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Service Code NDC 8068112600
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.02
Rate for Payer: Cash Price $0.02
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.02
Rate for Payer: Cigna of CA PPO $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.03
Rate for Payer: Global Benefits Group Commercial $0.02
Rate for Payer: Health Management Network EPO/PPO $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.02
Rate for Payer: Prime Health Services Commercial $0.03
Service Code NDC 3160401338
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Senior $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Service Code NDC 3160401338
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.05
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.07
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.04
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.06
Rate for Payer: Anthem Blue Cross of CA Exchange $0.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.03
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.07
Rate for Payer: Dignity Health Medi-Cal $0.07
Rate for Payer: Dignity Health Medicare Advantage $0.07
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Senior $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: InnovAge PACE Commercial $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.06
Rate for Payer: Molina Healthcare of CA Medicare $0.06
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Rate for Payer: Riverside University Health System MISP $0.03
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.04
Rate for Payer: United Healthcare All Other HMO $0.04
Rate for Payer: United Healthcare HMO Rider $0.04
Rate for Payer: United Healthcare Select/Navigate/Core $0.04
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.07
Rate for Payer: Vantage Medical Group Medi-Cal $0.07
Rate for Payer: Vantage Medical Group Senior $0.07
Service Code NDC 9999-9998-07
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.02
Rate for Payer: Cash Price $0.02
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.02
Rate for Payer: Cigna of CA PPO $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.03
Rate for Payer: Global Benefits Group Commercial $0.02
Rate for Payer: Health Management Network EPO/PPO $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.02
Rate for Payer: Prime Health Services Commercial $0.03
Service Code NDC 8068112600
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.02
Rate for Payer: Cash Price $0.02
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.02
Rate for Payer: Cigna of CA PPO $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.03
Rate for Payer: Global Benefits Group Commercial $0.02
Rate for Payer: Health Management Network EPO/PPO $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.02
Rate for Payer: Prime Health Services Commercial $0.03
Service Code NDC 9999-9998-07
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA HMO/PPO $0.02
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.03
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.02
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Anthem Blue Cross of CA Exchange $0.01
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.02
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.02
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.02
Rate for Payer: Cigna of CA PPO $0.02
Rate for Payer: Dignity Health Commercial/Exchange $0.03
Rate for Payer: Dignity Health Medi-Cal $0.03
Rate for Payer: Dignity Health Medicare Advantage $0.03
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.03
Rate for Payer: Global Benefits Group Commercial $0.02
Rate for Payer: Health Management Network EPO/PPO $0.03
Rate for Payer: InnovAge PACE Commercial $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.02
Rate for Payer: Molina Healthcare of CA Medicare $0.02
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.02
Rate for Payer: Prime Health Services Commercial $0.03
Rate for Payer: Riverside University Health System MISP $0.01
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.02
Rate for Payer: TriValley Medical Group Commercial/Senior $0.02
Rate for Payer: United Healthcare All Other Commercial $0.02
Rate for Payer: United Healthcare All Other HMO $0.02
Rate for Payer: United Healthcare HMO Rider $0.02
Rate for Payer: United Healthcare Select/Navigate/Core $0.02
