benefits Group Commercial |
$4,977.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,533.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,160.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,135.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,991.04
|
| Rate for Payer: Multiplan Commercial |
$6,636.80
|
| Rate for Payer: Networks By Design Commercial |
$5,392.40
|
| Rate for Payer: Prime Health Services Commercial |
$7,051.60
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
|
OP
|
$8,063.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906820038
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$274.60 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$1,612.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,427.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$3,628.35
|
| Rate for Payer: Cash Price |
$3,628.35
|
| Rate for Payer: Cash Price |
$3,628.35
|
| Rate for Payer: Cigna of CA HMO |
$5,160.32
|
| Rate for Payer: Cigna of CA PPO |
$5,966.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$6,853.55
|
| Rate for Payer: Global Benefits Group Commercial |
$4,837.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$274.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,378.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$310.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,935.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$6,450.40
|
| Rate for Payer: Networks By Design Commercial |
$5,240.95
|
| Rate for Payer: Prime Health Services Commercial |
$6,853.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,837.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,837.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
|
IP
|
$10,702.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906811334
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,140.40 |
| Max. Negotiated Rate |
$9,096.70 |
| Rate for Payer: Adventist Health Commercial |
$2,140.40
|
| Rate for Payer: Cash Price |
$4,815.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,280.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,280.80
|
| Rate for Payer: Galaxy Health WC |
$9,096.70
|
| Rate for Payer: Global Benefits Group Commercial |
$6,421.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,138.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,077.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,624.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,568.48
|
| Rate for Payer: Multiplan Commercial |
$8,561.60
|
| Rate for Payer: Networks By Design Commercial |
$6,956.30
|
| Rate for Payer: Prime Health Services Commercial |
$9,096.70
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
|
IP
|
$10,401.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906820052
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,080.20 |
| Max. Negotiated Rate |
$8,840.85 |
| Rate for Payer: Adventist Health Commercial |
$2,080.20
|
| Rate for Payer: Cash Price |
$4,680.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,160.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,160.40
|
| Rate for Payer: Galaxy Health WC |
$8,840.85
|
| Rate for Payer: Global Benefits Group Commercial |
$6,240.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,937.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,962.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,438.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,496.24
|
| Rate for Payer: Multiplan Commercial |
$8,320.80
|
| Rate for Payer: Networks By Design Commercial |
$6,760.65
|
| Rate for Payer: Prime Health Services Commercial |
$8,840.85
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
|
OP
|
$10,401.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906820052
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$2,080.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,561.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$4,680.45
|
| Rate for Payer: Cash Price |
$4,680.45
|
| Rate for Payer: Cash Price |
$4,680.45
|
| Rate for Payer: Cigna of CA HMO |
$6,656.64
|
| Rate for Payer: Cigna of CA PPO |
$7,696.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$8,840.85
|
| Rate for Payer: Global Benefits Group Commercial |
$6,240.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,202.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,937.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,359.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,496.24
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$8,320.80
|
| Rate for Payer: Networks By Design Commercial |
$6,760.65
|
| Rate for Payer: Prime Health Services Commercial |
$8,840.85
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,240.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,240.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
|
OP
|
$10,702.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906811334
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$2,140.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,561.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$4,815.90
|
| Rate for Payer: Cash Price |
$4,815.90
|
| Rate for Payer: Cash Price |
$4,815.90
|
| Rate for Payer: Cigna of CA HMO |
$6,849.28
|
| Rate for Payer: Cigna of CA PPO |
$7,919.48
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$9,096.70
|
| Rate for Payer: Global Benefits Group Commercial |
$6,421.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,202.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,138.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,359.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,568.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$8,561.60
|
| Rate for Payer: Networks By Design Commercial |
$6,956.30
|
| Rate for Payer: Prime Health Services Commercial |
$9,096.70
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,421.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,421.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
|
IP
|
$22,965.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906811303
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$4,593.00 |
| Max. Negotiated Rate |
$19,520.25 |
| Rate for Payer: Adventist Health Commercial |
$4,593.00
|
| Rate for Payer: Cash Price |
$10,334.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,186.00
|
| Rate for Payer: EPIC Health Plan Senior |
$9,186.00
|
| Rate for Payer: Galaxy Health WC |
$19,520.25
|
| Rate for Payer: Global Benefits Group Commercial |
$13,779.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,317.66
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,749.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,215.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,511.60
|
