Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code MSDRG 277
Min. Negotiated Rate $7,611.00
Max. Negotiated Rate $121,554.30
Rate for Payer: Aetna of CA HMO/PPO $121,554.30
Rate for Payer: Anthem Blue Cross of CA Exchange $78,519.12
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $109,929.54
Rate for Payer: EPIC Health Plan Commercial $106,590.30
Rate for Payer: EPIC Health Plan Senior $71,060.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $64,600.18
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $90,440.25
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $86,564.24
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $64,600.18
Rate for Payer: Prime Health Services Medicare $68,476.19
Rate for Payer: United Healthcare All Other Commercial $12,844.00
Rate for Payer: United Healthcare All Other HMO $10,823.00
Rate for Payer: United Healthcare HMO Rider $8,307.00
Rate for Payer: United Healthcare Select/Navigate/Core $7,611.00
Service Code APR-DRG 1771
Min. Negotiated Rate $11,688.24
Max. Negotiated Rate $18,506.38
Rate for Payer: Adventist Health Medi-Cal $11,688.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $13,928.49
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $18,506.38
Service Code APR-DRG 1773
Min. Negotiated Rate $22,213.76
Max. Negotiated Rate $35,171.79
Rate for Payer: Adventist Health Medi-Cal $22,213.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $26,471.40
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $35,171.79
Service Code APR-DRG 1772
Min. Negotiated Rate $17,566.70
Max. Negotiated Rate $27,813.95
Rate for Payer: Adventist Health Medi-Cal $17,566.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $20,933.66
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $27,813.95
Service Code APR-DRG 1774
Min. Negotiated Rate $34,081.37
Max. Negotiated Rate $53,962.17
Rate for Payer: Adventist Health Medi-Cal $34,081.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $40,613.63
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $53,962.17
Service Code MSDRG 258
Min. Negotiated Rate $7,978.00
Max. Negotiated Rate $82,696.93
Rate for Payer: Aetna of CA HMO/PPO $82,696.93
Rate for Payer: Anthem Blue Cross of CA Exchange $53,418.84
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $74,788.26
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $72,992.06
Rate for Payer: EPIC Health Plan Senior $48,661.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $44,237.61
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $61,932.65
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $59,278.40
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $44,237.61
Rate for Payer: Prime Health Services Medicare $46,891.87
Rate for Payer: United Healthcare All Other Commercial $38,532.00
Rate for Payer: United Healthcare All Other HMO $38,532.00
Rate for Payer: United Healthcare HMO Rider $23,768.00
Rate for Payer: United Healthcare Select/Navigate/Core $21,774.00
Service Code MSDRG 259
Min. Negotiated Rate $7,978.00
Max. Negotiated Rate $53,219.65
Rate for Payer: Aetna of CA HMO/PPO $53,219.65
Rate for Payer: Anthem Blue Cross of CA Exchange $34,377.72
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $48,130.02
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $47,504.31
Rate for Payer: EPIC Health Plan Senior $31,669.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $28,790.49
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $40,306.69
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $38,579.26
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $28,790.49
Rate for Payer: Prime Health Services Medicare $30,517.92
Rate for Payer: United Healthcare All Other Commercial $38,532.00
Rate for Payer: United Healthcare All Other HMO $38,532.00
Rate for Payer: United Healthcare HMO Rider $23,768.00
Rate for Payer: United Healthcare Select/Navigate/Core $21,774.00
Service Code MSDRG 261
Min. Negotiated Rate $7,978.00
Max. Negotiated Rate $51,377.00
Rate for Payer: Aetna of CA HMO/PPO $49,756.07
Rate for Payer: Anthem Blue Cross of CA Exchange $32,140.39
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $44,997.68
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $44,509.53
Rate for Payer: EPIC Health Plan Senior $29,673.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $26,975.47
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $37,765.66
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $36,147.13
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $26,975.47
Rate for Payer: Prime Health Services Medicare $28,594.00
Rate for Payer: United Healthcare All Other Commercial $51,377.00
Rate for Payer: United Healthcare All Other HMO $51,377.00
Rate for Payer: United Healthcare HMO Rider $31,691.00
Rate for Payer: United Healthcare Select/Navigate/Core $29,035.00
Service Code MSDRG 260
Min. Negotiated Rate $7,978.00
Max. Negotiated Rate $85,610.44
Rate for Payer: Aetna of CA HMO/PPO $85,610.44