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.03
Rate for Payer: Vantage Medical Group Medi-Cal $0.03
Rate for Payer: Vantage Medical Group Senior $0.03
Service Code NDC 3160401338
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.05
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.07
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.04
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.06
Rate for Payer: Anthem Blue Cross of CA Exchange $0.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.03
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.07
Rate for Payer: Dignity Health Medi-Cal $0.07
Rate for Payer: Dignity Health Medicare Advantage $0.07
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Senior $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: InnovAge PACE Commercial $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.06
Rate for Payer: Molina Healthcare of CA Medicare $0.06
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Rate for Payer: Riverside University Health System MISP $0.03
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.04
Rate for Payer: United Healthcare All Other HMO $0.04
Rate for Payer: United Healthcare HMO Rider $0.04
Rate for Payer: United Healthcare Select/Navigate/Core $0.04
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.07
Rate for Payer: Vantage Medical Group Medi-Cal $0.07
Rate for Payer: Vantage Medical Group Senior $0.07
Service Code NDC 8068112600
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA HMO/PPO $0.02
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.03
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.02
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Anthem Blue Cross of CA Exchange $0.01
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.02
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.02
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.02
Rate for Payer: Cigna of CA PPO $0.02
Rate for Payer: Dignity Health Commercial/Exchange $0.03
Rate for Payer: Dignity Health Medi-Cal $0.03
Rate for Payer: Dignity Health Medicare Advantage $0.03
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.03
Rate for Payer: Global Benefits Group Commercial $0.02
Rate for Payer: Health Management Network EPO/PPO $0.03
Rate for Payer: InnovAge PACE Commercial $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.02
Rate for Payer: Molina Healthcare of CA Medicare $0.02
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.02
Rate for Payer: Prime Health Services Commercial $0.03
Rate for Payer: Riverside University Health System MISP $0.01
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.02
Rate for Payer: TriValley Medical Group Commercial/Senior $0.02
Rate for Payer: United Healthcare All Other Commercial $0.02
Rate for Payer: United Healthcare All Other HMO $0.02
Rate for Payer: United Healthcare HMO Rider $0.02
Rate for Payer: United Healthcare Select/Navigate/Core $0.02
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.03
Rate for Payer: Vantage Medical Group Medi-Cal $0.03
Rate for Payer: Vantage Medical Group Senior $0.03
Service Code NDC 3160401338
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Senior $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Service Code NDC 9994-0802-47
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.07
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Senior $0.04
Rate for Payer: Galaxy Health WC $0.08
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.08
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Rate for Payer: Networks By Design Commercial $0.06
Rate for Payer: Prime Health Services Commercial $0.08
Service Code NDC 9994-0802-47
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.05
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.08
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.05
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.07
Rate for Payer: Anthem Blue Cross of CA Exchange $0.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.07
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.08
Rate for Payer: Dignity Health Medi-Cal $0.08
Rate for Payer: Dignity Health Medicare Advantage $0.08
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Senior $0.04
Rate for Payer: Galaxy Health WC $0.08
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.08
Rate for Payer: InnovAge PACE Commercial $0.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.06