| Rate for Payer: Multiplan Commercial |
$18,372.00
|
| Rate for Payer: Networks By Design Commercial |
$14,927.25
|
| Rate for Payer: Prime Health Services Commercial |
$19,520.25
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
|
IP
|
$27,018.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906820036
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$5,403.60 |
| Max. Negotiated Rate |
$22,965.30 |
| Rate for Payer: Adventist Health Commercial |
$5,403.60
|
| Rate for Payer: Cash Price |
$12,158.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,807.20
|
| Rate for Payer: EPIC Health Plan Senior |
$10,807.20
|
| Rate for Payer: Galaxy Health WC |
$22,965.30
|
| Rate for Payer: Global Benefits Group Commercial |
$16,210.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,021.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,293.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,724.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,484.32
|
| Rate for Payer: Multiplan Commercial |
$21,614.40
|
| Rate for Payer: Networks By Design Commercial |
$17,561.70
|
| Rate for Payer: Prime Health Services Commercial |
$22,965.30
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
|
OP
|
$27,018.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906820036
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$22,965.30 |
| Rate for Payer: Adventist Health Commercial |
$5,403.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,922.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$12,158.10
|
| Rate for Payer: Cash Price |
$12,158.10
|
| Rate for Payer: Cash Price |
$12,158.10
|
| Rate for Payer: Cigna of CA HMO |
$17,291.52
|
| Rate for Payer: Cigna of CA PPO |
$19,993.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$22,965.30
|
| Rate for Payer: Global Benefits Group Commercial |
$16,210.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,174.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,021.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,328.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,484.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$21,614.40
|
| Rate for Payer: Networks By Design Commercial |
$17,561.70
|
| Rate for Payer: Prime Health Services Commercial |
$22,965.30
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,210.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
|
OP
|
$22,965.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906811303
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$19,520.25 |
| Rate for Payer: Adventist Health Commercial |
$4,593.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,922.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$10,334.25
|
| Rate for Payer: Cash Price |
$10,334.25
|
| Rate for Payer: Cash Price |
$10,334.25
|
| Rate for Payer: Cigna of CA HMO |
$14,697.60
|
| Rate for Payer: Cigna of CA PPO |
$16,994.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$19,520.25
|
| Rate for Payer: Global Benefits Group Commercial |
$13,779.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,174.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,317.66
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,328.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,511.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$18,372.00
|
| Rate for Payer: Networks By Design Commercial |
$14,927.25
|
| Rate for Payer: Prime Health Services Commercial |
$19,520.25
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13,779.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
|
IP
|
$16,323.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906811349
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$3,264.60 |
| Max. Negotiated Rate |
$13,874.55 |
| Rate for Payer: Adventist Health Commercial |
$3,264.60
|
| Rate for Payer: Cash Price |
$7,345.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,529.20
|
| Rate for Payer: EPIC Health Plan Senior |
$6,529.20
|
| Rate for Payer: Galaxy Health WC |
$13,874.55
|
| Rate for Payer: Global Benefits Group Commercial |
$9,793.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,887.44
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,219.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,103.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,917.52
|
| Rate for Payer: Multiplan Commercial |
$13,058.40
|
| Rate for Payer: Networks By Design Commercial |
$10,609.95
|
| Rate for Payer: Prime Health Services Commercial |
$13,874.55
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
|
OP
|
$16,323.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906811349
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$15,811.96 |
| Rate for Payer: Adventist Health Commercial |
$3,264.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,922.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$7,345.35
|
| Rate for Payer: Cash Price |
$7,345.35
|
| Rate for Payer: Cash Price |
$7,345.35
|
| Rate for Payer: Cigna of CA HMO |
$10,446.72
|
| Rate for Payer: Cigna of CA PPO |
$12,079.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$13,874.55
|
| Rate for Payer: Global Benefits Group Commercial |
$9,793.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,002.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,887.44
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,133.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,917.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$13,058.40
|
| Rate for Payer: Networks By Design Commercial |
$10,609.95
|
| Rate for Payer: Prime Health Services Commercial |
$13,874.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,793.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,793.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
|
OP
|
$19,204.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906820053
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$16,323.40 |
| Rate for Payer: Adventist Health Commercial |
$3,840.80
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,641.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,922.00
|
| Rate for Payer: Blue Shield of California Commercial |
$6,906.11
|
| Rate for Payer: Blue Shield of California EPN |
$4,560.14
|
| Rate for Payer: Cash Price |
$8,641.80
|
| Rate for Payer: Cash Price |
$8,641.80
|
| Rate for Payer: Cash Price |
$8,641.80
|
| Rate for Payer: Cigna of CA HMO |
$12,290.56
|
| Rate for Payer: Cigna of CA PPO |
$14,210.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,605.58
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,641.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,015.94
|
| Rate for Payer: EPIC Health Plan Senior |
$9,641.44
|
| Rate for Payer: Galaxy Health WC |
$16,323.40
|
| Rate for Payer: Global Benefits Group Commercial |