Rate for Payer: Anthem Blue Cross of CA Exchange $55,300.85
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $77,423.15
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $75,511.21
Rate for Payer: EPIC Health Plan Senior $50,340.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $45,764.37
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $64,070.12
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $61,324.26
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $45,764.37
Rate for Payer: Prime Health Services Medicare $48,510.23
Rate for Payer: United Healthcare All Other Commercial $51,377.00
Rate for Payer: United Healthcare All Other HMO $51,377.00
Rate for Payer: United Healthcare HMO Rider $31,691.00
Rate for Payer: United Healthcare Select/Navigate/Core $29,035.00
Service Code MSDRG 262
Min. Negotiated Rate $7,978.00
Max. Negotiated Rate $51,377.00
Rate for Payer: Aetna of CA HMO/PPO $42,897.34
Rate for Payer: Anthem Blue Cross of CA Exchange $27,709.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $38,794.88
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $38,579.06
Rate for Payer: EPIC Health Plan Senior $25,719.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $23,381.25
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $32,733.75
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $31,330.88
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $23,381.25
Rate for Payer: Prime Health Services Medicare $24,784.12
Rate for Payer: United Healthcare All Other Commercial $51,377.00
Rate for Payer: United Healthcare All Other HMO $51,377.00
Rate for Payer: United Healthcare HMO Rider $31,691.00
Rate for Payer: United Healthcare Select/Navigate/Core $29,035.00
Service Code APR-DRG 2002
Min. Negotiated Rate $6,793.12
Max. Negotiated Rate $10,755.77
Rate for Payer: Adventist Health Medi-Cal $6,793.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $8,095.13
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $10,755.77
Service Code APR-DRG 2004
Min. Negotiated Rate $18,304.54
Max. Negotiated Rate $28,982.18
Rate for Payer: Adventist Health Medi-Cal $18,304.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $21,812.91
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $28,982.18
Service Code APR-DRG 2003
Min. Negotiated Rate $10,347.42
Max. Negotiated Rate $16,383.42
Rate for Payer: Adventist Health Medi-Cal $10,347.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $12,330.68
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $16,383.42
Service Code APR-DRG 2001
Min. Negotiated Rate $4,640.69
Max. Negotiated Rate $7,347.76
Rate for Payer: Adventist Health Medi-Cal $4,640.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $5,530.15
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $7,347.76
Service Code MSDRG 217
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $173,055.32
Rate for Payer: Aetna of CA HMO/PPO $173,055.32
Rate for Payer: Anthem Blue Cross of CA Exchange $111,786.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $156,505.29
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $151,120.96
Rate for Payer: EPIC Health Plan Senior $100,747.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $91,588.46
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $128,223.84
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $122,728.54
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $91,588.46
Rate for Payer: Prime Health Services Medicare $97,083.77
Rate for Payer: United Healthcare All Other Commercial $126,798.00
Rate for Payer: United Healthcare All Other HMO $126,798.00
Rate for Payer: United Healthcare HMO Rider $97,715.00
Rate for Payer: United Healthcare Select/Navigate/Core $89,522.00
Service Code MSDRG 216
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $257,473.51
Rate for Payer: Aetna of CA HMO/PPO $257,473.51
Rate for Payer: Anthem Blue Cross of CA Exchange $166,317.38
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $232,850.21
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $224,113.64
Rate for Payer: EPIC Health Plan Senior $149,409.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $135,826.45
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $190,157.03
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $182,007.44
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $135,826.45
Rate for Payer: Prime Health Services Medicare $143,976.04
Rate for Payer: United Healthcare All Other Commercial $155,615.00
Rate for Payer: United Healthcare All Other HMO $155,615.00
Rate for Payer: United Healthcare HMO Rider $119,917.00
Rate for Payer: United Healthcare Select/Navigate/Core $109,864.00
Service Code MSDRG 218
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $173,055.32
Rate for Payer: Aetna of CA HMO/PPO $173,055.32
Rate for Payer: Anthem Blue Cross of CA Exchange $111,786.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $156,505.29