Rate for Payer: Molina Healthcare of CA Medicare $0.06
Rate for Payer: Multiplan Commercial $0.07
Rate for Payer: Networks By Design Commercial $0.06
Rate for Payer: Prime Health Services Commercial $0.08
Rate for Payer: Riverside University Health System MISP $0.04
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.05
Rate for Payer: United Healthcare All Other HMO $0.05
Rate for Payer: United Healthcare HMO Rider $0.05
Rate for Payer: United Healthcare Select/Navigate/Core $0.05
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.08
Rate for Payer: Vantage Medical Group Medi-Cal $0.08
Rate for Payer: Vantage Medical Group Senior $0.08
Service Code NDC 9994-0807-57
Hospital Charge Code 901700001
Hospital Revenue Code 250
Min. Negotiated Rate $0.29
Max. Negotiated Rate $1.29
Rate for Payer: Adventist Health Commercial $0.29
Rate for Payer: Aetna of CA HMO/PPO $0.87
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $1.22
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.79
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $1.07
Rate for Payer: Anthem Blue Cross of CA Exchange $0.69
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.84
Rate for Payer: Blue Shield of California Commercial $0.87
Rate for Payer: Blue Shield of California EPN $0.57
Rate for Payer: Cash Price $0.79
Rate for Payer: Central Health Plan Commercial $1.14
Rate for Payer: Cigna of CA HMO $0.92
Rate for Payer: Cigna of CA PPO $1.06
Rate for Payer: Dignity Health Commercial/Exchange $1.22
Rate for Payer: Dignity Health Medi-Cal $1.22
Rate for Payer: Dignity Health Medicare Advantage $1.22
Rate for Payer: EPIC Health Plan Commercial $0.57
Rate for Payer: EPIC Health Plan Senior $0.57
Rate for Payer: Galaxy Health WC $1.22
Rate for Payer: Global Benefits Group Commercial $0.86
Rate for Payer: Health Management Network EPO/PPO $1.29
Rate for Payer: InnovAge PACE Commercial $0.72
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.54
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.89
Rate for Payer: LLUH Dept of Risk Management WC $0.29
Rate for Payer: Molina Healthcare of CA Medi-Cal $1.00
Rate for Payer: Molina Healthcare of CA Medicare $1.00
Rate for Payer: Multiplan Commercial $1.07
Rate for Payer: Networks By Design Commercial $0.93
Rate for Payer: Prime Health Services Commercial $1.22
Rate for Payer: Riverside University Health System MISP $0.57
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.86
Rate for Payer: TriValley Medical Group Commercial/Senior $0.86
Rate for Payer: United Healthcare All Other Commercial $0.72
Rate for Payer: United Healthcare All Other HMO $0.72
Rate for Payer: United Healthcare HMO Rider $0.72
Rate for Payer: United Healthcare Select/Navigate/Core $0.72
Rate for Payer: Vantage Medical Group Commercial/Exchange $1.22
Rate for Payer: Vantage Medical Group Medi-Cal $1.22
Rate for Payer: Vantage Medical Group Senior $1.22
Service Code NDC 9994-0807-57
Hospital Charge Code 901700001
Hospital Revenue Code 250
Min. Negotiated Rate $0.29
Max. Negotiated Rate $1.29
Rate for Payer: Adventist Health Commercial $0.29
Rate for Payer: Blue Shield of California Commercial $1.11
Rate for Payer: Blue Shield of California EPN $0.72
Rate for Payer: Cash Price $0.79
Rate for Payer: Central Health Plan Commercial $1.14
Rate for Payer: EPIC Health Plan Commercial $0.57
Rate for Payer: EPIC Health Plan Senior $0.57
Rate for Payer: Galaxy Health WC $1.22
Rate for Payer: Global Benefits Group Commercial $0.86
Rate for Payer: Health Management Network EPO/PPO $1.29
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.54
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.89
Rate for Payer: LLUH Dept of Risk Management WC $0.29
Rate for Payer: Multiplan Commercial $1.07
Rate for Payer: Networks By Design Commercial $0.93
Rate for Payer: Prime Health Services Commercial $1.22
Service Code HCPCS J0490
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $155.39
Max. Negotiated Rate $699.25
Rate for Payer: Adventist Health Commercial $155.39
Rate for Payer: Blue Shield of California Commercial $600.57
Rate for Payer: Blue Shield of California EPN $391.58
Rate for Payer: Cash Price $427.32
Rate for Payer: Central Health Plan Commercial $621.55
Rate for Payer: Cigna of CA HMO $543.86
Rate for Payer: Cigna of CA PPO $543.86
Rate for Payer: EPIC Health Plan Commercial $310.78
Rate for Payer: EPIC Health Plan Senior $310.78
Rate for Payer: Galaxy Health WC $660.40