$11,522.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$15,811.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,002.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,641.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,809.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,133.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,641.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,608.96
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,148.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,919.53
|
| Rate for Payer: Multiplan Commercial |
$15,363.20
|
| Rate for Payer: Networks By Design Commercial |
$12,482.60
|
| Rate for Payer: Prime Health Services Commercial |
$16,323.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11,522.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11,522.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,641.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14,462.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,605.58
|
| Rate for Payer: Vantage Medical Group Senior |
$9,641.44
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
|
IP
|
$19,204.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906820053
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$3,840.80 |
| Max. Negotiated Rate |
$16,323.40 |
| Rate for Payer: Adventist Health Commercial |
$3,840.80
|
| Rate for Payer: Cash Price |
$8,641.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,681.60
|
| Rate for Payer: EPIC Health Plan Senior |
$7,681.60
|
| Rate for Payer: Galaxy Health WC |
$16,323.40
|
| Rate for Payer: Global Benefits Group Commercial |
$11,522.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,809.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,316.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,887.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,608.96
|
| Rate for Payer: Multiplan Commercial |
$15,363.20
|
| Rate for Payer: Networks By Design Commercial |
$12,482.60
|
| Rate for Payer: Prime Health Services Commercial |
$16,323.40
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
|
IP
|
$55,683.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906820251
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,136.60 |
| Max. Negotiated Rate |
$47,330.55 |
| Rate for Payer: Adventist Health Commercial |
$11,136.60
|
| Rate for Payer: Cash Price |
$25,057.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,273.20
|
| Rate for Payer: EPIC Health Plan Senior |
$22,273.20
|
| Rate for Payer: Galaxy Health WC |
$47,330.55
|
| Rate for Payer: Global Benefits Group Commercial |
$33,409.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$37,140.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,215.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,467.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,363.92
|
| Rate for Payer: Multiplan Commercial |
$44,546.40
|
| Rate for Payer: Networks By Design Commercial |
$36,193.95
|
| Rate for Payer: Prime Health Services Commercial |
$47,330.55
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
|
IP
|
$57,295.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906811448
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,459.00 |
| Max. Negotiated Rate |
$48,700.75 |
| Rate for Payer: Adventist Health Commercial |
$11,459.00
|
| Rate for Payer: Cash Price |
$25,782.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$22,918.00
|
| Rate for Payer: EPIC Health Plan Senior |
$22,918.00
|
| Rate for Payer: Galaxy Health WC |
$48,700.75
|
| Rate for Payer: Global Benefits Group Commercial |
$34,377.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38,215.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,829.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,465.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,750.80
|
| Rate for Payer: Multiplan Commercial |
$45,836.00
|
| Rate for Payer: Networks By Design Commercial |
$37,241.75
|
| Rate for Payer: Prime Health Services Commercial |
$48,700.75
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
|
OP
|
$57,295.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906811448
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,479.19 |
| Max. Negotiated Rate |
$53,714.00 |
| Rate for Payer: Adventist Health Commercial |
$11,459.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,370.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$46,756.11
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$34,287.81
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$31,170.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,561.00
|
| Rate for Payer: Blue Shield of California Commercial |
$11,230.65
|
| Rate for Payer: Blue Shield of California EPN |
$5,510.17
|
| Rate for Payer: Cash Price |
$25,782.75
|
| Rate for Payer: Cash Price |
$25,782.75
|
| Rate for Payer: Cash Price |
$25,782.75
|
| Rate for Payer: Cigna of CA HMO |
$37,241.75
|
| Rate for Payer: Cigna of CA PPO |
$42,398.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$46,756.11
|
| Rate for Payer: Dignity Health Medi-Cal |
$34,287.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$31,170.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,080.50
|
| Rate for Payer: EPIC Health Plan Senior |
$31,170.74
|
| Rate for Payer: Galaxy Health WC |
$48,700.75
|
| Rate for Payer: Global Benefits Group Commercial |
$34,377.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$51,120.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,479.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,170.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38,215.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,672.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,170.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,750.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,275.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,768.79
|
| Rate for Payer: Multiplan Commercial |
$45,836.00
|
| Rate for Payer: Networks By Design Commercial |
$37,241.75
|
| Rate for Payer: Prime Health Services Commercial |
$48,700.75
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34,377.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34,377.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$43,822.00
|
| Rate for Payer: United Healthcare All Other HMO |
$53,714.00
|
| Rate for Payer: United Healthcare HMO Rider |
$37,572.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$34,424.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$31,170.74
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$46,756.11
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34,287.81
|
| Rate for Payer: Vantage Medical Group Senior |
$31,170.74
|
|