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $151,120.96
Rate for Payer: EPIC Health Plan Senior $100,747.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $91,588.46
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $128,223.84
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $122,728.54
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $91,588.46
Rate for Payer: Prime Health Services Medicare $97,083.77
Rate for Payer: United Healthcare All Other Commercial $164,634.00
Rate for Payer: United Healthcare All Other HMO $164,634.00
Rate for Payer: United Healthcare HMO Rider $88,410.00
Rate for Payer: United Healthcare Select/Navigate/Core $80,997.00
Service Code MSDRG 220
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $140,353.96
Rate for Payer: Aetna of CA HMO/PPO $140,353.96
Rate for Payer: Anthem Blue Cross of CA Exchange $90,662.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $126,931.31
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $122,845.54
Rate for Payer: EPIC Health Plan Senior $81,897.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $74,451.84
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $104,232.58
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $99,765.47
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $74,451.84
Rate for Payer: Prime Health Services Medicare $78,918.95
Rate for Payer: United Healthcare All Other Commercial $117,371.00
Rate for Payer: United Healthcare All Other HMO $117,371.00
Rate for Payer: United Healthcare HMO Rider $111,169.00
Rate for Payer: United Healthcare Select/Navigate/Core $101,848.00
Service Code MSDRG 219
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $202,085.18
Rate for Payer: Aetna of CA HMO/PPO $202,085.18
Rate for Payer: Anthem Blue Cross of CA Exchange $130,538.78
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $182,758.90
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $176,221.77
Rate for Payer: EPIC Health Plan Senior $117,481.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $106,801.07
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $149,521.50
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $143,113.43
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $106,801.07
Rate for Payer: Prime Health Services Medicare $113,209.13
Rate for Payer: United Healthcare All Other Commercial $147,690.00
Rate for Payer: United Healthcare All Other HMO $147,690.00
Rate for Payer: United Healthcare HMO Rider $111,169.00
Rate for Payer: United Healthcare Select/Navigate/Core $101,848.00
Service Code MSDRG 221
Min. Negotiated Rate $11,745.00
Max. Negotiated Rate $171,252.00
Rate for Payer: Aetna of CA HMO/PPO $132,653.02
Rate for Payer: Anthem Blue Cross of CA Exchange $85,688.44
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $119,966.84
Rate for Payer: Cigna of CA HMO $11,745.00
Rate for Payer: Cigna of CA PPO $14,790.00
Rate for Payer: EPIC Health Plan Commercial $116,186.88
Rate for Payer: EPIC Health Plan Senior $77,457.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $70,416.29
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage $98,582.81
Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare $94,357.83
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $70,416.29
Rate for Payer: Prime Health Services Medicare $74,641.27
Rate for Payer: United Healthcare All Other Commercial $171,252.00
Rate for Payer: United Healthcare All Other HMO $171,252.00
Rate for Payer: United Healthcare HMO Rider $111,169.00
Rate for Payer: United Healthcare Select/Navigate/Core $101,848.00
Service Code APR-DRG 1624
Min. Negotiated Rate $96,925.37
Max. Negotiated Rate $153,465.17
Rate for Payer: Adventist Health Medi-Cal $96,925.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $115,502.73
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $153,465.17
Service Code APR-DRG 1622
Min. Negotiated Rate $53,131.37
Max. Negotiated Rate $84,124.67
Rate for Payer: Adventist Health Medi-Cal $53,131.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $63,314.88
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $84,124.67
Service Code APR-DRG 1623
Min. Negotiated Rate $69,424.68
Max. Negotiated Rate $109,922.41
Rate for Payer: Adventist Health Medi-Cal $69,424.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $82,731.08
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $109,922.41
Service Code APR-DRG 1621
Min. Negotiated Rate $45,651.30
Max. Negotiated Rate $72,281.23
Rate for Payer: Adventist Health Medi-Cal $45,651.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $54,401.13
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $72,281.23
Service Code APR-DRG 1634
Min. Negotiated Rate $85,206.60
Max. Negotiated Rate $134,910.45
Rate for Payer: Adventist Health Medi-Cal $85,206.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $101,537.87
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal $134,910.45