Rate for Payer: Global Benefits Group Commercial $466.16
Rate for Payer: Health Management Network EPO/PPO $699.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $518.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal $296.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $480.93
Rate for Payer: LLUH Dept of Risk Management WC $155.39
Rate for Payer: Multiplan Commercial $582.71
Rate for Payer: Networks By Design Commercial $388.47
Rate for Payer: Prime Health Services Commercial $660.40
Rate for Payer: United Healthcare All Other Commercial $291.59
Rate for Payer: United Healthcare All Other HMO $283.82
Rate for Payer: United Healthcare HMO Rider $277.68
Rate for Payer: United Healthcare Select/Navigate/Core $254.45
Service Code HCPCS J0490
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $35.70
Max. Negotiated Rate $699.25
Rate for Payer: Adventist Health Commercial $155.39
Rate for Payer: Adventist Health Medi-Cal $56.01
Rate for Payer: Aetna of CA HMO/PPO $471.84
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $70.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $61.61
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $61.61
Rate for Payer: Anthem Blue Cross of CA Exchange $116.33
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $35.70
Rate for Payer: Blue Shield of California Commercial $68.45
Rate for Payer: Blue Shield of California EPN $62.23
Rate for Payer: Cash Price $427.32
Rate for Payer: Cash Price $427.32
Rate for Payer: Central Health Plan Commercial $621.55
Rate for Payer: Cigna of CA HMO $543.86
Rate for Payer: Cigna of CA PPO $543.86
Rate for Payer: Dignity Health Commercial/Exchange $70.01
Rate for Payer: Dignity Health Medi-Cal $61.61
Rate for Payer: Dignity Health Medicare Advantage $61.61
Rate for Payer: EPIC Health Plan Commercial $75.61
Rate for Payer: EPIC Health Plan Senior $56.01
Rate for Payer: Galaxy Health WC $660.40
Rate for Payer: Global Benefits Group Commercial $466.16
Rate for Payer: Health Management Network EPO/PPO $699.25
Rate for Payer: Heritage Provider Network Commercial/Senior $91.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $54.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $56.01
Rate for Payer: InnovAge PACE Commercial $84.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $518.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal $112.80
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $56.01
Rate for Payer: LLUH Dept of Risk Management WC $155.39
Rate for Payer: Molina Healthcare of CA Medi-Cal $75.05
Rate for Payer: Molina Healthcare of CA Medicare $75.05
Rate for Payer: Multiplan Commercial $582.71
Rate for Payer: Networks By Design Commercial $388.47
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $56.01
Rate for Payer: Prime Health Services Commercial $660.40
Rate for Payer: Prime Health Services Medicare $59.37
Rate for Payer: Riverside University Health System MISP $61.61
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $466.16
Rate for Payer: TriValley Medical Group Commercial/Senior $466.16
Rate for Payer: United Healthcare All Other Commercial $291.59
Rate for Payer: United Healthcare All Other HMO $283.82
Rate for Payer: United Healthcare HMO Rider $277.68
Rate for Payer: United Healthcare Select/Navigate/Core $254.45
Rate for Payer: Upland Medical Group Pediatric $56.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $70.01
Rate for Payer: Vantage Medical Group Medi-Cal $61.61
Rate for Payer: Vantage Medical Group Senior $61.61
Service Code NDC 0574-7045-12
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $5.28
Max. Negotiated Rate $23.78
Rate for Payer: Adventist Health Commercial $5.28
Rate for Payer: Blue Shield of California Commercial $20.42
Rate for Payer: Blue Shield of California EPN $13.32
Rate for Payer: Cash Price $14.53
Rate for Payer: Central Health Plan Commercial $21.14
Rate for Payer: Cigna of CA HMO $18.49
Rate for Payer: Cigna of CA PPO $18.49
Rate for Payer: EPIC Health Plan Commercial $10.57
Rate for Payer: EPIC Health Plan Senior $10.57
Rate for Payer: Galaxy Health WC $22.46
Rate for Payer: Global Benefits Group Commercial $15.85
Rate for Payer: Health Management Network EPO/PPO $23.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.07
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.35
Rate for Payer: LLUH Dept of Risk Management WC $5.28
Rate for Payer: Multiplan Commercial $19.82
Rate for Payer: Networks By Design Commercial $17.17
Rate for Payer: Prime Health Services Commercial $22.46
Service Code NDC 0574-7045-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $5.28
Max. Negotiated Rate $23.78
Rate for Payer: Adventist Health Commercial $5.28
Rate for Payer: Blue Shield of California Commercial $20.42
Rate for Payer: Blue Shield of California EPN $13.32
Rate for Payer: Cash Price $14.53
Rate for Payer: Central Health Plan Commercial $21.14
Rate for Payer: Cigna of CA HMO $18.49
Rate for Payer: Cigna of CA PPO $18.49
Rate for Payer: EPIC Health Plan Commercial $10.57
Rate for Payer: EPIC Health Plan Senior $10.57
Rate for Payer: Galaxy Health WC $22.46
Rate for Payer: Global Benefits Group Commercial $15.85
Rate for Payer: Health Management Network EPO/PPO $23.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.07
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.35
Rate for Payer: LLUH Dept of Risk Management WC $5.28
Rate for Payer: Multiplan Commercial $19.82
Rate for Payer: Networks By Design Commercial $17.17
Rate for Payer: Prime Health Services Commercial $22.46
Service Code NDC 0574-7045-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $5.28
Max. Negotiated Rate $23.78
Rate for Payer: Adventist Health Commercial $5.28
Rate for Payer: Aetna of CA HMO/PPO $16.04
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $22.46
Rate for Payer: Alpha Care Medical Group Medi-Cal $14.53
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $19.82
Rate for Payer: Anthem Blue Cross of CA Exchange $12.79
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15.52
Rate for Payer: Blue Shield of California Commercial $16.14
Rate for Payer: Blue Shield of California EPN $10.54
Rate for Payer: Cash Price $14.53
Rate for Payer: Central Health Plan Commercial $21.14
Rate for Payer: Cigna of CA HMO $18.49
Rate for Payer: Cigna of CA PPO $18.49
Rate for Payer: Dignity Health Commercial/Exchange $22.46
Rate for Payer: Dignity Health Medi-Cal $22.46
Rate for Payer: Dignity Health Medicare Advantage $22.46
Rate for Payer: EPIC Health Plan Commercial $10.57
Rate for Payer: EPIC Health Plan Senior $10.57
Rate for Payer: Galaxy Health WC $22.46
Rate for Payer: Global Benefits Group Commercial $15.85
Rate for Payer: Health Management Network EPO/PPO $23.78
Rate for Payer: InnovAge PACE Commercial $13.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.07
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.35
Rate for Payer: LLUH Dept of Risk Management WC $5.28
Rate for Payer: Molina Healthcare of CA Medi-Cal $18.49
Rate for Payer: Molina Healthcare of CA Medicare $18.49
Rate for Payer: Multiplan Commercial $19.82
Rate for Payer: Networks By Design Commercial $17.17
Rate for Payer: Prime Health Services Commercial $22.46
Rate for Payer: Riverside University Health System MISP $10.57
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.85
Rate for Payer: TriValley Medical Group Commercial/Senior $15.85
Rate for Payer: United Healthcare All Other Commercial $13.21
Rate for Payer: United Healthcare All Other HMO $13.21
Rate for Payer: United Healthcare HMO Rider $13.21
Rate for Payer: United Healthcare Select/Navigate/Core $13.21
Rate for Payer: Vantage Medical Group Commercial/Exchange $22.46
Rate for Payer: Vantage Medical Group Medi-Cal $22.46
Rate for Payer: Vantage Medical Group Senior $22.46
Service Code NDC 0574-7045-12
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $5.28
Max. Negotiated Rate $23.78
Rate for Payer: Adventist Health Commercial $5.28
Rate for Payer: Aetna of CA HMO/PPO $16.04
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $22.46
Rate for Payer: Alpha Care Medical Group Medi-Cal $14.53
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $19.82
Rate for Payer: Anthem Blue Cross of CA Exchange $12.79
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $15.52
Rate for Payer: Blue Shield of California Commercial $16.14
Rate for Payer: Blue Shield of California EPN $10.54
Rate for Payer: Cash Price $14.53
Rate for Payer: Central Health Plan Commercial $21.14
Rate for Payer: Cigna of CA HMO $18.49
Rate for Payer: Cigna of CA PPO $18.49
Rate for Payer: Dignity Health Commercial/Exchange $22.46
Rate for Payer: Dignity Health Medi-Cal $22.46
Rate for Payer: Dignity Health Medicare Advantage $22.46
Rate for Payer: EPIC Health Plan Commercial $10.57
Rate for Payer: EPIC Health Plan Senior $10.57
Rate for Payer: Galaxy Health WC $22.46
Rate for Payer: Global Benefits Group Commercial $15.85
Rate for Payer: Health Management Network EPO/PPO $23.78
Rate for Payer: InnovAge PACE Commercial $13.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $17.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.07
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.35
Rate for Payer: LLUH Dept of Risk Management WC $5.28
Rate for Payer: Molina Healthcare of CA Medi-Cal $18.49
Rate for Payer: Molina Healthcare of CA Medicare $18.49
Rate for Payer: Multiplan Commercial $19.82
Rate for Payer: Networks By Design Commercial $17.17
Rate for Payer: Prime Health Services Commercial $22.46
Rate for Payer: Riverside University Health System MISP $10.57
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $15.85
Rate for Payer: TriValley Medical Group Commercial/Senior $15.85
Rate for Payer: United Healthcare All Other Commercial $13.21
Rate for Payer: United Healthcare All Other HMO $13.21
Rate for Payer: United Healthcare HMO Rider $13.21
Rate for Payer: United Healthcare Select/Navigate/Core $13.21
Rate for Payer: Vantage Medical Group Commercial/Exchange $22.46
Rate for Payer: Vantage Medical Group Medi-Cal $22.46
Rate for Payer: Vantage Medical Group Senior $22.46
Service Code NDC 0574-7040-12
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $6.42
Max. Negotiated Rate $28.90
Rate for Payer: Adventist Health Commercial $6.42
Rate for Payer: Blue Shield of California Commercial $24.82
Rate for Payer: Blue Shield of California EPN $16.18
Rate for Payer: Cash Price $17.66
Rate for Payer: Central Health Plan Commercial $25.69
Rate for Payer: Cigna of CA HMO $22.48
Rate for Payer: Cigna of CA PPO $22.48
Rate for Payer: EPIC Health Plan Commercial $12.84
Rate for Payer: EPIC Health Plan Senior $12.84
Rate for Payer: Galaxy Health WC $27.29
Rate for Payer: Global Benefits Group Commercial $19.27
Rate for Payer: Health Management Network EPO/PPO $28.90
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $21.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19.88
Rate for Payer: LLUH Dept of Risk Management WC $6.42
Rate for Payer: Multiplan Commercial $24.08
Rate for Payer: Networks By Design Commercial $20.87
Rate for Payer: Prime Health Services Commercial $27.29
Service Code NDC 0574-7040-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $6.42
Max. Negotiated Rate $28.90
Rate for Payer: Adventist Health Commercial $6.42
Rate for Payer: Blue Shield of California Commercial $24.82
Rate for Payer: Blue Shield of California EPN $16.18
Rate for Payer: Cash Price $17.66
Rate for Payer: Central Health Plan Commercial $25.69
Rate for Payer: Cigna of CA HMO $22.48
Rate for Payer: Cigna of CA PPO $22.48
Rate for Payer: EPIC Health Plan Commercial $12.84
Rate for Payer: EPIC Health Plan Senior $12.84
Rate for Payer: Galaxy Health WC $27.29
Rate for Payer: Global Benefits Group Commercial $19.27
Rate for Payer: Health Management Network EPO/PPO $28.90
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $21.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19.88
Rate for Payer: LLUH Dept of Risk Management WC $6.42
Rate for Payer: Multiplan Commercial $24.08
Rate for Payer: Networks By Design Commercial $20.87
Rate for Payer: Prime Health Services Commercial $27.29
Service Code NDC 0574-7040-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $6.42
Max. Negotiated Rate $28.90
Rate for Payer: Adventist Health Commercial $6.42
Rate for Payer: Aetna of CA HMO/PPO $19.50
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $27.29
Rate for Payer: Alpha Care Medical Group Medi-Cal $17.66
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $24.08
Rate for Payer: Anthem Blue Cross of CA Exchange $15.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $18.86
Rate for Payer: Blue Shield of California Commercial $19.62
Rate for Payer: Blue Shield of California EPN $12.81
Rate for Payer: Cash Price $17.66
Rate for Payer: Central Health Plan Commercial $25.69
Rate for Payer: Cigna of CA HMO $22.48
Rate for Payer: Cigna of CA PPO $22.48
Rate for Payer: Dignity Health Commercial/Exchange $27.29
Rate for Payer: Dignity Health Medi-Cal $27.29
Rate for Payer: Dignity Health Medicare Advantage $27.29
Rate for Payer: EPIC Health Plan Commercial $12.84
Rate for Payer: EPIC Health Plan Senior $12.84
Rate for Payer: Galaxy Health WC $27.29
Rate for Payer: Global Benefits Group Commercial $19.27
Rate for Payer: Health Management Network EPO/PPO $28.90
Rate for Payer: InnovAge PACE Commercial $16.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $21.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19.88
Rate for Payer: LLUH Dept of Risk Management WC $6.42
Rate for Payer: Molina Healthcare of CA Medi-Cal $22.48
Rate for Payer: Molina Healthcare of CA Medicare $22.48
Rate for Payer: Multiplan Commercial $24.08
Rate for Payer: Networks By Design Commercial $20.87
Rate for Payer: Prime Health Services Commercial $27.29
Rate for Payer: Riverside University Health System MISP $12.84
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $19.27
Rate for Payer: TriValley Medical Group Commercial/Senior $19.27
Rate for Payer: United Healthcare All Other Commercial $16.05
Rate for Payer: United Healthcare All Other HMO $16.05
Rate for Payer: United Healthcare HMO Rider $16.05
Rate for Payer: United Healthcare Select/Navigate/Core $16.05
Rate for Payer: Vantage Medical Group Commercial/Exchange $27.29
Rate for Payer: Vantage Medical Group Medi-Cal $27.29
Rate for Payer: Vantage Medical Group Senior $27.29
Service Code NDC 0574-7040-12
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $6.42
Max. Negotiated Rate $28.90
Rate for Payer: Adventist Health Commercial $6.42
Rate for Payer: Aetna of CA HMO/PPO $19.50
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $27.29
Rate for Payer: Alpha Care Medical Group Medi-Cal $17.66
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $24.08
Rate for Payer: Anthem Blue Cross of CA Exchange $15.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $18.86
Rate for Payer: Blue Shield of California Commercial $19.62
Rate for Payer: Blue Shield of California EPN $12.81
Rate for Payer: Cash Price $17.66
Rate for Payer: Central Health Plan Commercial $25.69
Rate for Payer: Cigna of CA HMO $22.48
Rate for Payer: Cigna of CA PPO $22.48
Rate for Payer: Dignity Health Commercial/Exchange $27.29
Rate for Payer: Dignity Health Medi-Cal $27.29
Rate for Payer: Dignity Health Medicare Advantage $27.29
Rate for Payer: EPIC Health Plan Commercial $12.84
Rate for Payer: EPIC Health Plan Senior $12.84
Rate for Payer: Galaxy Health WC $27.29
Rate for Payer: Global Benefits Group Commercial $19.27
Rate for Payer: Health Management Network EPO/PPO $28.90
Rate for Payer: InnovAge PACE Commercial $16.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $21.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19.88
Rate for Payer: LLUH Dept of Risk Management WC $6.42
Rate for Payer: Molina Healthcare of CA Medi-Cal $22.48
Rate for Payer: Molina Healthcare of CA Medicare $22.48
Rate for Payer: Multiplan Commercial $24.08
Rate for Payer: Networks By Design Commercial $20.87
Rate for Payer: Prime Health Services Commercial $27.29
Rate for Payer: Riverside University Health System MISP $12.84
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $19.27
Rate for Payer: TriValley Medical Group Commercial/Senior $19.27
Rate for Payer: United Healthcare All Other Commercial $16.05
Rate for Payer: United Healthcare All Other HMO $16.05
Rate for Payer: United Healthcare HMO Rider $16.05
Rate for Payer: United Healthcare Select/Navigate/Core $16.05
Rate for Payer: Vantage Medical Group Commercial/Exchange $27.29
Rate for Payer: Vantage Medical Group Medi-Cal $27.29
Rate for Payer: Vantage Medical Group Senior $27.29
Service Code NDC 50268-110-15
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.74
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Blue Shield of California Commercial $0.63
Rate for Payer: Blue Shield of California EPN $0.41
Rate for Payer: Cash Price $0.45
Rate for Payer: Central Health Plan Commercial $0.66
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: EPIC Health Plan Commercial $0.33
Rate for Payer: EPIC Health Plan Senior $0.33
Rate for Payer: Galaxy Health WC $0.70
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Health Management Network EPO/PPO $0.74
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.51
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: Multiplan Commercial $0.62
Rate for Payer: Networks By Design Commercial $0.53
Rate for Payer: Prime Health Services Commercial $0.70
Service Code NDC 65162-752-10
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.08
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.06
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Senior $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.04
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09